公开(公告)号：US5486183A

公开(公告)日：1996-01-23

申请号：US774016

申请日：1991-10-09

Applicant: Lee M. Middleman ,  Walter R. Pyka ,  Michael Buhler ,  Philippe Poncet ,  Karl Van Dyk ,  James E. Jervis

Inventor： Lee M. Middleman ,  Walter R. Pyka ,  Michael Buhler ,  Philippe Poncet ,  Karl Van Dyk ,  James E. Jervis

IPC: A61B17/06 ,  A61B10/00 ,  A61B10/02 ,  A61B10/06 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/08 ,  A61B17/10 ,  A61B17/12 ,  A61B17/22 ,  A61B17/221 ,  A61B17/28 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/08 ,  A61B18/14 ,  A61F2/00 ,  A61M25/00 ,  B25B9/00 ,  B25J18/06 ,  B25J19/00 ,  B26B13/26

CPC classification number: B25B9/00 ,  A61B10/02 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0625 ,  A61B17/08 ,  A61B17/10 ,  A61B17/12013 ,  A61B17/221 ,  A61B17/29 ,  A61B17/320016 ,  A61B17/32056 ,  A61B18/082 ,  B26B13/26 ,  A61B10/06 ,  A61B17/30 ,  A61B17/3201 ,  A61B17/3421 ,  A61B18/10 ,  A61B2017/00287 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/0038 ,  A61B2017/00455 ,  A61B2017/00867 ,  A61B2017/0409 ,  A61B2017/06052 ,  A61B2017/06171 ,  A61B2017/22072 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2017/2936 ,  A61B2017/2937 ,  A61B2017/2943 ,  A61B2017/303 ,  A61B2017/320064 ,  A61B2017/32113 ,  A61B2018/00642 ,  A61B2018/00791 ,  A61B2018/1407 ,  A61B2090/0811 ,  A61F2002/30093 ,  A61F2210/0019

Abstract: The present invention accordingly provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the said space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.Preferably the invention provides such a device or apparatus which is of elongate form for surgical manipulation of matter within a living body, and which has the manipulator means at its distal end with the shape memory alloy member(s) having pseudoelasticity at the temperature to be encountered within that body, and wherein the actuating means is operable from the proximal end of the device.

Abstract translation: 因此，本发明提供了一种用于在有限或不可接近的空间中操纵物质的装置或装置，包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭转的细长形状记忆合金构件构造的操纵器装置，以及中空壳体 （优选为细长管状形式）或能够至少保持形状记忆合金构件处于相对矫直状态的套管;以及致动装置，用于将形状记忆合金构件从壳体延伸到操纵所述形状记忆合金构件内的物质 空间并且用于将形状记忆合金构件拉出到壳体中，该布置使得形状记忆合金构件以侧向或螺旋方式假弹性地弯曲或扭曲以操纵该物质 在所述操作温度下从壳体延伸，并且在所述温度下退回到壳体中时变得相对矫直。 优选地，本发明提供了一种这样的装置或装置，其具有用于外科手术操作生物体内的物质的细长形式，并且在其远端处具有操纵器装置，其形状记忆合金构件在温度下具有假弹性 在该身体内遇到，并且其中致动装置可从装置的近端操作。

公开(公告)号：US5199089A

公开(公告)日：1993-03-30

申请号：US825234

申请日：1992-01-24

Applicant: Bruce D. Campbell ,  Joseph Zucker ,  James E. Jervis

Inventor： Bruce D. Campbell ,  Joseph Zucker ,  James E. Jervis

IPC: G02B6/38 ,  G02B6/42 ,  G02B6/44 ,  H04B10/20

CPC classification number: G02B6/444 ,  G02B6/3878 ,  G02B6/4248 ,  G02B6/4287 ,  G02B6/3816 ,  G02B6/3827 ,  G02B6/3829 ,  G02B6/3887 ,  G02B6/4251 ,  G02B6/4274 ,  G02B6/4286

Abstract: A strained distributed optical fiber distribution network includes read and write optical fibers having taps attached thereto in series so as to strain portions of the fiber in excess of 0.60%, the strained portions being environmentally isolated by an enclosure which includes gel filled seals subject to a resilient load.

