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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

WO2016077050A1 SYSTEMS AND METHODS FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织去除的系统和方法
公开(公告)号：WO2016077050A1
公开(公告)日：2016-05-19
申请号：PCT/US2015/056978
申请日：2015-10-22
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , BRESLIN, Tracy , KESSLER, Steven, C. , POULSEN, Nikolai , COLLINS, Nathan , DO, Alexandra , BOLANOS, Eduardo , PRAVONG, Boun , ELLIOTT, Patrick , WIXEY, Matthew, A. , YOUNG, Wayne , FILEK, Jacob , CASTELO, Kevin, B. , HOKE, Adam , HOFSTETTER, Greg , DEMARCHI, Jacqueline , GARCES, Amy , HOLMES, Heidi , SHEEHAN, Alexander
IPC分类号： A61B17/34 , A61B17/32 , A61B17/00 , A61B17/3211 , A61B17/02
CPC分类号： A61B17/3462 , A61B17/00234 , A61B17/0293 , A61B17/320016 , A61B17/3211 , A61B17/3423 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B90/50 , A61B2017/00287 , A61B2017/00557 , A61B2017/320024 , A61B2017/3466 , A61B2017/347 , A61B2017/349 , A61B2017/4216 , A61B2090/08021
摘要： Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.
摘要翻译：提供了用于防止在患者体内的组织标本脱毛期间癌细胞接种的系统和方法，并且通过向患者外部的微创身体从病人内部去除组织标本。一个系统包括可拆卸地插入到安全壳中的防切割组织护罩。组织样本被分离并包含在容纳袋内，并且保护罩被配置为保护容纳袋和周围组织免受与组织样本的脱毛和抽出期间使用的尖锐仪器的偶然接触。防护罩可调节，便于插入和拆卸，并构造成可靠地锚固在车身开口处。提供了用于组织去除的基于保护重点和基于遏制的系统，其能够安全有效地进行微创程序。

3. 发明申请

WO2015164591A1 SYSTEMS AND METHODS FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织去除的系统和方法
公开(公告)号：WO2015164591A1
公开(公告)日：2015-10-29
申请号：PCT/US2015/027274
申请日：2015-04-23
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , BRESLIN, Tracy , KESSLER, Steven , POULSEN, Nikolai , COLLINS, Nathan , DO, Alexandra , BOLANOS, Eduardo , PRAVONG, Boun , ELLIOTT, Patrick , WIXEY, Matthew , YOUNG, Wayne , FILEK, Jacob , CASTELO, Kevin , HOKE, Adam , HOFSTETTER, Greg , DeMARCHI, Jacqueline , GARCES, Amy , HOLMES, Heidi , SHEEHAN, Alexander
IPC分类号： A61B17/34 , A61B17/32 , A61B17/00 , A61B17/3211 , A61B17/02
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0293 , A61B17/32002 , A61B17/3211 , A61B17/3439 , A61B2017/00287 , A61B2017/00557 , A61B2017/0225 , A61B2017/2926 , A61B2017/320024 , A61B2017/320028 , A61B2017/3429 , A61B2017/3449 , A61B2017/3464 , A61B2017/3466 , A61B2017/347 , A61B2017/3482 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2017/4216 , A61B2090/08021
摘要： Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.
摘要翻译：提供了用于防止在患者体内的组织标本脱毛期间癌细胞接种的系统和方法，并且通过向患者外部的微创身体从病人内部去除组织标本。一个系统包括可拆卸地插入到安全壳中的防切割组织护罩。组织样本被分离并包含在容纳袋内，并且保护罩被配置为保护容纳袋和周围组织免受与组织样本的脱毛和抽出期间使用的尖锐仪器的偶然接触。防护罩可调节，便于插入和拆卸，并构造成可靠地锚固在车身开口处。提供了用于组织去除的基于保护重点和基于遏制的系统，其能够安全有效地进行微创程序。

4. 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.

5. 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。

6. 发明申请

WO2022076918A1 LIGHTED SURGICAL ACCESS SYSTEM 审中-公开
公开(公告)号：WO2022076918A1
公开(公告)日：2022-04-14
申请号：PCT/US2021/054312
申请日：2021-10-08
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , VELASCO, Joel , SALEH, Khodr , DIEHL, Alex , ROTHSCHILD, Jonathan , NGUYEN, Andrew , SAKAKINE, Ghassan , ELLIOTT, Patrick , TAYLOR, Scott, V. , KESSLER, Steven , PEREZ, Deryk , SALAZAR, Luis
IPC分类号： A61B17/34 , A61B90/30 , A61B17/02
摘要： The lighted surgical access system is provided that includes a circumferential retractor/protector and a light emitter system attached thereto. The circumferential retractor/protector retracts and protects a patient's body opening while the light emitter system illuminates the internal surgical site, body cavity or body opening.

