公开(公告)号：US20100036238A1

公开(公告)日：2010-02-11

申请号：US12483692

申请日：2009-06-12

申请人： Michael R. Neidert ,  Kenneth C. Gardeski ,  Claude A. Vidal ,  Russell J. Redmond ,  Laurent G. Verard

发明人： Michael R. Neidert ,  Kenneth C. Gardeski ,  Claude A. Vidal ,  Russell J. Redmond ,  Laurent G. Verard

IPC分类号： A61B5/05

CPC分类号： A61B5/06 ,  A61B5/063 ,  A61B34/20 ,  A61B2034/2051 ,  A61B2090/0811

摘要： A medical instrument assembly is disclosed. The medical instrument has proximal and distal ends. A receiver coil being mounted proximate to a distal end of the medical instrument, the receiver coil being electrically connectable at a proximal end of the medical instrument. A deployable object being disposed and movable within the medical instrument. The deployable object bearing a high magnetic permeability material located proximate to the receiver coil. The high magnetic permeability material and the receiver coil combining to form an inductive element having an inductance that varies in a predetermined manner with the position of the deployable device relative to the receiver coil. A determination of the inductance being performed at the proximal end of the delivery catheter indicates the extension of the deployable device through the medical instrument.

摘要翻译： 公开了一种医疗器械组件。 医疗器械具有近端和远端。 接收器线圈安装在医疗器械的远端附近，接收器线圈可在医疗器械的近端电连接。 可部署的物体被布置并在医疗器械内可移动。 承载位于靠近接收器线圈的高磁导率材料的可部署物体。 高磁导率材料和接收器线圈组合以形成具有以预定方式变化的电感的电感元件与可展开装置相对于接收器线圈的位置。 在输送导管的近端执行的电感的确定指示可展开装置通过医疗器械的延伸。

公开(公告)号：US07658312B2

公开(公告)日：2010-02-09

申请号：US10818040

申请日：2004-04-05

申请人： Claude A. Vidal ,  Alan K. Plyley ,  Russell J. Redmond ,  Roger Lagerquist

发明人： Claude A. Vidal ,  Alan K. Plyley ,  Russell J. Redmond ,  Roger Lagerquist

IPC分类号： A61B17/04 ,  A61B17/10

CPC分类号： A61B17/282 ,  A61B17/07207 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285

摘要： A surgical instrument with articulated jaw structure includes a frame and two jaws. The jaws have proximal portions that are mounted to each other for movement in a substantially parallel relation between a fully open position wherein the jaws are separated for receiving tissue therebetween and an approximated position wherein the jaws are closer together. Preferably, the jaws are in the fully open position when the distal portion of at least of the jaws is located in an extended position and are in the approximated position when the distal portion of the extended jaw or jaws is located in a retracted position. The surgical instrument may further include a detachable knife assembly and knife actuating mechanism.

摘要翻译： 具有铰接钳口结构的外科器械包括框架和两个钳口。 夹爪具有彼此安装的近端部分，以在完全打开位置之间基本上平行的关系运动，其中夹爪分开以在其间接收组织，并且近似位置，其中钳口更靠近在一起。 优选地，当所述至少颚爪的远端部分位于延伸位置时，所述颚板处于完全打开位置，并且当所述延伸颚爪或所述颚爪的远侧部分位于缩回位置时处于近似位置。 手术器械还可以包括可拆卸的刀组件和刀驱动机构。

