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11. 发明授权

US6055989A Method for surgical dissection, sizing and expansion 失效
标题翻译：手术解剖，尺寸和扩张方法
公开(公告)号：US6055989A
公开(公告)日：2000-05-02
申请号：US865824
申请日：1997-05-30
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B19/00
CPC分类号： A61F2/12 , A61B17/0218 , A61B90/02 , A61B90/06 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/063
摘要： A method for surgical dissection, sizing and for expansion of a tissue pocket in a naturally occurring fascial cleft for use in plastic surgery applications and other applications where it is desirable to dissect an anatomically defined and bounded tissue pocket, determine the appropriate size of a prosthesis to be implanted into the tissue pocket and, if necessary, further expand the tissue overlying the tissue pocket. An inflatable device which performs the three distinct functions of dissection, sizing and tissue expansion is used. In a preferred method, a dissecting balloon device is tunneled bluntly to a desired location within a fascial cleft in the female breast. The device is then inflated to dissect tissue layers adjacent the fascial cleft until ligaments defining boundaries of the fascial cleft are reached, to create a tissue pocket extending to the ligamentous boundaries. After dissection, the tissue pocket may be sized by withdrawing/adjusting fluid from the inflatable member until the desired aesthetic appearance is achieved. If immediate or traditional tissue expansion is desired, the inflatable member may be utilized as a tissue expander and temporarily left in place to provide gradual tissue expansion. After the desired dissection, sizing and optional expanding, an implant prosthesis may be inserted into the tissue pocket and filled to a volume determined in the sizing step.
摘要翻译：一种用于外科手术解剖，上浆和膨胀天然存在的筋膜裂缝中的组织袋的方法，用于整形手术应用和其中需要解剖解剖学限定和限定的组织袋的其它应用，确定假体的适当尺寸植入组织袋中，并且如果需要，进一步扩大组织袋上方的组织。使用执行解剖，上浆和组织扩张三个不同功能的充气装置。在优选的方法中，解剖球囊装置被钝化地隧穿到女性乳房内的筋膜裂缝内的所需位置。然后将装置充气以解剖邻近筋膜裂缝的组织层，直到达到限定筋膜裂缝边界的韧带，以产生延伸到韧带边界的组织袋。解剖后，组织袋可以通过从可膨胀构件中抽出/调节流体而达到所需的美学外观尺寸。如果需要立即或传统的组织膨胀，则可膨胀构件可用作组织扩张器并且暂时留在适当位置以提供逐渐的组织扩张。在所需的解剖，尺寸和可选的扩张之后，可以将植入假体插入到组织袋中并填充到在施胶步骤中确定的体积。

12. 发明申请

US20180206978A1 Internal Long Term Absorbable Matrix Brassiere and Tissue Engineering Scaffold 审中-公开
公开(公告)号：US20180206978A1
公开(公告)日：2018-07-26
申请号：US15918538
申请日：2018-03-12
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61F2/12
CPC分类号： A61F2/12 , A61F2210/0004 , A61F2220/0008 , A61F2220/0075 , A61F2230/0086 , A61F2250/001 , A61F2250/0067
摘要： An internal long term absorbable matrix brassiere including a ring member adapted to be fixed to the chest of a woman and a frusto-conical, pleated scaffold member, fixed within the ring member.

13. 发明授权

US08048087B2 Apparatus for use in fascial cleft surgery for opening an anatomic space 有权
公开(公告)号：US08048087B2
公开(公告)日：2011-11-01
申请号：US11974548
申请日：2007-10-15
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61M29/00
CPC分类号： A61B17/02 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/032 , A61B2090/037
摘要： An apparatus for use in fascial cleft surgery adapted to perform blunt dissection between two layers of anatomically named fascia. The dissection performed by the apparatus extends to the limits of anatomic space defined by fusion of said two layers of fascia in a minimally invasive manner. The apparatus is formed of a hollow tube body member including a malleable introducing flange having a spoonbill-like shape. Further, the apparatus includes an elastic dissection balloon movably positioned within the applicator. The dissection balloon is reversibly expandable between a deflated condition and an expanded condition and is movable from a first storage position within the hollow tube body of the applicator to a position exterior thereof. The dissection balloon is formed of a chosen elastic material having a tensile strength less than the tensile strength of the points of fusion between two layers of fascia such that the dissection balloon fails prior to achieving pressures that would destroy the anatomic boundaries of the fascial cleft such that a working space is demonstrated not created. The apparatus also includes a gripping handle and introducing rod slideably positioned within said applicator for positioning said dissection balloon exterior said applicator to within an anatomic space for subsequent inflation and deflation. Finally, a fill tube extends through the hollow introducing rod to the dissection balloon and operably associated therewith for inflating and deflating the dissection balloon.

