公开(公告)号：US20050251183A1

公开(公告)日：2005-11-10

申请号：US10663038

申请日：2003-09-15

申请人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

发明人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

IPC分类号： A61B20060101 ,  A61B17/08 ,  A61B17/10 ,  A61B17/12 ,  A61B17/122 ,  A61B17/128

CPC分类号： A61B17/083 ,  A61B17/08 ,  A61B17/10 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/128 ,  A61B2017/12004 ,  Y10T24/44376

摘要： Devices and methods for achieving hemostasis and leakage control in hollow body vessels such as the small and large intestines, arteries and veins as well as ducts leading to the gall bladder and other organs. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting, and most especially during damage control procedures. In such cases, the patient may have received trauma to the abdomen, extremities, neck or thoracic region. The devices utilize removable or permanently implanted, broad, soft, parallel jaw clips with minimal projections to maintain vessel contents without damage to the tissue comprising the vessel. These clips are applied using either standard instruments or custom devices that are subsequently removed leaving the clips implanted, on a temporary or permanent basis, to provide for hemostasis or leakage prevention, or both. These clips overcome the limitations of clips and sutures that are currently used for the same purposes. The clips come in a variety of shapes and sizes. The clips may be placed and removed by open surgery or laparoscopic access.

摘要翻译： 用于在诸如小肠和大肠，动脉和静脉的中空体血管以及通向胆囊和其他器官的导管中实现止血和泄漏控制的装置和方法。 本文公开的装置和方法在紧急，创伤手术或军事设置中尤其有用，并且尤其是在损伤控制程序期间。 在这种情况下，患者可能已经受到腹部，四肢，颈部或胸部区域的创伤。 这些装置利用具有最小突起的可移除或永久植入的，宽的，柔软的平行颚夹，以维持血管内容物，而不损伤包含血管的组织。 这些夹子使用标准仪器或定制设备进行应用，随后移除，临时或永久地植入夹子，以提供止血或防漏，或两者兼有。 这些剪辑克服了目前用于相同目的的剪辑和缝合线的限制。 夹子有各种形状和尺寸。 夹子可以通过开放手术或腹腔镜手术进行放置和移除。

公开(公告)号：US20060184083A1

公开(公告)日：2006-08-17

申请号：US11397499

申请日：2006-04-04

申请人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

发明人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

IPC分类号： A61F5/00

CPC分类号： A61F5/05816 ,  A61F5/05841 ,  A61F5/0585 ,  A61F2005/0153

摘要： Devices and methods are disclosed for achieving control and stabilization of bone fractures in mammals, most specifically humans. Stabilization and traction is often required to support fractured bones of the arms or legs. The devices and methods disclosed herein are especially useful in the emergency or military setting. The devices utilize a collapsible frame or inflatable member that may be expanded and locked into position. The frame or inflatable member is fabricated primarily from polymeric materials with low radiodensity. The limb contact regions are adjustable to fit a wide variety of limb sizes and fracture locations. The traction applied by the splint is adjustable, controllable and measurable. The traction splint is sufficiently compact that it will fit in a compartment of most ambulances and emergency rescue vehicles, thus making it more available for use than standard traction splints in use today. The traction splint is either a separate device or integrated into a backboard.

公开(公告)号：US20050234390A1

公开(公告)日：2005-10-20

申请号：US11152413

申请日：2005-06-14

申请人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

发明人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

IPC分类号： A61B17/20 ,  A61B17/34 ,  A61M1/00

CPC分类号： A61B17/3415 ,  A61B17/3439 ,  A61B2217/005 ,  A61M1/008

摘要： Devices and methods are disclosed for achieving chest drainage in humans or other animals. Chest drainage is often required following traumatic injury or surgery. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting. The devices utilize a chest tube with a cutting distal end and a central blunt trocar. The blunt trocar or obturator shields the sharp cutting distal end of the chest tube until controllably retracted. Once the blunt trocar or obturator is retracted, the chest tube is advanced out through its sterile, protective package and into the patient. The blunt trocar is advanced back into its position to shield the sharp tip of the chest tube during patient insertion. The chest tube also includes a hold-down mechanism that is created by an adhesive seal to the patient's chest and ribbons or straps that are wrapped around the chest tube once it is correctly positioned. The straps include adhesive ends to grip the chest tube once the straps are in place.

