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1. 发明申请

WO2002091930A1 TRACTION TROCAR APPARATUS AND METHOD 审中-公开
标题翻译： TRACTION TROCAR设备和方法
公开(公告)号：WO2002091930A1
公开(公告)日：2002-11-21
申请号：PCT/US2001/015390
申请日：2001-05-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , PINGLETON, Edward, D. , BRUSTAD, John, R. , HILAL, Nabil , PINEDJIAN, Raffi, S.
发明人： HART, Charles, C. , PINGLETON, Edward, D. , BRUSTAD, John, R. , HILAL, Nabil , PINEDJIAN, Raffi, S.
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3476 , A61B17/3496 , A61B2017/32006 , A61B2017/3454 , A61B2090/08021
摘要： The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue. Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs. The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface.
摘要翻译：套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。设置在封闭器内部的牵引踏板在远端顶端反转，并沿闭塞器或插管的外表面向近侧延伸。在远端，胎面可以促进分离而不是切割组织。沿着外表面，胎面可以接合组织以沿着前进的闭孔向近侧拉。这产生反作用力，其可导致净近端力促进腹壁的膨胀和腹壁与内脏的分离。牵引踏板可以是轴向和/或径向连续的。相关联的操作方法包括以下步骤：使身体壁与远侧末端处的牵引踏板相接触，并且沿着面向外表面的壁部分与身体壁与牵引踏板接合。

2. 发明申请

WO2004103207A2 ECHOGENIC STENT 审中-公开
标题翻译：生殖器
公开(公告)号：WO2004103207A2
公开(公告)日：2004-12-02
申请号：PCT/US2004/014918
申请日：2004-05-11
申请人： APPLIED MEDICAL RESOURCES CORPORATION , BRUSTAD, John, R. , PINEDJIAN, Raffi, S.
发明人： BRUSTAD, John, R. , PINEDJIAN, Raffi, S.
IPC分类号： A61F
CPC分类号： A61M25/01 , A61F2/04 , A61L29/146 , A61L31/146 , A61L31/18 , A61M27/008
摘要： An echogenic medical device such as a stent for insertion into a biological tissue or vessel comprising an elongate tube and having at least one lumen extending substantially along a longitudinal axis. The elongate tube comprises a material having an acoustic impedance different from the acoustic impedance of the biological tissue or vessel of a patient body such that ultrasonic imaging of the tube inside the patient’s body may be achieved. The elongate tube may comprise a plastic material such as polyethylene or any formable, pliable material which may be molded and/or extruded to a variety of shapes depending upon a specific application. The invention improves ultrasonic imaging by entrapping air in a lumen of the stent, which may have any cross-sectional shape and which may be sealed anywhere along the longitudinal axis. The stent may include curled ends for positioning the stent in a body vessel, a plurality of holes for draining fluid in a body tissue, and additional lumen to entrap air and to further enhance ultrasonic imaging of the stent. The coils of the curled ends may also be tightly spaced together to provide ultrasound reflection. In another aspect of the invention, a material such as a foaming agent may be added during the extrusion process to cause the formation of CO 2 gas to form in the material as it is being extruded. In yet another aspect of the invention, a mesh stent may be used to advantage either by modifying the individual elements to be more echogenic or by adjusting the braid configuration to be more reflective.
摘要翻译：一种回声医疗装置，例如用于插入生物组织或血管的支架，其包括细长管并且具有基本上沿着纵向轴线延伸的至少一个腔。细长管包括具有与患者体的生物组织或血管的声阻抗不同的声阻抗的材料，使得可以实现患者体内的管的超声成像。细长管可以包括诸如聚乙烯或任何可成形的柔韧材料的塑料材料，其可以根据具体应用被模制和/或挤出成各种形状。本发明通过将空气夹带在支架的内腔中来改善超声成像，其可以具有任何横截面形状并且可沿着纵向轴线密封在任何地方。支架可以包括用于将支架定位在体内容器中的卷曲的端部，用于排出身体组织中的流体的多个孔以及另外的腔以截留空气并进一步增强支架的超声波成像。卷曲端部的线圈也可以紧密间隔在一起以提供超声波反射。在本发明的另一方面，可以在挤出过程中加入诸如发泡剂的材料，以在被挤出时在材料中形成CO 2气体。在本发明的另一方面，网状支架可以用于通过将各个元件修改为更回声的或通过将编织物构型调整为更具反射性来实现。

3. 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。

4. 发明申请

WO2007106750A2 BALLOON TROCAR 审中-公开
标题翻译：巴洛克TROCAR
公开(公告)号：WO2007106750A2
公开(公告)日：2007-09-20
申请号：PCT/US2007/063728
申请日：2007-03-09
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , HART, Charles, C. , JOHNSON, Gary, M.
发明人： ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , HART, Charles, C. , JOHNSON, Gary, M.
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02
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：球囊套管针包括套管组件，其包括插管和套管上的外套筒。外套管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到切口中并进入体腔。气囊膨胀，并且套管组件向近侧拉近抵靠切口，同时将垫片向远侧滑动到体壁并锁定到位以密封切口与压缩气球。

5. 发明申请

WO2007103715A2 GAS INSUFFLATION AND SUCTION/IRRIGATION TUBING 审中-公开
标题翻译：气体消除和吸入/灌溉管道
公开(公告)号：WO2007103715A2
公开(公告)日：2007-09-13
申请号：PCT/US2007/063049
申请日：2007-03-01
申请人： APPLIED MEDICAL RESOURCES CORPORATION , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , HILAL, Nabil , BRUSTAD, John, R. , FALKENSTEIN, Zoran
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , HILAL, Nabil , BRUSTAD, John, R. , FALKENSTEIN, Zoran
IPC分类号： A61M29/00 , A61M25/00
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided The tubing is lightweight and thin-walled The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement
摘要翻译：一种医用管道是柔性的并且无气体作为气体吹入管道，并且不可折叠地作为抽吸/冲洗管道。管道是轻质的和薄壁的。管道具有通常刚性但薄壁的结构形状或通常是软的，薄壁管道硬重新执行

