公开(公告)号：USRE36871E

公开(公告)日：2000-09-12

申请号：US401339

申请日：1995-03-09

申请人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

发明人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

IPC分类号： A61M5/00 ,  A61M5/142 ,  A61M5/168 ,  A61M5/172 ,  A61M31/00

CPC分类号： A61M5/14224 ,  A61M5/172 ,  A61M2005/14208 ,  A61M5/16827 ,  Y10S128/13

摘要： An infusion system for administering multiple infusates at individually programmable rates, volumes, and sequences in any order from any one or more of plural fluid input ports through a patient output port and into the circulatory system of a patient. Infusates may be either continuously or time sequentially administered, and infusates may be either intermittently administered at selectively regular intervals or in time overlap to administer a dilution. Various error conditions are automatically detected and alarms generated in the event of conflicts between infusates, to identify times of no infusions, and to identify system malfunctions. The system is selectively operable, among others, in a priming mode, a maintenance mode, a normal-on mode, and a manual override mode. The system is operative to adapt actual to desired flow rates in normal operation. All fluids flow through a unitary disposable cassette without making any other system contact. Air bubbles in the fluid line are automatically detected and disposed of. Fluid pressures are monitored and system operation adjusted as a function of such pressures. Infusates may be administered from syringes as well as from standard bag or bottle containers. Infusate from a selected input port may be controllably pumped into a syringe for unsticking the syringe plunger. The system is selectively operable to adjust total fluid volume and rate to below preselected values for patients whose total fluid intake must be restricted. The system is operable to maintain an accurate record of total infusion history. The system may be controlled by a terminal or a computer located remotely from the patient location. The system may include auxiliary pumps in addition to a primary pump, all controlled by a single computer.

公开(公告)号：US20080027468A1

公开(公告)日：2008-01-31

申请号：US11881329

申请日：2007-07-26

申请人： Paul Fenton ,  George Adaniya ,  Thomas Egan ,  Francis Harrington ,  Peter Sorensen ,  Justin Anderson

发明人： Paul Fenton ,  George Adaniya ,  Thomas Egan ,  Francis Harrington ,  Peter Sorensen ,  Justin Anderson

IPC分类号： A61B17/04 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/062 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/00371 ,  A61B2017/06095

摘要： A blade suture needle is adapted for use in a suture needle assembly, and with a suture passer device, for passing a suture needle assembly through tissue. The suture needle includes an elongated resilient sheet body member bounded by opposite principal surfaces. The body member includes at least one central aperture extending between the principal surfaces, having dimensions to permit of a capturing flange to pass therethrough. The suture needle may be part of a needle assembly further including an elongated suture passing through an aperture in the needle. A suture passer device includes an elongated pusher guide with pair of opposed jaw members disposed at its distal end, which may be opened or closed in response to a user action at its proximal end. The guide allows passage of an elongated pusher element through a pusher channel therein. One of the jaw members includes a suture assembly channel aligned with the pusher channel. The other jaw member has an aperture passing therethrough, which is aligned with the suture assembly channel when the jaw members are closed. This other jaw member includes an elongated resilient flange fixedly or retractably attached to the jaw member at the periphery of the aperture, and extending across the aperture to an opposite point on the periphery of the aperture.

摘要翻译： 刀片缝合针适用于缝合针组件和缝合路径装置，用于使缝合针组件穿过组织。 缝合针包括由相对的主表面限定的细长的弹性片体。 主体构件包括在主表面之间延伸的至少一个中心孔，具有允许捕获凸缘通过的尺寸。 缝合针可以是针组件的一部分，其还包括穿过针中的孔的细长缝合线。 缝合路径装置包括细长的推动器引导件，其具有设置在其远端处的一对相对的夹爪构件，其可以响应于其近端处的使用者动作而打开或关闭。 引导件允许细长推动元件通过其中的推动器通道。 其中一个钳口构件包括与推动器通道对准的缝合线组件通道。 另一个钳口构件具有穿过其中的孔，当钳口构件关闭时，该孔与缝合线组件通道对齐。 该另一个钳口构件包括细长的弹性凸缘，其在孔的周边处固定地或可缩回地附接到钳口构件，并且延伸穿过孔到孔的周边上的相对点。

