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公开(公告)号：US07695487B2
公开(公告)日：2010-04-13
申请号：US10422874
申请日：2003-04-24
IPC分类号： A61B17/00
CPC分类号： A61B17/00234 , A61B17/02 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2017/3419 , A61B2017/3486 , A61F2/0063 , A61F2002/0072
摘要： Apparatus for creating an anatomic space in tissue in a body including an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A blunt tip is secured to the distal extremity of the tunneling shaft. A balloon assembly is provided. The balloon assembly is removably secured to the tunneling shaft. The balloon assembly includes a deflated collapsed balloon. A sheath encloses the balloon and is carried by the tunneling shaft. The sheath has a weakened region extending longitudinally thereof permitting the sheath to be removed to release the balloon.
摘要翻译： 用于在身体中的组织中产生解剖空间的装置，包括具有带有延伸穿过其中的孔的管状构件的导引器装置。 隧道轴组件可滑动地安装在导引器装置的孔中。 隧道轴组件包括具有近端和远端的隧道轴。 钝头固定到隧道轴的远端。 提供气球组件。 气囊组件可移除地固定到隧道轴。 气囊组件包括放气的折叠气球。 护套围绕气球并由隧道轴承载。 护套具有沿其纵向延伸的弱化区域，允许护套被移除以释放气囊。
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公开(公告)号：US20100262176A1
公开(公告)日：2010-10-14
申请号：US12758340
申请日：2010-04-12
IPC分类号： A61M5/00
CPC分类号： A61B17/00234 , A61B17/02 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2017/3419 , A61B2017/3486 , A61F2/0063 , A61F2002/0072
摘要： Apparatus for creating an anatomic space in tissue in a body including an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A blunt tip is secured to the distal extremity of the tunneling shaft. A balloon assembly is provided. The balloon assembly is removably secured to the tunneling shaft. The balloon assembly includes a deflated collapsed balloon. A sheath encloses the balloon and is carried by the tunneling shaft. The sheath has a weakened region extending longitudinally thereof permitting the sheath to be removed to release the balloon.
摘要翻译： 用于在身体中的组织中产生解剖空间的装置，包括具有带有延伸穿过其中的孔的管状构件的导引器装置。 隧道轴组件可滑动地安装在导引器装置的孔中。 隧道轴组件包括具有近端和远端的隧道轴。 钝头固定到隧道轴的远端。 提供气球组件。 气囊组件可移除地固定到隧道轴。 气囊组件包括放气的折叠气球。 护套围绕气球并由隧道轴承载。 护套具有沿其纵向延伸的弱化区域，允许护套被移除以释放气囊。
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公开(公告)号：US06592602B1
公开(公告)日：2003-07-15
申请号：US09415336
申请日：1999-10-08
IPC分类号： A61B1267
CPC分类号： A61B17/00234 , A61B17/02 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2017/3419 , A61B2017/3486 , A61F2/0063 , A61F2002/0072
摘要： Apparatus for creating an anatomic space in tissue in a body including an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A blunt tip is secured to the distal extremity of the tunneling shaft. A balloon assembly is provided. The balloon assembly is removably secured to the tunneling shaft. The balloon assembly includes a deflated collapsed balloon. A sheath encloses the balloon and is carried by the tunneling shaft. The sheath has a weakened region extending longitudinally thereof permitting the sheath to be removed to release the balloon.
摘要翻译： 用于在身体中的组织中产生解剖空间的装置，包括具有带有延伸穿过其中的孔的管状构件的导引器装置。 隧道轴组件可滑动地安装在导引器装置的孔中。 隧道轴组件包括具有近端和远端的隧道轴。 钝头固定到隧道轴的远端。 提供气球组件。 气囊组件可移除地固定到隧道轴。 气囊组件包括放气的折叠气球。 护套围绕气球并由隧道轴承载。 护套具有沿其纵向延伸的弱化区域，允许护套被移除以释放气囊。
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公开(公告)号：US06196968B1
公开(公告)日：2001-03-06
申请号：US09150909
申请日：1998-09-10
IPC分类号： A61B132
CPC分类号： A61B17/00008 , A61B17/02 , A61B17/0218 , A61B90/30 , A61B90/50 , A61B2017/00778 , A61B2017/320044
摘要： A retractor includes an elongate member having an arcuate cross-section defining an elongate passage therein, and a handle molded to its proximal end. A transparent illumination member has a proximal portion connectable to a light source, and a distal portion that extends within the elongate passage along an inner surface of the elongate member, and includes a plurality of grooves for diffusing light transmitted from the proximal portion uniformly into and along the elongate passage. The device may also include a support member attachable to the proximal end of the elongate member to further facilitate visualization of and/or access into the elongate passage. The device may be inserted into an incision and advanced along a section of a tissue structure therein to hold open a working space above the tissue structure without external support A light source may be connected to the proximal portion of the illumination member, thereby transmitting light into the working space while a surgical procedure is performed therein.
