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    Contiguous, branched transmyocardial revascularization (TMR) channel, method and device
    1.
    发明授权
    Contiguous, branched transmyocardial revascularization (TMR) channel, method and device 失效

    公开(公告)号：US5766164A

    公开(公告)日：1998-06-16

    申请号：US675698

    申请日：1996-07-03

    申请人： Richard L. Mueller ,  Stuart D. Harman ,  Robert L. Lathrop, Jr. ,  Bruce J. Richardson

    发明人： Richard L. Mueller ,  Stuart D. Harman ,  Robert L. Lathrop, Jr. ,  Bruce J. Richardson

    IPC分类号： A61B17/00 ,  A61B17/22 ,  A61B17/34 ,  A61B18/22 ,  A61B17/36

    CPC分类号： A61B17/3403 ,  A61B18/22 ,  A61B2017/00247 ,  A61B2017/22075 ,  A61B2018/00392

    摘要： Improved methods and devices related to laser-assisted transmyocardial revascularization (TMR), and more particularly, to improved methods and devices for creating branched TMR channels through myocardium in which a single opening is made in an epicardial surface with a plurality of channel branches, having predetermined geometries extending into and through myocardium, depending therefrom. A method of creating branched TMR channels comprises piercing an epicardial surface mechanically or with laser energy, directing laser energy through the opening in a first predetermined angular orientation with respect to the epicardial surface to create a first channel and delivering laser energy in a second predetermined angular orientation to create a second branch. A plurality of branches can thus be created in a single channel structure. A guide block device allows an opening to be made in an epicardial surface mechanically or with laser energy and provides a structure for directing laser energy into myocardium in a plurality of channels depending from the opening. Rotating guide devices and finger held devices with rotating head means include a hand held device with an elongated wand-like handle portion, a rotating head portion and a hollow guide needle means. Preferred embodiments further comprise a laser delivery means advancing mechanism and guide needle rotating means.

    Contiguous, branched transmyocardial revascularization (TMR) channel, method and device
    2.
    发明授权
    Contiguous, branched transmyocardial revascularization (TMR) channel, method and device 失效
    连续分支的经心肌血运重建（TMR）通道，方法和装置

    公开(公告)号：US6066131A

    公开(公告)日：2000-05-23

    申请号：US92798

    申请日：1998-06-05

    申请人： Richard L. Mueller ,  Stuart D. Harman ,  Robert L. Lathrop, Jr. ,  Bruce J. Richardson

    发明人： Richard L. Mueller ,  Stuart D. Harman ,  Robert L. Lathrop, Jr. ,  Bruce J. Richardson

    IPC分类号： A61B17/00 ,  A61B17/22 ,  A61B17/34 ,  A61B18/22 ,  A61B17/36

    CPC分类号： A61B17/3403 ,  A61B18/22 ,  A61B2017/00247 ,  A61B2017/22075 ,  A61B2018/00392

    摘要： Improved methods and devices related to laser-assisted transmyocardial revascularization (TMR), and more particularly, to improved methods and devices for creating branched TMR channels through myocardium in which a single opening is made in an epicardial surface with a plurality of channel branches, having predetermined geometries extending into and through myocardium, depending therefrom. A method of creating branched TMR channels comprises piercing an epicardial surface mechanically or with laser energy, directing laser energy through the opening in a first predetermined angular orientation with respect to the epicardial surface to create a first channel and delivering laser energy in a second predetermined angular orientation to create a second branch. A plurality of branches can thus be created in a single channel structure. A guide block device allows an opening to be made in an epicardial surface mechanically or with laser energy and provides a structure for directing laser energy into myocardium in a plurality of channels depending from the opening. Rotating guide devices and finger held devices with rotating head means include a hand held device with an elongated wand-like handle portion, a rotating head portion and a hollow guide needle means. Preferred embodiments further comprise a laser delivery means advancing mechanism and guide needle rotating means.

