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公开(公告)号：US08220466B2
公开(公告)日：2012-07-17
申请号：US11765989
申请日：2007-06-20
申请人： Andrew Frazier , Chad Roue , Erik van der Burg , Michael Dineen , Mark Hirotsuka , Jasper Jackson
发明人： Andrew Frazier , Chad Roue , Erik van der Burg , Michael Dineen , Mark Hirotsuka , Jasper Jackson
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/0644 , A61B17/24 , A61B90/03 , A61B2017/00004 , A61B2017/00495 , A61B2017/00539 , A61B2017/00814 , A61B2017/00862 , A61B2017/00986 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/0419 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0433 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61B2017/045 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2017/06171 , A61B2017/06176 , A61B2017/0648 , A61B2017/0649 , A61F5/56 , A61F5/566
摘要： Methods and devices are disclosed for manipulating the palatal tissue. An implant is positioned within at least a portion of the soft palate and may be secured to other surrounding, less mobile structures such as the hard palate or the mucosa overlying the hard palate. The implant may be manipulated to displace at least a portion of the soft palate in an anterior or lateral direction, or to alter the tissue tension or compliance of the soft palate.
摘要翻译： 公开了用于操纵腭组织的方法和装置。 植入物定位在软腭的至少一部分内，并且可以固定到其它周围的较少移动的结构，例如覆盖硬腭的硬腭或粘膜。 可以操纵植入物以在前方或外侧方向置换软腭的至少一部分，或改变软腭的组织张力或依从性。
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22.发明申请公开(公告)号：US20080066769A1
公开(公告)日：2008-03-20
申请号：US11835931
申请日：2007-08-08
申请人： Michael Dineen , Mark Hirotsuka , Jasper Jackson , Damien Shulock , Andrew Frazier , Chad Roue , Erik van der Burg
发明人： Michael Dineen , Mark Hirotsuka , Jasper Jackson , Damien Shulock , Andrew Frazier , Chad Roue , Erik van der Burg
IPC分类号： A61B19/00
CPC分类号： A61F5/566 , A61B17/0401 , A61B17/0487 , A61B17/06166 , A61B17/24 , A61B2017/00004 , A61B2017/00814 , A61B2017/00862 , A61B2017/00986 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0433 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0496 , A61B2017/06171 , A61B2017/06176 , A61B2017/0618 , A61B2017/248 , A61F5/56
摘要： Embodiments of the present invention relate to methods and devices for the treatment of airway obstruction, such as obstructive sleep apnea, and devices and methods that facilitate insertion and retrieval of the same. In one embodiment, disclosed is a tissue tensioner that includes an elongate flexible tether having a first end and a second end, a bone anchor configured to be connected to a patient's mandible, a tissue ingrowth implant configured to be implanted in a patient's tongue and connected to the second end of the tether, and an adjustment mechanism configured to be held by the bone anchor adjacent the patient's mandible and configured to receive the first end of the tether and configured to adjust tension in the flexible tether between the patient's mandible and tongue. Various anchors, tethers, securement mechanisms, and adjustment mechanisms that can be used with glossal and palatal remodeling systems are also disclosed.
摘要翻译： 本发明的实施例涉及用于治疗气道阻塞的方法和装置，例如阻塞性睡眠呼吸暂停，以及便于其插入和取回的装置和方法。 在一个实施例中，公开了一种组织张紧器，其包括具有第一端和第二端的细长柔性系绳，构造成连接到患者下颌骨的骨锚固件，构造成植入患者舌头并连接的组织向内植入物 到所述系绳的第二端，以及调整机构，其被构造成由所述骨锚固体邻近所述患者的下颌骨并被配置为接收所述系绳的所述第一端并且被配置为调节所述患者的下颌骨和舌头之间的柔性系绳中的张力。 还公开了可以与光泽和腭重建系统一起使用的各种锚，系绳，固定机构和调节机构。
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公开(公告)号：US20080023012A1
公开(公告)日：2008-01-31
申请号：US11762642
申请日：2007-06-13
申请人： Michael Dineen , Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad Roue , Erik van der Burg
发明人： Michael Dineen , Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad Roue , Erik van der Burg
IPC分类号： A61F5/56
CPC分类号： A61B17/0401 , A61B17/24 , A61B2017/0412 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0433 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61B2017/0443 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0453 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0496 , A61B2017/06057 , A61B2017/0618 , A61B2017/248 , A61F5/566
摘要： Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and/or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices for adjusting a glossopexy system are also disclosed. Adjusting a distance between two body-engaging structures can be performed without disengaging a tether from either of the body-engaging structures in some embodiments.
