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公开(公告)号：US5167644A
公开(公告)日：1992-12-01
申请号：US656591
申请日：1991-02-19
摘要： A sheath for percutaneous insertion into an artery includes a manually insertable sealing tab having a flexible hinge molded onto the sheath near its proximal end. The tab includes a cylindrically shaped stopper that can be inserted into the sheath's proximal end to prevent blood loss when there is no catheter inserted into the sheath. The stopper design allows a guide wire to remain in place or be advanced or pulled out of the sheath when the stopper is in place to seal the sheath's proximal end.
摘要翻译： 用于经皮插入动脉的鞘包括可手动插入的密封片，其具有在其近端附近模制到护套上的柔性铰链。 翼片包括一个圆柱形的止动器，可以插入护套的近端，以防止当没有导管插入护套时失血。 止动器设计允许导线保持在适当位置，或者当止动器就位以密封护套的近端时，引导线保持在适当位置或被推进或拉出护套。
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62.发明授权
公开(公告)号：US5059166A
公开(公告)日：1991-10-22
申请号：US448691
申请日：1989-12-11
IPC分类号： A61B17/00 , A61F2/00 , A61F2/82 , A61F2/88 , A61K51/12 , A61L31/14 , A61M36/00 , A61M36/04 , A61N5/10
CPC分类号： A61F2/82 , A61F2/0077 , A61F2/88 , A61K51/1282 , A61L31/14 , A61N5/1002 , A61F2210/0095
摘要： Intra-arterial stents are frequently used subsequent to balloon angioplasty to maintain arterial patency. The most frequent cause for failure to maintain patency is the rapid growth of the injured arterial tissue through the openings in the stent, which rapid growth is called "intimal hyperplasia." Since irradiation from a radioisotope source is capable of selectively inhibiting the growth of hyperproliferating cells as compared with normal cells, a radioisotope material which forms part of the stent can be used to decrease the rate of arterial reclosure. The radioisotope could be placed inside the stent, alloyed into the metal from which the stent is made, or preferably, it can be coated onto the stent's exterior surface. Beta emitting radioisotopes having a half-life between 1 and 100 days would be best suited as a stent coating because of their comparatively short range of action within human tissue, and because of their comparatively short half-life. An anti-thrombogenic coating placed on the outer surface of the radioisotope stent would further reduce arterial reclosure by decreasing stent thrombogenicity.
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公开(公告)号：US4596242A
公开(公告)日：1986-06-24
申请号：US526893
申请日：1983-08-26
申请人： Robert E. Fischell
发明人： Robert E. Fischell
CPC分类号： A61F2/26 , Y10S128/25
摘要： A method and apparatus for achieving penile erection in a human male. The apparatus includes at least one distensible cylinder which is in communication with pressure reservoir means through a valve means. A fluid pressure generator acts upon a working fluid in the pressure reservoir means and when the valve means is opened, the distensible cylinder distends. The method concerns implantation and use of the apparatus.
摘要翻译： 用于在男性男性中实现阴茎勃起的方法和装置。 该装置包括至少一个可膨胀气缸，其通过阀装置与压力储存装置连通。 流体压力发生器作用在压力储存装置中的工作流体上，并且当阀装置打开时，扩张气瓶膨胀。 该方法涉及装置的植入和使用。
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公开(公告)号：US4571749A
公开(公告)日：1986-02-25
申请号：US421441
申请日：1982-09-21
申请人： Robert E. Fischell
发明人： Robert E. Fischell
CPC分类号： A61F2/004 , A61M2039/0217 , A61M39/0208 , Y10S128/25
摘要： An implantable hydraulic urinary sphincter system is disclosed for maintaining continence in those patients unable to control or stop inadvertent urinary flow. The invented apparatus generally consists of an artificial urinary sphincter and a control means for obtaining continence while causing the artificial sphincter to apply minimal pressure to the urethra for all conditions of the bladder. The invented apparatus: (1) automatically causes sphincter fluid pressure to increase or decrease with sensed bladder and/or abdominal pressure, and (2) is manually actuated by a patient when he or she desires to urinate. The invented apparatus can be filled with fluid, or the fluid pressure can be reset, after implantation without necessitating a surgical procedure.
