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1. 发明申请

WO2006100658A2 A SURGICAL INSTRUMENT 审中-公开
标题翻译：手术仪器
公开(公告)号：WO2006100658A2
公开(公告)日：2006-09-28
申请号：PCT/IE2006/000018
申请日：2006-03-22
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , VAUGH, Trevor , DEEGAN, Catherine , MACNALLY, Shane, Joseph
发明人： BONADIO, Frank , BUTLER, John , VAUGH, Trevor , DEEGAN, Catherine , MACNALLY, Shane, Joseph
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0469 , A61B17/068 , A61B17/29 , A61B17/2909 , A61B17/3421 , A61B17/3423 , A61B2017/003 , A61B2017/00424 , A61B2017/00464 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466
摘要： A surgical access system (100) comprises an access port (5), a rigid cannula having a shaft (11) and a laparoscopic surgical instrument (101). The access port (5) comprises a seal (6) and a retractor. The retractor comprises a distal O-ring (71), an outer proximal ring member (77), an inner proximal ring member (78) and a sleeve (72). The sleeve (72) extends distally from the inner proximal ring member (78) to the distal O-ring (71) in a first layer, is looped around the distal O-ring (71), and extends proximally in a second layer between the inner proximal ring member (78) and the outer proximal ring member (77). The instrument (101) comprises a shaft (103) with a rigid proximal region (104), a flexible intermediate region (105), and a rigid distal region (106). The instrument shaft (103) may be inserted through the cannula shaft (11). The instrument (101) has a rigid end effector (107) releasably coupled to the distal end (108) of the instrument shaft (103). An actuator (109) for actuating the end effector (107) is provided at the proximal end (110) of the instrument shaft (103). The actuator (109) is movable along the instrument shaft (103) parallel to the longitudinal axis of the instrument shaft (103).
摘要翻译：手术进入系统（100）包括进入端口（5），具有轴（11）和腹腔镜手术器械（101）的刚性插管。进入口（5）包括密封件（6）和牵开器。牵开器包括远端O形环（71），外近端环构件（77），内近端环构件（78）和套筒（72）。套筒（72）从内侧近端环构件（78）向远端延伸到第一层中的远端O形环（71），围绕远端O形环（71）环绕，并且在第二层之间向近侧延伸内侧近端环构件（78）和外侧近端环构件（77）。仪器（101）包括具有刚性近端区域（104），柔性中间区域（105）和刚性远侧区域（106）的轴（103）。仪器轴（103）可以插入穿过套管轴（11）。仪器（101）具有可释放地联接到仪器轴（103）的远端（108）的刚性端部执行器（107）。用于致动末端执行器（107）的致动器（109）设置在仪器轴（103）的近端（110）处。致动器（109）可沿着仪器轴（103）平行于仪器轴（103）的纵向轴线移动。

2. 发明申请

WO2006082572A1 AN APPARATUS FOR INSERTING A SURGICAL DEVICE AT LEAST PARTIALLY THROUGH A WOUND OPENING 审中-公开
标题翻译：用于通过打开开口部分地插入手术装置的装置
公开(公告)号：WO2006082572A1
公开(公告)日：2006-08-10
申请号：PCT/IE2006/000007
申请日：2006-02-06
申请人： ATROPOS LIMITED , BUTLER, John , VAUGH, Trevor , BONADIO, Frank , DEEGAN, Catherine , MACNALLY, Shane, Joseph
发明人： BUTLER, John , VAUGH, Trevor , BONADIO, Frank , DEEGAN, Catherine , MACNALLY, Shane, Joseph
IPC分类号： A61B17/34 , A61B17/32 , A61B17/06 , A61B19/00 , A61B18/04 , A61B17/00 , A61B17/28
CPC分类号： A61B17/0218 , A61B17/0293 , A61B17/06109 , A61B17/29 , A61B17/32093 , A61B17/3415 , A61B17/3417 , A61B17/3421 , A61B17/3423 , A61B17/3431 , A61B17/3468 , A61B17/3476 , A61B17/3496 , A61B18/04 , A61B18/1487 , A61B34/70 , A61B2017/00353 , A61B2017/00473 , A61B2017/0225 , A61B2017/06042 , A61B2017/320044 , A61B2017/3443 , A61B2017/3484 , A61B2017/3492 , A61B2090/036 , A61B2090/08021
摘要： An apparatus (650) for inserting a distal ring (9) of a wound retractor device (2) through a wound opening comprises a bladeless tip (641) for creating the wound opening by forcing tissue apart, and a conveying device (5) for conveying the distal ring (9) through the wound opening. The conveying device (5) comprises a hook element (6) for engaging the distal ring (9) to convey the distal ring (9) through the wound opening, and a receiver housing (651) for receiving a seal (652) and a proximal ring (653) of the wound retractor device (2) to hold the seal (652) and the proximal ring (653) externally of the wound opening, and thus maintain a sleeve portion of the wound retractor device (2) in tension, during conveying of the distal ring (9) through the wound opening.
摘要翻译：一种用于通过卷绕开口插入卷绕的收缩器装置（2）的远端环（9）的装置（650）包括：用于通过迫使组织分开而产生卷绕开口的无叶尖（641）;以及用于将所述远端环（9）输送通过所述开口。输送装置（5）包括用于接合远端环（9）以将远端环（9）输送通过卷绕开口的钩元件（6）和用于接收密封件（652）的接收器壳体（651）所述卷绕牵开装置（2）的近端环（653）用于将所述密封件（652）和所述近端环（653）保持在所述卷绕开口的外部，从而保持所述卷绕的牵开器装置（2）的套筒部分处于张紧状态，在远端环（9）通过卷绕开口传送期间。