摘要翻译： 公开了用于操纵舌头的方法和装置。 植入物定位在舌头的至少一部分内，并且可以固定到其他周围结构，例如下颌骨和/或舌骨。 通常，植入物被操纵以在前侧或后侧方向上移位后舌的至少一部分，或改变组织张力或舌的顺应性。 还公开了用于调节glossopexy系统的方法和装置。 在一些实施例中，可以在不脱离任何身体接合结构的系绳的情况下执行调节两个身体接合结构之间的距离。
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24.发明申请Glossoplasty using tissue anchor glossopexy with volumetric tongue reduction 有权使用组织锚glossopexy与舌体缩小的Glossoplasty公开(公告)号：US20070144539A1
公开(公告)日：2007-06-28
申请号：US11598220
申请日：2006-11-09
申请人： Erik van der Burg , Beverly Woodson , Michael Dineen , Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad Roue
发明人： Erik van der Burg , Beverly Woodson , Michael Dineen , Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad Roue
CPC分类号： A61B18/1477 , A61B17/0401 , A61B17/0487 , A61B2017/00814 , A61B2017/0412 , A61B2017/0422 , A61B2017/0427 , A61B2017/0451 , A61B2017/0454 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0496 , A61B2017/06176 , A61B2017/248 , A61B2018/00279 , A61B2018/00327
摘要： Methods and devices are disclosed for remodeling the tongue. One or more spaces or cavities are formed in the tongue using, for example, surgical or RF ablative techniques. The cavities can be closed or collapsed by inserting a tethered soft tissue anchor into the tongue and attaching the tethered portion of the soft tissue anchor to a bony structure such as the mandible or hyoid bone in order to exert a collapsing force on the one or more spaces or cavities. The insertion pathway of the tethered soft tissue anchor may pass adjacent to or even through one or more cavities. Also disclosed herein is a tongue remodeling system that includes means for creating a space in the tongue, and a tissue anchor configured to close the space. The tissue anchor may be tethered or expandable.
摘要翻译： 公开了用于重塑舌头的方法和装置。 使用例如手术或RF烧蚀技术在舌部中形成一个或多个空间或空腔。 通过将系留的软组织锚固件插入舌部并将软组织锚固件的系留部分附接到诸如下颌骨或舌骨的骨结构以便在所述一个或多个上施加塌缩力，所述腔可以闭合或折叠 空间或空腔 系留软组织锚的插入路径可以邻近或甚至通过一个或多个空腔。 本文还公开了一种舌头重塑系统，其包括用于在舌头中产生空间的装置和构造成关闭空间的组织锚。 组织锚可以是束缚的或可膨胀的。
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公开(公告)号：US20060150986A1
公开(公告)日：2006-07-13
申请号：US11153857
申请日：2005-06-15
申请人： Chad Roue , Adam Kessler , Mark Hirotsuka , Jasper Jackson , Erik van der Burg , Michael Dineen , Andrew Frazier
发明人： Chad Roue , Adam Kessler , Mark Hirotsuka , Jasper Jackson , Erik van der Burg , Michael Dineen , Andrew Frazier
IPC分类号： A61F5/56
CPC分类号： A61F5/56 , A61B17/0401 , A61B17/0487 , A61B17/1739 , A61B17/3421 , A61B17/3423 , A61B2017/0461 , A61B2017/0496 , A61B2017/06176 , A61F2/00 , A61F2/04 , A61F5/37 , A61F2002/046 , A61F2220/0008 , A61F2230/0008
摘要： Methods and devices are disclosed for manipulating the hyoid bone, such as to treat obstructive sleep apnea. A conformable implant is positioned adjacent a hyoid bone. The spatial orientation of the hyoid bone is manipulated, to affect the configuration of the airway. The implant restrains the hyoid bone in the manipulated configuration. The implant is positioned adjacent to pharyngeal structures to dilate the pharyngeal airway and/or to support the pharyngeal wall against collapse. The implant may be attached to the hyoid bone using a clamp delivery tool that is adapted to releasably engage the implant.
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公开(公告)号：US07992567B2
公开(公告)日：2011-08-09
申请号：US11349067
申请日：2006-02-07
申请人： Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad C. Roue , Erik van der Burg , Michael Dineen
发明人： Mark Hirotsuka , Jasper Jackson , Andrew Frazier , Chad C. Roue , Erik van der Burg , Michael Dineen
IPC分类号： A61F5/56
CPC分类号： A61B17/0401 , A61B17/02 , A61B17/0487 , A61B17/24 , A61B2017/00004 , A61B2017/00814 , A61B2017/00862 , A61B2017/00986 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0433 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0496 , A61F5/56
摘要： Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and/or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices are also disclosed for manipulating other soft tissue structures, including the soft palate and pharyngeal airway.
