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21. 发明申请

WO2003043683A1 MULTI-SEAL TROCAR SYSTEM 审中-公开
标题翻译：多密封系统
公开(公告)号：WO2003043683A1
公开(公告)日：2003-05-30
申请号：PCT/US2001/045567
申请日：2001-11-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , BRUSTAD, John, R. , NABIL, Hilal , HILAL, Said
发明人： HART, Charles, C. , BRUSTAD, John, R. , NABIL, Hilal , HILAL, Said
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B2017/3464
摘要： A multi-seal trocar system (10) includes a plurality of co-axial sealing elements (30 60,80) adapted for forming a seal with either a large or small instrument. Small and large sealing elements (45,62) are disposed in an in-line arrangement such that a single port is provided for instrument insertion. A zero seal (80) is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element (45) is configured such that insertion of a large instrument automatically moves the small sealing element (45) out of its path, thereby avoiding contact with the large instrument.
摘要翻译：多密封套管针系统（10）包括适于与大型或小型仪器形成密封件的多个同轴密封元件（30,60,80）。小型和大型密封元件（45,62）以直列布置设置，使得提供单个端口用于仪器插入。零密封件（80）设置在密封元件的远侧以密封系统的工作通道，并且在不插入仪器时防止回流。小型密封元件45被构造成使得大型仪器的插入自动地将小密封元件45移出其路径，从而避免与大型仪器接触。

22. 发明申请

WO2007044849A1 CIRCULAR SURGICAL RETRACTOR 审中-公开
标题翻译：圆形手术切除器
公开(公告)号：WO2007044849A1
公开(公告)日：2007-04-19
申请号：PCT/US2006/039883
申请日：2006-10-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , HART, Charles, C. , BRUSTAD, John, R.
发明人： ALBRECHT, Jeremy, J. , HART, Charles, C. , BRUSTAD, John, R.
IPC分类号： A61B17/34 , A61B17/02
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： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.
摘要翻译：用于缩回手术切口的缠绕牵开器包括内环，外环和连接到内圈和外圈的可扩张套管。外环包括彼此耦合的至少一对圆形管。圆形管中的至少一个包括形成开口端的管腔和裂口。其中具有分裂的不合规的管状环位于内腔中。管状环被定向成其开口端远离圆形管的分割。核心位于管状箍的内腔中。芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。

23. 发明申请

WO2006062644A2 INSUFFLATION GAS WARMER AND HUMIDIFIER 审中-公开
标题翻译：消除气体温度和湿度
公开(公告)号：WO2006062644A2
公开(公告)日：2006-06-15
申请号：PCT/US2005/040199
申请日：2005-11-07
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , BRUSTAD, John, R. , FALKENSTEIN, Zoran
发明人： HART, Charles, C. , BRUSTAD, John, R. , FALKENSTEIN, Zoran
IPC分类号： A61M16/10 , A62B9/00
CPC分类号： A61M13/003 , A61B17/3474
摘要： An insufflation gas warmer and humidifier apparatus and methods are provided. Insufflation gas is received from a bulky insufflation tubing. Insufflation gas received travels through, in one aspect, a channel or winding flow path, in a passage. The configuration of the passage ensures that the insufflation gas, which travels through the passage, receives sufficient heat and moisture. A humidifying reservoir humidifies the insufflation gas as the insufflation gas is passed to the passage. In one aspect, an oxygenator introduces slight amounts of oxygen into the insufflation gas. A warmer connected to the passage warms the gas in the passage. The warmer, in one aspect, contains a reactive agent that when exposed to air produces heat that is transferred to the passage to warm the insufflation gas within the passage.
摘要翻译：提供了一种吹气加温器和加湿装置和方法。从大体积吹入管接收吹入气体。在一个方面，接收的吹入气体在通道中穿过通道或卷绕流动路径。通道的构造确保了通过通道的吹入气体受到足够的热量和湿气。当吹入气体通过通道时，加湿容器加湿吹入气体。一方面，氧合器将少量的氧气引入吹入气体。与通道连接的暖气暖气通道中的气体。在一个方面，暖气器包含一种反应剂，当暴露在空气中时，会产生传递到通道的热量，以加热通道内的吹入气体。