3. 发明申请

WO2007010511A1 A WOUND RETRACTOR 审中-公开
标题翻译：一个绕线器
公开(公告)号：WO2007010511A1
公开(公告)日：2007-01-25
申请号：PCT/IE2006/000073
申请日：2006-07-14
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , DEEGAN, Catherine , VAUGH, Trevor
发明人： BONADIO, Frank , BUTLER, John , DEEGAN, Catherine , VAUGH, Trevor
IPC分类号： A61B17/34
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/3423 , A61B17/3431 , A61B2017/00557 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A wound retractor (320) comprises a distal ring (3) for insertion through a wound opening (6), a proximal ring (4) for location externally of the wound opening (6), a valve (10) mounted to the proximal ring (4), and a sleeve (2) for retracting laterally the sides of the wound opening (6). The wound retractor (320) also comprises a flexible release member (81) for releasing the distal ring (3) from a retracting configuration for removal of the distal ring (3) from the wound opening (6). A first end (301) of the release member (81) is attached to the valve housing (102), the release member (81) loops around the distal ring (3), and a second end (302) of the release member (81) is movable relative to the proximal ring (4) to release the distal ring (3) from the retracting configuration.
摘要翻译：缠绕牵开器（320）包括用于插入穿过开口（6）的远端环（3），用于位于所述缠绕开口（6）外部的近端环（4）;安装到所述近端环（4）和用于在所述卷绕开口（6）的侧面侧向缩回的套筒（2）。所述卷绕牵开器（320）还包括用于将所述远端环（3）从用于从所述伤口（6）移除所述远端环（3）的缩回构造的柔性释放构件（81）。释放构件（81）的第一端（301）附接到阀壳体（102），释放构件（81）围绕远端环（3）环绕，并且释放构件的第二端（302） 81）可相对于近端环（4）移动以将远端环（3）从收缩构型释放。

4. 发明申请

WO2005089654A1 A WOUND RETRACTOR DEVICE 审中-公开
标题翻译：绕线装置
公开(公告)号：WO2005089654A1
公开(公告)日：2005-09-29
申请号：PCT/IE2005/000027
申请日：2005-03-23
申请人： ATROPOS LIMITED , BONADIO, Frank , VAUGH, Trevor , BUTLER, John , DEEGAN, Catherine
发明人： BONADIO, Frank , VAUGH, Trevor , BUTLER, John , DEEGAN, Catherine
IPC分类号： A61B17/02
CPC分类号： A61B17/0293 , A61B90/50 , A61B2017/3482
摘要： A wound retractor device (1) comprises a distal ring member (4) for insertion into a wound opening (3), a proximal ring member (2) for location externally of the wound opening (3), and a cylindrical connecting sleeve (5), which extends between the distal ring member (4) and the proximal ring member (2), to retract laterally the sides of a wound opening (3). The device (1) further comprises a rigid engagement ring member (11) for facilitating engagement of the device (1), and manipulation of the device (1) into a desired location and/or orientation. In use, the distal ring member (4) is inserted into the wound opening (3), and the proximal ring member (2) is located externally of the wound opening (3), with the connecting sleeve (5) extending between the proximal ring member (2) and the distal ring member (4). The connecting sleeve (5) is then pulled proximally to retract laterally the sides of the wound opening (3). The engagement ring member (11) may then be engaged, for example by means of a surgeon gripping the engagement ring member (11), and the device (1) manipulated into a desired location and/or orientation.
摘要翻译：一种缠绕式收缩器装置（1）包括用于插入伤口（3）的远端环构件（4），用于位于伤口（3）外部的近端环构件（2），以及圆筒形连接套筒），其在远侧环构件（4）和近端环构件（2）之间延伸，以横向地缩回伤口（3）的侧面。装置（1）还包括用于便于装置（1）的接合以及将装置（1）操纵成所需位置和/或取向的刚性接合环构件（11）。在使用中，远端环构件（4）插入到卷绕的开口（3）中，并且近端环构件（2）位于缠绕开口（3）的外部，连接套筒（5）在近端环形构件（2）和远端环构件（4）。然后将连接套（5）向近侧拉动以横向缩回伤口（3）的侧面。接合环构件（11）然后可以例如通过夹持接合环构件（11）的外科医生和被操纵成所需位置和/或取向的装置（1）而接合。

