公开(公告)号：US20100069930A1

公开(公告)日：2010-03-18

申请号：US12586021

申请日：2009-09-16

申请人： Mitchell Roslin ,  Paresh C. Shah ,  Oleg Shikhman ,  Danial P. Ferreira ,  Jeffrey P. Radziunas ,  Christopher A. Battles

发明人： Mitchell Roslin ,  Paresh C. Shah ,  Oleg Shikhman ,  Danial P. Ferreira ,  Jeffrey P. Radziunas ,  Christopher A. Battles

IPC分类号： A61B17/08

CPC分类号： A61B17/0057 ,  A61B2017/00659 ,  A61B2017/00663 ,  A61B2017/047 ,  A61F2/0063 ,  A61F2002/0072

摘要： Apparatus and methods enable insertion and tensioned deployment of a secondary material prosthetic device into a body cavity or other tissue of a patient, such as for example hernia repair mesh into the abdominopelvic cavity of a patient through the hernia site. The present invention establishes fixation sites for the prosthetic device and tensions it against the body tissue. It may also be used implant fixation devices within the body tissue so that the prosthetic device is tensioned into firm abutting contact with the body tissue. Instrument deployment and fixation struts may be advanced in retrograde fashion in order to reduce needed deployment volume within the patient's body cavity. The prosthetic device advantageously may be flexibly coupled to the instrument via fixation devices such as sutures, so as to increase orientation flexibility.

摘要翻译： 装置和方法使得辅助材料假体装置能够插入和张紧部署到患者的体腔或其他组织中，例如疝修补通过疝部位进入患者的腹部腹腔。 本发明建立了假体装置的固定位置并将其张紧到身体组织上。 还可以在体内组织中使用植入物固定装置，使得假体装置被张紧成与身体组织紧密接触。 仪器部署和固定支柱可以以逆行方式进行，以减少患者体腔内所需的展开体积。 有利地，假体装置可以经由诸如缝合线的固定装置柔性地联接到器械，以便增加取向灵活性。

公开(公告)号：US11097062B2

公开(公告)日：2021-08-24

申请号：US16728212

申请日：2019-12-27

申请人： Gennady Kleyman ,  Alexander Merson ,  Oleg Shikhman

发明人： Gennady Kleyman ,  Alexander Merson ,  Oleg Shikhman

IPC分类号： A61M5/315 ,  A61M5/31

摘要： A fluid dispensing device having a barrel having a lumen for containing a fluid therein and a flexible structure extending from the barrel. A plunger is axially slidable within the lumen to dispense fluid from the barrel, the plunger having a first set of grooves spaced apart a first distance and a second set of grooves spaced apart a second distance. The flexible structure includes a flexible arm extending transversely with respect to the barrel and configured to engage the grooves.

公开(公告)号：US09833250B2

公开(公告)日：2017-12-05

申请号：US13716184

申请日：2012-12-16

申请人： Gregory Piskun ,  Patrick Gutelius ,  Oleg Shikhman

发明人： Gregory Piskun ,  Patrick Gutelius ,  Oleg Shikhman

IPC分类号： A61B17/3205 ,  A61B17/22 ,  A61B17/34 ,  A61B1/06 ,  A61B17/122 ,  A61B17/128 ,  A61B90/30 ,  A61B17/02 ,  A61B17/12 ,  A61B18/18 ,  A61B18/14 ,  A61B18/00 ,  A61B90/00

CPC分类号： A61B17/22031 ,  A61B1/06 ,  A61B17/02 ,  A61B17/12013 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/3205 ,  A61B17/3421 ,  A61B18/1485 ,  A61B18/18 ,  A61B90/30 ,  A61B2017/3452 ,  A61B2018/005 ,  A61B2090/032

摘要： An apparatus for treating hemorrhoids including a first member having a proximal portion, a distal portion and a window formed therein to receive tissue. A third member is operably connected to the second member and movable between a first position and a second position, the third member having a clamping surface movable to the second position to provide a clamping force on tissue received through the window. Movement of the second member in a distal direction moves the third member in the distal direction toward the second position, the third member movable in a distal direction until such movement is limited due to contact and compression of tissue within the window, the second member continuing movement in the distal direction after movement of the third member in the distal direction has been limited.