公开(公告)号：US06699262B2

公开(公告)日：2004-03-02

申请号：US09957176

申请日：2001-09-19

申请人： Russell J. Redmond ,  Claude A. Vidal ,  Cary J. Reich ,  Felix Vega

发明人： Russell J. Redmond ,  Claude A. Vidal ,  Cary J. Reich ,  Felix Vega

IPC分类号： A61B1704

CPC分类号： A61B17/0057 ,  A61B2017/00004 ,  A61B2017/00637 ,  A61B2017/0065 ,  A61B2017/00654

摘要： A percutaneous tissue track closure assembly (2) includes a semipermeable barrier (26) mounted to the distal end of a tubular barrier carrier (20). The barrier is passed down a tissue track (12) and into a blood vessel (18) where the barrier is expanded to close off the blood vessel opening (14). A syringe device is used to drive a hemostatic flowable material (30) through a delivery tube (34) and into the tissue track. The semipermeable barrier permits blood to flow therethrough but prevents passage of the hemostatic flowable material therethrough. The hemostatic material includes a material which swells upon contact with blood, and a blood clotting agent. After an appropriate period of time, the barrier is collapsed and the barrier carrier and delivery tube are removed from the tissue track.

摘要翻译： 经皮组织跟踪闭合组件（2）包括安装在管状阻挡载体（20）的远端的半透性屏障（26）。 屏障通过组织轨迹（12）并进入血管（18），其中屏障被扩张以封闭血管开口（14）。 注射器装置用于通过输送管（34）驱动止血可流动材料（30）并进入组织轨道。 半渗透屏障允许血液流过其中，但是防止止血可流动材料通过其中。 止血材料包括与血液接触时膨胀的物质和凝血剂。 在适当的时间段之后，屏障被塌缩，并且屏障载体和输送管从组织轨道移除。

公开(公告)号：US06190353B1

公开(公告)日：2001-02-20

申请号：US08730327

申请日：1996-10-11

申请人： Joshua Makower ,  J. Christopher Flaherty ,  Timothy R. Machold ,  Jason Brian Whitt ,  Philip Christopher Evard ,  Patrick Edward Macaulay ,  John Thomas Garibotto ,  Claude A. Vidal ,  Russell J. Redmond ,  Thomas Banks

发明人： Joshua Makower ,  J. Christopher Flaherty ,  Timothy R. Machold ,  Jason Brian Whitt ,  Philip Christopher Evard ,  Patrick Edward Macaulay ,  John Thomas Garibotto ,  Claude A. Vidal ,  Russell J. Redmond ,  Thomas Banks

IPC分类号： A61M3700

CPC分类号： A61B1/3137 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/0057 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/12022 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12131 ,  A61B17/12136 ,  A61B17/320725 ,  A61B17/3417 ,  A61B17/3496 ,  A61B18/00 ,  A61B18/1445 ,  A61B18/1477 ,  A61B18/1492 ,  A61B18/24 ,  A61B90/361 ,  A61B90/40 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00252 ,  A61B2017/003 ,  A61B2017/00331 ,  A61B2017/00504 ,  A61B2017/00637 ,  A61B2017/00668 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/12127 ,  A61B2017/22038 ,  A61B2017/22077 ,  A61B2017/22095 ,  A61B2017/306 ,  A61B2017/347 ,  A61B2017/3488 ,  A61B2018/00392 ,  A61B2018/00404 ,  A61B2018/00869 ,  A61B2018/1425 ,  A61B2018/1475 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3929 ,  A61B2090/3958 ,  A61F2/07 ,  A61F2/2493 ,  A61F2/90 ,  A61F2/95 ,  A61F2002/30079 ,  A61F2002/8486 ,  A61F2210/009 ,  A61M2025/0076 ,  A61M2025/0096 ,  A61M2025/018 ,  A61M2025/1052

摘要： Methods, devices, and systems for a) revascularization and/or b) performing other medical procedures at vascular or non-vascular intracorporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the revascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.

