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    Superelastic/shape memory tissue stabilizers and surgical instruments
    31.
    发明授权
    Superelastic/shape memory tissue stabilizers and surgical instruments 失效
    超弹性/形状记忆组织稳定器和手术器械

    公开(公告)号：US07338441B2

    公开(公告)日：2008-03-04

    申请号：US10235486

    申请日：2002-09-06

    申请人： Russell A. Houser ,  William D. Hare

    发明人： Russell A. Houser ,  William D. Hare

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0218 ,  A61B2017/00867 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2018/0225 ,  A61F2007/0288 ,  A61F2007/101

    摘要： A surgical instrument is used for temporary use in a medical procedure in a mammalian body. The surgical instrument is configured to be changed between two shapes upon application of one or both of heating and cooling. The instrument includes a first member, a second member having a surface configured to contact tissue, and a means to apply heating or cooling to one or both of the first member and the second member to change the shape between a first shape and a second shape. A surgical instrument also may be configured to be changed between two shapes upon removal of a constraining force. The surgical instrument includes a first member, a second member having a surface configured to contact tissue, and a constraining means to apply a constraining force to one or both of the first member and the second member to cause one or both of the first member and the second member to be in a first constrained shape. The surgical instruments may be used in minimally invasive valve surgery.

    摘要翻译： 手术器械用于临时使用哺乳动物体内的医疗程序。 外科器械被配置为在施加加热和冷却中的一个或两个时在两种形状之间变化。 仪器包括第一构件，具有构造成接触组织的表面的第二构件，以及对第一构件和第二构件中的一个或两个施加加热或冷却以在第一形状和第二形状之间改变形状的装置 。 手术器械还可以被配置为在去除约束力时在两个形状之间改变。 手术器械包括第一构件，具有构造成接触组织的表面的第二构件和约束装置，以将约束力施加到第一构件和第二构件中的一个或两个，以使第一构件和第二构件中的一个或两个 第二构件处于第一约束形状。 手术器械可用于微创瓣膜手术。

    Vascular couplers, techniques, methods, and accessories
    32.
    发明授权
    Vascular couplers, techniques, methods, and accessories 有权
    血管耦合器，技术，方法和附件

    公开(公告)号：US07182771B1

    公开(公告)日：2007-02-27

    申请号：US10326211

    申请日：2002-12-20

    申请人： Russell A. Houser ,  William D. Hare

    发明人： Russell A. Houser ,  William D. Hare

    IPC分类号： A61B17/11

    CPC分类号： A61B17/0644 ,  A61B17/11 ,  A61B17/115 ,  A61B2017/00243 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/1157 ,  A61M39/10 ,  B33Y80/00

    摘要： A coupler is configured to connect a first tubular vessel to an aperture in a second tubular vessel. The coupler includes one or more radially extending members and a substantially nonmetallic tubular member. The substantially nonmetallic tubular member include an outer wall, an inner wall defining a lumen having an open distal end and an open proximal end, and a circumferential ridge encircling the outer wall, the radially extending members extending from the distal end of the tubular member. A method of fabricating a coupler the method including fabricating radially extending members; placing the radially extending members within a mold; injecting a material into the mold; allowing the material to cure to form the coupler; and removing the coupler from the mold. The coupler includes a tubular member having an outer wall, an inner wall defining a lumen having an open distal end and an open proximal end, and a circumferential ridge encircling the outer wall. The radially extending members extend from the distal end of the tubular member.

    摘要翻译： 耦合器被配置为将第一管状容器连接到第二管状容器中的孔。 联接器包括一个或多个径向延伸的构件和基本上非金属的管状构件。 基本上非金属管状构件包括外壁，限定具有开口远端和敞开近端的内腔的内壁和环绕外壁的周向脊，径向延伸构件从管状构件的远端延伸。 一种制造耦合器的方法，包括制造径向延伸部件; 将径向延伸的构件放置在模具内; 将材料注入模具中; 使材料固化以形成耦合器; 并从模具中取出耦合器。 联接器包括具有外壁的管状构件，限定具有敞开的远端和敞开的近端的内腔的内壁和环绕外壁的周向脊。 径向延伸的构件从管状构件的远端延伸。

    Athletic devices and other devices with superelastic components
    33.
    发明授权
    Athletic devices and other devices with superelastic components 失效
    运动装置和其他具有超弹性组件的装置

    公开(公告)号：US06916035B2

    公开(公告)日：2005-07-12

    申请号：US10050944

    申请日：2002-01-22

    申请人： Russell A. Houser ,  William D. Hare

    发明人： Russell A. Houser ,  William D. Hare

    IPC分类号： A63B31/08 ,  A63B49/00 ,  A63B49/02 ,  A63B53/04 ,  A63B59/00 ,  A63B59/14 ,  A63C5/12 ,  A63C11/22 ,  B60G11/00 ,  B62D35/00 ,  B62K19/04 ,  B62K25/04 ,  F16F1/36 ,  A63C5/07