6. 发明申请

WO2005094702A1 SURGICAL ACCESS PORT AND METHOD OF USING 审中-公开
标题翻译：手术通道和使用方法
公开(公告)号：WO2005094702A1
公开(公告)日：2005-10-13
申请号：PCT/US2005/006763
申请日：2005-03-02
申请人： APPLIED MEDICAL RESOURCES CORPORATION , JOHNSON, Gary, M. , BRUSTAD, John, R. , HART, Charles, C.
发明人： JOHNSON, Gary, M. , BRUSTAD, John, R. , HART, Charles, C.
IPC分类号： A61B17/34
CPC分类号： A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要： The present invention relates to a surgical access port for insertion into a body cavity having an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip disposed at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip operates to move from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing operably connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or faded. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip. The retention member may be biased t~ hold the distal tip in an off-axis position when there is no axial load, or it may be lightly held in axial alignment and subsequently deflected in the presence of an instrument within the tubular body. The distal tip, which may comprise one or more parts or petals, may reposition to the side of the tubular body in a substantially right-angled condition in the second, retaining position. The repositioned tip remains in an off-axis condition until removal of the access port, at which time the distal tip automatically realigns with the axis of the tubular body as the access @>rt is withdrawn from the body wall. The tubular body may be a thin walled tube. The distal tip may comprise a conical, tapered or rounded shape to separate tissue layers. The distal tip may be solid or hollow, which may act as a specimen bag by closing on a specimen and pulled inside the tip during removal of the access @>rt. The distal tip may be formed from a clear material to allow viewing through an endoscope during placement of the surgical access @>rt.
摘要翻译：本发明涉及一种用于插入体腔内的外科进入口，其具有沿着近端和远端之间的轴线延伸的细长管状体，以及设置在管状体的远端处以穿透身体的尖端墙体进入体腔。当身体壁已经穿过时，远侧末端操作以从第一穿透位置移动到第二保持位置。外科进入口还可以包括可操作地连接到管状体的近端的密封外壳，密封壳体具有进入端口，该进入口提供到管状体中的开口以允许手术器械通过。远侧尖端可能是锋利的，尖的或褪色的。远侧末端也可以是基本上钝的或具有锥形表面。进入端口还可以包括用于连接管状体和远侧末端的保持构件。当不存在轴向负载时，保持构件可以被偏压保持远离位置，或者可以轻轻地保持轴向对准并随后在管状体内存在仪器的情况下偏转。可以包括一个或多个部分或瓣的远侧末端可以在第二保持位置中以基本上直角的状态重新定位到管状体的侧面。重新定位的尖端保持在离轴状态，直到移除进入端口，此时当远端从体壁撤出时，远端尖端与管状体的轴线自动重新对准。管状体可以是薄壁管。远侧末端可以包括锥形，锥形或圆形以分离组织层。远侧末端可以是实心的或中空的，其可以通过在样本移除期间关闭样本并在尖端内拉动而用作样本袋。远侧末端可以由透明材料形成，以允许在放置外科手术入口期间通过内窥镜观察。

7. 发明申请

WO2003103548A1 WOUND RETRACTOR 审中-公开
标题翻译：绕线器
公开(公告)号：WO2003103548A1
公开(公告)日：2003-12-18
申请号：PCT/US2003/017389
申请日：2003-06-03
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J , NGUYEN, Eric , GADBERRY, Donald, L. , JOHNSON, Gary, M. , HART, Charles, C. , BRUSTAD, John, R. , BOWES, Robert, R, II , SAKAKINE, Ghassan , KALE, Henry
发明人： NGUYEN, Eric , GADBERRY, Donald, L. , JOHNSON, Gary, M. , HART, Charles, C. , BRUSTAD, John, R. , BOWES, Robert, R, II , SAKAKINE, Ghassan , KALE, Henry
IPC分类号： A61F13/00
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 (199), 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 the second rings (012, 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（199），具有直径大于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（012,104）之间，第二环可以在其自身上并围绕环形轴线滚动以提供具有足够的自由基回缩力的套筒将切口拉伸至所需的直径。

8. 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。

9. 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。

10. 发明申请

WO2007044911A1 METHOD OF MAKING A HAND ACCESS LAPAROSCOPIC DEVICE 审中-公开
标题翻译：制造手部光学装置的方法
公开(公告)号：WO2007044911A1
公开(公告)日：2007-04-19
申请号：PCT/US2006/040154
申请日：2006-10-12
申请人： APPLIED MEDICAL RESOURCES CORPORATION , BRUSTAD, John, R. , ALBRECHT, Jeremy, J. , HILAL, Nabil , JOHNSON, Gary, M. , HART, Charles, C.
发明人： BRUSTAD, John, R. , ALBRECHT, Jeremy, J. , HILAL, Nabil , JOHNSON, Gary, M. , HART, Charles, C.
IPC分类号： B29C39/18 , B29C39/42 , A61B17/34
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the "doming" phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译：本发明涉及一种具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。凝胶帽包括粘合到盖子上的凝胶。盖包括内部圆柱形壁，凝胶粘合到该内部圆柱形壁上，从而在装置和身体壁上的伤口之间提供密封区域。通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体尺寸一起被最小化。随着凝胶厚度降低并且能够基本上齐平，通过吹入患者腹部产生的“隆起”现象减少。

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