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1. 发明申请

US20050256452A1 Steerable vascular sheath 审中-公开
标题翻译：可转向血管鞘
公开(公告)号：US20050256452A1
公开(公告)日：2005-11-17
申请号：US11152945
申请日：2005-06-14
申请人： Thomas DeMarchi , Ghassan Sakakine , John Brustad , Donald Gadberry , Henry Kahle , Charles Hart , Nabil Hilal
发明人： Thomas DeMarchi , Ghassan Sakakine , John Brustad , Donald Gadberry , Henry Kahle , Charles Hart , Nabil Hilal
IPC分类号： A61B1/01 , A61B17/00 , A61B17/28 , A61B17/34 , A61M25/00 , A61M25/01 , A61M31/00
CPC分类号： A61M25/0138 , A61B1/00071 , A61B1/00154 , A61B1/0052 , A61B1/0057 , A61B17/3421 , A61B2017/003 , A61B2017/00424 , A61B2017/2923 , A61M25/0017 , A61M25/0147
摘要： A vascular steerable access device is provided having an elongate body and a steerable portion. The access sheath has an outside diameter sufficiently small so that it may be inserted into a vessel and a sufficient length to extend through a patient's circulatory system. The access sheath may have two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译：提供了具有细长主体和可操纵部分的血管导向进入装置。进入护套具有足够小的外径，使得其可以插入到容器中并具有足够的长度以延伸通过患者的循环系统。进入护套可以具有两个内腔，第一内腔的尺寸和构造为进入外科手术部位，并且被配置为进入外科手术部位，第二内腔的尺寸和构造设置成容纳张紧装置，该张紧装置在作用时将使可转向部分偏转。张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。

2. 发明申请

US20050165366A1 Medical tubing having variable characteristics and method of making same 审中-公开
标题翻译：具有可变特性的医用管及其制造方法
公开(公告)号：US20050165366A1
公开(公告)日：2005-07-28
申请号：US10766138
申请日：2004-01-28
申请人： John Brustad , Said Hilal , Nabil Hilal , Charles Hart , Gary Johnson , Serene Hilal , Ghassan Sakakine , Donald Gadberry , Edward Pingleton , Matthew Petrime , Payam Adlparvar , Carl Hadley , Kenneth Vu
发明人： John Brustad , Said Hilal , Nabil Hilal , Charles Hart , Gary Johnson , Serene Hilal , Ghassan Sakakine , Donald Gadberry , Edward Pingleton , Matthew Petrime , Payam Adlparvar , Carl Hadley , Kenneth Vu
IPC分类号： A61B17/00 , A61B17/34 , A61M25/00 , A61M5/00
CPC分类号： A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要： The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.
摘要翻译：本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。管道包括多个单独的离散的大体环形元件，其串联布置并且熔合或粘合在一起形成连续的管状结构。环形元件可以由热塑性材料或热固性材料形成。环形元件可以包括沿着管状结构的长度组装的塑料环，金属环，未增强塑料环和/或金属增强塑料环，以提供可变的柔性和抗扭结性。管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。环形元件可以具有不同的弯曲模量。环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合，其中环形元件可以具有不同的长度，并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合的管道。在本发明的另一方面，医疗管道还可包括用于控制管状结构的次管腔和拉线。环形元件可以被截断以提供弯曲偏压。在本发明的另一方面，环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。在本发明的另一方面，一些环形元件可以是不透射线的，或者环形元件可以包括不同颜色以作为沿着管状结构的指示器。

3. 发明申请

US20050241647A1 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US20050241647A1
公开(公告)日：2005-11-03
申请号：US10516198
申请日：2003-06-03
申请人： Eric Nguyen , Donald Gadberry , Gary Johnson , Charles Hart , John Brustad , Robert Bowes , Jeremy Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald Gadberry , Gary Johnson , Charles Hart , John Brustad , Robert Bowes , Jeremy Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61B17/02 , A61B17/34 , A61B19/08 , A61F13/00 , A61L31/00
CPC分类号： A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B17/3498 , A61B2017/00889 , A61B2017/00938 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435
摘要： An incrementally adjustable wound retractor (100), having a first ring (102) with a diameter greater than the desired diameter of the wound incision. A second ring (104), having an annular axis and a diameter greater than the desired diameter of the wound incision. A flexible sleeve (106), disposed in a generally cylindrical form between the first and second rings (102, 104), the second ring may be rolled over itself and around the annular axis to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译：一种增量可调的伤口牵开器（100），具有直径大于所述伤口切口所需直径的第一环（102）。第二环（104），其具有环形轴线和直径大于所述伤口切口的期望直径。柔性套筒（106）以大致圆柱形的形式设置在第一和第二环（102,104）之间，第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基缩回力的套筒切口至所需直径。