    摘要翻译： 改进的与激光辅助心肌血运重建（TMR）相关的方法和装置，更具体地说，涉及通过心肌产生分支TMR通道的改进方法和装置，其中在具有多个通道分支的心外膜表面中形成单个开口， 预定的几何形状延伸到心肌中并通过心肌，这取决于它们。 创建分支TMR通道的方法包括机械地或用激光能量刺穿心外膜表面，以相对于心外膜表面的第一预定角度方向引导激光能量通过开口，以产生第一通道并将激光能量传送到第二预定角度 方向创建第二个分支。 因此，可以在单个信道结构中创建多个分支。 引导块装置允许以机械方式或用激光能量在心外膜表面制造开口，并且提供用于将激光能量引导到依赖于开口的多个通道中的心肌的结构。 具有旋转头装置的旋转导向装置和手指保持装置包括具有细长的棒状手柄部分的手持装置，旋转头部分和中空导向针装置。 优选实施例还包括激光输送装置前进机构和引导针旋转装置。

    Paper sheets punching apparatus
    3.
    发明授权
    Paper sheets punching apparatus 失效
    纸张冲孔机

    公开(公告)号：US5163350A

    公开(公告)日：1992-11-17

    申请号：US685351

    申请日：1991-04-15

    申请人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    发明人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    IPC分类号： B42B5/02 ,  B26F1/04 ,  B42B5/10

    CPC分类号： B42B5/103 ,  B26F1/04 ,  Y10T83/8727 ,  Y10T83/8759 ,  Y10T83/8828 ,  Y10T83/8831 ,  Y10T83/8837 ,  Y10T83/888 ,  Y10T83/943

    摘要： A paper punch and binding apparatus has two punch mechanisms, one for punching round holes in a paper sheets stack and one for punching rectangular holes in another paper sheets stack. A single lever or crank simultaneously operates and drives a series of round end punches to shear the round holes and a punch plate with integral rectangular punch elements shear rectangular holes. A four-bar linkage connects the lever to the punch plate and the series of the punches in a manner that both the plate and punches are driven in a vertical straight line and with a greater mechanical advantage at the start and over the first increments of the punching operation. In a preferred embodiment, a binding station is provided in an apparatus base portion particularly for binding with a Douvry-type plastic resilient loops binding element. The binding station has an operating knob which operates a simple gear interconnect train for uncurling the resilient loops and allowing the punched hole stack to be inserted thereon. In an additional embodiment two rows of large and smaller diameter punches are provided in one round punch mechanism with an apertured translatable bar for rendering inoperative one or the other of these rows of punches.

    摘要翻译： 纸张打捆装置具有两个打孔机构，一个用于冲压纸张堆叠中的圆孔，另一个用于在另一个纸张堆叠中冲压矩形孔。 单个杠杆或曲柄同时操作并驱动一系列圆头冲头来剪切圆孔和具有整体矩形冲头元件的冲压板剪切矩形孔。 四杆连杆将杠杆连接到冲压板和一系列冲头，其方式是使板和冲头以垂直的直线驱动，并且在起始时具有更大的机械优点，并且在第一增量 打孔操作。 在优选实施例中，在装置基部中设置捆绑台，特别是用于与杜瓦里型塑料弹性环结合元件结合。 装订台具有操作旋钮，其操作简单的齿轮互连列，用于使弹性环解开并允许冲孔孔堆叠在其上。 在另外的实施例中，在一个圆形打孔机构中提供两排大直径和较小直径的冲头，其具有有孔的可平移杆，用于使这些冲压列中的一个或另一个不起作用。

    Combined paper punch and binding apparatus
    4.
    发明授权
    Combined paper punch and binding apparatus 失效
    组合纸打孔装订机

    公开(公告)号：US5007782A

    公开(公告)日：1991-04-16

    申请号：US381612

    申请日：1989-07-18

    申请人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    发明人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    IPC分类号： B42B5/02 ,  B26F1/04 ,  B42B5/10

    CPC分类号： B42B5/103 ,  B26F1/04 ,  Y10T83/8727 ,  Y10T83/8759 ,  Y10T83/8828 ,  Y10T83/8831 ,  Y10T83/8837 ,  Y10T83/888 ,  Y10T83/943

