公开(公告)号：US07326233B2

公开(公告)日：2008-02-05

申请号：US10935967

申请日：2004-09-08

申请人： Charles C. Hart ,  Said Hilal

发明人： Charles C. Hart ,  Said Hilal

IPC分类号： A61B17/04 ,  A61B17/08

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0487 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488

摘要： A surgical clip having a sliding state and a crimped state is adapted for use in a surgical procedure initially to slide along suture ends to an operative position and ultimately to crimp the suture ends at the operative position. a sub straight, bendable between the sliding state and the crimped state carries at least one coating having either lubricious or traction enhancing properties. A second coating can be added to form a coating laminate with the outer coating having lubricious properties facilitating the sliding state and the inner coating having traction enhancing properties facilitating thee crimped state.

摘要翻译： 具有滑动状态和卷曲状态的手术夹具适于在外科手术过程中用于最初沿着缝合线端部滑动到操作位置，并且最终将缝线端部压缩在操作位置。 在滑动状态和卷曲状态之间可弯曲的副直线运送至少一个具有光滑或牵引增强特性的涂层。 可以添加第二涂层以形成涂层层压体，其中外涂层具有促进滑动状态的润滑性质，并且内涂层具有促进卷曲状态的牵引增强性质。

公开(公告)号：US06183503B2

公开(公告)日：2001-02-06

申请号：US09399211

申请日：1999-09-17

申请人： Charles C. Hart ,  John Brustad ,  Said Hilal

发明人： Charles C. Hart ,  John Brustad ,  Said Hilal

IPC分类号： A61F206

CPC分类号： A61F2/86 ,  A61F2250/0018 ,  A61F2250/0029

摘要： A stent is adapted for disposition in a body conduit of a patient and comprises a mesh formed in the configuration of a tube and having an axis and axial convolutions, which facilitate movement between a low-profile state and a high-profile state. The tube in the low-profile state has an elongate configuration and a wall with a first thickness and first tube strength. The tube in the high-profile state has a compressed configuration and a wall with a second thickness greater than the first thickness and a second hoop strength greater than the first hoop strength. An associated method of use includes the steps of mounting the step on a catheter between first and second enlargement members, increasing the size of the enlargement members, and moving the enlargement members to axially compress the stent to the high-profile state. An associated method of manufacture includes the steps of corrugating the mesh on a mandrel by moving the ends of the mesh toward each other. The mesh can then be heat-set in the high-profile state.

摘要翻译： 支架适于配置在患者的身体导管中，并且包括形成在管的构造中并具有轴和轴向卷积的网，其有利于在低轮廓状态和高轮廓状态之间的移动。 处于低轮廓状态的管具有细长构型和具有第一厚度和第一管强度的壁。 处于高轮廓状态的管具有压缩构造和具有大于第一厚度的第二厚度的壁，以及大于第一箍强度的第二箍强度。 相关联的使用方法包括以下步骤：将步骤安装在第一和第二扩大构件之间的导管上，增加放大构件的尺寸，以及移动放大构件以将支架轴向压缩至高轮廓状态。 一种相关联的制造方法包括以下步骤：通过将网状物的端部朝向彼此移动来使网孔在心轴上波纹化。 然后，网格可以在高轮廓状态下热定形。

公开(公告)号：US5192290A

公开(公告)日：1993-03-09

申请号：US574648

申请日：1990-08-29

申请人： Said Hilal

发明人： Said Hilal

IPC分类号： A61B17/22 ,  A61B17/28 ,  A61M25/00

CPC分类号： A61B17/2909 ,  A61B17/22031 ,  A61B17/22032 ,  A61M25/0068 ,  A61M25/0074 ,  A61M25/0082 ,  A61B2017/22034 ,  A61B2017/2918 ,  A61M25/0069

摘要： An improved embolectomy catheter, includes a catheter body, an elastomeric foam catheter tip attached at one end of the catheter body, and actuator means for elastically deforming the catheter tip. The catheter tip deforms longitudinally and radially in response to activation of the actuation means. The catheter tip may be formed of any type of sterile elastomeric foam, which may be easily compressed and restored to its original shape upon decompression.

摘要翻译： 一种改进的止血导管，包括导管主体，连接在导管主体一端的弹性体泡沫导管尖端，以及用于使导管尖端弹性变形的致动器装置。 导管尖端响应于致动装置的启动而纵向和径向地变形。 导管尖端可以由任何类型的无菌弹性体泡沫形成，其可以在减压时容易地压缩并恢复到其原始形状。

公开(公告)号：US20050222561A1

公开(公告)日：2005-10-06

申请号：US10512425

申请日：2003-02-10

申请人： Said Hilal

发明人： Said Hilal

IPC分类号： A61B5/05 ,  A61B20060101 ,  A61B5/00 ,  A61B5/0408 ,  A61B5/0492 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B18/1402 ,  A61B18/1442 ,  A61B2018/0016 ,  A61B2018/00601

摘要： A surgical digitizing apparatus and procedure will typically involve a pad having discrete segments which may be arranged in a specific order to accommodate a particular procedure. The individual segments can then be used to accomplish both diagnostic and therapeutic functions. For example, the segments can be interrogated to produce a map of body tissue and then electrosurgically energized to perform a therapeutic function in accordance with the map. Communication with the discrete segments will typically be accomplished through a microprocessor and associated switching circuits.