4. 发明申请

US20070277921A1 STEERABLE KINK-RESISTANT SHEATH 有权
标题翻译：可转换的耐酸洗
公开(公告)号：US20070277921A1
公开(公告)日：2007-12-06
申请号：US11695449
申请日：2007-04-02
申请人： Charles Hart , John Brustad , Nabil Hilal , Henry Kahle , Donald Gadberry
发明人： Charles Hart , John Brustad , Nabil Hilal , Henry Kahle , Donald Gadberry
IPC分类号： B29D23/18
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译：提供了一种具有细长主体和可转向部分的可转向扭结接近装置。进入护套具有足够小的外径，使得其可以插入体腔或管道中。进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。

5. 发明申请

US20070239108A1 Balloon trocar 有权
标题翻译：气球套管针
公开(公告)号：US20070239108A1
公开(公告)日：2007-10-11
申请号：US11374188
申请日：2006-03-13
申请人： Jeremy Albrecht , Gigi Au , Eric Nguyen , Donald Gadberry , John Brustad , Gary Johnson , Charles Hart
发明人： Jeremy Albrecht , Gigi Au , Eric Nguyen , Donald Gadberry , John Brustad , Gary Johnson , Charles Hart
IPC分类号： A61M29/00 , A61M5/178
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3419 , A61B2017/3433 , A61B2017/3445 , A61B2017/347 , A61B2017/3486 , A61B2017/3488 , A61B2017/349 , A61J15/0053 , A61M25/04 , A61M39/0247 , A61M39/06 , A61M2039/0261 , A61M2039/0273 , A61M2039/0279 , A61M2039/0294 , A61M2039/062 , A61M2039/0626 , A61M2039/0686
摘要： A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula. The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity. The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译：气球套管针包括插管组件，其包括套管和套管上的外套管。外套筒的远端靠近套管的远端。气囊联接到套管的远端部分和套管的远端部分。套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道。在其远端部分具有凝胶垫的枕头可滑动地安装到套管组件上并且可以锁定在期望的位置。在使用中，套针针通过体壁插入切口并进入体腔。气囊被充气，并且套管组件向近侧拉动抵靠切口，同时将垫片向远侧滑动到体壁并锁定到位以用压缩气囊密封切口。

6. 发明申请

US20070088204A1 Wound retractor with gel cap 有权
标题翻译：带有胶帽的伤口牵开器
公开(公告)号：US20070088204A1
公开(公告)日：2007-04-19
申请号：US11548781
申请日：2006-10-12
申请人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson , Jennifer Ko , Donald Gadberry
发明人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson , Jennifer Ko , Donald Gadberry
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，每个管包括具有定位在其中的刚性的，不一致的分割箍的内腔。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

7. 发明申请

US20060195125A1 Spring clip and method for assembling same 有权
标题翻译：弹簧夹和组装方法
公开(公告)号：US20060195125A1
公开(公告)日：2006-08-31
申请号：US10543800
申请日：2004-02-17
申请人： Ghassan Sakakine , Donald Gadberry
发明人： Ghassan Sakakine , Donald Gadberry
IPC分类号： A61B17/08
CPC分类号： A61B17/1227 , A61B17/083 , A61B17/122
摘要： A surgical clip assembly is provided having two molded components and a tension spring. In one aspect of the invention, the spring clip includes a first molded portion having a first jaw and a first finger tab, a second molded portion coupled to the first molded portion and having a second jaw and a second finger tab, and a tension spring coupled to both the first and second molded portions. The first and second molded portions may be identical components and are moveable by operation of the first and second finger tabs between a generally closed position and a generally open position. The finger tabs may include cavities or grooves to facilitate engagement with a user or the jaws of a clip applier. The jaws may be shaped, curved or bent to provide access to specific areas of a procedure. Each of the jaws can be provided with an insert to further reduce trauma and increase traction with a target body conduit In a preferred process of assembling the clip, the tension spring is wound at least one turn forming a central coil and two extensions, and each of the molded portions is formed with a hinge area. Each of the hinge areas includes a hinge stud and a hinge cavity. The hinge areas operate to align and snap-fit with one another to form the clip assembly. With the assembly process of the invention, the extensions of the tension spring may be mounted into guide slots or ribs of either the jaws or finger tabs of the molded portions. A feature of the present invention is different tension springs having various strength and tension properties may be used in accordance with the needs and requirements of each surgical procedure without changing the construction of the molded portions.
摘要翻译：提供具有两个模制部件和拉伸弹簧的手术夹子组件。在本发明的一个方面，弹簧夹包括第一模制部分，其具有第一钳口和第一指状突片，第二模制部分联接到第一模制部分并且具有第二钳口和第二指状突片，以及拉伸弹簧耦合到第一和第二模制部分。第一和第二模制部分可以是相同的部件，并且可以通过第一和第二指状突片在大致闭合位置和大致打开位置之间的操作来移动。指状突片可以包括空腔或凹槽，以便于与施加器的使用者或钳口接合。颚可以成形，弯曲或弯曲以提供对程序的特定区域的访问。每个钳口可以设置有插入件以进一步减少创伤并增加与目标体导管的牵引力。在组装夹子的优选过程中，拉伸弹簧被卷绕至少一圈，形成中心线圈和两个延伸部，并且每个的模制部分形成有铰链区域。每个铰链区域包括铰链柱和铰链腔。铰链区域用于相互对准和卡扣配合以形成夹子组件。通过本发明的组装过程，拉伸弹簧的延伸部可以安装到模制部分的爪或指状突片的引导槽或肋中。本发明的特征是具有各种强度和张力特性的不同的拉伸弹簧可以根据每个外科手术的需要和要求使用，而不改变模制部分的结构。

