公开(公告)号：US08388633B2

公开(公告)日：2013-03-05

申请号：US13075442

申请日：2011-03-30

申请人： Robert A. Rousseau ,  David C. Lindh, Sr. ,  John R. Jacobs ,  Ilya S. Koyfman ,  Gaoyuan Gavin Chen ,  Donald G. Hill

发明人： Robert A. Rousseau ,  David C. Lindh, Sr. ,  John R. Jacobs ,  Ilya S. Koyfman ,  Gaoyuan Gavin Chen ,  Donald G. Hill

IPC分类号： A61B17/08

CPC分类号： A61F2/02 ,  A61F2/0063 ,  A61F2002/0068 ,  A61F2210/0004

摘要： An implantable prosthesis for repairing or reinforcing a tissue or muscle wall defect including a first composite structure including at least one layer of a non-absorbable material, wherein the first composite structure has a central portion sized and shaped to cover at least a portion of the tissue or muscle wall defect, and has an outer periphery. The prosthesis further includes a second structure having a reinforced central region and an outer peripheral edge, a reinforcing element positioned between the first and second structures, and having an outer periphery and a stiffness greater than that of the first and second structures, and at least one pulling element coupled to the reinforced central region of the second structure. The second structure is coupled to the first structure substantially only at their respective peripheries.

公开(公告)号：US08272386B2

公开(公告)日：2012-09-25

申请号：US10830948

申请日：2004-04-23

申请人： Robert A. Rousseau ,  An-Min Jason Sung

发明人： Robert A. Rousseau ,  An-Min Jason Sung

IPC分类号： A61B19/00 ,  A61B19/08 ,  A61F13/00

CPC分类号： A61F13/023 ,  A61B17/085 ,  A61F13/0206 ,  A61F13/0209 ,  A61F13/022 ,  A61F13/0223 ,  A61F13/0259 ,  A61F2013/0057

摘要： A surgical wound closure device comprising multiple layers joined at only one edge of each layer in a book-like arrangement and having opposite unjoined edges, including a substrate having a proximal surface and a distal surface; a drape having a proximal surface and a distal surface, and being disposed proximally to said substrate; and an adhesive layer having a proximal surface and a distal surface; said drape being disposed releasably adherently to said distal surface of said adhesive layer. Also provided is a surgical procedure employing a surgical wound closure device.

摘要翻译： 一种手术伤口闭合装置，包括多个层，其仅以书本形式在每层的一个边缘处连接并具有相对的未接合边缘，包括具有近端表面和远侧表面的基底; 具有近侧表面和远侧表面的盖布，并且被布置在所述基底的近侧; 以及具有近端表面和远侧表面的粘合剂层; 所述盖布可剥离地贴合在所述粘合剂层的所述远端表面上。 还提供了采用手术伤口闭合装置的外科手术。

公开(公告)号：US08226684B2

公开(公告)日：2012-07-24

申请号：US12340829

申请日：2008-12-22

申请人： Jesse G. Nawrocki ,  David C. Lindh, Sr. ,  Robert A. Rousseau

发明人： Jesse G. Nawrocki ,  David C. Lindh, Sr. ,  Robert A. Rousseau

IPC分类号： A61B17/04

CPC分类号： A61B17/06166 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/06176 ,  A61B2017/06185

摘要： A surgical suture includes a shaft having a leading end, a trailing end, and an outer surface extending between the leading and trailing ends. The surgical suture includes a plurality of flexible protrusions extending from the shaft, and a lumen extending between the leading and trailing ends of the shaft. The shaft includes a plurality of openings formed in the outer surface thereof that are in communication with the lumen. The shaft includes a first axial opening at the leading end thereof in communication with the lumen and a second axial opening at the trailing end thereof in communication with the lumen. A flowable material may be disposed in the lumen. After the surgical suture is implanted, the flowable material is adapted to pass from the lumen and through the plurality of openings in the outer surface of the shaft for contacting tissue surrounding the suture.