5. 发明申请

WO2005089661A1 A WOUND RETRACTOR DEVICE 审中-公开
标题翻译：绕线装置
公开(公告)号：WO2005089661A1
公开(公告)日：2005-09-29
申请号：PCT/IE2005/000028
申请日：2005-03-23
申请人： ATROPOS LIMITED , BONADIO, Frank , VAUGH, Trevor , BUTLER, John , DEEGAN, Catherine
发明人： BONADIO, Frank , VAUGH, Trevor , BUTLER, John , DEEGAN, Catherine
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B1/32 , A61B17/02 , A61B17/0293 , A61B17/3431 , A61B50/33 , A61B90/30 , A61B90/35 , A61B90/50
摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and a cylindrical connecting sleeve (5), which extends between the distal ring member (2) and the proximal ring member (4), to retract laterally the sides of the wound opening (3). The device (1) further comprises a rigid ring-shaped platform member (6) to support one or more medical devices in a desired location and/or orientation. The platform member (6) is suitable for location, in use, externally of the wound opening (3). The device (1) also comprises a medical device (16) supported on the platform member (6). The medical device (16) comprises a body portion (9), a gripping member (11), and a rigid arm member (10) to connect the gripping member (11) to the body portion (9). A medical instrument (14) may be then positioned in a "C"-shaped opening (21) of the gripping member (11). The location and/or orientation of the medical instrument (14) may be adjusted by adjusting the arm member (10) and/or the gripping member (11).
摘要翻译：缠绕牵开器装置（1）包括用于插入伤口（3）的远端环构件（2），用于位于伤口（3）外部的近端环构件（4），以及圆筒形连接套筒），其在远端环构件（2）和近端环构件（4）之间延伸，以横向地缩回伤口（3）的侧面。装置（1）还包括刚性环形平台构件（6），以将所述位置和/或取向的一个或多个医疗装置支撑。平台构件（6）适于在使用中定位在伤口（3）的外部。装置（1）还包括支撑在平台构件（6）上的医疗装置（16）。医疗装置（16）包括主体部分（9），夹紧部件（11）和将夹持部件（11）连接到主体部分（9）的刚性臂部件（10）。然后可以将医疗器械（14）定位在夹持构件（11）的“C”形开口（21）中。可以通过调节臂构件（10）和/或夹持构件（11）来调节医疗器械（14）的位置和/或取向。

6. 发明申请

WO2005009257A2 A DEVICE 审中-公开
标题翻译：一个装置
公开(公告)号：WO2005009257A2
公开(公告)日：2005-02-03
申请号：PCT/IE2004/000103
申请日：2004-07-30
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MCMANUS, Ronan, Bernard , MACNALLY, Shane, Joseph , REID, Alan , CUSCHIERI, Alfred
发明人： BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MCMANUS, Ronan, Bernard , MACNALLY, Shane, Joseph , REID, Alan , CUSCHIERI, Alfred
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/00234 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3435 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492 , A61F2/958 , A61M25/0119 , A61M29/02 , A61M2025/0062 , A61M2025/109
摘要： A cannula comprises a proximal instrument insertion portion (951) having a seal (952) for sealingly engaging with an instrument shaft (955), and a distal tubular portion (950) defining an access channel for extension of the instrument (955) therethrough. The proximal portion (951) is movably coupled to the distal portion (950) to facilitate relative movement between the proximal portion (951) and the distal portion (950) to accommodate lateral movement of the instrument (955) passing therethrough whilst maintaining sealing engagement between the seal (952) and the instrument shaft (955).
摘要翻译：套管包括具有用于密封地与器械轴（955）接合的密封件（952）的近端器械插入部分（951）和限定用于延伸器械（955）的通道的远端管状部分（950）。近端部分（951）可移动地联接到远侧部分（950）以促进近端部分（951）和远端部分（950）之间的相对运动，以适应穿过其中的器械（955）的横向移动，同时保持密封接合在密封件（952）和仪器轴（955）之间。

