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51.发明授权公开(公告)号：US06240924B1
公开(公告)日：2001-06-05
申请号：US09350809
申请日：1999-07-09
IPC分类号： A61B1900
CPC分类号： A61B17/22032 , A61B17/00008 , A61B2017/00557 , A61B2017/320048
摘要： A method of exposing, ligating, and dividing perforating veins endoscopically using balloon dissectors to gain access to the perforating veins thereby avoiding large incisions required in the Linton procedure and similar open surgical procedures.
摘要翻译： 使用气囊解剖器内窥镜曝光，结扎和分割穿孔静脉的方法来获得穿孔静脉，从而避免在Linton手术和类似的开放手术过程中所需的大切口。
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公开(公告)号：US5601589A
公开(公告)日：1997-02-11
申请号：US267484
申请日：1994-06-29
IPC分类号： A61M25/00 , A61B17/00 , A61B17/32 , A61F2/84 , A61M25/01 , A61M25/10 , A61M29/02 , A61M29/00 , A61M5/00
CPC分类号： A61M25/1002 , A61B17/00008 , A61M25/10 , A61M29/02 , A61B2017/00557 , A61B2017/320044 , A61M25/0194
摘要： A balloon dissection apparatus for forming an anatomic working space alongside an elongate vessel in a body having a tunneling shaft having proximal and distal extremities. A flexible elongate substantially cylindrical balloon is carried by the tunneling shaft and has proximal and distal extremities. The balloon has at least a portion of the distal extremity folded inwardly into the balloon to shorten the length of the balloon so that the folded balloon has a length which is not substantially greater than the length of the tunneling shaft. An inflation tube is coupled to the balloon for inflating the balloon to cause the distal folded extremity to evert and roll outwardly to provide an inflated balloon having a length greater than the length of the tunneling shaft.
摘要翻译： 一种用于在具有近端和远端的隧道轴的身体中的细长血管旁边形成解剖学工作空间的气囊解剖装置。 柔性细长的大致圆柱形球囊由隧道轴承载并具有近端和远端。 气囊具有至少一部分远侧末端向内折叠到气囊中以缩短气囊的长度，使得折叠气囊的长度基本上不大于隧道轴的长度。 充气管联接到球囊，用于使气囊膨胀，以使远端折叠的末端向外转动并向外滚动，以提供具有大于隧道轴长度的长度的膨胀气囊。
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公开(公告)号：US08062323B2
公开(公告)日：2011-11-22
申请号：US12558094
申请日：2009-09-11
IPC分类号： A61B17/00
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/3431 , A61B90/361 , A61B2017/00557 , A61B2017/22061 , A61B2017/22062 , A61B2017/320044 , A61B2017/320048 , A61M25/0194 , A61M25/10 , A61M25/1002 , A61M29/02 , A61M2025/1081
摘要： The present invention provides balloon dissection apparatus and methods of use in which an elongate balloon is utilized to dissect along a region that follows a naturally existing path alongside a vessel or structure, such as an artery, a vein, a lymphatic vessel, the trachea, the esophagus, or even a nerve bundle.
摘要翻译： 本发明提供了气囊解剖装置和使用方法，其中使用细长的气囊沿沿着诸如动脉，静脉，淋巴管，气管等的血管或结构沿着自然存在的路径的区域进行解剖， 食道，甚至神经束。
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54.发明授权Vascular clamps and surgical retractors with directional filaments for tissue engagement 有权血管夹和手术牵开器具有用于组织接合的定向细丝公开(公告)号：US06312445B1
公开(公告)日：2001-11-06
申请号：US09521703
申请日：2000-03-09
IPC分类号： A61B1700
CPC分类号： A61B17/02 , A61B17/122 , A61B2017/0243 , A61B2017/2825 , A61B2017/2837 , A61B2017/320012
摘要： Surgical clamps, tissue retractors and surgical stabilizers are disclosed having gripping surfaces from which extend resilient filaments. The distal ends of some of the resilient filaments abut against engaged vessels, tissues or organs to restrict movement of the vessels, tissue or organs relative to the gripping surfaces. In the preferred embodiment, the resilient filaments are arranged in rows and oriented at particular angles relative to the gripping surfaces. Methods of applying resilient filaments to pads for attachment to a surgical clamp, tissue retractor or surgical stabilizer are also disclosed.