    摘要： A paper punch and binding apparatus has two punch mechanisms, one for punching round holes in a paper sheets stack and one for punching rectangular holes in another paper sheet stack. A single layer or crank simultaneously operates and drives a series of round end punches to shear the round holes and a punch plate with integral rectangular punch elements shear rectangular holes. A four-bar linkage connects the lever to the punch plate and the series of the punches in a manner that both the plate and punches are driven in a vertical straight line and with a greater mechanical advantage at the start and over the first increments of the punching operation. In a preferred embodiment, a binding station is provided in an apparatus base portion particularly for binding with a Douvry-type plastic resilient loops binding element. The binding station has an operating knob which operates a simple gear interconnect train for uncurling the resilient loops and allowing the punched hole stack to be inserted thereon. In an additional embodiment two rows of large and smaller diameter punches are provided in one round punch mechanism with an apertured translatable bar for rendering inoperative one or the other of these rows of punches.

    摘要翻译： 纸打孔装订机具有两个打孔机构，一个用于冲压纸张叠层中的圆孔，另一个用于冲压另一纸张叠层中的矩形孔。 单层或曲柄同时操作并驱动一系列圆头冲头来剪切圆孔和具有整体矩形冲头元件的冲压板剪切矩形孔。 四杆连杆将杠杆连接到冲压板和一系列冲头，其方式是使板和冲头以垂直的直线驱动，并且在起始时具有更大的机械优点，并且在第一增量 打孔操作。 在优选实施例中，在装置基部中设置捆绑台，特别是用于与杜瓦里型塑料弹性环结合元件结合。 装订台具有操作旋钮，其操作简单的齿轮互连列，用于使弹性环解开并允许冲孔孔堆叠在其上。 在另外的实施例中，在一个圆形打孔机构中提供两排大直径和较小直径的冲头，其具有有孔的可平移杆，用于使这些冲压列中的一个或另一个不起作用。

    Inflatable blanket and nozzle therefor
    6.
    发明授权
    Inflatable blanket and nozzle therefor 失效
    充气毯和喷嘴

    公开(公告)号：US5318568A

    公开(公告)日：1994-06-07

    申请号：US793009

    申请日：1991-11-15

    申请人： Rick J. Kaufmann ,  Rick E. Emerson ,  Robert L. Lathrop, Jr.

    发明人： Rick J. Kaufmann ,  Rick E. Emerson ,  Robert L. Lathrop, Jr.

    IPC分类号： A47C27/08 ,  A61F7/00 ,  F16L37/096

    CPC分类号： F16L37/096 ,  A61F7/00 ,  A61F7/0097 ,  A61F2007/006

    摘要： Hypothermia therapy apparatus comprises an inflatable blanket having a cavity therein, and a neck extending outwardly of the perimeter of the blanket body, the interior of the neck being in communication with the cavity. A nozzle is also provided, the forward portion of the nozzle being receivable in the outer end of the neck, and the rearward portion of the nozzle is connectable with a source of air. The nozzle includes an engagement mechanism for engaging at least a portion of the exterior surface of the neck. The engagement mechanism comprises a spring clip normally biased in the closed position and selectively openable to receive a portion of the neck thereunder. The forward portion of the nozzle is frusto-conical to facilitate insertion into the open end of the neck, and the neck is dimensioned to loosely engage the intermediate portion of the nozzle. A connector is provided for removably connecting an air hose to the rearward portion of the nozzle. The nozzle and the connector are rotatable relative to each other about their longitudinal axes, to prevent twisting of the blanket when the nozzle is attached to the neck.

