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公开(公告)号:US08075530B2
公开(公告)日:2011-12-13
申请号:US12408571
申请日:2009-03-20
IPC分类号: A61M5/178
CPC分类号: A61B17/3462 , A61B17/3474 , A61B2017/3435 , A61B2017/3464
摘要: A surgical access device comprising an instrument access channel extending through an instrument seal and a shroud comprising an inverting region disposed distally of the instrument seal exhibits improved tear-resistance of the instrument seal from instrument manipulation, for example, instrument withdrawals. Some embodiments of the inverting region invert through the instrument seal on instrument withdrawal. Some embodiments of the inverting region induce at least a portion of the instrument seal itself to invert on instrument withdrawal.
摘要翻译: 手术进入装置包括延伸穿过仪器密封件的器械进入通道和包括设置在仪器密封件远端的反转区域的护罩,其显示出仪器密封件与仪器操纵(例如仪器取出)的改进的抗撕裂性。 翻转区的一些实施例在仪器取出时反转通过仪器密封。 反转区域的一些实施例引起仪器密封件本身的至少一部分在仪器取出时反转。
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公开(公告)号:US20110190592A1
公开(公告)日:2011-08-04
申请号:US13085194
申请日:2011-04-12
申请人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
CPC分类号: A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要: The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译: 本发明涉及一种无插管套管针闭塞器,用于在插入穿过体壁时分离或分离身体组织。 一方面,本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖,所述外表面向远侧延伸到钝点,一对侧部具有共同的形状并且被至少一个中间体 其中每个所述侧部分从所述钝点径向向外延伸,并具有沿所述轴向近端的渐进位置,并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。 通过这个方面,锥形配置便于分离身体组织的不同层,并提供顶层在层之间的适当对准。 侧部包括远端部分和近端部分,侧部分的远侧部分相对于侧部部分的近端部分径向扭转。 中间部分包括远端部分和近端部分,中间部分的远端部分在第一径向方向上扭转,并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。
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公开(公告)号:US20120316595A1
公开(公告)日:2012-12-13
申请号:US13565972
申请日:2012-08-03
申请人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号: A61B17/34
CPC分类号: A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要: A surgical access device comprising a tissue separating obturator suitable for connection with a cannula is disclosed. The obturator includes an elongate shaft having a transparent distal tip. The elongate shaft extends along a longitudinal axis and defines a lumen. The transparent distal tip has a tapered configuration and includes an inner surface and an outer surface adapted for penetrating tissue. The lumen is sized and configured to receive an optical instrument such as a laparoscope. The surgical access device further includes a scope lock at the proximal end of the shaft portion. The lock includes a multi-fingered collet coaxial with the lumen. The inner diameter of the collet is smaller than an outer diameter of the optical instrument and the fingers of the collet provide frictional engagement with the outer diameter of the optical instrument that is inserted into the lumen of the obturator.
摘要翻译: 公开了一种外科进入装置,其包括适于与套管连接的组织分离闭塞器。 封闭器包括具有透明远端的细长轴。 细长轴沿着纵向轴线延伸并且限定内腔。 透明的远侧末端具有锥形构造并且包括适于穿透组织的内表面和外表面。 管腔的尺寸和构造适于接收诸如腹腔镜的光学仪器。 外科进入装置还包括在轴部分的近端处的镜架锁。 锁包括与管腔同轴的多指夹头。 夹头的内径小于光学仪器的外径,并且夹头的指状物提供与插入到填塞器的内腔中的光学仪器的外径的摩擦接合。
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公开(公告)号:US08267952B2
公开(公告)日:2012-09-18
申请号:US13085194
申请日:2011-04-12
申请人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号: A61B17/00
CPC分类号: A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要: The invention is directed to a bladeless trocar and obturator combination configured to separate body tissue. In one aspect, the obturator of the invention includes a rigid shaft extending along an axis between a proximal end and a closed, tapered distal end. The bladeless, closed and tapered tip is adapted to penetrate tissue. The shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. The shaft includes an ledge on the inner surface to provide proper positioning of the distal end of the optical instrument. The tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers.
摘要翻译: 本发明涉及构造成分离身体组织的无叶套管针和闭孔器组合。 在一个方面,本发明的闭孔器包括沿着近端和闭合的锥形远端之间的轴延伸的刚性轴。 无叶,封闭和锥形尖端适于穿透组织。 轴的尺寸和构造适于接收具有远端的光学仪器以接收身体组织的图像。 该轴包括在内表面上的凸缘,以提供光学仪器的远端的适当定位。 锥形构造便于分离身体组织的不同层并且提供顶层在层之间的适当对准。
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公开(公告)号:US08608769B2
公开(公告)日:2013-12-17
申请号:US13565972
申请日:2012-08-03
申请人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号: A61B17/00
CPC分类号: A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要: A surgical access device comprising a tissue separating obturator suitable for connection with a cannula is disclosed. The obturator includes an elongate shaft having a transparent distal tip. The elongate shaft extends along a longitudinal axis and defines a lumen. The transparent distal tip has a tapered configuration and includes an inner surface and an outer surface adapted for penetrating tissue. The lumen is sized and configured to receive an optical instrument such as a laparoscope. The surgical access device further includes a scope lock at the proximal end of the shaft portion. The lock includes a multi-fingered collet coaxial with the lumen. The inner diameter of the collet is smaller than an outer diameter of the optical instrument and the fingers of the collet provide frictional engagement with the outer diameter of the optical instrument that is inserted into the lumen of the obturator.
摘要翻译: 公开了一种外科进入装置,其包括适于与套管连接的组织分离闭塞器。 封闭器包括具有透明远端的细长轴。 细长轴沿着纵向轴线延伸并且限定内腔。 透明的远侧末端具有锥形构造并且包括适于穿透组织的内表面和外表面。 管腔的尺寸和构造适于接收诸如腹腔镜的光学仪器。 外科进入装置还包括在轴部分的近端处的镜架锁。 锁包括与管腔同轴的多指夹头。 夹头的内径小于光学仪器的外径,并且夹头的指状物提供与插入到填塞器的内腔中的光学仪器的外径的摩擦接合。
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公开(公告)号:US20120316501A1
公开(公告)日:2012-12-13
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: A61B17/34
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。
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公开(公告)号:US20110251560A1
公开(公告)日:2011-10-13
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: A61B17/34
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的存在下,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。
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公开(公告)号:US07988671B2
公开(公告)日:2011-08-02
申请号:US12685541
申请日:2010-01-11
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的存在下,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。
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公开(公告)号:US07947058B2
公开(公告)日:2011-05-24
申请号:US10956167
申请日:2004-10-01
申请人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人: Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号: A61B17/00
CPC分类号: A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要: The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译: 本发明涉及一种无插管套管针闭塞器,用于在插入穿过体壁时分离或分离身体组织。 一方面,本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖,所述外表面向远侧延伸到钝点,一对侧部具有共同的形状并且被至少一个中间体 其中每个所述侧部分从所述钝点径向向外延伸,并具有沿所述轴向近端的渐进位置,并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。 通过这个方面,锥形配置便于分离身体组织的不同层,并提供顶层在层之间的适当对准。 侧部包括远端部分和近端部分,侧部分的远侧部分相对于侧部部分的近端部分径向扭转。 中间部分包括远端部分和近端部分,中间部分的远端部分在第一径向方向上扭转,并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。
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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。
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