24. 发明申请

WO2006050478A1 LONGITUDINAL SHEATH ENFORCEMENT 审中-公开
标题翻译：长期执法
公开(公告)号：WO2006050478A1
公开(公告)日：2006-05-11
申请号：PCT/US2005/039885
申请日：2005-11-01
申请人： APPLIED MEDICAL RESOURCES CORPORATION , SAKAKINE, Ghassan , DeMARCHI, Thomas , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BRUSTAD, John, R. , HART, Charles, C. , HILAL, Nabil
发明人： SAKAKINE, Ghassan , DeMARCHI, Thomas , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BRUSTAD, John, R. , HART, Charles, C. , HILAL, Nabil
IPC分类号： A61M25/00
CPC分类号： A61B17/3417 , A61B17/3421 , A61B17/3431
摘要： A surgical access sheath with an elongated 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。

25. 发明申请

WO2005123169A1 STEERABLE VASCULAR SHEATH 审中-公开
标题翻译：可行的血管
公开(公告)号：WO2005123169A1
公开(公告)日：2005-12-29
申请号：PCT/US2005/021262
申请日：2005-06-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION , DEMARCHI, Thomas , SAKAKINE, Ghassan , BRUSTAD, John, R. , GADBERRY, Donald, L. , KAHLE, Henry , HART, Charles, C. , HILAL, Nabil
发明人： DEMARCHI, Thomas , SAKAKINE, Ghassan , BRUSTAD, John, R. , GADBERRY, Donald, L. , KAHLE, Henry , HART, Charles, C. , HILAL, Nabil
IPC分类号： A61M25/01
CPC分类号： A61M25/0147 , A61M25/005 , A61M25/0051 , A61M25/0053 , A61M25/0054 , A61M25/0136 , A61M25/0138 , A61M25/0662
摘要： A vascular steerage access device is provided having an elongate body (81) and a steerable portion. The access sheath (80) 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 (86) 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（81）和可转向部分的血管导管进入装置。进入护套（80）具有足够小的外径，使得其可以插入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，并且构造成第二内腔，其尺寸和构造成容纳张紧装置（86），所述张紧装置当被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。

26. 发明申请

WO2005102186A1 SELF-SEALING CANNULA HAVING INTEGRATED SEALS 审中-公开
标题翻译：具有整体密封的自密封肛门
公开(公告)号：WO2005102186A1
公开(公告)日：2005-11-03
申请号：PCT/US2005/005473
申请日：2005-02-22
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , BRUSTAD, John, R.
发明人： HART, Charles, C. , BRUSTAD, John, R.
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/3417 , A61B17/3439 , A61B17/3498 , A61B2017/2905 , A61B2017/3441
摘要： The present invention relates to a surgical access device comprising an elongate tubular member having a working channel and an axis extending between a proximal end and a distal end, a septum seal integrally formed at the distal end of the tubular member, and a zero seal disposed at the distal end of the tubular member and distal to the septum seal, the zero seal being sized and configured to seal when no instruments is in place within the working channel of the tubular member, and the zero seal being coupled to the septum seal and having properties to float with the septum seal relative to the tubular member. The tubular member may be formed from an elastomeric material. The tubular member has a wall that may be rigid or semi-rigid, and the tubular member may be reinforced with a coil along a portion of the tubular member. The tubular member may include a distal, mechanically deployable shielding portion. The zero seal may be a duckbill seal constructed with one or more intersecting sealing portions. The duckbill seal may comprise of opposing lip portions separated by a slit portion. The opposing lip portions are coated with or attached to a soft or occlusive material. The occlusive material is one of Kraton, polyurethane or the like. The occlusive lip portions allow a surgical item such as a suture to extend through the slit portion without disrupting the seal. In one aspect, the tubular member and the septum seal are molded together as a single unit and the zero seal is then bonded or fused to the septum seal. In another aspect, the tubular member, the septum seal and the zero seal are all molded together or integrally formed as a single unit. The tubular member may further comprise flexibility enhancing features to allow the tubular member to flex in response to a motion of a surgical instrument within the working channel of the tubular member.
摘要翻译：本发明涉及一种外科进入装置，其包括细长管状构件，该细长管状构件具有工作通道和在近端和远端之间延伸的轴线，一体地形成在管状构件的远端的隔膜密封件，在管状构件的远端并且远离隔膜密封件时，零密封件的尺寸和构造被设计成在管状构件的工作通道内没有仪器就位时密封，并且零密封件联接到隔膜密封件具有相对于管状构件以隔垫密封件浮动的性质。管状构件可以由弹性体材料形成。管状构件具有可以是刚性或半刚性的壁，并且管状构件可以沿着管状构件的一部分用线圈加强。管状构件可以包括远侧机械展开的屏蔽部分。零密封可以是由一个或多个相交的密封部分构成的鸭嘴形密封件。鸭嘴形密封件可以包括由狭缝部分分开的相对的唇部。相对的唇部被涂覆或附着到柔软或闭塞的材料上。封闭材料是Kraton，聚氨酯等之一。闭合唇部允许诸如缝合线的手术物品延伸穿过狭缝部分而不破坏密封。在一个方面，管状构件和隔膜密封件作为单个单元一起模制，然后将零密封件粘合或熔合到隔膜密封件。在另一方面，管状构件，隔膜密封件和零密封件全部模制在一起或整体地形成为单个单元。管状构件还可以包括柔性增强特征，以允许管状构件响应于外科器械在管状构件的工作通道内的运动而弯曲。