摘要翻译： 手术数字化装置和程序通常将包括具有离散区段的垫，其可以以特定顺序排列以适应特定程序。 然后可以将各个部分用于完成诊断和治疗功能。 例如，可以询问片段以产生身体组织的图，然后通过电脉冲激励以根据地图执行治疗功能。 通常通过微处理器和相关的开关电路来实现与分立段的通信。

公开(公告)号：US5954732A

公开(公告)日：1999-09-21

申请号：US926875

申请日：1997-09-10

申请人： Charles C. Hart ,  Brett Trauthen ,  Nabil Hilal ,  Said Hilal ,  Bounsavanh Pravongviengkham

发明人： Charles C. Hart ,  Brett Trauthen ,  Nabil Hilal ,  Said Hilal ,  Bounsavanh Pravongviengkham

IPC分类号： A61B17/00 ,  A61B17/04

CPC分类号： A61B17/0625 ,  A61B17/0469 ,  A61B17/0483 ,  A61B17/0057 ,  A61B17/0482 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/0472

摘要： A suturing apparatus adapted to close an incision and an anterior tissue wall includes an elongate support structure having an axis extending between a proximal end and distal end. A receiver disposed at the distal end is insertable through the incision in a low-profile state and expanded to a high-profile state on the far side of the tissue wall. Needles carried by the support structure are operable to extend through the support wall on either side of the incision and into the expanded receiver. Sutures advanced through the needles are captured by the receiver after the needles are removed and the receiver is returned to its low-profile state. Removal of the suturing apparatus from the incision draws the captured suture ends outwardly through the incision. A novel suture knot can be tied in the four suture ends and moved into proximity with the tissue wall to close the incision.

摘要翻译： 适于闭合切口和前组织壁的缝合装置包括具有在近端和远端之间延伸的轴线的细长支撑结构。 设置在远端的接收器可以通过切口以低轮廓状态插入，并且在组织壁的远侧扩展到高轮廓状态。 由支撑结构承载的针可操作地延伸穿过切口两侧的支撑壁并进入扩展的接收器。 在针被移除并且接收器返回到其低调状态之后，穿过针的缝合线被接收器捕获。 从缝合处去除缝合装置通过切口将捕获的缝线端向外拉。 一条新颖的缝合结可以绑在四条缝线端上，并移动到组织壁附近以封闭切口。

公开(公告)号：US5904698A

公开(公告)日：1999-05-18

申请号：US872206

申请日：1997-06-10

申请人： Thomas P. Thomas ,  Charles C. Hart ,  Said Hilal

发明人： Thomas P. Thomas ,  Charles C. Hart ,  Said Hilal

IPC分类号： A61B17/22 ,  A61B17/32 ,  A61B18/14

CPC分类号： A61B17/3207 ,  A61B17/221 ,  A61B18/1492 ,  A61B17/320725 ,  A61B2017/22061 ,  A61B2017/2212 ,  A61B2017/320004 ,  A61B2018/00214

摘要： A surgical device is disclosed for treating and removing obstructing material from within a vascular conduit or other body passageway. The device comprises a catheter device having an expandable and collapsible outer mesh sleeve disposed at a distal end. The outer mesh sleeve is configured such that when expanded in the obstructed conduit or passageway, a portion of the obstructing material is forced through a plurality of openings in its outer surface and thus, into the outer mesh sleeve. An inflatable and deflatable balloon may be coupled to the catheter and used to radially expand the outer mesh sleeve into the obstructing material. A treatment element disposed within the catheter device is moved against the inner surface of the outer mesh sleeve to treat and remove any obstructing material with which it contacts. The treatment element may be configured as a blade for physically removing the obstructing material, or as an electrode for electrosurgical treatment. After treatment or removal of the obstructing material, the outer mesh sleeve is collapsed and the catheter device removed from the body conduit.

摘要翻译： 公开了用于从血管导管或其他身体通道内处理和移除阻塞材料的手术装置。 该装置包括导管装置，其具有设置在远端的可扩张和可折叠的外网套筒。 外网套筒被构造成使得当在阻塞的导管或通道中膨胀时，阻挡材料的一部分被迫穿过其外表面中的多个开口，并因此被压入外网套筒中。 可膨胀和可放气的气囊可以联接到导管并用于将外网套径向膨胀成阻塞材料。 设置在导管装置内的处理元件抵靠外网套的内表面移动，以处理和移除与其接触的任何障碍材料。 处理元件可以被构造为用于物理去除阻塞材料的刀片，或者用作用于电外科治疗的电极。 在处理或去除阻塞材料之后，外网套筒被折叠并且导管装置从主体管道移除。

公开(公告)号：US08147458B2

公开(公告)日：2012-04-03

申请号：US12208000

申请日：2008-09-10

申请人： Charles C Hart ,  John R Brustad ,  Nabil Hilal ,  Said Hilal

发明人： Charles C Hart ,  John R Brustad ,  Nabil Hilal ,  Said Hilal

IPC分类号： A61M5/178

CPC分类号： A61B17/3462 ,  A61B2017/3464

摘要： A multi-seal trocar system includes a plurality of co-axial sealing elements adapted for forming a seal with either a large or small instrument. Small and large sealing elements are disposed in an in-line arrangement such that a-single port is provided for instrument insertion. A zero seal is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element is configured such that insertion of a large instrument automatically moves the small sealing element out of its path, thereby avoiding contact with the large instrument.

