公开(公告)号：US09649157B1

公开(公告)日：2017-05-16

申请号：US14831700

申请日：2015-08-20

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: A61B18/18 ,  A61B18/14 ,  A61B17/11 ,  A61B18/00

CPC classification number: A61B17/11 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/24 ,  A61B2017/00349 ,  A61B2017/00504 ,  A61B2017/00986 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22095 ,  A61B2018/00279 ,  A61B2018/00404 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/1407 ,  A61B2018/141 ,  A61B2018/1425 ,  A61B2018/2005 ,  A61M25/04 ,  A61M2025/0197

Abstract: A method of creating an AV fistula between adjacent first and second blood vessels, includes steps of cutting a hole through the adjacent walls of the first and second blood vessels and inserting a welding catheter into the first vessel, and through the hole into the second vessel, so that a distal end of the welding catheter is disposed within the second vessel. A portion of wall defining the welding catheter is then expanded radially outwardly, and the expanded wall portion is pulled proximally to engage the wall of the second blood vessel and to pull it toward the wall of the first blood vessel. Then, a portion of wall proximal to the first expanded wall portion and disposed in the first blood vessel is expanded radially outwardly, thereby capturing the walls of each of the second and first blood vessels between the two expanded wall portions. Cutting elements on the expanded wall portions are then energized to create a tissue welded elongate aperture between the first and second blood vessels.

公开(公告)号：US5415666A

公开(公告)日：1995-05-16

申请号：US27505

申请日：1993-03-04

Applicant: Stuart J. Gourlay ,  Terry Buelna ,  Wayne A. Noda ,  Paul Lubock

Inventor： Stuart J. Gourlay ,  Terry Buelna ,  Wayne A. Noda ,  Paul Lubock

IPC: A61B17/00 ,  A61B17/02 ,  A61B17/122 ,  A61B17/128 ,  A61B17/28

CPC classification number: A61B17/0218 ,  A61B17/00234 ,  A61B17/1227 ,  A61B17/1285 ,  A61B17/122 ,  A61B2017/00265 ,  A61B2017/00287 ,  A61B2017/00349 ,  A61B2017/2808

Abstract: The invention provides a tissue manipulation system including a tethered clamp, a clamp applicator for positioning the clamp through a trocar sleeve and applying the clamp to a tissue location in the abdominal cavity, and a rigid positioning shaft for engaging the clamp and/or tether to manipulate the clamp. In a further embodiment, the tissue manipulation system includes an introducer through which the tether can be withdrawn from the abdominal cavity and a retainer attached to the proximal end of the introducer for clamping the tether in position. The tissue manipulation system further includes an obturator for inserting the introducer into the abdomen, and a tether snare for retrieving the tether and withdrawing it through the introducer.

Abstract translation: 本发明提供了一种组织操作系统，包括系留夹具，用于通过套针套管定位夹具并将夹具施加到腹腔中的组织位置的夹具施用器，以及用于将夹具和/或系绳接合到 操纵夹具。 在另一个实施例中，组织操纵系统包括导引器，系绳可以从腹腔中取出，并且保持器附接到导引器的近端，用于将系绳夹紧就位。 组织操作系统还包括用于将导引器插入腹部的闭塞器，以及用于检索系绳并通过导引器将其取出的系绳圈。

公开(公告)号：US5352206A

公开(公告)日：1994-10-04

申请号：US40551

申请日：1993-03-31

Applicant: Alfred Cushieri ,  Terry Buelna

Inventor： Alfred Cushieri ,  Terry Buelna

IPC: A61B5/03 ,  A61B17/00 ,  A61B17/34 ,  A61M5/178

CPC classification number: A61B5/03 ,  A61B17/3494 ,  A61B5/7405 ,  A61B17/3474 ,  A61B2017/00119

Abstract: A trocar system comprises an obturator and a trocar cannula. The obturator includes an elongate shaft having a tapered distal end and a proximal end. At least one port is provided near the distal tip of the tapered distal end and open to an axial lumen within the obturator. A mechanism for producing an audible signal in response to superatmospheric pressure at the port, typically a whistle structure, is provided near the proximal end of the trocar. In this way, when the trocar system is introduced to an insufflated region during laparoscopic surgery, an audible whistle will be provided to alert the treating surgeon.

