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    Pivotal and illuminated saphenous vein retractor with tapered design
    1.
    发明授权
    Pivotal and illuminated saphenous vein retractor with tapered design 失效

    公开(公告)号：US06805666B2

    公开(公告)日：2004-10-19

    申请号：US10154183

    申请日：2002-05-23

    申请人： Donna D. Holland ,  Douglas G. Evans

    发明人： Donna D. Holland ,  Douglas G. Evans

    IPC分类号： A61B132

    CPC分类号： A61B17/00008 ,  A61B17/02 ,  A61B2017/00969 ,  A61B2017/320044 ,  A61B2090/306

    摘要： An illuminated surgical retractor for defining and illuminating a subcutaneous surgical field in the space near a vessel (such as the saphenous vein or radial artery) during a procedure for harvesting the vessel, wherein the illuminated surgical retractor includes a handle member pivotally connected at an acute angle to a first elongate section that has an at least partially tapered width, and includes a second elongate section releasably connected to the first elongate section, wherein a portion of the second elongate section defines an illumination input end portion, which is optically coupled to a light source to substantially illuminate the second elongate section, and further including an insertion area positioned on the proximal end portion of the first elongate section to allow the second elongate section to be inserted into the first elongate section.

    Illuminated retractor for use in connection with harvesting a blood vessel from the arm
    2.
    发明授权
    Illuminated retractor for use in connection with harvesting a blood vessel from the arm 有权
    照明式牵开器，用于从手臂收集血管

    公开(公告)号：US07311662B2

    公开(公告)日：2007-12-25

    申请号：US10889017

    申请日：2004-07-13

    申请人： Donna D. Holland ,  John D. Pond, Jr. ,  Douglas G. Evans

    发明人： Donna D. Holland ,  John D. Pond, Jr. ,  Douglas G. Evans

    IPC分类号： A61B1/32

    CPC分类号： A61B17/00008 ,  A61B1/07 ,  A61B1/32 ,  A61B17/02 ,  A61B2017/0046 ,  A61B2017/00469 ,  A61B2017/00969 ,  A61B2017/320044 ,  A61B2090/306

    摘要： An illuminated surgical retractor for defining and illuminating a subcutaneous surgical field in the space near a vessel (such as the radial artery or the basilic vein) during a procedure for harvesting the vessel, wherein the illuminated surgical retractor includes a handle member pivotally connected at an acute angle to a first elongate section that has a non-liner shape, and includes a second elongate section releasably connected to the first elongate section, wherein a portion of the second elongate section defines an illumination input end portion, which is optically coupled to a light source to substantially illuminate the second elongate section, and further including an insertion area positioned on the proximal end portion of the first elongate section to allow the second elongate section to be inserted into the first elongate section.

    摘要翻译： 一种照明的手术牵开器，用于在收集所述血管的过程期间限定和照射容器（例如桡动脉或基底静脉）附近的空间中的皮下外科手术区域，其中所述照明的手术牵开器包括：手柄部件， 与具有非衬垫形状的第一细长部分具有锐角，并且包括可释放地连接到第一细长部分的第二细长部分，其中第二细长部分的一部分限定照明输入端部分，光学耦合到 光源以基本上照亮第二细长部分，并且还包括定位在第一细长部分的近端部分上的插入区域，以允许第二细长部分插入第一细长部分。

    Illuminated retractor for use in connection with harvesting a blood vessel from the arm
    3.
    发明授权
    Illuminated retractor for use in connection with harvesting a blood vessel from the arm 失效
    照明式牵开器，用于从手臂收集血管

    公开(公告)号：US06817978B2

    公开(公告)日：2004-11-16

    申请号：US10055778

    申请日：2002-01-23

    申请人： Donna D. Holland ,  John D. Pond, Jr. ,  Douglas G. Evans

    发明人： Donna D. Holland ,  John D. Pond, Jr. ,  Douglas G. Evans

    IPC分类号： A61B132

    CPC分类号： A61B17/00008 ,  A61B1/07 ,  A61B1/32 ,  A61B17/02 ,  A61B2017/0046 ,  A61B2017/00469 ,  A61B2017/00969 ,  A61B2017/320044 ,  A61B2090/306

