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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

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。

4. 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）。

5. 发明申请

WO2004054456A1 A SURGICAL DEVICE 审中-公开
标题翻译：外科手术
公开(公告)号：WO2004054456A1
公开(公告)日：2004-07-01
申请号：PCT/IE2003/000171
申请日：2003-12-16
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph , REID, Alan
发明人： BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph , REID, Alan
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0293 , A61B17/3431 , A61B17/3462 , A61B2017/3482
摘要： A surgical device comprises a mounting element provided by a first ring element (200) and a second ring element (201). A sealing member in the form of a sleeve (202) of pliable material has ends mounted to the rings (200, 201). The sleeve (202) is twisted to have a normally closed access opening (207) and is movable on insertion of a surgeon’s hand/arm (210) to open the access opening (207) whilst maintaining substantial sealing engagement to the arm (210). A biassing means is provided to bias the sleeve into a configuration in which the access opening (207) is normally closed. The biassing may be provided by pre-tensioning the sleeve (202) and/or by using a separate spring element (220, 215).
摘要翻译：手术装置包括由第一环形元件（200）和第二环形元件（201）提供的安装元件。以柔性材料的套筒（202）形式的密封构件具有安装到环（200,201）的端部。套筒（202）被扭转成具有常闭的进入开口（207），并且在外科医生的手/臂（210）的插入上可移动以打开进入开口（207），同时保持与臂（210）的大量密封接合，。提供了一种偏压装置，用于将套管偏压成进入开口（207）常闭的结构。偏置可以通过预紧套筒（202）和/或通过使用单独的弹簧元件（220,215）来提供。

6. 发明申请

WO2008149332A1 AN INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：仪器接入装置
公开(公告)号：WO2008149332A1
公开(公告)日：2008-12-11
申请号：PCT/IE2008/000062
申请日：2008-06-05
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph
发明人： BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B17/3498 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3484 , A61B2017/3492
摘要： An instrument access device comprises at least a first instrument seal 71 to effect a seal around a first instrument extended through the device and a second instrument seal 72 to effect a seal around a second instrument extended through the device. The instrument seals 71, 72 are configured to be arranged in a sealing relationship to a body of a patient. The device also comprises a distal anchoring ring 401 for location within a wound interior and a retractor member 402 extending proximally from the distal anchoring ring 401 to retract laterally the sides of a wound opening.
摘要翻译：仪器进入装置至少包括第一仪器密封件71，以实现围绕通过该装置延伸的第一仪器的密封和第二仪器密封件72，以围绕通过该装置延伸的第二仪器进行密封。仪器密封件71,72被构造成与患者的身体密封地布置。该装置还包括用于定位在伤口内部的远端锚定环401和从远侧锚固环401向近侧延伸的牵开构件402，以横向地缩回伤口的侧面。

7. 发明申请

WO2009024955A1 A HAND AND INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：手持式仪器设备
公开(公告)号：WO2009024955A1
公开(公告)日：2009-02-26
申请号：PCT/IE2008/000077
申请日：2008-08-20
申请人： Atropos Limited , VAUGH, Trevor , MACNALLY, Shane, Joseph , BUTLER, John , BONADIO, Frank
发明人： VAUGH, Trevor , MACNALLY, Shane, Joseph , BUTLER, John , BONADIO, Frank
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3431 , A61B17/3462 , A61B17/3498 , A61B2017/00477
摘要： A surgical sealing device 1 for providing hand or instrument access during a surgical procedure is mounted to a wound retractor device 10 which is used to retract the sides of an opening into an internal cavity. The sealing device 1 comprises a first sealing member 5 and a second sealing member 6. The second sealing member 6 has passageway 2 with a sidewall of an elastic material to create a seal between the sidewall of the passageway 2 and an object passing through the passageway 2. The first sealing member 5 is in the form of a flap of flexible material and is moveable relative to the second sealing member 6 between a closed configuration sealing the passageway 2 and an open configuration. The flap member 5 may be fixedly attached to the second sealing member 6 by means of a reception loop 7 formed at the distal surface of the second sealing member 6.
摘要翻译：用于在外科手术过程中提供手或器械进入的手术密封装置1安装到缠绕的牵开器装置10上，所述牵开器装置10用于将开口的侧面缩回到内腔中。密封装置1包括第一密封构件5和第二密封构件6.第二密封构件6具有通道2，其具有弹性材料的侧壁，以在通道2的侧壁和通过通道的侧壁之间产生密封第一密封构件5是柔性材料的翼片的形式，并且可以在密封通道2的封闭构造和打开构型之间相对于第二密封构件6移动。翼片构件5可以通过形成在第二密封构件6的远侧表面处的接收环7固定地附接到第二密封构件6。

