公开(公告)号：US20060049231A1

公开(公告)日：2006-03-09

申请号：US11193600

申请日：2005-07-29

申请人： Arnold Leiboff ,  Joseph Zipper ,  Robert Farrish ,  Jay Leiboff

发明人： Arnold Leiboff ,  Joseph Zipper ,  Robert Farrish ,  Jay Leiboff

IPC分类号： A61B17/04

CPC分类号： A61B17/115 ,  A61B17/1114 ,  A61B17/1155 ,  A61B17/320016 ,  A61B2017/111 ,  A61B2017/1142 ,  A61B2017/2925

摘要： Stapler, in particular for hemorrhoidal use, includes a body, an elongate, fixed jaw part connected to the body and including a curved anvil defining staple-forming pockets and a curved portion defining an opening bound on lateral and longitudinal sides, an actuating jaw part including a curved staple driver and optionally a cutting knife, a trigger coupled to the body for actuating the actuating jaw part and an adjustment mechanism for moving the actuating jaw part to vary a longitudinal dimension of the opening defined between a staple cartridge and the anvil. When the actuating jaw part is actuated by the trigger, the staple driver forces staple blanks in the staple cartridge into staple-forming pockets of the anvil to form staples in tissue retained in the opening, while the cutting knife, when present, amputates the tissue.

摘要翻译： 订书机，特别是用于痔疮使用，包括本体，细长的固定的颚部件，其连接到主体并且包括限定订书钉形成口袋的弯曲砧座和限定横向和纵向侧面上的开口的弯曲部分，致动颚部件 包括弯曲的钉驱动器和可选的切割刀，联接到主体以用于致动致动爪部的触发器和用于移动致动爪部以改变限定在钉仓和砧座之间的开口的纵向尺寸的调节机构。 当致动钳口部分被触发器致动时，钉子驱动器将钉仓中的订书钉坯料推入砧座的钉成形袋中，以在保持在开口中的组织中形成订书钉，而当切割刀存在时，截断组织 。

公开(公告)号：US20060025728A1

公开(公告)日：2006-02-02

申请号：US11189305

申请日：2005-07-26

申请人： Arnold Leiboff ,  Jay Leiboff ,  Joseph Zipper

发明人： Arnold Leiboff ,  Jay Leiboff ,  Joseph Zipper

IPC分类号： A61M1/00

CPC分类号： A61M3/0283 ,  A61M3/0287 ,  A61M2210/1067

摘要： Colonic lavage device including a tubular body having a forward portion with an opening at a front end and a rearward portion including an integral seal defining an opening. A side tube includes an outlet for fecal matter discharge thereby defining a passage from the opening at the front end of the forward portion to the outlet. An integral nipple or end cap closes the seal opening. The forward portion is inserted into a patient's bowel and an irrigating tube is passed through the seal, once the nipple or end cap is cut off, to a position beyond the front end of the forward portion and in the bowel. Irrigating fluid is passed through the irrigating tube to cleanse the bowel and fecal matter from the bowel flows through the tubular body and is discharged therefrom through the side tube outlet, e.g, to a discharge tube leading to a container.

摘要翻译： 结肠灌洗装置包括管状体，其具有在前端具有开口的前部和包括限定开口的整体密封件的后部。 侧管包括用于粪便排出的出口，从而限定从前部的前端处的开口到出口的通道。 一体式的接头或端盖封闭密封开口。 将前部插入患者肠内，一旦将乳头或端盖切断，冲洗管将穿过密封件，超过前部前端和肠内的位置。 冲洗液通过冲洗管，以清洁肠道和粪便物质从肠中流过管状体，并通过侧管出口排出，例如通向通向容器的排放管。

公开(公告)号：US20060241689A1

公开(公告)日：2006-10-26

申请号：US11406507

申请日：2006-04-18

申请人： Arnold Leiboff ,  Joseph Zipper

发明人： Arnold Leiboff ,  Joseph Zipper

IPC分类号： A61B17/08

CPC分类号： A61B17/0218 ,  A61B17/0493 ,  A61B2017/00862 ,  A61M27/00

摘要： Viscera retainer which facilitates wound closure, for example, in the abdominal region, includes a body portion containing a tear seam. The body portion is inserted into the wound prior to closure to act as a physical barrier between the peritoneum and the viscera. A free extension of the body, or an attachment to the body, remains accessible outside the wound while a membranous layer of the abdominal wall is closed. When that closure is almost complete, the body portion is withdrawn from the abdomen by extracting it as a continuous ribbon through an opening. As the ribbon is withdrawn, the body tears along the tear seam generating free ribbon and shrinking the size of the residual body, until the entire body is removed from the abdominal cavity. The closure is then completed. A surgical drain has a planar body portion formed from a wound or wrapped tubular form having perforations in the body portion.

