公开(公告)号：US06613060B2

公开(公告)日：2003-09-02

申请号：US10334905

申请日：2003-01-02

申请人： Ronald David Adams ,  Michael Banik ,  Steve Moreci

发明人： Ronald David Adams ,  Michael Banik ,  Steve Moreci

IPC分类号： A61B1712

CPC分类号： A61B17/12013 ,  A61B2017/12018

摘要： An elastic band for ligating tissue within a living body comprises an inner tissue engaging surface which, when in an operative position within the body, surrounds and directly contacts the tissue. At least a portion of the inner tissue engaging surface defines a plurality of discontinuities formed by one of projections and depressions. A method of ligating tissue within a living body using such a ligating band comprises the steps of positioning the elastic band, which has been stretched to increase the size of a central opening extending therethrough, adjacent to a portion of tissue to be ligated. The tissue to be ligated is then drawn through the central opening of the elastic band and the elastic band is released so that the size of the central opening decreases to grip the tissue received therein.

摘要翻译： 用于在生物体内结扎组织的弹性带包括内部组织接合表面，其在身体内的操作位置包围并直接接触组织时。 内部组织接合表面的至少一部分限定由突起和凹陷之一形成的多个不连续部分。 使用这种结扎带在生物体内结扎组织的方法包括以下步骤：将被拉伸的弹性带定位成邻近待连接组织的一部分，以增加延伸穿过其中的中心开口的尺寸。 然后将要连接的组织通过弹性带的中心开口被拉伸，弹性带被释放，使得中心开口的尺寸减小以夹持其中接收的组织。

公开(公告)号：US06517552B1

公开(公告)日：2003-02-11

申请号：US09590168

申请日：2000-06-09

申请人： Keith D. Nord ,  Robert M. Weber ,  Stephen S. Burkhart

发明人： Keith D. Nord ,  Robert M. Weber ,  Stephen S. Burkhart

IPC分类号： A61B1712

CPC分类号： A61B17/0483 ,  A61B2017/00349 ,  A61B2017/2926 ,  A61B2017/2927

摘要： An instrument for retrieving suture within a patient has a shaft with proximal and distal ends. The distal end terminates in a sharp tip. An opening is provided proximal to the sharp tip. A jaw captures suture slidably within the opening. A hand mechanism disposed on the proximal end of the shaft opens and closes the jaw.

摘要翻译： 用于在患者内检索缝合线的仪器具有具有近端和远端的轴。 远端终止于锋利的尖端。 在尖端附近提供开口。 颌骨在开口内可滑动地捕获缝合线。 设置在轴的近端的手机构打开和关闭钳口。

公开(公告)号：US06679892B2

公开(公告)日：2004-01-20

申请号：US09966792

申请日：2001-09-28

申请人： Ron Guido ,  Robert Nering

发明人： Ron Guido ,  Robert Nering

IPC分类号： A61B1712

CPC分类号： A61B17/12013 ,  A61B17/32056 ,  A61B2017/1225

摘要： A surgical device for ligating and severing a vessel. The surgical device including: a housing; a flexible suture having a looped portion extending from a distal end of the housing for capturing a periphery of the vessel; ligating means for tightening the looped portion around the periphery of the vessel; and a cutter for cutting the vessel. Also provided is a method for ligating and severing a vessel including: looping a flexible suture material around a periphery of the vessel; looping a flexible cutting material around the periphery of the vessel; ligating the vessel by decreasing the size of the loop of flexible suture material; and severing the vessel by decreasing the size of the loop of flexible cutting material. The method preferably further includes drawing the vessel against a cutting surface, such as a knife blade, which is retractable in a housing.