    CPC分类号： F16F1/3605 ,  A63B31/08 ,  A63B49/00 ,  A63B49/02 ,  A63B49/03 ,  A63B53/04 ,  A63B59/70 ,  A63B60/08 ,  A63B60/54 ,  A63B2102/24 ,  A63B2209/00 ,  A63B2209/02 ,  A63B2209/14 ,  A63C5/12 ,  A63C11/22 ,  A63C17/0046 ,  B60G11/00 ,  B60G2202/14 ,  B60G2206/70 ,  B62D35/00 ,  B62K19/04 ,  B62K25/04 ,  B62K2025/041

    摘要： A racket includes a handle section, a head section, and a connecting section positioned between the handle section and the head section. One or more of the handle section, the head section, and the connecting section include a superelastic metal. The racket, other athletic devices and other devices containing superelastic components are capable of producing a spring force in response to a deflection. The superelastic components may improve the performance of rackets, athletic devices and other devices by increasing the contact duration between the active element of the device and objects against which the devices are configured to exert a force. The superelastic components also provide increased resistance to breakage or plastic deformation of the racket, athletic device or other devices, especially when exposed to frequent deflections. Superelastic components are able to decrease the weight of rackets, athletic devices, or other devices without sacrificing strength. The superelastic components also enable applying a specific spring force at a flex point of the racket to enhance the dynamic response resulting from a desired deflection.

    摘要翻译： 球拍包括手柄部分，头部部分和位于手柄部分和头部部分之间的连接部分。 手柄部分，头部部分和连接部分中的一个或多个包括超弹性金属。 球拍，其他运动装置和包含超弹性部件的其他装置能够产生响应于偏转的弹簧力。 超弹性组件可以通过增加设备的活动元件和设备被配置成施加力的物体之间的接触持续时间来改善球拍，运动装置和其他装置的性能。 超弹性组件还提供增加的抵抗破裂或球拍，运动装置或其他装置的塑性变形，特别是当暴露于频繁的偏转时。 超弹性组件能够在不牺牲强度的情况下降低球拍，运动装置或其他装置的重量。 超弹性部件还能够在球拍的弯曲点处施加特定的弹簧力以增强由期望的偏转引起的动态响应。

    Spring assembly for catheter
    36.
    发明授权
    Spring assembly for catheter 失效
    弹簧组件用于导管

    公开(公告)号：US5902291A

    公开(公告)日：1999-05-11

    申请号：US937819

    申请日：1997-09-29

    申请人： Russell A. Houser ,  Russell B. Thompson

    发明人： Russell A. Houser ,  Russell B. Thompson

    IPC分类号： A61M25/00 ,  A61M25/01

    CPC分类号： A61M25/0041 ,  A61M25/0133 ,  A61M2025/09191

    摘要： A catheter having a proximal portion and a distal portion terminating in a distal tip, is provided with a spring assembly contained within its distal tip portion for providing a bias against side to side deflection of the distal tip. The assembly preferably includes a central wire having a first diameter, which central wire extends from the proximal portion of the catheter to the distal portion, and a plurality of wires secured to the central wire adjacent the distal end thereof. Each of the wires is stranded together, preferably twisted helically, around the central wire and preferably has a second diameter substantially smaller than the first diameter. Alternatively, the stranded wires can be attached along and parallel to the larger diameter wire, and the latter wire is of a substantially greater length than the stranded wires.

    摘要翻译： 具有终端于远侧末端的近端部分和远侧部分的导管设置有包含在其远侧末端部分内的弹簧组件，用于提供抵抗远侧末端的侧向偏转的偏压。 组件优选地包括具有第一直径的中心线，该中心线从导管的近端部分延伸到远侧部分，以及固定到中心线的多个线，其邻近其远端。 每个电线绞合在一起，优选螺旋地绞合在中心线周围，并且优选地具有基本上小于第一直径的第二直径。 或者，绞合线可以沿着并且平行于较大直径的线被附接，并且后者的线的长度比绞合线大得多。

    Guided Tissue Cutting Device, Method of Use and Kits Therefor
    37.
    发明申请
    Guided Tissue Cutting Device, Method of Use and Kits Therefor 审中-公开
    导向组织切割装置，使用方法和套件

    公开(公告)号：US20090143808A1

    公开(公告)日：2009-06-04

    申请号：US12327655

    申请日：2008-12-03

    申请人： Russell A. Houser

    发明人： Russell A. Houser

    IPC分类号： A61B17/32 ,  A61B18/04

    CPC分类号： A61B17/0057 ,  A61B17/0644 ,  A61B17/32 ,  A61B17/3209 ,  A61B18/1482 ,  A61B2017/00659 ,  A61B2017/00668 ,  A61B2017/0641 ,  A61B2018/00601 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2090/036

    摘要： The present invention relates to a guided tissue cutter configured to receive a cutter adapted to cut a target, and an elongate channel along the length of the tissue cutter adaptable to slide or rotate along or around an elongate member, The elongate member can be a medical device. The tissue cutter can comprise one or more stop members that permit the cutter to penetrate a predetermined region of a target tissue to a predetermined depth and to inhibit further penetration of a tissue beyond the predetermined region of the target tissue. The tissue cutter can be configured to clip or snap on and off of the elongate member.

