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31. 发明授权

US06547799B2 Vessel eversion instrument with pressurizable membrane 失效
标题翻译：具有加压膜的船体外翻仪器
公开(公告)号：US06547799B2
公开(公告)日：2003-04-15
申请号：US09891587
申请日：2001-06-26
申请人： Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Gary W. Knight , Dale R. Schulze
发明人： Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Gary W. Knight , Dale R. Schulze
IPC分类号： A61B1700
CPC分类号： A61B17/11 , A61B17/0401 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/1107 , A61B2017/1121
摘要： An instrument for everting an end of a vessel. The instrument has a tubular member having an axial bore, a distal end and a proximal end. The instrument further also has an elastic membrane sealably mounted on the distal end of the tubular member, a plunger slidably mounted within the axial bore of the body, a spring operationally engaged to the plunger for biasing the plunger in the distal direction and distending the membrane for insertion into the vessel, a distally extending mandrel mounted to the plunger, a sleeve slidably mounted over the membrane and at least a portion of the tubular member, and a proximal seal mounted in the proximal end of the axial bore so that the membrane, the proximal seal, and the axial bore define a sealed chamber. The instrument further comprises a pressure source for pressurizing the sealed chamber to expand the membrane into an expanded configuration, the sleeve limiting radial expansion of the membrane, and for depressurizing the sealed chamber to collapse the membrane into a collapsed configuration.
摘要翻译：一种用于终止船只的工具。仪器具有一个具有轴向孔，远端和近端的管状构件。仪器还具有可密封地安装在管状构件的远端上的弹性膜，可滑动地安装在主体的轴向孔内的柱塞，可操作地接合到柱塞的弹簧，用于沿远端方向偏置柱塞并使膜膨胀用于插入到容器中，安装到柱塞的远侧延伸的心轴，可滑动地安装在膜上的套管和管状构件的至少一部分，以及安装在轴向孔的近端中的近侧密封件，近端密封件和轴向孔限定密封室。该仪器还包括用于对密封室进行加压以将膜膨胀成膨胀构型的压力源，套筒限制膜的径向膨胀，并且用于使密封室减压以将膜塌缩成折叠构型。

32. 发明授权

US06540756B1 Portal acquisition tool 失效
标题翻译：门户采购工具
公开(公告)号：US06540756B1
公开(公告)日：2003-04-01
申请号：US09529895
申请日：2000-04-19
申请人： Thomas F. Vaughan
发明人： Thomas F. Vaughan
IPC分类号： A61B1700
CPC分类号： A61N5/1049 , A61B2090/061 , A61B2090/395 , A61N2005/105
摘要： A tool is provided for use in acquiring a treatment portal on the skin surface of a patient undergoing radiation therapy or the like. The portal acquisition tool includes a template portion having a cut-out pattern for marking the treatment portal on the skin and a handle portion which both facilitates use of the template and includes ruled markings for taking measurements. Additionally, the handle portion is provided with transverse lines for assisting the therapist in altering the source-to-skin distance during the administration of electron energy and an opaque backing which serves as a screen for reflecting the optical distance indicator projected by the linear accelerator.
摘要翻译：提供了用于获取经历放射治疗等的患者的皮肤表面上的治疗门静脉的工具。门户采集工具包括具有用于标记皮肤上的治疗门户的切口图案的模板部分和便于使用模板的手柄部分，并且包括用于进行测量的划线标记。此外，手柄部分设置有横向线，用于帮助治疗师在施加电子能量期间改变源到皮肤距离，以及不透明背衬，其用作反映由线性加速器投影的光学距离指示器的屏幕。

33. 发明授权

US06540739B2 Surgical instrumentation system 有权
公开(公告)号：US06540739B2
公开(公告)日：2003-04-01
申请号：US09902369
申请日：2001-07-09
申请人： Andre Lechot
发明人： Andre Lechot
IPC分类号： A61B1700
CPC分类号： A61B17/1666 , A61B17/1617 , A61B2017/00477 , A61B2090/0813
摘要： Instrument holder comprising a shank (1) equipped with a head (2) designed to receive an instrument and a locking component (4) pushed against the head by a spring (9) bearing on a ring (11) sliding on the shank, and having means of connection (8, 12) on the shank which is engaged by rotation of the ring, in such a way that the release of the ring allows the locking component, the spring and the ring to slide freely in order to permit cleaning of the instrument holder.