14. 发明授权

US07967835B2 Apparatus for use in fascial cleft surgery for opening an anatomic space 有权
标题翻译：用于筋膜裂开手术以打开解剖空间的装置
公开(公告)号：US07967835B2
公开(公告)日：2011-06-28
申请号：US10428252
申请日：2003-05-05
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61M29/02
CPC分类号： A61B17/02 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/032 , A61B2090/037
摘要： An apparatus for use in fascial cleft surgery adapted to perform blunt dissection between two layers of anatomically named fascia. The dissection performed by the apparatus extends to the limits of anatomic space defined by fusion of said two layers of fascia in a minimally invasive manner. The apparatus is formed of a hollow tube body member including a malleable introducing flange having a spoonbill-like shape. Further, the apparatus includes an elastic dissection balloon movably positioned within the applicator. The dissection balloon is reversibly expandable between a deflated condition and an expanded condition and is movable from a first storage position within the hollow tube body of the applicator to a position exterior thereof. The dissection balloon is formed of a chosen elastic material having a tensile strength less than the tensile strength of the points of fusion between two layers of fascia such that the dissection balloon fails prior to achieving pressures that would destroy the anatomic boundaries of the fascial cleft such that a working space is demonstrated not created. The apparatus also includes a gripping handle and introducing rod slideably positioned within said applicator for positioning said dissection balloon exterior said applicator to within an anatomic space for subsequent inflation and deflation. Finally, a fill tube extends through the hollow introducing rod to the dissection balloon and operably associated therewith for inflating and deflating the dissection balloon.
摘要翻译：一种用于筋膜裂切手术的装置，适用于在两层解剖学名称的筋膜之间进行钝性剥离。由该装置执行的解剖扩展到以微创方式融合所述两层筋膜所限定的解剖空间的极限。该装置由包括具有琵琶状形状的可延展的引入凸缘的中空管体构件形成。此外，该装置包括可移动地定位在施用器内的弹性解剖囊。解剖气囊在放气状态和膨胀状态之间可逆地扩张，并且可从施用器的中空管体内的第一存储位置移动到其外部的位置。解剖气球由选定的弹性材料形成，其拉伸强度小于两层筋膜之间的融合点的拉伸强度，使得解剖球囊在达到将破坏筋骨裂缝的解剖边界的压力之前失效，表明没有创建一个工作空间。该装置还包括可滑动地定位在所述施用器内的抓握把手和引导杆，用于将所述剥离球囊外部放置在解剖空间内，用于随后的充气和放气。最后，填充管延伸穿过中空引入杆到解剖囊，并与之可操作地相关联，用于使解剖气球膨胀和放气。

