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13 条记录 (耗时 0.014 秒)

    Device for closing a natural or artificial anus
    1.
    发明申请
    Device for closing a natural or artificial anus 审中-公开
    关闭天然或人造肛门的装置

    公开(公告)号：US20090043151A1

    公开(公告)日：2009-02-12

    申请号：US11658381

    申请日：2005-07-21

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61F2/00

    CPC分类号： A61F2/0013

    摘要： The invention relates to device (1; 1′) for closing a natural or artificial anus, comprising an inflatable balloon (2) with an approximately toroidal structure made from a flat tube section, which is turned inside out and whose both ends (7, 8) extend coaxially into one another and are each joined to a sleeve (9). The outer layer (5) of the tube section that is turned inside out has a radially enlarged, patient-proximal area (3) for inserting into the rectum and has a patient-distal area (11, 7, 8), which is tapered thereto and which remains, at least in areas, outside of the rectum during use. The tube sections have, in the transanal area (11, 7, 8), a material hardness H1 of greater than 60 according to Shore hardness test A. According to the invention, a stiffening sleeve (14) is placed inside the interrectal area (3) of the inner layer (5) in such a manner that this sleeve is completely separated from the hollow space (10) inside the balloon (2) by its inner penetrable layer (5).

    摘要翻译： 本发明涉及一种用于封闭天然或人造肛门的装置（1; 1'），包括一个可膨胀气球（2），其具有由扁平管段制成的近似环形结构， 8）彼此同轴地延伸并且各自连接到套筒（9）。 转向内侧的管部分的外层（5）具有径向扩大的患者近端区域（3），用于插入直肠并具有患者远侧区域（11,7,8），其为锥形 在使用过程中至少在直肠以外的区域内仍然存在。 根据肖氏硬度试验A，管段在经桡动脉区域（11,7,8）中具有大于60°的材料硬度H1。根据本发明，加强套管（14）放置在直立区域内 内部层5的内部可穿透层（5），使得该套筒与气球（2）内部的中空空间（10）完全分离。

    Indwelling urinary catheter with enlarged sealing surface
    2.
    发明申请
    Indwelling urinary catheter with enlarged sealing surface 审中-公开
    留置导尿管扩大密封面

    公开(公告)号：US20080125757A1

    公开(公告)日：2008-05-29

    申请号：US11526442

    申请日：2006-09-25

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61M27/00

    CPC分类号： A61M25/0017 ,  A61M25/04

    摘要： An indwelling urinary catheter for transurethral introduction into a urinary bladder is shown and described herein. The catheter includes a flexible catheter shaft having a wall, a filling channel is integrated into the wall, and a thin foil balloon element having a film-like structure. The balloon element when positioned in the bladder is adapted to contact internal urinary bladder structures over at least about 30 percent of a balloon element surface area. The seal is greater than seals of equivalent balloon structures.

    摘要翻译： 本文显示和描述了用于经尿道导入膀胱的留置尿导管。 导管包括具有壁的柔性导管轴，将一个填充通道整合到壁中，以及具有薄膜状结构的薄箔气球元件。 球囊元件定位在膀胱中时适合于囊内元件表面积的至少约30％的内部尿囊结构。 密封件大于等效气囊结构的密封。

    Occlusion System for Management of Rectal or Anal Incontinence
    4.
    发明申请
    Occlusion System for Management of Rectal or Anal Incontinence 审中-公开
    直肠或肛门失禁治疗闭塞系统

    公开(公告)号：US20090149880A1

    公开(公告)日：2009-06-11

    申请号：US12226236

    申请日：2007-04-05

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61M29/00

    CPC分类号： A61F2/0013 ,  A61F5/0093

    摘要： An occlusion system for management of rectal or anal incontinence, including a shaft element with a distal end and a proximal end and with a lumen extending all the way from the distal end to the proximal end of the shaft element. A balloon is mounted adhesively and sealingly on the shaft element and can be filled with a filing medium via a filing line, wherein the balloon is formed from a tube section and is shaped so that when filled with the filing medium it forms a first balloon configuration as an intrarectal balloon and a second balloon configuration as an abutment balloon, which are delimited from each other by a constriction. The distal end of the shaft element is designed with an end cap with a tip and, at a distance from the tip, at least one gas inlet opening provides communication with the lumen of the shaft element. The proximal end of the shaft element is connected to an outlet tube which extends transverse to the longitudinal axis of the shaft element, and has outlet openings at its ends and communicates with the lumen.

