公开(公告)号：US08088189B2

公开(公告)日：2012-01-03

申请号：US13180493

申请日：2011-07-11

申请人： Paul A. Matula ,  Dominick Mastri ,  James Raymond Parys ,  Ralph Stearns ,  Johnnie H. Copley ,  Christopher Estkowski

发明人： Paul A. Matula ,  Dominick Mastri ,  James Raymond Parys ,  Ralph Stearns ,  Johnnie H. Copley ,  Christopher Estkowski

IPC分类号： B01D45/00

CPC分类号： B01D46/521 ,  A61M13/003 ,  A61M13/006 ,  A61M16/1055 ,  A61M2205/125 ,  B01D46/0008 ,  B01D46/0019 ,  B01D46/0086 ,  B01D46/009 ,  B01D46/106 ,  B01D46/2411 ,  B01D46/444 ,  B01D2265/025 ,  B01D2265/05

摘要： Disclosed is multi-flow filter cartridge assembly that includes an elongated housing that has axially opposed proximal and distal ends and defines an interior cavity and first, second and third flow paths which extend from the proximal end of the housing to the distal end. The cartridge assembly also includes first, second and third filter elements. The first filter element is disposed within the interior cavity of the housing and conditions fluid that traverses the first flow path from a first inlet port to a first outlet port. The second filter element is disposed within the interior cavity of the housing and conditions fluid that traverses the second flow path from a second inlet port to a second outlet port. Lastly, the third filter element is also disposed within the interior cavity of the housing and conditions fluid that traverses the third flow path from a third inlet port to a third outlet port. The first flow path is isolated from the second and third flow paths and the second flow path is isolated from the third flow path.

摘要翻译： 公开了多流量过滤器滤芯组件，其包括细长壳体，其具有轴向相对的近端和远端并且限定内腔和从壳体的近端延伸到远端的第一，第二和第三流动路径。 盒组件还包括第一，第二和第三过滤元件。 第一过滤器元件设置在壳体的内部空腔内，并且将从第一入口端口流过第一流动路径的流体调节到第一出口端口。 第二过滤器元件设置在壳体的内部空腔内，并且将从第二入口端口延伸到第二出口端口的流体流过第二流路。 最后，第三过滤器元件也设置在壳体的内部空腔内，并且使从第三入口端口到第三出口端口穿过第三流动路径的流体进行调节。 第一流动路径与第二和第三流动路径隔离，并且第二流动路径与第三流动路径隔离。

公开(公告)号：US07241302B2

公开(公告)日：2007-07-10

申请号：US10399558

申请日：2001-10-18

申请人： Kevin Sniffen ,  Scott E. Manzo ,  Joseph P. Orban ,  Paul A. Matula

发明人： Kevin Sniffen ,  Scott E. Manzo ,  Joseph P. Orban ,  Paul A. Matula

IPC分类号： A61B17/14

CPC分类号： A61B17/32053 ,  A61B17/0644 ,  A61B17/11 ,  A61B17/1152 ,  A61B2017/0641

摘要： An aortic punch for creating an aortotomy in a wall of a luminal structure. The aortic punch includes a housing having distal and proximal ends, first and second plungers, a first return spring and a cutting assembly. The first plunger is movable relative to the housing to expose a barb from the distal end of the housing for piercing and catching the wall of the luminal structure. The first return spring biases the barb proximally toward the distal end of the housing such that the barb pulls the wall of the luminal structure into contact with the cutting assembly. The present disclosure also relates to a method of forming an aortotomy in a luminal structure.

摘要翻译： 用于在管腔结构的壁中产生主动脉切断术的主动脉打孔机。 主动脉打孔器包括具有远端和近端的壳体，第一和第二柱塞，第一复位弹簧和切割组件。 第一柱塞相对于壳体是可移动的，以从壳体的远端暴露倒钩，用于刺穿并捕获管腔结构的壁。 第一复位弹簧将倒钩向近侧偏压到壳体的远端，使得倒钩拉动管腔结构的壁与切割组件接触。 本公开还涉及在管腔结构中形成主动脉切断术的方法。

