公开(公告)号：US20090216073A1

公开(公告)日：2009-08-27

申请号：US12393702

申请日：2009-02-26

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61F2/00

CPC classification number: A61F2/0045

Abstract: New methods for inserting slings and other material, wherein such methods may comprise a needle creating a pathway from a first insertion point to a first exit point that may thereafter be utilized as a second insertion point allowing for a change in direction to the needle pathway. A plurality of additional exit and re-insertion points may be repeated to provide a longer circuitous pathway, if so desired. A malleable needle may further allow unique pathways and needle angles when the needle's shape may be adjustable at each respective insertion point. A tapered device may form a final exit pathway having a tapered and reduced diameter that provides a greater friction fit between the implanted material and surrounding tissue. The present inventive method may further incorporate sling ends terminating from previously unused regions of the body including but not limited to the perineum, preprepubic, and supraobturator regions.

Abstract translation: 用于插入吊索和其他材料的新方法，其中这样的方法可以包括产生从第一插入点到第一出口点的路径的针，其后可以用作允许针通路方向改变的第二插入点。 如果需要，可以重复多个附加的出口和重新插入点以提供更长的迂回路径。 当针的形状可以在每个相应的插入点处可调节时，可延展针可以进一步允许唯一的路径和针角。 锥形装置可以形成最终的出口通道，其具有锥形和减小的直径，其在植入材料和周围组织之间提供更大的摩擦配合。 本发明的方法还可以包括从身体的先前未被使用的区域终止的吊带末端，包括但不限于会阴，准备性尿道和俯视器区域。

公开(公告)号：US20190090895A1

公开(公告)日：2019-03-28

申请号：US16081943

申请日：2017-03-03

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61B17/29 ,  A61B17/32 ,  A61B18/14 ,  A61N7/02

Abstract: A tissue fusing clamp comprises a pair of components pivotably attached, having a component end with a finger loop for manipulation of the components, and each component having a fusing end comprising fusing jaws that are able to be motivated towards one another into a closed position. A depressor depresses tissue between the tissue areas to be fused, resulting in a tightening of the tissue after fusing. The fusing jaws may each comprise a fusing element, such as an ultrasonic transducer or laser, that is in electrical communication with a fusing circuit for providing electrical power to the fusing element as desired by a user. The fusing circuit may be controlled by use of a foot switch or other controller that may be manipulated by the user when it is desired to activate the fusing elements.

公开(公告)号：US08887731B2

公开(公告)日：2014-11-18

申请号：US12394085

申请日：2009-02-27

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61F6/06 ,  A61M29/00 ,  A61F2/00 ,  A61F6/08

CPC classification number: A61F2/0009 ,  A61F6/08

Abstract: A pessary having a main stem and an inflatable bladder disposed about the proximal larger diameter section of the main stem. The main stem further provides a distal smaller diameter portion having a cap at its distal tip and a check valve disposed there under. The check valve communicates with a central fluid passage that may extend into the proximal larger diameter section of the main stem. Secondary fluid passages connect the central fluid passage to the inflatable bladder volume disposed about the outer circumference of the proximal larger diameter section of the main stem. The main stem provides support to the pelvic structures and the inflatable bladder acts to hold the device in position. At least one void through the proximal larger diameter portion of the main stem allows bodily material to pass from the vagina through the pessary device thereby decreasing the amount of vaginal discharge.

Abstract translation: 具有主茎和可膨胀囊的子宫托，围绕主茎的近端较大直径部分设置。 主茎进一步提供远端较小直径的部分，其在其远端处具有盖，并且在其下方设有止回阀。 止回阀与可延伸到主杆的近端较大直径部分的中心流体通道连通。 次级流体通道将中心流体通道连接到围绕主茎近端较大直径部分的外周设置的可膨胀囊体积。 主茎提供对骨盆结构的支撑，并且可充气膀胱用于将装置保持在适当位置。 通过主茎的近端较大直径部分的至少一个空隙允许身体材料从阴道穿过子宫托装置，从而减少阴道分泌物的量。

公开(公告)号：US20110004203A1

公开(公告)日：2011-01-06

申请号：US12687965

申请日：2010-01-15

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61B18/22

CPC classification number: A61B18/1402 ,  A61B17/42 ,  A61B18/1815 ,  A61B18/24 ,  A61B2018/2005

Abstract: Methods for decreasing the size and/or changing the shape of pelvic tissues. In one embodiment a cannula needle having a laser fiber disposed therein is used to delivery energy to the surrounding pelvic tissue. The cannula needle may be advanced into the pelvic tissue, such as the vagina, with the laser fiber in a retracted position and retained within the distal tip of the cannula needle for protection. Upon reaching the initial treatment zone, the laser fiber may be advanced or motivated into an extended position where the distal end of the laser fiber extends beyond the distal tip of the cannula. Laser energy may then be applied as the device is withdrawn from the patient. The application of such energy may be constant, intermittent, increasing, and/or decreasing as needed. The energy application may also be deactivated if a maximum activation time, maximum temperature, or maximum energy level is reached.