    摘要翻译： 一种用于管理直肠或肛门失禁的闭塞系统，包括具有远端和近端的轴元件，以及从轴元件的远端至近端延伸的内腔。 将气囊以密封方式安装在轴元件上，并且可以通过填充线填充填充介质，其中气囊由管部形成，并且成形为使得当填充有填充介质时，其形成第一气囊构造 作为直肠内气囊和作为邻接气囊的第二气囊构造，其通过收缩彼此界定。 轴元件的远端设计有具有尖端的端盖，并且在与尖端相距一定距离处，至少一个气体入口开口提供与轴元件的内腔连通。 轴元件的近端连接到横向于轴元件的纵向轴线延伸的出口管，并且在其端部具有出口开口并与内腔连通。

    Percutaneous gastrointestinal anchoring kit
    5.
    发明申请
    Percutaneous gastrointestinal anchoring kit 有权
    经皮胃肠锚固试剂盒

    公开(公告)号：US20080121553A1

    公开(公告)日：2008-05-29

    申请号：US11510888

    申请日：2006-08-28

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： B65D69/00 ,  A61M25/04 ,  A61B19/02 ,  B65D1/34 ,  A61F13/00

    CPC分类号： A61B17/0218 ,  A61B17/0401 ,  A61B50/30 ,  A61B2017/00557 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2090/037 ,  A61M25/02 ,  A61M25/10 ,  A61M2025/024 ,  A61M2025/028 ,  A61M2025/0286

    摘要： The invention describes a percutaneous gastrointestinal anchoring kit having an anchor, an introducer, a guide, an inflator, and a retainer. The anchor contains a ballooned region and a shaft portion. The retainer secures the anchor within the stomach when the ballooned region is inflated by seating against an exterior surface of the patient body and placing a tractive force on the ballooned region so as to pull the gastric lumen to an interior abdominal wall of the patient body. The introducer is used to insert the anchor initially within the stomach. The guide positions the ballooned region of the anchor within the stomach by enabling manipulation from an exterior surface of the patient body. The inflator is used to selectively inflate or deflate the ballooned region as needed.

    摘要翻译： 本发明描述了一种经皮胃肠锚定套件，其具有锚固件，导引器，引导件，充气器和保持器。 锚固件包含气球区域和轴部分。 当气囊区域通过抵靠患者身体的外表面放置并将牵引力放置在气球区域上以将胃腔拉到患者身体的内部腹壁时，保持器将锚固件固定在胃内。 引导器用于最初在胃内插入锚。 引导件通过使得能够从患者身体的外表面进行操作来将锚定器的气球区域定位在胃内。 充气机用于根据需要选择性地膨胀或放气气球区域。

    Endometrial Ablation catheter
    7.
    发明申请
    Endometrial Ablation catheter 审中-公开
    子宫内膜消融导管

    公开(公告)号：US20080281317A1

    公开(公告)日：2008-11-13

    申请号：US11801645

    申请日：2007-05-10

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61B18/18

    CPC分类号： A61M25/10 ,  A61B5/1459 ,  A61B18/04 ,  A61B2017/22051 ,  A61B2017/22062 ,  A61B2017/4216 ,  A61B2018/046 ,  A61B2018/048 ,  A61M2025/109

    摘要： An apparatus for ablating tissue with the uterine cavity is provided. The apparatus includes an ablation catheter and an expansible member. The expansible member is attached to the ablation catheter and it has a residual volume greater than the volume of the uterine cavity and exhibits residual dimensions greater than the anatomical dimensions of the uterine cavity.

    摘要翻译： 提供了一种用子宫腔消融组织的装置。 该装置包括消融导管和可膨胀构件。 可膨胀构件附接到消融导管，并且其残留体积大于子宫腔的体积，并且具有大于子宫腔的解剖尺寸的残余尺寸。

    Gastro-esophageal reflux control system and pump
    8.
    发明申请
    Gastro-esophageal reflux control system and pump 有权
    胃食管回流控制系统和泵

    公开(公告)号：US20080154191A1

    公开(公告)日：2008-06-26

    申请号：US11643441

    申请日：2006-12-21

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61M29/02

    CPC分类号： A61J15/0049 ,  A61B5/037 ,  A61B5/412 ,  A61B5/42 ,  A61B5/6853 ,  A61J15/0003 ,  A61J15/0073 ,  A61J15/0076 ,  A61J15/0088

    摘要： An enteral feeding unit or system that minimizes the occurrence of gastro-esophogeal-pharynegal reflux during feeding is described. The enteral feeding unit or device includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling or monitoring feeding rate to said patient as a function of said relative gastro-esophageal pressure. The system includes a stomach probe that has a fluid-tight closure of the esophagus. The stomach probe, according to the invention, is characterized by a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder forms from flexible and/or elastic material at least a closed inner cavity for the reception of a fluid medium, through a means (11) of establishing a prescribed pressure for the medium in the tampon-bladder (16) by an inner lumen forming the actual stomach probe, from which an outer hose-like lumen (18) extending to the tampon-bladder (16) is so arranged that between the outer lumen (18) and the inner lumen (17) a channel is formed connected to the inner cavity of the tampon-bladder (16) arranged on the outer lumen (18) by a number of openings (20), whereby the inner cavity of the tampon-bladder (16) is connected via the canal formed between the inner and outer lumina (17, 18) with the means of production of pressure in the tampon-bladder, that is, with a suitably graded reservoir or equalizing vessel (11) for the liquid medium situated above the tampon-bladder and outside the patient.

