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公开(公告)号：US08287442B2
公开(公告)日：2012-10-16
申请号：US11716758
申请日：2007-03-12
申请人： Richard L. Quick
发明人： Richard L. Quick
IPC分类号： A61N5/00
CPC分类号： A61N5/1007 , A61M2025/1075 , A61N5/1015 , A61N2005/1003 , A61N2005/1018
摘要： The disclosure is directed to catheter devices and methods for controlled application of irradiation to tissue adjacent a body site, such as cavity after removal of tissue, e.g. cancer. The catheter device includes an inflatable balloon having at least two layers. The inflatable balloon has an expansion of more than 25% and less than 200% when inflated from the un-inflated condition to a turgid condition, preferably more than 50% and less than 150%. In the turgid condition the polymeric material(s) of the balloon layers are at or near the elastic limit of the balloon layer material. The balloon may contain or be formed of or be coated with radiopaque material to facilitate positional or symmetry verification.
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公开(公告)号：US20120180799A1
公开(公告)日：2012-07-19
申请号：US13324764
申请日：2011-12-13
申请人： D. Russell Pflueger , Christopher Paul Thompson , Steven R. Bacich , Richard L. Quick , Matthew Yurek
发明人： D. Russell Pflueger , Christopher Paul Thompson , Steven R. Bacich , Richard L. Quick , Matthew Yurek
IPC分类号： A61F5/56
CPC分类号： A61F5/566
摘要： Apparatus and methods are provided for treating sleep apnea, snoring, and the like using an implant within an oropharyngeal region adjacent an anterior longitudinal ligament. The implant may include a relatively narrow central region between first and second relatively wide outer regions. In one embodiment, one of the outer regions is compressible to allow the outer region to be directed through or behind the ligament such that the central region is disposed within or behind the ligament, the outer region being resiliently expandable after passing through or behind the ligament. In another embodiment, the implant may include one or more tines or other features that may be directed into adjacent tissue to secure the implant within the oropharyngeal region.
摘要翻译： 提供了使用邻近前纵韧带的口咽部区域内的植入物来治疗睡眠呼吸暂停，打鼾等的装置和方法。 植入物可以包括在第一和第二相对宽的外部区域之间的相对窄的中心区域。 在一个实施例中，外部区域中的一个是可压缩的，以允许外部区域被引导通过韧带的后面或后面，使得中心区域设置在韧带内或后面，外部区域在穿过或穿过韧带之后可弹性地扩张 。 在另一个实施例中，植入物可以包括一个或多个尖齿或可被引导到相邻组织中的其它特征，以将植入物固定在口咽部区域内。
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公开(公告)号：US07862502B2
公开(公告)日：2011-01-04
申请号：US11760482
申请日：2007-06-08
申请人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
发明人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
CPC分类号： A61F5/0053 , A61F5/003 , A61F5/0059 , A61F5/0066 , A61F2005/002
摘要： A gastrointestinal implant system includes an adjustable restriction device having a contact surface configured for at least partially engaging a surface of a gastrointestinal tract of a mammal. The implant system further includes an implantable interface including a first driving element, the first driving element being moveable and operatively coupled to the adjustable restriction device by an actuator configured to change the dimension or configuration of the contact surface in response to movement of the first driving element. The system also includes an external adjustment device having a second driving element configured to non-invasively engage the first driving element of the implantable interface from a location external to the mammal. In the system, actuation of the second driving element of the external adjustment device produces movement in the first driving element of the implantable interface and results in a change in the dimension or configuration of the contact surface.
摘要翻译： 消化道植入系统包括可调节限制装置，其具有构造成用于至少部分地接合哺乳动物的胃肠道表面的接触表面。 所述植入系统还包括可植入界面，其包括第一驱动元件，所述第一驱动元件可移动并通过构造成响应于所述第一驱动件的移动来改变所述接触表面的尺寸或构造而被可操作地联接到所述可调节限制装置 元件。 该系统还包括具有第二驱动元件的外部调整装置，该第二驱动元件构造成从哺乳动物外部的位置非侵入地接合可植入界面的第一驱动元件。 在该系统中，外部调节装置的第二驱动元件的致动在可植入界面的第一驱动元件中产生运动并且导致接触表面的尺寸或构型的变化。
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公开(公告)号：US20090112263A1
公开(公告)日：2009-04-30
申请号：US12121438
申请日：2008-05-15
申请人： Scott Pool , Blair Walker , Arvin Chang , Jay R. McCoy , Richard L. Quick , Shahram Moaddeb , Peter P. Tran
发明人： Scott Pool , Blair Walker , Arvin Chang , Jay R. McCoy , Richard L. Quick , Shahram Moaddeb , Peter P. Tran
CPC分类号： A61B17/8866 , A61B17/68 , A61B17/7016 , A61B17/7044 , A61B17/7065 , A61B17/707 , A61B17/7216 , A61B17/7266 , A61B17/8004 , A61B17/88 , A61B2017/00411 , A61B2017/00876 , A61B2017/564 , A61B2017/681
摘要： A system for manipulating a portion of the skeletal system of a mammal includes an implant having a first portion and a second portion, the first portion configured for mounting at a first location of the skeletal system and the second portion configured for mounting at a second location of the skeletal system. The system further includes an adjustment device disposed on the implant and configured to apply a biasing force to the skeletal system, the adjustment device including a magnetic element configured for cyclic movement, the magnetic element being operatively coupled to a drive element configured to alter at least one of the distance or the force between the first location and the second location. The system includes an implantable feedback device operatively coupled to the implant that is configured to produce a response that is indicative of a condition of the implant which can be identified non-invasively.