摘要翻译： 公开了手术夹具，组织牵缩器和手术稳定器，其具有抓持表面，弹性细丝从该表面延伸。 一些弹性细丝的远端抵靠接合的血管，组织或器官，以限制血管，组织或器官相对于抓握表面的运动。 在优选实施例中，弹性细丝被排成一列并相对于抓握表面以特定角度定向。 还公开了将弹性丝应用于用于附接到手术夹具，组织牵缩器或手术稳定器的垫的方法。
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公开(公告)号：US06299621B1
公开(公告)日：2001-10-09
申请号：US09336018
申请日：1999-06-18
IPC分类号： A61B1704
CPC分类号： A61B17/122 , A61B2017/00526 , A61B2017/2808 , A61B2017/2825 , A61B2017/2837 , A61B2017/320012
摘要： Replaceable pads are provided for jaw-type surgical clamps, clips and other occluding devices. The pads include elastomer impregated mesh embedded in and extending from an elastomeric cushion. When engaged with a vessel, the mesh partially penetrates the adventitial layers of the vessel, securing outer adventitial layers against inner vessel layers to resist relative movement of the layers, thereby minimizing slippage of the device along the clamped vessel. The embedded mesh also functions to stabilize the cushion, especially against lateral movement.
摘要翻译： 可更换的垫片用于钳夹型手术夹具，夹子和其他闭塞装置。 衬垫包括嵌入弹性垫中并从弹性衬垫延伸的弹性体嵌入网。 当与容器接合时，网孔部分地渗透容器的外层，将外部外层层固定在内部容器层上，以抵抗层的相对运动，从而最小化装置沿着夹紧容器的滑动。 嵌入式网状物也起着稳定垫子的作用，特别是防止侧向运动。
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56.发明授权
公开(公告)号：US6165186A
公开(公告)日：2000-12-26
申请号：US337115
申请日：1999-06-21
CPC分类号： A61B17/02 , A61B17/122 , A61B2017/0243 , A61B2017/2825 , A61B2017/2837 , A61B2017/320012
摘要： Surgical clamps, tissue retractors and surgical stabilizers are disclosed having gripping surfaces from which extend resilient filaments. The distal ends of some of the resilient filaments abut against engaged vessels, tissues or organs to restrict movement of the vessels, tissue or organs relative to the gripping surfaces. In the preferred embodiment, the resilient filaments are arranged in rows and oriented at particular angles relative to the gripping surfaces. Methods of applying resilient filaments to pads for attachment to a surgical clamp, tissue retractor or surgical stabilizer are also disclosed.
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公开(公告)号：US07322360B2
公开(公告)日：2008-01-29
申请号：US10798776
申请日：2004-03-10
申请人： Thomas J. Fogarty , David Willis , Thomas A. Howell , George D. Hermann , Peter M. Wilson , Elizabeth M. Bush , Steven W. Kim , Roman Turovskiy
发明人： Thomas J. Fogarty , David Willis , Thomas A. Howell , George D. Hermann , Peter M. Wilson , Elizabeth M. Bush , Steven W. Kim , Roman Turovskiy
IPC分类号： A61B19/00
CPC分类号： A61B90/39 , A61B17/221 , A61B17/320016 , A61B17/320068 , A61B17/3211 , A61B17/34 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3476 , A61B18/14 , A61B18/1477 , A61B18/149 , A61B2017/008 , A61B2017/00849 , A61B2017/00853 , A61B2017/00867 , A61B2017/00929 , A61B2018/1425 , A61B2090/3908
摘要： This invention is an improved tissue localizing device for fixedly yet removably marking a volume of tissue containing a suspect region for excision. This invention also encompasses methods for deployment of the localizing device and its excision along with the marked tissue volume. At least one locator element is deployed into tissue and assumes a predetermined curvilinear shape to define a tissue border containing a suspect tissue region along a path. The locator element path preferably encompasses the distalmost portion of the tissue volume without penetrating that volume. Multiple locator elements may be deployed to further define the tissue volume along additional paths defining the tissue volume border that do not penetrate the volume. Other localization wire embodiments of the invention are disclosed in which the tissue volume may be penetrated by a portion of the device. Polar and tangential deployment configurations as well as a locator element that may be cold-formed by a die in the distal portion of the deployment tube into a permanent arcuate shape are also disclosed.