Abstract translation: 应变分布式光纤分配网络包括具有连接到其上的抽头的读和写光纤，以便使纤维的部分变得超过0.60％，所述应变部分由外壳环境隔离，外壳包括凝胶填充密封件 弹性负载。

公开(公告)号：US4909756A

公开(公告)日：1990-03-20

申请号：US239078

申请日：1988-08-31

Applicant: James E. Jervis

Inventor： James E. Jervis

IPC: G02B6/44 ,  H01R13/52 ,  H02G15/10 ,  H02G15/117

CPC classification number: H02G15/117 ,  G02B6/4447 ,  H01R13/5216 ,  H02G15/10

Abstract: A splice case for encapsulating a substrate includes first and second containers each of which contain a gel having a cone penetration between 100 and 350 (10.sup.-1 mm) and an ultimate elongation of at least 200%, the gel in each container having an exposed surface, one exposed surface having a cross-sectional area larger than the cross-sectional area of the other exposed surface, the first and second containers being adapted for telescopic engagement. The substrate is located on one of the exposed surfaces of the gel, and the containers are arranged such that the exposed surfaces of the gel of the first and second containers contact each other and are maintained in compressive contact by a spring capable of maintaining a sufficiently large spring force to repel environmental contamination (for example, water) regardless of the engagement of the containers in response to the biasing force of the spring, substrate volume, or other external factors such as expansions and contractions caused by, for example, temperature changes. Additionally, the splice case may contain means for enhancing the encapsulation of the substrate.

Abstract translation: 用于封装衬底的接头壳体包括第一和第二容器，每个容器都包含具有100至350（10-1mm）的锥形穿透和至少200％的极限伸长率的凝胶，每个容器中的凝胶具有暴露的 表面，一个暴露表面的横截面积大于另一暴露表面的横截面面积，第一和第二容器适于伸缩接合。 衬底位于凝胶的一个暴露表面上，并且容器被布置成使得第一和第二容器的凝胶的暴露表面彼此接触并且通过弹簧保持压缩接触，弹簧能够充分地保持 无论弹簧的偏置力，基板体积或其他外部因素（例如温度变化引起的膨胀和收缩）如何容纳容器的接合，都会产生大的弹簧力来排斥环境污染（例如水） 。 另外，接合壳体可以包含用于增强衬底的封装的装置。

公开(公告)号：US4035007A

公开(公告)日：1977-07-12

申请号：US410314

申请日：1973-10-29

Applicant: John D. Harrison ,  James E. Jervis

Inventor： John D. Harrison ,  James E. Jervis

IPC: F16L13/00 ,  F16L25/00

CPC classification number: F16L13/004 ,  Y10T29/49865

Abstract: A coupling for tubes, pipes or the like, fabricated of heat recoverable metal that is treated so that it will contract when heated above its transition temperature spontaneously expand when cooled to its transition temperature to permit it to be installed or removed from the pipes.

Abstract translation: 由可回收金属制成的用于管，管等的联接器，其被处理以使其在加热高于其转变温度时收缩，当冷却至其转变温度时自发膨胀，以允许其从管道中安装或移除。

公开(公告)号：US20100049215A1

公开(公告)日：2010-02-25

申请号：US12609083

申请日：2009-10-30

Applicant: Helmut L. Kayan ,  James E. Jervis

Inventor： Helmut L. Kayan ,  James E. Jervis

IPC: A61B17/10

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. A third embodiment of the invention has a fastener applicator having only one actuated part in its. Application mechanism, and makes use of biased springs controlled by position of the actuated part for the remaining part of the mechanism. A fourth embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus application mechanism will not reverse in the middle of a triggered application stroke. 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, pressing the fastener against the single focal point anvil using a slide; discharging the fastener into the tissue of the patient. The method may be executed within the fastener applicator that is detachable from the handle portion. According to another method, the fastener is applied by the following steps: the fastener is moved, from the storage channel, where it has been vertically stacked, to the driving channel by the biased fastener positioning spring as the slide is retracted; the slide is then advanced until the slide engages the fastener in the driving channel and drives the fastener over the anvil to form the fastener. During advancement of the slide the biased stop spring is forced back into a recess in the insert thereby allowing the next fastener to move forward in the storage channel in response to the force of the biased pusher spring; the slide is then retracted, freeing the biased ejector springs to kick the formed fastener off the end of the anvil; finally the slide is further retracted, until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.

公开(公告)号：US20090299124A1

公开(公告)日：2009-12-03

申请号：US12156298

申请日：2008-05-30

Applicant: Darius Francescatti ,  James E. Jervis

Inventor： Darius Francescatti ,  James E. Jervis

IPC: A61M36/04

CPC classification number: A61N5/1015 ,  A61N5/1043 ,  A61N5/1083

Abstract: A device for administering brachytherapy to a patient includes a vessel that may be in the form of a hollow cylindrical cup, for fleshing into and substantially filling the open-ended cavity. The vessel has a closed outer end, which may be a removable cover, and a source guide penetrates the closed outer end so as to extend deep into the vessel, to receive a radiation source in the source guide. A manipulator can be connected to the radiation source, and also to the source guide, for allowing several different types of manipulation of the source orientation and position within the vessel during the brachytherapy procedure.

