公开(公告)号：US5904711A

公开(公告)日：1999-05-18

申请号：US598670

申请日：1996-02-08

申请人： James R. Flom ,  Scott H. Miller ,  Gregory G. Ulrich

发明人： James R. Flom ,  Scott H. Miller ,  Gregory G. Ulrich

IPC分类号： A61N1/05 ,  A61N1/39

CPC分类号： A61N1/05 ,  A61N1/39

摘要： Methods and apparatus for thoracoscopic defibrillation of a patient's heart. The technique involves introducing a first electrode (10) through a percutaneous intercostal penetration, positioning the first electrode against the heart surface (H) and positioning a second electrode (10') against the patient's body. A voltage is then applied through the percutaneous intercostal penetration to the first electrode and to a second electrode to deliver electrical energy to the first electrode, through at least a portion of the patient's heart, and to the second electrode. The electrical energy applies an electric charge to the patient's heart to defibrillate the heart muscle or restart the heart during, for example, cardiac procedures that involve arresting the heart.

摘要翻译： 用于胸腔镜除颤患者心脏的方法和装置。 该技术涉及通过经皮肋间穿透引入第一电极（10），将第一电极定位在心脏表面（H）上并将第二电极（10'）定位在患者身体上。 然后通过经皮肋间穿透将电压施加到第一电极和第二电极，以通过患者心脏的至少一部分和第二电极将电能传递到第一电极。 电能对患者的心脏施加电荷以在例如涉及阻止心脏的心脏手术期间除颤心脏肌肉或重新启动心脏。

公开(公告)号：US08597315B2

公开(公告)日：2013-12-03

申请号：US12828444

申请日：2010-07-01

申请人： David W. Snow ,  James R. Flom

发明人： David W. Snow ,  James R. Flom

IPC分类号： A61B17/22

CPC分类号： A61B17/320783 ,  A61B17/32075 ,  A61B2017/00022 ,  A61B2017/00292 ,  A61B2017/00353 ,  A61B2017/320791 ,  A61B2090/3614 ,  A61B2090/373 ,  A61B2090/378 ,  A61B2090/3784

摘要： An atherectomy catheter is provided for excising and imaging material in a body lumen. In one embodiment, the catheter comprises a catheter body, a cutting blade, and an imaging device. The cutting blade is mounted on the catheter body and configured to move between a first position and a second position relative to an aperture or cutting window. When the cutting blade is in the second position, the blade substantially closes the aperture on the catheter body. The imaging device which is mounted on or otherwise coupled to the cutting blade is configured to be in an imaging position when the cutting blade substantially closes the aperture or cutter window. This allows the imaging device to survey material within the cutting zone of the atherectomy catheter. By allowing the imaging device to view materials within this cutting zone, material may be imaged and then removed from the body lumen without having to reposition the catheter between each step.

摘要翻译： 提供粥样斑块切除术导管用于在体腔内切除和成像材料。 在一个实施例中，导管包括导管主体，切割刀片和成像装置。 切割刀片安装在导管主体上并构造成相对于孔或切割窗在第一位置和第二位置之间移动。 当切割刀片处于第二位置时，刀片基本上封闭导管主体上的孔。 安装在切割刀片上或以其他方式耦合到切割刀片的成像装置被配置为当切割刀片基本上封闭孔径或切割窗口时处于成像位置。 这允许成像装置调查粥样斑块切除术导管的切割区内的材料。 通过允许成像装置观察该切割区域内的材料，材料可被成像，然后从体腔移除，而不必在每个步骤之间重新定位导管。

公开(公告)号：US08409230B2

公开(公告)日：2013-04-02

申请号：US12437955

申请日：2009-05-08

申请人： Chris Pamichev ,  Julian Nikolchev ,  James R. Flom ,  Lynette Ross ,  Thomas Weisel ,  Matthew Frushell ,  William Kaiser

发明人： Chris Pamichev ,  Julian Nikolchev ,  James R. Flom ,  Lynette Ross ,  Thomas Weisel ,  Matthew Frushell ,  William Kaiser

IPC分类号： A61B17/32

CPC分类号： A61B17/1604 ,  A61B17/1615 ,  A61B17/1631 ,  A61B17/320068 ,  A61B2017/00539 ,  A61B2017/320028 ,  A61B2017/320032 ,  A61B2017/564 ,  A61B2017/922

摘要： A microfracture instrument for applying microfracture therapy to a bone, the microfracture instrument comprising: an elongated shaft comprising a distal end and a proximal end; a needle comprising a body terminating in at least one sharp point, the needle being movably mounted to the distal end of the shaft for movement between an extended position for engaging the bone with the at least one sharp point of the needle and a retracted position for withdrawing the at least one sharp point of the needle from the bone; and a drive shaft movably mounted to the elongated shaft, the drive shaft being connected to the body of the needle so that movement of the drive shaft relative to the elongated shaft moves the needle between its extended position and its retracted position.

