公开(公告)号：US20090023982A1

公开(公告)日：2009-01-22

申请号：US12284151

申请日：2008-09-19

申请人： Mickey M. Karram

发明人： Mickey M. Karram

IPC分类号： A61F2/04

CPC分类号： A61B17/0401 ,  A61B17/42 ,  A61B2017/0403 ,  A61B2017/0437 ,  A61B2017/0458 ,  A61B2017/4216

摘要： In a preferred application, e.g., the repair of vaginal prolapse after relocation of the vagina and any organs displaced by the prolapse, corrective surgery is initiated by applying a hollow tubular element, formed to forcibly insert a barbed anchor attached to a distal end of a first length of suture, without any incision, from the inside of the vagina through the vaginal wall (the supported tissue) into selected support tissue within a patient's pelvis. This involves puncturing and thus locally severe physical distressing of both the supported tissue and the support tissue. The barbed anchor is left in the support tissue as the tubular element is then withdrawn from the support tissue and out of the vagina, leaving the proximate end portion of the suture extending through the vaginal wall into the vagina. A second such anchor, with a second length of suture attached thereto, is similarly inserted adjacent to the first anchor. The proximate end portions of the sutures are tied to each other inside the vagina, to thereby secure the vaginal wall to the support tissue with corresponding punctures formed in each by the insertions of the two anchors being thereby held in respective, precisely aligned, intimate contact during healing. This results in a pair of fused scars that cooperate to permanently bond the vaginal wall locally to the support tissue. If the sutures and/or the anchors are made of absorbable material they will all eventually disappear and the fused scars will provide the permanent bonding. If the anchors are made of non-absorbable material they may remain where located. A plurality of such paired fused-scar bonds may be generated, at the surgeon's discretion, to ensure adequate support for the repaired vagina. The apparatusand method can be readily adapted to similarly effect deliberate, local, beneficial bonding between other adjacent living tissues in a patient.

摘要翻译： 在优选的应用中，例如，在移除阴道以及由脱垂而移位的任何器官之后修复阴道脱垂，通过应用中空的管状元件开始矫正手术，中空的管状元件被强制地插入连接到 第一长度的缝合线，没有任何切口，从阴道内部通过阴道壁（支撑的组织）进入患者骨盆内的选定的支撑组织。 这涉及穿刺并因此局部严重的身体受压的支撑组织和支撑组织。 随着管状元件然后从支撑组织中排出并离开阴道，将有刺的锚固体留在支撑组织中，留下缝合线的近端部分延伸通过阴道壁进入阴道。 类似地，与第一锚固件相邻地插入具有附接到其上的第二长度的缝合线的第二个这样的锚固件。 缝合线的近端部分在阴道内部彼此连接，从而将阴道壁固定到支撑组织上，由两个锚固体的插入形成的相应的穿孔由相应的精确对准的紧密接触保持 治愈期间。 这导致一对融合的疤痕，其协作以将阴道壁局部地永久地结合到支撑组织。 如果缝合线和/或锚固件由可吸收材料制成，则它们将最终消失，并且熔合的疤痕将提供永久粘合。 如果锚杆是由不可吸收材料制成的，它们可能会保留在所在位置。 可以根据外科医生的判断产生多个这样的配对融合疤痕，以确保对修复的阴道的充分支持。 该装置和方法可以容易地适应于类似地影响患者中其他相邻活组织之间的有意，局部，有益的结合。

公开(公告)号：US20220202551A1

公开(公告)日：2022-06-30

申请号：US17139035

申请日：2020-12-31

申请人： Mickey M. Karram ,  Dionysios K. Veronikis

发明人： Mickey M. Karram ,  Dionysios K. Veronikis

IPC分类号： A61F2/00

摘要： An implantable device for treating a patient suffering from female urinary stress incontinence includes an elongate sling for supporting the urethra, the sling having first and second ends. First and second tabs extend from the first and second ends of the sling, respectively for engaging supportive tissue superior to the portion of the urethra being supported. Each tab has a ratcheted section of alternating relatively projecting and relatively recessed portions for engaging the supportive tissue.

公开(公告)号：US06328687B1

公开(公告)日：2001-12-11

申请号：US09531564

申请日：2000-03-20

申请人： Mickey M. Karram ,  Bryan D. Knodel

发明人： Mickey M. Karram ,  Bryan D. Knodel

IPC分类号： A61F200

CPC分类号： A61F2/0022 ,  A61B2017/00805 ,  A61F2/0036

摘要： A surgeon-implantable, fluid-filled, flexible device for automatically controlling stress incontinence in female patients employs a flexible diaphragm element positioned in the patient's abdominal space to compress in response to increases in intraabdominal pressure. Upon such compression of the diaphragm, pressurized fluid flows therefrom via a flexible tubing, optionally via a flow control element, to an inflatable urethra-constricting element in fluid communication therewith and positioned over the patient's urethra close to her bladder neck. Thus, when the patient experiences an increase in intraabdominal pressure, e.g., when she coughs, fluid from the diaphragm flows rapidly to the urethra-constricting element which presses against and forcibly constricts the urethra adjacent thereto. Upon abatement of the intraabdominal pressure, the flow control element releases fluid from the urethra-constricting element which then ceases to press on the urethra.