公开(公告)号：US06488636B2

公开(公告)日：2002-12-03

申请号：US09876619

申请日：2001-06-07

申请人： Graham W. Bryan ,  Paul A. Matula

发明人： Graham W. Bryan ,  Paul A. Matula

IPC分类号： A61B1000

CPC分类号： A61B10/0266 ,  A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208

摘要： An apparatus and method for the biopsy of tissue specimens and, more particularly, a single insertion multiple sample percutaneous biopsy apparatus and method are provided. A tip at a distal end of a vacuum support tube is introduced into a tissue mass. The vacuum support tube is retracted exposing a basket tube bounded by a front washer and a rear washer mounted thereabout forming a tissue basket. The basket tube is supported internally by a thrust tube which provides structure to the apparatus to allow it to penetrate tissue. The thrust tube and the basket tube are in fluid connection and are provided with suction to draw tissue inward. The tissue is then severed by rotating and advancing a knife edge at the distal end of the vacuum support tube. The tissue basket is withdrawn and the tissue sample is removed by rotating the vacuum support tube. The tissue sample is sliced longitudinally, and a stripper scrapes the tissue sample from an opening in the vacuum support tube.

摘要翻译： 提供了一种用于组织标本的活组织检查的装置和方法，更具体地，提供了一种单次插入多样本经皮活检装置和方法。 将真空支撑管的远端的尖端引入组织块。 真空支撑管缩回，露出由前垫圈和围绕安装在其周围的形成纸巾篮的后垫圈限定的篮管。 篮子管由推力管内部支撑，该推力管为装置提供结构以允许其穿透组织。 推力管和篮管处于流体连接并且具有抽吸以向内拉伸组织。 然后通过在真空支撑管的远端旋转和推进刀刃来切断组织。 将组织篮取出并通过旋转真空支撑管去除组织样本。 将组织样品纵向切片，剥离器从真空支撑管中的开口刮去组织样品。

公开(公告)号：US06224608B1

公开(公告)日：2001-05-01

申请号：US08072654

申请日：1993-06-03

申请人： Michael Ciccolella ,  Paul A. Matula

发明人： Michael Ciccolella ,  Paul A. Matula

IPC分类号： A61F1100

CPC分类号： A61B17/3421 ,  A61B2017/349

摘要： A tissue gripping thread configuration for securely positioning an elongated medical instrument relative to body tissue. The tissue gripping thread includes curved distal and proximal foot sections connected to a thread base, a curved distal thread surface extending from the distal foot section to a thread apex, and a proximal thread wall substantially perpendicular to the base surface extending from the proximal curved foot section to the thread apex. In the preferred embodiment the flank angle of the distal thread surface is substantially greater than the flank angle of the proximal thread wall. The preferred thread configuration reduces trauma to tissue during insertion and removal of an associated medical instrument while ensuring secure positioning of the instrument relative to tissue. Preferred thread dimensions and radii, as well as embodiments for associating the preferred thread configuration with a trocar device are disclosed.

摘要翻译： 一种用于相对于身体组织牢固地定位细长医疗器械的组织夹紧螺纹构造。 组织夹紧线包括连接到螺纹底座的弯曲的远端和近端脚部分，从远端脚部延伸到螺纹顶点的弯曲远侧螺纹表面，以及基本上垂直于从近侧弯曲脚部延伸的基部表面的近端螺纹壁 截面到螺纹顶点。 在优选实施例中，远端螺纹表面的侧面角度基本上大于近端螺纹壁的侧面角。 优选的螺纹构造在插入和移除相关联的医疗器械期间减少对组织的创伤，同时确保器械相对于组织的安全定位。 公开了优选的螺纹尺寸和半径，以及用于将优选的螺纹构型与套管针装置相关联的实施例。

公开(公告)号：US5562640A

公开(公告)日：1996-10-08

申请号：US333881

申请日：1994-11-03

申请人： William J. McCabe ,  H. Jonathan Tovey ,  Paul A. Matula

发明人： William J. McCabe ,  H. Jonathan Tovey ,  Paul A. Matula

IPC分类号： A61B17/3211 ,  A61B17/00 ,  A61B17/02 ,  A61B17/32 ,  A61B17/34 ,  A61B18/14 ,  A61B18/24 ,  A61M1/00 ,  A61M25/00

CPC分类号： A61B17/3203 ,  A61B17/0218 ,  A61M1/0064 ,  A61B17/00234 ,  A61B17/3213 ,  A61B18/14 ,  A61B18/1482 ,  A61B18/24 ,  A61B2017/00464 ,  A61B2017/320044 ,  A61B2017/3445 ,  A61M1/0031

摘要： An endoscopic surgical instrument for aspiration and irrigation of a surgical site. The device includes at least one rotatable trumpet valve to provide for variable orientation of the device during use. Connection ports for irrigation fluid and a suction means are provided which communicate with a single lumen cannula which transports both the irrigation fluid and the suction pressure to the surgical site. The single lumen cannula is provided with a sleeve means to vary the pressure of the irrigation fluid to provide for high pressure application of the irrigation fluid to perform hydrodissection. A plurality of dissector tips and a novel means of securing the tips to the single lumen cannula are also disclosed.