公开(公告)号：US08961407B2

公开(公告)日：2015-02-24

申请号：US12550595

申请日：2009-08-31

申请人： Gregory Piskun ,  Oleg Shikhman ,  Christopher Battles ,  Patrick N. Gutelius ,  Mark J. DeBisschop ,  Jeffrey H. MacDonald ,  Frank Rende ,  Michael Abrams ,  Anatoly Konik ,  Dan Rottenberg

发明人： Gregory Piskun ,  Oleg Shikhman ,  Christopher Battles ,  Patrick N. Gutelius ,  Mark J. DeBisschop ,  Jeffrey H. MacDonald ,  Frank Rende ,  Michael Abrams ,  Anatoly Konik ,  Dan Rottenberg

IPC分类号： A61B1/32 ,  A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/3441 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/349

摘要： A surgical port comprising a body and first and second cannula extending from the body and movable with respect to the body via an instrument inserted through the respective cannula. The cannulas can extend distally from the body and can include one or more seals. A port assembly and first and second instruments manipulatable in a crossed configuration are also disclosed.

摘要翻译： 一种手术口，其包括主体和从所述主体延伸并且经由穿过相应插管插入的器具相对于所述主体移动的第一和第二插管。 插管可以从身体向远侧延伸并且可以包括一个或多个密封件。 还公开了一种端口组件和可交叉配置的第一和第二仪器。

公开(公告)号：US20140048073A1

公开(公告)日：2014-02-20

申请号：US13585039

申请日：2012-08-14

申请人： Michael Tal ,  Bob H. Katz ,  Mark James DeBisschop ,  Pete Wilson ,  Oleg Shikhman

发明人： Michael Tal ,  Bob H. Katz ,  Mark James DeBisschop ,  Pete Wilson ,  Oleg Shikhman

IPC分类号： A61F6/18

CPC分类号： A61F6/18 ,  A61F6/142 ,  A61F6/144

摘要： A method for promoting contraception by placing a contraceptive device within a uterus without blocking fallopian tubes may involve advancing a distal end of a delivery device through a cervix, advancing the contraceptive device comprising an elongate shape memory member out of the distal end of the delivery device and into the uterus, and limiting inferior migration of the contraceptive device within the uterus. Inferior migration may be limited by allowing the contraceptive device to assume a shape, when subjected to pressure that tends to cause a downward migration of the device within the uterus, in which an expandable middle portion of the device is expanded to contact the inner wall of the uterus and thus limit the downward migration of the device.

公开(公告)号：US20130237979A1

公开(公告)日：2013-09-12

申请号：US13867042

申请日：2013-04-20

申请人： Oleg Shikhman ,  William W. Rutan ,  Danny L. Stemple ,  Penny R. Smith ,  Gregory K. Thompson

发明人： Oleg Shikhman ,  William W. Rutan ,  Danny L. Stemple ,  Penny R. Smith ,  Gregory K. Thompson

IPC分类号： A61B18/18

CPC分类号： A61B18/14 ,  A61B18/02 ,  A61B18/08 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B34/25 ,  A61B2018/00029 ,  A61B2018/00267 ,  A61B2018/00482 ,  A61B2018/00488 ,  A61B2018/00494 ,  A61B2018/005 ,  A61B2018/00553 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00916 ,  A61B2018/0212 ,  A61B2018/044 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1861 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2218/002 ,  A61B2218/007 ,  A61N7/022 ,  G06F3/0481

摘要： A system for controlling operation of a radiofrequency treatment device to apply radiofrequency energy to tissue to heat tissue to create lesions without ablating the tissue. The system includes a first treatment device having at least one electrode for applying radiofrequency energy to tissue, a controller including a connector to which a first treatment device is coupled for use, and a generator for applying radiofrequency energy to the electrodes. The controller controls application of energy so that the tissue is thermally treated to create lesions but preventing thermal treatment beyond a threshold which would ablate the tissue.

摘要翻译： 一种用于控制射频处理装置的操作的系统，用于向组织施加射频能量以加热组织以产生损伤而不消融组织。 该系统包括具有至少一个用于向组织施加射频能量的电极的第一治疗装置，包括连接第一治疗装置用于使用的连接器的控制器和用于向电极施加射频能量的发生器。 控制器控制能量的施加，使得组织被热处理以产生损伤，但是防止热处理超过将消融组织的阈值。

公开(公告)号：US5873886A

公开(公告)日：1999-02-23

申请号：US802890

申请日：1997-02-18

申请人： Scott W. Larsen ,  Oleg Shikhman ,  Christopher McDonnell

发明人： Scott W. Larsen ,  Oleg Shikhman ,  Christopher McDonnell

IPC分类号： A61B10/00 ,  A61B10/02 ,  A61B10/04 ,  A61B10/06 ,  A61B17/28 ,  A61B17/32 ,  A61B19/00

CPC分类号： A61B10/04 ,  A61B10/06 ,  A61B17/1604 ,  A61B17/320016 ,  A61B17/32002 ,  A61B10/0275 ,  A61B17/1611 ,  A61B2010/0225 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2090/0813

摘要： A surgical apparatus for cutting and storing sections of body tissue is provided comprising a housing having a handle assembly, an elongated outer tube extending from the handle assembly, and a cutting tube positioned within the outer tube and movable in response to actuation of the handle assembly between a retracted position and a distal position to cut body tissue. The cutting tube has a chamber formed therein for storing the cut tissue sections. An anvil is positioned at a distal end of the outer tube for forcing each cut tissue section proximally into the chamber of the cutting tube as the cutting tube is advanced to cut the body tissue.