    摘要翻译： 低温治疗装置包括其中具有空腔的可充气毯，以及从毯体的周边向外延伸的颈部，颈部的内部与空腔连通。 还设有喷嘴，喷嘴的前部可接收在颈部的外端，并且喷嘴的后部可与空气源连接。 喷嘴包括用于接合颈部的外表面的至少一部分的接合机构。 接合机构包括通常偏置在关闭位置的弹簧夹，并且可选择地可打开以容纳其下的颈部的一部分。 喷嘴的前部是截头圆锥形的，以便于插入颈部的开口端，并且颈部的尺寸被设计成松散地接合喷嘴的中间部分。 提供连接器，用于将空气软管可拆卸地连接到喷嘴的后部。 喷嘴和连接器可绕其纵向轴线相对于彼此旋转，以防止当喷嘴附接到颈部时橡皮布的扭曲。

    Punched paper sheets binding apparatus
    7.
    发明授权
    Punched paper sheets binding apparatus 失效
    打孔纸装订机

    公开(公告)号：US5273387A

    公开(公告)日：1993-12-28

    申请号：US976790

    申请日：1992-11-16

    申请人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    发明人： Charles T. Groswith, III ,  Richard D. Phipps ,  Robert L. Lathrop, Jr. ,  John F. Stewart ,  Rick J. Kaufmann

    IPC分类号： B26F1/04 ,  B42B5/10 ,  B42B9/00

    CPC分类号： B26F1/04 ,  B42B5/103

    摘要： A binding apparatus having a base portion and a binding mechanism is disclosed which binds a stack of punched paper sheets with a plastic binding element having an elongated linear spine and integral spaced resilient curled fingers extending from the spine. The binding mechanism includes a fixed binding comb and a series of push fingers. The binding comb has a series of upstanding fixed spaced pickets having sufficient clearance between each other to allow the binding element curled fingers to be manually shifted laterally relative to the fixed pickets such that each of the curled fingers surrounds a portion of the push fingers. The binding mechanism also has a device for moving the push fingers outwardly from the pickets to uncurl the curled fingers so that a stack of punched paper sheets can be placed on the uncurled fingers.

    摘要翻译： 公开了一种具有基部和装订机构的装订装置，该捆绑装置用冲压的纸张堆叠与具有从脊柱延伸的细长线性脊柱和一体间隔的弹性卷曲指状物的塑料装订元件结合。 装订机构包括固定装订梳和一系列推指。 装订梳具有一系列直立的固定间隔的桩，它们具有彼此之间的足够的间隙，以允许装订元件卷曲的手指相对于固定的支杆手动地横向移动，使得每个卷曲的手指围绕推指的一部分。 装订机构还具有用于将手指从支柱向外移动以使卷曲的手指不折曲的装置，使得一叠冲压的纸张可以放置在未弯曲的手指上。

    Surgical ligation clip and method for use thereof
    8.
    发明授权
    Surgical ligation clip and method for use thereof 失效
    手术结扎夹及其使用方法

    公开(公告)号：US07582095B2

    公开(公告)日：2009-09-01

    申请号：US10619987

    申请日：2003-06-12

    申请人： John I. Shipp ,  Robert L. Lathrop, Jr. ,  Robert L. Lathrop, III ,  Donald R. Reichel ,  Robert J. Hayes

    发明人： John I. Shipp ,  Robert L. Lathrop, Jr. ,  Robert L. Lathrop, III ,  Donald R. Reichel ,  Robert J. Hayes

    IPC分类号： A61B17/10

    CPC分类号： A61B17/1227 ,  A61B17/1285 ,  A61B2017/2923

    摘要： The clip applier of the current invention solves the problems of prior art tools by incorporating a pre-clamp mechanism, the function of which is to pre-clamp the vessel to be ligated to a dimension such that the center leg of the spring of the ligation clip need be lifted only slightly. In this manner the spring clip can be slid over the smaller pre-clamped dimension. This insures that the clip spring material will remain within its elastic limit while allowing the tool to maintain a low profile for use in endoscopic surgery, even on large diameter vessels.

    摘要翻译： 本发明的施夹器通过结合预夹紧机构来解决现有技术工具的问题，该预夹紧机构的功能是将要连接的容器预夹紧到使得连接的弹簧的中心腿 夹子只需稍微抬起。 以这种方式，弹簧夹可以在较小的预夹紧尺寸上滑动。 这确保夹子弹簧材料将保持在其弹性极限内，同时允许工具保持低外形以用于内窥镜手术，甚至在大直径的血管上。