27. 发明申请

WO2003061480A1 WOUND RETRACTION APPARATUS AND METHOD 审中-公开
标题翻译：回绕装置和方法
公开(公告)号：WO2003061480A1
公开(公告)日：2003-07-31
申请号：PCT/US2001/050742
申请日：2001-10-20
申请人： APPLIED MEDICAL RESOURCES CORPORATION , EWERS, Richard, C. , BRUSTAD, John, R. , PINGLETON, Edward, D. , HILAL, Nabil , ADLPARVAR, Payam , TAYLOR, Scott , DULAK, Gary, R. , DUNN, Michael, J. , MORALES, Norman , HART, Charles, C. , BOWES, Robert, R., II
发明人： EWERS, Richard, C. , BRUSTAD, John, R. , PINGLETON, Edward, D. , HILAL, Nabil , ADLPARVAR, Payam , TAYLOR, Scott , DULAK, Gary, R. , DUNN, Michael, J. , MORALES, Norman , HART, Charles, C. , BOWES, Robert, R., II
IPC分类号： A61B17/00
CPC分类号： A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/00407 , A61B2017/00544 , A61B2017/00557 , A61B2017/3419
摘要： A surgical wound retractor (12) is adapted to dilate a wound (10) stretchable to a desired diameter, the retractor includes a first ring (14) having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring (16) has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements (36) are disposed in a generally cylindrical relationship to each other, between the first ring (14) and the second ring (16). 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. 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 (83) to form the circumferential retainer.
摘要翻译：手术伤口牵开器（12）适于扩张可拉伸至所需直径的伤口（10），所述牵开器包括直径大于所述伤口所需直径的第一环（14），并适于在伤口内部配置。第二环（16）的直径大于伤口所需的直径，并适于在伤口的外部配置。多个退回元件（36）在第一环（14）和第二环（16）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，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。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（83）周向滚动第二环以形成周向保持器的步骤。

28. 发明申请

WO2004078026A2 SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
标题翻译：外科手术设备及方法
公开(公告)号：WO2004078026A2
公开(公告)日：2004-09-16
申请号：PCT/US2004/004883
申请日：2004-02-18
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , BRUSTAD, John, R.
发明人： HART, Charles, C. , BRUSTAD, John, R.
IPC分类号： A61B
CPC分类号： A61B17/3421 , A61B1/3132 , A61B17/3417 , A61B17/3474 , A61B90/30 , A61B2017/00685 , A61B2017/320044 , A61B2017/3405 , A61B2017/3484 , A61B2017/349 , A61B2090/08021 , A61B2090/373 , A61M25/02 , A61M25/04 , A61M2025/0286
摘要： A trocar system for providing access across a body wall includes a trocar and an anchor provided in the form of a first helix. The anchor is adapted for placement in an operative position wherein the anchor extends at least partially through the body wall. A second helix formed on the trocar is size and configured to engage the first helix of the anchor so that rotation of the trocar relative to the anchor moves the second helix along the first helix. In this manner, the trocar is drawn into the anchor as it moves into the body wall. A proximal force applied to the anchor resists tenting of the abdominal wall. The anchor also holds the layers of the body wall together thereby resisting peritoneal separation.
摘要翻译：用于提供通过身体壁的通路的套针针系统包括以第一螺旋形式设置的套针针和锚。锚固件适于放置在操作位置，其中锚固件至少部分延伸穿过主体壁。形成在套针针上的第二螺旋是尺寸并且构造成接合锚固件的第一螺旋，使得套管针相对于锚的旋转沿着第一螺旋移动第二螺旋。以这种方式，套管针在移动到体壁时被拉入锚中。施加到锚的近侧力抵抗腹壁的隆起。锚固体还将体壁的层保持在一起，从而抵抗腹膜分离。

