公开(公告)号：US20100228273A1

公开(公告)日：2010-09-09

申请号：US12573487

申请日：2009-10-05

申请人： Kevin P. Staid ,  James J. Frassica ,  Brian G. Connor ,  Derek Bruce Eldridge ,  Ernie Dion ,  James E. Barrington

发明人： Kevin P. Staid ,  James J. Frassica ,  Brian G. Connor ,  Derek Bruce Eldridge ,  Ernie Dion ,  James E. Barrington

IPC分类号： A61B17/3203

CPC分类号： A61B17/3203 ,  A61B17/32037 ,  A61B2017/00261 ,  A61B2017/32032 ,  A61B2090/08021 ,  A61B2217/005 ,  A61B2217/007

摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure tube and an evacuation tube, where the pressure tube includes at least one nozzle for forming a liquid jet and where the evacuation tube includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the surgical liquid jet instrument is constructed to minimize damage to the tissue surrounding the tissue that is desired to be removed. In some embodiments, the outer surface of the distal tip of the evacuation tube wall and/or the pressure tube wall is blunted to minimize tissue damage. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments for cutting or ablating a selected tissue within portions of a patient's spine, such as within the intervertebral disc.

摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供具有压力管和排气管的手术液体喷射器械，其中压力管包括用于形成液体射流的至少一个喷嘴，并且其中抽真空管包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，手术液体喷射器械构造成使对期望被去除的组织周围的组织的损伤最小化。 在一些实施例中，排空管壁和/或压力管壁的远侧末端的外表面被钝化以最小化组织损伤。 本发明还提供了利用本发明的外科液体喷射器械在患者脊柱的部分内（例如在椎间盘内）切割或消融选定组织的手术方法。

公开(公告)号：US20100010524A1

公开(公告)日：2010-01-14

申请号：US12161884

申请日：2007-01-24

申请人： James E. Barrington ,  Kevin P. Staid ,  Derek Bruce Eldridge

发明人： James E. Barrington ,  Kevin P. Staid ,  Derek Bruce Eldridge

IPC分类号： A61B17/3203

CPC分类号： A61B17/3203 ,  A61B2017/003 ,  A61B2017/00893 ,  A61B2017/2927

摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure tube and an evacuation tube, where the pressure tube includes at least one nozzle for forming a liquid jet and where the evacuation tube includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the distal ends of both the pressure and evacuation tubes have a first configuration in a non-relaxed state and a second configuration in a more relaxed state. In some embodiments, a straightener is constructed to selectively control the configuration of the distal ends of both the pressure and evacuation tubes. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments for cutting or ablating a selected tissue within portions of a patient's spine, such as within the intervertebral disc.

摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供具有压力管和排气管的手术液体喷射器械，其中压力管包括用于形成液体射流的至少一个喷嘴，并且其中抽真空管包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，压力和排气管的远端具有处于非松弛状态的第一构型和处于更放松状态的第二构型。 在一些实施例中，矫直机被构造成选择性地控制压力和排气管的远端的构造。 本发明还提供了利用本发明的外科液体喷射器械在患者脊柱的部分内（例如在椎间盘内）切割或消融选定组织的手术方法。

公开(公告)号：US20090306692A1

公开(公告)日：2009-12-10

申请号：US12298638

申请日：2007-04-25

申请人： James E. Barrington ,  Kevin P. Staid

发明人： James E. Barrington ,  Kevin P. Staid

IPC分类号： A61B17/3203 ,  B29C65/00 ,  C25D1/02

CPC分类号： A61B17/3203 ,  A61B2017/00526

摘要： Certain embodiments of the invention provide a variety of methods of manufacturing a liquid jet-forming surgical instrument. According to these methods, a nozzle assembly of the instrument is electroformed on a mandrel. The nozzle assembly includes a nozzle providing a jet-opening, wherein the nozzle is shaped to form a liquid jet. In some embodiments, the mandrel includes a first mandrel portion and a second mandrel portion. Once the nozzle assembly is formed, the mandrel may be removed from the nozzle assembly. The nozzle assembly may in certain embodiments be coupled to an outlet of the pressure tube. In certain embodiments, an inlet of an evacuation tube is positioned such that a jet-receiving opening of the evacuation tube is positioned opposite the jet-opening of the nozzle.