摘要翻译： 用于操纵哺乳动物骨骼系统的一部分的系统包括具有第一部分和第二部分的植入物，第一部分被配置用于安装在骨骼系统的第一位置，并且第二部分被配置成用于安装在第二位置 的骨骼系统。 所述系统还包括设置在所述植入物上并被配置为向所述骨骼系统施加偏置力的调节装置，所述调整装置包括构造成用于循环移动的磁性元件，所述磁性元件可操作地联接到驱动元件，所述驱动元件被配置为至少改变 第一位置和第二位置之间的距离或力之一。 该系统包括可操作地耦合到植入物的可植入反馈装置，其被配置为产生指示非侵入性地识别植入物的状态的响应。
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公开(公告)号：US20090062825A1
公开(公告)日：2009-03-05
申请号：US12259965
申请日：2008-10-28
申请人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
发明人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
CPC分类号： A61F5/0053 , A61F5/003 , A61F5/0059 , A61F5/0066 , A61F2005/002
摘要： A system includes an adjustable implant configured for implantation internally within a subject, the adjustable implant having a permanent magnet configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission configured to alter a dimension of the adjustable implant. The system further includes an external adjustment device configured for placement on or adjacent to the skin of the subject comprising at least one magnet configured for rotation, the external adjustment device further comprising a motor configured to rotate the at least one magnet, whereby rotation of the at least one magnet of the external adjustment device effectuates rotational movement of the permanent magnet of the adjustable implant and alters the dimension of the adjustable implant. The system includes drive control circuitry configured to drive the motor of the external adjustment device to achieve a target dimension of the adjustable implant.
摘要翻译： 系统包括被配置用于在对象内部进行植入的可调节植入物，所述可调节植入物具有被配置为围绕旋转轴线旋转的永磁体，所述永磁体可操作地耦合到构造成改变可调节植入物的尺寸的驱动变速器。 所述系统还包括外部调节装置，其被配置为放置在所述对象的皮肤上或与所述对象的皮肤相邻，所述外部调节装置包括被配置为旋转的至少一个磁体，所述外部调整装置还包括被配置为旋转所述至少一个磁体的马达， 外部调节装置的至少一个磁体实现可调节植入物的永磁体的旋转运动并改变可调节植入物的尺寸。 该系统包括被配置为驱动外部调节装置的电动机以实现可调节植入物的目标尺寸的驱动控制电路。
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公开(公告)号：US20080228025A1
公开(公告)日：2008-09-18
申请号：US11716758
申请日：2007-03-12
申请人： Richard L. Quick
发明人： Richard L. Quick
IPC分类号： A61N5/01
CPC分类号： A61N5/1007 , A61M2025/1075 , A61N5/1015 , A61N2005/1003 , A61N2005/1018
摘要： The disclosure is directed to catheter devices and methods for controlled application of irradiation to tissue adjacent a body site, such as cavity after removal of tissue, e.g. cancer. The catheter device includes an inflatable balloon having at least two layers. The inflatable balloon has an expansion of more than 25% and less than 200% when inflated from the un-inflated condition to a turgid condition, preferably more than 50% and less than 150%. In the turgid condition the polymeric material(s) of the balloon layers are at or near the elastic limit of the balloon layer material. The balloon may contain or be formed of or be coated with radiopaque material to facilitate positional or symmetry verification.
摘要翻译： 本公开涉及导管装置和方法，用于控制对身体部位附近的组织照射，例如去除组织后的空腔，例如， 癌症。 导管装置包括具有至少两层的可膨胀气囊。 当从未充气状态膨胀到膨胀状态时，膨胀气球膨胀超过25％且小于200％，优选大于50％且小于150％。 在潮气条件下，球囊层的聚合物材料处于或接近球囊层材料的弹性极限。 球囊可以包含或由不透射线的材料形成或涂覆，以便于位置或对称性的验证。
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公开(公告)号：US07060077B2
公开(公告)日：2006-06-13
申请号：US09860344
申请日：2001-05-18
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0482 , A61B17/06066 , A61B17/0625 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： The invention relates to devices and methods for approximation, ligation, and fixation of tissue. The devices and methods are used with both traditional open surgical and endosurgical techniques.