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65.发明授权Recorder with patient alarm and service request systems suitable for use with automatic implantable defibrillator 失效具有患者报警和服务请求系统的记录仪，适用于自动植入式除颤器
公开(公告)号：US4295474A
公开(公告)日：1981-10-20
申请号：US081167
申请日：1979-10-02
申请人： Robert E. Fischell
发明人： Robert E. Fischell
IPC分类号： A61B5/0402 , A61B5/0432 , A61B5/0436 , A61N1/37 , A61N1/372 , A61N1/39 , A61B5/04
CPC分类号： A61N1/37223 , A61B5/0432 , A61B5/0436 , A61N1/3702 , A61N1/37258 , A61N1/3925
摘要： The invention relates to a system and apparatus, particularly adapted for use with an automatic implantable defibrillator, for monitoring electrocardiagram (ECG) data signals to provide a continuously updated recording of the ECG data. The proposed recorder responds to the operating condition of the automatic implanted defibrillator device and places into storage, for subsequent readout by the patient's doctor, ECG data both immediately preceding the onset of a ventricular fibrillation episode and also during the subsequent defibrillation activity, when one or more high energy electrical impulses are applied to the patient's heart. Selected other data regarding operation of the implanted defibrillator and pertinent to the doctor's evaluation of the patient's condition as well as the efficacy of the defibrillator unit, are also recorded by the proposed apparatus for subsequent readout. In addition, the proposed recording apparatus operates to automatically alert the patient that ventricular fibrillation has been detected and that defibrillation is to be attempted, so that appropriate precautions may be taken. Moreover, following defibrillation, the patient is alerted in a distinctive manner that defibrillation has occurred and that a physician should be contacted, as soon as possible.
摘要翻译： 本发明涉及一种系统和装置，特别适于与自动可植入除颤器一起使用，用于监测心电图（ECG）数据信号以提供ECG数据的连续更新记录。 所提出的记录器响应于自动植入除颤器装置的操作条件并置于存储器中，以便随后由患者医生读出ECG紧急情况下的ECG数据，并且在随后的除颤活动期间，当一个或多个 更多的高能量电脉冲被施加到患者的心脏。 关于植入式除颤器的操作的选择的其他数据和与医生对患者状况的评估以及除颤器单元的功效相关的数据也由所提出的装置记录以供随后的读出。 此外，提出的记录装置操作以自动警告患者已经检测到心室颤动，并且尝试除颤，从而可以采取适当的预防措施。 此外，在除颤之后，以特别的方式警告病人发生除颤，并尽快联系医生。
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66.发明授权Rechargeable body tissue stimulator with back-up battery and pulse generator 失效带备用电池和脉冲发生器的充电体组织刺激器
公开(公告)号：US4096866A
公开(公告)日：1978-06-27
申请号：US820545
申请日：1977-07-29
申请人： Robert E. Fischell
发明人： Robert E. Fischell
CPC分类号： H01M6/5005 , A61N1/378 , H01M10/48 , H01M2/345 , H01M6/50 , H02J7/025 , H01M2200/00 , H01M2200/20
摘要： An implanted tissue stimulator apparatus includes circuitry, powered by an implanted rechargeable battery, to produce electrical stimulation and apply it to selected body tissue. The condition of the rechargeable battery is monitored continuously and if the cell fails or its voltage drops below a preselected level, the stimulator reverts to a stand-by power source provided by a battery having an extremely long shelf-life. A back-up pulse generator is also provided and the control logic circuitry within the implanted stimulator monitors the operation of the pulse generator, in addition to the condition of the rechargeable battery, and if faulty operation of the pulse generator is detected the logic circuitry automatically switches to the back-up pulse generator in order to maintain adequate tissue stimulation.
摘要翻译： 植入的组织刺激器装置包括由植入的可充电电池供电的电路，以产生电刺激并将其施加到选定的身体组织。 可持续监控充电电池的状态，如果电池故障或其电压下降到预设电平以下，则刺激器恢复到由具有极长保质期的电池提供的备用电源。 还提供备用脉冲发生器，并且植入的刺激器内的控制逻辑电路除了可再充电电池的状况之外也监视脉冲发生器的操作，并且如果检测到脉冲发生器的故障操作，逻辑电路自动 切换到备用脉冲发生器，以保持足够的组织刺激。
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公开(公告)号：US11684520B1
公开(公告)日：2023-06-27
申请号：US16946695
申请日：2020-07-01
申请人： Robert E. Fischell , Arthur M. Saul
发明人： Robert E. Fischell , Arthur M. Saul
CPC分类号： A61F13/2005 , A61L15/20 , A61L15/28 , A61L15/44 , A61L2300/232 , A61L2300/418 , A61L2300/61
摘要： A blood coagulant assembly includes a blood coagulant device adapted to be insertable into a nostril of a patient to stop a nose bleed. The blood coagulant device is mounted within a blood coagulant device container which has a top container section and a lower container section secured to each other in a releasable manner. The blood coagulant device is mounted in a fixed position within the blood coagulant device container prior to its removal from the blood coagulant container. The blood coagulant device has a rigid handle configured with a handle lower section and a handle upper section contoured with a channel passing through both the lower and upper handle sections. A blood coagulant mechanism is secured to an outer surface of the handle upper section and a to a ledge section of the handle member which extends radially at a joint location of the handle's lower and upper sections.