摘要翻译： 本发明的某些实施例提供了制造液体喷射形成手术器械的各种方法。 根据这些方法，将仪器的喷嘴组件电铸在心轴上。 喷嘴组件包括提供喷射开口的喷嘴，其中喷嘴成形为形成液体射流。 在一些实施例中，心轴包括第一心轴部分和第二心轴部分。 一旦喷嘴组件形成，心轴可以从喷嘴组件移除。 在某些实施例中，喷嘴组件可联接到压力管的出口。 在某些实施例中，排气管的入口被定位成使得排气管的喷射接收开口定位成与喷嘴的喷射开口相对。

公开(公告)号：US4184258A

公开(公告)日：1980-01-22

申请号：US873704

申请日：1978-01-30

申请人： James E. Barrington ,  David L. Williams ,  Charles J. Hitchcock ,  Thomas J. Mullins

发明人： James E. Barrington ,  David L. Williams ,  Charles J. Hitchcock ,  Thomas J. Mullins

IPC分类号： A61C3/025 ,  A61C17/00

CPC分类号： A61C3/025

摘要： A device for blowing powder onto teeth, the device consisting of a handpiece in the form of a housing connected to a compressed air source and having a discharge nozzle member which can be inserted in a patient's mouth and can be directed towards the patient's teeth. The housing has a powder reservoir with a bottom supply duct. An apertured shuttle bar is reciprocably slidably mounted beneath said duct and has a metering hole registrable with said supply duct and then, by longitudinally moving the bar, with a discharge conduit arranged to receive compressed air from the source so as to discharge a metered amount of powder in said hole into the nozzle member for delivery to the patient's teeth.

摘要翻译： 一种用于将粉末吹到牙齿上的装置，该装置由与压缩空气源连接的壳体形式的手持件组成，并且具有能够插入患者口腔中并且可以朝向患者牙齿的排出喷嘴构件。 壳体具有带有底部供应管道的粉末储存器。 有孔梭梭可往复运动地可滑动地安装在所述管道的下面，并且具有可与所述供应管道配准的计量孔，然后通过纵向移动所述杆，排出导管布置成从所述源接收压缩空气，以排出计量的 在所述孔中的粉末进入喷嘴构件以输送到患者的牙齿。

公开(公告)号：US4602645A

公开(公告)日：1986-07-29

申请号：US450215

申请日：1982-12-16

申请人： James E. Barrington ,  John Sylvanowicz

发明人： James E. Barrington ,  John Sylvanowicz

IPC分类号： A61M25/01 ,  A61N1/05 ,  A61N1/368 ,  A61N1/04

CPC分类号： A61N1/368 ,  A61N1/056

摘要： A cardiac pacing catheter system includes a main guiding catheter and a pair of electrical leads adapted to make direct electrical contact with the ventricle and the atrium of the patient's heart. The main catheter has a pair of lumens which guide and contain the ventricular and atrial leads. Each of the leads can be advanced and manipulated separately and independently within the main catheter body. The lumen for the ventricular lead exits at a port at the distal end of the main catheter body. The lumen for the atrial lead exits along a port at the side of the catheter, at a location proximal of the distal end. The atrial lead is spring-like and is formed with a J-shaped curve at its distal end which, when it exits from the catheter lumen, will assume the J-shaped configuration so that it may be manipulated into direct contact with the more upwardly disposed roof regions of the atrium.The device is used by advancing the catheter, containing the leads in retracted configuration, through the superior vena cava just to the entry to the right atrium. The catheter then can be secured in that position. The ventricular lead then may be extended into and through the right atrium, through the tricuspid valve and into the right ventricle to establish electrical contact at the ventricular apex. After the ventricular lead has been placed and secured the atrial lead is advanced through and out of the catheter body to extend its distal tip and enable it to assume its normally relaxed J-shaped configuration. The orientation and position of the atrial lead can be adjusted and guided with precision by manipulation from the proximal end so that the electrode tip of the atrial lead may be brought into direct electrical contact with the desired portion of the roof region of the atrium, preferably the atrial appendage.