摘要翻译： 手术缝合线包括具有前端，后端和在前端和后端之间延伸的外表面的轴。 手术缝合线包括从轴延伸的多个柔性突起和在轴的前端和后端之间延伸的内腔。 轴包括在其外表面中形成的与内腔连通的多个开口。 轴包括在其前端处与内腔连通的第一轴向开口和在其后端处与腔连通的第二轴向开口。 可流动的材料可以设置在内腔中。 在植入手术缝合线之后，可流动材料适于从内腔通过并穿过轴的外表面中的多个开口，用于接触缝合线周围的组织。

公开(公告)号：US20110178608A1

公开(公告)日：2011-07-21

申请号：US13075442

申请日：2011-03-30

申请人： Robert A. Rousseau ,  David C. Lindh, SR. ,  John R. Jacobs ,  Ilya S. Koyfman ,  Gaoyuan Gavin Chen ,  Donald G. Hill

发明人： Robert A. Rousseau ,  David C. Lindh, SR. ,  John R. Jacobs ,  Ilya S. Koyfman ,  Gaoyuan Gavin Chen ,  Donald G. Hill

IPC分类号： A61F2/02

CPC分类号： A61F2/02 ,  A61F2/0063 ,  A61F2002/0068 ,  A61F2210/0004

摘要： An implantable prosthesis for repairing or reinforcing a tissue or muscle wall defect including a first composite structure including at least one layer of a non-absorbable material, wherein the first composite structure has a central portion sized and shaped to cover at least a portion of the tissue or muscle wall defect, and has an outer periphery. The prosthesis further includes a second structure having a reinforced central region and an outer peripheral edge, a reinforcing element positioned between the first and second structures, and having an outer periphery and a stiffness greater than that of the first and second structures, and at least one pulling element coupled to the reinforced central region of the second structure. The second structure is coupled to the first structure substantially only at their respective peripheries.

公开(公告)号：US20110100376A1

公开(公告)日：2011-05-05

申请号：US12608057

申请日：2009-10-29

申请人： Robert A. Rousseau

发明人： Robert A. Rousseau

IPC分类号： A61F5/56

CPC分类号： A61F5/566 ,  A61B5/00 ,  A61B5/48 ,  A61B5/4806 ,  A61B5/4818 ,  A61F5/00 ,  A61F5/0013 ,  A61F5/0033 ,  A61F5/37 ,  A61F5/56

摘要： An implant for treating obstructive sleep apnea includes a flexible chamber, a fluid reservoir in fluid communication with the flexible chamber, and a fluid transfer assembly in communication with the fluid reservoir and the flexible chamber for transferring fluid therebetween for selectively modifying the rigidity of the flexible chamber. The flexible chamber is implantable within the soft tissue of an oropharyngeal airway of a patient, such as within the tongue, the soft palate, or the pharyngeal wall. The fluid reservoir and the fluid transfer assembly are implantable within the inframandibular region of the patient. The fluid transfer assembly is selectively engageable by the patient for transferring fluid between the two chambers for modifying the rigidity, flexibility, and/or shape of the flexible chamber with minimal or no change to the volume of the implant.

摘要翻译： 用于治疗阻塞性睡眠呼吸暂停的植入物包括柔性室，与柔性腔流体连通的流体储存器，以及与流体储存器和柔性室连通的流体传递组件，用于在其间传送流体，用于选择性地改变柔性 房间。 柔性室可植入患者的口咽气道的软组织内，例如在舌头，软腭或咽壁内。 流体储存器和流体转移组件可植入患者的下颌下区域内。 液体转移组件可由患者选择性地接合以在两个腔室之间传送流体，用于通过对植入物的体积进行最小或不变化来改变柔性腔室的刚度，柔性和/或形状。

公开(公告)号：US06712859B2

公开(公告)日：2004-03-30

申请号：US09894713

申请日：2001-06-28

申请人： Robert A. Rousseau ,  David Lindh

发明人： Robert A. Rousseau ,  David Lindh

IPC分类号： A61F204

CPC分类号： A61F2/0063 ,  A61B2017/00637

摘要： A hernia repair prosthesis with an occlusive member for inserting into and/or backing the herniated tissue. The occlusive member is convertible from a first configuration with a first axial length and first major radial extent to a second configuration with a second axial length and a second major radial extent. The second axial length is less than the first axial length and the second major radial extent is larger than the first major radial extent. The occlusive member has a pair of subsections, each having an apex, lands and pleats and each flaring outwardly therefrom towards a terminal end. The apexes are disposed at opposite ends of the occlusive member with the terminal ends overlapping. The pair of subsections are conjoined proximate the overlapping terminal ends. The terminal end of one or both of the subsections may be in the form of a conic flange mimicking the lands and pleats of the other subsection providing automatic alignment and nesting to aid in the attachment of the two subsections. In accordance with methods for forming the subsections, a surgical fabric is thermoset on a male die and may be stretched or heat shrunk to aid in conforming the surgical fabric to the contours of the male die. The subsections may be joined by ultrasound.