    摘要： An illuminated surgical retractor for defining and illuminating a subcutaneous surgical field in the space near a vessel (such as the radial artery or the basilic vein) during a procedure for harvesting the vessel, wherein the illuminated surgical retractor includes a handle member pivotally connected at an acute angle to a first elongate section that has a non-liner shape, and includes a second elongate section releasably connected to the first elongate section, wherein a portion of the second elongate section defines an illumination input end portion, which is optically coupled to a light source to substantially illuminate the second elongate section, and further including an insertion area positioned on the proximal end portion of the first elongate section to allow the second elongate section to be inserted into the first elongate section.

    摘要翻译： 一种照明的手术牵开器，用于在收集所述血管的过程期间限定和照射容器（例如桡动脉或基底静脉）附近的空间中的皮下外科手术区域，其中所述照明的手术牵开器包括：手柄部件， 与具有非衬垫形状的第一细长部分具有锐角，并且包括可释放地连接到第一细长部分的第二细长部分，其中第二细长部分的一部分限定照明输入端部分，光学耦合到 光源以基本上照亮第二细长部分，并且还包括定位在第一细长部分的近端部分上的插入区域，以允许第二细长部分插入第一细长部分。

    Pivotal and illuminated saphenous vein retractor with tapered design
    4.
    发明授权
    Pivotal and illuminated saphenous vein retractor with tapered design 有权
    枢轴和照明隐静脉牵开器锥形设计

    公开(公告)号：US07261689B2

    公开(公告)日：2007-08-28

    申请号：US10883664

    申请日：2004-07-06

    申请人： Donna D. Holland ,  Douglas G. Evans

    发明人： Donna D. Holland ,  Douglas G. Evans

    IPC分类号： A61B1/32

    CPC分类号： A61B17/00008 ,  A61B17/02 ,  A61B2017/00969 ,  A61B2017/320044 ,  A61B2090/306

    摘要： An illuminated surgical retractor for defining and illuminating a subcutaneous surgical field in the space near a vessel (such as the saphenous vein or radial artery) during a procedure for harvesting the vessel, wherein the illuminated surgical retractor includes a handle member pivotally connected at an acute angle to a first elongate section that has an at least partially tapered width, and includes a second elongate section releasably connected to the first elongate section, wherein a portion of the second elongate section defines an illumination input end portion, which is optically coupled to a light source to substantially illuminate the second elongate section, and further including an insertion area positioned on the proximal end portion of the first elongate section to allow the second elongate section to be inserted into the first elongate section.

    摘要翻译： 一种照明的手术牵开器，用于在收集血管的过程期间限定和照射容器（例如隐静脉或桡动脉）附近的空间中的皮下手术区域，其中所述照明的手术牵开器包括以急性 与第一细长部分具有至少部分渐缩宽度的角度，并且包括可释放地连接到第一细长部分的第二细长部分，其中第二细长部分的一部分限定照明输入端部分，其光学耦合到 光源以基本上照亮第二细长部分，并且还包括定位在第一细长部分的近端部分上的插入区域，以允许第二细长部分插入第一细长部分。

    IMPLANTS FOR THE TREATMENT OF PELVIC FLOOR DISORDERS
    7.
    发明申请
    IMPLANTS FOR THE TREATMENT OF PELVIC FLOOR DISORDERS 审中-公开
    用于治疗病人面部疾病的植入物

    公开(公告)号：US20090318752A1

    公开(公告)日：2009-12-24

    申请号：US12282641

    申请日：2007-03-15

    申请人： Douglas G. Evans ,  Walter Freitag

    发明人： Douglas G. Evans ,  Walter Freitag

    IPC分类号： A61F2/02

    CPC分类号： A61F2/0045 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/06066 ,  A61B17/06109 ,  A61B17/32056 ,  A61B17/3468 ,  A61B2017/00424 ,  A61B2017/00805 ,  A61B2017/06052 ,  A61B2017/0608 ,  A61B2017/06085 ,  A61B2017/061