15. 发明申请

US20090234461A1 Apparatus and method for use of a biosurgical prosthetic rectus sheath 审中-公开
标题翻译：用于生物手术假肢直肌鞘的装置和方法
公开(公告)号：US20090234461A1
公开(公告)日：2009-09-17
申请号：US12075764
申请日：2008-03-14
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61F2/04 , A61B1/313 , A61B17/068
CPC分类号： A61F2/0063 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/04 , A61B17/0466 , A61B17/068 , A61B17/29 , A61B2017/00557 , A61B2017/22061
摘要： A prosthetic mesh and method of use in surgical methods for closure of abdominal incisions and prosthetics for repair of ventral hernias. The mesh provides for a new prosthetic that can be used for closure of laparotomy incisions, in patients at high risk for hernia formation, and in the repair of existing ventral hernias. The mesh utilizes existing multi laminar technology for intra peritoneal mesh, and fashions it in the shape of an intact Rectus Sheath. The mesh matrix can be made of any of the various absorbable or permanent polymer filaments that are woven or knitted into a scaffold for added strength to the abdominal wall closure during the healing phase, and for delivery of bio active substances that contribute to a biochemical milieu that contributes to favorable healing. A permanent non absorbable prosthesis will be desirable in certain circumstances and for particular patients, a slowly dissolving mesh would be ideal in most cases. The absorption of the prosthesis must be slow, approximately one to two years, thus giving enough time to preserve support for the healing abdominal wall repair, as this is the period of time over which most incisional hernias present.
摘要翻译：用于闭合腹部切口和假肢以修复腹侧疝气的手术方法中的假体网和方法。网格提供了一种新的假体，可用于关闭剖腹切口，在疝气形成风险高的患者中以及修复现有腹侧疝气。网格利用现有的多层叠技术进行腹膜内网，并且以其完整的直角护套的形状呈现。网格基质可以由编织或编织成支架的各种可吸收或永久性聚合物长丝中的任何一种制成，以在愈合阶段期间增加腹壁闭合的强度，并且用于递送有助于生化环境的生物活性物质这有助于愈合愈合。永久不可吸收的假体在某些情况下是合乎需要的，对于特定的患者来说，缓慢溶解的网状物在大多数情况下将是理想的。假体的吸收必须缓慢，大约一到两年，因此给予足够的时间来保持对愈合的腹壁修复的支持，因为这是大多数切口疝存在的时间段。

16. 发明授权

US07282062B2 Method for surgical dissection, sizing and expansion 失效
标题翻译：手术解剖，尺寸和扩张方法
公开(公告)号：US07282062B2
公开(公告)日：2007-10-16
申请号：US11054401
申请日：2005-02-09
申请人： Robert D. Rehnke
发明人： Robert D. Rehnke
IPC分类号： A61F2/12
CPC分类号： A61F2/12 , A61B17/0218 , A61B90/02 , A61B90/06 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/063
摘要： A method for surgical dissection, sizing and for expansion of a tissue pocket in a naturally occurring fascial cleft is disclosed for use in plastic surgery applications and other applications where it is desirable to dissect an anatomically defined and bounded tissue pocket, determine the appropriate size of a prosthesis to be implanted into the tissue pocket and, if necessary, further expand the tissue overlying the tissue pocket. An inflatable device which performs the three distinct functions of dissection, sizing and tissue expansion is used. In a preferred method, a dissecting balloon device is tunneled bluntly to a desired location within a fascial cleft in the female breast. The device is then inflated to dissect tissue layers adjacent the fascial cleft until ligaments defining boundaries of the fascial cleft are reached, to create a tissue pocket extending to the ligmentous boundaries. After dissection, the tissue pocket may be sized by withdrawing/adjusting fluid from the inflatable member until the desired aesthetic appearance is achieved. If immediate or traditional tissue expansion is desired, the inflatable member may be utilized as a tissue expander and temporarily left in place to provide gradual tissue expansion. After the desired dissection, sizing and optional expanding, an implant prosthesis may be inserted into the tissue pocket and filled to a volume determined in the sizing step.
摘要翻译：公开了一种用于外科手术解剖，上浆和膨胀天然存在的筋膜裂缝中的组织袋的方法，用于整形手术应用和其它应用中，其中希望解剖解剖学限定的和有界的组织袋，确定适当的尺寸待植入组织袋的假体，如果需要，进一步扩张组织袋上方的组织。使用执行解剖，上浆和组织扩张三个不同功能的充气装置。在优选的方法中，解剖球囊装置被钝化地隧穿到女性乳房内的筋膜裂缝内的所需位置。然后将装置充气以解剖邻近筋膜裂缝的组织层，直到达到限定筋膜裂缝边界的韧带，以产生延伸到结扎边界的组织袋。解剖后，组织袋可以通过从可膨胀构件中抽出/调节流体而达到所需的美学外观尺寸。如果需要立即或传统的组织膨胀，则可膨胀构件可用作组织扩张器并且暂时留在适当位置以提供逐渐的组织扩张。在所需的解剖，尺寸和可选的扩张之后，可以将植入假体插入到组织袋中并填充到在施胶步骤中确定的体积。

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