公开(公告)号：US4696671A

公开(公告)日：1987-09-29

申请号：US873478

申请日：1986-06-11

申请人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

发明人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

IPC分类号： A61M5/00 ,  A61M5/142 ,  A61M5/168 ,  A61M5/172 ,  A61M5/14

CPC分类号： A61M5/14224 ,  A61M5/172 ,  A61M2005/14208 ,  A61M5/16827 ,  Y10S128/13

摘要： An infusion system for administering multiple infusates at individually programmable rates, volumes, and sequences in any order from any one or more of plural fluid input ports through a patient output port and into the circulatory system of a patient. Infusates may be either continuously or time sequentially administered, and infusates may be either intermittently administered at selectively regular intervals or in time overlap to administer a dilution. Various error conditions are automatically detected and alarms generated in the event of conflicts between infusates, to identify times of no infusions, and to identify system malfunctions. The system is selectively operable, among others, in a priming mode, a maintenance mode, a normal-on mode, and a manual override mode. The system is operative to adapt actual to desired flow rates in normal operartion. All fluids flow through a unitary disposable cassette without making any other system contact. Air bubbles in the fluid line are automatically detected and disposed of. Fluid pressures are monitored and system operation adjusted as a function of such pressures. Infusates may be administered from syringes as well as from standard bag or bottle containers. Infusate from a selected input port may be controllably pumped into a syringe for unsticking the syringe plunger. The system is selectively operable to adjust total fluid volume and rate to below preselected values for patients whose total fluid intake must be restricted. The system is operable to maintain an accurate record of total infusion history.

摘要翻译： 一种输注系统，用于以多个流体输入端口中的任何一个或多个通过患者输出端口并进入患者的循环系统，以单独可编程的速率，体积和顺序管理多个输注物。 输注物可以是连续的或时间依次施用的，并且输注物可以间歇地以选择性的定期间隔或时间重叠施用以施用稀释。 自动检测各种错误条件，并在发生冲突时产生警报，识别不输注的时间，并识别系统故障。 该系统可以选择性地可操作地在启动模式，维护模式，正常模式和手动超控模式中。 该系统在正常操作中适用于实际所需流量。 所有的流体都流经整体的一次性盒式磁带，而不会使任何其他系统接触。 流体管路中的气泡被自动检测并处理。 监测流体压力并根据这种压力调整系统运行。 注射器可以从注射器以及标准袋或瓶容器中进行施用。 从选择的输入端口输注可以可控地泵送到注射器中用于取消对注射器柱塞的取出。 该系统可选择性地可操作地调整总体积体积并且对于总流体摄取必须被限制的患者的速率低于预选值。 该系统可操作以保持总输液历史的准确记录。

公开(公告)号：US4652260A

公开(公告)日：1987-03-24

申请号：US710009

申请日：1985-03-11

申请人： Paul V. Fenton, Jr. ,  Thomas M. Young ,  George Adaniya ,  Richard E. Denis ,  Robert L. Miller ,  Ernest M. Santin

发明人： Paul V. Fenton, Jr. ,  Thomas M. Young ,  George Adaniya ,  Richard E. Denis ,  Robert L. Miller ,  Ernest M. Santin

IPC分类号： A61M5/00 ,  A61M5/145 ,  A61M5/172 ,  A61M5/31 ,  A61M5/315 ,  A61M5/20

CPC分类号： A61M5/1456 ,  A61M5/172 ,  Y10S128/12

摘要： An infusion device for a syringe includes a ratcheted stepper motor driven intermittently under the control of a control circuit to advance a syringe plunger driver. Different speeds are determined by the detected size of the syringe in the device. A clutch assembly disengageably connects the plunger driver to a drive belt driven by the stepper motor.A connector for a tubing set has a syringe-connect portion located in a recess of the connector, and cooperates with a force sensor in the device to detect occlusions. The connector has annular projecting portions with parallel, spaced apart actuating surfaces for engagement of the force sensor in either of two positions of the connector in the device. The connector is adapted to indicate to a sensor in which position it is located.

