公开(公告)号：US20130150832A1

公开(公告)日：2013-06-13

申请号：US13728940

申请日：2012-12-27

申请人： Amir Belson ,  James J. Leary

发明人： Amir Belson ,  James J. Leary

IPC分类号： A61B17/00

CPC分类号： A61B17/00 ,  A61B1/00087 ,  A61B1/04 ,  A61B1/3132 ,  A61B1/32 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0483 ,  A61B17/29 ,  A61B17/3201 ,  A61B17/3423 ,  A61B34/30 ,  A61B34/37 ,  A61B90/361 ,  A61B2017/00278 ,  A61B2017/00362 ,  A61B2017/00411 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/00876 ,  A61B2017/2901 ,  A61B2017/2902 ,  A61B2017/2931 ,  A61B2017/2943 ,  A61B2090/306 ,  A61B2090/3614

摘要： Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.

摘要翻译： 描述的装置和方法允许将内窥镜和腹腔镜手术的技术组合成称为NOTES辅助腹腔镜手术的微创混合手术技术。 描述了一种手动和机器人控制的模块化腹腔镜工具，其具有腹腔镜输送到外科手术部位的小直径轴。 较大直径的工作尖端通过插入到外科手术部位的NOTES输送管通过自然孔口输送并连接到模块化腹腔镜工具的轴上。 更大直径的工作提示提高了模块化腹腔镜工具的有效性，也可以减少所用腹腔镜口的数量和尺寸。

公开(公告)号：US20130085554A1

公开(公告)日：2013-04-04

申请号：US13603955

申请日：2012-09-05

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61F7/00 ,  A61F7/12

CPC分类号： A61F7/12 ,  A61F7/0085 ,  A61F7/02 ,  A61F2007/0063 ,  A61F2007/0069 ,  A61F2007/0095 ,  A61F2007/0234 ,  A61F2007/126

摘要： Peritoneal heat exchange provides the benefit of extremely rapid cooling of the patient's target organs such as the heart and brain as well as facilitating global patient body temperature reduction to therapeutically effective temperatures. The heat exchange medium of the present invention is a chilled gaseous fluid suspension of frozen ice particles.

摘要翻译： 腹膜热交换为患者的目标器官（例如心脏和脑）提供了非常快速的冷却效果，并有利于全身患者体温下降至治疗有效的温度。 本发明的热交换介质是冷冻冰颗粒的冷冻气态流体悬浮液。

公开(公告)号：US20130066365A1

公开(公告)日：2013-03-14

申请号：US13414176

申请日：2012-03-07

申请人： Amir Belson ,  Brian Beckey ,  James J. Leary

发明人： Amir Belson ,  Brian Beckey ,  James J. Leary

IPC分类号： A61B17/03

CPC分类号： A61B17/08 ,  A61B17/085 ,  A61B2017/081 ,  A61B2017/088

摘要： A surgical or wound closure device utilizes a slide fastener for rapidly closing a surgical incision or wound with precise apposition of the sides of the incision. The surgical closure devices are configured for linear incisions, shaped incisions, such as used for wedge biopsy or excisional biopsy, and long incisions, such as used for laparotomy or surgical removal of redundant skin. The surgical closure device may be adhered to the patient's skin prior to making an incision and is subsequently used for closing the incision.

摘要翻译： 外科手术或伤口闭合装置利用拉链来快速地闭合切口或切口的两侧的精确并置的伤口。 手术闭合装置被配置用于线性切口，成形切口，例如用于楔形活检或切除活检，以及长切口，例如用于剖腹手术或手术切除多余皮肤。 手术闭合装置可以在切口之前粘附到患者的皮肤上，随后用于闭合切口。

公开(公告)号：US20130035717A1

公开(公告)日：2013-02-07

申请号：US13648992

申请日：2012-10-10

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B17/22

CPC分类号： A61F2/013 ,  A61B17/00234 ,  A61B18/1492 ,  A61B2017/00243 ,  A61F2/01 ,  A61F2002/011 ,  A61F2002/016 ,  A61F2002/018 ,  A61F2210/0076 ,  A61F2230/0006 ,  A61F2230/0065 ,  A61F2230/0069 ,  A61F2250/0067

摘要： The embolic protection device (10) has an expandable tubular structure supporting a filter mesh material (12). The embolic protection device is compressed to a small diameter for insertion into a patient's aorta, then expanded within the aorta with the filter mesh material positioned to allow blood to enter sidebranch vessels connected to the aorta and to prevent embolic material from entering the sidebranch vessels. The filter mesh material may be configured with waves or undulations (26) for increased surface area and/or with two layers of mesh material to provide additional protection against embolization and to prevent inadvertent occlusion of the sidebranch vessels.

