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。

公开(公告)号：US20080306322A1

公开(公告)日：2008-12-11

申请号：US11811069

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。

公开(公告)号：US20080214887A1

公开(公告)日：2008-09-04

申请号：US12082492

申请日：2008-04-10

Applicant: Joseph A. Heanue ,  Paul A. Lovoi ,  Steve Axelrod ,  James E. Jervis

Inventor： Joseph A. Heanue ,  Paul A. Lovoi ,  Steve Axelrod ,  James E. Jervis

IPC: A61M36/04

CPC classification number: A61N5/1014 ,  A61M2025/1063 ,  A61N5/1015 ,  A61N5/1048 ,  A61N2005/1018

Abstract: A brachytherapy applicator and method of use involve source guides that assume a desired curving, non-linear configuration. A flexible source catheter follows the shape of the source guides when inserted therein. Radiation dose received in various tissue areas can be better controlled using the invention, and the ratio of cavity surface dose to prescription depth dose can be lowered. With sequential manipulation of the source via movement of the catheter, the applicator can deliver radiotherapy to a treatment plan with local variation to prevent overdose, through either stepped or continuous movement of the source. Source guides can be fixed in position and arranged in bowed configuration around a generally central balloon axis, either attached to the balloon wall or not, and the series of off-center guides can be used to shape the dose delivered.

Abstract translation: 近距离放射疗法施加器和使用方法包括采用期望的弯曲非线性构造的源引导件。 当插入其中时，柔性源导管遵循源极引导件的形状。 可以使用本发明更好地控制在各组织区域中接收的辐射剂量，并且可以降低腔表面剂量与处方深度剂量的比例。 通过导管的运动对源进行顺序操作，施用器可以将放射治疗递送到具有局部变化的治疗计划，以通过源的逐步或连续运动来防止过量。 源引导件可以被固定在适当位置并且围绕一般中心的气球轴线以弓形的形式布置，或者附接到球囊壁，并且可以使用一系列偏心导向器来调整所输送的剂量。

公开(公告)号：US06673083B1

公开(公告)日：2004-01-06

申请号：US09689208

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 applicator comprises a magazine adapted to hold a plurality of blood vessel clips therein and two twist pins at one end, whereby the twist pins can be rotated to compress a blood vessel held between them. A blood vessel clip, having a head connected to first and second legs in a “V” configuration, is placed on the blood vessel after it has been flattened. The magazine has a constricted region adjacent to an exit aperture. As the head of a blood vessel clip passes through the constricted region, the compressive force exerted on the head by the constricted region opens or closes the legs of the blood vessel clip. A variety of blood vessel clips having different shapes, cross-sections and grooves are suitable for use with the blood vessel clip applicator.

Abstract translation: 血管夹施加器包括适于在其中容纳多个血管夹的盒，在一端保持两个捻针，由此扭转销可以旋转以压缩保持在它们之间的血管。 具有以“V”形式连接到第一和第二腿的头部的血管夹在其被平坦化之后放置在血管上。 杂志具有邻近出口孔的收缩区域。 当血管夹的头部通过收缩区域时，由收缩区域施加在头部上的压缩力打开或关闭血管夹的腿部。 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。

公开(公告)号：US06451025B1

公开(公告)日：2002-09-17

申请号：US09411517

申请日：1999-10-04

Applicant: James E. Jervis

Inventor： James E. Jervis

IPC: A61F206

CPC classification number: A61F2/90 ,  A61F2/88 ,  A61F2/95 ,  A61F2002/9505 ,  A61F2002/9528

Abstract: A stent and catheter for implanting or removing a helical-shaped stent within a body passageway; the catheter having an elongate sheath capable of being secured to one end of the stent at a distal region of the sheath and an inner member extending from the sheath, and capable of being secured to the other end of the stent. The inner member is rotatable relative to the sheath to transmit torque to the stent to permit unwinding of the helical stent as its limiting strain to expand the stent. Also discussed are methods for performing procedures for implanting or removing a helical stent from a body passageway.

Abstract translation: 用于在身体通道内植入或移除螺旋形支架的支架和导管; 所述导管具有能够在所述护套的远侧区域处固定到所述支架的一端的细长护套，以及能够从所述护套延伸并能够固定到所述支架的另一端的内部构件。 内部构件可相对于护套旋转，以将扭矩传递到支架，以允许螺旋支架的展开作为扩张支架的极限应变。 还讨论了用于执行从身体通道植入或移除螺旋支架的过程的方法。

公开(公告)号：US06450391B1

公开(公告)日：2002-09-17

申请号：US09901798

申请日：2001-10-16

Applicant: Helmut L. Kayan ,  James E. Jervis

Inventor： Helmut L. Kayan ,  James E. Jervis

IPC: A61B17068

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. In one embodiment, the invention forms the fastener around a pair of anvils. Another embodiment uses a two section ramp to move the fasteners from a fastener storage channel to a position at least partially in a fastener driving channel. The various embodiments may be variously combined together in a single device.

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。 在一个实施例中，本发明在一对砧座周围形成紧固件。 另一实施例使用两部分斜面将紧固件从紧固件存储通道移动到至少部分地在紧固件驱动通道中的位置。 各种实施例可以在单个设备中不同地组合在一起。

公开(公告)号：US06371910B1

公开(公告)日：2002-04-16

申请号：US09438811

申请日：1999-11-10

Applicant: Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

Inventor： Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

IPC: A61B132

CPC classification number: A61B17/0218 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/320048 ,  A61B2090/032 ,  A61B2090/034 ,  A61B2090/061 ,  A61B2090/064

Abstract: An inflatable manipulator for organ manipulation during surgery is disclosed. The system typically includes an inflatable balloon connected to an infusion source where the balloon is either coupled to a relatively rigid platform or fitted with a positioning structure such as a pocket. In open heart surgery, the platform is used to position and stabilize the balloon under the heart. In minimally invasive surgery, the balloon fitted with the pocket and can be rolled into a narrow configuration and inserted through a small incision using an insertion device. The insertion device can then be removed once the manipulator is in position. In use, the balloon of the manipulator is inflated by the infusion source thereby elevating and tilting the organ to the desired position for surgical access. Systems including multiple chamber manipulators each with a separate infusion source are also disclosed, as are combined methods for cooling organs during surgery and for using the manipulators to separate adhesions.

Abstract translation: 公开了一种用于手术中器官操作的充气操纵器。 该系统通常包括连接到输注源的可充气气囊，其中气囊被联接到相对刚性的平台或者配合有定位结构例如口袋。 在心脏直视手术中，平台用于在心脏下定位和稳定气囊。 在微创手术中，气囊装配有口袋，并且可以卷成狭窄的构造并且通过使用插入装置的小切口插入。 一旦操纵器就位就可以将插入装置移除。 在使用中，操纵器的球囊被输注源膨胀，从而升高并将器官倾斜到期望的位置以进行外科手术。 还公开了包括具有单独输注源的多个腔室操纵器的系统，以及用于在手术期间冷却器官和使用操纵器分离粘连的组合方法。