摘要翻译： 用于结扎和切断血管的手术装置。 所述手术装置包括：壳体; 柔性缝合线具有从壳体的远端延伸的环形部分，用于捕获容器的周边; 用于将所述环形部分紧固在所述容器的周边周围的结扎装置; 以及用于切割船只的切割器。 还提供了用于连接和切断容器的方法，包括：围绕容器的周边环绕柔性缝合材料; 围绕容器的周边环绕柔性切割材料; 通过减小柔性缝合材料的环的尺寸来连接容器; 并通过减小柔性切割材料的环的尺寸来切断容器。 该方法优选还包括将容器拉到诸如可在壳体中缩回的刀片的切割表面。

公开(公告)号：US06475228B1

公开(公告)日：2002-11-05

申请号：US09504131

申请日：2000-02-15

申请人： Robert Mesaros ,  Michael E. Hovanes ,  William Clem ,  Cory Williamson ,  Martin Albini ,  Darius Eghbal ,  Erik Green ,  Jason Stewart

发明人： Robert Mesaros ,  Michael E. Hovanes ,  William Clem ,  Cory Williamson ,  Martin Albini ,  Darius Eghbal ,  Erik Green ,  Jason Stewart

IPC分类号： A61B1712

CPC分类号： A61B17/1355

摘要： A system and method of controlling the pressure within a surgical tourniquet so as selectively to occlude blood flow within a portion of a limb of a patient, wherein the pressure within an inflatable cuff surrounding a portion of a limb of a patient is changed by automatically opening a first valve connected to a controller and located within a first conduit between an inflatable bladder and the inflatable cuff, when the pressure in the inflatable cuff is different from that in the inflatable bladder. In another aspect, a system and method of controlling the pressure within a surgical tourniquet so as selectively to occlude blood flow within a portion of a limb of a patient within five seconds. In another aspect, a system and method of detecting a leak in a surgical tourniquet. In another aspect, a surgical tourniquet that, from an inflated state, may enter a deflated state, a set state, a default display state, or an off state. In another aspect, a surgical tourniquet mounted in a housing selectively closed around a pole, wherein the center of gravity of the housing is located within the pole. In another aspect, a surgical tourniquet controlled by means of a graphical user interface. In another aspect, a method of detecting a stuck solenoid valve in a surgical tourniquet.

摘要翻译： 控制手术止血带内压力的系统和方法，以选择性地阻塞患者肢体的一部分内的血液流动，其中围绕患者肢体的一部分的可充气袖带内的压力通过自动打开而改变 当可充气袖带中的压力与可膨胀囊中的压力不同时，连接到控制器并且位于可膨胀囊和可充气袖带之间的第一管道内的第一阀。 在另一方面，一种控制手术止血带内的压力的系统和方法，以便在五秒钟内有选择地阻塞患者肢体的一部分内的血流。 在另一方面，一种检测手术止血带中的泄漏的系统和方法。 在另一方面，一种手术止血带，其从膨胀状态可以进入放气状态，设定状态，默认显示状态或关闭状态。 另一方面，一种安装在外壳中的外科止血带，其选择性地围绕杆固定，其中所述壳体的重心位于所述杆内。 另一方面，通过图形用户界面控制的手术止血带。 另一方面，一种检测手术止血带中的电磁阀的方法。

公开(公告)号：US06315782B1

公开(公告)日：2001-11-13

申请号：US09351292

申请日：1999-07-12

申请人： Michael S. H. Chu ,  Yem Chin

发明人： Michael S. H. Chu ,  Yem Chin

IPC分类号： A61B1712

CPC分类号： A61B17/32056 ,  A61B17/12013 ,  A61B18/14 ,  A61B2017/12018 ,  A61B2017/32004 ,  A61B2018/00291 ,  A61B2018/1407

摘要： A system for severing lesions within a living body includes a housing defining an interior tissue receiving chamber is coupled to the distal end of an endoscope. At least one snare extends around the ligating band supporting surface so that, when at least one ligating band is received around the ligating band supporting surface, drawing the at least one snare off the ligating band supporting surface releases a corresponding ligating band from the ligating band supporting surface. In addition, a method for severing tissue comprises the steps of introducing into the body an endoscope to which a housing defining an interior tissue receiving chamber is coupled, wherein at least one snare and at least one ligating band extend around the ligating band supporting surface and advancing the distal end of the endoscope into the body until the housing is located adjacent to a first portion of tissue to be severed. The first portion of tissue is then drawn into the interior chamber and a snare is drawn off the distal end of the housing to release a corresponding ligating band from the ligating band supporting surface so that the ligating band and the snare encircle the first portion of tissue.