公开(公告)号：US20120046691A1

公开(公告)日：2012-02-23

申请号：US13286378

申请日：2011-11-01

申请人： Amir Belson ,  Eric Storne ,  Brian Beckey

发明人： Amir Belson ,  Eric Storne ,  Brian Beckey

IPC分类号： A61B17/08

CPC分类号： A61B17/085 ,  A61B17/0293 ,  A61B2017/00407 ,  A61B2017/00862 ,  A61B2050/008

摘要： A biopsy incision closure device comprises a base having a frame incorporated therein. Together, the base and frame define an opening for performing a biopsy incision when the device is placed over a tissue surface. The base is typically composed of an elastomeric material and the frame comprises resilient inelastic members which can be used to close the opening in a highly uniform manner with minimum distortion and stress introduced into the tissue edges being drawn together.

摘要翻译： 活检切口闭合装置包括其中结合有框架的基部。 一起，当装置放置在组织表面上时，底座和框架限定用于执行活检切口的开口。 底座通常由弹性体材料组成，并且框架包括弹性非弹性构件，其可用于以高度均匀的方式闭合开口，并将最小的变形和应力引入组合边缘被拉伸在一起。

公开(公告)号：US20100217367A1

公开(公告)日：2010-08-26

申请号：US12520984

申请日：2007-06-25

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61N1/05

CPC分类号： A61N1/0587 ,  A61B18/1492 ,  A61M5/00 ,  A61N1/0517 ,  A61N1/37205 ,  A61N1/375 ,  A61N5/0601 ,  A61N5/1002 ,  A61N2005/0609 ,  A61N2005/063 ,  A61N2005/0652

摘要： The present invention provides for transesophageal implantation of cardiac electrodes (102) and (104) for pacing and/or defibrillation The electronic module (110) could be implanted in the abdomen or thorax using a transesophageal, transgastric, thoracoscopic or open surgical approach In another aspect, the invention provides for transesophageal delivery of other cardiac therapies including ablation, phototherapy, radiation therapy and implantation or injection of therapeutic substances into the heart The transesophageal approach takes advantage of the proximity between the esophagus and the chambers of the heart, allowing surgical access to the heart with very low morbidity and risk of complications.

摘要翻译： 本发明提供用于起搏和/或除颤的心脏电极（102）和（104）的经食管植入。电子模块（110）可以使用经食管，经胃，胸腔镜或开放手术方法植入腹部或胸部。另一方面 方面，本发明提供了其他心脏治疗的经食管递送，包括消融，光疗法，放射治疗以及将治疗物质注入或注射到心脏中。经食道途径利用食道和心脏室之间的接近，允许外科手术 心脏发病率低，发生并发症的风险很高。

公开(公告)号：US20100133450A1

公开(公告)日：2010-06-03

申请号：US12447833

申请日：2007-11-13

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： G21F3/00 ,  H01J35/16

CPC分类号： A61B6/107 ,  A61B6/4423 ,  A61B6/4441 ,  A61B6/487 ,  A61B6/589

摘要： A radiation protection device attaches to the C-arm of a fluoroscope and shields and collimates the X-ray beam between the X-ray source and the patient and between the patient and the image intensifier. One embodiment has a radiation shield of X-ray opaque material that surrounds the C-arm of the fluoroscopy system, the X-ray source and the image intensifier. A padded slot fits around the patient's body. Another embodiment has conical or cylindrical radiation shields that extend between the X-ray source and the patient and between the patient and the image intensifier. The radiation shields have length adjustments and padded ends to fit the device to the patient. The radiation protection device may be motorized to advance and withdraw the radiation shields. A blanket-like radiation shield covers the patient in the area surrounding where the X-ray beam enters the body.

摘要翻译： 辐射防护装置连接到荧光镜的C臂，并且屏蔽和准直X射线源与患者之间以及患者与图像增强器之间的X射线束。 一个实施例具有围绕荧光透视系统的C臂，X射线源和图像增强器的X射线不透明材料的辐射屏蔽。 一个填充的槽适合患者的身体。 另一实施例具有在X射线源和患者之间以及患者与图像增强器之间延伸的锥形或圆柱形辐射屏蔽。 辐射屏蔽具有长度调节和填充端，以将装置适合于患者。 辐射防护装置可以被电动以推进和撤回辐射屏蔽。 毯状辐射屏蔽覆盖X射线束进入身体周围区域的患者。

公开(公告)号：US20100121151A1

公开(公告)日：2010-05-13

申请号：US12613768

申请日：2009-11-06

申请人： Caitlin Quance Donhowe ,  Amir Belson ,  Kristoffer John Donowe ,  Kenneth Robert Krieg ,  Eric Michael Storne ,  Thomas J. Yorkey ,  Jun Zhang