摘要翻译： 牵开器包括具有在其中限定细长通道的弓形横截面的细长构件和模制到其近端的手柄。 透明照明部件具有可连接到光源的近端部分和沿着细长部件的内表面在细长通道内延伸的远端部分，并且包括多个槽，用于将从近侧部分传播的光均匀地扩散到 沿着细长通道。 该装置还可以包括可附接到细长构件的近端的支撑构件，以进一步促进细长通道的可视化和/或进入细长通道。 该装置可以插入到切口中并沿着其中的组织结构的一部分前进，以在组织结构的上方保持打开的工作空间，而不需要外部支撑。光源可以连接到照明构件的近侧部分，从而将光传输到 在其中执行外科手术的工作空间。
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公开(公告)号：US08088144B2
公开(公告)日：2012-01-03
申请号：US11244944
申请日：2005-10-05
申请人： Richard S. Ginn , Thomas J. Palermo
发明人： Richard S. Ginn , Thomas J. Palermo
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B2017/00654 , A61B2017/00672 , A61B2017/2923 , A61B2090/0807
摘要： A device which is capable of both locating a punctured blood vessel wall and sealing the puncture in the vessel and a method of using the device. In one embodiment, the device includes an elongate deployment member having a releasable sealing element disposed within a distal end and an elongated indicator member having a proximal end and a distal end. The deployment member is coupled to a first actuator configured to retract the deployment member relative to the sealing element. The indicator member extends through a lumen in the deployment member such that the distal end of said the indicator member extends distally of the distal end of the deployment member. The indicator member is also coupled to a second actuator configured to retract the indicator member relative to the deployment member.
摘要翻译： 能够将穿刺的血管壁定位并将穿刺密封在容器中的装置以及使用该装置的方法。 在一个实施例中，该装置包括具有设置在远端内的可释放密封元件的细长展开构件和具有近端和远端的细长指示器构件。 展开构件联接到构造成相对于密封元件缩回展开构件的第一致动器。 指示器构件延伸穿过展开构件中的内腔，使得所述指示构件的远端延伸到展开构件的远端的远侧。 指示器构件还联接到被配置为使指示器构件相对于展开构件缩回的第二致动器。
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公开(公告)号：USD407818S
公开(公告)日：1999-04-06
申请号：US37001
申请日：1995-03-31
申请人： Michael Mariant , Thomas J. Palermo
设计人： Michael Mariant , Thomas J. Palermo
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公开(公告)号：US5800455A
公开(公告)日：1998-09-01
申请号：US949768
申请日：1997-10-14
申请人： Thomas J. Palermo , Son Gia
发明人： Thomas J. Palermo , Son Gia
CPC分类号： A61M25/0905 , A61B17/12022 , A61B17/12145 , A61F2/01 , A61B2017/1205 , A61B2017/12068 , A61B90/39 , A61F2002/011 , A61F2002/016 , A61F2230/0091
摘要： This invention is a surgical instrument and specifically is a device for delivering embolic coils to a selected site within the vasculature of a human body via use of a catheter. The invention further includes the coils. In particular, the device uses embolic coils having interlocking ends, e.g., clasps or hooks, on the ends of the coils. The coils may further be secured to each other by a control wire within the catheter. Retraction of the optional control wire into the catheter body uncouples the distal coil.
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公开(公告)号：US09044211B2
公开(公告)日：2015-06-02
申请号：US13331292
申请日：2011-12-20
申请人： Richard S. Ginn , Thomas J. Palermo
发明人： Richard S. Ginn , Thomas J. Palermo
CPC分类号： A61B17/0057 , A61B2017/00654 , A61B2017/00672 , A61B2017/2923 , A61B2090/0807
摘要： The present invention is directed to a device which is capable of both locating a punctured blood vessel wall and sealing the puncture in the vessel and to the method of using the device as well. In one embodiment, the device includes an elongate deployment member having a sealing element releasably disposed within a distal end thereof, said deployment member being coupled to a first actuator configured to retract said deployment member relative to said sealing element, and an elongated indicator member having a proximal end and a distal end, said indicator member extending through a lumen in said deployment member such that the distal end of said indicator member extends distally of the distal end of the deployment member, and said indicator member being coupled to a second actuator configured to retract said indicator member relative to said deployment member.
摘要翻译： 本发明涉及一种能够将穿刺的血管壁定位并密封容器中的穿刺以及使用该装置的方法的装置。 在一个实施例中，该装置包括细长展开构件，其具有可释放地设置在其远端内的密封元件，所述展开构件联接到构造成相对于所述密封元件缩回所述展开构件的第一致动器，以及细长的指示器构件， 近端和远端，所述指示器构件延伸穿过所述展开构件中的内腔，使得所述指示器构件的远端延伸到展开构件的远端的远侧，并且所述指示器构件联接到第二致动器构造 以相对于所述展开构件缩回所述指示器构件。
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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。
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10.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
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。
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