摘要翻译： 用于自动控制女性患者的压力性尿失禁的外科医生可植入的流体填充的柔性装置采用位于患者腹部空间中的柔性隔膜元件，以响应于腹内压力的增加而压缩。 在隔膜的这种压缩之后，加压流体经由柔性管道（可选地经由流量控制元件）流动到可与其流体连通的可膨胀的尿道 - 收缩元件，并定位在靠近其膀胱颈部的患者尿道上方。 因此，当患者经历腹内压力的增加时，例如当她咳嗽时，来自隔膜的流体迅速地流到尿道收缩元件，尿道收缩元件压迫和强制地收缩与其相邻的尿道。 当减轻腹内压力时，流量控制元件从尿道收缩元件释放流体，然后其停止压在尿道上。

公开(公告)号：US07270439B2

公开(公告)日：2007-09-18

申请号：US11152311

申请日：2005-06-13

申请人： Robin S. Horrell ,  David Bibelhausen ,  Mickey M. Karram ,  John F. Love

发明人： Robin S. Horrell ,  David Bibelhausen ,  Mickey M. Karram ,  John F. Love

IPC分类号： F21S2/00

CPC分类号： A61B90/36 ,  A61B2090/309 ,  Y10S362/804

摘要： A compact, self-contained lighting system is attachable to a surgical tool to enable a user to selectively direct light at a site where the tool is to be applied. The system has a power unit that may contain rechargeable power cells, a malleable electrical connection element, and a light-emitting element powered thereby to emit high intensity white light, preferably from an LED. The system ensures against tissue damage due to inadvertent overheating by continuously removing byproduct heat from the light-emitting element, via the connection element, to the power unit with portions of each of these components serving as respective heat sinks and/or as thermal conduits to facilitate this process. The removed heat is dissipated to the ambient atmosphere, the surgical tool and even the user, and permits safe prolonged operations in confined regions of a patient's body.

摘要翻译： 紧凑的独立照明系统可附接到外科手术工具，以使用户能够选择性地在要施用工具的位置引导光。 该系统具有可以包含可再充电电池，可延展电连接元件和由此供电的发光元件的功率单元，从而发射高亮度白光，优选地从LED发射。 该系统通过连续地从发光元件经由连接元件将副产物热连续地除去到动力单元，从而防止由于无意的过热而导致的组织损伤，其中这些部件中的每一个的部分用作相应的散热器和/或作为热导管 促进这个过程。 去除的热量消散到环境大气，手术工具甚至用户，并且允许在患者身体的密闭区域中安全地延长操作。

公开(公告)号：US06238383B1

公开(公告)日：2001-05-29

申请号：US09549680

申请日：2000-04-14

申请人： Mickey M. Karram ,  Bryan D. Knodel

发明人： Mickey M. Karram ,  Bryan D. Knodel

IPC分类号： A61M2700

CPC分类号： A61F2/0009 ,  A61M25/0662

摘要： A guidewire or other guide element has an elastically deformable distal end portion that is formed to have an unstrained shape or other features selected to allow the guide element to be safely retained inside a female's urinary bladder after placement therein via a tubular catheter by a doctor. The proximal end of the guide element extends out of her urethra to be easily accessible to her. When she needs to urinate, she passes the proximal end of the guide element into the distal end of another tubular catheter by herself and guides the catheter along the guide element into her bladder to pass out urine through the catheter. When her condition has improved, she or her doctor can withdraw the guide element via a similar catheter.

摘要翻译： 导丝或其它引导元件具有可弹性变形的远端部分，其形成为具有未受限制的形状或其他特征，其被选择为允许引导元件通过医生通过管状导管放置在雌性膀胱内之后被安全地保持在雌性膀胱内。 引导元件的近端延伸出她的尿道，使她容易接近。 当她需要排尿时，她自己将引导元件的近端通过另一个管状导管的远端，并将导管沿引导元件引导进入膀胱，以将尿液通过导管。 当病情改善时，她或她的医生可以通过类似的导管取出引导元件。