摘要翻译： 一种用于将微裂缝治疗应用于骨的微裂缝器械，所述微裂缝器械包括：细长轴，其包括远端和近端; 一种针，其包括终止于至少一个尖锐点的主体，所述针可移动地安装到所述轴的远端，用于在用于将所述骨与所述针的至少一个尖锐点接合的延伸位置和用于在所述针的至少一个尖锐点之间移动的缩回位置 从所述骨中取出所述针的至少一个尖锐点; 以及可移动地安装到细长轴的驱动轴，驱动轴连接到针的主体，使得驱动轴相对于细长轴的移动使针在其延伸位置和缩回位置之间移动。

公开(公告)号：US20120041371A1

公开(公告)日：2012-02-16

申请号：US13283325

申请日：2011-10-27

申请人： Michael Tal ,  John P. Marano, JR. ,  James R. Flom ,  John F. Lapetina ,  Robert Yuen Lee Ang ,  Aaron Abroff ,  Carl Gandarillas ,  Michael F. Wei ,  Joshua Druker ,  Janelle Anderson

发明人： Michael Tal ,  John P. Marano, JR. ,  James R. Flom ,  John F. Lapetina ,  Robert Yuen Lee Ang ,  Aaron Abroff ,  Carl Gandarillas ,  Michael F. Wei ,  Joshua Druker ,  Janelle Anderson

IPC分类号： A61B17/34

CPC分类号： A61M25/0606 ,  A61M25/0097 ,  A61M25/0618 ,  A61M29/00 ,  A61M2025/0687

摘要： A device may include a hollow needle, a dilator mounted coaxially on the needle, and a sheath mounted coaxially on the dilator. The dilator may be slideably displaceable relative to the sheath.

摘要翻译： 装置可以包括中空针，同轴地安装在针上的扩张器，以及同轴地安装在扩张器上的护套。 扩张器可以相对于护套可滑动地移位。

公开(公告)号：US08585747B2

公开(公告)日：2013-11-19

申请号：US11953242

申请日：2007-12-10

申请人： Bernard Andreas ,  Joseph Karratt ,  James R. Flom ,  Bradley Blackwood

发明人： Bernard Andreas ,  Joseph Karratt ,  James R. Flom ,  Bradley Blackwood

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/95 ,  A61F2002/9517 ,  A61F2250/0097 ,  A61M25/0136 ,  A61M2025/0008 ,  A61M2025/1068

摘要： Devices and methods are provided for controlling and indicating the deployed length of an interventional element on an interventional catheter. The interventional element may be a stent or series of stents, a balloon, or any other interventional element for which length control is necessary or desirable. Devices for controlling the length of the interventional element include gear driven actuators, motors, and other mechanisms. Devices for indicating length of an interventional element to the user include sensors, detents, visual displays and other mechanisms providing visual, audible, and tangible indications of length to the user. The control and indication devices preferably work in tandem to enable highly precise adjustment of interventional element length.

摘要翻译： 提供了装置和方法，用于控制和指示在介入导管上介入元件的部署长度。 介入元件可以是支架或一系列支架，球囊或其长度控制是必要或期望的任何其它介入元件。 用于控制介入元件的长度的装置包括齿轮驱动致动器，马达和其它机构。 用于指示介入元件长度的设备包括传感器，制动器，视觉显示器以及向用户提供长度可视化，可听见和有形指示的其它机构。 控制和指示装置优选地串联工作以实现介入元件长度的高精度调节。

公开(公告)号：US20110190774A1

公开(公告)日：2011-08-04

申请号：US12949422

申请日：2010-11-18

申请人： Julian Nikolchev ,  James R. Flom

发明人： Julian Nikolchev ,  James R. Flom

IPC分类号： A61B17/56

CPC分类号： A61B17/56

摘要： The method for performing an arthroscopic procedure on a joint using surgical navigation. A 3-D virtual model of the anatomy is created from a scan of the anatomy. The 3-D virtual model is then used to reproduce motion of the joint and plan the arthroscopic procedure. The 3-D virtual model is placed into registration with the real-world anatomy, so that a virtual image generated by the 3-D virtual model may be placed into registration with an arthroscopic image of the real-world anatomy. Preferably, arthroscopic registration markers, positioned prior to scanning, are used to place the 3-D virtual model in registration with the real-world anatomy. The arthroscopic registration markers may be placed either percutaneously or arthroscopically. At the conclusion of the procedure, the registration markers may be left in place, removed arthroscopically or allowed to biodegrade.