摘要翻译： 用于注射器的输液装置包括在控制电路的控制下间歇地驱动的棘轮式步进马达，以推动注射器柱塞驱动器。 不同的速度由设备中检测到的注射器的尺寸确定。 离合器组件将柱塞驱动器与由步进电动机驱动的传动带分离地连接。 用于管组的连接器具有位于连接器的凹部中的注射器连接部分，并且与装置中的力传感器协作以检测遮挡物。 连接器具有环形突出部分，其具有平行的间隔开的致动表面，用于将力传感器接合在装置中的连接器的两个位置中。 连接器适于向传感器指示其位于哪个位置。

公开(公告)号：US5100380A

公开(公告)日：1992-03-31

申请号：US355035

申请日：1989-05-16

申请人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

发明人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

IPC分类号： A61M5/142 ,  A61M5/168 ,  A61M5/172

CPC分类号： A61M5/172 ,  A61M5/14224 ,  A61M2005/1402 ,  A61M2005/14208 ,  A61M5/16827 ,  Y10S128/12 ,  Y10S128/13

摘要： An infusion system for administering multiple infusates at individually programmable rates, volumes, and sequences in any order from any one or more of plural fluid input ports through a patient output port and into the circulatory system of a patient. Infusates may be either continuously or time sequentially administered, and infusates may be either intermittently administered at selectively regular intervals or in time overlap to administer a dilution. Various error conditions are automatically detected and alarms generated in the event of conflicts between infusates, to identify times of no infusions, and to identify system malfunctions. The system is selectively operable, among others, in a priming mode, a maintenance mode, a normal-on mode, and a manual override mode. The system is operative to adapt actual to desired flow rates in normal operation. All fluids flow through a unitary disposable cassette without making any other system contact. Air bubbles in the fluid line are automatically detected and disposed of. Fluid pressures are monitored and system operation adjusted as a function of such pressures. Infusates may be administered from syringes as well as from standard bag or bottle containers. Infusate from a selected input port may be controllably pumped into a syringe for unsticking the syringe plunger. The system is selectively operable to adjust total fluid volume and rate to below preselected values for patients whose total fluid intake must be restricted. The system is operable to maintain an accurate record of total infusion history. The system may be controlled by a terminal or a computer located remotely from the patient location. The system may include auxiliary pumps in addition to a primary pump, all controlled by a single computer.

摘要翻译： 一种输注系统，用于以多个流体输入端口中的任何一个或多个通过患者输出端口并进入患者的循环系统，以单独可编程的速率，体积和顺序管理多个输注物。 输注物可以是连续的或时间依次施用的，并且输注物可以间歇地以选择性的定期间隔或时间重叠施用以施用稀释。 自动检测各种错误条件，并在发生冲突时产生警报，识别不输注的时间，并识别系统故障。 该系统可以选择性地可操作地在启动模式，维护模式，正常模式和手动超控模式中。 该系统可操作以在正常操作中使实际适应期望的流速。 所有的流体都流经整体的一次性盒式磁带，而不会使任何其他系统接触。 流体管路中的气泡被自动检测并处理。 监测流体压力并根据这种压力调整系统运行。 注射器可以从注射器以及标准袋或瓶容器中进行施用。 从选择的输入端口输注可以可控地泵送到注射器中用于取消对注射器柱塞的取出。 该系统可选择性地可操作地调整总体积体积并且对于总流体摄取必须被限制的患者的速率低于预选值。 该系统可操作以保持总输液历史的准确记录。 系统可以由远离患者位置的终端或计算机控制。 该系统可以包括除主泵之外的辅助泵，全部由单个计算机控制。

