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1. 发明申请

WO2007041132A1 MANUALLY ACTUATED SURGICAL CLIP APPLIER 审中-公开
标题翻译：手动启动手术夹具
公开(公告)号：WO2007041132A1
公开(公告)日：2007-04-12
申请号：PCT/US2006/037596
申请日：2006-09-28
申请人： APPLIED MEDICAL RESOURCES CORPORATION , GADBERRY, Donald, L. , VANDERBROEK, Frans , JOHNSON, Gary, M. , HART, Charles, C. , HEARN, David
发明人： GADBERRY, Donald, L. , VANDERBROEK, Frans , JOHNSON, Gary, M. , HART, Charles, C. , HEARN, David
IPC分类号： A61B17/128
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：提供一种手术夹具，其具有带有多个外科夹具的药筒，手术夹持器被配置成顺序地将夹子输送到施夹器的钳口。药筒和钳口都可连接到剪刀状致动器，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，并且因此在钳口之间闭合或压接传递的夹子。

2. 发明申请

WO2005072806A2 MEDICAL TUBING HAVING VARIABLE CHARACTERISTICS AND METHOD OF MAKING SAME 审中-公开
标题翻译：具有可变特性的医疗管道及其制造方法
公开(公告)号：WO2005072806A2
公开(公告)日：2005-08-11
申请号：PCT/US2005/001129
申请日：2005-01-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , BRUSTAD, John, R. , HILAL, Said, S. , HILAL, Nabil , HART, Charles, C. , JOHNSON, Gary, M. , HILAL, Serene , SAKAKINE, Ghassan , GADBERRY, Donald, L. , PINGLETON, Edward, D. , PETRIME, Matthew, N. , ADLPARVAR, Payam , HADLEY, Carl, B. , VU, Kenneth, K.
发明人： BRUSTAD, John, R. , HILAL, Said, S. , HILAL, Nabil , HART, Charles, C. , JOHNSON, Gary, M. , HILAL, Serene , SAKAKINE, Ghassan , GADBERRY, Donald, L. , PINGLETON, Edward, D. , PETRIME, Matthew, N. , ADLPARVAR, Payam , HADLEY, Carl, B. , VU, Kenneth, K.
IPC分类号： A61M25/00
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。管道包括多个独立的，分立的，大致环形的元件，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的颜色以作为沿着管状结构的指示器。

3. 发明申请

WO2014152912A1 SURGICAL STAPLER WITH PARTIAL POCKETS 审中-公开
标题翻译：外科手术器与部分口袋
公开(公告)号：WO2014152912A1
公开(公告)日：2014-09-25
申请号：PCT/US2014/028211
申请日：2014-03-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HOPKINS, Timothy , GADBERRY, Donald, L. , BECERRA, Matthew, A. , JASEMIAN, Babek , JOHNSON, Gary, M. , DECKER, Steven, E.
IPC分类号： A61B17/072 , A61B17/064
CPC分类号： A61B17/07207 , A61B17/0644 , A61B2017/0641 , A61B2017/07221 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285
摘要： A surgical stapler includes a jaw assembly at a distal end connected to a handle assembly that is configured to control the stapler and actuate the deployment of staples. The surgical stapler successfully eliminates intermediate caming portions commonly known as pushers that are located between the staples and a translating slider. The staples are located in pockets at an angle such that the base of the staple is parallel to an angled caming surface of the slider. The translating slider comes into direct contact with staples during deployment as the slider moves through each staple pocket where staples are partially supported by recesses along the slider pathway. The staples are deployed at an angle against the anvil surface. Because there are no pushers, a great deal of space is saved resulting in a much smaller diameter surgical stapler that is particularly suitable for laparoscopic stapling applications.
摘要翻译：手术吻合器包括在与手柄组件相连的远端处的钳口组件，所述手柄组件被构造成控制缝合器并致动缝钉的展开。外科缝合器成功地消除了通常被称为推动器的中间凸轮部分，其位于钉和平移滑块之间。订书针以一定角度位于口袋中，使得订书钉的底部平行于滑块的倾斜的凸轮表面。当滑块移动通过每个订书钉仓时，平移滑块在装配期间与订书钉直接接触，其中订书针沿着滑块通道由凹部部分地支撑。订书针以与砧座表面成一定角度展开。因为没有推动器，所以节省了大量的空间，导致更小直径的外科缝合器特别适用于腹腔镜缝合应用。

