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    Apparatus and Method for Surgical Fastening
    1.
    发明申请
    Apparatus and Method for Surgical Fastening 有权
    手术紧固装置及方法

    公开(公告)号：US20120085807A1

    公开(公告)日：2012-04-12

    申请号：US13329608

    申请日：2011-12-19

    Applicant: Helmut L. Kayan ,  James E. Jervis

    Inventor： Helmut L. Kayan ,  James E. Jervis

    IPC: A61B17/068

    CPC classification number: A61B17/0684 ,  A61B17/068

    Abstract: Apparatus and methods for applying fasteners during endoscopic surgery are provided. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The various embodiments may be variously combined together in a single device. The methods generally include the following steps: forming a fastener by placing it over a single focal point anvil and pressing the fastener against the single focal point anvil using a slide.

    Abstract translation: 提供了在内窥镜手术期间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。 本发明的一个实施例在砧座上形成围绕单个焦点的紧固件。 另一个实施例垂直地将紧固件堆叠在紧固件施加器中，其通过旋转锁定系统容易地从手柄部分拆卸，并且可以用新的紧固件施加器代替，该紧固件施加器具有垂直堆叠的紧固件的新负载。 各种实施例可以在单个设备中不同地组合在一起。 方法通常包括以下步骤：通过将紧固件放置在单个焦点砧上并使用滑块将紧固件压靠单个焦点砧座来形成紧固件。

    Suture retainer with multiple circumferentially spaced attachment points and suture retention method
    2.
    发明授权
    Suture retainer with multiple circumferentially spaced attachment points and suture retention method 失效
    具有多个周向间隔连接点和缝线保持方法的缝合保持器

    公开(公告)号：US08062333B2

    公开(公告)日：2011-11-22

    申请号：US11061128

    申请日：2005-02-17

    Applicant: James E. Jervis

    Inventor： James E. Jervis

    IPC: A61B17/04

    CPC classification number: A61B17/06061 ,  A61B17/0487

    Abstract: The suture retainer according to one aspect of the invention has a retainer body and a plurality of suture attachment mechanisms spaced circumferentially about the retainer body, each of the suture attachment mechanisms (such as a pair of teeth) being adapted to hold a suture strand at a discrete attachment point. Another aspect of the invention provides a method of securing a suture in a suture retainer, including the following steps: providing a suture retainer having a retainer body and a plurality of suture attachment mechanisms spaced circumferentially about the retainer body; and attaching a suture strand to the retainer body at each of the suture attachment mechanisms. Yet another aspect of the invention provides a suturing method including the steps of: attaching a first end of a suture strand to a suture retainer; contacting a tissue contact portion of the suture strand with tissue to be sutured, the tissue contact portion being disposed between the first end of the suture strand and a second end of the suture strand; and attaching the second end of the suture strand to the suture retainer at a plurality of suture attachment points spaced circumferentially about the suture retainer.

    Abstract translation: 根据本发明的一个方面的缝合线保持器具有保持器主体和围绕保持器本体周向间隔开的多个缝合线附接机构，每个缝合线附接机构（例如一对齿）适于将缝合线保持在 离散的附着点。 本发明的另一方面提供了一种将缝合线固定在缝合线保持器中的方法，包括以下步骤：提供具有保持器主体的缝合线保持器和围绕保持器本体周向间隔开的多个缝合线附接机构; 以及在每个缝合线附接机构处将缝合线附接到保持器主体。 本发明的另一方面提供了一种缝合方法，其包括以下步骤：将缝合线的第一端附接到缝合线保持器; 使缝合线的组织接触部分与要缝合的组织接触，组织接触部分设置在缝合线的第一端和缝线之间的第二端之间; 以及将所述缝合线的第二端在围绕所述缝合线保持器周向间隔开的多个缝合线附接点处附接到所述缝合线保持器。

    METHOD AND APPARATUS FOR COMBINED DISSECTION AND RETRACTION
    3.
    发明申请
    METHOD AND APPARATUS FOR COMBINED DISSECTION AND RETRACTION 审中-公开
    用于组合分离和回缩的方法和装置

    公开(公告)号：US20110071361A1

    公开(公告)日：2011-03-24

    申请号：US12915479

    申请日：2010-10-29

    Applicant: Kenneth H. Mollenauer ,  James E. Jervis

    Inventor： Kenneth H. Mollenauer ,  James E. Jervis

    IPC: A61B1/32 ,  A61B17/00

    CPC classification number: A61B17/0218 ,  A61B2017/00557 ,  A61B2017/320044 ,  A61M29/02

    Abstract: A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.

