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41. 发明授权

US07395822B1 Method and apparatus for adjustable sling for treatment of urinary stress incontinence 失效
标题翻译：用于治疗尿失禁的可调节吊带的方法和装置
公开(公告)号：US07395822B1
公开(公告)日：2008-07-08
申请号：US09561551
申请日：2000-04-28
申请人： John H. Burton , Timothy C. Cook
发明人： John H. Burton , Timothy C. Cook
IPC分类号： A61F5/48
CPC分类号： A61F2/0045 , A61F2/004 , A61F2250/0003
摘要： An method and apparatus for an adjustable sling for treatment of urinary stress incontinence. The present system includes apparatus and methods for postoperative adjustment of sling tension using adjustable elements in the sling assembly. The present system also provides a number of demonstrative embodiments for an adjustable sling where positioning of the bladder is controlled using the adjustable sling and where coaptation of the urethra is controlled by postoperative inflation of one or more balloons mounted in a sling cup.Methods and apparatus are provided for adjusting the adjustable sling after surgical implantation. In one embodiment a self sealing septum is located near the skin for convenient filling using a syringe. Multiple port embodiments are also discussed.
摘要翻译：一种用于治疗尿失禁的可调节吊带的方法和装置。本系统包括使用吊索组件中的可调元件来术后调整吊索张力的装置和方法。本系统还提供了用于可调节吊带的许多说明性实施例，其中使用可调节的吊带来控制膀胱的定位，并且其中尿道的接合由安装在吊架中的一个或多个气囊的术后充气来控制。提供了用于在手术植入后调节可调节吊带的方法和装置。在一个实施例中，自密封隔膜位于皮肤附近，以便于使用注射器方便的填充。还讨论了多个端口实施例。

42. 发明申请

US20080156334A1 IMPLANTABLE DEVICE AND METHOD FOR ADJUSTABLY RESTRICTING A BODY LUMEN 有权
标题翻译：可调节装置和方法，适用于调节体温
公开(公告)号：US20080156334A1
公开(公告)日：2008-07-03
申请号：US12051515
申请日：2008-03-19
申请人： John H. Burton , Timothy C. Cook
发明人： John H. Burton , Timothy C. Cook
IPC分类号： A61F5/48 , A61M31/00 , A61B19/00
CPC分类号： A61B17/12 , A61B17/12013 , A61B2017/00539 , A61B2017/00557 , A61B2017/22051 , A61B2017/22062 , A61B2017/22067 , Y10S128/25
摘要： An implantable device and method for adjustably restricting a selected body lumen such as the urethra of a patient to treat urinary incontinence. The device includes an expandable element or membrane such as a balloon attached pressure-tightly to a flexible conduit at its forward end and includes a rear port portion containing an elastic septum and flow connected to the expandable element by a first passageway. The conduit contains a second passageway which allows it to be slid along an elongated guide probe initially inserted surgically into a patient's body adjacent the body lumen which is to be adjustably restricted. A suitable flowable material is injected from a syringe source into the device rear port sufficient to expand the membrane element and restrict the body lumen to the desired degree. The syringe and guide probe are removed and the skin incision is closed over the rear port end of the implanted device. The rear port septum is located under but near the patient's skin so that if it becomes necessary to post-operatively increase or decrease the degree of body lumen restriction it may be easily accessed with the needle of the syringe.
摘要翻译：一种用于可调节地限制所选择的体腔（例如患者的尿道）以治疗尿失禁的可植入装置和方法。该装置包括可膨胀元件或膜，例如在其前端处与柔性管道紧密连接的气囊，并且包括容纳弹性隔膜的后端口部分和通过第一通道连接到可膨胀元件的流体。导管包含第二通道，其允许其沿着最初插入手术的细长引导探针滑动到与可调节地限制的体腔相邻的患者体内。将合适的可流动材料从注射器源注入装置后端口中，足以使膜元件膨胀并将体腔限制到期望的程度。移除注射器和引导探针，并将皮肤切口封闭在植入装置的后端口端上。后端口隔膜位于患者皮肤附近，但靠近患者皮肤，因此如果需要在手术后增加或减少体腔限制的程度，则可以用注射器的针头轻松接近。