4. 发明申请

WO2011044583A1 TROCAR WITH RETENTION CANNULA 审中-公开
标题翻译：保留肛门的保留
公开(公告)号：WO2011044583A1
公开(公告)日：2011-04-14
申请号：PCT/US2010/052356
申请日：2010-10-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BECERRA, Matthew, M. , KING, Travis , GADBERRY, Donald, L. , SIMONS, Isabel
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BECERRA, Matthew, M. , KING, Travis , GADBERRY, Donald, L. , SIMONS, Isabel
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar comprises a retention cannula comprising an inverted or incised retention pattern disposed thereon. Embodiments of the incised cannula exhibit reduced tissue trauma compared with screw-threaded cannula, improved fixation and/or retention compared with an unthreaded cannula, and good sealing between the cannula and the incision.
摘要翻译：套针针包括保持套管，其包括设置在其上的反转或切开的保持图案。与非螺纹套管相比，切开的套管的实施例显示与螺纹插管相比减少的组织创伤，以及插管和切口之间的良好密封。

5. 发明申请

WO2006078661A1 DISPOSABLE LAPAROSCOPIC INSTRUMENT 审中-公开
标题翻译：可置换LAPAROSCOPIC仪器
公开(公告)号：WO2006078661A1
公开(公告)日：2006-07-27
申请号：PCT/US2006/001628
申请日：2006-01-18
申请人： APPLIED MEDICAL RESOURCES CORPORATION , GADBERRY, Donald, L. , JOHNSON, Gary, M. , ALBRECHT, Jeremy, L. , OKIHISA, David , HILAL, Said, S. , STROKOSZ, Arkadiusz, A.
发明人： GADBERRY, Donald, L. , JOHNSON, Gary, M. , ALBRECHT, Jeremy, L. , OKIHISA, David , HILAL, Said, S. , STROKOSZ, Arkadiusz, A.
IPC分类号： A61B17/28 , A61B17/32 , A61B18/08 , A61B10/00
CPC分类号： A61B17/29 , A61B10/06 , A61B17/1608 , A61B17/3201 , A61B18/1445 , A61B2017/0023 , A61B2017/2902 , A61B2017/292 , A61B2017/2929 , A61B2017/2934 , A61B2017/2936 , A61B2017/294 , A61B2017/2945 , A61B2018/1432
摘要： The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.
摘要翻译：本发明涉及一种包括手柄组件和轴组件的手术器械。手柄组件还包括固定手柄和枢转手柄。轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。轴组件包括可旋转旋钮以提供360度旋转。致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。外管由塑料制成，并配合在致动杆上，用作电绝缘体。

