公开(公告)号：US3971566A

公开(公告)日：1976-07-27

申请号：US538740

申请日：1975-01-06

Applicant: Richard Levinsohn, deceased ,  Joseph Levinson, administrator-with-will-annexed ,  James E. Jervis

Inventor： Richard Levinsohn, deceased ,  Joseph Levinson, administrator-with-will-annexed ,  James E. Jervis

IPC: F16J15/08 ,  F16J15/16 ,  F16L19/02 ,  F16L41/10

CPC classification number: F16L41/10 ,  F16J15/0887 ,  F16J15/164 ,  F16L19/0206 ,  Y10S277/933

Abstract: Disclosed herein is a metallic V-ring sealing member capable of sealing hydraulic fluid against egress from a hydraulic system. The sealing member of the invention is fabricated from a metal capable of undergoing an austenitic to martensitic state change upon cooling below a transition temperature and of undergoing a further transformation from martensitic to austenitic state upon warming to a temperature of less than the operating temperature of the system. By the process of the invention, a hydraulic system may be sealed by cooling the sealing member of the invention below its transition temperature, placing the sealing member in sealing relationship to the parts of the system to be sealed and warming the sealing member to effect a transformation from its martensitic state to its austenitic state.

Abstract translation: 本文公开了一种能够将液压流体与液压系统抵抗出口的金属V型密封件。 本发明的密封件由一种能够在转变温度以下冷却时能够经历奥氏体转变为马氏体状态的金属制成，并且在加热时经历从马氏体转变为奥氏体状态的温度至低于 系统。 通过本发明的方法，液压系统可以通过将本发明的密封构件冷却到其转变温度以下来进行密封，将密封构件与要密封的系统的部件密封相关，并加热密封构件以实现 从马氏体状态转变为奥氏体状态。

公开(公告)号：US08282665B2

公开(公告)日：2012-10-09

申请号：US11975901

申请日：2007-10-22

Applicant: Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

Inventor： Maciej J. Kieturakis ,  Kenneth H. Mollenauer ,  Jan M. Echeverry ,  Thomas A. Howell ,  James E. Jervis ,  Helmut Kayan ,  Janine C. Robinson

IPC: A61M29/02

CPC classification number: A61M25/1002 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/02 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/00902 ,  A61B2017/0225 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2017/320056 ,  A61B2090/0813 ,  A61F2/0063 ,  A61F2002/0072 ,  A61F2250/0003 ,  A61M25/0668 ,  A61M25/1027 ,  A61M29/02 ,  A61M2025/1004

Abstract: An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various apparatus permitting observation during tunneling and balloon dissection are disclosed. In one embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope inserted into the tubular member to permit observation of the procedure during tunneling to a desired location and balloon inflation. An elongated neck of the balloon is secured to the tunneling member, and permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.

Abstract translation: 一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。 公开了在隧道掘进和气球解剖期间允许观察的各种装置。 在一个实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。 在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧穿期间观察手术到期望的位置和球囊膨胀。 气囊的细长的颈部被固定到隧道构件上，并且允许管状构件在充气之后从气囊中略微抽出以便于观察。 气囊已经进入身体所需的位置后，它被充气以解剖组织并创建一个操作空间。 还公开了各种气球结构和可重复使用的设计。

公开(公告)号：US08262555B2

公开(公告)日：2012-09-11

申请号：US11932974

申请日：2007-10-31

Applicant: James E. Jervis ,  Paul A. Lovoi

Inventor： James E. Jervis ,  Paul A. Lovoi

IPC: A61N5/00

CPC classification number: A61N5/1015 ,  A61N5/103 ,  A61N5/1048

Abstract: Radiation treatment methods for breast cancer following resection, both intraoperative and post operative, involve mapping preferably using an electronic x-ray source, and can include rotation of a direction source. By using a very rapid, near-instantaneous method of pathology of tissue margins following resection, the invention carries out intraoperative radiation treatment, preferably with the patient remaining anesthetized. Whether or not radiation is intraoperative, the invention preferably includes a mapping procedure using an electronic source that is progressed through the resection cavity while radiation dose is sensed at one or more points, to determine the shape of the resection cavity.

Abstract translation: 切除术后，术中和术后两者的乳腺癌的放射治疗方法都涉及优选使用电子X射线源进行测绘，并且可包括方向源的旋转。 通过使用切除术后组织边缘的非常快速，近瞬时的病理学方法，本发明进行术中放射治疗，优选在患者保持麻醉的情况下进行。 无论辐射是否在术中，本发明优选地包括使用电子源的映射程序，该电子源在一个或多个点处感测放射剂量时进入切除腔，以确定切除腔的形状。

公开(公告)号：US08137368B2

公开(公告)日：2012-03-20

申请号：US12271103

申请日：2008-11-14

Applicant: Helmut Kayan ,  James E. Jervis

Inventor： Helmut Kayan ,  James E. Jervis

IPC: A61B17/08

CPC classification number: A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/0042 ,  A61B2017/00429

Abstract: A blood vessel clip applicator includes two twist pins at one end, between which a blood vessel is placed before occlusion. A magazine in the blood vessel clip applicator holds a plurality of blood vessel clips and can be rotated independently from a grip assembly, whereby the twist pins can be rotated to compress a blood vessel held between them. The blood vessel clip is placed on the blood vessel after it has been flattened. The blood vessel clip includes spring quality material, and has a head connected to a first leg and a second leg. The magazine has a constricted region adjacent to an exit aperture. As the head enters the constricted region, the compressive force exerted on the head by the constricted region opens the blood vessel clip to an open position.