Abstract translation: 减少骨盆组织尺寸和/或改变形状的方法。 在一个实施例中，使用其中设置有激光纤维的插管针将能量递送至周围的盆腔组织。 套管针可以进入骨盆组织，例如阴道，激光纤维处于缩回位置，并且保持在套管针的远端中用于保护。 在到达初始处理区域时，激光纤维可以被推进或被激励到延伸位置，其中激光纤维的远端延伸超过套管的远端。 随着设备从病人身上取出，激光能量可以被应用。 根据需要，这种能量的应用可以是恒定的，间歇性的，增加的和/或减少的。 如果达到最大激活时间，最大温度或最大能量水平，也可以停用能量应用。

公开(公告)号：US20100004644A1

公开(公告)日：2010-01-07

申请号：US12496216

申请日：2009-07-01

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61B18/20 ,  A61B18/18

CPC classification number: A61B18/24 ,  A61B18/1402 ,  A61B2018/2005

Abstract: Methods for decreasing the size and/or changing the shape of pelvic tissues. Energy, preferably radio frequency or laser energy, may be applied to endopelvic fascia or other subcutaneous tissue transcutaneously, through one or more incisions in skin, or directly to the desired subcutaneous tissue after a strip of mucosa or skin has been removed. Such an application of energy may cause the subcutaneous tissue to shrink, thereby bringing the mucosa or skin edges closer together while minimizing damage to deep nerves and other surrounding tissues. Such manipulation of the layers of the skin may be utilized to decrease the size or change the shape of numerous anatomical structures and may also serve to alleviate the symptoms of urinary incontinence, dyspareunia, or chronic pelvic pain. The method steps of the present invention may further provide for the beneficial pretreatment of a tissue site prior to stem cell implantation.

Abstract translation: 减少骨盆组织尺寸和/或改变形状的方法。 通过皮肤中的一个或多个切口，或者在去除了粘膜或皮肤条带之后，可以将能量，优选射频或激光能量经皮肤，直接施用于内皮筋膜或其它皮下组织。 这种能量的施加可能导致皮下组织收缩，从而使粘膜或皮肤边缘更靠近在一起，同时使对深部神经和其他周围组织的损伤最小化。 可以利用皮肤层的这种操作来减小大小或改变许多解剖结构的形状，并且还可以用于减轻尿失禁，性交疼痛或慢性盆腔疼痛的症状。 本发明的方法步骤还可以进一步提供在干细胞植入之前的组织部位的有益预处理。

公开(公告)号：US20090216250A1

公开(公告)日：2009-08-27

申请号：US12394841

申请日：2009-02-27

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61B17/04

CPC classification number: A61B17/00 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/06109 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/12009 ,  A61B2017/00349 ,  A61B2017/00805 ,  A61B2017/00867 ,  A61B2017/06019 ,  A61B2017/06042

Abstract: A material carrying device comprising a delivery element having a tapered distal end for penetrating target tissue and a central channel for housing an axially movable carrier element. The delivery element may further comprise an actuating member for both advancing the carrier element to an extended position and withdrawing the carrier element to a retracted position. The carrier element may be composed of any known shape memory material whose native shape will influence the trajectory of the carrier element upon its extension beyond the distal tip of the delivery element. The exit path of the carrier element from the delivery element may also influence the carrier element's trajectory. The scope of the present invention further comprises both a method of carrying material through tissue as well as a providing a shape memory fastener allowing for fixation where only one side of a tissue is accessible.

Abstract translation: 一种材料承载装置，包括具有用于穿透靶组织的锥形远端的输送元件和用于容纳可轴向移动的载体元件的中心通道。 输送元件还可以包括致动构件，用于将载体元件推进到延伸位置并将载体元件退回到缩回位置。 载体元件可以由任何已知的形状记忆材料组成，其原生形状将在其延伸超过输送元件的远端时影响载体元件的轨迹。 载体元件从输送元件的出口路径也可以影响载体元件的轨迹。 本发明的范围还包括通过组织携带材料的方法，以及提供形状记忆紧固件，其允许仅在组织的一侧可接近的固定。

公开(公告)号：US20090216195A1

公开(公告)日：2009-08-27

申请号：US12394168

申请日：2009-02-27

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61B17/34

CPC classification number: A61B17/3496 ,  A61B17/3417 ,  A61B2090/034

Abstract: A penetrating instrument and method for piercing a desired tough or elastic tissue to a controlled and predetermined depth so as to avert any danger of damaging organs or tissues more deeply disposed. The instrument may comprise an introducer needle capable of independently penetrating bodily tissue and having a central hollow channel wherein a piercing needle is axially movable therein. The piercing needle may comprise a distal tip that is preferably fully disposed within the central hollow channel when the piercing needle is in a retracted position, but the piercing needle is capable of being deployed a predetermined distance beyond the distal end of the central hollow channel when disposed in an extended/piercing position. The introducer needle may be advanced through tissue until selected, problematic, or tough tissue is encountered. Subsequently, the piercing needle may be deployed and retracted, as necessary, to facilitate advancement of the instrument through the specific tissue.