6. 发明申请

WO2015191887A1 SURGICAL STAPLER WITH CIRCUMFERENTIAL FIRING 审中-公开
标题翻译：具有循环发火的外科手术台
公开(公告)号：WO2015191887A1
公开(公告)日：2015-12-17
申请号：PCT/US2015/035379
申请日：2015-06-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HOPKINS, Timothy, M. , PATEL, Atal, C. , GADBERRY, Donald, L. , BECERRA, Matthew, M.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/0644 , A61B17/07207 , A61B2017/0641 , A61B2017/07271 , A61B2017/07278
摘要： A surgical stapler is provided. The stapler employs circumferential channels through which staples are deployed along an arc pathway against an anvil surface. The curved channels allow staples with relatively longer legs to be used in the stapler having a smaller diameter at the jaws. Also, by utilizing a curved path, a much larger staple can be placed in the same diameter device. Specialized curved staples for use with the stapler of the present invention are also provided. To further enable the benefits of the stapler with circumferential channels and method of staple deployment, novel jaw reinforcement structures are provided in the present invention. The jaw reinforcement structures are located towards the center or bladeline of the device instead of around the circumference as in conventional staplers, thereby clearing the outer area near the circumference of the device to provide room for longer staples and staple firing components.
摘要翻译：提供外科缝合器。订书机采用周向通道，通过该圆周通道，钉沿着弧形路径展开以抵靠砧座表面。弯曲的通道允许具有相对较长的腿的缝钉在缝合器中在钳口处具有较小的直径。此外，通过利用弯曲路径，可以在相同直径的装置中放置大得多的订书钉。还提供了用于本发明的订书机的专用弯曲订书钉。为了进一步实现具有圆周通道的缝合器和缝合钉部署方法的优点，本发明提供了新颖的钳口加强结构。钳口加强结构朝向设备的中心或叶片方向定位，而不是如常规订书机那样围绕圆周，从而清除装置周边附近的外部区域，以为更长的订书钉和订书钉组件提供空间。

7. 发明申请

WO2010081105A1 PLEATED TROCAR SHIELD 审中-公开
公开(公告)号：WO2010081105A1
公开(公告)日：2010-07-15
申请号：PCT/US2010/020663
申请日：2010-01-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , GADBERRY, Donald, L. , KAHLE, Henry , TAYLOR, Scott, V. , McGINLEY, Kimball B.
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , GADBERRY, Donald, L. , KAHLE, Henry , TAYLOR, Scott, V. , McGINLEY, Kimball B.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar (1000) defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula (1100) and a seal assembly (1200) disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal (1240), a second or instrument seal (1250), and a trocar shield (1260) disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel The trocar shield comprises an open proximal end (1262) and a tapered distal end (1264) comprising a plurality of longitudinal pleats (1268), converging in an opening (1270).
摘要翻译：外科进入装置或套管针（1000）限定了从近端到其远端延伸的器械的通道。套管针包括套管（1100）和设置在套管近端的密封组件（1200）。密封组件包括设置在第一密封件和第二密封件的近侧的第一或零密封件（1240），第二或仪器密封件（1250）和套管针护罩（1260）。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护罩保护第一密封和第二密封免受器械前进通过进入通道的损伤套管针罩包括一个开放的近端（1262）和一个锥形的远端（1264），包括多个纵向褶（1268），会聚在一个开口（1270）中。

8. 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。

9. 发明申请

WO2004103148A2 SURGICAL INSTRUMENT WITH REMOVABLE SHAFT APPARATUS AND METHOD 审中-公开
标题翻译：具有可拆卸轴装置和方法的手术仪器
公开(公告)号：WO2004103148A2
公开(公告)日：2004-12-02
申请号：PCT/US2004/013871
申请日：2004-05-04
申请人： APPLIED MEDICAL RESOURCES CORPORATION , GADBERRY, Donald, L. , SAKAKINE, Ghassan
发明人： GADBERRY, Donald, L. , SAKAKINE, Ghassan
IPC分类号： A61B
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 nonbearing 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.
摘要翻译：手术器械包括具有近端和远端的轴，其具有设置在远端处的操作装置。电缆组件由轴承载并且向近端延伸到终端。耦合到电缆组件的手柄组件结束第一手柄和第二手柄。第一手柄包括构造成接收轴的终端和近端的部分，而第二手柄的部分被配置为容纳电缆组件的终端。轴和末端的近端同时可旋转以将轴的近端覆盖到第一手柄的部分，并将终端连接到第二手柄的部分。手柄组件可以用最少的不透气表面进行灭菌，而轴组件可以被制成一次性的并且可以与各种操作装置互换。相关联的方法包括将轴组件可释放地锁定到手柄组件的步骤。

10. 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.

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