发明人： Caitlin Quance Donhowe ,  Amir Belson ,  Kristoffer John Donowe ,  Kenneth Robert Krieg ,  Eric Michael Storne ,  Thomas J. Yorkey ,  Jun Zhang

IPC分类号： A61B1/008 ,  A61B1/00

CPC分类号： A61B1/0051 ,  A61B1/00006 ,  A61B1/00009 ,  A61B1/00147 ,  A61B1/008 ,  A61B5/065 ,  A61B34/20 ,  A61B90/03 ,  A61B2017/003 ,  A61B2034/107 ,  A61B2034/301

摘要： Waypoints for a steerable medical device are stored as the steerable medical device is moved within a patient. The stored waypoints are an ordered sequence of locations. The ordered sequence of locations defines a safe path within the patient for moving an articulatable portion of the steerable medical device. The articulatable portion of the steerable medical device is constrained to follow the safe path as the articulatable portion moves within the patient. For example, the articulatable portion of the steerable medical device is constrained to remain within a boundary region enclosing the safe path as the articulatable portion of the steerable medical device follows the safe path.

摘要翻译： 当可转向医疗设备在患者体内移动时，存储可转向医疗设备的路标点。 存储的路点是有序的位置序列。 位置的有序序列限定了患者内的安全路径，用于移动可转向医疗装置的可铰接部分。 可转向医疗装置的可铰接部分被限制为随着可铰接部分在患者体内移动而跟随安全路径。 例如，可转向医疗设备的可铰接部分被限制为保持在包围安全路径的边界区域内，因为可转向医疗设备的可关节部分遵循安全路径。

公开(公告)号：US20090232282A1

公开(公告)日：2009-09-17

申请号：US12313782

申请日：2008-11-21

申请人： Amir Belson ,  James J. Leary

发明人： Amir Belson ,  James J. Leary

IPC分类号： H01J35/16 ,  A61B6/04

CPC分类号： A61B6/107 ,  A61B6/4423 ,  A61B6/4441 ,  A61B6/487 ,  A61B6/589

摘要： A radiation protection device attaches to the C-arm of a fluoroscope and shields and collimates the X-ray beam between the X-ray source and the patient and between the patient and the image intensifier. One embodiment has a radiation shield of X-ray opaque material that surrounds the C-arm of the fluoroscopy system, the X-ray source and the image intensifier. A padded slot fits around the patient's body. Another embodiment has conical or cylindrical radiation shields that extend between the X-ray source and the patient and between the patient and the image intensifier. The radiation shields have length adjustments and padded ends to fit the device to the patient. The radiation protection device may be motorized to advance and withdraw the radiation shields. A blanket-like radiation shield covers the patient in the area surrounding where the X-ray beam enters the body.

摘要翻译： 辐射防护装置连接到荧光镜的C形臂，并且屏蔽和准直X射线源与患者之间以及患者与图像增强器之间的X射线束。 一个实施例具有围绕荧光透视系统的C臂，X射线源和图像增强器的X射线不透明材料的辐射屏蔽。 一个填充的槽适合患者的身体。 另一实施例具有在X射线源和患者之间以及患者与图像增强器之间延伸的锥形或圆柱形辐射屏蔽。 辐射屏蔽具有长度调节和填充端，以将装置适合于患者。 辐射防护装置可以被电动以推进和撤回辐射屏蔽。 毯状辐射屏蔽覆盖X射线束进入身体周围区域的患者。

公开(公告)号：US20070043259A1

公开(公告)日：2007-02-22

申请号：US11554165

申请日：2006-10-30

申请人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

发明人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00142 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/31 ,  A61B5/065 ,  A61B17/3421 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/3441 ,  A61B2034/301 ,  A61M25/0138 ,  A61M2025/0063 ,  A61M2025/0681

摘要： An endoscope having a guide tube is described herein. The assembly has an endoscope which is slidably insertable within the lumen of a guide tube. The guide tube is configured to be rigidizable along its entire length from a relaxed configuration. The endoscope has a steerable distal portion to facilitate the steering of the device through tortuous paths. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve while the endoscope is advanced distally through the tortuous path without having to place any undue pressure against the tissue walls.

摘要翻译： 这里描述了具有引导管的内窥镜。 组件具有可滑动地插入导管内腔内窥镜。 引导管被构造成从松弛构型沿其整个长度可固化。 内窥镜具有可操纵的远侧部分，以便于通过曲折路径对装置的转向。 在松弛构造中，导管的一部分能够呈现由内窥镜的可控远端限定的形状或曲线。 假设内窥镜的形状或曲线，导管可以被医师或外科医生硬化，以在内窥镜通过曲折路径向远侧推进而保持该形状或曲线，而不必对组织壁施加任何不适当的压力。