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1. 发明申请

WO2011011538A3 SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR 审中-公开
公开(公告)号：WO2011011538A3
公开(公告)日：2011-01-27
申请号：PCT/US2010/042781
申请日：2010-07-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , JOHNSON, Gary, M. , NGUYEN, Eric , PINGLETON, Edward, D. , PRAVONGVIENGKHAM, Kennii , SAKAKINE, Ghassan , WACHLI, Serene , BRUSTAD, John, R. , TRAN, Olivia, J.
发明人： HART, Charles, C. , JOHNSON, Gary, M. , NGUYEN, Eric , PINGLETON, Edward, D. , PRAVONGVIENGKHAM, Kennii , SAKAKINE, Ghassan , WACHLI, Serene , BRUSTAD, John, R. , TRAN, Olivia, J.
IPC分类号： A61B17/02 , A61B17/34
摘要： Devices and systems provide a surgical access device (300) comprising an internal retractor device (370) integrated with or coupled to a body wall (40) or wound retractor (350). The wound retractor (350) retracts an opening in a body wall (40) into a body cavity (42), while the internal retractor (370) permits a user to control the positions of internal structures (30) within the body cavity (42), thereby permitting a user to define a surgical field (70). Embodiments of the internal retractor (370) are adjustable.

2. 发明申请

WO2008112364A2 BALLOON TROCAR 审中-公开
标题翻译：巴洛克TROCAR
公开(公告)号：WO2008112364A2
公开(公告)日：2008-09-18
申请号：PCT/US2008/053298
申请日：2008-02-07
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , JOHNSON, Gary, M. , HART, Charles, C. , MICHAUD, Michael, L. , BERCERRA, Matthew, M. , PRAVONGVIENGKHAM, Kennii
发明人： ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , JOHNSON, Gary, M. , HART, Charles, C. , MICHAUD, Michael, L. , BERCERRA, Matthew, M. , PRAVONGVIENGKHAM, Kennii
IPC分类号： A61M25/00
CPC分类号： A61B17/3421 , A61B2017/3482 , A61B2017/3486 , A61B2017/3492
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 proximaliy 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：气球套管针包括插管组件，其包括套管和套管上套管的外套管。外套筒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插管组件并且可以被锁定在期望的位置。在使用中，套针针被插入穿过体壁的切口并进入体腔。气囊被充气，并且插管组件相对于切口被拉近，而垫子滑动远离身体壁并锁定到位以用压缩气囊密封切口

3. 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。

4. 发明申请

WO2011026124A1 MULTIFUNCTIONAL SURGICAL ACCESS SYSTEM 审中-公开
标题翻译：多功能外科手术系统
公开(公告)号：WO2011026124A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/047368
申请日：2010-08-31
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , NGUYEN, Eric , BECERRA, Matthew, M. , JOHNSON, Gary, M. , BRUSTAD, John, R. , SAKAKINE, Ghassan
发明人： ALBRECHT, Jeremy, J. , NGUYEN, Eric , BECERRA, Matthew, M. , JOHNSON, Gary, M. , BRUSTAD, John, R. , SAKAKINE, Ghassan
IPC分类号： A61B17/34 , A61B17/02 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B2090/0801
摘要： A surgical access system comprises a wound retractor comprising an outer anchor, an inner anchor, and a flexible, tubular sheath extending therebetween. Embodiments of the outer anchor comprise an outer ring rotatable around an annular axis thereof, thereby rolling the sheath therearound when retracting an incision or opening in a body wall. The sheath comprises a plurality of fibers or strands that improve the abrasion and puncture resistance thereof. Consequently, the surgical access system is useful in procedures in which damage to the sheath is likely, for example, orthopedic hip replacement, and spinal procedures. In some embodiments, the sheath tapers from the outer ring to the inner ring.
摘要翻译：外科进入系统包括缠绕牵开器，其包括在其间延伸的外部锚固件，内部锚固件和柔性管状护套。外部锚固件的实施例包括可围绕其环形轴线旋转的外环，从而当缩回体壁中的切口或开口时在其周围滚动护套。护套包括提高其耐磨性和耐刺穿性的多个纤维或股线。因此，外科手术进入系统可用于其中可能损伤皮肤的程序，例如矫形髋关节置换术和脊柱手术。在一些实施例中，护套从外环逐渐变细到内圈。

5. 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。

6. 发明申请

WO2003068306A1 VASCULAR EXCLUSION CATHETER 审中-公开
标题翻译：血管排除导管
公开(公告)号：WO2003068306A1
公开(公告)日：2003-08-21
申请号：PCT/US2002/028830
申请日：2002-09-10
申请人： APPLIED MEDICAL RESOURCES CORPORATION , NGUYEN, Eric , BRUSTAD, John, R. , PETRIME, Matthew, N. , JOHNSON, Gary, M. , COX, John, A. , HART, Charles, C.
发明人： NGUYEN, Eric , BRUSTAD, John, R. , PETRIME, Matthew, N. , JOHNSON, Gary, M. , COX, John, A. , HART, Charles, C.
IPC分类号： A61M29/00
CPC分类号： A61B17/12022 , A61B17/12036 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61B17/12172 , A61B2017/12127 , A61M25/1002 , A61M25/1011 , A61M29/02 , A61M2025/1081
摘要： A fluid controlled device (10) is adapted for disposition in a body conduit where it controls the flow of body fluids within the conduit. A sleeve (60) is provided with a wall of separation having a first surface which defines a flow passage facilitating the flow of body fluids, and a second surface which defines an exclusion chamber sealed from the flow passage. Various dilators (46, 48) have properties for moving the seal between a low profile state facilitating insertion of the device, any high profile state defining the flow passage and exclusion chamber (67). The dilators (46, 48) may be skeletal, inflatable or porous. An associated method includes the step of dilating a dilation assembly to move a wall from a low profile, insertible state to a high profile wherein the wall defines a flow passage and an exclusion cavity.
摘要翻译：流体控制装置（10）适于配置在体管道中，其中其控制管道内的体液流动。套筒（60）设置有分隔壁，其具有第一表面，第一表面限定有助于体液流动的流动通道，以及限定与流动通道密封的排除室的第二表面。各种扩张器（46,48）具有用于在促进装置的插入的低轮廓状态，限定流动通道的任何高轮廓状态和排除室（67）之间移动密封件的性质。扩张器（46,48）可以是骨架的，可充气的或多孔的。相关联的方法包括扩张膨胀组件以将壁从低轮廓可插入状态移动到高轮廓的步骤，其中壁限定流动通道和排除腔。