摘要翻译： 方法，装置和系统，用于a）血管重建和/或b）在哺乳动物体内的血管或非血管体内位置执行其他医学程序。 所述方法通常包括从血管到血管或非血管目标位置形成至少一个血管内通道。 在血运重建方法中，血管外通路用于血流。 在医疗程序方法中，血管外通路被用作在血管或非血管目标位置处进入或执行手术的导管。 还公开了可用于形成本发明的血管外通道的导管装置和系统，以及用于修改，维持和/或关闭这种血管外通道的装置。

公开(公告)号：US5749893A

公开(公告)日：1998-05-12

申请号：US596938

申请日：1996-02-05

申请人： Claude A. Vidal ,  Alan K. Plyley ,  Russell J. Redmond ,  Roger Lagerquist

发明人： Claude A. Vidal ,  Alan K. Plyley ,  Russell J. Redmond ,  Roger Lagerquist

IPC分类号： A61B17/072 ,  A61B17/28 ,  A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/282 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2933 ,  A61B2017/2936

摘要： A surgical instrument with articulated jaw structure includes a frame and two jaws. The jaws have proximal portions that are mounted to each other for movement in a substantially parallel relation between a fully open position wherein the jaws are separated for receiving tissue therebetween and an approximated position wherein the jaws are closer together. Preferably, the jaws are in the fully open position when the distal portion of at least one of the jaws is located in an extended position and are in the approximated position when the distal portion of the extended jaw or jaws is located in a retracted position. The surgical instrument may further include a detachable knife assembly and knife actuating mechanism.

摘要翻译： 具有铰接钳口结构的外科器械包括框架和两个钳口。 夹爪具有彼此安装的近端部分，以在完全打开位置之间基本上平行的关系运动，其中夹爪分开以在其间接收组织，并且近似位置，其中钳口更靠近在一起。 优选地，当所述夹爪中的至少一个的所述远端部分位于延伸位置时，所述夹爪处于完全打开位置，并且当所述延伸夹爪或爪的远端部位于缩回位置时处于近似位置。 手术器械还可以包括可拆卸的刀组件和刀驱动机构。

公开(公告)号：US5741228A

公开(公告)日：1998-04-21

申请号：US390014

申请日：1995-02-17

申请人： Gregory H. Lambrecht ,  Joshua Makower ,  Sangeeta N. Bhatia ,  David McDonald ,  Ashish Khera ,  J. Christopher Flaherty ,  Alan K. Plyley ,  Russell J. Redmond ,  Claude A. Vidal

发明人： Gregory H. Lambrecht ,  Joshua Makower ,  Sangeeta N. Bhatia ,  David McDonald ,  Ashish Khera ,  J. Christopher Flaherty ,  Alan K. Plyley ,  Russell J. Redmond ,  Claude A. Vidal

IPC分类号： A61M37/00 ,  A61M39/02 ,  A61M39/26 ,  A61M11/00

CPC分类号： A61M39/0208 ,  A61M2039/0211 ,  A61M39/26 ,  A61M5/14276

摘要： An implantable access device for allowing repeat access to a site, space, device, or other object, fluid, tissue or region within the body of a patient. The implantable device, in one embodiment, includes a housing having an elongated open guidance channel that leads to an entrance orifice, a valve assembly communicating with the entrance orifice, and an exit orifice. The device permits access via the percutaneous insertion of an accessing filament such as a needle through the entrance orifice and into the valve assembly, which opens to allow the passage of fluids or other filaments such as guide wires or optical fibers. The device can be used for the introduction of therapeutic agents, for the infusion or withdrawal of fluids, or for the introduction of sensing, sampling, or treatment devices to another implanted device or to regions within the patient.

摘要翻译： 一种用于允许重复访问患者体内的部位，空间，装置或其它物体，流体，组织或区域的可植入进入装置。 在一个实施例中，可植入装置包括具有通向入口孔的细长的开放引导通道，与入口孔连通的阀组件和出口孔的壳体。 该装置允许通过经由插入通过入口孔的入口细丝经皮插入进入阀组件而进入，阀组件打开以允许诸如导丝或光纤之类的流体或其它细丝通过。 该装置可用于引入治疗剂，用于输注或取出流体，或用于将感测，取样或治疗装置引入另一种植入装置或患者体内的区域。

公开(公告)号：US5728110A

公开(公告)日：1998-03-17

申请号：US802886

申请日：1997-02-18

申请人： Claude A. Vidal ,  Russell J. Redmond ,  Alan K. Plyley

发明人： Claude A. Vidal ,  Russell J. Redmond ,  Alan K. Plyley

IPC分类号： A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/07214 ,  A61B2017/07285