公开(公告)号：US4865584A

公开(公告)日：1989-09-12

申请号：US39314

申请日：1987-04-16

申请人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

发明人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

IPC分类号： A61M5/142 ,  A61M5/168 ,  A61M5/172

CPC分类号： A61M5/172 ,  A61M5/14224 ,  A61M2005/1402 ,  A61M2005/14208 ,  A61M5/16827

摘要： An infusion system for administering multiple infusates at individually programmable rates, volumes, and sequences in any order from any one or more of plural fluid input ports through a patient output port and into the circulatory system of a patient. Infusates may be either continuously or time sequentially administered, and infusates may be either intermittently administered at selectively regular intervals or in time overlap to administer a dilution. Various error conditions are automatically detected and alarms generated in the event of conflicts between infusates, to identify times of no infusions, and to identify system malfunctions. The system is selectivley operable, among others, in a priming mode, a maintenance mode, a normal-on mode, and a manual override mode. The system is operative to adapt actual to desired flow rates in normal operation. All fluids flow through a unitary disposable cassette without making any other system contact. Air bubbles in the fluid line are automatically detected and disposed of. Fluid pressures are monitored and system operation adjusted as a function of such pressures. Infusates may be administered from syringes as well as from standard bag or bottle containers. Infusate from a selected input port may be controllably pumped into a syringe for unsticking the syringe plunger. The system is selectivley operable to adjust total fluid volume and rate to below preselected values for patients whose total fluid intake must be restricted. The system is operable to maintain an accurate record of total infusion history.

摘要翻译： 一种输注系统，用于以多个流体输入端口中的任何一个或多个通过患者输出端口并进入患者的循环系统，以单独可编程的速率，体积和顺序管理多个输注物。 输注物可以是连续的或时间依次施用的，并且输注物可以间歇地以选择性的定期间隔或时间重叠施用以施用稀释。 自动检测各种错误条件，并在发生冲突时产生警报，识别不输注的时间，并识别系统故障。 该系统是选择性操作的，其中包括起动模式，维护模式，正常模式和手动超驰模式。 该系统可操作以在正常操作中使实际适应期望的流速。 所有的流体都流经整体的一次性盒式磁带，而不会使任何其他系统接触。 流体管路中的气泡被自动检测并处理。 监测流体压力并根据这种压力调整系统运行。 注射器可以从注射器以及标准袋或瓶容器中进行施用。 从选择的输入端口输注可以可控地泵送到注射器中用于取消对注射器柱塞的取出。 该系统是选择性可操作的，用于调整总体积体积，并将速率调整到低于预选值，对于总流体摄入必须限制的患者。 该系统可操作以保持总输液历史的准确记录。

公开(公告)号：US4828545A

公开(公告)日：1989-05-09

申请号：US39154

申请日：1987-04-16

申请人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

发明人： Paul Epstein ,  Harry Petschek ,  Eric LaWhite ,  Clair Strohl ,  Henry Coyne ,  Edward Kaleskas ,  George Adaniya

IPC分类号： A61M5/142 ,  A61M5/168 ,  A61M5/172

CPC分类号： A61M5/172 ,  A61M5/14224 ,  A61M2005/1402 ,  A61M2005/14208 ,  A61M5/16827

摘要： An infusion system for administering multiple infusates at individually programmable rates, volumes, and sequences in any order from any one or more of plural fluid input ports through a patient output port and into the circulatory system of a patient. Infusates may be either continuously or time sequentially administered, and infusates may be either intermittently administered at selectively regular intervals or in time overlap to administer a dilution. Various error conditions are automatically detected and alarms generated in the event of conflicts between infusates, to identify times of no infusions, and to identify system malfunctions. The system is selectively operable, among others, in a priming mode, a maintenance mode, a normal-on mode, and a manual override mode. The system is operative to adapt actual to desired flow rates in normal operation. All fluids flow through a unitary disposable cassette without making any other system contact. Air bubbles in the fluid line are automatically detected and disposed of. Fluid pressures are monitored and system operation adjusted as a function of such pressures. Infusates may be administered from syringes as well as from standard bag or bottle containers. Infusate from a selected input port may be controllably pumped into a syringe for unsticking the syringe plunger. The system is selectively operable to adjust total fluid volume and rate to below preselected values for patients whose total fluid intake must be restricted. The system is operable to maintain an accurate record of total infusion history.