7. 发明申请

WO2003039354A1 A DEVICE TO AID ADVANCEMENT OF A COLONOSCOPE 审中-公开
标题翻译：协助提高殖民地的设备
公开(公告)号：WO2003039354A1
公开(公告)日：2003-05-15
申请号：PCT/IE2002/000148
申请日：2002-10-17
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , BELL, Duncan , WOODS, Lisa , VAUGH, Trevor
发明人： BONADIO, Frank , BUTLER, John , BELL, Duncan , WOODS, Lisa , VAUGH, Trevor
IPC分类号： A61B1/31
CPC分类号： A61B1/00154 , A61B1/00082 , A61B1/00094 , A61B1/31
摘要： A device (1) to aid advancement of a colonoscope (2) through the colon (3) of a patient comprises an elongate body (4) defining a colonoscope lumen (7). The body (4) provides a fluid tight seal (11, 12) to the colonoscope (2). The body (4) has an anchor to releasably anchor the interior wall of the colon (3) to the device to enable a colonoscope (2) to be more easily advanced. The anchor may be provided by suction apertures (8) through which a suction is applied to draw the colon into anchored engagement with the body (4). The anchor may be provided by a balloon (21) and/or foam based anchoring systems (100, 121, 131, 141, 151, 161).
摘要翻译：帮助结肠镜2通过患者结肠3推进的装置1包括限定结肠镜腔7的细长主体4.主体4向结肠镜2提供流体密封密封件11,12。主体4具有锚固件将结肠3的内壁可释放地锚定到装置上，以使得结肠镜2更容易前进。锚定器可以由抽吸孔8提供，通过该抽吸孔8施加抽吸以将结肠拉伸到与主体4锚定接合。锚固件可以由气囊21和/或基于泡沫的锚固系统100,121,131,141 ，151,161。

8. 发明申请

WO2007119232A2 AN INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：仪器接入装置
公开(公告)号：WO2007119232A2
公开(公告)日：2007-10-25
申请号：PCT/IE2007/000050
申请日：2007-04-19
申请人： ATROPOS LIMITED , VAUGH, Trevor , BUTLER, John , MACNALLY, Shane, Joseph , BONADIO, Frank
发明人： VAUGH, Trevor , BUTLER, John , MACNALLY, Shane, Joseph , BONADIO, Frank
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B1/00137 , A61B17/0293 , A61B17/3423 , A61B17/3498 , A61B2017/3464
摘要： An instrument access device (1) comprises an instrument seal, a wound retractor for retracting a wound opening (2), and an opening element for at least partially opening the seal to facilitate insertion of an instrument (6) through the seal. The instrument seal comprises a gelatinous elastomeric seal (3) with a pinhole opening (4) extending therethrough, and a housing (5) around the seal (3). The opening element may be employed to at least partially open the pinhole opening (4) to facilitate insertion of the instrument (6) through the pinhole opening (4). The opening element comprises a sheet (11) of flexible material. The sheet (11) is movable distally relative to the seal (3) between a rest configuration and an opening configuration. In the rest configuration the sheet (11) is substantially planar. In the opening configuration, the pointed, the leading end (16) of the sheet (11) enters the pinhole opening (4) and moves distally through the pinhole opening (4) to at least partially open the pinhole opening (4).
摘要翻译：仪器进入装置（1）包括仪器密封件，用于缩回伤口（2）的缠绕牵开器和用于至少部分地打开密封件以便于将器械（6）穿过密封件插入的开口元件。仪器密封件包括具有延伸穿过其中的针孔开口（4）的凝胶状弹性体密封件（3）和围绕密封件（3）的壳体（5）。开口元件可以用于至少部分地打开针孔开口（4），以便于器械（6）穿过针孔开口（4）插入。开口元件包括柔性材料的片材（11）。片材（11）可在静止构型和打开构型之间相对于密封件（3）向远侧移动。在其余构型中，片材（11）基本上是平面的。在打开构造中，片状物（11）的尖端（16）进入针孔开口（4），并通过针孔开口（4）向远侧移动，至少部分地打开针孔开口（4）。