29. 发明申请

WO2004066827A2 SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
标题翻译：外科手术设备及方法
公开(公告)号：WO2004066827A2
公开(公告)日：2004-08-12
申请号：PCT/US2004/000695
申请日：2004-01-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , BRUSTAD, John, R.
发明人： HART, Charles, C. , BRUSTAD, John, R.
IPC分类号： A61B
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3474 , A61B90/30 , A61B2017/320044 , A61B2017/349 , A61B2090/08021 , A61B2090/373
摘要： A laparoscopic insufflation device is provided in the configuration of a coil with a blunt tip. The device is capable of passing through the abdominal wall without cutting tissue, and exiting the abdominal wall substantially parallel to the inner surface. While rotation of the coiled device results in forward movement through the abdominal wall, a counter force can be applied to the device to create a safety space between the wall and the interior organs With the blunt distal tip, parallel exit angle, and safety space, there is substantially no threat to the interior organs during placement of the device. Further space can be generated with the use of pressured gas to produce an abdominal cavity for the subsequent placement of trocars. By rotatably attaching the coiled insufflation device to a trocar, the advantage of a counter force can be used not only to establish the safety space but also to pull the trocar into the abdominal wall with a counterforce which resists tenting.
摘要翻译：在具有钝头的线圈的配置中提供了腹腔镜吹气装置。该装置能够穿过腹壁而不切割组织，并且基本上平行于内表面离开腹壁。当盘绕的装置的旋转导致通过腹壁的向前运动时，可以向装置施加反作用力以在壁和内部器官之间形成安全空间。在钝的远端，平行的出射角和安全空间中，在装置放置期间对内部器官基本上没有威胁。可以通过使用加压气体产生进一步的空间以产生用于随后放置套管针的腹腔。通过可旋转地将卷绕的吹气装置连接到套管针上，反力的优点不仅可以用于建立安全空间，而且可以用抵抗帐篷的反作用力将套管针拉入腹壁。

30. 发明申请

WO2003034908A2 SEALED SURGICAL ACCESS DEVICE 审中-公开
标题翻译：密封外科手术器械
公开(公告)号：WO2003034908A2
公开(公告)日：2003-05-01
申请号：PCT/US2001/050160
申请日：2001-10-20
申请人： APPLIED MEDICAL RESOURCES CORPORATION , EWERS, Richard, C. , BRUSTAD, John, R. , PINGLETON, Edward, D. , HILAL, Nabil , ADLPARVAR, Payam , TAYLOR, Scott , DULAK, Gary, R. , DUNN, Michael, J. , MORALES, Norman , HART, Charles, C. , BOWES II, Robert, R.
发明人： EWERS, Richard, C. , BRUSTAD, John, R. , PINGLETON, Edward, D. , HILAL, Nabil , ADLPARVAR, Payam , TAYLOR, Scott , DULAK, Gary, R. , DUNN, Michael, J. , MORALES, Norman , HART, Charles, C. , BOWES II, Robert, R.
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B17/3498 , A61B90/50 , A61B2017/00265 , A61B2017/3405 , A61B2017/3482 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492
摘要： A surgical access device is adapted to facilitate access through an incision in a body wall having an inner surface and an outer surface, and into a body cavity of a patient. The device includes first and second retention members adapted to be disposed in proximity to the outer surface and the inner surface of the body wall, respectively. A membrane extending between the two retention members forms a throat which is adapted to extend through the incision and form a first funnel extending from the first retention member into the throat, and a second funnel extending from the second retention member into the throat. The throat of the membrane has characteristics for forming an instrument seal in the presence of an instrument and a zero seal in the absence of an instrument. The first retention member may include a ring with either a fixed or variable diameter. The ring can be formed in first and second sections, each having two ends. Couplings can be disposed between the ends to accommodate variations in the size of the first retention member. The first retention member can also be formed as an inflatable toroid, a self-expanding foam, or a circumferential spring. A plurality of inflatable chambers can also provide the surgical access device with a working channel adapted for disposition across the body wall. A first retention member with a plurality of retention stations functions with a plurality of tethers connected to the membrane to change the shape of the membrane and the working channel. A stabilizing platform can be used to support the access device generally independent of any movement of the body wall.
摘要翻译：手术装置（50）适于便于通过具有内表面和外表面的体壁（18）中的切口（100）进入，并进入立管的体腔。该装置包括适于分别设置在本体壁的外表面和内表面附近的（55）和第二（65）保持构件。在两个保持构件之间延伸的膜（75）形成适于延伸穿过切口（100）并且形成从第一保持构件（55）延伸到喉部（90）中的第一漏斗的喉部（90），以及从第二保持构件（65）延伸到喉部（90）中的第二漏斗。膜的喉部具有在没有仪器的情况下在仪器存在下形成仪器密封件的特性和零密封。第一保持构件（55）可以包括具有固定或可变直径的环。

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