摘要翻译： 一种输注系统，用于以多个流体输入端口中的任何一个或多个通过患者输出端口并进入患者的循环系统，以单独可编程的速率，体积和顺序管理多个输注物。 输注物可以是连续的或时间依次施用的，并且输注物可以间歇地以选择性的定期间隔或时间重叠施用以施用稀释。 自动检测各种错误条件，并在发生冲突时产生警报，识别不输注的时间，并识别系统故障。 该系统可以选择性地可操作地在启动模式，维护模式，正常模式和手动超控模式中。 该系统可操作以在正常操作中使实际适应期望的流速。 所有的流体都流经整体的一次性盒式磁带，而不会使任何其他系统接触。 流体管路中的气泡被自动检测并处理。 监测流体压力并根据这种压力调整系统运行。 注射器可以从注射器以及标准袋或瓶容器中进行施用。 从选择的输入端口输注可以可控地泵送到注射器中用于取消对注射器柱塞的取出。 该系统可选择性地可操作地调整总体积体积并且对于总流体摄取必须被限制的患者的速率低于预选值。 该系统可操作以保持总输液历史的准确记录。

公开(公告)号：US20090216337A1

公开(公告)日：2009-08-27

申请号：US11909024

申请日：2006-03-17

申请人： Thomas D. Egan ,  George Adaniya

发明人： Thomas D. Egan ,  George Adaniya

IPC分类号： A61F2/04

CPC分类号： A61F2/04 ,  A61F5/003 ,  A61F5/0076

摘要： An improved gastric bypass prosthetic (GBP) device and an improved GBP fixation device, as well as a GBP kit for the surgical treatment of obesity. In one form, a gastric bypass prosthetic (GBP) device of the invention includes a optional flexible tube extending along a central axis from a proximal end to a distal end, and having a tubular tissue fixation portion at or near said proximal end. The tissue fixation portion extends along the central axis between a proximal end and a distal end of the tissue fixation portion, and has an annular outer surface between the proximal end and the distal end of the tissue fixation portion.

摘要翻译： 改进的胃旁路假体（GBP）装置和改进的GBP固定装置，以及用于手术治疗肥胖的GBP套件。 在一种形式中，本发明的胃旁路假体（GBP）装置包括沿着中心轴线从近端延伸到远端的可选柔性管，并且在所述近端处或附近具有管状组织固定部分。 组织固定部分沿着中心轴线延伸在组织固定部分的近端和远端之间，并且在组织固定部分的近端和远端之间具有环形外表面。

公开(公告)号：US06960185B2

公开(公告)日：2005-11-01

申请号：US09834350

申请日：2001-04-13

申请人： George Adaniya ,  Paul V. Fenton, Jr.

发明人： George Adaniya ,  Paul V. Fenton, Jr.

IPC分类号： A61M37/00 ,  A61M39/02 ,  A61M31/00

CPC分类号： A61M39/0208 ,  A61M2039/0081

摘要： An implantable access device including a port for receiving and guiding a filament, such as a needle, into an entry region of the device. The port includes a plate for receiving a filament, and at least two walls extending upwardly from the plate. The walls are shaped and positioned to guide the filament moving between opposing first and second ends of the plate through an entry region defined between the walls at the second end of the plate. Preferably, a greatest distance between the walls is at least five times greater than a height of the walls, so that the port provides a large filament strike area, yet has a small overall height. In addition, a greatest distance between the ends of the plate is also preferably at least five times greater than the height of the walls, to further increase the filament strike area without increasing height.

摘要翻译： 一种可植入进入装置，包括用于将细丝（例如针）接收并引导到装置的进入区域中的端口。 该端口包括用于容纳细丝的板和从该板向上延伸的至少两个壁。 壁被成形和定位以引导在板的相对的第一和第二端之间移动的细丝通过限定在板的第二端处的壁之间的入口区域。 优选地，壁之间的最大距离比壁的高度大至少五倍，使得端口提供大的丝线打击区域，但具有小的整体高度。 此外，板的端部之间的最大距离也优选地比壁的高度大至少五倍，以进一步增加灯丝打击面积而不增加高度。