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31. 发明申请

WO2009094644A1 INSUFFLATING ACCESS SYSTEM 审中-公开
标题翻译：消除访问系统
公开(公告)号：WO2009094644A1
公开(公告)日：2009-07-30
申请号：PCT/US2009/032026
申请日：2009-01-26
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BRUSTAD, John, R.
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BRUSTAD, John, R.
IPC分类号： A61M5/178
CPC分类号： A61M13/003 , A61B17/3439 , A61B17/3474 , A61B2017/00907 , A61B2017/3441 , A61B2017/3456 , A61B2017/347
摘要： Systems, devices, and methods permit insufflation of a body cavity prior to the insertion of a cannula into the body cavity. Some embodiments of an access system comprise an obturator, a trocar, and a fluid flow channel. The access system has a closed configuration, in which a distal end of the access system is fluidly isolated from the fluid flow channel, and an open configuration, in which the distal end of the access system is fluidly connected to the fluid flow channel, thereby permitting fluid flow, for example, an insufflation gas into a body cavity.
摘要翻译：系统，装置和方法允许在将插管插入体腔内之前吹入体腔。进入系统的一些实施例包括闭孔器，套管针和流体流动通道。进入系统具有闭合构造，其中进入系统的远端与流体流动通道流体隔离，并且打开构造，其中进入系统的远端流体地连接到流体流动通道，从而允许流体流动，例如，将吹入气体流入体腔。

32. 发明申请

WO2008141291A1 SURGICAL RETRACTOR WITH GEL PAD 审中-公开
标题翻译：手术夹钳
公开(公告)号：WO2008141291A1
公开(公告)日：2008-11-20
申请号：PCT/US2008/063445
申请日：2008-05-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , KO, Jennifer, T. , JOHNSON, Gary, M. , BRUSTAD, John, R. , DANG, Kevin, K.
发明人： ALBRECHT, Jeremy, J. , KO, Jennifer, T. , JOHNSON, Gary, M. , BRUSTAD, John, R. , DANG, Kevin, K.
IPC分类号： A61B17/02
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译：外科进入装置具有手术牵开器，该手术牵开器具有不具有环形轴线的不合适的外环，内环和将外环连接到内环的套筒。不合规的外环适于围绕环形轴线自我滚动以滚动围绕所述外环缩回和密封生物体壁中的开口。所述进入装置可以包括适于联接到所述外科牵开器的不合规外环的盖。所述外科牵开器的外环具有横截面形状，禁止盖部分地或不正确地联接到手术牵开器的外环。

33. 发明申请

WO2005032348A3 BLADELESS OPTICAL OBTURATOR 审中-公开
公开(公告)号：WO2005032348A3
公开(公告)日：2005-04-14
申请号：PCT/US2004/032346
申请日：2004-10-01
申请人： APPLIED MEDICAL RESOURCES CORPORATION , KAHLE, Henry , STROKOSZ, Arkadiusz, A. , McGINLEY, Kimball, B. , TAYLOR, Scott, V. , JOHNSON, Gary, M. , BRUSTAD, John, R.
发明人： KAHLE, Henry , STROKOSZ, Arkadiusz, A. , McGINLEY, Kimball, B. , TAYLOR, Scott, V. , JOHNSON, Gary, M. , BRUSTAD, John, R.
IPC分类号： A61B17/32
摘要： 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.

34. 发明申请

WO2005013803A3 SURGICAL DEVICE WITH TACK-FREE GEL AND METHOD OF MANUFACTURE 审中-公开
公开(公告)号：WO2005013803A3
公开(公告)日：2005-02-17
申请号：PCT/US2004/025511
申请日：2004-08-05
申请人： APPLIED MEDICAL RESOURCES CORPORATION , AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
发明人： AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
IPC分类号： A61M5/00 , A61M31/00 , A61B17/34
摘要： A process of making a tack-free gel for a trocar seal is disclosed wherein a mold of low-density polyethylene (LDPE) is formed from a mold cavity. A molten gel of LDPE having a high molding temperature is poured or injected into the mold cavity. The tack-free gel is then formed as a thin layer of plastic of the mold cavity is melted over the gel. The process may further include the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The tack-free gel provides an elongation or stretch as great as 1500 percent and is therefore ideally suited to form a zero seal.

35. 发明申请

WO2009114857A1 INSTRUMENT SEAL 审中-公开
标题翻译：仪器密封
公开(公告)号：WO2009114857A1
公开(公告)日：2009-09-17
申请号：PCT/US2009/037295
申请日：2009-03-16
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , BRUSTAD, John, R. , JOHNSON, Gary, M. , BECERRA, Matthew, W. , NGUYEN, Eric
发明人： ALBRECHT, Jeremy, J. , BRUSTAD, John, R. , JOHNSON, Gary, M. , BECERRA, Matthew, W. , NGUYEN, Eric
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/3421 , A61B2017/3464 , A61M2039/0633
摘要： A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending there through. Embodiments of the instrument contact element comprise a non- distensible membrane or film, for example, as a tube or cylinder. Some embodiments of the instrument contact element have an hourglass configuration with a first end proximal of the opening of the compression element and a second end distal of the opening of the compression element. Other embodiments of the instrument contact element "wrap around" the opening in the compression element, with the first end and the second end secured to the same side of the opening, for example, proximal of the opening. Embodiments of the compression element comprise an elastomeric seal, for example, a septum seal and/or a gel seal.
摘要翻译：手术进入口包括将仪器接触功能与仪器符合功能分开的阀或仪器密封件。仪器密封件的实施例包括在通过压缩元件中的开口延伸的仪器接触元件中，从而限定与在其延伸的仪器密封的仪器孔口。仪器接触元件的实施例包括不可扩张的膜或膜，例如作为管或气缸。仪器接触元件的一些实施例具有沙漏构造，其具有靠近压缩元件的开口的第一端和压缩元件的开口的远端的第二端。仪器接触元件的其他实施例“包裹”压缩元件中的开口，其中第一端和第二端固定到开口的相同侧，例如开口的近侧。压缩元件的实施例包括弹性体密封件，例如隔膜密封件和/或凝胶密封件。

