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公开(公告)号:US20210369304A1
公开(公告)日:2021-12-02
申请号:US17403574
申请日:2021-08-16
发明人: Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
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.
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公开(公告)号:US10219830B2
公开(公告)日:2019-03-05
申请号:US14885072
申请日:2015-10-16
发明人: Serene Wachli , Tracy Breslin , Steven C. Kessler , Nikolai Poulsen , Nathan Collins , Alexandra Do , Eduardo Bolanos , Boun Pravong , Patrick Elliot , Matthew Wixey , Wayne Young , Jacob J. Filek , Kevin B. Castelo , Adam Hoke , Gregory K. Hofstetter , Jacqueline DeMarchi , Amy Garces , Heidi Holmes , Alexander Sheehan
IPC分类号: A61B17/34 , A61B17/00 , A61B17/32 , A61B17/02 , A61B17/3211 , A61B17/42 , A61B17/29 , A61B90/00
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.
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公开(公告)号:US09218753B2
公开(公告)日:2015-12-22
申请号:US13656467
申请日:2012-10-19
发明人: Adam Hoke , Tracy Breslin , Charles C. Hart , Eduardo Bolanos
摘要: A simulated tissue structure for practicing surgical techniques is provided. In particular, a realistic organ model or tissue portion for practicing the removal of a tumor or other undesired tissue followed by suturing a remnant defect as part of the same surgical procedure is provided. The simulated tissue structure includes an artificial tumor disposed between layers of elastomeric material and mounted on a simulated organ wall or tissue portion. The simulated tissue structure is modular and interchangeable. At least one of the layers includes a mesh reinforcement. A defect comprising two juxtapositioned surfaces defining a gap between the surfaces is created in the simulated tissue structure and the trainee practices tumor removal and closure of the gap by suturing in a laparoscopic environment.
摘要翻译: 提供了一种用于实践手术技术的模拟组织结构。 特别地,提供了用于实践去除肿瘤或其它不需要的组织的实际器官模型或组织部分,随后缝合残余缺损作为相同外科手术的一部分。 模拟的组织结构包括设置在弹性体材料层之间并安装在模拟器官壁或组织部分上的人造肿瘤。 模拟的组织结构是模块化和可互换的。 这些层中的至少一个包括网状加强件。 在模拟的组织结构中产生包含限定表面之间的间隙的两个并置表面的缺陷,受训者通过在腹腔镜环境中缝合来实现肿瘤去除和闭合间隙。
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公开(公告)号:US20140087346A1
公开(公告)日:2014-03-27
申请号:US14036168
申请日:2013-09-25
发明人: Tracy Breslin , Charles C. Hart , Serene Wachli , Adam Hoke , Nikolai Poulsen , Michael Palermo , Lee Cohen , Jacqueline DeMarchi , Amy Garces
IPC分类号: G09B23/28
CPC分类号: G09B23/285 , G09B23/30
摘要: A surgical training model that includes a simulated tissue having a tubular shape that is connected to a tissue holder is provided. A portion of the simulated tissue overhangs the distal end of the tissue holder to simulate a cuff-like entry to the vaginal vault or resected intestine suitable for practicing laparoscopic closure of the vaginal vault, intestine or other organ via suturing or stapling. Two concentric tubular structures are also arranged over the same tissue holder. A second model includes two portions of simulated tissue that are held by two holders such that the simulated tissues are adjacent making the model suitable for practicing different types of anastomosis procedures. A third model includes two holders with a single or double tubular simulated tissue structure connected to and spanning a gap between the holders. The model isolates the step of closing a cylindrical opening for the purpose of repeated practice.
摘要翻译: 提供了包括连接到组织保持器的具有管状形状的模拟组织的外科手术训练模型。 模拟组织的一部分突出在组织保持器的远端,以模拟适合于通过缝合或吻合实施阴道穹顶,肠或其它器官的腹腔镜闭合的阴道穹顶或切除的肠的袖带状进入。 两个同心的管状结构也布置在相同的组织保持器上。 第二模型包括由两个保持器保持的模拟组织的两部分,使得模拟组织相邻,使模型适合于实施不同类型的吻合程序。 第三个模型包括两个持有者,其具有连接到并跨越保持器之间的间隙的单管或双管状模拟组织结构。 该模型隔离了为了重复实践而关闭圆柱形开口的步骤。
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公开(公告)号:US12089872B2
公开(公告)日:2024-09-17
申请号:US17403574
申请日:2021-08-16
发明人: Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
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.
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公开(公告)号:US11547444B2
公开(公告)日:2023-01-10
申请号:US17101201
申请日:2020-11-23
发明人: Serene Wachli , Tracy Breslin , Steven C. Kessler , Nikolai Poulsen , Nathan Collins , Alexandra Do , Eduardo Bolanos , Boun Pravong , Patrick Elliott , Matthew A. Wixey , Wayne Young , Jacob J. Filek , Kevin B. Castelo , Adam Hoke , Gregory K. Hofstetter , Jacqueline DeMarchi , Amy Garces , Heidi Holmes , Alexander Sheehan
IPC分类号: A61B17/34 , A61B17/02 , A61B17/32 , A61B17/00 , A61B17/3211 , A61B90/50 , A61B90/00 , A61B17/42
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.
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公开(公告)号:US20210259733A1
公开(公告)日:2021-08-26
申请号:US17241537
申请日:2021-04-27
发明人: Serene Wachli , Tracy Breslin , Steven C. Kessler , Nikolai Poulsen , Nathan Collins , Alexandra Do , Eduardo Bolanos , Boun Pravong , Patrick Elliott , Matthew Wixey , Wayne Young , Jacob J. Filek , Kevin B. Castelo , Adam Hoke , Gregory K. Hofstetter , Jacqueline DeMarchi , Amy Garces , Heidi Holmes , Alexander Sheehan
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.
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公开(公告)号:US20210104177A1
公开(公告)日:2021-04-08
申请号:US17101504
申请日:2020-11-23
发明人: Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Richard W. Conklin , Eduardo Bolanos , Adam Hoke , Jacob J. Filek , Michael Palermo
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.
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公开(公告)号:US20180125529A1
公开(公告)日:2018-05-10
申请号:US15845002
申请日:2017-12-18
发明人: Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
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.
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公开(公告)号:US09472121B2
公开(公告)日:2016-10-18
申请号:US14270664
申请日:2014-05-06
发明人: Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Richard W 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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