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61. 发明申请

WO2016085930A2 CIRCUMFERENTIAL WOUND RETRACTION WITH SUPPORT AND GUIDANCE STRUCTURES 审中-公开
标题翻译：具有支持和指导结构的圆周回波
公开(公告)号：WO2016085930A2
公开(公告)日：2016-06-02
申请号：PCT/US2015/062326
申请日：2015-11-24
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HART, Charles, C. , PRAVONG, Boun , PRAVONGVIENGKHAM, Kenni , BOLANOS, Eduardo , TALWAR, Tina , BRESLIN, Tracy
IPC分类号： A61B17/02 , A61B17/34 , A61B90/30 , A61B90/57
CPC分类号： A61B17/0218 , A61B1/0684 , A61B1/07 , A61B17/0293 , A61B17/3423 , A61B17/3474 , A61B2017/00477 , A61B2017/00557 , A61B2017/00796 , A61B2017/00862 , A61B2017/00871 , A61B2017/0225 , A61B2017/3429 , A61B2017/3441 , A61B2017/3445 , A61B2017/3466 , A61B2017/3486 , A61B2017/3492 , A61B2090/306 , A61B2090/309 , A61B2090/3618 , A61B2090/571
摘要： Embodiments of a circumferential retractor having an attached supporting, manipulating or positioning tool are described. The retractor optionally includes a sealing member associated with an external member of the retractor and an external support structure that may be used with the retractor and positioning tool as needed.
摘要翻译：描述具有附接的支撑，操作或定位工具的圆周牵开器的实施例。牵开器可选地包括与牵开器的外部构件相关联的密封构件和可以根据需要与牵开器和定位工具一起使用的外部支撑结构。

62. 发明申请

WO2016028789A3 SYSTEMS AND METHODS FOR TISSUE CONTAINMENT AND RETRIEVAL 审中-公开
公开(公告)号：WO2016028789A3
公开(公告)日：2016-02-25
申请号：PCT/US2015/045705
申请日：2015-08-18
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： DO, Alexandra , BRESLIN, Tracy , YIN, Emily , WACHLI, Serene , HART, Charles, C. , FILEK, Jacob, J.
IPC分类号： A61B17/00 , A61B17/34
摘要： Systems and methods for tissue containment and retrieval are disclosed. The containment system includes a primary chamber interconnected with a secondary channel extending from the primary chamber. A tissue specimen is mobilized inside a body cavity and placed into the primary chamber through a first opening. The first opening is pulled through a first incision or orifice and the narrower secondary channel is placed at a second incision or orifice. A second opening at the end of the secondary channel permits observation via a scope inserted through the second opening of the tissue specimen in the primary chamber undergoing morcellation via the first opening. Other systems and methods for deployment, containment, debulking and sealing of the second opening to create a closed system for the safe retrieval of the tissue specimen are provided.

63. 发明申请

WO2015138982A1 ADVANCED FIRST ENTRY MODEL FOR SURGICAL SIMULATION 审中-公开
标题翻译：先进的手术模拟入门模型
公开(公告)号：WO2015138982A1
公开(公告)日：2015-09-17
申请号：PCT/US2015/020574
申请日：2015-03-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , HOFSTETTER, Gregory, K. , BLACK, Katie , POULSEN, Nikolai , HOLMES, Heidi , FELSINGER, Natasha , BRESLIN, Tracy , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , BOLANOS, Eduardo , FALKENSTEIN, Zoran , HART, Charles, C. , TALWAR, Tina
IPC分类号： G09B23/28
CPC分类号： G09B23/285
摘要： The present invention provides a surgical training device for training laparoscopic first entry surgical techniques. The training device includes a simulated abdominal wall that is penetrable with an optical trocar. A receptacle containing a tissue simulation is located inside the receptacle. The tissue simulation is observable via scope placed inside the optical trocar. Upon penetration of the one or more of the simulated abdominal wall and receptacle, the tissue simulation appears to translate distally relative to the simulated abdominal wall. The distal translation is effected by a variety of ways including the release of negative pressure inside the receptacle upon penetration and the expansion of an elastic wall of the receptacle with the introduction of fluid under pressure into the receptacle.
摘要翻译：本发明提供了一种用于训练腹腔镜第一入门手术技术的外科训练装置。训练装置包括可穿透光套管针的模拟腹壁。包含组织模拟的容器位于容器内部。通过放置在光学套管针内的范围可观察到组织模拟。在模拟的腹壁和容器中的一个或多个穿透时，组织模拟似乎相对于模拟的腹壁向远侧平移。远端平移通过各种方式实现，包括在穿透时释放容器内的负压并且在压力下将流体引入到容器中时容器的弹性壁膨胀。