摘要翻译： 使用手术导航在关节上执行关节镜手术的方法。 解剖学的3-D虚拟模型是从解剖结构的扫描创建的。 然后使用3-D虚拟模型来再现关节的运动并计划关节镜手术。 3-D虚拟模型被放置为与现实世界的解剖结构配准，使得由3D虚拟模型生成的虚拟图像可以被放置成与现实世界解剖结构的关节镜图像对齐。 优选地，在扫描之前定位的关节镜对准标记被用于将3-D虚拟模型放置在与真实世界解剖结构对准的位置。 关节镜对准标记物可经皮或关节镜放置。 在手术结束时，对准标记可以留在原位，关节镜去除或允许生物降解。

公开(公告)号：US20100076440A1

公开(公告)日：2010-03-25

申请号：US12437955

申请日：2009-05-08

申请人： Chris Pamichev ,  Julian Nikolchev ,  James R. Flom ,  Lynette Ross ,  Thomas Weisel ,  Matthew Frushell ,  William Kaiser

发明人： Chris Pamichev ,  Julian Nikolchev ,  James R. Flom ,  Lynette Ross ,  Thomas Weisel ,  Matthew Frushell ,  William Kaiser

IPC分类号： A61B17/00 ,  A61B17/56

CPC分类号： A61B17/1604 ,  A61B17/1615 ,  A61B17/1631 ,  A61B17/320068 ,  A61B2017/00539 ,  A61B2017/320028 ,  A61B2017/320032 ,  A61B2017/564 ,  A61B2017/922

摘要： A microfracture instrument for applying microfracture therapy to a bone, the microfracture instrument comprising: an elongated shaft comprising a distal end and a proximal end; a needle comprising a body terminating in at least one sharp point, the needle being movably mounted to the distal end of the shaft for movement between an extended position for engaging the bone with the at least one sharp point of the needle and a retracted position for withdrawing the at least one sharp point of the needle from the bone; and a drive shaft movably mounted to the elongated shaft, the drive shaft being connected to the body of the needle so that movement of the drive shaft relative to the elongated shaft moves the needle between its extended position and its retracted position.

摘要翻译： 一种用于将微裂缝治疗应用于骨的微裂缝器械，所述微裂缝器械包括：细长轴，其包括远端和近端; 一种针，其包括终止于至少一个尖锐点的主体，所述针可移动地安装到所述轴的远端，用于在用于将所述骨与所述针的至少一个尖锐点接合的延伸位置和用于在所述针的至少一个尖锐点之间移动的缩回位置 从所述骨中取出所述针的至少一个尖锐点; 以及可移动地安装到细长轴的驱动轴，驱动轴连接到针的主体，使得驱动轴相对于细长轴的移动使针在其延伸位置和缩回位置之间移动。

公开(公告)号：US20090198274A1

公开(公告)日：2009-08-06

申请号：US12235416

申请日：2008-09-22

申请人： Matthew Frushell ,  Bryan Kelly ,  Jonathan Dewey ,  James R. Flom ,  Chris Pamichev

发明人： Matthew Frushell ,  Bryan Kelly ,  Jonathan Dewey ,  James R. Flom ,  Chris Pamichev

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B2017/0414 ,  A61B2017/0446 ,  A61B2017/0448 ,  A61B2017/0453 ,  A61B2017/0456 ,  A61F2/0811 ,  A61F2002/0829 ,  A61F2002/0864 ,  A61F2002/0888

摘要： A system for securing soft tissue to bone, the system comprising: a center post anchor comprising a body adapted for disposition in bone and having a retention element thereon for retaining the body in bone, the center post anchor comprising a suture having a first portion secured to the body and a second portion residing free of the body and adapted to be passed through the soft tissue which is to be secured to the bone; and a bridge post anchor comprising a body adapted for disposition in bone and having a retention element thereon for retaining the body in bone, the bridge post anchor including a capture element for capturing the second portion of the suture to the bone, such that when the center post anchor is disposed in bone and the second portion of the suture extends through in bone can secure the soft tissue to the bone.

