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108 条记录 (耗时 0.037 秒)

    Inflatable manipulator for organ positioning during surgery
    1.
    发明授权
    Inflatable manipulator for organ positioning during surgery 有权
    充气器官手术器官定位

    公开(公告)号：US06371910B1

    公开(公告)日：2002-04-16

    申请号：US09438811

    申请日：1999-11-10

    申请人： Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

    发明人： Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

    IPC分类号： A61B132

    CPC分类号： A61B17/0218 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/320048 ,  A61B2090/032 ,  A61B2090/034 ,  A61B2090/061 ,  A61B2090/064

    摘要： An inflatable manipulator for organ manipulation during surgery is disclosed. The system typically includes an inflatable balloon connected to an infusion source where the balloon is either coupled to a relatively rigid platform or fitted with a positioning structure such as a pocket. In open heart surgery, the platform is used to position and stabilize the balloon under the heart. In minimally invasive surgery, the balloon fitted with the pocket and can be rolled into a narrow configuration and inserted through a small incision using an insertion device. The insertion device can then be removed once the manipulator is in position. In use, the balloon of the manipulator is inflated by the infusion source thereby elevating and tilting the organ to the desired position for surgical access. Systems including multiple chamber manipulators each with a separate infusion source are also disclosed, as are combined methods for cooling organs during surgery and for using the manipulators to separate adhesions.

    摘要翻译： 公开了一种用于手术中器官操作的充气操纵器。 该系统通常包括连接到输注源的可充气气囊，其中气囊被联接到相对刚性的平台或者配合有定位结构例如口袋。 在心脏直视手术中，平台用于在心脏下定位和稳定气囊。 在微创手术中，气囊装配有口袋，并且可以卷成狭窄的构造并且通过使用插入装置的小切口插入。 一旦操纵器就位就可以将插入装置移除。 在使用中，操纵器的球囊被输注源膨胀，从而升高并将器官倾斜到期望的位置以进行外科手术。 还公开了包括具有单独输注源的多个腔室操纵器的系统，以及用于在手术期间冷却器官和使用操纵器分离粘连的组合方法。

    Inflatable manipulator for organ positioning during surgery and method of use
    2.
    发明授权
    Inflatable manipulator for organ positioning during surgery and method of use 失效
    用于手术器官定位的充气手术器械和使用方法

    公开(公告)号：US6015382A

    公开(公告)日：2000-01-18

    申请号：US951799

    申请日：1997-10-16

    申请人： Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

    发明人： Hans J. Zwart ,  Lawrence R. Tyler ,  Thomas J. Palermo ,  Kevin Van Bladel ,  Roderick A. Young ,  James E. Jervis

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/32 ,  A61B19/00

    CPC分类号： A61B17/0218 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00084 ,  A61B2017/00243 ,  A61B2017/00557 ,  A61B2017/320048 ,  A61B2090/032 ,  A61B2090/034 ,  A61B2090/061 ,  A61B2090/064

    摘要： An inflatable manipulator for organ manipulation during surgery is disclosed. The system typically includes an inflatable balloon connected to an infusion source where the balloon is either coupled to a relatively rigid platform or fitted with a positioning structure such as a pocket. In open heart surgery, the platform is used to position and stabilize the balloon under the heart. In minimally invasive surgery, the balloon fitted with the pocket and can be rolled into a narrow configuration and inserted through a small incision using an insertion device. The insertion device can then be removed once the manipulator is in position. In use, the balloon of the manipulator is inflated by the infusion source thereby elevating and tilting the organ to the desired position for surgical access. Systems including multiple chamber manipulators each with a separate infusion source are also disclosed, as are combined methods for cooling organs during surgery and for using the manipulators to separate adhesions.

    摘要翻译： 公开了一种用于手术中器官操作的充气操纵器。 该系统通常包括连接到输注源的可充气气囊，其中气囊被联接到相对刚性的平台或者配合有定位结构例如口袋。 在心脏直视手术中，平台用于在心脏下定位和稳定气囊。 在微创手术中，气囊装配有口袋，并且可以卷成狭窄的构造并且通过使用插入装置的小切口插入。 一旦操纵器就位就可以将插入装置移除。 在使用中，操纵器的球囊被输注源膨胀，从而升高并将器官倾斜到期望的位置以进行外科手术。 还公开了包括具有单独输注源的多个腔室操纵器的系统，以及用于在手术期间冷却器官和使用操纵器分离粘连的组合方法。

    Applicators and methods for intraoperative treatment of proliferative diseases of the breast
    7.
    发明授权
    Applicators and methods for intraoperative treatment of proliferative diseases of the breast 有权
    用于术中治疗乳腺增殖性疾病的应用者和方法

    公开(公告)号：US08303476B2

    公开(公告)日：2012-11-06

    申请号：US12156298

    申请日：2008-05-30

    申请人： Darius Francescatti ,  James E. Jervis

    发明人： Darius Francescatti ,  James E. Jervis

    IPC分类号： A61N5/01

    CPC分类号： A61N5/1015 ,  A61N5/1043 ,  A61N5/1083

    摘要： A device for administering brachytherapy to a patient includes a vessel that may be in the form of a hollow cylindrical cup, for fleshing into and substantially filling the open-ended cavity. The vessel has a closed outer end, which may be a removable cover, and a source guide penetrates the closed outer end so as to extend deep into the vessel, to receive a radiation source in the source guide. A manipulator can be connected to the radiation source, and also to the source guide, for allowing several different types of manipulation of the source orientation and position within the vessel during the brachytherapy procedure.