    Abstract translation: 一种用于从第二组织层解剖第一组织层，然后保持打开用于执行外科手术的解剖空间的方法和装置。 该方法包括以下步骤：在体内进行切口，将放气的气囊解剖器引入切口中，使气囊解剖器膨胀，以使第一层组织从第二层组织切除，以顺序地在解剖空间内展开牵开器 以打开解剖空间，并且可选地放气或排空气囊解剖器以打开用于外科手术的腔。 该装置包括组合的解剖器 - 牵开器，其具有设置在气球解剖器的表面上并与之一体化的气囊牵开器。

    Apparatus and method for surgical fastening
    4.
    发明授权
    Apparatus and method for surgical fastening 有权
    手术紧固装置及方法

    公开(公告)号：US07641094B2

    公开(公告)日：2010-01-05

    申请号：US10697523

    申请日：2003-10-30

    Applicant: Helmut L. Kayan ,  James E. Jervis

    Inventor： Helmut L. Kayan ,  James E. Jervis

    IPC: A61B17/04

    CPC classification number: A61B17/0684 ,  A61B17/068

    Abstract: Apparatus and method for applying fasteners during endoscopic surgery. The apparatus vertically stacks fasteners in a fastener applicator which is detachable and replaceable from a handle portion by a rotational locking system. The fasteners are applied by moving them to a driving channel by a biased fastener positioning spring as a slide is retracted; the slide is then advanced until it engages a fastener in the driving channel and drives the fastener over an anvil. During advancement of the slide a biased stop spring is forced back into a recess thereby allowing the next fastener to move forward in the storage channel; the slide is then retracted, freeing biased ejector springs to kick the formed fastener off the anvil; finally the slide is further retracted, until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.

    Abstract translation: 内窥镜手术中应用紧固件的装置和方法。 该装置将紧固件垂直地堆叠在紧固件施加器中，其通过旋转锁定系统从手柄部分可拆卸和可更换。 当滑块缩回时，通过偏置紧固件定位弹簧将它们移动到驱动通道来施加紧固件; 滑块然后前进直到其接合在驱动通道中的紧固件并将紧固件驱动在砧上。 在滑动件的前进期间，偏置的止动弹簧被迫回到凹部中，从而允许下一个紧固件在储存通道中向前移动; 然后将滑块缩回，释放偏置的顶出弹簧以将形成的紧固件踢出砧座; 最后，滑块进一步缩回，直到紧固件定位弹簧再次自由地将最远的紧固件从存储通道移动到驱动通道中。

    Blood vessel clip and applicator
    5.
    发明授权
    Blood vessel clip and applicator 有权
    血管夹和敷贴器

    公开(公告)号：US07594920B2

    公开(公告)日：2009-09-29

    申请号：US10751579

    申请日：2004-01-05

    Applicant: Helmut Kayan ,  James E. Jervis

    Inventor： Helmut Kayan ,  James E. Jervis

    IPC: A61B17/10

    CPC classification number: A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/0042 ,  A61B2017/00429

    Abstract: An apparatus for applying a blood vessel clip includes a grip assembly having a handle, an applicator barrel attached to the grip assembly, a magazine connected to the applicator barrel, and a plunger connected to the grip assembly. The magazine has a plunger space and a magazine passage separated by a divider shim. A distal end of the magazine defines an exit aperture. The magazine passage is adapted for storing at least one blood vessel clip therein. The magazine includes a constricted region narrower than a head of the blood vessel clip. The constricted region is spaced apart from the exit aperture and has a narrowest point narrower than the exit aperture. The plunger extends into the plunger space. The plunger moves the at least one blood vessel clip distally through the constricted region and the exit aperture.