    摘要： An implant for repairing pelvic floor disorders, such as urinary incontinence or prolapse, by lifting the prolapsed tissue or organ into a more anatomically correct position is provided. The prosthesis is shaped with a central support section and one or more lateral anchoring sections or arms extending outwardly from the central section. The support section lifts the prolapsed organ to a more anatomically correct position, whereas the anchoring secton(s) are positioned through soft tissue away from the organ being supported to hold the implant in place by allowing tissue ingrowth into the anchoring sections. The implant may be formed of both synthetic and more natural materials.

    摘要翻译： 提供了通过将脱垂的组织或器官提升到更解剖学上正确的位置来修复盆底疾病（例如尿失禁或脱垂）的植入物。 假体被成形为具有中心支撑部分和从中心部分向外延伸的一个或多个横向锚固部分或臂。 支撑部分将脱垂的器官提升到更解剖学上正确的位置，而锚定构件通过软组织定位远离被支撑的器官，以通过允许组织向内生长到锚定部分中来将植入物保持在适当位置。 植入物可以由合成的和更天然的材料形成。

    Transmyocardial revascularization system and method of use
    8.
    发明申请
    Transmyocardial revascularization system and method of use 审中-公开
    心肌血运重建系统及其使用方法

    公开(公告)号：US20090234327A1

    公开(公告)日：2009-09-17

    申请号：US12321132

    申请日：2009-01-14

    申请人： Douglas G. Evans ,  John E. Nash

    发明人： Douglas G. Evans ,  John E. Nash

    IPC分类号： A61B18/18 ,  A61M31/00

    CPC分类号： A61F2/82 ,  A61B2017/00247 ,  A61B2018/00392 ,  A61F2/2493

    摘要： A transmyocardial revascularization system including a plurality of inserts formed of a material to elicit a healing response in tissue of the myocardium and deployment instruments and associated components for deploying the inserts into the wall of the myocardium. The inserts are arranged to be disposed within respective lumens or channels in the wall of the myocardium. The inserts can take various forms, e.g., be solid members, tubular members, or porous members, and may be resorbable, partially resorbable or non-resorbable. In some embodiments the inserts are arranged to be left in place within the channels in the wall of the myocardium to result in plural lumens which enable blood to flow therethrough and into contiguous capillaries. The deployment instruments are arranged to pierce the tissue of the myocardium from either the endocardium or the epicardium to insert the inserts into the myocardium, depending on the particular deployment instrument used. The deployment instruments may make use of a stabilizing device to stabilize them during the procedure of inserting the inserts into the myocardium. A controller may also be provided as part of the system to coordinate the operation of the deployment instrument with the cardiac cycle. The formation of the lumens can be achieved either by the inserts or by some other means, such as a piercing tip or an energy applicator forming a portion of the instrument. The inserts may include one or more of pharmaceuticals, biologically active agents, radiopaque materials, etc.

    摘要翻译： 一种经心肌血运重建系统，其包括由材料组成的多个插入物，以在心肌的组织中引发愈合反应，以及用于将插入物部署到心肌壁上的相关组件。 插入件布置成设置在心肌壁中相应的腔或通道内。 插入件可以采取各种形式，例如是实心构件，管状构件或多孔构件，并且可以是可再吸收的，部分可再吸收的或不可再吸收的。 在一些实施例中，插入物被布置成在心肌壁中的通道内留在适当的位置，以产生多个流明，使得血液能够流过并流入相邻的毛细血管。 根据所使用的特定部署仪器，这些展开装置被设置成从心内膜或心外膜刺穿心肌的组织以将插入物插入心肌。 在将插入物插入心肌的过程中，展开装置可以利用稳定装置来稳定它们。 还可以提供控制器作为系统的一部分，以协调部署仪器与心动周期的操作。 腔的形成可以通过插入件或通过其它手段实现，例如刺穿尖端或形成器械的一部分的能量施加器。 插入物可以包括一种或多种药物，生物活性剂，不透射线材料等。