Abstract translation: 套管针系统包括闭孔器和套针套管。 闭塞器包括具有锥形远端和近端的细长轴。 至少一个端口设置在锥形远端的远侧末端附近并且向封闭器内的轴向内腔开口。 在套管针的近端附近设置有响应于端口处的超大气压力（通常为口哨结构）产生可听信号的机构。 以这种方式，当在腹腔镜手术期间套管针系统被引入吹入区域时，将提供可听到的口哨以提醒治疗外科医生。

公开(公告)号：US5300078A

公开(公告)日：1994-04-05

申请号：US958909

申请日：1992-10-09

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: A61B17/04 ,  A61B17/12 ,  A61B17/28 ,  A61B17/00

CPC classification number: A61B17/12013 ,  A61B2017/0474 ,  A61B2017/0477 ,  A61B2017/2911 ,  A61B2017/2943

Abstract: A suture applying device comprises an elongate shaft having a length of suture therein. A pre-tied loop suture is held at the distal end of the shaft with a free end of the suture being attached within a handle secured to the proximal end of the shaft. In a first embodiment, a pulley and puller assembly is provided for closing the pre-tied suture loop, where the pulley permits a greater length of suture to be taken in than is traveled by the puller. In a second embodiment, a pair of opposed jaws are slidably mounted within the handle for selectively engaging and gripping the free end of the suture. In this way, an arbitrarily large length of suture may be taken in by pulling on the free end of the suture in successive strokes. The device further includes a sheath slidably disposed on the shaft for protecting the suture during introduction. The sheath automatically retracts when the device is introduced through a trocar sleeve or cannula, thereby exposing the suture loop.

Abstract translation: 缝线施加装置包括其中具有一段缝合线的细长轴。 预先绑扎的环缝合线被保持在轴的远端，缝合线的自由端被附接在固定到轴的近端的手柄内。 在第一实施例中，提供滑轮和牵引组件用于闭合预先束紧的缝线环，其中滑轮允许比由牵引器行进的缝线更长的缝合线。 在第二实施例中，一对相对的夹爪可滑动地安装在手柄内，用于选择性地接合和夹紧缝合线的自由端。 以这种方式，通过在连续的行程中拉动缝合线的自由端，可以采取任意大的缝合线。 该装置还包括可滑动地设置在轴上的护套，用于在引入期间保护缝合线。 当装置通过套针套管或插管引入时，护套自动缩回，从而露出缝线环。

公开(公告)号：US5242459A

公开(公告)日：1993-09-07

申请号：US911834

申请日：1992-07-10

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: A61B17/04 ,  A61B17/12

CPC classification number: A61B17/12013 ,  A61B17/0467 ,  A61B2017/0474 ,  A61B2017/0477

Abstract: A suture applying device comprises an elongate shaft having a slidably mounted cutting member. A pre-tied suture loop is held at the distal end of the shaft with a free end of the suture being attached to a body member which is slidably received over the shaft. The cutting member is secured to the shaft by a link which collapses under a predetermined compressive force, causing the cutting member to move distally forward relative to the shaft to sever the free end of the suture. In this way, the suture loop can be initially tightened and subsequently severed by simply retracting the body member relative to the shaft in a single motion.

Abstract translation: 缝合施加装置包括具有可滑动安装的切割构件的细长轴。 预先捆扎的缝合线环被保持在轴的远端，缝合线的自由端附接到主体构件，该主体构件可滑动地容纳在轴上。 切割构件通过在预定压缩力下塌缩的连杆固定到轴上，导致切割构件相对于轴向远侧移动以切断缝合线的自由端。 以这种方式，缝合线环可以被初始地紧固，并且随后通过简单地以相同的方式缩回主体部件相对于轴而被切断。

公开(公告)号：US20150107505A1

公开(公告)日：2015-04-23

申请号：US14517783

申请日：2014-10-17

Applicant: Neil Rohin Gupta ,  Terry Buelna

Inventor： Neil Rohin Gupta ,  Terry Buelna

IPC: B29B11/04 ,  D05B33/00 ,  B29B11/02

CPC classification number: B29B11/04 ,  B29B11/02 ,  B29B11/16 ,  B29K2105/0872 ,  B32B7/04 ,  D05B23/00 ,  Y02B10/30

Abstract: In one embodiment, a method for forming a dry lamination for a composite fiber material structure, for example a wind turbine blade, includes cutting at least two plies of composite fiber material according to a predetermined pattern, arranging the at least two cut plies of composite fiber material in a predetermined arrangement relative to each other, stitching the at least two cut plies together using a thread to secure the at least two cut plies in the predetermined arrangement to form the dry lamination, and spooling the dry lamination into a single roll. The dry lamination can then be transported without misaligning the plies and placed into a resin infusion tool without requiring manual placement of individual plies of composite fiber material.