摘要翻译： 本发明是一种改进的组织定位装置，用于固定地可移除地标记包含可疑区域的组织的体积用于切除。 本发明还包括用于部署定位装置及其切除以及标记的组织体积的方法。 至少一个定位元件被部署到组织中并且呈现预定的曲线形状以限定沿着路径包含可疑组织区域的组织边界。 定位元件路径优选地包围组织体积的最远部分而不穿透该体积。 可以部署多个定位器元件以进一步沿着限定不穿透该体积的组织体积边界的附加路径限定组织体积。 公开了本发明的其它定位线实施例，其中组织体积可以被装置的一部分穿透。 还公开了极性和切向部署构造以及可以由展开管的远侧部分中的模具冷成形为永久弓形形状的定位元件。
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公开(公告)号：US06405733B1
公开(公告)日：2002-06-18
申请号：US09613686
申请日：2000-07-11
申请人： Thomas J. Fogarty , David B. Willis , Thomas A. Howell , George D. Hermann , Peter M. Wilson , M. Elizabeth Bush
发明人： Thomas J. Fogarty , David B. Willis , Thomas A. Howell , George D. Hermann , Peter M. Wilson , M. Elizabeth Bush
IPC分类号： A61B1900
CPC分类号： A61B90/39 , A61B17/320068 , A61B17/3211 , A61B17/34 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3468 , A61B17/3476 , A61B18/14 , A61B18/1477 , A61B18/149 , A61B2017/008 , A61B2017/00849 , A61B2017/00853 , A61B2017/00867 , A61B2017/00929 , A61B2018/1425 , A61B2090/3908
摘要： This invention is an improved tissue localizing device for fixedly yet removably marking a volume of tissue containing a suspect region for excision without penetrating that volume. This invention also encompasses methods for deployment of the localizing device and its excision along with the marked tissue volume. At least one locator element is deployed into tissue and assumes a predetermined curvilinear shape to define a tissue border containing a suspect tissue region along a path. The locator element path preferably encompasses the distalmost portion of the tissue volume without penetrating that volume. Multiple locator elements may be deployed to further define the tissue volume along additional paths defining the tissue volume border that do not penetrate the volume. Polar and tangential deployment configurations as well as a locator element that may be cold-formed by a die in the distal portion of the deployment tube into a permanent arcuate shape is also disclosed.
摘要翻译： 本发明是一种改进的组织定位装置，用于固定地并可移除地标记含有可疑区域的组织的体积，用于切除而不穿透该体积。 本发明还包括用于部署定位装置及其切除以及标记的组织体积的方法。 至少一个定位元件被部署到组织中并且呈现预定的曲线形状以限定沿着路径包含可疑组织区域的组织边界。 定位元件路径优选地包围组织体积的最远部分而不穿透该体积。 可以部署多个定位器元件以进一步沿着限定不穿透该体积的组织体积边界的附加路径限定组织体积。 还公开了极性和切向部署构造以及可以由展开管的远侧部分中的模具冷成形为永久弓形形状的定位元件。
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59.发明授权Vascular clamps and surgical retractors with directional filaments for tissue engagement 失效血管夹和手术牵开器具有用于组织接合的定向细丝
公开(公告)号：US06007552A
公开(公告)日：1999-12-28
申请号：US993076
申请日：1997-12-18
CPC分类号： A61B17/02 , A61B17/122 , A61B2017/0243 , A61B2017/2825 , A61B2017/2837 , A61B2017/320012
摘要： A surgical clamp or tissue retractor is disclosed having gripping surfaces from which extend resilient filaments. The distal ends of some of the resilient filaments abut against the engaged vessel or tissue to restrict movement of the vessel or tissue relative to the gripping surfaces. In the preferred embodiment, the resilient filaments are arranged in rows and oriented at particular angles relative to the gripping surfaces.
摘要翻译： 公开了一种手术夹具或组织牵缩器，其具有夹持表面，弹性细丝从该抓握表面延伸。 一些弹性细丝的远端抵靠接合的血管或组织以限制血管或组织相对于抓握表面的运动。 在优选实施例中，弹性细丝被排成一列并相对于抓握表面以特定角度定向。
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60.发明授权
公开(公告)号：US5979452A
公开(公告)日：1999-11-09
申请号：US480796
申请日：1995-06-07
CPC分类号： A61B17/22032 , A61B17/00008 , A61B2017/00557 , A61B2017/320048
摘要： A method of exposing, ligating and dividing perforating veins endoscopically using balloon dissectors to gain access to the perforating veins, thereby avoiding large incisions required in the Linton procedure and similar open surgical procedures.
摘要翻译： 使用气球解剖器内窥镜使穿孔静脉暴露，连接和分割以获得进入穿孔静脉的方法，从而避免在Linton手术和类似的开放手术过程中所需的大切口。
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