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公开(公告)号:US08308746B2
公开(公告)日:2012-11-13
申请号:US12102719
申请日:2008-04-14
申请人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
发明人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
IPC分类号: A61B17/32
CPC分类号: A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要: The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device. A tenaculum used with the morcellation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译: 本发明涉及用于微创手术的组织移植器。 旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环,其与视觉上透明的外部致动器管结合,使得外科医生能够将morcellator轴的内部可视化,以检测装置中松散的组织碎片。 与切割装置一起使用的搭扣具有用于防止与叶片接触的间隔件。 切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件,用于防止组织沿着morcellator管的纵向轴线旋转。 这允许组织连续地旋转到morcellator装置中用于连续剥离。 组织引导件也可以完全缩回以允许大块组织的取芯。
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公开(公告)号:US20090248020A1
公开(公告)日:2009-10-01
申请号:US12416751
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译: 可以使用电外科工具来熔合组织。 电外科手术工具可以包括钳口组件,细长轴和手柄组件。 手柄组件的致动可以致动钳口组件。 细长轴可以旋转而不中断与钳口组件的电连接。 电外科手术工具可以包括用于分离熔融组织的切割刀片。 电外科手术工具还可以包括钳口组件配置或外部切割电极,以利用该工具改善手术进入。
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公开(公告)号:US20090248019A1
公开(公告)日:2009-10-01
申请号:US12416128
申请日:2009-03-31
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical tool can be used for tissue dissection. The tool can include several electrodes positioned on a jaw assembly. The electrodes can be selectively connected to a power source in a cutting arrangement or a coagulation arrangement. Switching from the cutting arrangement to the coagulation arrangement can be provided by opening and closing a handle to actuate the jaw assembly.
摘要翻译: 电外科手术可用于组织剥离。 工具可以包括位于钳口组件上的多个电极。 电极可以选择性地连接到切割装置或凝结装置中的电源。 可以通过打开和关闭手柄来致动钳口组件来提供从切割装置到凝结装置的切换。
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公开(公告)号:US07005026B2
公开(公告)日:2006-02-28
申请号:US10298116
申请日:2002-11-15
申请人: John R Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C Hart
发明人: John R Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C Hart
IPC分类号: B65H81/00
CPC分类号: A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要: A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.
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公开(公告)号:US06589208B2
公开(公告)日:2003-07-08
申请号:US09870255
申请日:2001-05-30
申请人: Richard C. Ewers , Boun Pravong , Gary R. Dulak
发明人: Richard C. Ewers , Boun Pravong , Gary R. Dulak
IPC分类号: A61M2900
CPC分类号: A61M25/04 , A61M25/0017 , A61M25/10 , A61M2025/0213
摘要: A self-deploying catheter assembly comprises an anchoring device mounted to a tube. A distal end of the anchoring device is held in a fixed position by a releasable suture while a proximal end is freely movable between a proximal position and a distal position defined by a stop on the tube. During insertion into a body cavity, the anchor automatically maintains a low-profile state with the ends spaced apart. Once fully inserted, the anchor self converts into a high-profile state when the tube is slightly withdrawn, bringing the ends closer together. The suture is disengaged to release the distal end of the anchor in order to facilitate a low-profile state for withdrawal of the assembly.
摘要翻译: 自我展开的导管组件包括安装到管的锚定装置。 锚固装置的远端通过可释放的缝合线保持在固定位置,而近端可在由管上的止挡限定的近端位置和远端位置之间自由移动。 在插入体腔内时,锚定器自动保持两端间隔开的低轮廓状态。 一旦完全插入,当管稍微抽出时,锚自身转换成高轮廓状态,使端部更靠近在一起。 缝合线脱离以释放锚固件的远端,以便于用于抽出组件的低调状态。
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公开(公告)号:US08764452B2
公开(公告)日:2014-07-01
申请号:US13248449
申请日:2011-09-29
申请人: Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Rick Conklin , Eduardo Bolanos , Adam Hoke , Jacob J. Filek , Michael Palermo
发明人: Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Rick Conklin , Eduardo Bolanos , Adam Hoke , Jacob J. Filek , Michael Palermo
CPC分类号: G09B23/285 , G09B5/02 , G09B23/30 , G09B23/306 , G09B23/34
摘要: A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.
摘要翻译: 提供便携式外科手术训练装置。 训练器包括与基座间隔开的顶盖,以形成模拟体腔,用于定位从使用者视野基本遮蔽的模型器官。 顶盖包括视频显示器,固定插入端口和包含模拟组织层的可互换插入件。 训练装置具有展示和训练横向手术技术的开放性,包括连接到支撑腿的模拟或活组织结肠,用于模拟经肛门微创手术。 公开了一种具有可调节焦距的训练内窥镜,用于训练者,特别是与光学套针。 手术训练器可以成角度,非常适合于培养腹腔镜手术技术和展示手术器械。
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公开(公告)号:US20120241076A1
公开(公告)日:2012-09-27
申请号:US13427031
申请日:2012-03-22
CPC分类号: A61M25/0012 , A61M25/0015 , B29C53/60 , B29C2793/0045 , B29L2031/753
摘要: A method for manufacturing a kink-resistant tube having drainage holes is provided. A wire is coated with plastic material and wound around a mandrel forming a plurality of windings. The wound coated wire is heated until the plastic coating material melts and bonds the wire windings to form a wire-reinforced sheath having wire-containing sections and non-wire containing sections. Alternatively, a coated or non-coated wire is wound around a mandrel together with separate polymer filament material and then heated. A filament having an elongated cross-section may be employed with the major axis of the elongated cross-section substantially parallel to the longitudinal axis of the sheath. At least one non-wire containing section is identified by passing light through at least one wall of the wire-reinforced sheath. Image capture and analysis via an optical system and microprocessor automatically identify regions to target a drill for forming holes in the non-wire containing sections.