公开(公告)号：US20050165445A1

公开(公告)日：2005-07-28

申请号：US11087224

申请日：2005-03-23

申请人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

发明人： Robert Buckman ,  Jay Lenker ,  Donald Kolehmainen

IPC分类号： A61D1/00 ,  A61F13/36

CPC分类号： A61F13/36 ,  A61B17/1325 ,  A61B17/135 ,  A61F13/00 ,  A61F2013/00463 ,  A61F2013/00468

摘要： Devices and methods are disclosed for achieving hemostasis in patients who have received skin-penetrating wounds to the periphery, including the head, arms, and legs. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery, or military setting. The devices utilize fluid impermeable barriers surrounded by exterior dams and pressure to achieve tamponade and hemostasis, primarily by exertion of force to hold the dams against the skin surrounding a wound. The devices are capable of serving as carriers for thrombogenic, antimicrobial or antipathogenic agents. The devices do not require the use of adhesives to work as they are attached to the patient using mechanical locking devices. Peripheral haemostatic packing devices include optional adhesive hemostatic barriers to attach at least a portion of the device to the skin or to assist with initial coupling of a hold-down strap to another strap using a more secure mechanical lock. The peripheral hemostatic packing system does not completely surround the extremity having the wound and therefore do not cause a tourniquet effect. The peripheral hemostatic packing system preferably is held against the skin surrounding a wound by a force that is generally unidirectional and substantially perpendicular to the plane in which the skin of the wound resides.

摘要翻译： 公开了用于在已经接受皮肤穿透伤口到周边的患者（包括头部，手臂和腿部）中实现止血的装置和方法。 这种止血包装装置和方法在紧急，创伤手术或军事设置中特别有用。 这些装置利用由外部水坝和压力包围的流体不可渗透的屏障，以实现填塞和止血，主要是通过施加力将坝保持在伤口周围的皮肤上。 这些装置能够用作血栓形成，抗微生物或抗病原体的载体。 这些装置不需要使用粘合剂来工作，因为它们使用机械锁定装置连接到患者身上。 外围止血包装装置包括可选的粘合剂止血屏障，以将装置的至少一部分附接到皮肤上，或者使用更安全的机械锁来帮助将压紧带初始连接到另一条带。 外周止血包装系统不完全包围有创伤的肢体，因此不会引起止血带效应。 外周止血包装系统优选地通过大体单向且基本上垂直于伤口皮肤所在的平面的力而抵靠围绕伤口的皮肤。

公开(公告)号：US20070255315A1

公开(公告)日：2007-11-01

申请号：US11821323

申请日：2007-06-23

申请人： Robert Buckman ,  Jay Lenker

发明人： Robert Buckman ,  Jay Lenker

IPC分类号： A61B17/08

CPC分类号： A61B17/08 ,  A61B6/12 ,  A61B6/485 ,  A61B2017/081 ,  A61B2017/088

摘要： Devices and methods are disclosed for achieving hemostasis in solid visceral wounds. Such devices and methods are especially useful in the emergency, trauma surgery or military setting. In such cases, the patient may have received trauma to the abdominal viscera. The devices utilize flexible, variable depth transfixing bolts that penetrate the viscera. These bolts are pulled tight to bring the tissue into apposition and hold said tissue in apposition while the wound heals. These bolts, or soft tissue rivets, overcome the limitations of sutures that are currently used for the same purposes. The bolts come in a variety of lengths and diameters. Since the bolts are flexible, the curvature can be adjusted by the surgeon. The devices are flexible, bendable, and conformable in their wet or dry state. They can be used either straight or configured in a broad range of curvatures to suit the needs of various pathologies. The bolts include pressure plates that are capable of exerting compressive pressure over broad areas of visceral wounds without causing tearing of the friable parenchyma. The bolts may be placed and removed by open surgery or laparoscopic access. The bolts can be placed into tissue where both sides of the bolt are exposed, or the bolts can be placed blindly into tissue where the bolt does not protrude out of the tissue at its distal end.

