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41. 发明授权

US08062333B2 Suture retainer with multiple circumferentially spaced attachment points and suture retention method 失效
标题翻译：具有多个周向间隔连接点和缝线保持方法的缝合保持器
公开(公告)号：US08062333B2
公开(公告)日：2011-11-22
申请号：US11061128
申请日：2005-02-17
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B17/04
CPC分类号： A61B17/06061 , A61B17/0487
摘要： The suture retainer according to one aspect of the invention has a retainer body and a plurality of suture attachment mechanisms spaced circumferentially about the retainer body, each of the suture attachment mechanisms (such as a pair of teeth) being adapted to hold a suture strand at a discrete attachment point. Another aspect of the invention provides a method of securing a suture in a suture retainer, including the following steps: providing a suture retainer having a retainer body and a plurality of suture attachment mechanisms spaced circumferentially about the retainer body; and attaching a suture strand to the retainer body at each of the suture attachment mechanisms. Yet another aspect of the invention provides a suturing method including the steps of: attaching a first end of a suture strand to a suture retainer; contacting a tissue contact portion of the suture strand with tissue to be sutured, the tissue contact portion being disposed between the first end of the suture strand and a second end of the suture strand; and attaching the second end of the suture strand to the suture retainer at a plurality of suture attachment points spaced circumferentially about the suture retainer.
摘要翻译：根据本发明的一个方面的缝合线保持器具有保持器主体和围绕保持器本体周向间隔开的多个缝合线附接机构，每个缝合线附接机构（例如一对齿）适于将缝合线保持在离散的附着点。本发明的另一方面提供了一种将缝合线固定在缝合线保持器中的方法，包括以下步骤：提供具有保持器主体的缝合线保持器和围绕保持器本体周向间隔开的多个缝合线附接机构; 以及在每个缝合线附接机构处将缝合线附接到保持器主体。本发明的另一方面提供了一种缝合方法，其包括以下步骤：将缝合线的第一端附接到缝合线保持器; 使缝合线的组织接触部分与要缝合的组织接触，组织接触部分设置在缝合线的第一端和缝线之间的第二端之间; 以及将所述缝合线的第二端在围绕所述缝合线保持器周向间隔开的多个缝合线附接点处附接到所述缝合线保持器。

42. 发明授权

US07641094B2 Apparatus and method for surgical fastening 有权
标题翻译：手术紧固装置及方法
公开(公告)号：US07641094B2
公开(公告)日：2010-01-05
申请号：US10697523
申请日：2003-10-30
申请人： Helmut L. Kayan , James E. Jervis
发明人： Helmut L. Kayan , James E. Jervis
IPC分类号： A61B17/04
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus and method for applying fasteners during endoscopic surgery. The apparatus vertically stacks fasteners in a fastener applicator which is detachable and replaceable from a handle portion by a rotational locking system. The fasteners are applied by moving them to a driving channel by a biased fastener positioning spring as a slide is retracted; the slide is then advanced until it engages a fastener in the driving channel and drives the fastener over an anvil. During advancement of the slide a biased stop spring is forced back into a recess thereby allowing the next fastener to move forward in the storage channel; the slide is then retracted, freeing biased ejector springs to kick the formed fastener off the anvil; finally the slide is further retracted, until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.
摘要翻译：内窥镜手术中应用紧固件的装置和方法。该装置将紧固件垂直地堆叠在紧固件施加器中，其通过旋转锁定系统从手柄部分可拆卸和可更换。当滑块缩回时，通过偏置紧固件定位弹簧将它们移动到驱动通道来施加紧固件; 滑块然后前进直到其接合在驱动通道中的紧固件并将紧固件驱动在砧上。在滑动件的前进期间，偏置的止动弹簧被迫回到凹部中，从而允许下一个紧固件在储存通道中向前移动; 然后将滑块缩回，释放偏置的顶出弹簧以将形成的紧固件踢出砧座; 最后，滑块进一步缩回，直到紧固件定位弹簧再次自由地将最远的紧固件从存储通道移动到驱动通道中。

