公开(公告)号：US09101354B2

公开(公告)日：2015-08-11

申请号：US13598218

申请日：2012-08-29

申请人： Jeremy J. Albrecht ,  Charles C. Hart ,  John R. Brustad ,  Gary M. Johnson ,  Jennifer T. Ko ,  Donald L. Gadberry

发明人： Jeremy J. Albrecht ,  Charles C. Hart ,  John R. Brustad ,  Gary M. Johnson ,  Jennifer T. Ko ,  Donald L. Gadberry

IPC分类号： A61B17/34 ,  A61B17/02 ,  A61B19/00 ,  A61B17/00 ,  A61B19/02

CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3496 ,  A61B17/3498 ,  A61B90/40 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0225 ,  A61B2017/0287 ,  A61B2017/3419 ,  A61B2017/347 ,  A61B2050/005 ,  A61B2050/0051

摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.

摘要翻译： 提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环 以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。 外环包括轴向间隔开的第一和第二圆形管，其中每个包括具有定位在其中的刚性的，不一致的分割箍的内腔。 外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。 凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

公开(公告)号：US08684975B2

公开(公告)日：2014-04-01

申请号：US13419628

申请日：2012-03-14

申请人： Jeremy J. Albrecht ,  John R. Brustad ,  Gary M. Johnson ,  Matthew W. Becerra ,  Eric Nguyen

发明人： Jeremy J. Albrecht ,  John R. Brustad ,  Gary M. Johnson ,  Matthew W. Becerra ,  Eric Nguyen

IPC分类号： A61M5/178

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 therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder.

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，从而限定与延伸穿过其中的仪器密封的仪器孔。 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。

公开(公告)号：US08597251B2

公开(公告)日：2013-12-03

申请号：US13591853

申请日：2012-08-22

申请人： Jeremy J Albrecht ,  Gary M. Johnson ,  Donald L. Gadberry ,  Henry Kahle ,  Scott V. Taylor ,  Kimball B. McGinley

发明人： Jeremy J Albrecht ,  Gary M. Johnson ,  Donald L. Gadberry ,  Henry Kahle ,  Scott V. Taylor ,  Kimball B. McGinley

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3462 ,  A61B2017/00862 ,  A61B2017/3464

摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.

摘要翻译： 手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。 套管针包括设置在套管近端的插管和密封组件。 密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。 在没有延伸穿过其的仪器的情况下，第一密封件密封通道。 在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。 套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。 套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

公开(公告)号：US20130296655A1

公开(公告)日：2013-11-07

申请号：US13909669

申请日：2013-06-04

申请人： Charles C. Hart ,  Gary M. Johnson ,  Eric Nguyen ,  Edward D. Pingleton ,  Kennii Pravongviengkham ,  Ghassan Sakakine ,  Serene Wachli ,  John R. Brustad ,  Olivia Tran

发明人： Charles C. Hart ,  Gary M. Johnson ,  Eric Nguyen ,  Edward D. Pingleton ,  Kennii Pravongviengkham ,  Ghassan Sakakine ,  Serene Wachli ,  John R. Brustad ,  Olivia Tran

IPC分类号： A61B17/02

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B2017/00265

摘要： Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field. Embodiments of the internal retractor are adjustable.

摘要翻译： 装置，方法和系统提供了一种外科进入装置，其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。 卷绕的收缩器将体壁中的开口缩回到体腔中，而内部牵开器允许使用者控制体腔内的内部结构的位置，从而允许使用者限定外科手术领域。 内部牵开器的实施例是可调节的。

公开(公告)号：US08551089B2

公开(公告)日：2013-10-08

申请号：US12611352

申请日：2009-11-03

申请人： Charles C. Hart ,  Gary M. Johnson ,  Said S. Hilal ,  John R. Brustad ,  Edward D. Pingleton

发明人： Charles C. Hart ,  Gary M. Johnson ,  Said S. Hilal ,  John R. Brustad ,  Edward D. Pingleton

IPC分类号： A61B18/14

CPC分类号： A61B17/12013 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1477 ,  A61B2017/320052 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1455

摘要： A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.

公开(公告)号：US20130245381A1

公开(公告)日：2013-09-19

申请号：US13865854

申请日：2013-04-18

申请人： Kevin K. Dang ,  Jeremy J. Albrecht ,  Blaze Brown ,  Adam Hoke ,  Adeeb Saiduddin ,  Gary M. Johnson ,  Jacob J. Filek

发明人： Kevin K. Dang ,  Jeremy J. Albrecht ,  Blaze Brown ,  Adam Hoke ,  Adeeb Saiduddin ,  Gary M. Johnson ,  Jacob J. Filek

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B1/32 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3421 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/00889 ,  A61B2017/00907 ,  A61B2017/0225 ,  A61B2017/3419 ,  A61B2017/3429 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2017/3452 ,  A61B2017/3466 ,  A61B2017/347 ,  A61B2017/3482 ,  A61B2017/3486 ,  A61B2017/3492

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; a funnel segment extending between and coupling the outer ring and the tubular body, wherein the funnel segment provides a diametric reduction between the relatively large diameter of the outer ring and the relatively smaller diameter of the tubular body, which is sized to fit within a natural orifice with minimal distention of the orifice; and an inflatable member disposed around the distal end of the tubular body, the inflatable member sized and configured to fit snugly around the tubular body in the deflated condition and to expand against the wall of the natural orifice in the inflated state to thereby stabilize and retain the retractor within the orifice.