摘要： A laparoscopic stapler with a blocking body is disclosed. The blocking body allows the stapler to be inserted into the abdominal cavity through a cannula and removed therefrom until the staples are fired. When the staples are fired, the blocking body allows the stapler to be removed from the abdominal cavity of the patient through the cannula. After the staples have been fired and the stapler is removed from the abdominal cavity, the blocking body is in a blocking position where it then prevents the stapler from being reinserted through the cannula.

摘要翻译： 公开了一种具有阻塞体的腹腔镜吻合器。 阻塞体允许缝合器通过插管插入腹腔中并从其中移除，直到订书钉被点燃。 当订书钉被点燃时，阻塞体允许缝合器通过插管从患者的腹腔中移出。 在订书钉已经被点火并且订书机从腹腔中取出之后，阻塞体处于阻止位置，在那里它阻止订书机重新插入插管。

公开(公告)号：US08021340B2

公开(公告)日：2011-09-20

申请号：US12321962

申请日：2009-01-26

申请人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

发明人： Christopher H. Porter ,  Claude A. Vidal ,  Russell J. Redmond ,  Byron L. Moran ,  Abram D. Janis ,  Kelly A. Chapman

IPC分类号： A61M5/32

CPC分类号： A61F2/0077 ,  A61M39/0247 ,  A61M2039/0261 ,  A61M2039/0273 ,  A61M2039/0294

摘要： A medical apparatus and method of use for implanting a percutaneous catheter in a patient's body which catheter can be easily positioned, repositioned, and replaced. The apparatus includes an elongate sleeve having a tapered forward portion to facilitate its insertion through an undersized incision. The sleeve provides an interior elongate passageway which extends from a sleeve proximal end to a sleeve distal end. The sleeve is intended to be percutaneously implanted through an incision in the patient's skin so that the sleeve distal end resides subcutaneously. The sleeve outer peripheral surface carries a layer of porous material intended to be placed under the patient's outer skin layer in contact with the dermis to promote tissue ingrowth for anchoring the sleeve and forming an infection resistant barrier. The sleeve passageway is dimensioned to snugly accommodate the outer surface of catheter while permitting the catheter to slide relative to the sleeve. A sealing device is mounted around the catheter adjacent to the sleeve proximal end to prevent deleterious material from migrating into the patient's body along the catheter outer surface. A locking member secured to the sleeve can be pivoted to an unlocked portion for permitting axial and rotational movement of said catheter relative to said sleeve and or to a locked position for preventing such relative movement.

摘要翻译： 一种用于将经皮导管植入患者体内的医疗装置和方法，该导管可以容易地定位，重新定位和替换。 该装置包括具有锥形向前部分的细长套筒，以便于其插入通过较小的切口。 套筒提供从套筒近端延伸到套管远端的内部细长通道。 套筒旨在通过患者皮肤中的切口经皮植入，使得套管远端皮下注入。 套筒外周表面带有一层多孔材料，其旨在放置在与真皮接触的患者外表层下方，以促进组织向内生长以锚定套筒并形成感染抗性屏障。 套筒通道的尺寸被设计成紧密地容纳导管的外表面，同时允许导管相对于套筒滑动。 密封装置围绕导管邻近套管近端安装，以防止有害材料沿着导管外表面迁移到患者体内。 固定到套筒上的锁定构件可以枢转到解锁部分，以允许所述导管相对于所述套筒的轴向和旋转运动，或者可以锁定到锁定位置，以防止这种相对运动。