    摘要翻译： 用于向患者施行近距离放射疗法的装置包括可以是中空圆柱形杯形式的容器，用于充满开口腔并基本上填充开口腔。 容器具有封闭的外端，其可以是可移除的盖，并且源引导件穿过封闭的外端，以便深入到容器中，以在源引导件中接收辐射源。 操纵器可以连接到辐射源以及源引导件，用于允许在近距离放射治疗过程期间几何不同类型的源取向和容器内的位置的操纵。

    Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization
    8.
    发明授权
    Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
    用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法

    公开(公告)号：US08157831B2

    公开(公告)日：2012-04-17

    申请号：US11313175

    申请日：2005-12-20

    申请人： Maciej J. Kieturakis ,  Helmut Kayan ,  Jan M. Echeverry ,  Thomas A. Howell ,  Kenneth H. Mollenauer ,  James E. Jervis

    发明人： Maciej J. Kieturakis ,  Helmut Kayan ,  Jan M. Echeverry ,  Thomas A. Howell ,  Kenneth H. Mollenauer ,  James E. Jervis

    IPC分类号： A61B17/00

    CPC分类号： A61B17/0218 ,  A61B17/320016 ,  A61B17/3421 ,  A61B17/3439 ,  A61B18/08 ,  A61B90/361 ,  A61B2017/00557 ,  A61B2017/0212 ,  A61B2017/320044 ,  A61B2017/320048 ,  A61B2090/0813 ,  A61F2/0063 ,  A61F2002/0072 ,  A61M25/0668 ,  A61M25/1002 ,  A61M29/02

    摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layer to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creature of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdrawn through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.

    摘要翻译： 一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。 隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。 腹腔镜可以通过隧道构件的开放远端直接观察解剖。 当设备用于在组织层与患者体内的感兴趣区域之间隧穿时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层和解剖学的生物分离时， 工作空间。 解剖空间创建完毕后，通过切口取出装置和腹腔镜。 如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。 如果特定程序需要，解剖工作空间可以用吹入气体吹入。 通过将穿透构件插入形成球囊的球囊的内部，穿过隧道构件的通常为圆柱形的辊，并且优选地通过使用整体气囊盖将隧道构件插入到隧道构件 以形成半刚性钝头封闭器。

    Everting gynecological brachytherapy applicator and method
    9.
    发明授权
    Everting gynecological brachytherapy applicator and method 失效
    永乐妇科近距离放射治疗仪及方法

    公开(公告)号：US07914435B2

    公开(公告)日：2011-03-29

    申请号：US11811295

    申请日：2007-06-07

    申请人： James E. Jervis ,  Paul A. Lovoi

    发明人： James E. Jervis ,  Paul A. Lovoi

    IPC分类号： A61N5/00

    CPC分类号： A61N5/1016

    摘要： An everting applicator for brachytherapy of body cavities such as the vagina has a flexible sleeve secured to a distal mandrel, both the sleeve and the mandrel having internal lumens. The flexible sleeve has a diverging opening at its distal end, preferably bell-shaped or cone-shaped, such that when the open end is pushed against the mouth of a vagina, the sleeve will evert back upon itself, progressively unrolling to an inside out configuration wherein, fully inserted, the sleeve is fully everted back over the exterior surface of the mandrel. A radiation source, isotopic or electronic, is then inserted into the mandrel lumen to commence a therapeutic irradiation procedure of tissues of the vagina.

    摘要翻译： 用于诸如阴道的体腔近距离放射治疗的止痛器具有固定到远端心轴的柔性套管，套筒和心轴都具有内腔。 柔性套管在其远端具有分叉的开口，优选为钟形或锥形，使得当开口端被推靠在阴道口时，套筒将自身退回，逐渐展开到内侧 配置，其中，完全插入，套筒完全退回到心轴的外表面上。 然后将辐射源，同位素或电子插入到心轴腔中，以开始阴道组织的治疗辐射程序。

    Wedge operated retainer device and methods
    10.
    发明授权
    Wedge operated retainer device and methods 失效
    楔形保持装置及方法

    公开(公告)号：US07875056B2

    公开(公告)日：2011-01-25

    申请号：US11380573

    申请日：2006-04-27

    申请人： James E. Jervis ,  John Ashley

    发明人： James E. Jervis ,  John Ashley

    IPC分类号： A61B17/04

    CPC分类号： A61B17/06061 ,  A61B17/0487 ,  A61B2017/0451 ,  A61B2017/0488 ,  A61B2017/0496 ,  Y10T24/3969 ,  Y10T24/3996

    摘要： This invention relates generally to retainers and methods of using retainers. In particular, the invention relates to a suture retainer adapted for application on a subject by use of an introducing device, such as a catheter. The suture retainer comprises two elements, such as wedge-shaped or substantially wedge-shaped elements, that are positioned such that the elements are juxtaposed with respect to each other. In operation the two elements are engaged by a spring which forces the two elements into contact. Additionally, a housing can be provided.

    摘要翻译： 本发明一般涉及使用保持器的保持器和方法。 特别地，本发明涉及适于通过使用诸如导管的引入装置施加在受试者上的缝合线保持器。 缝合线保持器包括两个元件，例如楔形或基本楔形的元件，其被定位成使得元件相对于彼此并置。 在操作中，两个元件由迫使两个元件接触的弹簧接合。 另外，可以提供外壳。