7. 发明申请

WO2017059417A1 HYSTERECTOMY MODEL 审中-公开
标题翻译： HYSTERECTOMY模型
公开(公告)号：WO2017059417A1
公开(公告)日：2017-04-06
申请号：PCT/US2016/055148
申请日：2016-10-03
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BLACK, Katie , HOFSTETTER, Gregory K. , FELSINGER, Natasha , BRESLIN, Tracy , WACHLI, Serene , KENNEDAY, Sean
IPC分类号： G09B23/28
CPC分类号： G09B23/34 , A61B17/42 , A61B2017/4216 , G09B9/00 , G09B23/285 , G09B23/32
摘要： A surgical simulator for surgical training is provided. The simulator includes a frame defining an enclosure and a simulated tissue model located inside the enclosure. The simulated tissue model is adapted for practicing a number of surgical procedures including but not limited to transanal excisions and transvaginal hysterectomies. The simulated tissue model includes one more components and is interchangeably connected to the frame with fasteners configured to pass through apertures in the frame to suspend the simulated tissue model within the frame. The enclosure of the frame is increasingly laterally constricted along the longitudinal axis to progressively increase the confinement of the components of the simulated tissue model.
摘要翻译：提供了一种用于外科手术的手术模拟器。模拟器包括定义外壳的框架和位于外壳内的模拟组织模型。模拟组织模型适用于实施多种手术过程，包括但不限于经肛门切除和经阴道子宫切除术。模拟的组织模型包括一个更多的部件，并且可互换地连接到具有被配置成穿过框架中的孔的紧固件的框架中，以将模拟的组织模型悬挂在框架内。框架的外壳沿着纵向轴线越来越横向收缩，以逐渐增加模拟组织模型的部件的限制。

8. 发明申请

WO2016172679A1 SYSTEMS AND METHODS FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织移除的系统和方法
公开(公告)号：WO2016172679A1
公开(公告)日：2016-10-27
申请号：PCT/US2016/029154
申请日：2016-04-25
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： DO, Alexandra , PRAVONG, Boun , WACHLI, Serene
IPC分类号： A61B17/34 , A61B90/00
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3211 , A61B90/40 , A61B2017/00287 , A61B2017/0225 , A61B2017/3429 , A61B2090/08021
摘要： A guard for providing a cut-resistant pathway through a body orifice or incision to circumferentially protect tissue at the margin is provided. The guard is made of flexible, cut-resistant mesh material having a plurality of interwoven thermosetting filaments. The guard has a central lumen and at least one flared end. The flared end, which serves to anchor the guard in the body opening, is deformable into a reduced configuration to facilitate its insertion and removal. The layer of mesh stretches laterally to increase the diameter of the central lumen. The flexibility and expandability of the guard allows the guard to conform to body openings of different sizes. The guard may include a drawstring to cinch the flared distal end from the proximal end. The guard is thermoset with the flared distal end that is biased to spring back to its normal, undeformed configuration when released from a deformed configuration.
摘要翻译：提供了一种通过身体孔口或切口提供切割路径以保护边缘处的组织的保护装置。防护件由具有多个交织的热固性长丝的柔性，耐切割的网状材料制成。防护罩具有中央管腔和至少一个扩口端。用于将防护件固定在主体开口中的扩口端可变形成减小的构型以便于其插入和移除。网状层横向延伸以增加中央管腔的直径。防护罩的灵活性和可扩展性使护罩符合不同尺寸的车身开口。防护罩可以包括从近端束紧扩张的远端的束带。防护罩是热固性的，当从变形的构型释放时，扩口的远端被偏压以回弹到其正常的，未变形的构型。

9. 发明申请

WO2022182980A1 CIRCUMFERENTIAL RETRACTOR SYSTEM 审中-公开
公开(公告)号：WO2022182980A1
公开(公告)日：2022-09-01
申请号：PCT/US2022/017887
申请日：2022-02-25
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： PEREZ, Deryk , ASTUDILLO, Daniel , VELASCO, Joel , WRIGHT, Sofie , WACHLI, Serene , SALEMI, Joe , SRITHAR, Krithik , ODUBA, Oylinda
IPC分类号： A61B17/02 , A61B17/34 , A61B17/42
摘要： A circumferential retractor system is provided that includes a circumferential retractor and a flexible retainer. The circumferential retractor and retainer retracts and protects a patient's body opening, providing access into a patient.

10. 发明申请

WO2016025791A1 NATURAL ORIFICE SURGERY SYSTEM 审中-公开
标题翻译：自然手术手术系统
公开(公告)号：WO2016025791A1
公开(公告)日：2016-02-18
申请号：PCT/US2015/045201
申请日：2015-08-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , BRESLIN, Tracy , SHEEHAN, Alexander , POULSEN, Nikolai
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3439 , A61B17/42 , A61B2017/345 , A61B2017/3452 , A61B2017/3466 , A61B2017/3486
摘要： Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; and various stabilizing mechanisms surrounding the tubular body, sized and configured to stabilize and retain the retractor within the orifice. The stabilizing embodiments described herein are useful in all natural orifices and are of particular use in the vaginal surgery.
摘要翻译：描述了外科进入口系统的实施例，其包括适于联接到帽并且在自然孔口手术中特别有用的牵开器。牵开器包括外环，其中所述外环构造成邻近所述患者的天然孔设置并且基本上围绕所述孔; 管状体以及围绕管状体的各种稳定机构，其尺寸和构造用于将牵开器稳定并保持在孔内。本文描述的稳定化实施例在所有天然孔中是有用的，并且在阴道手术中特别有用。

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