8. 发明申请

US20060129186A1 Surgical instrument with removable shaft apparatus and method 有权
公开(公告)号：US20060129186A1
公开(公告)日：2006-06-15
申请号：US11345964
申请日：2006-02-02
申请人： Donald Gadberry , Ghassan Sakakine
发明人： Donald Gadberry , Ghassan Sakakine
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/0046 , A61B2017/00477 , A61B2017/2905 , A61B2017/292 , A61B2017/2931 , A61B2090/0813
摘要： A surgical instrument includes a shaft having a proximal end and a distal end with an operating device disposed at the distal end. A cable assembly is carried by the shaft and extends proximally to a terminus. A handle assembly coupled to the cable assembly concludes a first handle and a second handle. The first handle includes portions configured to receive the terminus and the proximal end of the shaft while portions of the second handle are configured to receive the terminus of the cable assembly. The proximal end of the shaft and the terminus are simultaneously rotatable to cover the proximal end of the shaft to the portions of the first handle and to couple the terminus to the portions of the second handle. The handle assembly can be made sterilizable with a minimum of non-bearing surfaces, while the shaft assembly can be made disposable and interchangeable with various operating devices. An associated method includes the step of releasably locking the shaft assembly to the handle assembly.

9. 发明申请

US20070185387A1 Split hoop wound retractor with gel pad 有权
标题翻译：分体箍卷绕牵引器与凝胶垫
公开(公告)号：US20070185387A1
公开(公告)日：2007-08-09
申请号：US11548758
申请日：2006-10-12
申请人： Jeremy Albrecht , Jennifer Ko , Gary Johnson , John Brustad , Donald Gadberry
发明人： Jeremy Albrecht , Jennifer Ko , Gary Johnson , John Brustad , Donald Gadberry
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

10. 发明申请

US20070073314A1 MANUALLY ACTUATED SURGICAL CLIP APPLIER 有权
标题翻译：手动启动手术夹具
公开(公告)号：US20070073314A1
公开(公告)日：2007-03-29
申请号：US11536467
申请日：2006-09-28
申请人： Donald Gadberry , Frans Vandenbroek , Gary Johnson , Charles Hart , David Hearn
发明人： Donald Gadberry , Frans Vandenbroek , Gary Johnson , Charles Hart , David Hearn
IPC分类号： A61B17/10
CPC分类号： A61B17/128 , A61B17/1285 , A61B2017/0046 , A61B2017/0488
摘要： A surgical clip applier is provided having a cartridge carrying multiple surgical clips with a manual graspable actuator configured to sequentially deliver clips to the jaws of the clip applier. Both the cartridge and the jaws are connectable to a scissors-like actuator arranged to translate motion from finger loops to the jaws to open and close the jaws and thus close or crimp a delivered clip between the jaws.
摘要翻译：提供了一种手术夹具，其具有带有多个外科夹具的药筒，手动夹持致动器构造成将夹子顺序地递送到施夹器的钳口。盒和夹爪都可连接到剪刀式致动器，其被布置成将手指环的运动转移到钳口，以打开和关闭钳口，并且因此封闭或压紧夹爪之间的传送夹子。

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