Abstract translation: 一种用于将期望的韧性或弹性组织刺穿到受控和预定深度的穿透仪器和方法，以便避免任何更深层次地损坏器官或组织的危险。 仪器可以包括能够独立地穿透身体组织并具有中心中空通道的导引针，其中穿刺针可在其中轴向移动。 刺穿针可以包括远端，当穿刺针处于缩回位置时，优选地完全设置在中心空心通道内，但是穿刺针能够突出超出中心中空通道的远端的预定距离， 设置在延伸/穿孔位置。 引导器针可以穿过组织直到遇到选定的，有问题的或者韧性的组织。 随后，穿刺针可以根据需要展开和缩回，以便于使器械通过特定组织的前进。

公开(公告)号：US20090216072A1

公开(公告)日：2009-08-27

申请号：US12072648

申请日：2008-02-27

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61F2/02

CPC classification number: A61F2/0045

Abstract: A sling apparatus and method of treatment for stress urinary incontinence, prolapse, and the like. The apparatus and method may comprise a support material of any construction known within the art which is temporarily held in position by at least one tension member. A tension member may be attached to an end of the support material and the remaining free end of the tension member may then be releasably fastened to a fixation device at or above the level of the skin. Both the tension member and the fixation device may have incremental and/or measurable indicia disposed thereon to provide for either incremental increases or decreases in support material tension post-surgery. Upon support material natural fixation, the tension member may be cut at or below the level of the patient's skin. The tension member may comprise either permanent or bio-absorbable material.

Abstract translation: 用于压力性尿失禁，脱垂等的吊索装置和治疗方法。 该装置和方法可以包括本领域已知的任何结构的支撑材料，其通过至少一个张力构件暂时保持就位。 张紧构件可以附接到支撑材料的端部，然后拉伸构件的剩余自由端可释放地紧固到位于皮肤水平处或上方的固定装置。 张紧构件和固定装置都可以具有设置在其上的增量和/或可测量标记，以提供手术后支撑材料张力的增加或减小。 在支撑材料天然固定时，张紧构件可以在患者皮肤的水平或以下被切割。 张力构件可以包括永久性或生物可吸收材料。

公开(公告)号：US10940080B2

公开(公告)日：2021-03-09

申请号：US16196986

申请日：2018-11-20

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61H19/00 ,  A61H23/00 ,  A61H23/02 ,  A61N5/06 ,  A61H7/00

Abstract: A sexual stimulation method which may comprise a plurality of light sources for photostimulation of the vagina; one or more vibrators for mechanical stimulation of an area of the vagina; a handle; a controller and programmable memory for containing non-transitory instructions for modes of operation and driving the light sources and vibrators of the invention; a vaginal finger; a handle for ease of use; a keypad for user entry of commands; and a charging or programming port. The invention may also comprise sensors that sense physiologic parameters of a user and adjust sexual stimulation parameters to achieve a desired sexual stimulation effect. Blood oxygen level, temperature, pulse rate and muscle electrical activity may be sensed. The invention also may comprise a flexible covering that provides smooth sliding engagement with an area of the vagina of a user.

公开(公告)号：US10413473B2

公开(公告)日：2019-09-17

申请号：US14681943

申请日：2015-04-08

Applicant: Ralph Zipper

Inventor： Ralph Zipper

IPC: A61H19/00 ,  A61N5/06 ,  A61H23/02 ,  A61H23/00

Abstract: A sexual stimulation apparatus and method which may comprise a plurality of light sources for photostimulation of the vagina, clitoris, or both; a plurality of vibrators for mechanical stimulation of the vagina, clitoris, or both; a handle for ease of operation; a controller and programmable memory for containing modes of operation and driving the light sources and vibrators of the invention; a vaginal finger; a clitoral finger; a handle for ease of use; a keypad for user entry of commands; and a charging and programming port. The invention comprises sensors that sense physiologic parameters of a user and adjust sexual stimulation parameters to achieve a desired sexual stimulation effect. Blood oxygen level, temperature, pulse rate and muscle electrical activity may be sensed by the invention. The invention also comprises a flexible covering that provides smooth sliding engagement with the vagina and clitoris of a user.