43. 发明授权

US07594920B2 Blood vessel clip and applicator 有权
标题翻译：血管夹和敷贴器
公开(公告)号：US07594920B2
公开(公告)日：2009-09-29
申请号：US10751579
申请日：2004-01-05
申请人： Helmut Kayan , James E. Jervis
发明人： Helmut Kayan , James E. Jervis
IPC分类号： A61B17/10
CPC分类号： A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0042 , A61B2017/00429
摘要： An apparatus for applying a blood vessel clip includes a grip assembly having a handle, an applicator barrel attached to the grip assembly, a magazine connected to the applicator barrel, and a plunger connected to the grip assembly. The magazine has a plunger space and a magazine passage separated by a divider shim. A distal end of the magazine defines an exit aperture. The magazine passage is adapted for storing at least one blood vessel clip therein. The magazine includes a constricted region narrower than a head of the blood vessel clip. The constricted region is spaced apart from the exit aperture and has a narrowest point narrower than the exit aperture. The plunger extends into the plunger space. The plunger moves the at least one blood vessel clip distally through the constricted region and the exit aperture.
摘要翻译：用于施加血管夹的装置包括具有手柄的抓握组件，附接到抓握组件的施用器筒，连接到施用器筒的仓和连接到抓握组件的柱塞。该杂志具有一个柱塞空间和一个由分隔垫片隔开的杂物通道。仓的远端限定出口孔。杂志通道适于在其中存储至少一个血管夹。该杂志包括比血管夹的头部窄的狭窄区域。收缩区域与出口孔间隔开，并且具有比出口孔窄的最窄点。柱塞伸入柱塞空间。柱塞将至少一个血管夹向远侧移动通过收缩区域和出口孔。

44. 发明申请

US20090030258A1 Method and apparatus for modifying distance from a brachytherapy radiation source to sensitive anatomical structures 有权
标题翻译：用于修改从近距离放射治疗辐射源到敏感解剖结构的距离的方法和装置
公开(公告)号：US20090030258A1
公开(公告)日：2009-01-29
申请号：US11881835
申请日：2007-07-28
申请人： Steve Axelrod , James E. Jervis , Paul A. Lovoi
发明人： Steve Axelrod , James E. Jervis , Paul A. Lovoi
IPC分类号： A61M36/06
CPC分类号： A61M25/1011 , A61B2017/22069 , A61M25/1002 , A61M2025/1061 , A61N5/1015
摘要： A balloon brachytherapy applicator has either a single or double chambers, with the capability of “blistering” outwardly at a specified area on one side of the balloon. This is useful to move sensitive tissue, such as skin or bone, farther away from a radiation source within a source guide inside the balloon. In one case a secondary balloon or secondary compartment is formed on the primary balloon, and is separately inflatable so as to allow blistering as desired when needed. In another form the balloon comprises a single chamber, primarily of inelastic or fairly rigidly elastic wall material, but with a “window” or area in which the balloon wall is elastic, or substantially more elastic than the main balloon wall, so that inflation of the balloon up to a certain point forms a substantially regular balloon shape (which may be approximately spherical), and the addition of further pressure will blister out the elastic area to increase the distance between the shaft and the sensitive tissue in a desired orientation of the balloon.
摘要翻译：气球近距离放射治疗器具有单室或双室，在气球一侧的指定区域处具有“起泡”的能力。这对于将敏感组织（例如皮肤或骨骼）移动离气囊内的源引导件内的辐射源更远是有用的。在一种情况下，次级球囊或次级隔室形成在主气囊上，并且可分开地充气，以便在需要时根据需要允许起泡。在另一种形式中，气囊包括主要为非弹性或相当刚性弹性的壁材料的单个腔室，但具有球囊壁具有弹性或比主气囊壁基本上更有弹性的“窗口”或区域，从而使气球直到某一点形成基本上规则的气球形状（其可以近似为球形），并且增加进一步的压力将使弹性区域起泡以增加轴和敏感组织之间的距离，气球。