Abstract translation: 血管夹施加器在一端包括两个扭转销，在闭塞之前放置血管。 血管夹施加器中的杂志夹持多个血管夹，并且可以独立于手柄组件旋转，由此扭转销可以旋转以压缩保持在它们之间的血管。 血管夹被平坦化后放置在血管上。 血管夹包括弹簧质量材料，并且具有连接到第一腿部和第二腿部的头部。 杂志具有邻近出口孔的收缩区域。 当头进入收缩区域时，由收缩区域施加在头部上的压缩力将血管夹打开到打开位置。

公开(公告)号：US07862505B2

公开(公告)日：2011-01-04

申请号：US11177621

申请日：2005-07-08

Applicant: Kenneth H. Mollenauer ,  James E. Jervis

Inventor： Kenneth H. Mollenauer ,  James E. Jervis

IPC: A61B19/00

CPC classification number: A61B17/0218 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61M29/02

Abstract: A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.

Abstract translation: 一种用于从第二组织层解剖第一组织层，然后保持打开用于执行外科手术的解剖空间的方法和装置。 该方法包括以下步骤：在体内进行切口，将放气的气囊解剖器引入切口中，使气囊解剖器膨胀，以使第一层组织从第二层组织切除，以顺序地在解剖空间内展开牵开器 以打开解剖空间，并且可选地放气或排空气囊解剖器以打开用于外科手术的腔。 该装置包括组合的解剖器 - 牵开器，其具有设置在气球解剖器的表面上并与之一体化的气囊牵开器。

公开(公告)号：US07727137B2

公开(公告)日：2010-06-01

申请号：US11871116

申请日：2007-10-11

Applicant: Darius Francescatti ,  David J. Hoffmann ,  Scott Tremberth ,  Michael Klein ,  Paul A. Lovoi ,  James E. Jervis

Inventor： Darius Francescatti ,  David J. Hoffmann ,  Scott Tremberth ,  Michael Klein ,  Paul A. Lovoi ,  James E. Jervis

IPC: A61M36/00 ,  A61M36/04 ,  A61N5/00

CPC classification number: A61N5/1015 ,  A61M2025/1063

Abstract: Methods and applicator apparatus are disclosed for brachytherapy treatment of tissue surrounding a cavity in a patient, particularly a resection cavity. In treatment regimes requiring recovery time between successive radiation treatments, applicators of the invention are retained under the skin, with the skin allowed to at least partially heal, and are re-accessed later for one or more subsequent treatments. To reduce patient discomfort an anesthetic agent can be infused through the applicator to patient tissue, for insertion, balloon inflation or removal of the applicator.

Abstract translation: 公开了用于近距离放射治疗患者，特别是切除腔中的腔周围的组织的方法和施用装置。 在需要在连续辐射治疗之间恢复时间的治疗方案中，本发明的施用器保留在皮肤下，允许皮肤至少部分愈合，并且稍后重新进行一次或多次随后的治疗。 为了减少患者的不适，麻醉剂可以通过施用器输注到患者组织，用于插入，球囊充气或去除涂抹器。

公开(公告)号：US06695854B1

公开(公告)日：2004-02-24

申请号：US09450921

申请日：1999-11-29

Applicant: Helmut Kayan ,  James E. Jervis

Inventor： Helmut Kayan ,  James E. Jervis

IPC: A61B1704

CPC classification number: A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/0042 ,  A61B2017/00429

Abstract: A blood vessel clip applicator preferably includes two twist pins at one end, between which a blood vessel is placed before occlusion. A magazine in the blood vessel clip applicator preferably holds a plurality of blood vessel clips and can be rotated independently from a grip assembly, whereby the twist pins can be rotated to compress a blood vessel held between them. A blood vessel clip is preferably placed on the blood vessel after it has been flattened. A blood vessel clip preferably comprises spring quality material, and preferably has a head connected to a first leg and a second leg. The magazine preferably has a constricted region adjacent to an exit aperture. As the head enters the constricted region, the compressive force exerted on the head by the constricted region opens the blood vessel clip to an open position. In an alternate embodiment, a plunger applies a blood vessel clip with a direct stroke. The plunger has a plurality of stepwise indentations used to restrain the blood vessel clips before application and for pushing them all forward substantially simultaneously during application. In an alternate embodiment, a variety of blood vessel clips having different shapes, cross-sections and grooves are suitable for use with the blood vessel clip applicator. The alternate blood vessel clip preferably have two legs in a “V” configuration and a head connecting the two legs. The constricted region compresses the head of the blood vessel clip as it passes through the constricted region, thereby closing the clip onto the blood vessel. These alternate embodiments may comprise substantially annealed metal.