    Abstract translation: 用于施加血管夹的装置包括具有手柄的抓握组件，附接到抓握组件的施用器筒，连接到施用器筒的仓和连接到抓握组件的柱塞。 该杂志具有一个柱塞空间和一个由分隔垫片隔开的杂物通道。 仓的远端限定出口孔。 杂志通道适于在其中存储至少一个血管夹。 该杂志包括比血管夹的头部窄的狭窄区域。 收缩区域与出口孔间隔开，并且具有比出口孔窄的最窄点。 柱塞伸入柱塞空间。 柱塞将至少一个血管夹向远侧移动通过收缩区域和出口孔。

    Method and apparatus for modifying distance from a brachytherapy radiation source to sensitive anatomical structures
    6.
    发明申请
    Method and apparatus for modifying distance from a brachytherapy radiation source to sensitive anatomical structures 有权
    用于修改从近距离放射治疗辐射源到敏感解剖结构的距离的方法和装置

    公开(公告)号：US20090030258A1

    公开(公告)日：2009-01-29

    申请号：US11881835

    申请日：2007-07-28

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

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

    IPC: A61M36/06

    CPC classification number: A61M25/1011 ,  A61B2017/22069 ,  A61M25/1002 ,  A61M2025/1061 ,  A61N5/1015

    Abstract: A balloon brachytherapy applicator has either a single or double chambers, with the capability of “blistering” outwardly at a specified area on one side of the balloon. This is useful to move sensitive tissue, such as skin or bone, farther away from a radiation source within a source guide inside the balloon. In one case a secondary balloon or secondary compartment is formed on the primary balloon, and is separately inflatable so as to allow blistering as desired when needed. In another form the balloon comprises a single chamber, primarily of inelastic or fairly rigidly elastic wall material, but with a “window” or area in which the balloon wall is elastic, or substantially more elastic than the main balloon wall, so that inflation of the balloon up to a certain point forms a substantially regular balloon shape (which may be approximately spherical), and the addition of further pressure will blister out the elastic area to increase the distance between the shaft and the sensitive tissue in a desired orientation of the balloon.

    Abstract translation: 气球近距离放射治疗器具有单室或双室，在气球一侧的指定区域处具有“起泡”的能力。 这对于将敏感组织（例如皮肤或骨骼）移动离气囊内的源引导件内的辐射源更远是有用的。 在一种情况下，次级球囊或次级隔室形成在主气囊上，并且可分开地充气，以便在需要时根据需要允许起泡。 在另一种形式中，气囊包括主要为非弹性或相当刚性弹性的壁材料的单个腔室，但具有球囊壁具有弹性或比主气囊壁基本上更有弹性的“窗口”或区域，从而使 气球直到某一点形成基本上规则的气球形状（其可以近似为球形），并且增加进一步的压力将使弹性区域起泡以增加轴和敏感组织之间的距离， 气球。

    Prosthesis and method for deployment within a body lumen
    7.
    发明授权
    Prosthesis and method for deployment within a body lumen 失效
    在体腔内部署的假体和方法

    公开(公告)号：US07396362B2

    公开(公告)日：2008-07-08

    申请号：US10244765

    申请日：2002-09-16

    Applicant: James E. Jervis

    Inventor： James E. Jervis

    IPC: A61F2/84

    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 with a socket for securing one end of the stent at a distal region of the sheath and an inner member extending from the sheath, and also having a socket at a distal region of the inner member for securing 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 at 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; 所述导管具有细长护套，所述护套具有用于将所述支架的一端固定在护套的远侧区域处的插槽和从护套延伸的内部构件，并且还在内部构件的远侧区域具有用于固定另一端的插座 的支架 内部构件可相对于护套旋转，以将扭矩传递到支架，以允许螺旋支架在其极限应变下展开以扩张支架。 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。

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