摘要翻译： 本发明涉及组织近似，连接和固定的装置和方法。 这些装置和方法与传统的开放手术和内科手术技术一起使用。
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公开(公告)号：US06267759B1
公开(公告)日：2001-07-31
申请号：US09337666
申请日：1999-06-22
申请人： Richard L. Quick
发明人： Richard L. Quick
IPC分类号： A61B1818
CPC分类号： A61B18/14 , A61B10/0266 , A61B17/32002 , A61B2018/00208 , A61B2018/1407 , A61B2018/1861
摘要： An electrosurgical tool includes a cutting loop, which can be an RF cutting loop, which is secured to a shaft which rotates about an axis which is perpendicular to the longitudinal axis of the tool.
摘要翻译： 电外科手术工具包括切割环，切割环可以是RF切割环，其被固定到围绕垂直于工具的纵向轴线的轴线旋转的轴。
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公开(公告)号：US5857999A
公开(公告)日：1999-01-12
申请号：US435646
申请日：1995-05-05
申请人： Richard L. Quick , John P. Greelis
发明人： Richard L. Quick , John P. Greelis
CPC分类号： A61M25/04 , A61B17/3421 , A61B2017/00986 , A61B2017/3484 , A61B2017/3492 , A61M2025/0233
摘要： An introducer is shown and described which includes a number of unique and useful features designed to improve the process of obtaining access to a bodily cavity for the purpose of performing minimally invasive surgical procedures, particularly laparoscopic procedures. These features include, among others, a sharpened cannula distal end, in order to assist entry of the introducer through the tissue barrier into the bodily cavity, a substantially transparent support disk so that visual access to the insertion site is maintained at all times, a septum seal designed to sealingly receive instruments having a cross-sectional dimension of 2.2 mm or less, an improved anchoring device which is simply and manually actuated and is of an advantageous three-slit design, and a simple, side-mounted gas insufflation port, usable at all times during the procedure and adapted for connection to gas tubing fitted with a pinch clamp for easy control of the gas flow.
摘要翻译： 显示和描述了一种引导器，其包括许多独特且有用的特征，其设计用于改善获得对体腔的通路的过程，以便执行微创外科手术，特别是腹腔镜手术。 这些特征包括除了别的以外，具有尖锐的套管远端，以帮助导引器通过组织屏障进入体腔，基本透明的支撑盘，使得始终保持对插入部位的视觉通路， 设计用于密封地接收截面尺寸为2.2mm或更小的仪器的隔垫密封件，简单且手动致动并具有有利的三缝设计的改进的锚固装置和简单的侧装式气体吹入口， 可在过程中随时使用，并适用于连接到装有夹紧夹具的气体管道，以便于控制气体流量。
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公开(公告)号：US5713910A
公开(公告)日：1998-02-03
申请号：US554743
申请日：1995-11-07
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/0625 , A61B17/0057 , A61B17/062 , A61B17/2909 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0479 , A61B2017/06057 , A61B2017/2901
摘要： A method and device for the placement of sutures and for the purpose of approximating tissue. A particular utility is effected in the approximation of the tissue separated by means of an endosurgical trocar being inserted into a body cavity. The invention provides for the loading of suture material including needles into the device, introduction and placement of the device into the body cavity, with the distal end having deployable needle guides, extending the needle guides either simultaneously or individually to the periphery of the wound, engaging the wound with the needle guides, driving the needles and suture material through the tissue to be approximated into a catch mechanism, retracting the needle guides and withdrawing the device, leaving a loop of suture material in the margin of tissue. The suture may then be tied to approximate the wound and excess suture material cut off. The invention also provides for the placement of sutures for the endoscopic approximation, fixation, and ligation of tissues within a body cavity including the driving and retrieval of needle and suture combinations, and facilitating the tying of knots.
摘要翻译： 用于放置缝合线并用于近似组织的方法和装置。 在通过插入到体腔中的内窥镜套管针分离的组织的近似中实现特定用途。 本发明提供将包括针的缝合材料装载到装置中，将装置引入和放置到体腔中，其中远端具有可展开的针引导件，将针引导件同时或单独地延伸到伤口的周边， 将伤口与针引导件接合，将针和缝合材料驱动穿过组织以近似成捕获机构，缩回针引导件并取出装置，在组织边缘留下一环缝合材料。 然后可以将缝合线绑扎以近似伤口并切断多余的缝线材料。 本发明还提供了用于内窥镜近似，固定和结扎组织在体腔内的缝线的布置，包括针和缝合组合的驱动和取出，以及促进结的束缚。
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