34. 发明授权

US06524306B1 Lock device for surgical instruments 有权
标题翻译：手术器械锁定装置
公开(公告)号：US06524306B1
公开(公告)日：2003-02-25
申请号：US09600586
申请日：2000-07-19
申请人： Rune Hennig
发明人： Rune Hennig
IPC分类号： A61B1700
CPC分类号： A61B17/3403 , A61B90/11 , A61B2017/00469 , A61B2090/036 , A61B2090/062
摘要： The invention concerns a lock device for use in connection with elongated surgical instruments such as surgical needles, electrodes, etc., wherein the lock device consists of at least a first and a second distance member which surround the surgical instrument and a third stop member. All the parts are movable in the longitudinal direction relative to the instrument and thereby relative to one another, they are individually lockable in the depth position relative to the instrument and are equipped with indication devices for indication of position relative to one another, with the result that the instrument's movement in the longitudinal direction (depth) is controlled by controlling the distance for the relative movement between the distance members.
摘要翻译：本发明涉及一种用于与诸如外科手术针，电极等的细长手术器械结合使用的锁定装置，其中锁定装置至少包括围绕手术器械的第一和第二距离构件和第三阻挡构件。所有部件可相对于仪器在纵向上相对移动，并且相对于彼此可移动，它们可相对于仪器单独锁定在深度位置，并且配备有用于指示相对于彼此的位置的指示装置，结果通过控制距离构件之间的相对运动的距离来控制仪器在纵向（深度）上的移动。

35. 发明授权

US06517563B1 Pericardium retraction device for positioning a beating heart 失效
标题翻译：用于定位心跳的心包收缩装置
公开(公告)号：US06517563B1
公开(公告)日：2003-02-11
申请号：US09763026
申请日：2001-04-09
申请人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
发明人： Anthony Paolitto , Valerio Valentini , Raymond Cartier
IPC分类号： A61B1700
CPC分类号： A61B17/02 , A61B17/0206 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： A surgical apparatus for suction attachment to a body tissue. The apparatus includes a tissue-engaging component defining a concave vacuum compartment. The vacuum compartment is connectable to a vacuum source. A valve selectively allows and prevents the generation of a vacuum in the vacuum compartment. The peripheral edge of the vacuum compartment is attachable by suction to the body tissue when the vacuum is generated. A valve closing arrangement automatically closes the valve upon the peripheral edge being separated from the body tissue so as to maintain vacuum generating efficiency for the other tissue-engaging components coupled to the same vacuum source.
摘要翻译：用于抽吸附着到身体组织的手术装置。该装置包括限定凹形真空隔室的组织接合部件。真空室可连接到真空源。阀选择性地允许并防止在真空室中产生真空。当产生真空时，真空室的外围边缘可通过抽吸附接到身体组织。当外围边缘与身体组织分离时，阀关闭装置自动关闭阀，以便维持耦合到相同真空源的其它组织接合部件的真空产生效率。

36. 发明授权

US06517550B1 Foreign body retrieval device 有权
标题翻译：异物检索装置
公开(公告)号：US06517550B1
公开(公告)日：2003-02-11
申请号：US09496482
申请日：2000-02-02
申请人： András Kónya , Kenneth C. Wright
发明人： András Kónya , Kenneth C. Wright
IPC分类号： A61B1700
CPC分类号： A61B17/32056 , A61B17/221
摘要： A retrieval device or snare for grasping foreign articles and retrieving them from the body of a patient. The retrieval device includes a catheter open at both ends such that it may be advanced along a guidewire. The distal end of a wire is attached to the first catheter near an opening system within the catheter. The opening system may be a slot or a pair of holes. A portion of the wire is oriented external of the catheter. Manipulation of the proximal end of the wire causes a portion of the wire to form a loop external of the catheter. The catheter may be tapered, as may be the wire. A reinforcing- material may be attached to the portion of the wire that forms the loop. Another reinforcing material may also be attached to the proximal portion of the wire in order to stiffen the wire and improve its pushability. A guidewire may be inserted into a patient and maneuvered to an appropriate location within the patient, the catheter may be advanced over the guidewire, the wire attached to the catheter may be manipulated to capture a foreign body with the loop, and the catheter and foreign body may be withdrawn from the patient.
摘要翻译：用于抓取外来物品并从患者身体检索的检索装置或圈套。检索装置包括在两端打开的导管，使得其可以沿导丝推进。导线的远端在导管内的开口系统附近附接到第一导管。打开系统可以是狭槽或一对孔。导线的一部分定向在导管的外部。线的近端的操作导致线的一部分在导管的外部形成环。导管可以是锥形的，可以是线。加强材料可以附接到形成环的导线的部分。另一种增强材料也可以附着到线的近端部分，以便使线材变硬并提高其可推动性。可以将导丝插入患者体内并操纵到患者内的适当位置，导管可以在导线上前进，可以操纵连接到导管的导线以捕获具有环的异物，以及导管和外来身体可能会从患者身上撤出。

