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11. 发明申请

US20050033339A1 Percutaneous entry system and method 有权
标题翻译：经皮进入系统和方法
公开(公告)号：US20050033339A1
公开(公告)日：2005-02-10
申请号：US10862905
申请日：2004-06-07
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/28 , A61B17/34 , A61B19/00 , A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： The present invention relates to ergonomic hand instruments and medical procedures. In particular, the invention relates to a dissector, and methods for the dissection of tissue from skin to an underlying blood vessel and the methods of accomplishing such dissections and arterial and venous punctures.
摘要翻译：本发明涉及符合人体工程学的手动工具和医疗程序。特别地，本发明涉及一种解剖器，以及从皮肤到潜在血管的组织解剖的方法以及完成这种解剖和动脉和静脉穿刺的方法。

12. 发明授权

US06558402B1 Lancer 有权
标题翻译：蓝瑟
公开(公告)号：US06558402B1
公开(公告)日：2003-05-06
申请号：US09366149
申请日：1999-08-03
申请人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , Michael A. Di Biasi , Amir Ali Sharifi-Mehr , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
发明人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , Michael A. Di Biasi , Amir Ali Sharifi-Mehr , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
IPC分类号： A61B1714
CPC分类号： A61B5/15186 , A61B5/1411 , A61B5/150022 , A61B5/150106 , A61B5/15019 , A61B5/150412 , A61B5/150503 , A61B5/150587 , A61B5/150717 , A61B5/15113 , A61B5/15117 , A61B5/1519 , A61B5/15194
摘要： A lancer device that enables a user to draw blood from a patient and discard the used lancet without touching it. The device also has an adjustable tip for selecting the depth of stylet penetration into the patient and a triggering mechanism that utilizes a yoke latch and a leaf spring to discharge the lancet. The lancer also has a dampening feature to reduce vibrations when the lancet is moving.
摘要翻译：一种使用户能够从患者抽取血液并且丢弃所使用的柳叶刀而不触摸它的乳房装置。该装置还具有可调节的尖端，用于选择穿刺入患者的探针的深度，以及触发机构，其利用轭闩锁和板簧弹出刺血针。舞者还有一个减震功能，以减少刺血针移动时的振动。

13. 发明授权

US09271737B2 Automatic surgical ligation clip applier 有权
标题翻译：自动手术结扎夹具
公开(公告)号：US09271737B2
公开(公告)日：2016-03-01
申请号：US13618215
申请日：2012-09-14
申请人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
发明人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
IPC分类号： A61B17/10 , A61B17/128 , A61B17/122 , A61B17/29 , A61B17/064 , A61B17/28
CPC分类号： A61B17/1285 , A61B17/0643 , A61B17/122 , A61B17/128 , A61B2017/2845 , A61B2017/2912 , A61B2017/2929 , A61B2017/2936 , A61B2017/2937
摘要： An applier for ligation clip is provided. The applier includes: an outer tube having mounting bosses; a pair of jaws pivotally connected to the mounting bosses, the jaws having actuating projections; a feed tube located in the outer tube and configured to move axially within the outer tube, the feed tube having actuating slots in which the actuating projections are located; a clip lock arm located in the outer tube and configured to move axially within the outer tube; and a clip advance arm located in the outer tube and configured to move axially within the outer tube, the clip advance arm having flexible pinchers at one end of the clip advance arm. A method of applying a ligation clip is also disclosed.
摘要翻译：提供了一种用于结扎夹的敷贴器。施加器包括：具有安装凸台的外管; 一对夹爪枢转地连接到安装凸台，所述夹具具有致动突起; 位于所述外管中并且构造成在所述外管内轴向移动的进料管，所述进料管具有致动槽，所述致动槽中致动突起位于所述致动槽中; 夹锁定臂，位于所述外管中并且构造成在所述外管内轴向移动; 以及夹子前进臂，其位于外管中并且构造成在外管内轴向移动，夹子前进臂在夹子前进臂的一端具有柔性捏合器。还公开了应用结扎夹的方法。

14. 发明申请

US20070288046A1 Percutaneous access conduit and methods 有权
标题翻译：经皮导管和方法
公开(公告)号：US20070288046A1
公开(公告)日：2007-12-13
申请号：US11893853
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/3201
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A tubular conduit is used to access blood vessels or other structures in the human body. The conduit has a distal tip angled to match the angle of entry into the body and an end contour adapted for the surface of the target vessel or organ. The contour may be curved to match the curve on the outer surface of the vessel or organ. The conduit's angled and contoured distal end may be adapted to engage, and align the conduit with, the surface of the vessel or organ. The conduit bears a longitudinal groove along its lower, inner surface. When the conduit is appropriately aligned, the groove may be used to guide a needle tip to the desired location, for example, the mid-line of the vessel or organ.
摘要翻译：管状导管用于进入人体内的血管或其他结构。导管具有成角度的远端以匹配进入体内的角度以及适于目标血管或器官表面的端部轮廓。轮廓可以弯曲以匹配血管或器官的外表面上的曲线。导管的成角度和轮廓的远端可以适于将导管与容器或器官的表面接合并对齐。导管沿其下部内表面具有纵向凹槽。当导管适当地对准时，凹槽可用于将针尖引导到所需位置，例如容器或器官的中线。