Abstract translation: 优选地，血管夹施加器在一端包括两个扭转销，在闭塞之前放置血管。 血管夹施加器中的杂志优选地保持多个血管夹，并且可以独立于手柄组件旋转，由此扭转销可以旋转以压缩保持在它们之间的血管。 血管夹在平坦化之后优选放置在血管上。血管夹优选地包括弹簧质量材料，并且优选地具有连接到第一腿部和第二腿部的头部。 该盒优选地具有与出口孔相邻的收缩区域。 当头进入收缩区域时，通过收缩区域施加在头部上的压缩力将血管夹打开至打开位置。在替代实施例中，柱塞施加直接行程的血管夹。 柱塞具有多个逐步的压痕，用于在施用之前约束血管夹，并且在施用期间基本上同时推动它们。在替代实施例中，具有不同形状，横截面和凹槽的各种血管夹适合 用于血管夹施加器。 替代血管夹优选地具有“V”构型的两条腿和连接两条腿的头部。 收缩区域在通过收缩区域时压缩血管夹的头部，从而将夹子封闭在血管上。 这些替代实施例可以包括基本退火的金属。

公开(公告)号：US06652538B2

公开(公告)日：2003-11-25

申请号：US09851211

申请日：2001-05-08

Applicant: Helmut L. Kayan ,  James E. Jervis

Inventor： Helmut L. Kayan ,  James E. Jervis

IPC: A61B1700

CPC classification number: A61B17/0684 ,  A61B17/068

Abstract: Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The various embodiments may be variously combined together in a single device. The methods generally include the following steps: forming a fastener by placing it over a single focal point anvil and pressing the fastener against the single focal point anvil using a slide.

Abstract translation: 内窥镜手术中应用紧固件的装置和方法。 该装置通常包括手柄部分，触发机构和紧固件施加器。 本发明的一个实施例在砧座上形成围绕单个焦点的紧固件。 另一个实施例垂直地将紧固件堆叠在紧固件施加器中，其通过旋转锁定系统容易地从手柄部分拆卸，并且可以用新的紧固件施加器代替，该紧固件施加器具有垂直堆叠的紧固件的新负载。 各种实施例可以在单个设备中不同地组合在一起。 方法通常包括以下步骤：通过将紧固件放置在单个焦点砧上并使用滑块将紧固件压靠单个焦点砧座来形成紧固件。

公开(公告)号：US06632234B2

公开(公告)日：2003-10-14

申请号：US09873886

申请日：2001-06-04

Applicant: Maciej J. Kieturakis ,  Helmut Kayan ,  Jan M. Echeverry ,  Thomas A. Howell ,  Kenneth H. Mollenauer ,  James E. Jervis

Inventor： Maciej J. Kieturakis ,  Helmut Kayan ,  Jan M. Echeverry ,  Thomas A. Howell ,  Kenneth H. Mollenauer ,  James E. Jervis

IPC: A61B1700

CPC classification number: A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/0212 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2090/0813 ,  A61F2/0063 ,  A61F2002/0072 ,  A61M25/0668 ,  A61M25/1002 ,  A61M29/02

Abstract: A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layers to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creation of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdraw through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.

Abstract translation: 一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。 隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。 腹腔镜可以通过隧道构件的开放远端直接观察解剖。 当设备用于在组织层之间隧穿到患者身体内的感兴趣区域时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层的分离和创建解剖学 工作空间。 解剖空间创建完毕后，装置和腹腔镜通过切口退出。 如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。 如果特定程序需要，解剖工作空间可以用吹入气体吹入。 通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道 成员形成一个半刚性钝头封闭器。

公开(公告)号：US06565589B1

公开(公告)日：2003-05-20

申请号：US08924350

申请日：1997-09-05

Applicant: James E. Jervis ,  Jan M. Echeverry

Inventor： James E. Jervis ,  Jan M. Echeverry

IPC: A61M2900

CPC classification number: A61B17/00234 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2090/0813 ,  A61F2/0063 ,  A61M25/0668 ,  A61M25/1002 ,  A61M25/1027 ,  A61M25/1029 ,  A61M25/1034 ,  A61M25/1036 ,  A61M29/02 ,  A61M2025/1054

Abstract: A balloon device useful for dissecting tissue or retracting tissue for the purpose of providing space for laparoscopic surgery comprising a balloon having at least two protuberances in its distal region. The present device is particularly useful in bladder neck suspension and hernia repair procedures.

Abstract translation: 一种用于解剖组织或缩回组织以用于为腹腔镜手术提供空间的气囊装置，其包括在其远端区域中具有至少两个突起的气囊。 本装置在膀胱颈悬液和疝修补程序中特别有用。