摘要翻译： 具有用于插入和/或支撑突出的组织的闭塞构件的疝修补假体。 闭合构件可从具有第一轴向长度和第一主要径向范围的第一构造转换成具有第二轴向长度和第二主要径向范围的第二构造。 第二轴向长度小于第一轴向长度，第二主要径向范围大于第一主要径向范围。 闭塞构件具有一对子部分，每个子部分具有顶点，平台和褶皱，并且每个部分从其向外朝向末端向外扩张。 顶点设置在闭塞构件的相对端，终端重叠。 一对子部分在重叠的终端附近相连。 一个或两个子部分的终端可以是模仿其他子部分的脊和褶的圆锥法兰的形式，提供自动对准和嵌套以辅助两个子部分的附接。 根据用于形成子部分的方法，手术织物在阳模上热固化，并且可以被拉伸或热收缩以帮助将外科织物与阳模的轮廓一致。 子部分可以通过超声波连接。

公开(公告)号：US06551356B2

公开(公告)日：2003-04-22

申请号：US09812194

申请日：2001-03-19

申请人： Robert A. Rousseau

发明人： Robert A. Rousseau

IPC分类号： A61F202

CPC分类号： A61F2/0063 ,  A61B2090/3937

摘要： A device for surgically repairing and reinforcing a hernia includes a hernia prosthesis having a substantially planar base portion and an overlay portion, each formed from a biocompatible material. The overlay portion is peripherally attached to the base portion to define a pocket to receive a surgical instrument or a surgeon's finger for placing the prosthesis within the human body. The pocket may be formed with releasable stitching to enable it to be flattened or removed after placement and may contain a resilient member that urges the prosthesis into a flat configuration.

公开(公告)号：US06425924B1

公开(公告)日：2002-07-30

申请号：US09540793

申请日：2000-03-31

申请人： Robert A. Rousseau

发明人： Robert A. Rousseau

IPC分类号： A61F202

CPC分类号： A61B17/0057 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00606 ,  A61B2017/0061 ,  A61B2017/00898 ,  A61F2/0063

摘要： The present invention is directed to prostheses containing a radially-expandable member for placement within and occlusion of a hernia opening, which member is made from a biocompatible, flexible, porous textile suitable for reinforcing tissue.

公开(公告)号：US06302897B1

公开(公告)日：2001-10-16

申请号：US09443882

申请日：1999-11-19

申请人： Robert A. Rousseau

发明人： Robert A. Rousseau

IPC分类号： A61B1700

CPC分类号： A61F2/0063 ,  A61B17/00234 ,  A61B17/0218 ,  A61B2017/00535 ,  A61F2002/0072

摘要： A thermoformed bladder is disclosed for assisting in the application of prosthetic mesh devices. The unit is fabricated from two layers of film that have been thermoformed in one localized region and then sealed. The sealed unit has air trapped within the three dimensional portion which can be forced into the non-formed region causing the non-formed region to expand and apply force against the prosthesis to assist in deployment.

摘要翻译： 公开了一种用于辅助假牙网装置的应用的热成型囊。 该单元由在一个局部区域中热成型然后密封的两层膜制成。 密封单元具有被捕获在三维部分内的空气，该三维部分可以被迫进入非形成区域，从而使未形成的区域膨胀并对假体施加力以辅助展开。

公开(公告)号：US5971995A

公开(公告)日：1999-10-26

申请号：US50300

申请日：1998-03-30

申请人： Robert A. Rousseau

发明人： Robert A. Rousseau

IPC分类号： A61B17/00 ,  A61B17/24 ,  A61B17/26

CPC分类号： A61B17/00234 ,  A61B2017/00287

摘要： A surgical pouch instrument has three elongated coaxial members, each capable of telescopic movement relative to the others. A surgical pouch is supported upon a plurality of support blades attached to a distal end of the innermost coaxial member. The pouch support blades having a deployed configuration approximating a hoop which is mechanically discontinuous at one point with the discontinuity compensated for by the overlapping of the blades. In a stored configuration, at least one of the blades is folded back upon another to permit the hoop to be compressed for storage without extending to its full compressed length. A preferred embodiment features an independent blade that overlaps and bridges the gap between two blades that are attached to the innermost member.

摘要翻译： 外科手术袋具有三个细长的同轴构件，每个均可相对于其它的伸缩运动。 手术袋被支撑在附接到最内同轴构件的远端的多个支撑叶片上。 袋支撑刀片具有接近箍的展开构型，该环在一点上机械地不连续，而不连续性由叶片的重叠补偿。 在存储的构造中，至少一个叶片被折叠在另一个上，以允许箍被压缩以用于存储而不延伸到其完全压缩长度。 优选实施例具有独立的刀片，其重叠并桥接连接到最内部构件的两个刀片之间的间隙。