Abstract translation: 用于向患者施行近距离放射疗法的装置包括可以是中空圆柱形杯形式的容器，用于充满开口腔并基本上填充开口腔。 容器具有封闭的外端，其可以是可移除的盖，并且源引导件穿过封闭的外端，以便深入到容器中，以在源引导件中接收辐射源。 操纵器可以连接到辐射源以及源引导件，用于允许在近距离放射治疗过程期间几何不同类型的源取向和容器内的位置的操纵。

公开(公告)号：US07604609B2

公开(公告)日：2009-10-20

申请号：US10818044

申请日：2004-04-05

Applicant: James E. Jervis

Inventor： James E. Jervis

IPC: A61M3/00 ,  A61M1/00

CPC classification number: A61C3/00 ,  A61B1/32 ,  A61B17/00 ,  A61B17/00008 ,  A61B17/02 ,  A61B2017/00867

Abstract: A needle device which is manufactured from shape memory or pseudo-elastic materials, such as Nickel Titanium alloys, is provided which may be formed and used repeatedly without adverse effects, such as permanent deformation or fatigue failure. The device in accordance with the present disclosure may be provided having an initial shape which a doctor may bend to a desired shape. The device may be easily returned to its initial shape after use by heating the device above a predetermined sterilization temperature. This cycle may be repeated during subsequent uses, substantially extending the life of the instrument, due to the reduced work hardening and enhanced fatigue properties of the Nickel Titanium device.

Abstract translation: 提供由形状记忆体或诸如镍钛合金的假弹性材料制成的针装置，其可以重复地形成和使用，而不会产生诸如永久变形或疲劳失效的不利影响。 可以提供根据本公开的装置，其具有医生可以弯曲到期望形状的初始形状。 通过将装置加热到预定的灭菌温度以上，装置可以容易地在使用后恢复到初始形状。 由于减少的加工硬化和镍钛设备的疲劳性能的提高，可以在后续使用期间重复该循环，从而大大延长了仪器的使用寿命。

公开(公告)号：US20090112047A1

公开(公告)日：2009-04-30

申请号：US11978147

申请日：2007-10-26

Applicant: Mark P. Carol ,  James E. Jervis ,  Paul A. Lovoi

Inventor： Mark P. Carol ,  James E. Jervis ,  Paul A. Lovoi

IPC: A61M36/04

CPC classification number: A61N5/1015 ,  A61B1/00082 ,  A61B1/00094 ,  A61B1/018 ,  A61B1/2676 ,  A61M1/0023 ,  A61N5/1002

Abstract: Brachytherapy treatment of a patient's lung tissue following resection is effected using a balloon applicator which is inserted, normally through the same opening used for the surgery, through the chest wall and into the cavity. The lung and chest openings are closed around the applicator and generally sealed around the applicator. A suction port is provided, in a suction circuit of the applicator, to withdraw fluid from the pleural cavity, at intervals as needed, to assure that the lung can be inflated. Different embodiments of suction circuits are disclosed. A bronchial applicator and method are also disclosed.

Abstract translation: 切除术后患者肺组织的近距离放射治疗使用气囊施放器进行，通常穿过用于手术的相同开口通过胸壁插入腔中。 肺和胸部开口围绕涂抹器封闭，并且通常围绕敷贴器密封。 在施用器的抽吸回路中设置吸入口，以便根据需要间隔地从胸膜腔中取出流体，以确保肺可以膨胀。 公开了吸入电路的不同实施例。 还公开了支气管施用器和方法。

公开(公告)号：US20090076533A1

公开(公告)日：2009-03-19

申请号：US12271103

申请日：2008-11-14

Applicant: Helmut Kayan ,  James E. Jervis

Inventor： Helmut Kayan ,  James E. Jervis

IPC: A61B17/122

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，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。 在替代实施例中，柱塞施加具有直接冲程的血管夹。 柱塞具有多个阶梯式压痕，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：US20080306323A1

公开(公告)日：2008-12-11

申请号：US11811295

申请日：2007-06-07

Applicant: James E. Jervis ,  Paul A. Lovoi

Inventor： James E. Jervis ,  Paul A. Lovoi

IPC: A61N5/00

CPC classification number: A61N5/1016

Abstract: An everting applicator for brachytherapy of body cavities such as the vagina has a flexible sleeve secured to a distal mandrel, both the sleeve and the mandrel having internal lumens. The flexible sleeve has a diverging opening at its distal end, preferably bell-shaped or cone-shaped, such that when the open end is pushed against the mouth of a vagina, the sleeve will evert back upon itself, progressively unrolling to an inside out configuration wherein, fully inserted, the sleeve is fully everted back over the exterior surface of the mandrel. A radiation source, isotopic or electronic, is then inserted into the mandrel lumen to commence a therapeutic irradiation procedure of tissues of the vagina.

Abstract translation: 用于诸如阴道的体腔近距离放射治疗的止痛器具有固定到远端心轴的柔性套管，套筒和心轴都具有内腔。 柔性套管在其远端具有分叉的开口，优选为钟形或锥形，使得当开口端被推靠在阴道口时，套筒将自身退回，逐渐展开到内侧 配置，其中，完全插入，套筒完全退回到心轴的外表面上。 然后将辐射源，同位素或电子插入到心轴腔中，以开始阴道组织的治疗辐射程序。