摘要翻译： 一种用于外科手术部位抽吸和灌洗的内镜手术器械。 该装置包括至少一个可旋转喇叭阀，以在使用期间提供装置的可变定向。 提供了用于冲洗流体和抽吸装置的连接端口，其与单个内腔套管连通，所述套管将冲洗流体和吸入压力都输送到手术部位。 单腔套管设置有套筒装置，以改变冲洗流体的压力，以提供冲洗流体的高压施加以执行加压切割。 还公开了多个解剖器尖端和将尖端固定到单腔插管的新颖方式。

公开(公告)号：US5199419A

公开(公告)日：1993-04-06

申请号：US740443

申请日：1991-08-05

申请人： Stanley H. Remiszewski ,  Paul A. Matula ,  H. Jonathan Tovey

发明人： Stanley H. Remiszewski ,  Paul A. Matula ,  H. Jonathan Tovey

IPC分类号： A61B17/3201 ,  A61B1/32 ,  A61B17/02 ,  A61B17/068 ,  A61B17/32

CPC分类号： A61B1/32 ,  A61B17/0218

摘要： A novel surgical retractor is provided including a handle assembly, a housing and a collapsible retractor assembly connected to a distal end of the housing. The handle assembly includes a stationary handle in cooperation with an actuating structure for manipulating the collapsible retractor assembly through the housing.The handle assembly may be configured in a variety of forms including palm grips, pistol grips, axial grips, ring grips, etc. The housing includes a tubular structure having an inner tube axially disposed within an outer tube. The outer tube is fixed in the stationary handle with the inner tube passing through the outer tube and connected to the actuating structure. Where desired, either the outer or inner tube may be rotatably attached to the stationary handle. The retractor assembly is attached to the distal end of the housing and includes a reciprocal yoke assembly interconnected with a plurality of collapsible interleaved retractor blades. One element of the yoke assembly is typically maintained stationary while the other is allowed to reciprocate axially to deploy the interleaved retractor blades into a fan configuration.

摘要翻译： 提供了一种新颖的外科牵开器，其包括手柄组件，壳体和连接到壳体的远端的可收缩牵开器组件。 手柄组件包括与用于操纵通过壳体的可收缩牵缩器组件的致动结构配合的固定手柄。 手柄组件可以被配置成各种形式，包括手掌握柄，手枪把手，轴向夹具，环把手等。壳体包括管状结构，其具有轴向设置在外管内的内管。 外管固定在固定手柄中，内管通过外管并连接到致动结构。 在需要的情况下，外管或内管可以可旋转地附接到固定手柄。 牵开器组件附接到壳体的远端，并且包括与多个可收缩交错的牵开器叶片互连的互动轭组件。 轭组件的一个元件通常保持静止，而另一个元件允许轴向往复运动，以将交错的牵开器叶片部署成风扇构造。

公开(公告)号：US6142955A

公开(公告)日：2000-11-07

申请号：US40244

申请日：1998-02-20

申请人： David Farascioni ,  George M. Chelednik ,  Christopher F. Klecher ,  Paul A. Matula

发明人： David Farascioni ,  George M. Chelednik ,  Christopher F. Klecher ,  Paul A. Matula