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公开(公告)号：US09414957B1
公开(公告)日：2016-08-16
申请号：US14929577
申请日：2015-11-02
申请人： Robert E. Fischell
发明人： Robert E. Fischell
IPC分类号： A61F5/08
CPC分类号： A61F5/08
摘要： A nasal strip for opening nasal passageways having an external portion extending throughout the length of the nasal strip. The external portion of the nasal strip is formed from a flexible plastic material. The external portion has a central section and opposing end sections with the central section having the same width as each of the end sections. The central section has sufficient thickness to create a lifting torque of at least 0.1 inch-ounces onto the opposing end sections of the nasal strip. An adhesive coating covers each of the end sections and the central section does not have an adhesive coating.
摘要翻译： 用于打开鼻通道的鼻带，其具有延伸穿过鼻带长度的外部部分。 鼻带的外部部分由柔性塑料材料形成。 外部具有中心部分和相对的端部部分，其中心部分具有与每个端部部分相同的宽度。 中心部分具有足够的厚度以产生至少0.1英寸盎司的提升扭矩到鼻带的相对端部上。 粘合剂涂层覆盖每个端部部分，并且中心部分不具有粘合剂涂层。
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公开(公告)号：US09254211B2
公开(公告)日：2016-02-09
申请号：US11244777
申请日：2005-10-06
CPC分类号： A61F2/958 , A61F2/95 , A61M25/104 , A61M2025/1056 , A61M2025/1063
摘要： A thin-walled guide wire tube is fixedly and sealably attached to both a proximal section and a distal section of a balloon angioplasty catheter. A stent is co-axially mounted onto the inflatable balloon of the balloon angioplasty catheter. Because the guide wire tube forms an inner liner for the balloon angioplasty catheter, the fluid inflation lumen of the catheter is sealed so the inflation liquid that pressurizes the balloon will not leak as it would be if there were no “inner liner” and the balloon angioplasty catheter were attached to the guide wire itself. By not having a traditional inner shaft through which a conventional guide wire slides, the deflated balloon on which the stent is mounted can have a reduced diameter.
摘要翻译： 薄壁导丝管固定并密封地附接到球囊血管成形术导管的近端部分和远端部分。 支架同轴地安装在球囊血管成形术导管的可充气球囊上。 由于导丝管形成球囊血管成形术导管的内衬，导管的流体膨胀腔被密封，使得气囊加压的充气液体将不会像没有“内衬”和气囊 血管成形术导管附着于导丝本身。 通过不具有传统导丝通过其传播的传统内轴，其上安装有支架的放气气球可以具有减小的直径。
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公开(公告)号：US09171343B1
公开(公告)日：2015-10-27
申请号：US13617776
申请日：2012-09-14
CPC分类号： G16H10/40 , A61B5/0022 , A61B5/1118 , A61B5/14532 , A61B2562/0295 , A61M5/1723 , G06F3/04847 , G06F19/00 , G06F19/34 , G06F19/3456 , G06F19/3468 , G06Q50/22 , G16H20/17 , G16H20/60 , G16H50/20 , G16H50/30
摘要： A glycemic control system includes a physician processor, remote processor, and a portable telephone having a data input mechanism, a display, and an internal processor for bi-directional communication with the physician's processor and the remote processor. A patient inputs data to the internal processor responsive to input from the physician's processor and then transmits the information to the remote processor where an optimized number of units to be administered is sent back and displayed on the portable telephone.
摘要翻译： 血糖控制系统包括医师处理器，远程处理器和具有数据输入机构，显示器和用于与医生处理器和远程处理器进行双向通信的内部处理器的便携式电话。 患者根据医师处理器的输入将数据输入到内部处理器，然后将信息发送到远程处理器，其中要管理的优化数量的单元被发回并显示在便携式电话上。
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