7. 发明申请

WO2007134324A3 DILATATION CATHETER ASSEMBLY WITH BIPOLAR CUTTING ELEMENT 审中-公开
公开(公告)号：WO2007134324A3
公开(公告)日：2007-11-22
申请号：PCT/US2007/068975
申请日：2007-05-15
申请人： APPLIED MEDICAL RESOURCES CORPORATION , FALKENSTEIN, Zoran , PRAVONG, Boun , HART, Charles, C. , BRUSTAD, John, R. , NGUYEN, Eric
发明人： FALKENSTEIN, Zoran , PRAVONG, Boun , HART, Charles, C. , BRUSTAD, John, R. , NGUYEN, Eric
IPC分类号： A61B18/18
摘要： A method and apparatus for the dilatation of obstructed body vessels, orifices and conduits, combined with a controlled and regulated incision of the dilated body vessels using a bipolar or quasi-bipolar electrosurgical cutting wire arrangement is presented.

8. 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。

9. 发明申请

WO2005079678A1 EMBOLECTOMY CAPTURE SHEATH 审中-公开
公开(公告)号：WO2005079678A1
公开(公告)日：2005-09-01
申请号：PCT/US2005/004913
申请日：2005-02-15
申请人： APPLIED MEDICAL RESOURCES CORPORATION , NGUYEN, Eric , HART, Charles, C.
发明人： NGUYEN, Eric , HART, Charles, C.
IPC分类号： A61B17/22
CPC分类号： A61F2/01 , A61B17/221 , A61B17/32056 , A61B2017/2215 , A61F2/013 , A61F2002/018 , A61F2230/0006 , A61F2230/0067 , A61M25/0045 , A61M25/005 , A61M25/0053 , A61M25/0074 , A61M25/0662
摘要： An access device adapted for use in a body conduit is provided comprising an outer tube having a proximal end and a distal end, an inner tube disposed coaxially with the outer tube having a proximal end and a distal end, and an expandable portion having a first end coupled to the distal end of the outer tube and a second end coupled to the distal end of the inner tube. The outer tube and the inner tube are movable relative to each other to transform the expandable portion between a low-profile state and a high-profile state, and at least one of the outer and inner tubes comprises a wire-reinforced tube or is formed from a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together to form a continuous tubular structure. The access device may further comprise an actuator coupled to one of the outer and inner tubes and being movable relative to the other of the outer and inner tubes to transform the expandable portion between the low- and high profile states. The expandable portion may be formed with a braid material and has the shape of a cone. The ring-shaped elements may be formed of a thermoplastic or a thermoset material, and they may include at least one of plastic rings, metallic rings, un-reinforced plastic rings and metal reinforced plastic rings assembled along the length of at least one of the tubes to provide variable flexibility and kink-resistance. The wire-reinforced tube is formed by coating a wire with a plastic material, wrapping the coated wire around a mandrel forming a plurality of windings, and heating the wound coated wire until the plastic material melts and bonds the windings forming the wire-reinforced tube.
摘要翻译：一种适于在体导管中使用的进入装置，其包括具有近端和远端的外管，与外管同轴的内管，其具有近端和远端，以及具有第一端部联接到外管的远端，并且第二端联接到内管的远端。外管和内管可相对于彼此移动，以在小轮廓状态和高轮廓状态之间转换可膨胀部分，并且外管和内管中的至少一个包括线加强管或形成从多个单独排列的大致环形元件串联布置并且熔合或结合在一起以形成连续的管状结构。进入装置还可以包括致动器，其连接到外管和内管中的一个并且可相对于外管和内管中的另一个移动，以在低和高轮廓状态之间转换可膨胀部分。可膨胀部分可以用编织材料形成并具有圆锥形状。环形元件可以由热塑性材料或热固性材料形成，并且它们可以包括塑料环，金属环，未增强塑料环和金属加强塑料环中的至少一种，沿着至少一个管子提供可变的柔性和抗扭结。线材增强管通过用塑料材料涂覆线材来形成，将涂覆的线材围绕形成多个绕组的心轴缠绕，并加热缠绕的涂覆的线材，直到塑料材料熔化并结合形成线材增强管的绕组。

10. 发明申请

WO2012154845A1 WOUND RETRACTOR 审中-公开
标题翻译：绕线器
公开(公告)号：WO2012154845A1
公开(公告)日：2012-11-15
申请号：PCT/US2012/037111
申请日：2012-05-09
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , HART, Charles, C. , NGUYEN, Eric , YAWATA, Haruyasu , HILAL, Nabil
发明人： ALBRECHT, Jeremy, J. , HART, Charles, C. , NGUYEN, Eric , YAWATA, Haruyasu , HILAL, Nabil
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要： A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译：用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。缩回装置可以包括可展开的可调节框架，其支撑护套，并且与护套一起缩回切口。缩回装置可以包括外环和耦合到护套的相对端的内环，并且还包括用于将护套放置在内环和外环之间的张力的装置，从而缩回切口。

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