IPC分类号： A61B10/02 ,  A61B10/00

CPC分类号： A61B10/0275 ,  A61B10/0283 ,  A61B2010/0208

摘要： A surgical biopsy apparatus is provided which includes a housing; a first elongated tubular member removably mounted in the housing and defining a fluid passageway therein, the first elongated tubular member including: a tapered closed distal end portion adapted to penetrate tissue; a laterally disposed tissue receiving opening formed near the tapered distal end which includes a tissue support surface defining a plurality of holes in fluid communication with the fluid passageway; and a second elongated tubular member rotatably and reciprocatingly disposed coaxially about the first elongated tubular member, the second elongated tubular member having a cutting edge formed at an open distal end thereof and a lateral tissue discharge port formed proximally of the cutting edge.A method of performing a surgical biopsy is also provided which includes inserting a biopsy apparatus into the tissue of a patient, the biopsy apparatus including an inner tubular member having a tapered penetrating end formed on the distal end and an outer tubular member held longitudinally fixed relative to the inner tubular member during the insertion step; retracting the outer tubular member relative to the inner tubular member to expose a laterally disposed tissue receiving area formed on the inner tubular member; applying suction to a series of openings formed along an inner surface of the tissue receiving area to pull tissue into the tissue receiving area; severing tissue disposed within the tissue receiving area by advancing the outer tubular member over the inner tubular member such that a cutting surface formed on the distal end of the outer tubular member rotates as it passes over the tissue receiving area; and removing the severed tissue sample from the tissue sampling site by retracting the inner tubular member from the outer tubular member until the tissue receiving area is aligned with a lateral opening formed in the outer tubular member wherein a tissue stripping plate urges the tissue sample out of the tissue receiving area.

公开(公告)号：US6050955A

公开(公告)日：2000-04-18

申请号：US157120

申请日：1998-09-18

申请人： Graham W. Bryan ,  Paul A. Matula

发明人： Graham W. Bryan ,  Paul A. Matula

IPC分类号： A61B10/00 ,  A61B10/02

CPC分类号： A61B10/0266 ,  A61B10/0283 ,  A61B10/0275 ,  A61B2010/0208

摘要： An apparatus and method for the biopsy of tissue specimens and, more particularly, a single insertion multiple sample percutaneous biopsy apparatus and method are provided. A tip at a distal end of a vacuum support tube is introduced into a tissue mass. The vacuum support tube is retracted exposing a basket tube bounded by a front washer and a rear washer mounted thereabout forming a tissue basket. The basket tube is supported internally by a thrust tube which provides structure to the apparatus to allow it to penetrate tissue. The thrust tube and the basket tube are in fluid communication and are provided with suction to draw tissue inward. The tissue is then severed by rotating and advancing a knife edge at the distal end of the vacuum support tube. The tissue basket is withdrawn and the tissue sample is removed by rotating the vacuum support tube. The tissue sample is sliced longitudinally, and a stripper scrapes the tissue sample from an opening in the vacuum support tube.

摘要翻译： 提供了一种用于组织标本的活组织检查的装置和方法，更具体地，提供了一种单次插入多样本经皮活检装置和方法。 将真空支撑管的远端的尖端引入组织块。 真空支撑管缩回，露出由前垫圈和围绕安装在其周围的形成纸巾篮的后垫圈限定的篮管。 篮子管由推力管内部支撑，该推力管为装置提供结构以允许其穿透组织。 推力管和篮管处于流体连通状态并具有抽吸以将组织向内拉。 然后通过在真空支撑管的远端旋转和推进刀刃来切断组织。 将组织篮取出并通过旋转真空支撑管去除组织样本。 将组织样品纵向切片，剥离器从真空支撑管中的开口刮去组织样品。

公开(公告)号：US5782859A

公开(公告)日：1998-07-21

申请号：US777115

申请日：1996-12-30

申请人： David A. Nicholas ,  Ernie Aranyi ,  Boris Zvenyatsky ,  Paul A. Matula ,  Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

发明人： David A. Nicholas ,  Ernie Aranyi ,  Boris Zvenyatsky ,  Paul A. Matula ,  Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14 ,  A61B10/00

CPC分类号： A61B17/320016 ,  A61B17/0218 ,  A61B17/29 ,  A61B18/1445 ,  A61B18/1442 ,  A61B2017/2902 ,  A61B2017/292 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2936

摘要： A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.

公开(公告)号：US5554101A

公开(公告)日：1996-09-10

申请号：US361933

申请日：1994-12-22

申请人： Paul A. Matula ,  Stanley H. Remiszewski

发明人： Paul A. Matula ,  Stanley H. Remiszewski

IPC分类号： A61B17/3201 ,  A61B1/32 ,  A61B17/02 ,  A61B17/068 ,  A61B17/32

CPC分类号： A61B1/32 ,  A61B17/0218

摘要： A surgical retractor is provided including a handle portion, a tubular portion extending from the handle portion, and a collapsible retractor assembly connected to a distal end of the tubular portion. The handle portion includes an actuating structure for manipulating the collapsible retractor assembly through the tubular portion. The retractor assembly includes a plurality of retractor blades, a camming assembly connected to the retractor blades and structure for connecting the retractor blades to the actuating structure.