8. 发明申请

WO2008012787A2 AN APPARATUS FOR INSERTING A SURGICAL DEVICE AT LEAST PARTIALLY THROUGH A WOUND OPENING 审中-公开
标题翻译：至少部分穿过手术器械插入手术器械的装置
公开(公告)号：WO2008012787A2
公开(公告)日：2008-01-31
申请号：PCT/IE2007/000073
申请日：2007-07-26
申请人： ATROPOS LIMITED , BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph
发明人： BONADIO, Frank , BUTLER, John , VAUGH, Trevor , MACNALLY, Shane, Joseph
IPC分类号： A61B17/32 , A61B17/34
CPC分类号： A61B17/3421 , A61B17/0293 , A61B17/32093 , A61B17/3423 , A61B17/3431 , A61B17/3468 , A61B50/30 , A61B2017/00738 , A61B2017/320044 , A61B2017/3435
摘要： An apparatus (1) for inserting a wound retractor device (2) at least partially through a wound opening. The apparatus (1) comprises a conveying device (4) and a holder element (5). The conveying device (4) is insertable at least partially through the wound opening to convey the would retractor device (2) at least partially through the wound opening. The holder element (5) holds part of the wound retractor device (2) in a low-profile configuration. The holder element (5) is slidable relative to the conveying device (4) between a holding configuration in which part of the wound retractor device (2) is held in the low-profile configuration, and a release configuration in which the wound retractor device (2) is released. As the conveying device (4) is inserted through the wound opening, the holder element (5) engages with the external surface of the tissue. In this manner the holder element (5) is moved from the holding configuration to the release configuration.
摘要翻译：一种用于至少部分地穿过伤口开口插入伤口牵开器装置（2）的设备（1）。该设备（1）包括输送装置（4）和保持元件（5）。输送装置（4）可至少部分地插入穿过伤口开口以将牵开器装置（2）至少部分地穿过伤口开口。保持器元件（5）以低轮廓构型保持伤口牵开器装置（2）的一部分。保持元件（5）可相对于输送装置（4）在卷绕卷收器装置（2）的一部分保持在低轮廓构造的保持构造和释放构造（其中卷绕卷收器装置（2）被释放。当输送装置（4）通过伤口开口插入时，保持元件（5）与组织的外表面接合。以这种方式，保持元件（5）从保持构型移动到释放构型。

9. 发明申请

WO2004030547A1 A WOUND RETRACTOR DEVICE 审中-公开
标题翻译：绕线装置
公开(公告)号：WO2004030547A1
公开(公告)日：2004-04-15
申请号：PCT/IE2003/000141
申请日：2003-10-06
申请人： ATROPOS LIMITED , BUTLER, John , VAUGH, Trevor , BONADIO, Frank , MacNALLY, Shane, Joseph , REID, Alan
发明人： BUTLER, John , VAUGH, Trevor , BONADIO, Frank , MacNALLY, Shane, Joseph , REID, Alan
IPC分类号： A61B17/34
CPC分类号： A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/00557 , A61B2017/3482 , A61B2017/3484
摘要： A wound protector and retractor device (1) comprises a sleeve (2), a distal member provided by a distal ring (3) of resilient material and a proximal member provided by a proximal ring (4). The sleeve (2) is led around the ring (3) and is free to move axially relative to the distal ring (3) somewhat in the manner of a pulley. The proximal ring (4) is fixed to the sleeve (2), in this case at the proximal inner end thereof. The sleeve (2) terminates in a handle or gripping portion which is reinforced by a gripping ring (15). The sleeve extends from the proximal ring (4) and the distal ring (3) is contained between inner and outer layers (2a, 2b) of the sleeve (2). The resilient distal ring (3) is scrunched up and inserted through the incision (6). The sleeve (2) is then pulled upwardly. On pulling of the sleeve (2) upwardly the outer layer (2b) is pulled up while the inner layer (2a) is drawn around the proximal ring (3). This results in shortening the axial extent between the proximal ring (4) and the distal ring (3), tensioning the sleeve and applying a retraction force to the margins of the incision (6). As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.
摘要翻译：创伤保护器和收缩器装置（1）包括套筒（2），由弹性材料的远端环（3）提供的远侧构件和由近端环（4）提供的近端构件。套筒（2）围绕环（3）引导，并且以滑轮的方式稍微相对于远端环（3）自由地移动。近端环（4）固定在套筒（2）上，在这种情况下，其在近端的内端。套筒（2）终止于由夹紧环（15）加强的把手或夹持部分。套筒从近端环（4）延伸，并且远端环（3）容纳在套筒（2）的内层和外层（2a，2b）之间。弹性远端环（3）被刮up并穿过切口（6）插入。然后将套筒（2）向上拉。当向上拉套套（2）时，外层（2b）被拉起，而内层（2a）围绕近端环（3）被拉出。这导致缩短近端环（4）和远端环（3）之间的轴向范围，张紧套管并向切口（6）的边缘施加缩回力。当切口正在缩回时，边缘也被套筒保护。在撤回时，提供进入端口，例如外科医生插入他的手和/或仪器以执行程序。该装置可以用作开放手术中的牵开器或用作阀/密封件的基座，以允许其用于手动辅助腹腔镜手术或通常用于仪器进入或手动进入。

10. 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。

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