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1. 发明申请

US20080091143A1 UNIVERSAL ACCESS SEAL 有权
公开(公告)号：US20080091143A1
公开(公告)日：2008-04-17
申请号：US11948599
申请日：2007-11-30
申请人： Scott Taylor , John Brustad , Boun Pravong , Blair Howe
发明人： Scott Taylor , John Brustad , Boun Pravong , Blair Howe
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device including a valve housing and an instrument receiving element mounted in the valve housing having an aperture for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube generally shaped like an hourglass. The surgical access device may include an access septum seal molded from a gel material. The surgical access device can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.

2. 发明申请

US20080077169A1 UNIVERSAL ACCESS SEAL 有权
标题翻译：通用密码
公开(公告)号：US20080077169A1
公开(公告)日：2008-03-27
申请号：US11948722
申请日：2007-11-30
申请人： Scott Taylor , John Brustad , Boun Pravong , Blair Howe , Judith Howe
发明人： Scott Taylor , John Brustad , Boun Pravong , Blair Howe , Judith Howe
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device including a valve housing and an instrument receiving element mounted in the valve housing having an aperture for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube generally shaped like an hourglass. The surgical access device may include an access septum seal molded from a gel material. The surgical access device can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.
摘要翻译：一种手术进入装置，其包括阀壳体和安装在所述阀壳体中的器械接收元件，所述器件接收元件具有用于灵活地接收和引导具有宽范围直径的器械的孔。仪器接收元件包括通常形成为沙漏的编织网或网管。外科进入装置可以包括由凝胶材料模制的进入隔膜密封件。手术进入装置可以灵活地接合直径范围为约3.5mm至约12.9mm的仪器。

3. 发明授权

US08109911B2 Universal access seal 有权
标题翻译：通用密封
公开(公告)号：US08109911B2
公开(公告)日：2012-02-07
申请号：US11948722
申请日：2007-11-30
申请人： Scott V. Taylor , John R. Brustad , Boun Pravong , Blair Howe , Judith Howe, legal representative
发明人： Scott V. Taylor , John R. Brustad , Boun Pravong , Blair Howe
IPC分类号： A61M5/00 , A61B17/32
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device including a valve housing and an instrument receiving element mounted in the valve housing having an aperture for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube generally shaped like an hourglass. The surgical access device may include an access septum seal molded from a gel material. The surgical access device can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.
摘要翻译：一种手术进入装置，其包括阀壳体和安装在所述阀壳体中的器械接收元件，所述器件接收元件具有用于灵活地接收和引导具有宽范围直径的器械的孔。仪器接收元件包括通常形成为沙漏的编织网或网管。外科进入装置可以包括由凝胶材料模制的进入隔膜密封件。外科进入装置可以灵活地接合直径范围为约3.5mm至约12.9mm的仪器。

4. 发明授权

US08079986B2 Universal access seal 有权
标题翻译：通用密封
公开(公告)号：US08079986B2
公开(公告)日：2011-12-20
申请号：US11948599
申请日：2007-11-30
申请人： Scott V. Taylor , John R. Brustad , Boun Pravong , Blair Howe
发明人： Scott V. Taylor , John R. Brustad , Boun Pravong , Blair Howe
IPC分类号： A61M5/00 , A61B17/32
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device including a valve housing and an instrument receiving element mounted in the valve housing having an aperture for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube generally shaped like an hourglass. The surgical access device may include an access septum seal molded from a gel material. The surgical access device can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.
摘要翻译：一种手术进入装置，其包括阀壳体和安装在所述阀壳体中的器械接收元件，所述器件接收元件具有用于灵活地接收和引导具有宽范围直径的器械的孔。仪器接收元件包括通常形成为沙漏的编织网或网管。外科进入装置可以包括由凝胶材料模制的进入隔膜密封件。外科进入装置可以灵活地接合直径范围为约3.5mm至约12.9mm的仪器。