摘要翻译： 用于切断生物体内的病变的系统包括限定内部组织接收室的壳体，其联接到内窥镜的远端。 至少一个圈套围绕结扎带支撑表面延伸，使得当至少一个结扎带被接纳在结扎带支撑表面周围时，将结扎带支撑表面上的至少一个圈套从连接带释放相应的结扎带 支撑面。 另外，用于切断组织的方法包括以下步骤：将限定内部组织接收室的壳体连接到内部的内窥镜，其中至少一个圈套和至少一个结扎带围绕结扎带支撑表面延伸， 将内窥镜的远端推进到体内，直到外壳位于与被切断的组织的第一部分相邻的位置。 然后将组织的第一部分拉入内部腔室，并且将球笼从壳体的远端排出以从结扎带支撑表面释放相应的结扎带，使得结扎带和圈套环绕组织的第一部分 。

公开(公告)号：US06755777B2

公开(公告)日：2004-06-29

申请号：US10326585

申请日：2002-12-20

申请人： Cyril J. Schweich, Jr. ,  Todd J. Mortier

发明人： Cyril J. Schweich, Jr. ,  Todd J. Mortier

IPC分类号： A61B1712

CPC分类号： A61F2/2487 ,  A61B17/00234 ,  A61B17/1227 ,  A61B2017/00243 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0429 ,  A61B2017/0435 ,  A61B2017/0461 ,  A61B2017/048 ,  A61B2017/0496 ,  A61F2/2481 ,  Y10S623/91

摘要： An apparatus for treatment of a failing heart by reducing the wall tension therein. In one embodiment, the apparatus includes a tension member for drawing at least two walls of a heart chamber toward each other. Methods for placing the apparatus on the heart are also provided.

公开(公告)号：US06592594B2

公开(公告)日：2003-07-15

申请号：US10052875

申请日：2001-10-25

申请人： Jenni Rimbaugh ,  Lauri J. DeVore

发明人： Jenni Rimbaugh ,  Lauri J. DeVore

IPC分类号： A61B1712

CPC分类号： A61M29/02 ,  A61B17/12022 ,  A61B17/12104 ,  A61B17/12172 ,  A61B17/24 ,  A61B2017/1205 ,  A61B2017/242 ,  A61B2090/037 ,  A61F2002/043 ,  A61M2029/025

摘要： A system and method deploys a bronchial obstruction device in an air passageway communicating with a lung portion to be at least temporarily collapsed. The system includes a conduit configured to be passed down a trachea, into a bronchus communicating with the trachea and into the air passageway communicating with the lung portion. The system further includes a capsule dimensioned to house the bronchial obstruction device and to be advanced down an internal lumen of the conduit into the air passageway. The capsule has a break-away distal end configured to release the bronchial obstruction device for deployment in the air passageway upon being pushed from the capsule by a pusher member.

摘要翻译： 系统和方法在与肺部连通的空气通路中部署支气管阻塞装置，以至少暂时收缩。 该系统包括被配置为沿着气管向下传送到与气管连通并且进入与肺部分连通的空气通道的支气管中的导管。 该系统还包括尺寸适于容纳支气管阻塞装置并且将导管的内腔向下推进空气通道的胶囊。 胶囊具有分离远端，其构造成当由推动器构件从胶囊推动时，释放用于在空气通道中展开的支气管阻塞装置。

公开(公告)号：US06478808B2

公开(公告)日：2002-11-12

申请号：US09732423

申请日：2000-12-07

申请人： Karol L. Nowakowski

发明人： Karol L. Nowakowski

IPC分类号： A61B1712

CPC分类号： A61L24/0005 ,  A61B17/00491 ,  A61B17/0057 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/0065 ,  A61M25/0662 ,  A61M2025/0681

摘要： Wound closure methods and apparatus are provided which utilize blood fluid by activating the clotting cascade of the blood fluid outside the body within a substantially enclosed sterile container then introducing the blood fluid to the wound site to complete clotting. Methods and apparatus for providing ways of inhibiting anticoagulants and slowing fibrin clot degradation are also disclosed. Kits for practicing the invention singularly or in combination with and/or associated with preferred procedures are also disclosed.