摘要翻译： 多密封套管针系统包括适于与大型或小型仪器形成密封件的多个同轴密封元件。 小型和大型密封元件以串联布置设置，使得提供用于仪器插入的单个端口。 零密封件被设置在密封元件的远侧以密封系统的工作通道，并且当没有插入仪器时防止回流。 小密封元件被构造成使得大型仪器的插入自动地将小密封元件移出其路径，从而避免与大型仪器接触。

公开(公告)号：US20080091236A1

公开(公告)日：2008-04-17

申请号：US11954457

申请日：2007-12-12

申请人： Charles Hart ,  Said Hilal

发明人： Charles Hart ,  Said Hilal

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0487 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488

摘要： A surgical clip having a sliding state and a crimped state is adapted for use in a surgical procedure initially to slide along suture ends to an operative position and ultimately to crimp the suture ends at the operative position. a sub straight, bendable between the sliding state and the crimped state carries at least one coating having either lubricious or traction enhancing properties. A second coating can be added to form a coating laminate with the outer coating having lubricious properties facilitating the sliding state and the inner coating having traction enhancing properties facilitating thee crimped state.

摘要翻译： 具有滑动状态和卷曲状态的手术夹具适于在外科手术过程中用于最初沿着缝合线端部滑动到操作位置，并且最终将缝线端部压缩在操作位置。 在滑动状态和卷曲状态之间可弯曲的副直线运送至少一个具有光滑或牵引增强特性的涂层。 可以添加第二涂层以形成涂层层压体，其中外涂层具有促进滑动状态的润滑性质，并且内涂层具有促进卷曲状态的牵引增强性质。

公开(公告)号：US20060161190A1

公开(公告)日：2006-07-20

申请号：US11334027

申请日：2006-01-18

申请人： Donald Gadberry ,  Gary Johnson ,  Jeremy Albrecht ,  David Okihisa ,  Said Hilal ,  Arkadiusz Strokosz

发明人： Donald Gadberry ,  Gary Johnson ,  Jeremy Albrecht ,  David Okihisa ,  Said Hilal ,  Arkadiusz Strokosz

IPC分类号： A61B17/32 ,  A61B17/28

CPC分类号： A61B17/29 ,  A61B10/06 ,  A61B17/1608 ,  A61B17/3201 ,  A61B18/1445 ,  A61B2017/0023 ,  A61B2017/2902 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/294 ,  A61B2017/2945 ,  A61B2018/1432

摘要： The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.

摘要翻译： 本发明涉及一种包括手柄组件和轴组件的手术器械。 手柄组件还包括固定手柄和枢转手柄。 轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。 轴组件包括可旋转旋钮以提供360度旋转。 致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。 外管由塑料制成，并配合在致动杆上，用作电绝缘体。

公开(公告)号：US20050165366A1

公开(公告)日：2005-07-28

申请号：US10766138

申请日：2004-01-28

申请人： John Brustad ,  Said Hilal ,  Nabil Hilal ,  Charles Hart ,  Gary Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald Gadberry ,  Edward Pingleton ,  Matthew Petrime ,  Payam Adlparvar ,  Carl Hadley ,  Kenneth Vu

发明人： John Brustad ,  Said Hilal ,  Nabil Hilal ,  Charles Hart ,  Gary Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald Gadberry ,  Edward Pingleton ,  Matthew Petrime ,  Payam Adlparvar ,  Carl Hadley ,  Kenneth Vu

IPC分类号： A61B17/00 ,  A61B17/34 ,  A61M25/00 ,  A61M5/00

CPC分类号： A61M25/0012 ,  A61B1/0011 ,  A61B1/0055 ,  A61B17/3421 ,  A61B2017/003 ,  A61M25/0043

摘要： The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.

摘要翻译： 本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。 管道包括多个单独的离散的大体环形元件，其串联布置并且熔合或粘合在一起形成连续的管状结构。 环形元件可以由热塑性材料或热固性材料形成。 环形元件可以包括沿着管状结构的长度组装的塑料环，金属环，未增强塑料环和/或金属增强塑料环，以提供可变的柔性和抗扭结性。 管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。 环形元件可以具有不同的弯曲模量。 环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。 环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合，其中环形元件可以具有不同的长度，并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合 的管道。 在本发明的另一方面，医疗管道还可包括用于控制管状结构的次管腔和拉线。 环形元件可以被截断以提供弯曲偏压。 在本发明的另一方面，环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。 在本发明的另一方面，一些环形元件可以是不透射线的，或者环形元件可以包括不同颜色以作为沿着管状结构的指示器。