5. 发明申请

US20060144501A1 Kink-resistant access sheath and method of making same 有权
标题翻译：抗折接线护套及其制作方法
公开(公告)号：US20060144501A1
公开(公告)日：2006-07-06
申请号：US11319870
申请日：2005-12-28
申请人： John Brustad , Payam Adlparvar , Wassim Aliahmad , Canh Tran , Nabil Hilal , Boun Pravong , Raffi Pinedjian , Charles Hart
发明人： John Brustad , Payam Adlparvar , Wassim Aliahmad , Canh Tran , Nabil Hilal , Boun Pravong , Raffi Pinedjian , Charles Hart
IPC分类号： B65H81/00
CPC分类号： A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要： A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.
摘要翻译：诸如盖的可释放机构适于与具有设置在管的近端处的细长管和手柄结构的进入护套一起使用。所述可释放机构的尺寸和构造适合于将手柄结构（其形状像喇叭的钟形）配合，以进一步便于手术器械的使用。可释放机构可以作为单独的盖子操作，该盖子卡扣在手柄结构上以提供到护套的通路。可释放机构还可以设置在外科器械的近端处以被引入入口护套中，使得其可以与护套互锁。在制造耐扭结护套的方法中，最初用塑料材料涂覆线，然后将涂覆的线缠绕在形成多个绕组的心轴上，并且加热伤口涂覆的线，直到塑料材料熔化并结合绕组形成电线增强护套。塑料材料优选为聚氨酯，但可以是热塑性塑料，热固性材料或具有硬和/或软硬度的任何塑料材料。可以通过将收缩管内的绕组捕获或压缩模具中的绕组并加热绕组直到形成护套来加热伤口涂覆的线。在本发明的另一方面，使用心轴作为挤出工艺的一部分。在本发明的另一方面，可以通过浸渍在基于溶剂的溶液中在弹簧加强件上形成另一涂层或外层。在本发明的另一个实施例中，可以使用诸如聚酯编织物的编织物代替螺旋弹簧或除了螺旋弹簧以外以形成扭结护套。

6. 发明申请

US20060064054A1 Longitudinal sheath enforcement 审中-公开
标题翻译：纵向护套执行
公开(公告)号：US20060064054A1
公开(公告)日：2006-03-23
申请号：US11263876
申请日：2005-11-01
申请人： Ghassan Sakakine , Thomas DeMarchi , Boun Pravong , Kennii Pravongviengkham , John Brustad , Charles Hart , Nabil Hilal
发明人： Ghassan Sakakine , Thomas DeMarchi , Boun Pravong , Kennii Pravongviengkham , John Brustad , Charles Hart , Nabil Hilal
IPC分类号： A61M31/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431
摘要： A surgical access sheath with an elongate body and a lumen through the body is provided. The sheath has at least one longitudinal and radially spaced reinforcing wire longitudinally extending along the elongated body.
摘要翻译：提供了具有细长体和通过身体的内腔的手术通道护套。护套具有沿着细长主体纵向延伸的至少一个纵向和径向隔开的加强丝。

7. 发明授权

US08308746B2 Method and apparatus for tissue morcellation 有权
标题翻译：组织移植的方法和装置
公开(公告)号：US08308746B2
公开(公告)日：2012-11-13
申请号：US12102719
申请日：2008-04-14
申请人： Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
发明人： Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要： The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device. A tenaculum used with the morcellation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译：本发明涉及用于微创手术的组织移植器。旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环，其与视觉上透明的外部致动器管结合，使得外科医生能够将morcellator轴的内部可视化，以检测装置中松散的组织碎片。与切割装置一起使用的搭扣具有用于防止与叶片接触的间隔件。切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件，用于防止组织沿着morcellator管的纵向轴线旋转。这允许组织连续地旋转到morcellator装置中用于连续剥离。组织引导件也可以完全缩回以允许大块组织的取芯。

8. 发明申请

US20090248020A1 ELECTROSURGICAL SYSTEM 有权
标题翻译：电磁系统
公开(公告)号：US20090248020A1
公开(公告)日：2009-10-01
申请号：US12416751
申请日：2009-04-01
申请人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译：可以使用电外科工具来熔合组织。电外科手术工具可以包括钳口组件，细长轴和手柄组件。手柄组件的致动可以致动钳口组件。细长轴可以旋转而不中断与钳口组件的电连接。电外科手术工具可以包括用于分离熔融组织的切割刀片。电外科手术工具还可以包括钳口组件配置或外部切割电极，以利用该工具改善手术进入。

9. 发明申请

US20090248019A1 ELECTROSURGICAL SYSTEM 有权
标题翻译：电磁系统
公开(公告)号：US20090248019A1
公开(公告)日：2009-10-01
申请号：US12416128
申请日：2009-03-31
申请人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： An electrosurgical tool can be used for tissue dissection. The tool can include several electrodes positioned on a jaw assembly. The electrodes can be selectively connected to a power source in a cutting arrangement or a coagulation arrangement. Switching from the cutting arrangement to the coagulation arrangement can be provided by opening and closing a handle to actuate the jaw assembly.
摘要翻译：电外科手术可用于组织剥离。工具可以包括位于钳口组件上的多个电极。电极可以选择性地连接到切割装置或凝结装置中的电源。可以通过打开和关闭手柄来致动钳口组件来提供从切割装置到凝结装置的切换。

10. 发明授权

US07005026B2 Kink-resistant access sheath and method of making same 有权
公开(公告)号：US07005026B2
公开(公告)日：2006-02-28
申请号：US10298116
申请日：2002-11-15
申请人： John R Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C Hart
发明人： John R Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C Hart
IPC分类号： B65H81/00
CPC分类号： A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要： A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.

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