9. 发明申请

WO2006059318A1 A SURGICAL SEALING DEVICE 审中-公开
标题翻译：手术密封装置
公开(公告)号：WO2006059318A1
公开(公告)日：2006-06-08
申请号：PCT/IE2005/000135
申请日：2005-12-01
申请人： ATROPOS LIMITED , BUTLER, John , VAUGH, Trevor , BONADIO, Frank
发明人： BUTLER, John , VAUGH, Trevor , BONADIO, Frank
IPC分类号： A61B17/34 , A61B17/02
CPC分类号： A61B17/0293 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00265 , A61M39/06 , A61M39/0606 , A61M39/0613 , A61M2039/0633 , A61M2039/064 , A61M2039/0666 , A61M2039/0686
摘要： A surgical sealing device (405), comprises a first sealing member (5) and a second sealing member (6). A thin slit is defined between the sealing members (5, 6). In a closed configuration, the first sealing member (5) overlaps the distal end opening of a passageway (2) through the second sealing member (6) to prevent leakage of insufflation gases out of an abdomen (4). In an open configuration, the first sealing member (5) is retracted to reveal the distal end opening of the passageway (2) and thus facilitate passage of an object, such as a surgeon's hand or forearm (3), into the abdomen (4). The device (405) comprises a planar support element (406) fixedly attached to the proximal exterior surface (408) of the first sealing member (5). The first sealing member (5) is fixedly attached to the second sealing member (6) at an attached region (409), with a detached region (407) remaining detached from the second sealing member (6).
摘要翻译：手术密封装置（405）包括第一密封构件（5）和第二密封构件（6）。在密封构件（5,6）之间限定有狭缝。在闭合构造中，第一密封构件（5）通过第二密封构件（6）与通道（2）的远端开口重叠，以防止吹入气体从腹部（4）泄漏。在打开构造中，第一密封构件（5）缩回以露出通道（2）的远端开口，从而便于外科医生的手或前臂（3）等物体通过到腹部（4））。装置（405）包括固定地附接到第一密封构件（5）的近端外表面（408）的平面支撑元件（406）。第一密封构件（5）在附接区域（409）处固定地附接到第二密封构件（6），其中分离区域（407）保持与第二密封构件（6）分离。

10. 发明申请

WO2005089655A1 A WOUND RETRACTOR DEVICE 审中-公开
标题翻译：绕线装置
公开(公告)号：WO2005089655A1
公开(公告)日：2005-09-29
申请号：PCT/IE2005/000029
申请日：2005-03-23
申请人： ATROPOS LIMITED , BONADIO, Frank , VAUGH, Trevor , BUTLER, John
发明人： BONADIO, Frank , VAUGH, Trevor , BUTLER, John
IPC分类号： A61B17/02
CPC分类号： A61B17/0293 , A61B17/3431 , A61B2017/3482
摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and four strap members (5) extending between the proximal ring member (4) and the distal ring member (2). The four separate strap members (5) are axially movable relative to the distal ring member (2) and relative to the proximal ring member (4). The distal ring member (2) comprises four slots (6), with each strap member (5) positioned extending through a slot (6). The slots (6) thus act as passageways through which the strap members (5) may extend, and in this manner the slots (6) guide movement of the strap members (5) relative to the distal ring member (2). The proximal ring member (4) also comprises four slots (7) which act as passageways to guide movement of the strap members (5) relative to the proximal ring member (4). In use, the distal ring member (2) is inserted into the wound opening (3), and the proximal ring member (4) is located externally of the wound opening (3). The second end (10) of each strap member (5) is then gripped, and a pulling force is exerted to retract laterally the sides of the wound opening (3).
摘要翻译：缠绕牵开器装置（1）包括用于插入伤口（3）的远端环构件（2），用于位于伤口（3）外部的近端环构件（4），以及四个绑带构件（5）在近端环构件（4）和远端环构件（2）之间延伸。四个分离的带构件（5）可相对于远端环构件（2）并相对于近端环构件（4）轴向移动。远端环构件（2）包括四个狭槽（6），每个带构件（5）定位成延伸穿过槽（6）。因此，槽（6）用作通道，带构件（5）可以穿过该通道延伸，并且以这种方式，槽（6）引导带构件（5）相对于远端环构件（2）的运动。近端环构件（4）还包括四个狭槽（7），其作为通道引导带构件（5）相对于近端环构件（4）的移动。在使用中，远端环构件（2）插入到卷绕的开口（3）中，并且近端环构件（4）位于伤口（3）的外部。然后夹紧每个带构件（5）的第二端（10），并且施加拉力以横向地缩回伤口（3）的侧面。

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