64. 发明申请

WO2014205110A2 GALLBLADDER MODEL 审中-公开
标题翻译： GALLBLADDER模型
公开(公告)号：WO2014205110A2
公开(公告)日：2014-12-24
申请号：PCT/US2014/042998
申请日：2014-06-18
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BLACK, Katie , BRESLIN, Tracy , POULSEN, Nikolai , HART, Charles, C.
IPC分类号： G09B23/34
CPC分类号： G09B23/34 , G09B23/30 , G09B23/32
摘要： An anatomical model for surgical training is provided. The model includes a first layer simulating a liver and a second layer including a simulated gallbladder. A third layer having an inner surface and an outer surface is provided between the first and second layer. The outer surface of the third layer is adhered to the first layer at location around the simulated gallbladder and the simulated gallbladder is adhered to the inner surface of the third layer. A fourth layer is provided that overlays both the second layer and the simulated gallbladder. A frame is embedded within the first layer and is connectable to a support. The model provides a substantially upright projection of a simulated gallbladder and liver in a retracted orientation ideally suited for practicing laparoscopic cholecystectomy when inserted inside a simulated insufflated cavity of laparoscopic trainer.
摘要翻译：提供了外科手术的解剖模型。该模型包括模拟肝脏的第一层和包括模拟胆囊的第二层。具有内表面和外表面的第三层设置在第一层和第二层之间。第三层的外表面在模拟胆囊周围的位置处粘附到第一层，并且模拟的胆囊粘附到第三层的内表面。提供覆盖第二层和模拟胆囊的第四层。框架嵌入在第一层内，并且可连接到支架。该模型提供了模拟胆囊和肝脏在收缩方向上的基本上直立的投影，其理想地适于在插入腹腔镜训练器的模拟吸入腔内时进行腹腔镜胆囊切除术。

65. 发明申请

WO2004093943A2 SURGICAL CLAMP WITH IMPROVED TRACTION 审中-公开
标题翻译：手术钳具有改进的牵引力
公开(公告)号：WO2004093943A2
公开(公告)日：2004-11-04
申请号：PCT/US2004/008349
申请日：2004-03-17
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HART, Charles, C. , YAWATA, Haruyasu , FISHBURN, Robert , GADBERRY, Donald, L. , CHI-SING, Eduardo
IPC分类号： A61M
CPC分类号： A61B17/122 , A61B17/28 , A61B2017/2808 , A61B2017/2825 , A61B2017/2829
摘要： A surgical clamp includes opposing jaws and a covering enhancing traction between the jaws and a body conduit. A multiplicity of fibers oriented to extend longitudinally between the clamp and conduit may be composed of filaments and either to woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material, adding its own characteristics to the resulting fabric insert or clamp.