公开(公告)号：US20090105545A1

公开(公告)日：2009-04-23

申请号：US12287130

申请日：2008-10-06

申请人： Abram D. Janis ,  Claude A. Vidal ,  Russell J. Redmond

发明人： Abram D. Janis ,  Claude A. Vidal ,  Russell J. Redmond

IPC分类号： A61B17/32 ,  A61B19/00

CPC分类号： A61B17/32093

摘要： An apparatus and method for facilitating the implantation of a medical device through an incision so as to promote soft tissue ingrowth into a biocompatible porous layer, e. g, titanium, carried on the periphery of the medical device. The method utilizes an incision (either percutaneous or subcutaneous) which is intentionally undersized by 10-20% relative to the width dimension of the porous layer. Accordingly, a physician must stretch the surrounding tissue to maximize the size of the opening to insert the device. Because the opening is undersized relative to the porous layer, the surrounding tissue remains physically stressed, i.e., radially and/or circumferentially, and acts to enhance cell proliferation and healing. A surgical cutting tool is preferably provided to assist the physician to form a properly dimensioned opening.

摘要翻译： 一种便于通过切口植入医疗装置的装置和方法，以便促进软组织向生长相容性多孔层的向内生长，例如， g，钛，携带在医疗装置的周边。 该方法使用有意地相对于多孔层的宽度尺寸小于10-20％的切口（经皮或皮下）。 因此，医生必须拉伸周围的组织以最大化开口的尺寸以插入装置。 由于开口相对于多孔层尺寸过小，周围的组织保持物理应力，即径向和/或周向，并且用于增强细胞增殖和愈合。 优选地提供外科切割工具以帮助医师形成适当尺寸的开口。

公开(公告)号：US07326188B1

公开(公告)日：2008-02-05

申请号：US10634513

申请日：2003-08-04

申请人： Michael A. Russell ,  Claude A. Vidal ,  Russell J. Redmond ,  David A. Chandos ,  Menachem Zucker

发明人： Michael A. Russell ,  Claude A. Vidal ,  Russell J. Redmond ,  David A. Chandos ,  Menachem Zucker

IPC分类号： A61M5/00

CPC分类号： A61M39/24 ,  A61M2039/229 ,  A61M2039/242 ,  A61M2039/2473 ,  A61M2039/248 ,  A61M2039/2493

摘要： The present invention is directed to an improved anesthesia manifold and an improved induction valve mechanism. A plurality of induction valve elements may be joined or “ganged” together in order to define a manifold. In the preferred embodiment of the induction manifold, at least two individual valve elements are combined to form the manifold. Each of the plurality of valve elements includes the following components: (1) a valve body; (2) a first inlet port carried by the valve body and defining at least in part a central fluid communication flow path for supplying intravenous fluid to patient; and (3) a second inlet port carried said valve body and at least in part defining an anesthesia drug inlet. Each of the plurality of valve components: (1) an induction valve mechanism which maintains said second inlet port in a closed condition until a predetermined amount of pressure is applied thereto; (2) a back flow valve mechanism which maintains said induction valve components in open condition to permit at least one of the following operations: (a) aspiration; (b) back flow; (c) purging; and (d) sampling.Additionally, a control mechanism is provided for each of the plurality of individual valve components to actuate said induction valve mechanism and said backflow valve mechanism.

摘要翻译： 本发明涉及改进的麻醉歧管和改进的诱导阀机构。 多个感应阀元件可以连接或“联动”在一起以限定歧管。 在该感应歧管的优选实施例中，组合至少两个单独的阀元件以形成歧管。 多个阀元件中的每一个包括以下部件：（1）阀体; （2）由阀体承载并且至少部分地限定用于向患者供应静脉内流体的中心流体连通流动路径的第一入口端口; 和（3）承载所述阀体并且至少部分地限定麻醉药物入口的第二入口。 多个阀组件中的每一个：（1）一个进气阀机构，其将所述第二入口保持在关闭状态，直到施加预定量的压力; （2）回流阀机构，其将所述进气阀部件保持在打开状态，以允许以下操作中的至少一个：（a）抽吸; （b）回流; （c）清洗; 和（d）抽样。 此外，为多个单个阀部件中的每一个提供控制机构以致动所述进气阀机构和所述回流阀机构。