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    Blood vessel clip and applicator
    41.
    发明授权
    Blood vessel clip and applicator 有权
    血管夹和敷贴器

    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。

    Apparatus and method for surgical fastening
    42.
    发明授权
    Apparatus and method for surgical fastening 有权
    手术紧固装置及方法

    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。

    Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
    43.
    发明授权
    Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
    用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法

    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。

    Blood vessel clip applicator
    45.
    发明授权
    Blood vessel clip applicator 有权
    血管夹施放器

    公开(公告)号：US06537289B1

    公开(公告)日：2003-03-25

    申请号：US09689220

    申请日：2000-10-11

    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, preferably comprising spring quality material, has a head connected to a first leg and a second leg. Preferably, the two legs of the blood vessel clip are in a “V” configuration so that a blood vessel can be located therebetween. The blood vessel clip is adapted so that, when forced axially through a constricted region of a clip applicator, a compressive force is exerted on the head by the constricted region. This compressive force causes the legs of the clip to move closer relative to one another, thereby closing the clip and occluding a blood vessel located between the two legs. A variety of blood vessel clips having different shapes, cross-sections and grooves suitable for occluding a blood vessel are described.

    Abstract translation: 优选地包括弹簧质量材料的血管夹具有连接到第一腿部和第二腿部的头部。 优选地，血管夹的两条腿处于“V”形状，使得血管位于它们之间。 血管夹被适配成使得当被迫轴向穿过夹子施加器的收缩区域时，压缩力由收缩区域施加在头部上。 该压缩力使得夹子的腿相对于彼此移动更靠近，从而闭合夹子并阻塞位于两个腿之间的血管。 描述了具有不同形状，各种适合于阻塞血管的截面和凹槽的血管夹。

    Method and apparatus for combined dissection and retraction
    46.
    发明授权
    Method and apparatus for combined dissection and retraction 有权
    用于组合解剖和收缩的方法和装置

    公开(公告)号：US06468205B1

    公开(公告)日：2002-10-22

    申请号：US09472765

    申请日：1999-12-27

    Applicant: Kenneth H. Mollenauer ,  James E. Jervis

    Inventor： Kenneth H. Mollenauer ,  James E. Jervis

    IPC: A61B1900

    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。

    Apparatus for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
    50.
    发明授权
    Apparatus for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
    用于腹腔镜可视化开发用于腹腔镜手术的解剖空间的装置

    公开(公告)号：US6004337A

    公开(公告)日：1999-12-21

    申请号：US990385

    申请日：1997-12-15

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

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

    IPC: A61B17/32 ,  A61B17/00

    CPC classification number: A61B17/32 ,  A61B2017/320048

    Abstract: Apparatus for creating an anatomic space in tissue in a body of a patient using a cannula with proximal and distal extremities and a bore extending therethrough to provide an open end. A balloon having an inflated space is provided. The balloon is capable of assuming collapsed and inflated conditions. A retainer is carried by the balloon for forming the balloon when in a collapsed condition into a generally cylindrical roll to aid in inserting the balloon into the tissue. An obturator shaft having a rounded distal end is sized so that it extends through the cannula and into the roll. A laparoscope can be introduced into the obturator shaft to permit viewing through the obturator shaft and the balloon. An inflation tube is provided for inflating the balloon after it is disposed in the tissue to cause the balloon to progressively expand to create separation forces in the tissue to create the anatomic space.

    Abstract translation: 用于使用具有近端和远端四肢的套管以及穿过其延伸以提供开放端的孔来在患者身体中的组织中产生解剖空间的装置。 提供具有充气空间的气球。 气球能够承担塌缩和膨胀的状况。 保持器由气囊承载，以在塌缩状态下形成气囊以形成大致圆柱形的辊以有助于将气囊插入组织中。 具有圆形远端的闭孔轴的尺寸设计成使得其延伸穿过套管并进入辊中。 腹腔镜可以被引入到闭孔轴中以允许通过闭孔轴和气囊观察。 提供充气管，用于在将气囊放置在组织中之后对气囊进行充气，以使气囊逐渐膨胀以在组织中产生分离力以产生解剖空间。

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