摘要翻译： 公开了用于实现固体内脏伤口止血的装置和方法。 这种装置和方法在紧急，创伤手术或军事设置中特别有用。 在这种情况下，患者可能已经接受了腹部内脏的创伤。 这些装置使用穿透内脏的灵活，可变深度的穿透螺栓。 这些螺栓被拉紧以使组织并入并且在伤口愈合时保持所述组织。 这些螺栓或软组织铆钉克服了当前用于相同目的的缝合线的限制。 螺栓具有各种长度和直径。 由于螺栓是柔性的，因此外科医生可以调整曲率。 这些装置在湿或干态下是柔性的，可弯曲的和适应的。 它们可以直接使用或配置在广泛的曲率范围内，以适应各种病态的需要。 这些螺栓包括能够在宽范围的内脏伤口施加压力而不会导致脆性薄壁撕裂的压力板。 螺栓可以通过开放手术或腹腔镜进入来放置和移除。 螺栓可以放置在组织中，螺栓的两侧被暴露，或者螺栓可以盲目地放置在组织中，其中螺栓不在其远端处从组织突出。

公开(公告)号：US20050067816A1

公开(公告)日：2005-03-31

申请号：US10871238

申请日：2004-06-18

申请人： Robert Buckman

发明人： Robert Buckman

IPC分类号： A41D13/00 ,  A41D13/018 ,  A61B5/11 ,  A62B35/04 ,  A63B21/02 ,  B60R20060101 ,  B60R21/34 ,  B60R21/22

CPC分类号： A41D13/018 ,  A42B3/0486 ,  A61B5/0488 ,  A61B5/1117 ,  A61B5/6804 ,  A61B5/6805 ,  A61B5/6852 ,  A61B2562/0219 ,  A61F2005/0183 ,  G06F19/00 ,  G08B21/0423 ,  G08B21/043 ,  G08B21/0446 ,  Y10S2/03

摘要： This invention relates to active protective garments which are inconspicuously worn by an individual and which activate upon certain conditions being met. Activation causes inflation of regions of the active protective garment to provide padding and impact cushioning for the wearer. The invention is an active protective garment such as pair of shorts or pants, a jacket, a vest, underwear, and the like. The garments comprise multiple layers of material that constrain pockets or regions that are inflatable by a source of compressed gas or foam. The garments also comprise sensors to detect ballistic parameters such as acceleration, distance, relative acceleration, and rotation. The sensor information is used to determine whether activation is required. Detection and activation are accomplished in a very short time period in order to offer maximal protection for the individual wearing the garment. The system comprises a computer or logic controller that monitors the sensor data in real time and coordinates the information from all sensors. The system calculates velocity, distance, and rotational velocity. A rule-based system is used to detect a complex fall in progress and discriminate said fall in progress from the events of every day life. The pockets or inflatable regions of the garment protect the individual against falls and other impacts that may cause bone fracture or organ damage.

摘要翻译： 本发明涉及一种由个体不明显佩戴的活性防护服，并且在某些条件下被激活。 激活导致主动防护服的区域的膨胀为穿戴者提供衬垫和冲击缓冲。 本发明是一种活性防护服，例如短裤或裤子，夹克，背心，内衣等。 衣服包括多层材料，其限制可被压缩气体或泡沫源充气的口袋或区域。 服装还包括用于检测弹道参数（如加速度，距离，相对加速度和旋转）的传感器。 传感器信息用于确定是否需要激活。 检测和激活在非常短的时间内完成，以便为穿着衣服的个人提供最大的保护。 该系统包括计算机或逻辑控制器，其实时监测传感器数据并协调来自所有传感器的信息。 系统计算速度，距离和旋转速度。 使用基于规则的系统来检测复杂的下降过程，并将所有的堕落与每天生活中的事件区分开来。 衣服的口袋或充气区域保护个人免受可能导致骨折或器官损伤的跌倒和其他冲击。