43. 发明授权

US06471718B1 Method and device for loading a stent 有权
标题翻译：用于装载支架的方法和装置
公开(公告)号：US06471718B1
公开(公告)日：2002-10-29
申请号：US09688510
申请日：2000-10-16
申请人： Bradford G. Staehle , Anthony J. Ferrazzo , John H. Burton
发明人： Bradford G. Staehle , Anthony J. Ferrazzo , John H. Burton
IPC分类号： A61F206
CPC分类号： A61F2/0095 , A61F2/95 , A61F2002/9522 , Y10S623/909
摘要： A device for loading a self expanding stent into a deployment tool has an outer tube defining a space. The device has a constricting sheath with a stent delivery end and a stent receiving opening opposite thereto. The constricting sheath is open therethrough with the stent delivery end and the stent receiving opening aligned along an axis thereof. The stent delivery end is shaped and sized for slipping over the outer tube. The stent receiving opening is shaped and sized to receive a self expanding stent aligned along the axis and in its expanded state. A rest within the delivery end is located for seating the constricting sheath along the axis and in position over the outer tube. A funnel is positioned within the constricting sheath located between the stent delivery end and the stent receiving opening. The funnel is shaped for collapsing the self expanding stent before loading into the space of the outer tube. An inserter is depressed for movement along the axis and within the constricting sheath towards the space. The inserter has a stent carrying shaft to support the expanded stent thereabout and cantilever therefrom. A shoulder on the stent carrying shaft may engage the expanded stent for urging the expanded stent into the constricting sheath as the inserter moves towards and into the funnel of the constricting sheath. A method for using the device might include the steps of slipping over the outer tube, seating the constricting sheath along the axis and in position over the outer tube and against the rest, collapsing the self expanding stent before loading into the space of the outer tube in the funnel, carrying the stent on the stent carrying shaft cantilever therefrom, depressing the inserter for movement along the axis and within the constricting sheath towards the space of the outer tube, and engaging the stent with the shoulder for urging the expanded stent into the constricting sheath as the inserter moves towards and into the funnel.
摘要翻译：用于将自扩张支架装载到展开工具中的装置具有限定空间的外管。该装置具有收缩鞘，其具有支架输送端和与其相对的支架接收开口。收缩鞘通过其中支架输送端和支架接收口沿其轴线对准而打开。支架输送端的形状和尺寸适于在外管上滑动。支架接收开口的形状和尺寸被设计成接纳沿轴线和处于其膨胀状态的自扩张支架。位于输送端内的休息位置用于将收缩鞘沿着轴线放置在外管上。漏斗定位在位于支架输送端和支架接收开口之间的收缩套内。漏斗形成用于在装载到外管的空间之前使自膨胀支架塌缩。插入器被压下以沿着轴线并且在收缩鞘内朝向空间移动。插入器具有支架承载轴，以支撑其上的扩张支架并从其中悬臂。支架承载轴上的肩部可以与扩张的支架接合，以在插入器向收缩鞘的漏斗移动时将扩张的支架推进收缩鞘。使用该装置的方法可以包括以下步骤：滑过外管，将收缩鞘沿着轴线定位并位于外管上并抵靠其余部分，在装载到外管的空间内之前使自膨胀支架塌缩在漏斗中，将支架承载在悬臂上的支架轴上，按压插入器以沿着轴线并且在收缩鞘内朝向外管的空间移动，并且将支架与肩部接合以将扩张的支架推入当插入器朝向漏斗移动时收缩护套。