摘要翻译： 便于伤口闭合的内脏保持器，例如在腹部区域，包括容纳撕裂缝的主体部分。 身体部分在关闭之前插入伤口，以充当腹膜和内脏之间的物理屏障。 身体的一个自由的延伸部分或与身体的附件在伤口外部保持可及，而腹壁的膜层是封闭的。 当该闭合几乎完成时，通过将其作为连续的带通过开口提取而将身体部分从腹部抽出。 当带退出时，身体沿着撕裂缝撕裂产生自由带并且缩小残余身体的尺寸，直到整个身体从腹腔移除。 然后关闭完成。 手术排水口具有由主体部分中具有穿孔的缠绕或包裹的管状形成的平面主体部分。

公开(公告)号：US20060217637A1

公开(公告)日：2006-09-28

申请号：US11444783

申请日：2006-06-01

申请人： Arnold Leiboff ,  Joseph Zipper

发明人： Arnold Leiboff ,  Joseph Zipper

IPC分类号： A61B5/103

CPC分类号： A61M31/00

摘要： Anastomotic leak tester for testing for leaks in a gastrointestinal anastomosis in a patient including an air introduction system adapted to be inserted into the patient's gastrointestinal tract through a natural body orifice of the patient and enabling air flow therethrough into the gastrointestinal tract and a regulating mechanism arranged in connection with the air introduction system for regulating air pressure in the patient's gastrointestinal tract. The regulating mechanism may include a pressure relief valve having an inlet communicating with an interior space of the air introduction system communicating with the patient's gastrointestinal tract and which allows air to be released from the patient's gastrointestinal tract when air pressure in the patient's gastrointestinal tract exceeds a predetermined pressure. The pressure relief valve may generate an audible indication when air pressure in the patient's gastrointestinal tract exceeds the predetermined pressure.

摘要翻译： 用于测试患者胃肠道吻合口泄漏的吻合口检漏仪，包括适于通过患者的天然体孔插入病人胃肠道的空气导入系统，并使气流能够通过其进入胃肠道;以及调节机构， 与用于调节患者胃肠道中的空气压力的空气引入系统有关。 调节机构可以包括压力释放阀，该压力释放阀具有与空气引入系统的内部空间连通的入口，该空气引入系统与患者的胃肠道连通，并且当患者的胃肠道中的空气压力超过患者的胃肠道时允许空气从患者的胃肠道释放 预定压力。 当患者的胃肠道中的空气压力超过预定压力时，压力释放阀可产生可听见的指示。

公开(公告)号：US20060025729A1

公开(公告)日：2006-02-02

申请号：US11191833

申请日：2005-07-28

申请人： Arnold Leiboff ,  Joseph Zipper

发明人： Arnold Leiboff ,  Joseph Zipper

IPC分类号： A61M1/00

CPC分类号： A61M3/0283 ,  A61M3/0287 ,  A61M2210/1067

摘要： Colorectal lavage device including a drain assembly, and a colonic tube assembly including an inflow tube, a flow control mechanism to control flow through the inflow tube, an outflow tube and a flow control mechanism to control flow through the outflow tube. The drain assembly has a tubular body defining an interior space and having a proximal portion insertable into an anus of a person to cause the anus to constrict around the proximal portion and thereby seal the proximal portion against the anal wall, a distal portion including a distal end having an opening in line with an opening in the proximal portion and a side tube arranged at an angle to the proximal portion. The inflow tube passes through the tubular body and has a tip with one or more apertures through which the lavage fluid operatively flows. The outflow tube is connected to the side tube.