Abstract translation: 在一个实施方案中，用于形成用于复合纤维材料结构的干层压材料的方法，例如风力涡轮机叶片，包括根据预定图案切割至少两层复合纤维材料，将至少两层复合材料切割层 纤维材料以预定的布置相对于彼此，使用螺纹将至少两个切割层拼接在一起，以将预定布置中的至少两个切割层固定以形成干层压，以及将干层压卷绕成单个卷。 然后可以将干层压物质运输而不对准层片并放置在树脂浸渍工具中，而不需要手动放置单个复合纤维材料层。

公开(公告)号：US20090227415A1

公开(公告)日：2009-09-10

申请号：US12399594

申请日：2009-03-06

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: F16H57/08

CPC classification number: B64C29/0033 ,  B64D35/00 ,  F16H1/227

Abstract: A gearbox comprising a gearset is able to transmit high output torques at high numerical reduction ratios at a power-to-weight ratio higher than previously attainable with existing designs. A distributor gear is disposed relative to a spur gear in order to produce automatic torque balancing. The distributor gear can be advantageously configured as an input floatring gear, for which support in all directions is provided by gear tooth mesh forces rather than bearings. Automatic torque balancing is achieved by configuring the distributor gear with first and second rows of helical teeth on the external circumference, and with a set of double helical teeth disposed on the internal circumference of the distributor gear. This allows for the placement of up to 50 or more planet gears in a countershaft arrangement with one end having helical teeth and the other end having spur teeth.

Abstract translation: 包括齿轮组的变速箱能以高数值减速比传递高输出扭矩，功率重量比高于以前可用现有设计达到的功率重量比。 分配器齿轮相对于正齿轮设置，以便产生自动扭矩平衡。 分配器齿轮可以有利地构造为输入浮动齿轮，其中所有方向上的支撑由齿轮啮合力而不是轴承提供。 通过在外圆周上配置具有第一和第二排螺旋齿的分配器齿轮以及设置在分配器齿轮的内圆周上的一组双螺旋齿来实现自动扭矩平衡。 这允许在中间轴装置中放置多达50个或更多个行星齿轮，其中一端具有螺旋齿，另一端具有带齿的齿。

公开(公告)号：US5605539A

公开(公告)日：1997-02-25

申请号：US241953

申请日：1994-05-12

Applicant: Terry Buelna ,  Wayne A. Noda

Inventor： Terry Buelna ,  Wayne A. Noda

IPC: A61B18/14 ,  A61M3/02 ,  A61M25/01 ,  A61M1/00

CPC classification number: A61M25/01 ,  A61B18/1482 ,  A61M2202/0403 ,  A61M3/0279

Abstract: A self-introducing infusion catheter comprises a substantially rigid, elongate shaft having a longitudinal passage therethrough and an infusion port at its distal end. An electrode is further mounted at the distal end. The electrode is electrically coupled to a connector at the proximal end of the shaft which may be connected to an electrosurgical power supply. The connector is further in communication with the passage in the shaft and provides fluid connection with an infusion fluid delivery device. In the method of the invention, the catheter is connected to an electrosurgical power supply and ablative energy is applied to abdominal tissue through the electrode. This facilitates penetration of the tissue to position the device in the abdominal cavity through the abdominal wall. The distal end of the catheter is positioned through an incision in a body structure, such as the cystic duct, and the proximal end is connected to an infusion fluid delivery device. The distal end is clamped in position in the duct, and an infusion fluid such as contrast medium is infused into the duct.