66. 发明申请

WO1998015309A1 APPARATUS AND METHOD FOR SURGICALLY ACCESSING A BODY CAVITY 审中-公开
标题翻译：用于认真接近体腔的装置和方法
公开(公告)号：WO1998015309A1
公开(公告)日：1998-04-16
申请号：PCT/US1997018060
申请日：1997-10-07
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott, V. , HART, Charles, C.
IPC分类号： A61M11/00
CPC分类号： A61J15/0015 , A61B17/3415 , A61J15/0038 , A61J15/0061 , A61M25/04 , A61M2025/0233
摘要： This invention is an access device (10) including an anchoring structure (50) reinforced with an insert (61) and operable by a pair of sutures (65, 67). An electrosurgical obturator (25) is positioned in the tube (10), and functions to place the structure in a low profile state. The obturator (25) can be activated to insert the tube (10) through the abdominal wall (14) and the stomach wall (18) to provide access to the stomach cavity. The sutures (65, 67) can be tensioned to raise the anchoring structure (50) to a high profile state, and draw the stomach into proximity with the abdominal wall. Removing the obturator (25) leaves the tube (10) operatively disposed and providing direct access to the stomach cavity.
摘要翻译：本发明是一种进入装置（10），其包括用插入件（61）加强并可由一对缝线（65,67）操作的锚固结构（50）。电外科闭塞器（25）定位在管（10）中，并且用于将结构置于低调状态。可以启动闭孔器（25）以将管（10）穿过腹壁（14）和胃壁（18）插入以提供进入胃腔的通路。缝合线（65,67）可以被张紧，以将锚定结构（50）升高到高轮廓状态，并将胃吸引到腹壁附近。移除闭孔器（25）使管（10）可操作地设置并提供对胃腔的直接通路。

67. 发明申请

WO1997014458A1 TROCAR WITH ELECTRICAL DISCHARGE PATH 审中-公开
标题翻译：带放电路径的TROCAR
公开(公告)号：WO1997014458A1
公开(公告)日：1997-04-24
申请号：PCT/US1996015604
申请日：1996-09-25
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , JOHNSON, Gary, M. , PETRIME, Matthew, N. , ASHBY, Mark, P. , TANGHERLINI, Vincent, C.
IPC分类号： A61M05/178
CPC分类号： A61B17/3417 , A61B2017/00469 , A61B2017/347 , A61B2017/349 , A61B2017/3492 , A61B2018/00077
摘要： This invention is an adjustable surgical clamp (10) with an axis (18) that is adapted to releasably engage the outer surface of a cylindrical instrument, such as a trocar (16). An elastomeric sleeve (12) has an outer surface and an inner surface sized to fictionally engage the instrument. The clamp also includes a constriction member forming a ring around the sleeve.
摘要翻译：本发明是一种可调整的手术夹具（10），其具有适于可释放地接合诸如套管针（16）的圆柱形器械的外表面的轴线（18）。弹性体套筒（12）具有外表面和内表面，其尺寸设计成虚拟地接合仪器。夹具还包括围绕套筒形成环的收缩构件。

68. 发明申请

WO2015013516A1 FIRST ENTRY MODEL 审中-公开
标题翻译：第一次进入模式
公开(公告)号：WO2015013516A1
公开(公告)日：2015-01-29
申请号：PCT/US2014/048027
申请日：2014-07-24
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BLACK, Katie , POULSEN, Nikolai , HOLMES, Heidi , FELSINGER, Natasha , BRESLIN, Tracy , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , BOLANOS, Eduardo , FALKENSTEIN, Zoran , HART, Charles, C. , TALWAR, Tina
IPC分类号： G09B23/28
CPC分类号： G09B23/285 , B29C39/026 , B29K2083/005 , B29L2031/7532 , G09B5/02
摘要： A simulated abdominal wall model that is ideal for practicing laparoscopic first entry surgical techniques is provided. The model includes a simulated abdominal wall portion captured between two frame elements of a support. The support is connectable to a surgical trainer. When connected to the trainer, the model provides a penetrable abdominal tissue portion for accessing an internal cavity of the trainer. The simulated abdominal wall includes a plurality of layers including a skin layer, a fabric posterior rectus sheath layer, a simulated fat layer of low-resilience polyurethane foam and at least two layers that provide distinctive haptic feedback upon penetration of the simulated transversalis fascia and muscle layers. The simulated abdominal wall includes a simulated umbilicus across several layers of simulated tissue.
摘要翻译：提供了一种实践腹腔镜第一入门手术技术的模拟腹壁模型。该模型包括在支撑体的两个框架元件之间捕获的模拟腹壁部分。支持可连接到外科教练。当连接到训练器时，模型提供用于进入训练器的内腔的可穿透的腹部组织部分。模拟的腹壁包括多个层，包括皮肤层，织物后直肌鞘层，低回弹性聚氨酯泡沫的模拟脂肪层和至少两层，其在穿透模拟的横向筋膜和肌肉时提供独特的触觉反馈层。模拟的腹壁包括跨越几层模拟组织的模拟脐带。