摘要翻译： 心脏起搏导管系统包括主引导导管和一对适于与患者心脏的心室和心房直接电接触的电引线。 主导管具有一对引导并包含心室和心房导联的内腔。 每个引线可以在主导管主体内独立且独立地进行和操纵。 心室导管的内腔在主导管主体的远端处的一个端口处离开。 心房线的内腔沿着导管侧面的端口，在远端的近端处。 心房引线是弹簧状的，并且在其远端处形成有J形曲线，当其从导管腔离开时，其将呈现J形构造，使得其可以被操纵成与更向上的直接接触 处置中庭的屋顶区域。 该装置通过将导管（缩回配置中的引线）推进通过上腔静脉直接进入右心房而被使用。 导管然后可以固定在该位置。 然后，心室导线可以延伸穿过右心房，通过三尖瓣并进入右心室，以在心室顶点建立电接触。 在放置和固定心室引线之后，心房引导通过导管主体前进并伸出导管本体，以延伸其远端尖端并使其能够呈现其正常放松的J形构造。 可以通过从近端的操纵来精确地调节和引导心房引线的取向和位置，使得心房引线的电极尖端可以与心房顶部区域的期望部分直接电接触，优选地 心房附属物。

公开(公告)号：US4151841A

公开(公告)日：1979-05-01

申请号：US912325

申请日：1978-06-05

申请人： James E. Barrington

发明人： James E. Barrington

IPC分类号： A61F2/26 ,  A61F5/00

CPC分类号： A61F2/26

摘要： A penile prosthesis adapted for surgical implantation in the penis for the treatment of erectile impotence is provided, which penile prothesis comprises a bundle of parallel flexible, plastic, rod-like elements which, due to internal surface friction between the individual rod elements, resist flexure, the rod elements tightly wrapped in a flexible sheath element, each end of the rod elements having a plastic cap means to protect the prosthesis from damage by the bundled plastic rod elements and a flexible medically acceptable material which sheaths the rod elements to seal out body fluids and tissue, whereby on implantation an erect or flaccid penile posture can be obtained at will.

摘要翻译： 提供了一种适用于阴茎手术植入以治疗勃起阳A的阴茎假体，阴茎假体包括一束平行的柔性塑料棒状元件，由于各个杆元件之间的内表面摩擦，抗弯曲 杆元件紧密地包裹在柔性护套元件中，杆元件的每个端部都具有塑料盖装置，以保护假体不被捆绑的塑料棒元件损伤，以及柔性的医疗上可接受的材料，其包围杆元件以密封身体 流体和组织，由此在植入时可以随意获得直立或松弛的阴茎姿势。

公开(公告)号：US5306248A

公开(公告)日：1994-04-26

申请号：US864735

申请日：1992-04-07

申请人： James E. Barrington

发明人： James E. Barrington

IPC分类号： A61M25/00 ,  A61F2/958 ,  F16H25/20 ,  A61M29/00 ,  A61M5/00

CPC分类号： A61M25/10182 ,  A61M25/1018 ,  A61M25/104 ,  F16H25/2025

摘要： A selectively controllable inflation-deflation device for use with a balloon catheter during angioplasty procedures is disclosed. The device is constructed so that the piston shaft can be 1) locked and then rotatably and incrementally moved within the syringe cylinder to enable controlled pressurization, or 2) unlocked and moved within the cylinder to enable fluid purging of the cylinder and retraction of the piston shaft to a vacuum position. The device has a cylinder with proximal and distal ends and a fluid conduit adapted for communication with a balloon. A piston shaft is received within the proximal end of the cylinder. The piston shaft includes a piston mounted on the distal end of the shaft and the shaft is movable in one direction during inflation and in a second direction during deflation of the balloon. Screw threads are positioned on at least a portion of the piston shaft. A cam mechanism in the preferred form of a flexible arm and half nut member is mounted within the cylinder. A cam actuation mechanism in the preferred form of a collar is rotatably mounted on the cylinder and includes an extension that contacts a cam surface on the flexible arm and compresses the support arm to engage and disengage the half nut member with the threaded piston shaft.