摘要翻译： 提供了一种用于切割和储存身体组织的部分的手术装置，其包括具有手柄组件的壳体，从手柄组件延伸的细长外管和位于外管内的切割管，并且可响应于手柄组件的致动而移动 在缩回位置和远端位置之间切割身体组织。 切割管具有形成在其中的腔室，用于存储切割的组织部分。 当切割管前进以切割身体组织时，砧座定位在外管的远端，用于迫使每个切割的组织部分向近侧进入切割管的腔室。

公开(公告)号：US5478354A

公开(公告)日：1995-12-26

申请号：US91578

申请日：1993-07-14

申请人： H. Jonathan Tovey ,  Wayne Young ,  Peter W. J. Hinchliffe ,  Oleg Shikhman

发明人： H. Jonathan Tovey ,  Wayne Young ,  Peter W. J. Hinchliffe ,  Oleg Shikhman

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B19/00

CPC分类号： A61B17/0644 ,  A61B17/0057 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/00234 ,  A61B17/068 ,  A61B2017/00004 ,  A61B2017/00668 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0641 ,  A61B2090/037

摘要： An apparatus for closing trocar wounds and a method for using such apparatus. The apparatus includes a fastener having three or more legs attached to a base. The fastener is placed over a wound and its legs are embedded in tissue about the wound. In other embodiments a fastener is placed under the wound to engage fascia and skin tissue.

摘要翻译： 用于封闭套管针伤口的装置和使用这种装置的方法。 该装置包括具有连接到基座的三个或更多个腿的紧固件。 将紧固件放置在伤口上，其腿部围绕伤口嵌入组织中。 在其它实施例中，将紧固件放置在伤口下方以接合面板和皮肤组织。

公开(公告)号：US09292152B2

公开(公告)日：2016-03-22

申请号：US13646681

申请日：2012-10-06

申请人： Oleg Shikhman ,  William W. Rutan

发明人： Oleg Shikhman ,  William W. Rutan

IPC分类号： A61B18/14 ,  G06F3/048 ,  A61B19/00 ,  A61B18/08 ,  A61B18/18 ,  A61B18/20 ,  A61B18/00 ,  A61B18/02 ,  A61B18/04

CPC分类号： A61B18/1206 ,  A61B18/02 ,  A61B18/08 ,  A61B18/1477 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/1815 ,  A61B18/20 ,  A61B34/20 ,  A61B34/25 ,  A61B2018/00553 ,  A61B2018/0212 ,  A61B2018/044 ,  A61B2018/1425 ,  A61B2018/1807 ,  A61B2018/1861 ,  A61B2034/2065 ,  A61B2034/252 ,  A61B2034/254 ,  A61B2218/002 ,  A61B2218/007 ,  A61N7/00 ,  A61N2007/0043 ,  G06F3/048 ,  G06F3/04817 ,  G06F3/04847 ,  G06F19/00 ,  G16H40/63

摘要： A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.

公开(公告)号：US09265652B2

公开(公告)日：2016-02-23

申请号：US13585039

申请日：2012-08-14

申请人： Michael Tal ,  Bob H. Katz ,  Mark James DeBisschop ,  Pete Wilson ,  Oleg Shikhman

发明人： Michael Tal ,  Bob H. Katz ,  Mark James DeBisschop ,  Pete Wilson ,  Oleg Shikhman

IPC分类号： A61F6/14 ,  A61F6/18

CPC分类号： A61F6/18 ,  A61F6/142 ,  A61F6/144

摘要： A method for promoting contraception by placing a contraceptive device within a uterus without blocking fallopian tubes may involve advancing a distal end of a delivery device through a cervix, advancing the contraceptive device comprising an elongate shape memory member out of the distal end of the delivery device and into the uterus, and limiting inferior migration of the contraceptive device within the uterus. Inferior migration may be limited by allowing the contraceptive device to assume a shape, when subjected to pressure that tends to cause a downward migration of the device within the uterus, in which an expandable middle portion of the device is expanded to contact the inner wall of the uterus and thus limit the downward migration of the device.