摘要翻译： 提供了伤口闭合方法和装置，其通过在基本封闭的无菌容器内激活身体外部的血液流体的凝血级联来利用血液流体，然后将血液流体引入伤口部位以完成凝血。 还公开了提供抑制抗凝血剂和减缓纤维蛋白凝块降解方法的方法和装置。 还公开了单独实施本发明或与优选方法组合和/或与其相关联的试剂盒。

公开(公告)号：US06402680B2

公开(公告)日：2002-06-11

申请号：US09843078

申请日：2001-04-27

申请人： Todd J. Mortier ,  Cyril J. Schweich, Jr. ,  Robert M. Vidlund

发明人： Todd J. Mortier ,  Cyril J. Schweich, Jr. ,  Robert M. Vidlund

IPC分类号： A61B1712

CPC分类号： A61F2/2481 ,  A61B17/00234 ,  A61B17/1227 ,  A61B2017/00243 ,  A61B2017/0404 ,  A61B2017/048 ,  A61B2017/0496 ,  A61F2/2487

摘要： The device and method for reducing heart wall stress. The device can be one which reduces wall stress throughout the cardiac cycle or only a portion of the cardiac cycle. The device can be configured to begin to engage, to reduce wall stress during diastolic filling, or begin to engage to reduce wall stress during systolic contraction. Furthermore, the device can be configured to include at least two elements, one of which engages full cycle and the other which engages only during a portion of the cardiac cycle.

摘要翻译： 减轻心脏壁压力的装置和方法。 该装置可以是减少整个心脏周期或心脏周期的一部分的壁压力的装置。 该装置可以被配置为开始啮合，以减少舒张期充盈期间的壁应力，或开始啮合以减小收缩期收缩期间的壁应力。 此外，该装置可以被配置为包括至少两个元件，其中一个元件与全周期接合，另一个元件仅在心动周期的一部分期间接合。

公开(公告)号：US06319267B1

公开(公告)日：2001-11-20

申请号：US09625627

申请日：2000-07-25

申请人： Daniel R. Kurz

发明人： Daniel R. Kurz

IPC分类号： A61B1712

CPC分类号： A61B17/12022 ,  A61B17/1214 ,  A61B2017/00477 ,  A61B2017/1205 ,  A61F2/88 ,  A61F2/95

摘要： The endoluminal device delivery assembly and method for release and deployment of an endoluminal therapeutic device at a desired location for treatment within the vasculature of a patient utilizes an elongated flexible tubular catheter with a tubular distal tip formed of a yieldable material mounted to the distal end of the catheter for releasably holding the proximal end of the endoluminal device. The endoluminal device can be dislodged from the tubular distal tip by a pusher member or pressurized fluid to expel the endoluminal device through at the desired location for treatment within the vasculature of a patient. A flexible coil can be mounted to the distal end of the elongated pusher member to provide for improved tracking.

摘要翻译： 用于在患者脉管系统内治疗的期望位置释放和展开腔内治疗装置的腔内装置递送组件和方法利用细长的柔性管状导管，其具有由可屈服材料形成的管状远端末端，所述可屈服材料安装到 用于可释放地保持内腔装置的近端的导管。 腔内装置可以通过推动器构件或加压流体从管状远端尖端移出，以将腔内装置排出到期望的位置，以在患者的脉管系统内进行治疗。 柔性线圈可以安装到细长推动器构件的远端以提供改进的跟踪。