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    • 3. 发明申请
    • WOUND RETRACTION APPARATUS AND METHOD
    • 回绕装置和方法
    • US20070225569A1
    • 2007-09-27
    • US11755305
    • 2007-05-30
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • A61B1/32
    • A61B1/32A61B17/0293A61B17/3423A61B17/3431A61B2017/3484
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离,缩回元件是可伸长的和不可扩张的,在环处有合适的附接装置,以提供 收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成圆周保持器的步骤。
    • 4. 发明申请
    • Insufflating optical surgical instrument
    • 吸入光学手术器械
    • US20050288622A1
    • 2005-12-29
    • US11170567
    • 2005-06-29
    • Jeremy AlbrechtJohn BrustadScott TaylorGary JohnsonNabil Hilal
    • Jeremy AlbrechtJohn BrustadScott TaylorGary JohnsonNabil Hilal
    • A61B17/34A61B19/00A61M37/00
    • A61M13/003A61B1/06A61B17/3417A61B17/3462A61B17/3474A61B17/3494A61B90/361A61B2017/3454A61B2017/346A61B2017/349A61M2202/0007A61M2202/02A61M2202/0468A61M2205/3337
    • An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel. The tip may be blunt, the shaft and the tip may be integrally formed, and the vent hole may be of any geometric shape including round, oval, square and rectangular. The blunt tip may further comprise a marker to indicate penetration of the abdominal wall. In another aspect, the tip may be sharp, pointed or bladed to facilitate penetration of body tissue.
    • 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械,包括具有沿近端和远端之间的轴延伸的吹入通道的轴,所述吹入通道适于连接到 在近端处于压力下的流体源,在轴的远端处的尖端,以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔,并且适于在压力下将流体排出 灌注腹部区域。 至少前端和轴中的一个被一半透明或透明的材料形成,诸如聚碳酸酯,以便于腹壁和腹部区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔,以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。 尖端可以是钝的,在轴和尖端可以一体地形成,并且所述通风孔可以是任何几何形状,包括圆形,椭圆形,方形和矩形的。 钝尖可以进一步包括指示腹壁穿透的标记。 在另一方面,尖端可以是尖锐的,尖的或叶片的,以便于穿透身体组织。
    • 6. 发明申请
    • Bladeless optical obturator
    • 无光学光学闭孔器
    • US20050065543A1
    • 2005-03-24
    • US10956167
    • 2004-10-01
    • Henry KahleArkadiusz StrokoszKimball McGinleyScott TaylorGary JohnsonJohn Brustad
    • Henry KahleArkadiusz StrokoszKimball McGinleyScott TaylorGary JohnsonJohn Brustad
    • A61B20060101A61B17/00A61B17/32A61B17/34A61B19/00
    • A61B17/3417A61B1/3132A61B17/3415A61B17/3421A61B17/3423A61B17/3462A61B17/3468A61B17/3474A61B17/3478A61B17/3496A61B90/361A61B90/92A61B2017/0046A61B2017/00477A61B2017/00907A61B2017/320044A61B2017/3425A61B2017/3445A61B2017/3456A61B2017/346A61B2017/3464A61B2017/347A61B2090/3937
    • The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
    • 本发明涉及一种无插管套管针闭塞器,用于在插入穿过体壁时分离或分离身体组织。 一方面,本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖,所述外表面向远侧延伸到钝点,一对侧部具有共同的形状并且被至少一个中间体 其中每个所述侧部分从所述钝点径向向外延伸,并具有沿所述轴向近端的渐进位置,并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。 通过这个方面,锥形配置便于分离身体组织的不同层,并提供顶层在层之间的适当对准。 侧部包括远端部分和近端部分,侧部分的远侧部分相对于侧部部分的近端部分径向扭转。 中间部分包括远端部分和近端部分,中间部分的远端部分在第一径向方向上扭转,并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。
    • 7. 发明申请
    • Surgical device with tack-free gel and method of manufacture
    • 具有无粘性凝胶的手术装置及其制造方法
    • US20050033246A1
    • 2005-02-10
    • US10913565
    • 2004-08-05
    • Russell AhlbergPayam AdlparvarScott TaylorMatthew WixeyDaniel MartinezJohn Brustad
    • Russell AhlbergPayam AdlparvarScott TaylorMatthew WixeyDaniel MartinezJohn Brustad
    • A61B17/00A61B17/22A61B17/34B29C39/00B29C39/12A61M25/00
    • A61M3/0279A61B17/3423A61B17/3462A61B17/3498A61B2017/00469A61B2017/22067B29C37/0067B29C39/006B29C39/025B29C39/123
    • A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
    • 公开了制造无粘性凝胶的方法,包括以下步骤:提供限定模腔的模具,所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。 形成步骤还包括将凝胶从熔融状态冷却至固化状态。 塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高,塑料材料的熔化越大,并且凝胶表面上的塑料材料层越厚。 模具可以由低密度聚乙烯(LDPE)形成。 通过本发明的方法,熔融凝胶在其成型温度下的热量转移到LDPE模具的表面,以熔化LDPE的薄层。 模具可以包括具有形成多个模具腔的多个模具孔的模具基座,每个模具孔包括轴向销,以模制通过凝胶的中心的轴向孔,提供预定内径的LDPE圆筒, 模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。 该方法还可以包括在诸如聚四氟乙烯(PTFE)和润滑剂的低摩擦粉末中浸渍凝胶的步骤。 模具还可包括设置在模具基座的轴向上的模具顶部,并且包括形成多个空腔的多个孔,每个模具顶部孔适于接纳LDPE圆筒,并且设置在第二LDPE圆盘的顶部 模具顶部的每个模腔。
    • 10. 发明申请
    • BLUNT TIP OBTURATOR
    • BLUNT提示OBTURATOR
    • US20120316596A1
    • 2012-12-13
    • US13586825
    • 2012-08-15
    • Scott TaylorWixey A. Matthew
    • Scott TaylorWixey A. Matthew
    • A61B17/00
    • A61B17/3417A61B17/02A61B17/3498A61B2017/320044A61B2017/3456A61B2017/346A61M13/003
    • A surgical access device comprises an elongate shaft with a bladeless tip at the distal end. The bladeless tip has an outer surface with a proximal portion, a distal portion, and an intermediate portion. In a cross section in the proximal portion, the outer surface defines a circle. In a cross section in the intermediate portion, the outer surface defines a shape having a length greater than a width. The outer surface has first and second opposing surface portions of the shape that are generally aligned with the length. In a cross section in the distal portion, the outer surface defines a circle. In progressive proximal cross sections in the distal portion, the circle expands. In progressive proximal cross sections in the intermediate portion, a ratio of the width of the shape to the length of the shape increases and the first and second opposing surface portions are more arcuate.
    • 外科进入装置包括在远端具有无叶尖的细长轴。 无刃尖具有具有近端部分,远侧部分和中间部分的外表面。 在近端部分的横截面中,外表面限定一个圆。 在中间部分的横截面中,外表面限定长度大于宽度的形状。 外表面具有通常与长度对准的形状的第一和第二相对表面部分。 在远侧部分的横截面中,外表面限定一个圆。 在远端部分的渐进近端横截面中,圆形扩大。 在中间部分的渐进近端横截面中,形状的宽度与形状的长度的比率增加,并且第一和第二相对表面部分更弓形。