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，其中外环被配置成靠近患者的自然孔并且基本上围绕孔; 管状体 漏斗段，其在所述外环和所述管状主体之间延伸并联接，其中所述漏斗段在所述外环的相对较大直径和所述管状体的相对较小直径之间提供直径减小，其尺寸设定成适合于自然界 小孔膨胀小孔; 以及可膨胀构件，其围绕所述管状体的远端设置，所述可膨胀构件的尺寸和构造尺寸和构造成在所述放气状态下紧密地配合在所述管状体周围，并且在膨胀状态下抵靠所述自然孔的壁膨胀，从而稳定和保持 收缩器在孔内。

公开(公告)号：US08430851B2

公开(公告)日：2013-04-30

申请号：US11549926

申请日：2006-10-16

申请人： Kimball B McGinley ,  Henry Kahle ,  Scott V. Taylor ,  Gary M Johnson

发明人： Kimball B McGinley ,  Henry Kahle ,  Scott V. Taylor ,  Gary M Johnson

IPC分类号： A61M5/178

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/3419 ,  A61B2017/3464 ,  A61B2017/347 ,  A61M13/003 ,  A61M39/223 ,  A61M2039/229

摘要： A surgical access port or trocar is provided. The trocar has a trocar seal housing and a trocar cannula with an optical obturator insertable through the trocar seal housing and the trocar cannula. The trocar is configured to access a body cavity, to maintain positive pressure and to prevent loss of surgical insufflation gas used in laparoscopic procedures. The trocar seal housing can be releasably attached to the trocar cannula. The trocar seal housing may also have a shield and/or alignment channel that provide protection or assist in operation of instrument and zero seals housed in the trocar seal housing.

公开(公告)号：US20130006184A1

公开(公告)日：2013-01-03

申请号：US13596361

申请日：2012-08-28

申请人： Jeremy J. Albrecht ,  Matthew M. Becerra ,  John R. Brustad ,  Juan Lechuga ,  Donald L. Gadberry ,  Gary M. Johnson ,  Aries E. Gatus ,  Kennii Pravongviengkham

发明人： Jeremy J. Albrecht ,  Matthew M. Becerra ,  John R. Brustad ,  Juan Lechuga ,  Donald L. Gadberry ,  Gary M. Johnson ,  Aries E. Gatus ,  Kennii Pravongviengkham

IPC分类号： A61B17/34

CPC分类号： A61B17/02 ,  A61B17/0293 ,  A61B17/3421 ,  A61B17/3423 ,  A61B2017/3447 ,  A61B2017/3452 ,  A61B2017/3466 ,  A61B2017/347 ,  A61B2017/3484 ,  A61B2017/3492

摘要： Embodiments of a surgical access system useful for single or limited port procedures comprise a trocar comprising a fixation cannula, a retractor, and a gel cap removably coupled to the retractor. The gel cap comprises a gel pad that acts as an artificial body wall, through which instruments may be inserted into a body cavity, either directly or through one or more trocars. The fixation cannula comprises a retainer and a bolster, which together, capture the artificial body wall therebetween, thereby fixing the trocar thereto. The gel pad permits flexible instrument placement, as well as translational and angular degrees of freedom for the instruments while maintaining a gas tight seal.

公开(公告)号：US08257317B2

公开(公告)日：2012-09-04

申请号：US13165931

申请日：2011-06-22

申请人： Jeremy J Albrecht ,  Gary M. Johnson ,  Donald L. Gadberry ,  Henry Kahle ,  Scott V. Taylor ,  Kimball B. McGinley

发明人： Jeremy J Albrecht ,  Gary M. Johnson ,  Donald L. Gadberry ,  Henry Kahle ,  Scott V. Taylor ,  Kimball B. McGinley

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3462 ,  A61B2017/00862 ,  A61B2017/3464

摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.

摘要翻译： 手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。 套管针包括设置在套管近端的插管和密封组件。 密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。 在没有延伸穿过其的仪器的情况下，第一密封件密封通道。 在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。 套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。 套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

公开(公告)号：US20120215247A1

公开(公告)日：2012-08-23

申请号：US13460993

申请日：2012-05-01

申请人： Jeremy J. Albrecht ,  Gary M. Johnson ,  Matthew M. Becerra ,  Travis King ,  Donald L. Gadberry ,  Isabel Simons

发明人： Jeremy J. Albrecht ,  Gary M. Johnson ,  Matthew M. Becerra ,  Travis King ,  Donald L. Gadberry ,  Isabel Simons

IPC分类号： A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/3421 ,  A61B2017/3484 ,  A61B2017/349

摘要： A trocar comprises a retention cannula comprising an inverted or incised retention pattern disposed thereon. Embodiments of the incised cannula exhibit reduced tissue trauma compared with screw-threaded cannula, improved fixation and/or retention compared with an unthreaded cannula, and good sealing between the cannula and the incision.

摘要翻译： 套针针包括保持套管，其包括设置在其上的反转或切开的保持图案。 与非螺纹套管相比，切开的套管的实施例显示与螺纹插管相比减少的组织创伤，以及套管和切口之间的良好密封。