45. 发明授权

US07396362B2 Prosthesis and method for deployment within a body lumen 失效
标题翻译：在体腔内部署的假体和方法
公开(公告)号：US07396362B2
公开(公告)日：2008-07-08
申请号：US10244765
申请日：2002-09-16
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61F2/84
CPC分类号： A61F2/90 , A61F2/88 , A61F2/95 , A61F2002/9505 , A61F2002/9528
摘要： A stent and catheter for implanting or removing a helical-shaped stent within a body passageway; the catheter having an elongate sheath with a socket for securing one end of the stent at a distal region of the sheath and an inner member extending from the sheath, and also having a socket at a distal region of the inner member for securing the other end of the stent. The inner member is rotatable relative to the sheath to transmit torque to the stent to permit unwinding of the helical stent at its limiting strain to expand the stent. Also discussed are methods for performing procedures for implanting or removing a helical stent from a body passageway.
摘要翻译：用于在身体通道内植入或移除螺旋形支架的支架和导管; 所述导管具有细长护套，所述护套具有用于将所述支架的一端固定在护套的远侧区域处的插槽和从护套延伸的内部构件，并且还在内部构件的远侧区域具有用于固定另一端的插座的支架内部构件可相对于护套旋转，以将扭矩传递到支架，以允许螺旋支架在其极限应变下展开以扩张支架。还讨论了用于执行从身体通道植入或移除螺旋支架的过程的方法。

46. 发明授权

US06986774B2 Method of manipulating matter in a mammalian body 有权
公开(公告)号：US06986774B2
公开(公告)日：2006-01-17
申请号：US10238813
申请日：2002-09-09
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis
IPC分类号： A61F11/00
CPC分类号： A61B10/02 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/29 , A61B17/30 , A61B17/320016 , A61B17/3201 , A61B17/32056 , A61B17/3421 , A61B18/082 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , A61B2017/2212 , A61B2017/2215 , A61B2017/2905 , A61B2017/2927 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943 , A61B2017/303 , A61B2017/320064 , A61B2017/32113 , A61B2018/00642 , A61B2018/00791 , A61B2018/1407 , A61B2090/0811 , A61F2002/30093 , A61F2210/0019 , B25B9/00 , B26B13/26
摘要： The invention provides a method of using an apparatus for manipulating matter in a confined or inaccessible space, comprising providing an apparatus having manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the temperature.

47. 发明授权

US06562056B2 Balloon device for use in surgery and method of use 失效
标题翻译：气球装置用于手术和使用方法
公开(公告)号：US06562056B2
公开(公告)日：2003-05-13
申请号：US09945604
申请日：2001-09-04
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61M25/1027 , A61M25/1029 , A61M25/1034 , A61M25/1036 , A61M29/02 , A61M2025/1054
摘要： A balloon device useful for dissecting tissue or retracting tissue for the purpose of providing space for laproscopic surgery includes a balloon having at least two protuberances in its distal region. The present device is particularly useful in bladder neck suspension and hernia repair procedures.
摘要翻译：用于解剖组织或缩回组织以用于提供用于腹腔镜手术的空间的气囊装置包括在其远侧区域中具有至少两个突起的气囊。本装置在膀胱颈悬液和疝修补程序中特别有用。