摘要翻译： 公开了用于操纵舌头的方法和装置。 植入物定位在舌的至少一部分内，并且可以固定到其他周围结构，例如下颌骨和/或舌骨。 通常，植入物被操纵以在前侧或后侧方向上移位后舌的至少一部分，或改变组织张力或舌的顺应性。 还公开了用于操纵其他软组织结构（包括软腭和咽气道）的方法和装置。
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公开(公告)号：US07975700B2
公开(公告)日：2011-07-12
申请号：US11349040
申请日：2006-02-07
申请人： Andrew Frazier , Mark Hirotsuka , Chad C. Roue , Jasper Jackson , Erik van der Burg , Michael Dineen
发明人： Andrew Frazier , Mark Hirotsuka , Chad C. Roue , Jasper Jackson , Erik van der Burg , Michael Dineen
CPC分类号： A61B17/0401 , A61B17/02 , A61B17/0487 , A61B17/24 , A61B2017/00004 , A61B2017/00814 , A61B2017/00862 , A61B2017/00986 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/042 , A61B2017/0422 , A61B2017/0427 , A61B2017/0433 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0496 , A61F5/56
摘要： Methods and devices are disclosed for manipulating the tongue. An implant is positioned within at least a portion of the tongue and may be secured to other surrounding structures such as the mandible and/or hyoid bone. In general, the implant is manipulated to displace at least a portion of the posterior tongue in an anterior or lateral direction, or to alter the tissue tension or compliance of the tongue. Methods and devices are also disclosed for manipulating other soft tissue structures, including the soft palate and pharyngeal airway.
摘要翻译： 公开了用于操纵舌头的方法和装置。 植入物定位在舌头的至少一部分内，并且可以固定到其他周围结构，例如下颌骨和/或舌骨。 通常，植入物被操纵以在前侧或后侧方向上移位后舌的至少一部分，或改变组织张力或舌的顺应性。 还公开了用于操纵其他软组织结构（包括软腭和咽气道）的方法和装置。
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公开(公告)号：US20060070626A1
公开(公告)日：2006-04-06
申请号：US10958205
申请日：2004-10-04
申请人： Andrew Frazier , Chad Roue , Michael Dineen , Erik van der Burg
发明人： Andrew Frazier , Chad Roue , Michael Dineen , Erik van der Burg
CPC分类号： A61F2/82 , A61B17/0401 , A61B17/0487 , A61B17/3421 , A61B17/3423 , A61B2017/0453 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2017/06176 , A61F2/04 , A61F2002/046 , A61F2002/065 , A61F2250/0004
摘要： Methods and devices are disclosed for manipulating the airway, such as to treat obstructive sleep apnea. An implant is positioned within the body with respect to the airway. The spatial orientation of the airway is manipulated, directly or indirectly, to affect the configuration of the airway. In general, the implant is manipulated to displace the trachea in an inferior direction, resist superior displacement of the trachea and/or to alter the tracheal wall tension. The implant restrains the trachea in the manipulated configuration.
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29.发明申请公开(公告)号：US20170293951A1
公开(公告)日：2017-10-12
申请号：US15482133
申请日：2017-04-07
申请人： Ian Nolan , Alex Kelly , Ciaran Flood , Sean Harrison , Michael Dineen
发明人： Ian Nolan , Alex Kelly , Ciaran Flood , Sean Harrison , Michael Dineen
CPC分类号： G06Q30/04 , G06N5/025 , G06N20/00 , G06Q10/10 , G06Q10/1091
摘要： A system for automatic categorization and assessment of billing narratives has a semantic engine that classifies billing entries with descriptions expressed in natural language into standardized categories of activity and task objective. The classification is by machine learning methods via training data that is maintained, updated and extended as needed. A rules engine applies rules to the categorized invoice data to analyze the data, report violations to a user/consumer of billed services and to perform related calculations.
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公开(公告)号：US08777619B2
公开(公告)日：2014-07-15
申请号：US11439423
申请日：2006-05-24
申请人： Kevin Schubert , Sean Moran , Greg Wieboldt , Donnie Klein , Mark Haack , Sharon Lay , Chris Howard , Michael Dineen , Jerry R. Hubbard , William Araki
发明人： Kevin Schubert , Sean Moran , Greg Wieboldt , Donnie Klein , Mark Haack , Sharon Lay , Chris Howard , Michael Dineen , Jerry R. Hubbard , William Araki
IPC分类号： F41A33/00
摘要： A computer based simulation system for virtual training for vehicle crews is disclosed. The Vehicle Crew Training System (VCTS) simulates crew positions for different military ground and air vehicles. Two or more crewman modules are networked together to support a partial or full vehicle crew. The crewman modules are self-contained devices that are modular in hardware and software design, easily reconfigurable, and require minimal facility space, allowing use in restricted environments such as trailers. The VCTS is modular at the crew position level; crewman modules are added or deleted as required to meet a particular training need.
摘要翻译： 公开了一种用于车辆人员虚拟训练的基于计算机的模拟系统。 车辆人员训练系统（VCTS）模拟不同军用地面和机动车辆的船员职位。 两个或多个船员模块联网在一起，以支持部分或全部车辆人员。 船员模块是独立的设备，其模块化的硬件和软件设计，易于重新配置，并且需要最小的设备空间，允许在受限的环境（如拖车）中使用。 VCTS在船员职位层面是模块化的; 船员模块根据需要添加或删除，以满足特定的培训需求。
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