摘要翻译： 一种用于将软组织固定到骨骼的系统，所述系统包括：中心支柱锚，其包括适于处置在骨中的主体，并且在其上具有用于将身体保持在骨中的保持元件，所述中心支柱锚固件包括缝合线，所述缝合线具有固定的第一部分 并且适于穿过要被固定到骨骼的软组织的第二部分; 以及桥梁锚固件，其包括适于处置在骨中并具有用于将所述主体保持在骨中的保持元件的主体，所述桥梁锚固件包括用于将所述缝合线的第二部分捕获到骨骼的捕获元件，使得当 中心支柱锚固体设置在骨骼中，并且缝线的第二部分延伸穿过骨骼可以将软组织固定到骨骼上。

公开(公告)号：US07326236B2

公开(公告)日：2008-02-05

申请号：US10746466

申请日：2003-12-23

申请人： Bernard Andreas ,  Joseph Karratt ,  James R. Flom ,  Bradley Blackwood

发明人： Bernard Andreas ,  Joseph Karratt ,  James R. Flom ,  Bradley Blackwood

IPC分类号： A61F2/06

CPC分类号： A61F2/966 ,  A61F2/95 ,  A61F2002/9517 ,  A61F2250/0097 ,  A61M25/0136 ,  A61M2025/0008 ,  A61M2025/1068

摘要： Devices and methods are provided for controlling and indicating the deployed length of an interventional element on an interventional catheter. The interventional element may be a stent or series of stents, a balloon, or any other interventional element for which length control is necessary or desirable. Devices for controlling the length of the interventional element include gear driven actuators, motors, and other mechanisms. Devices for indicating length of an interventional element to the user include sensors, detents, visual displays and other mechanisms providing visual, audible, and tangible indications of length to the user. The control and indication devices preferably work in tandem to enable highly precise adjustment of interventional element length.

摘要翻译： 提供了装置和方法，用于控制和指示在介入导管上介入元件的部署长度。 介入元件可以是支架或一系列支架，球囊或其长度控制是必要或期望的任何其它介入元件。 用于控制介入元件的长度的装置包括齿轮驱动致动器，马达和其它机构。 用于指示介入元件的长度的设备包括传感器，棘爪，视觉显示器以及向用户提供长度可视，可听和有形的指示的其它机构。 控制和指示装置优选地串联工作以实现介入元件长度的高精度调节。

公开(公告)号：US6048309A

公开(公告)日：2000-04-11

申请号：US934426

申请日：1997-09-19

申请人： James R. Flom ,  Meir Moshe ,  Stephen W. Boyd ,  Richard L. Mueller

发明人： James R. Flom ,  Meir Moshe ,  Stephen W. Boyd ,  Richard L. Mueller

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3439 ,  A61B17/3468 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/025 ,  A61B17/3417 ,  A61B17/3431 ,  A61B2017/00243 ,  A61B2017/3427 ,  A61B2017/3482 ,  A61B2090/306

摘要： The present invention provides a retractor for providing surgical access through a passage in a patient's body, together with a delivery device for positioning the retractor in the patient's body. The retractor comprises an anchoring frame having an upper surface, a lower surface, and an opening therethrough which defines an axial axis. A flexible tensioning member is attached to the frame, and is extendable from the frame out of the body through the passage when the frame is positioned through the passage and into a body cavity. The retractor is held by the delivery device in a collapsed orientation for placement in the patient's body. The delivery device is released from the retractor to allow the retractor to assume an expanded orientation in the patient's body. This tensioning member is selectively tensionable to spread the tissue radially outwardly from the axial axis.

摘要翻译： 本发明提供一种牵开器，用于通过患者身体中的通道提供外科进入，以及用于将牵开器定位在患者体内的输送装置。 牵开器包括具有上表面，下表面和通过其限定轴向轴线的开口的锚固框架。 柔性张紧构件附接到框架，并且当框架通过通道定位并进入体腔时，柔性张紧构件附接到框架并且可从框架伸出身体穿过通道。 牵开器由递送装置以折叠方向保持以放置在患者身体中。 输送装置从牵开器释放，以允许牵开器在患者身体中呈现膨胀方向。 该张紧构件可选择性地张紧以使组织从轴向轴线向外径向扩张。