69. 发明申请

WO2014144468A1 TROCAR SURGICAL SEAL 审中-公开
标题翻译： TROCAR手术密封
公开(公告)号：WO2014144468A1
公开(公告)日：2014-09-18
申请号：PCT/US2014/028892
申请日：2014-03-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BRUSTAD, John, R. , ALBRECHT, Jeremy, J. , HART, Charles, C.
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B17/3439 , A61B17/0218 , A61B17/0293 , A61B17/3423 , A61B17/3462 , A61B2017/0225 , A61B2017/3441 , A61B2017/3445 , A61B2017/3466
摘要： A trocar surgical seal or surgical access device is provided. The trocar surgical seal comprises first and second supports coupled together by a film passageway. The trocar surgical seal provides an instrument seal for instruments inserted therethrough. The trocar surgical seal occupies minimal surgical space.
摘要翻译：提供一种套管针外科手术封口或手术进入装置。套管针外科密封件包括通过胶片通道联接在一起的第一和第二支撑件。套管针外科密封件为插入其中的器械提供仪器密封。套管针手术密封件占用最小的手术空间。

70. 发明申请

WO2014052373A1 SURGICAL TRAINING MODEL FOR LAPAROSCOPIC PROCEDURES 审中-公开
标题翻译：外科手术手术训练模型
公开(公告)号：WO2014052373A1
公开(公告)日：2014-04-03
申请号：PCT/US2013/061557
申请日：2013-09-25
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BRESLIN, Tracy , HART, Charles, C. , WACHLI, Serene , HOKE, Adam , POULSEN, Nikolai , PALERMO, Michael , COHEN, Lee , DeMARCHI, Jacqueline , GRACES, Amy
IPC分类号： G09B23/28 , G09B23/30
CPC分类号： G09B23/285 , G09B23/30
摘要： A surgical training model that includes a simulated tissue having a tubular shape that is connected to a tissue holder is provided. A portion of the simulated tissue overhangs the distal end of the tissue holder to simulate a cuff-like entry to the vaginal vault or resected intestine suitable for practicing laparoscopic closure of the vaginal vault, intestine or other organ via suturing or stapling. Two concentric tubular structures are also arranged over the same tissue holder. A second model includes two portions of simulated tissue that are held by two holders such that the simulated tissues are adjacent making the model suitable for practicing different types of anastomosis procedures. A third model includes two holders with a single or double tubular simulated tissue structure connected to and spanning a gap between the holders. The model isolates the step of closing a cylindrical opening for the purpose of repeated practice.
摘要翻译：提供了包括连接到组织保持器的具有管状形状的模拟组织的外科手术训练模型。模拟组织的一部分突出在组织保持器的远端，以模拟适合于通过缝合或吻合实施阴道穹顶，肠或其它器官的腹腔镜闭合的阴道穹顶或切除的肠的袖带状进入。两个同心的管状结构也布置在相同的组织保持器上。第二模型包括由两个保持器保持的模拟组织的两部分，使得模拟组织相邻，使模型适合于实施不同类型的吻合程序。第三个模型包括两个持有者，其具有连接到并跨越保持器之间的间隙的单管或双管状模拟组织结构。该模型隔离了为了重复实践而关闭圆柱形开口的步骤。

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