公开(公告)号：US06095969A

公开(公告)日：2000-08-01

申请号：US33242

申请日：1998-03-03

申请人： Mickey M. Karram ,  Bryan D. Knodel

发明人： Mickey M. Karram ,  Bryan D. Knodel

IPC分类号： A61F2/00 ,  A61F2/02

CPC分类号： A61F2/0022 ,  A61F2/0036 ,  A61B2017/00805

摘要： A surgeon-implantable, fluid-filled, flexible device for automatically controlling stress incontinence in female patients employs a flexible diaphragm element positioned in the patient's abdominal space to compress in response to increases in intraabdominal pressure. Upon such compression of the diaphragm, pressurized fluid flows therefrom via a flexible tubing, optionally via a flow control element, to an inflatable urethra-constricting element in fluid communication therewith and positioned over the patient's urethra close to her bladder neck. Thus, when the patient experiences an increase in intraabdominal pressure, e.g., when she coughs, fluid from the diaphragm flows rapidly to the urethra-constricting element which presses against and forcibly constricts the urethra adjacent thereto. Upon abatement of the intraabdominal pressure, the flow control element releases fluid from the urethra-constricting element which then ceases to press on the urethra.

摘要翻译： 用于自动控制女性患者的压力性尿失禁的外科医生可植入的流体填充的柔性装置采用位于患者腹部空间中的柔性隔膜元件，以响应于腹内压力的增加而压缩。 在隔膜的这种压缩之后，加压流体经由柔性管道（可选地经由流量控制元件）流动到可与其流体连通的可膨胀的尿道 - 收缩元件，并定位在靠近其膀胱颈部的患者尿道上方。 因此，当患者经历腹内压力的增加时，例如当她咳嗽时，来自隔膜的流体迅速地流到尿道收缩元件，尿道收缩元件压迫和强制地收缩与其相邻的尿道。 当减轻腹内压力时，流量控制元件从尿道收缩元件释放流体，然后其停止压在尿道上。

公开(公告)号：US20080147058A1

公开(公告)日：2008-06-19

申请号：US11451941

申请日：2006-06-13

申请人： Robin S. Horrell ,  David James Bibelhausen ,  Mickey M. Karram ,  John F. Love

发明人： Robin S. Horrell ,  David James Bibelhausen ,  Mickey M. Karram ,  John F. Love

IPC分类号： A61B18/12

CPC分类号： A61B18/1402 ,  A61B90/30 ,  A61B2017/00212 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00922 ,  A61B2018/1226 ,  A61B2018/1412

摘要： A cautery tool is provided with a compact, lightweight, user-directable lighting facility that can be powered by either a shared external power source from which a power flow is shared continuously with the cautery function, by a supplemental self-contained power cell that may be recharged by a portion of the external power for use independently of the cautery function, or by sharing of a self-contained power cell by the cautery and the lighting functions. Waste heat generated during exercise of the lighting function is continuously removed from a light-emitting element by electrical conductors also serving as heat transfer conduits.

摘要翻译： 灼烧工具具有紧凑，重量轻的用户可定向照明设施，其可以由共享的外部电源供电，电源通过共享的外部电源与电烧功能连续共享，通过补充的独立电力单元可以 由独立于烧灼功能的外部电源的一部分进行充电，或者通过烧灼和照明功能共享独立的电池。 在照明功能运动过程中产生的余热通过也用作传热导管的电导体从发光元件连续地移除。

公开(公告)号：US06428180B1

公开(公告)日：2002-08-06

申请号：US09620368

申请日：2000-07-20

申请人： Mickey M. Karram ,  Bryan D. Knodel

发明人： Mickey M. Karram ,  Bryan D. Knodel

IPC分类号： F21S200

CPC分类号： A61B5/411 ,  A61B5/0059 ,  A61B17/28 ,  A61B90/30

摘要： A compact, self-powered, selectively-mountable lighting unit provides light directable by a user to an operation site in a confined space to enable the user to operate a tool therein. The lighting unit is detachably mountable in a variety of ways either to a user-selected location on any suitable surgical instrument,or at the user's option to an adjacent location within the confined space, to facilitate well-lit and accurate viewing thereat. The lighting unit may be adapted to provide lighting of selected frequency, in an adjustable focus ranging from substantially diffuse light to a tightly focused beam. A known dead-soft element may be included to enable the user to adjust orientation of the delivered light.

摘要翻译： 紧凑的，自供电的，可选择性安装的照明单元使得用户可以在密闭空间中的操作现场指示光使得用户能够在其中操作工具。 照明单元可以以各种方式可拆卸地安装到任何合适的外科器械上的用户选择的位置，或者在用户对限制空间内的相邻位置的选择，以便于在其上的良好照明和准确的观察。 照明单元可以适于在从基本上漫射光到紧密聚焦光束的可调聚焦中提供所选频率的照明。 可以包括已知的死软元件以使用户能够调节所传送的光的取向。