48. 发明授权

US06533805B1 Prosthesis and method for deployment within a body lumen 失效
标题翻译：在体腔内部署的假体和方法
公开(公告)号：US06533805B1
公开(公告)日：2003-03-18
申请号：US08627667
申请日：1996-04-01
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61F206
CPC分类号： A61F2/90 , A61F2/88 , A61F2/95 , A61F2002/9505 , A61F2002/9528
摘要： A stent and catheter for implanting or removing a helical-shaped stent within a body passageway; the catheter having an elongate sheath capable of being secured to one end of the stent at a distal region of the sheath and an inner member extending from the sheath capable of being secured to the other end of the stent. The inner member is rotatable relative to the sheath to transmit torque to the stent to permit unwinding of the helical stent at its limiting strain to expand the stent. Also discussed are methods for performing procedures for implanting or removing a helical stent from a body passageway.
摘要翻译：用于在身体通道内植入或移除螺旋形支架的支架和导管; 所述导管具有能够在所述护套的远侧区域处固定到所述支架的一端的细长护套，以及从所述护套延伸的内部构件，所述内部构件能够固定到所述支架的另一端。内部构件可相对于护套旋转，以将扭矩传递到支架，以允许螺旋支架在其极限应变下展开以扩张支架。还讨论了用于执行从身体通道植入或移除螺旋支架的过程的方法。

49. 发明授权

US06432121B1 Apparatus and method for guiding placement of a minimally invasive surgical instrument 失效
标题翻译：用于引导微创手术器械放置的装置和方法
公开(公告)号：US06432121B1
公开(公告)日：2002-08-13
申请号：US09384806
申请日：1999-08-27
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61M25/1038 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0194 , A61M25/0668 , A61M25/1002 , A61M29/02 , A61M2025/1081
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。还公开了各种气球结构和可重复使用的设计。

50. 发明授权

US06330964B1 Apparatus and method for surgical fastening 有权
标题翻译：手术紧固装置及方法
公开(公告)号：US06330964B1
公开(公告)日：2001-12-18
申请号：US09285478
申请日：1999-04-02
申请人： Helmut L. Kayan , James E. Jervis
发明人： Helmut L. Kayan , James E. Jervis
IPC分类号： A61B17068
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus for applying fasteners during endoscopic surgery includes a handle portion, a triggering mechanism and a fastener application. The fastener applicator is detachable from the handle portion by virtue of a rotational locking system and may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The fastener may be formed around a single point on an anvil. The fastener applicator having only one actuated part in its applicator mechanism, and makes use of biased springs controlled by the position of the actuated part for the remaining part of the mechanism. Another embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus applicator mechanism will not reverse in the middle of a triggered application stroke. A method of applying a fastener includes the following steps: moving a fastener from a storage channel, where it has been vertically stacked, to a driving channel by a biased fastener positioning spring as a slide is retracted; advancing the slide until the slide engages the fastener in the driving channel and drives the fastener over an anvil to form the fastener. During advancement of the slide a biased stop spring is forced back into a recess thereby allowing the next fastener to move forward in the storage channel in response to the force of a biased pusher spring; retracting the slide thereby freeing the biased ejector springs to kick the formed fastener off the end of the anvil; and further retracting the slide until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.
摘要翻译：用于在内窥镜手术中应用紧固件的装置包括手柄部分，触发机构和紧固件应用。紧固件施加器通过旋转锁定系统可从手柄部分拆卸，并且可以用新的紧固件施加器代替，该紧固件施加器具有垂直堆叠的紧固件的新鲜负荷。紧固件可以围绕砧座上的单个点形成。紧固件施加器在其施加器机构中仅具有一个致动部件，并且利用由该致动部件的位置控制的偏置弹簧用于机构的剩余部分。本发明的另一个实施例将柱塞/棘轮组件和棘爪部署在装置的手柄部分内，以确保装置施加器机构在触发的施加冲程的中间不会反转。一种施加紧固件的方法包括以下步骤：当滑架缩回时，通过偏置的紧固件定位弹簧将紧固件从垂直堆叠的存储通道移动到驱动通道; 推进滑块直到滑块与驱动通道中的紧固件接合并且将紧固件驱动在砧座上以形成紧固件。在滑块的前进期间，偏置的止动弹簧被迫回到凹部中，从而允许下一个紧固件响应于偏压的推动弹簧的力而在储存通道中向前移动; 缩回滑块，从而释放偏置的顶出弹簧，将形成的紧固件从砧座的端部踢出; 并进一步缩回滑块，直到紧固件定位弹簧再次自由地将最远的紧固件从存储通道移动到驱动通道中。

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