摘要翻译： 包括排水组件的结肠直肠灌洗装置和包括流入管的结肠管组件，用于控制通过流入管的流动的流量控制机构，流出管和流量控制机构，以控制通过流出管的流动。 排水组件具有限定内部空间并具有可插入人的肛门的近端部分的管状体，以使肛门围绕近端部分收缩，从而将近端部分密封抵靠肛门壁，远端部分包括远端 端部具有与近侧部分中的开口一致的开口和与近端部分成一定角度布置的侧管。 流入管穿过管状体并且具有具有一个或多个孔的尖端，灌洗流体可以通过该孔工作地流动。 流出管连接到侧管。

公开(公告)号：US20050228363A1

公开(公告)日：2005-10-13

申请号：US10820518

申请日：2004-04-08

申请人： Arnold Leiboff

发明人： Arnold Leiboff

IPC分类号： A61M1/00

CPC分类号： A61M1/008 ,  A61M2210/1064

摘要： Method for draining and decompressing a colon in which a drainage tube is inserted through the anus into the colon to extend through the entire colon. The drainage tube is fixed in position and suction is applied therethrough to cause fecal matter to pass therein through apertures and be withdrawn from the colon. The drainage tube is inserted by inserting a guidewire into the colon through the anus, manipulating and pushing the guidewire to the cecum, passing a filament through the colon wall to engage the guidewire, pulling the guidewire out of the colon and anus to draw the filament through the colon and out of the anus, attaching the drainage tube to the filament and drawing the filament with attached drainage tube through the anus into the colon. The invention also relates to constructions of the guidewire, the drainage tube and methods for inserting drainage tubes using guidewires.

摘要翻译： 用于排出和解压缩结肠的方法，其中引流管通过肛门插入到结肠中以延伸穿过整个结肠。 引流管被固定在适当的位置，并且抽吸被穿过其中，使得粪便物质通过孔并从结肠中取出。 通过将肛门插入结肠中插入引导管，将导线操纵并推到盲肠，将细丝穿过结肠壁，使导线接合，将导丝拉出结肠和肛门以拉丝 通过结肠和肛门，将引流管连接到细丝上，并将附着的引流管穿过细丝穿过肛门进入结肠。 本发明还涉及引导线的结构，引流管和使用引导线插入引流管的方法。

公开(公告)号：US20050101938A1

公开(公告)日：2005-05-12

申请号：US10702303

申请日：2003-11-06

申请人： Arnold Leiboff

发明人： Arnold Leiboff

IPC分类号： A61M20060101 ,  A61M3/02 ,  A61M25/01

CPC分类号： A61M3/0279 ,  A61M25/09 ,  A61M2025/09175 ,  A61M2210/1064

摘要： Guidewire for use in body cavity irrigation devices includes an elongate, resilient shaft adapted to pass in an interior of or along an irrigating tube and a bulbous enlargement arranged at a distal end of the shaft. The bulbous enlargement has a smooth, arcuate outer surface to prevent perforation of the walls of the body cavities in which it moves. For colonic irrigation, the guidewire is inserted into the colon and then the irrigating tube is slid over or along the guidewire. Fluid is directed through the irrigating tube to the treatment site or sites in the colon.

摘要翻译： 用于体腔灌注装置的导丝包括细长的弹性轴，其适于穿过冲洗管的内部或沿着冲洗管的内部并且布置在轴的远端处的球形放大部。 球茎增大具有平滑的弧形外表面，以防止其移动的体腔的壁的穿孔。 对于结肠灌洗，将导丝插入结肠，然后将冲洗管滑过或沿导丝滑动。 流体通过冲洗管导入治疗部位或结肠部位。

公开(公告)号：US20050059992A1

公开(公告)日：2005-03-17

申请号：US10664366

申请日：2003-09-17

申请人： Arnold Leiboff

发明人： Arnold Leiboff

IPC分类号： A61M31/00 ,  A61M29/00

CPC分类号： A61M31/00

摘要： Air introduction device for anastomotic leak testing including an elastomeric body optimally configured for partial insertion into the rectum, occlusion of the anus and attachment to a commercially available insufflation bulb. The air introduction device may be dip molded in one piece to form a single use, disposable product. The body has a proximal portion insertable into an anus of a person to cause the anus to constrict around it and form a seal against the anal wall, a distal portion mating with the insufflation bulb to enable air to be directed therefrom into and through the body and an expanded portion which is larger than the proximal portion and interposed between the proximal portion and the distal portion. The expanded portion occludes the anus by engaging with the anal opening to limit insertion of the proximal portion into the anus and seal the body against the anal opening. Embodiments incorporating means to allow the insertion of an endoscope through the device for visual inspection of an anastomosis, and means to prevent over-inflation of the rectum are described.