摘要翻译： 公开了一种在血管成形术过程中与球囊导管一起使用的可选择性控制的充气 - 放气装置。 该装置被构造成使得活塞轴可以被锁定，然后可以在注射器筒内被可旋转地和递增地移动，以实现受控的加压，或者2）在气缸内解锁和移动，以使得液体能够清洗气缸并使活塞回缩 轴到真空位置。 该装置具有近端和远端的气缸，以及适于与球囊连通的流体导管。 活塞轴容纳在气缸的近端内。 活塞轴包括安装在轴的远端上的活塞，并且轴在充气期间在一个方向上可移动，并且在气球放气期间可沿第二方向移动。 螺纹位于活塞轴的至少一部分上。 柔性臂和半螺母构件的优选形式的凸轮机构安装在气缸内。 凸缘驱动机构以套筒的优选形式可旋转地安装在气缸上并且包括延伸部，该延伸部接触柔性臂上的凸轮表面并且压缩支撑臂以使螺母与螺纹活塞轴接合和脱离。

公开(公告)号：US4187839A

公开(公告)日：1980-02-12

申请号：US912327

申请日：1978-06-05

申请人： Elie S. Nuwayser ,  James E. Barrington

发明人： Elie S. Nuwayser ,  James E. Barrington

IPC分类号： A61F2/26 ,  A61F5/00

CPC分类号： A61F2/26

摘要： A penile prosthesis adapted for the surgical implantation in the penis for the treatment of erectile impotence is provided, which penile prosthesis comprises an elongated gooseneck-type shell element, for example, composed of a helically wound strip material, the gooseneck-type element stiff in character to retain its position and which resists flexure, but which flexure may be overridden manually; end cap means positioned at each end of the gooseneck-type element to provide protection therefor; and sheathing means integral with the end cap means to enclose and seal the gooseneck-type rod element and end cap means, thereby providing an implantable penile prosthesis, whereby upon implantation an erect or flaccid penile posture can be obtained at will by overriding manually the resistance to flexure of the rod-like element.

摘要翻译： 提供了适于在阴茎中进行手术植入以治疗勃起阳A的阴茎假体，该阴茎假体包括细长的鹅颈管型壳元件，例如由螺旋缠绕的带状材料构成的鹅颈型元件， 以保持其位置并且抵抗挠曲，但是可以手动地覆盖哪些弯曲; 端帽意味着位于鹅颈式元件的每个端部以提供保护; 并且护套装置与端盖装置成一体以封闭和密封鹅颈式杆元件和端盖装置，从而提供可植入的阴茎假体，从而在植入时可以随意地通过手动覆盖电阻来获得直立或松弛的阴茎姿势 使棒状元件弯曲。

公开(公告)号：US4160446A

公开(公告)日：1979-07-10

申请号：US823929

申请日：1977-08-12

申请人： James E. Barrington

发明人： James E. Barrington

IPC分类号： A61F6/22 ,  A61B19/00

CPC分类号： A61F6/225

摘要： A device for the delivery of a tubal-occluding polymer for sterilization of females, which device comprises a plurality of concentric tubes with a two-compartment balloon at the one end thereof.

摘要翻译： 用于输送用于灭绝雌性的输卵管闭塞聚合物的装置，该装置包括多个同心管，其一端具有两室气囊。

公开(公告)号：US4151840A

公开(公告)日：1979-05-01

申请号：US872915

申请日：1978-01-27

申请人： James E. Barrington

发明人： James E. Barrington

IPC分类号： A61F2/26 ,  A61F5/00

CPC分类号： A61F2/26

摘要： A mechanical penile prosthesis designed to be surgically implanted in the penis for the treatment of erectile impotence or as a functional component of a penile replacement prosthesis. The penile prosthesis comprises a pre-stretched, flexible, elastic, tubular component or sheath closed at each end thereof, and a plurality of cylindrically shaped segments or links, each having one or more convex ends and/or a concave end, enclosed within the tubular component. The pre-stretched tubular sheath maintains the segments in reference to one another, i.e. link-to-link contact, so that on straightening of the normally curved tubular enclosure a concave end of a segment mates with a convex end of an adjacent segment whereby the segments are aligned into a straight rod configuration resulting in an erect penis.

摘要翻译： 设计用于手术植入阴茎中用于治疗勃起功能障碍或作为阴茎置换假体的功能性部件的机械阴茎假体。 阴茎假体包括在其每个端部处封闭的预拉伸的，柔性的，弹性的管状部件或护套，以及多个圆柱形部分或连接件，每个具有一个或多个凸出端部和/或凹入端部， 管状部件。 预拉伸的管状护套相对于彼此保持分段，即链接到链接接触，使得在矫正正常弯曲的管状外壳时，段的凹入端与相邻段的凸出端部配合，由此， 片段被排列成直杆构造，导致直立的阴茎。