37. 发明授权

US06514238B1 Method for preparation and transplantation of volute grafts and surgical instrument therefor 失效
标题翻译：蜗牛移植物及其手术器械的制备和移植方法
公开(公告)号：US06514238B1
公开(公告)日：2003-02-04
申请号：US08464054
申请日：1995-06-05
申请人： Stephen E. Hughes
发明人： Stephen E. Hughes
IPC分类号： A61B1700
CPC分类号： A61L27/3604 , A61B90/00 , A61B2017/00969 , A61F2/14 , A61F2/148 , A61F9/007 , A61F9/00736 , A61L27/3641 , A61L27/38 , A61L27/3804 , A61L27/3839 , A61L2430/16 , A61M2025/0042
摘要： A method of transplanting a graft in the subretinal area of a host eye comprises preparing the graft by harvesting from the donor tissue a population of cells in a manner that maintains the population of cells in the same organization and cellular polarity as is present in normal tissue of that type. The population of cells are of a sheet-like form and are assembled with a relatively thin flexible pliable carrier composed of a non-toxic flexible composition which substantially dissolves at body temperature to form a graft. The graft is sufficiently flexible and pliable to be coiled to form a volute without disturbing the organization and polarity of the cells. The method further comprises coiling the graft to form a volute with the convolutions of the volute free of one another for subsequent uncoiling of the graft substantially to its original sheet-like form. An incision is made in the host eye for insertion of the volute. The incision in the eye is smaller than the incision that would be required for insertion of the graft in its uncoiled sheet-like form. The volute is inserted one end first into the host eye through the incision and transported to a position between the retina and the underlying tissue. The volute uncoils after its insertion to lie in sheet-like form between the retina and the underlying tissue of the host eye. The incision is then closed.
摘要翻译：在宿主眼睛的视网膜下区域移植移植物的方法包括通过从供体组织收获细胞群来制备移植物，其方式是使细胞群维持在与正常组织中相同的组织和细胞极性的那种。细胞群体是片状形式，并且组装有由无毒的柔性组合物组成的相对薄的柔性柔韧载体，其基本上在体温下溶解以形成移植物。移植物具有足够的柔韧性和柔韧性，可卷起形成蜗壳，而不会干扰细胞的组织和极性。所述方法还包括将所述移植物卷绕以形成蜗壳，所述蜗壳的旋转体彼此不相互旋转，用于随后将所述移植物开卷大致其原始的片状形式。在宿主眼中进行切口以插入蜗壳。眼睛中的切口小于将未接种的片状形式的移植物插入所需的切口。蜗壳通过切口首先插入宿主眼睛，并运送到视网膜和下面的组织之间的位置。蜗壳在其插入之后，在视网膜和宿主眼睛的下面的组织之间以片状形式展开。然后关闭切口。