摘要翻译: 提供一种具有排水孔的扭结管的制造方法。 电线用塑料材料涂覆并缠绕在形成多个绕组的心轴上。 卷绕的涂覆的线被加热直到塑料涂层材料熔化并结合线绕组以形成具有线材包含部分和无线包含部分的线材增强护套。 或者,涂覆的或未涂覆的丝线与单独的聚合物长丝材料一起缠绕在心轴上,然后加热。 可以使用具有细长横截面的细丝,其中细长横截面的长轴基本上平行于护套的纵向轴线。 通过使光通过电线增强护套的至少一个壁来识别至少一个非线容纳部分。 通过光学系统和微处理器的图像捕获和分析自动识别区域以瞄准钻孔,以在非线包含部分中形成孔。
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公开(公告)号:US20120082970A1
公开(公告)日:2012-04-05
申请号:US13248449
申请日:2011-09-29
申请人: BOUN PRAVONG , KENNII PRAVONGVIENGKHAM , LEE COHEN , CHARLES C. HART , VIVEK SIKRI , ZORAN FALKENSTEIN , RICK CONKLIN , EDUARDO BOLANOS , ADAM HOKE , JACOB J. FILEK , MICHAEL PALERMO
发明人: BOUN PRAVONG , KENNII PRAVONGVIENGKHAM , LEE COHEN , CHARLES C. HART , VIVEK SIKRI , ZORAN FALKENSTEIN , RICK CONKLIN , EDUARDO BOLANOS , ADAM HOKE , JACOB J. FILEK , MICHAEL PALERMO
IPC分类号: G09B23/28
CPC分类号: G09B23/285 , G09B5/02 , G09B23/30 , G09B23/306 , G09B23/34
摘要: A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.
摘要翻译: 提供便携式外科手术训练装置。 训练器包括与基座间隔开的顶盖,以形成模拟体腔,用于定位从使用者视野基本遮蔽的模型器官。 顶盖包括视频显示器,固定插入端口和包含模拟组织层的可互换插入件。 训练装置具有展示和训练横向手术技术的开放性,包括连接到支撑腿的模拟或活组织结肠,用于模拟经肛门微创手术。 公开了一种具有可调节焦距的训练内窥镜,用于训练者,特别是与光学套针。 手术训练器可以成角度,非常适合于培养腹腔镜手术技术和展示手术器械。
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公开(公告)号:US07534317B2
公开(公告)日:2009-05-19
申请号:US11319870
申请日:2005-12-28
申请人: John R. Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C. Hart
发明人: John R. Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C. Hart
CPC分类号: A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要: A method of manufacturing a kink resistant sheath includes the steps of coating a wire with a plastic material to form an inner tube, placing a braid over the inner tube, applying a spring reinforcement over the braid and applying a second layer of plastic material over the assembly to form an outer tube of a braided reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, thermoset or any plastic material having hard and/or soft durometer.
摘要翻译: 制造耐扭结护套的方法包括以下步骤:用塑料材料涂覆线以形成内管,将编织物放置在内管上方,在编织物上施加弹簧加强件,并将第二层塑料材料施加在 组装形成编织增强护套的外管。 塑料材料优选为聚氨酯,但可以是热塑性,热固性或具有硬和/或软硬度的任何塑料材料。
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公开(公告)号:US20060144501A1
公开(公告)日:2006-07-06
申请号:US11319870
申请日:2005-12-28
申请人: John Brustad , Payam Adlparvar , Wassim Aliahmad , Canh Tran , Nabil Hilal , Boun Pravong , Raffi Pinedjian , Charles Hart
发明人: John Brustad , Payam Adlparvar , Wassim Aliahmad , Canh Tran , Nabil Hilal , Boun Pravong , Raffi Pinedjian , Charles Hart
IPC分类号: B65H81/00
CPC分类号: A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要: A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.
摘要翻译: 诸如盖的可释放机构适于与具有设置在管的近端处的细长管和手柄结构的进入护套一起使用。 所述可释放机构的尺寸和构造适合于将手柄结构(其形状像喇叭的钟形)配合,以进一步便于手术器械的使用。 可释放机构可以作为单独的盖子操作,该盖子卡扣在手柄结构上以提供到护套的通路。 可释放机构还可以设置在外科器械的近端处以被引入入口护套中,使得其可以与护套互锁。 在制造耐扭结护套的方法中,最初用塑料材料涂覆线,然后将涂覆的线缠绕在形成多个绕组的心轴上,并且加热伤口涂覆的线,直到塑料材料熔化并结合 绕组形成电线增强护套。 塑料材料优选为聚氨酯,但可以是热塑性塑料,热固性材料或具有硬和/或软硬度的任何塑料材料。 可以通过将收缩管内的绕组捕获或压缩模具中的绕组并加热绕组直到形成护套来加热伤口涂覆的线。 在本发明的另一方面,使用心轴作为挤出工艺的一部分。 在本发明的另一方面,可以通过浸渍在基于溶剂的溶液中在弹簧加强件上形成另一涂层或外层。 在本发明的另一个实施例中,可以使用诸如聚酯编织物的编织物代替螺旋弹簧或除了螺旋弹簧以外以形成扭结护套。
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