    摘要翻译： 描述了在进食期间最小化胃 - 胃咽 - 咽返流的发生的肠内喂养单元或系统。 肠内喂养单元或装置包括具有用于感测患者胃和食道中的相对压力的反馈传感器的自动进给泵，以及用于根据所述相对胃食管压力控制或监测对所述患者的进食速率的调节器系统 。 该系统包括具有流体密封的食道闭合的胃探头。 根据本发明的胃探针的特征在于用于食管的水密封闭的棉塞 - 囊，其中棉塞从弹性和/或弹性材料形成至少一个封闭的内腔，用于接收流体介质 通过形成实际胃探头的内腔为棉塞 - 囊（16）中的介质建立规定压力的装置（11），从软管状腔（18）延伸到卫生棉条 （16）布置成在所述外腔（18）和所述内腔（17）之间形成有通道，所述通道与布置在所述外腔（18）上的所述止血塞（16）的内腔连接，多个 开口（20），由此棉塞 - 囊（16）的内腔通过形成在内腔和外腔（17,18）之间的管道与在棉塞中产生压力的装置相连， 具有适当分级的储存器或均衡容器（11） 位于卫生棉条上方的液体介质和患者外部。

    Tissue to tissue anchoring device and method of using the same
    9.
    发明申请
    Tissue to tissue anchoring device and method of using the same 审中-公开
    组织固定装置及其使用方法

    公开(公告)号：US20080097491A1

    公开(公告)日：2008-04-24

    申请号：US11510974

    申请日：2006-08-28

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61B17/00

    CPC分类号： A61B17/1114 ,  A61B17/0401 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/3415 ,  A61B2017/00557 ,  A61B2017/0404 ,  A61B2017/0458 ,  A61J15/0023 ,  A61J15/0042 ,  A61J15/0061

    摘要： The invention describes a device and method for anchoring two or more body tissue layers to one another. The device in one form may be a hollow, collapsible, microthin polymeric shaft affixed to a noncollapsible tip at a distal end of die polymeric shaft. A preformed balloonable distention formed in a discrete region of the shaft proximal to die noncollapsible tip would be adapted to anchor against one of die body tissue layers within a body orifice. A rod attached at one end to the tip which extends along die shaft and terminates at a second end near a proximal end of the device would be used for transferring movement from the second end to die first end so as to effect a movement in the tip. The method pertains to the method of using such a device to secure one or more tissue layers together, ultimately to assist in the fusion of the layers.

    摘要翻译： 本发明描述了一种用于将两个或多个身体组织层彼此锚固的装置和方法。 一种形式的装置可以是固定在模具聚合物轴的远端处的非可收缩尖端的中空的，可折叠的微型聚合物轴。 在靠近模具非可收缩尖端的轴的离散区域中形成的预先形成的气球膨胀将适于锚固在主体孔内的模具体组织层之一上。 一端连接到沿着模轴延伸并且在靠近装置的近端的第二端终止的尖端的杆将用于将运动从第二端转移到模具的第一端，以便实现尖端中的运动 。 该方法涉及使用这种装置将一个或多个组织层固定在一起的方法，最终有助于层的融合。

    Closure system for managing rectal or anal incontinence
    10.
    发明申请
    Closure system for managing rectal or anal incontinence 审中-公开
    用于治疗直肠或肛门失禁的闭合系统

    公开(公告)号：US20070213661A1

    公开(公告)日：2007-09-13

    申请号：US11373830

    申请日：2006-03-10

    申请人： Fred Gobel

    发明人： Fred Gobel

    IPC分类号： A61M29/00

    CPC分类号： A61F2/0013 ,  A61M29/02

    摘要： A closure system for managing rectal or anal incontinence, having a shaft element, with a distal end and a proximal end and at least one lumen. An inflatable intrarectal balloon includes a flexible, extensible plastic material with a distal end and a proximal end, each of which is attached to the shaft element in a securely bonded and sealed fashion. The intrarectal balloon communicates with the at least one lumen via a perforation in the wall of the shaft element and can be acted on with a filling medium via the lumen. An anchoring element serves as a buttress, which is attached to the shaft element spaced apart from the intrarectal balloon on its proximal side, in the direction toward the proximal end of the shaft element. The distal end of the intrarectal balloon is attached to the shaft element, the balloon being invaginated in the direction toward the proximal end of the balloon in such a way that the intrarectal balloon attached with its two ends to the shaft element, as it is filled with a filling medium, executes a rolling motion from the distal end of the shaft element toward the proximal end of the shaft element.

    摘要翻译： 一种用于治疗直肠或肛门失禁的闭合系统，具有轴元件，其具有远端和近端以及至少一个内腔。 可膨胀的直肠内气囊包括具有远端和近端的柔性可延展的塑料材料，每一个塑料材料以牢固粘合和密封的方式附接到轴元件上。 直肠内球囊通过轴元件的壁中的穿孔与至少一个内腔连通，并且可以通过管腔与填充介质一起作用。 锚固元件用作支撑件，该支撑件沿着朝向轴元件的近端的方向附接到在其近侧上与直肠内球囊间隔开的轴元件。 直肠内球囊的远端附着在轴元件上，气球朝向气囊近端的方向入内，使得直立气囊将其两端附接到轴元件，因为它被填充 利用填充介质，从轴元件的远端朝向轴元件的近端执行滚动运动。