摘要翻译： 用于吻合口泄漏测试的空气引入装置，包括最佳构造成部分插入直肠的弹性体，肛门闭塞和附着到市售的吹气灯泡。 空气引入装置可以浸入成型为一体，形成一次性的一次性产品。 身体具有可插入到人的肛门中的近端部分，以使肛门围绕其收缩并形成与肛门壁的密封，远侧部分与吹气灯泡配合，以使空气能够从其进入和穿过身体 以及比近端部大的插入在近端部和远端部之间的扩大部。 扩张部分通过与肛门开口接合来封闭肛门，以限制近端部分插入肛门并将身体密封在肛门开口上。 包括用于允许将内窥镜插入穿过装置进行视觉检查的装置的实施例以及用于防止直肠过度膨胀的装置。

公开(公告)号：US4637814A

公开(公告)日：1987-01-20

申请号：US720571

申请日：1985-04-05

申请人： Arnold Leiboff

发明人： Arnold Leiboff

IPC分类号： A61M1/00 ,  A61M3/02

CPC分类号： A61M1/0084 ,  A61M3/0283 ,  A61B2018/00166 ,  A61M2205/3653 ,  A61M2210/10 ,  A61M2210/1064

摘要： Method and apparatus for unidirectional irrigation of at least a portion of the gastrointestinal tract between a point of access thereto and a distant or remote point of the tract. The distal end of an irrigating tube is passed through a point of access to the gastrointestinal tract to a distant point in the tract beyond which irrigation is not desired. The irrigating tube has one or more apertures formed therein only in the region substantially proximate to the distal end thereof. In the case where the portion of the tract being irrigated is not already occluded at the distant point, the tract is then occluded at that point whereupon irrigant is introduced into the irrigating tube through a proximal end thereof whereby the irrigant passes through the irrigating tube and is discharged therefrom through the aperture into the gastrointestinal tract at the region of the occluded distant point thereof and flows unidirectionally through the tract towards and out from the point of access. The apparatus includes a large diameter drain tube positioned at the point of access in communication with the portion of the gastrointestinal tract being irrigated and an irrigating tube having an irrigating lumen in which the irrigant aperture is formed. When positioned, the irrigating tube passes through the drain tube and has a length such that its distal end in which the irrigant aperture is formed is situated substantially at the occluded distant point of the tract with its proximal end adapted to be fluidly connected to a source of irrigant. The drain tube incorporates an effluent discharge conduit which has a relatively large diameter to enhance the flow rate of effluent from the tract portion being irrigated.

摘要翻译： 用于在其通路的一个点与该道的远处或远端点之间对胃肠道的至少一部分进行单向灌洗的方法和装置。 冲洗管的远端通过通向胃肠道的一个通道到达该管道的远处，超过该点不需要灌洗。 冲洗管具有仅在基本上靠近其远端的区域中形成的一个或多个孔。 在被灌溉的道路的部分未被远离的地方封闭的情况下，在该点被堵塞，随后通过其近端将冲洗液引入冲洗管中，由此冲洗液通过冲洗管和 从其通过孔口排出到其封闭的远处的区域进入胃肠道，并且单向地通过管道朝向和离开入口点流动。 该装置包括位于与被灌肠的胃肠道部分连通的入口点处的大直径排放管和具有冲洗腔的冲洗管，其中形成有冲洗孔。 当定位时，冲洗管穿过排水管并且具有这样的长度，使得其中形成有冲洗孔的远端基本上位于管道的闭塞的远处，其近端适于流体地连接到源 的灌溉 排水管包括具有相对较大直径的流出物排出管道，以增加来自被灌溉的管道部分的流出物的流速。

公开(公告)号：US11006957B1

公开(公告)日：2021-05-18

申请号：US16231713

申请日：2018-12-24

申请人： Arnold Leiboff

发明人： Arnold Leiboff

IPC分类号： A61B17/11 ,  A61M1/00 ,  A61B17/115 ,  A61B17/12 ,  A61B17/22 ,  A61B17/30 ,  A61B5/00

摘要： Method for introducing and maintaining a level of negative pressure in a body cavity of at least 80 mmHg using a tube having an elongate distal portion and a proximal portion having first and second arms, each arm having a lumen in flow communication with one another and with the body cavity via apertures at or near the distal end of the tube, wherein the first arm or tubular extension therefrom is adaptable to receive suction from a suction source. An indicator, arranged in relation to the second arm, signals when a specific negative pressure has been exceeded in the tube, or a valve, arranged in relation to the second arm, admits ambient air into the lumen of the second arm when suction is applied to the tube and differential air pressure between the air in the lumens of the tube and ambient air exceeds a specified amount.