36. 发明申请

WO2009094476A1 SURGICAL INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：手术仪器接入装置
公开(公告)号：WO2009094476A1
公开(公告)日：2009-07-30
申请号：PCT/US2009/031724
申请日：2009-01-22
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , LECHUGA, Juan, J. , BECERRA, Matthew, M. , GADBERRY, Donald, L. , JOHNSON, Gary, M. , BRUSTAD, John, R.
发明人： ALBRECHT, Jeremy, J. , LECHUGA, Juan, J. , BECERRA, Matthew, M. , GADBERRY, Donald, L. , JOHNSON, Gary, M. , BRUSTAD, John, R.
IPC分类号： A61M5/14
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B2017/3449 , A61B2017/345 , A61B2017/3452 , A61B2017/3454 , A61B2017/3466
摘要： Embodiments of an access device system useful for single or limited port procedures comprises a retractor and a gel cap removably coupled to the retractor. The gel cap comprises a gel pad that acts as an artificial body wall, through which instruments may be inserted into a body cavity, either directly or through one or more trocars. The gel pad permits flexible instrument placement, as well as translational and angular degrees of freedom for the instruments while maintaining a gas tight seal.
摘要翻译：用于单个或有限端口程序的接入设备系统的实施例包括可拆卸地联接到牵开器的牵开器和凝胶帽。凝胶帽包括用作人造体壁的凝胶垫，仪器可以直接或通过一个或多个套管针插入体腔。凝胶垫允许灵活的仪器放置，以及仪器的平移和角度自由度，同时保持气密密封。

37. 发明申请

WO2008141302A1 SURGICAL RETRACTOR 审中-公开
标题翻译：外科手术
公开(公告)号：WO2008141302A1
公开(公告)日：2008-11-20
申请号：PCT/US2008/063463
申请日：2008-05-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , KO, Jennifer, T. , JOHNSON, Gary, M. , BRUSTAD, John, R. , DANG, Kevin, K.
发明人： ALBRECHT, Jeremy, J. , KO, Jennifer, T. , JOHNSON, Gary, M. , BRUSTAD, John, R. , DANG, Kevin, K.
IPC分类号： A61B17/02
CPC分类号： A61B17/3423
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外环适于围绕环形轴线自我滚动，以使套筒围绕外环滚动以缩回和密封生物体壁中的开口。进入装置可包括适于联接到不符合外部环手术牵开器外科牵开器的外环具有截面形状，其禁止盖部分地或不正确地联接到外科牵开器的外环

38. 发明申请

WO2005013803A2 SURGICAL DEVICE WITH TACK-FREE GEL AND METHOD OF MANUFACTURE 审中-公开
标题翻译：无缝凝胶的手术装置及其制造方法
公开(公告)号：WO2005013803A2
公开(公告)日：2005-02-17
申请号：PCT/US2004/025511
申请日：2004-08-05
申请人： APPLIED MEDICAL RESOURCES CORPORATION , AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
发明人： AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
IPC分类号： A61B
CPC分类号： A61M3/0279 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , B29C37/0067 , B29C39/006 , B29C39/025 , B29C39/123
摘要： 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.
摘要翻译：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。

39. 发明申请

WO2004049902A2 UNIVERSAL ACCESS SEAL 审中-公开
标题翻译：通用密码
公开(公告)号：WO2004049902A2
公开(公告)日：2004-06-17
申请号：PCT/US2003/037148
申请日：2003-11-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott, V. , BRUSTAD, John, R. , PRAVONG, Boun , HOWE, Blair
发明人： TAYLOR, Scott, V. , BRUSTAD, John, R. , PRAVONG, Boun , HOWE, Blair
IPC分类号： A61B
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。

40. 发明申请

WO2003061738A1 SURGICAL ACCESS DEVICE WITH FLOATING GEL SEAL 审中-公开
标题翻译：具有浮动凝胶密封的外科手术装置
公开(公告)号：WO2003061738A1
公开(公告)日：2003-07-31
申请号：PCT/US2002/036649
申请日：2002-11-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION , BRUSTAD, John, R.
发明人： BRUSTAD, John, R.
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3415 , A61B17/3462
摘要： A trocar (18) is provided with a cannula (21) and a housing (23) and valve assembly (50) disposed in the housing (23) which forms a housing seal, and instrument seal, and in some cases a zero seal (58). A gel material (54) is included in the valve and provides the valve with superior flotation properties for maintaining the instrument seal even when the instrument is moved off-axis. In order to accommodate movement of the gel material (54), voids can be formed within the valve housing (23) and even within the gel material (54).
摘要翻译：套管针（18）设置有套管（21）和壳体（23）和设置在壳体（23）中的阀组件（50），其形成壳体密封件和仪器密封件，并且在一些情况下为零密封件 58）。阀门中包含凝胶材料（54），即使当仪器离轴移动时，也可为阀门提供优异的浮选性能，以保持仪器密封。为了适应凝胶材料（54）的移动，可以在阀壳体（23）内甚至在凝胶材料（54）内形成空隙。

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