15. 发明授权

US06761725B1 Percutaneous entry system and method 失效
标题翻译：经皮进入系统和方法
公开(公告)号：US06761725B1
公开(公告)日：2004-07-13
申请号：US10030216
申请日：2002-09-03
申请人： Jeffrey Grayzel , Joseph Grayzel , William J Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William J Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B1732
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： Apparatus to achieve percutaneous entry to a blood vessel includes several coacting combinations of coacting instruments, some capable of independent action, as well as enabling clear visualisation of the operative area, precise location of the operative site, capture and immobilization of the vessel, and guidance in the positioning and insertion of the puncturing needle Additionally, apparatus is provided for the placement of a sponge directly on the entry wound in the vessel to reduce bleeding. The present invention also sets forth a method for vascular puncture and more particularly for the arterial puncture procedure. The line of maximal pulsation is ascertained, and a small incision in the skin is made. A dissecting-retracting tool (100) is then employed to create a skin-to-vessel channel. The vessel is inspected through the spread fingers. A tubular access conduit (300), mounted on an obturator-carrier (400), is inserted until it rest upon the vessel. The dissector-retractor (100) is removed and the obturator (400) is withdrawn from the conduit (300) leaving the conduit (300) in place. A needle guide (312) is then passed down inside the conduit (300) to contact the vessel. A needle is advanced to the anterior wall of the artery to enter the lumen. A sponge can be positioned with the conduit pressed against the puncture site to reduce bleeding.
摘要翻译：实现经皮进入血管的装置包括共同作用仪器的几种联合组合，一些能够独立作用的共同作用组合，以及使得能够清楚地看到手术区域，手术部位的精确位置，血管的捕获和固定以及引导在穿刺针的定位和插入中。另外，提供了用于将海绵直接放置在容纳在容器中的入口上以减少渗血的装置。本发明还提出了一种用于血管穿刺的方法，更具体地说是用于动脉穿刺手术。确定最大脉动线，并进行皮肤小切口。然后使用解剖缩回工具（100）来产生皮肤到血管通道。通过手指检查血管。安装在密闭载体（400）上的管状进入导管（300）被插入，直到其搁置在容器上。去除解剖器 - 牵开器（100）并且将封闭器（400）从导管（300）中取出，离开导管（300）就位。然后，针导向器（312）在导管（300）内向下通过以与容器接触。针头前进到动脉的前壁进入管腔。海绵可以定位，导管压靠穿刺部位以减少出血。

16. 发明授权

US08603130B2 Instrument for engaging a body structure 失效
标题翻译：用于接合身体结构的仪器
公开(公告)号：US08603130B2
公开(公告)日：2013-12-10
申请号：US12072603
申请日：2008-02-27
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61M29/00 , A61B17/00 , A61B17/08
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： An instrument for engaging an underlying blood vessel or body structure. The instrument comprises a pair of instrument arms, and an instrument finger extends at an angle from each arm. The distal end of each instrument finger comprises a bottom surface at an angle to the axis of the instrument finger such that it is adapted to rest upon the underlying blood vessel or body structure. In certain embodiments the bottom surfaces are in a plane that is substantially parallel to the plane of the instrument arms.
摘要翻译：用于接合潜在血管或身体结构的仪器。仪器包括一对仪器臂，并且仪器手指从每个臂以一定角度延伸。每个器械手指的远端包括与仪器手指的轴线成一角度的底表面，使得其适于搁置在下面的血管或身体结构上。在某些实施例中，底表面处于基本上平行于器械臂平面的平面内。

17. 发明授权

US08057499B2 Ergonomic hand instrument 有权
标题翻译：符合人体工程学的手持仪器
公开(公告)号：US08057499B2
公开(公告)日：2011-11-15
申请号：US11893852
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： An ergonomic hand instrument with a finger grip loop and a thumb grip loop also has a forefinger control surface on at least one of the instrument arms. The control surface may include a proximally facing curved wall surface to receive the distal end of the tip of the user's forefinger. Forward and downward pressure can be applied with the forefinger with improved control and stability.
摘要翻译：具有手指握环和拇指夹环的符合人体工程学的手工工具还在至少一个仪器臂上具有食指控制表面。控制表面可以包括面向近侧的弯曲壁表面，以接收使用者食指的尖端的远端。可以用食指施加正向和向下的压力，改善控制和稳定性。

18. 发明申请

US20070288045A1 Ergonomic hand instrument 有权
标题翻译：符合人体工程学的手持仪器
公开(公告)号：US20070288045A1
公开(公告)日：2007-12-13
申请号：US11893852
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： An ergonomic hand instrument with a finger grip loop and a thumb grip loop also has a forefinger control surface on at least one of the instrument arms. The control surface may include a proximally facing curved wall surface to receive the distal end of the tip of the user's forefinger. Forward and downward pressure can be applied with the forefinger with improved control and stability.
摘要翻译：具有手指握环和拇指夹环的符合人体工程学的手工工具还在至少一个仪器臂上具有食指控制表面。控制表面可以包括面向近侧的弯曲壁表面，以接收使用者食指的尖端的远端。可以用食指施加正向和向下的压力，改善控制和稳定性。

19. 发明申请

US20080154298A1 Instrument fingers 失效
标题翻译：手指手指
公开(公告)号：US20080154298A1
公开(公告)日：2008-06-26
申请号：US12072603
申请日：2008-02-27
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/00
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： The instrument has a pair of instrument arms, an angled instrument finger is attached to each arm, and the respective bottom surfaces of the distal ends of the angled instrument fingers are substantially parallel to the plane of the instrument arms.
摘要翻译：仪器具有一对仪器臂，倾斜的乐器指状物附接到每个臂，并且倾斜乐器指的远端的相应底表面基本上平行于乐器臂的平面。

20. 发明授权

US06626930B1 Minimally invasive mitral valve repair method and apparatus 有权
标题翻译：微创二尖瓣修复方法及装置
公开(公告)号：US06626930B1
公开(公告)日：2003-09-30
申请号：US09562406
申请日：2000-05-01
申请人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
发明人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
IPC分类号： A61B1708
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

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