    SLING ANCHOR SYSTEM
    9.
    发明申请
    SLING ANCHOR SYSTEM 有权
    SLING锚固系统

    公开(公告)号：US20090221868A1

    公开(公告)日：2009-09-03

    申请号：US12093493

    申请日：2006-11-14

    申请人： Douglas G. Evans

    发明人： Douglas G. Evans

    IPC分类号： A61F2/00

    CPC分类号： A61F2/0045 ,  A61B17/0401 ,  A61B17/06066 ,  A61B17/06109 ,  A61B2017/00477 ,  A61B2017/00805 ,  A61B2017/0409 ,  A61B2017/0608 ,  A61B2017/061 ,  A61F2/0063 ,  A61F2002/30713 ,  A61F2220/0016 ,  A61F2250/0087 ,  A61F2310/00359

    摘要： The present disclosure is generally directed to surgical articles useful for implanting support members in patients. The articles disclosed herein include a support member, such as a sling for urinary incontinence, tissue anchors, filamentary elements for associating the support member with the anchors, and introducer needles for placing the anchors in a patient. The support members can also be configured for use in pelvic floor repair, such as for treating cystoceles, rectoceles, and enteroceles.

    摘要翻译： 本公开一般涉及可用于在患者体内植入支撑构件的外科用品。 本文公开的制品包括支撑构件，例如用于尿失禁的吊带，组织锚固件，用于将支撑构件与锚固件相关联的丝状元件，以及用于将锚固件放置在患者体内的导引针。 支撑构件还可以被配置用于盆底修复，例如用于治疗膀胱，直肠和肠孔。

    Catheter for conducting a procedure within a lumen, duct or organ of a living being
    10.
    发明申请
    Catheter for conducting a procedure within a lumen, duct or organ of a living being 失效
    导管用于在内腔，导管或器官内进行手术

    公开(公告)号：US20080097298A1

    公开(公告)日：2008-04-24

    申请号：US11465767

    申请日：2006-08-18

    申请人： William T. Fisher ,  David E. Yaeger ,  John E. Nash ,  Douglas G. Evans

    发明人： William T. Fisher ,  David E. Yaeger ,  John E. Nash ,  Douglas G. Evans

    IPC分类号： A61M25/08 ,  A61M25/00

    CPC分类号： A61M25/0147 ,  A61B17/320758 ,  A61B2017/00367 ,  A61B2017/22038 ,  A61M25/005 ,  A61M25/0069 ,  A61M25/0082 ,  A61M25/0138 ,  A61M2025/0183

    摘要： In an embodiment, the invention provides a catheter suitable for use in performing a procedure within a vessel, lumen or organ of a living having a distal end which is steerable, such as upon the application of compression. The catheter may be of the over the wire type, or alternatively may be a rapid exchange catheter. The catheter may provide for a rotating element which may be used to open a clogged vessel, or alternatively to provide information about adjacent tissues, such as may be generated by imaging or guiding arrangements using tissue detection systems known in the art, e.g., ultrasound, optical coherence reflectometry, etc. For rapid exchange catheters having a rotating element, there is provided an offset drive assembly to allow the rotary force to be directed from alongside the guidewire to a location coaxial to and over the guidewire.

    摘要翻译： 在一个实施方案中，本发明提供了一种适用于在具有可转向的远端（例如在施加压缩）的血管，内腔或器官内进行手术的导管。 导管可以是导线类型，或者可以是快速交换导管。 导管可以提供可用于打开堵塞的容器的旋转元件，或者替代地提供关于相邻组织的信息，例如可以通过使用本领域已知的组织检测系统的成像或引导装置来产生，例如超声波， 光学相干反射测量法等。对于具有旋转元件的快速交换导管，设置有偏移驱动组件，以允许旋转力从导丝线旁边引导到与导线同轴并位于导线上方的位置。