Abstract translation: 自引入输注导管包括基本上刚性的细长轴，其具有穿过其的纵向通道和在其远端处的输注端口。 电极进一步安装在远端。 电极电耦合到轴的近端处的连接器，其可以连接到电外科电源。 连接器还与轴中的通道连通并提供与输注液输送装置的流体连接。 在本发明的方法中，导管连接到电外科电源，并且通过电极将消融能量施加到腹部组织。 这有助于穿透组织以将装置定位在腹腔中通过腹壁。 导管的远端通过诸如囊性管道的体结构中的切口定位，并且近端连接到输注液输送装置。 远端被夹持在管道中的适当位置，并且诸如造影剂的输注液体注入管道中。

公开(公告)号：US5489288A

公开(公告)日：1996-02-06

申请号：US223261

申请日：1994-04-04

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: A61B17/04 ,  A61B17/12 ,  A61B17/28

CPC classification number: A61B17/12013 ,  A61B2017/0474 ,  A61B2017/0477 ,  A61B2017/2911 ,  A61B2017/2943

Abstract: A suture applying device comprises an elongate shaft having a length of suture therein. A pre-tied loop suture is held at the distal end of the shaft with a free end of the suture being attached within a handle secured to the proximal end of the shaft. In a first embodiment, a pulley and puller assembly is provided for closing the pre-tied suture loop, where the pulley permits a greater length of suture to be taken in than is traveled by the puller. In a second embodiment, a pair of opposed jaws are slidably mounted within the handle for selectively engaging and gripping the free end of the suture. In this way, an arbitrarily large length of suture may be taken in by pulling on the free end of the suture in successive strokes. The device further includes a sheath slidably disposed on the shaft for protecting the suture during introduction. The sheath automatically retracts when the device is introduced through a trocar sleeve or cannula, thereby exposing the suture loop.

Abstract translation: 缝线施加装置包括其中具有一段缝合线的细长轴。 预先绑扎的环缝合线被保持在轴的远端，缝合线的自由端被附接在固定到轴的近端的手柄内。 在第一实施例中，提供滑轮和牵引组件用于闭合预先束紧的缝线环，其中滑轮允许比由牵引器行进的缝线更长的缝合线。 在第二实施例中，一对相对的夹爪可滑动地安装在手柄内，用于选择性地接合和夹紧缝合线的自由端。 以这种方式，通过在连续的行程中拉动缝合线的自由端，可以采取任意大的缝合线。 该装置还包括可滑动地设置在轴上的护套，用于在引入期间保护缝合线。 当装置通过套针套管或插管引入时，护套自动缩回，从而露出缝线环。

公开(公告)号：US5468251A

公开(公告)日：1995-11-21

申请号：US134561

申请日：1993-10-12

Applicant: Terry Buelna

Inventor： Terry Buelna

IPC: A61B17/04 ,  A61B17/06 ,  A61B19/00 ,  A61B17/00

CPC classification number: A61B17/0493 ,  A61B17/0469 ,  A61B17/06066 ,  A61B2017/047 ,  A61B2017/06019 ,  A61B2017/06023 ,  A61B2017/06042 ,  A61B2017/06071 ,  A61B2017/0608 ,  A61B2090/08021 ,  A61B2090/3937 ,  A61B2090/3962

Abstract: An improved device and method for suturing penetrations and incisions through tissue into a body cavity. The device should find particular use in laparoscopic and other types of minimally invasive surgical procedures. A device according to the invention includes a shaft and an inverted needle joined to the shaft. Two ends of a length of suture material are attached at or near a sharpened proximal tip on the needle. The device may include a movable shield that is slidable to alternately cover and expose the sharpened tip of the needle. This shield may include a blunt distal end and an inclined proximal surface to assist the surgeon in guiding the hook into and out of the body cavity. The device may be provided with a visual and tactile indicator on one side of the device to assist the user in threading and removing the suture material into and out of a selected side of the hook.

Abstract translation: 用于缝合渗透和穿过组织切入体腔的改进的装置和方法。 该装置应特别用于腹腔镜和其他类型的微创外科手术。 根据本发明的装置包括轴和连接到轴的倒针。 一段长度的缝合材料的两端附着在针上的尖锐的近端尖端处或附近。 该装置可以包括可滑动以交替地覆盖并暴露针的尖锐尖端的可移动屏蔽。 该护罩可以包括钝的远端和倾斜的近侧表面，以帮助外科医生将钩引导进入体腔和从体腔引出。 该装置可以在装置的一侧上设置有视觉和触觉指示器，以帮助使用者将缝线材料穿入和移出到钩的选定侧。