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    Applicators and methods for intraoperative treatment of proliferative diseases of the breast
    1.
    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

    Applicant: Darius Francescatti ,  James E. Jervis

    Inventor： Darius Francescatti ,  James E. Jervis

    IPC: A61N5/01

    CPC classification number: A61N5/1015 ,  A61N5/1043 ,  A61N5/1083

    Abstract: 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.

    Abstract translation: 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
    2.
    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

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

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

    IPC: A61B17/00

    CPC classification number: 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

    Abstract: 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.

    Abstract translation: 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
    3.
    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

    Applicant: James E. Jervis ,  Paul A. Lovoi

    Inventor： James E. Jervis ,  Paul A. Lovoi

    IPC: A61N5/00

    CPC classification number: A61N5/1016

    Abstract: 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.

    Abstract translation: 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
    4.
    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

    Applicant: James E. Jervis ,  John Ashley

    Inventor： James E. Jervis ,  John Ashley

    IPC: A61B17/04

    CPC classification number: A61B17/06061 ,  A61B17/0487 ,  A61B2017/0451 ,  A61B2017/0488 ,  A61B2017/0496 ,  Y10T24/3969 ,  Y10T24/3996

    Abstract: 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.

    Abstract translation: 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。

    BALLOON BRACHYTHERAPY APPLICATOR AND METHOD
    5.
    发明申请
    BALLOON BRACHYTHERAPY APPLICATOR AND METHOD 有权
    气球加速器和方法

    公开(公告)号：US20090209802A1

    公开(公告)日：2009-08-20

    申请号：US11871116

    申请日：2007-10-11

    Applicant: Darius Francescatti ,  David J. Hoffmann ,  Scott Tremberth ,  Michael Klein ,  Paul A. Lovoi ,  James E. Jervis

    Inventor： Darius Francescatti ,  David J. Hoffmann ,  Scott Tremberth ,  Michael Klein ,  Paul A. Lovoi ,  James E. Jervis

    IPC: A61N5/00

    CPC classification number: A61N5/1015 ,  A61M2025/1063

    Abstract: Methods and applicator apparatus are disclosed for brachytherapy treatment of tissue surrounding a cavity in a patient, particularly a resection cavity. In treatment regimes requiring recovery time between successive radiation treatments, applicators of the invention are retained under the skin, with the skin allowed to at least partially heal, and are re-accessed later for one or more subsequent treatments. To reduce patient discomfort an anesthetic agent can be infused through the applicator to patient tissue, for insertion, balloon inflation or removal of the applicator.

    Abstract translation: 公开了用于近距离放射治疗患者，特别是切除腔中的腔周围的组织的方法和施用装置。 在需要在连续辐射治疗之间恢复时间的治疗方案中，本发明的施用器保留在皮肤下，允许皮肤至少部分愈合，并且稍后重新进行一次或多次随后的治疗。 为了减少患者的不适，麻醉剂可以通过施用器输注到患者组织，用于插入，球囊充气或去除涂抹器。

    Colporrhaphy method and apparatus
    6.
    发明授权
    Colporrhaphy method and apparatus 有权
    Colporrhaphy方法和装置

    公开(公告)号：US06328729B1

    公开(公告)日：2001-12-11

    申请号：US09299886

    申请日：1999-04-27

    Applicant: James E. Jervis

    Inventor： James E. Jervis

    IPC: A61M3100

    CPC classification number: A61B17/42 ,  A61B2017/320048

    Abstract: A balloon apparatus adapted for sequential dissection of an anatomical space and associated methods are provided. The balloon apparatus comprises a tubular member having a lumen, a tunneling member slidably disposed in the lumen of the tubular member, a flattened substantially rectangular balloon sealed about the tubular member, a sleeve which contains the deflated balloon in generally cylindrical rolls about the tunneling member, and a retainer which prevents an inverted substantially heel-shaped portion of the balloon from everting and inflating prior to inflation of the remainder of the balloon. In a preferred method of operation, the balloon apparatus enters an anatomical space whereby the entry point into the anatomical space divides the space into a superior and inferior portions. The tunneling member is advanced into the superior portion of the space and the balloon inflated, thereby dissecting the superior portion of the anatomical space. Then the retainer is released, permitting the heel-shaped portion to be inflated, thereby dissecting the inferior portion of the anatomical space.

    Abstract translation: 提供了一种适于顺序解剖解剖空间和相关方法的气囊装置。 气囊装置包括管状构件，其具有内腔，可滑动地设置在管状构件的内腔中的隧道构件，围绕管状构件密封的扁平的基本上矩形的球囊;套筒，其围绕通道构件包含大致圆柱形的辊 ，以及保持器，其防止球囊的倒置的大致后跟形状的部分在气球的其余部分的充气之前旋转并膨胀。 在优选的操作方法中，气囊装置进入解剖空间，由此进入解剖空间的入口将空间分成上下部分。 隧道构件进入空间的上部，气球膨胀，从而解剖解剖空间的上部。 然后释放保持器，允许脚跟形状部分膨胀，从而解剖解剖空间的下部。

    Bladder neck suspension method
    7.
    发明授权
    Bladder neck suspension method 失效
    膀胱颈悬液法

    公开(公告)号：US5816258A

    公开(公告)日：1998-10-06

    申请号：US664051

    申请日：1996-06-13

    Applicant: James E. Jervis

    Inventor： James E. Jervis

    IPC: A61B17/00 ,  A61B17/04 ,  A61B19/00

    CPC classification number: A61B17/0485 ,  A61B17/0483 ,  A61B2017/00349 ,  Y10S128/25

    Abstract: A laparoscopic bladder neck suture suspension procedure that anchors a suture in Cooper's ligament and, transvaginally, in the anterior vaginal wall to provide upper and lower suspension points and, then, ties and tensions a knot intracorporeally within the retropubic space between the upper and lower suspension points. The laparoscopic bladder neck suture suspension procedure utilizes a surgical instrument that combines a knot tying device mounted over a suture passing device. The suture passer may incorporate a grasper at its tip for purposes of passing a suture through body tissue as desired. The knot tying device is used to suture intracorporeally under tension using sliding knots such that the tension can be increased incrementally as the surgeon tests the elevation of the bladder neck by feel.

    Abstract translation: 腹腔镜膀胱颈缝合悬吊程序，将Cooper韧带中的缝合线锚固，并在阴道前壁阴道壁上锚定以提供上下悬挂点，然后将结扎和张力结合在体内后部的上下悬液中的耻骨间隙内 积分 腹腔镜膀胱颈缝合悬吊手术利用一种外科手术器械，其结合了安装在缝线通过装置上的打结装置。 缝合路人器可以在其尖端处并入抓紧器，用于根据需要使缝线穿过身体组织。 打结装置用于使用滑动结在体内缝合体内张力，使得当外科医生通过感觉测试膀胱颈的高度时可以增加张力。

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