    摘要翻译： 本发明涉及一种被配置为接收适于切割目标的切割器的引导组织切割器，以及沿着组织切割器的长度的细长通道，其适于沿着或围绕细长构件滑动或旋转。细长构件可以是医疗 设备。 组织切割器可以包括一个或多个止动构件，其允许切割器穿透目标组织的预定区域到预定深度并且抑制组织进一步穿透超过目标组织的预定区域。 组织切割器可以被构造成夹紧或卡扣细长构件。

    VASCULAR CLOSURE DEVICES, SYSTEMS, AND METHODS OF USE
    38.
    发明申请
    VASCULAR CLOSURE DEVICES, SYSTEMS, AND METHODS OF USE 有权
    血管闭合装置，系统和使用方法

    公开(公告)号：US20090143789A1

    公开(公告)日：2009-06-04

    申请号：US12263322

    申请日：2008-10-31

    申请人： Russell A. Houser

    发明人： Russell A. Houser

    IPC分类号： A61B17/08 ,  A61B17/10 ,  A61B19/00

    CPC分类号： A61B17/0057 ,  A61B2017/00668

    摘要： A tissue closure system can include a deployment instrument and a sealing element. The deployment instrument can be slidably mounted to and guided by a tubular medical device. The deployment instrument can be advanced over the tubular medical device to the desired location. The sealing element can then be advanced off of the end of the tool. The sealing element can include tissue engaging elements that are configured to automatically close upon deployment to bring together tissue. A slidably attached guided skin (or other tissue) cutter can also be used if desired to facilitate entry of the deployment instrument.

    摘要翻译： 组织封闭系统可以包括展开仪器和密封元件。 展开仪器可以滑动地安装到管状医疗装置并由其引导。 部署仪器可以在管状医疗设备上推进到所需的位置。 密封元件然后可以从工具的端部推出。 密封元件可以包括组织接合元件，其被配置为在展开时自动关闭以将组织组合在一起。 如果需要，还可以使用可滑动附接的导向皮肤（或其他组织）切割器以便于展开仪器的进入。

    Tissue heating device and RF heating method with tissue attachment feature
    40.
    发明授权
    Tissue heating device and RF heating method with tissue attachment feature 有权
    组织加热装置和RF加热方法与组织附着特征

    公开(公告)号：US07172590B1

    公开(公告)日：2007-02-06

    申请号：US10906164

    申请日：2005-02-04

    申请人： Russell A. Houser

    发明人： Russell A. Houser

    IPC分类号： A61B18/04 ,  A61B18/18

    CPC分类号： A61B18/1492 ,  A61B2018/00601 ,  A61B2018/1861 ,  A61B2218/007

    摘要： A tissue cutting device includes a catheter with a window at its distal tip for admitting tissue into a catheter compartment. A cylindrical cartridge in the compartment has a cutting edge that supports an electrically conductive cutting element, e.g. a band or wire. The cutting element and adjacent tissue can be heated to a selected temperature by generating an electrical current through the cutting element. The catheter is maneuverable to position its distal end near the tissue to be cut. The catheter incorporates a dilatation balloon or other feature to urge the catheter against the tissue, so that at least part of the tissue may enter the compartment through the window. Then, the cartridge is manipulated from the catheter's proximal end to move the cutting edge across the window, cutting the tissue. According to alternative embodiments, the cartridge is either rotated or moved axially relative to the catheter and, in either event may be capable of closing the catheter window when the cut is complete. Further alternatives involve either placing an indifferent electrode on the patient and providing an RF signal via a single conductor to the cutting element for ohmic heating, or providing an RF (or a DC) current through the cutting element and two separate conductors for direct resistive heating of the cutting element.

    摘要翻译： 组织切割装置包括在其远侧末端具有窗口的导管，用于将组织导入导管室。 隔室中的圆柱形盒具有支撑导电切割元件的切割边缘，例如， 乐队或电线。 可以通过产生通过切割元件的电流将切割元件和相邻组织加热到所选择的温度。 导管是可操纵的，以将其远端定位在待切割组织附近。 该导管结合有扩张球囊或其它特征以将导管推向组织，使得组织的至少一部分可通过窗口进入隔室。 然后，从导管的近端操作药筒以使切割边缘移过窗口，切割组织。 根据替代实施例，筒相对于导管旋转或轴向移动，并且在任一情况下，当切割完成时，可以能够关闭导管窗口。 另外的替代方案包括将无关电极放置在患者身上，并通过单个导体向切割元件提供RF信号用于欧姆加热，或提供通过切割元件的RF（或DC）电流和用于直接电阻加热的两个分开的导体 的切割元件。