38. 发明授权

US06511490B2 Gastric banding device and method 失效
标题翻译：胃束带装置及方法
公开(公告)号：US06511490B2
公开(公告)日：2003-01-28
申请号：US09887996
申请日：2001-06-22
申请人： Antoine Jean Henri Robert
发明人： Antoine Jean Henri Robert
IPC分类号： A61B1700
CPC分类号： A61F5/0066 , A61B17/135 , A61F5/0056 , A61M39/0208
摘要： A gastric banding device for implantation within a person for the treatment of morbid obesity. The gastric banding device includes an inflatable band portion dimensioned to encircle the stomach and an inflation conduit operable for conducting a percutaneously injected inflation fluid into the band portion. The band portion is a toroidal member having a head end with first fastening means thereon and a tail end having second fastening means thereon and an inflatable shell therebetween. The outer surface of the toroidal shell in reinforced with a non-extensible, biocompatible material which serves to limit outward expansion of the shell when an inflation fluid is injected thereinto. The inner, stomach-contacting surface of the shell has a layer of an open-cell elastomeric foam affixed thereto and integral therewith. In operation, when the band is placed in an encircling relationship with the stomach, the first and second fastening means on the ends of the shell are engaged in locking relationship. An inflation fluid is injected into the shell by means of a subcutaneously implanted injection port that is in fluid communication with the inflation conduit. As the shell expands inwardly, it constricts and compartmentalizes the stomach. The rough textured, open-cell, stomach-contacting layer on the interior surface of the shell prevents post-implantation migration of the shell. The open-cell layer obviates the need for suturing the stomach to prevent slippage of the banding device.
摘要翻译：用于植入人中用于治疗病态肥胖的胃束带装置。胃束带装置包括尺寸适于围绕胃的可膨胀带部分和可操作以将经皮注射的充气流体引导到带部分中的充气管道。带部分是环形构件，其具有头端，其上具有第一紧固装置，并且尾端具有第二紧固装置和其间的可充气壳体。环形壳体的外表面用不可延伸的生物相容性材料增强，当膨胀流体注入其中时，该材料用于限制壳体向外膨胀。壳的内部与胃接触的表面具有附着在其上并与之成一体的开孔弹性体泡沫层。在操作中，当带与胃部处于环绕关系时，壳体端部上的第一和第二紧固装置以锁定关系接合。通过与充气管道流体连通的皮下植入的注射口将充气流体注入壳体。当壳向内扩张时，它会收缩并分隔胃。壳体内表面上的粗糙纹理，开放细胞，胃接触层防止了植入物外壳迁移。开细胞层消除了缝合胃的需要以防止条带装置的滑动。

39. 发明授权

US06511483B1 Spinal cord removal tool 失效
标题翻译：脊髓去除工具
公开(公告)号：US06511483B1
公开(公告)日：2003-01-28
申请号：US09915099
申请日：2001-07-25
申请人： Peter Gwyther
发明人： Peter Gwyther
IPC分类号： A61B1700
CPC分类号： A22B5/201 , A22B5/0005
摘要： A spinal cord removal tool for removing a spinal cord and spinal cord membrane from a carcass includes a spinning blade disk having multiple removal blades mounted around its perimeter, each removal blade having a forward facing cutting edge that can enter the spinal cord channel and side cutting edges that cooperate with floating self-adjusting side blades to chop the spinal cord membrane as it is brought into the tool.
摘要翻译：用于从胎体去除脊髓和脊髓膜的脊髓去除工具包括具有围绕其周边安装有多个移除刀片的旋转刀片盘，每个移除刀片具有可以进入脊髓通道和侧切割的前向切削刃与浮动的自调节侧叶配合的边缘，当脊髓膜被带入工具时将脊髓膜切断。

40. 再颁专利

USRE37963E1 Knotless suture anchor assembly 有权
标题翻译：无缝缝合锚固装配
公开(公告)号：USRE37963E1
公开(公告)日：2003-01-07
申请号：US09374599
申请日：1999-08-16
申请人： Raymond Thal
发明人： Raymond Thal
IPC分类号： A61B1700
CPC分类号： A61F2/0811 , A61B17/0401 , A61B17/0487 , A61B2017/0403 , A61B2017/0404 , A61B2017/0412 , A61B2017/0414 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/0437 , A61B2017/0438 , A61B2017/044 , A61F2002/0829 , A61F2002/0888 , Y10T24/3469 , Y10T24/4605 , Y10T24/4696 , Y10T24/4698
摘要： A one-piece or two-piece knotless suture anchor assembly for the attachment or reattachment or repair of tissue to a bone mass. The assembly allows for an endoscopic or open surgical procedure to take place without the requirement of tying a knot for reattachment of tissue to bone mass. In one embodiment, a spike member is inserted through tissue and then inserted into a dowel-like hollow anchoring sleeve which has been inserted into a bone mass. The spike member is securely fastened or attached to the anchoring sleeve with a ratcheting mechanism thereby pulling or adhering (attaching) the tissue to the bone mass.
摘要翻译：用于将组织附着或重新附着或修复到骨块的单件或两件式无缝缝合锚固组件。该组件允许进行内窥镜或开放的外科手术，而不需要将组织重新连接到骨块上。在一个实施例中，钉组件插入穿过组织，然后插入已插入骨块的销钉状中空锚定套筒中。尖钉构件用棘轮机构牢固地紧固或附接到锚定套筒，从而将组织拉动或粘附（附着）到骨块上。

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