44. 发明授权

US06419624B1 Apparatus and method for inserting an adjustable implantable genitourinary device 有权
公开(公告)号：US06419624B1
公开(公告)日：2002-07-16
申请号：US09415801
申请日：1999-10-11
申请人： John H. Burton , Richard A. Noddin , Dale L. Schreiner , Timothy C. Cook
发明人： John H. Burton , Richard A. Noddin , Dale L. Schreiner , Timothy C. Cook
IPC分类号： A61F200
CPC分类号： A61F2/0027 , A61F2/004 , Y10S128/25
摘要： An implantable medical device and method for adjustably restricting a selected body lumen such as a urethra or ureter of a patient to treat urinary incontinence or ureteral reflux. The device includes an adjustable element and a tubular elongate body, where the adjustable element includes a chamber and the tubular elongate body includes at least a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber. Fluid volume passed through the first passageway is used for adjustably expanding or contracting the adjustable element. The implantable medical device further includes a sheath and a sleeve, where the sheath includes a wall having an inner surface which defines a channel through which at least a portion of the implantable device and the sleeve can pass. Alternatively, the implantable medical device includes a tip suitable to penetrate tissue so that the implantable medical device can be implanted within the tissue of a patient.

45. 发明授权

US5141509A Penile prosthesis having means for preventing spontaneous inflation 失效
标题翻译：阴茎假体具有防止自发充气的手段
公开(公告)号：US5141509A
公开(公告)日：1992-08-25
申请号：US741004
申请日：1991-08-06
申请人： John H. Burton , Dezso K. Levius
发明人： John H. Burton , Dezso K. Levius
IPC分类号： A61F2/26
CPC分类号： A61F2/26
摘要： An inflatable penile prosthesis having at least one inflatable cylinder or pressurizable chamber, a fluid reservoir, pump means, and valves for permitting the flow of fluid between said reservoir and cylinder or chamber as a consequence of pressure changes, wherein to prevent spontaneous inflation there is provided an additional lock-out valve disposed at a point between the reservoir and chamber, which will be opened only by the application of a suitable pressure or force exerted volitionally from without the prosthesis. In a preferred embodiment the prosthesis is of a non-unitary type in which the pump means is in the scrotum.
摘要翻译：一种充气阴茎假体，其具有至少一个可充气气缸或可加压室，流体储存器，泵装置和阀，用于允许由于压力变化而在所述容器和气缸或腔室之间流动的流体，其中为了防止自发膨胀提供了设置在储存器和腔室之间的点处的附加的锁定阀，其仅通过施加从没有假体而施加的合适的压力或力而被打开。在优选实施例中，假体是非整体型的，其中泵装置在阴囊内。

46. 发明授权

US4383525A Implantable penile prosthetic cylinder with inclusive fluid reservoir 失效
标题翻译：植入式阴茎假体圆柱体，包含流体储层
公开(公告)号：US4383525A
公开(公告)日：1983-05-17
申请号：US264202
申请日：1981-05-15
申请人： F. Brantley Scott , John H. Burton
发明人： F. Brantley Scott , John H. Burton
IPC分类号： A61F2/26 , A61F5/00
CPC分类号： A61F2/26
摘要： A surgically implantable prosthesis for the treatment of penile erectile impotence in male patients. The device comprises at least one elongated cylinder implanted within one of the corpora cavernosa of the penis. The flexible, distal end of the cylinder is adapted to rigidize upon being filled with pressurizing fluid. The rear tip or proximal end of the cylinder is formed to provide a chamber which serves as a fluid reservoir. Valve means contained within the cylinder controls fluid flow between the rear tip reservoir and the flexible, distal end of the cylinder. The prosthesis further includes a manually operable pump means utilized to transfer pressurized fluid from the rear tip reservoir to the distal end of the cylinder in order to achieve an erection. The walls of the rear tip reservoir itself may serve as the pump means; or a separate pump may be implanted within the scrotum.
摘要翻译：一种用于治疗男性患者阴茎勃起阳A的手术植入式假体。该装置包括植入阴茎海绵体的一个内的至少一个细长圆柱体。气缸的柔性远端适于在充满加压流体时刚性化。气缸的后端或近端形成为提供用作流体储存器的室。容纳在气缸内的阀装置控制在后尖端储存器与气缸的柔性远端之间的流体流动。假体还包括手动操作的泵装置，用于将加压流体从后尖端储存器传送到气缸的远端，以实现勃起。后端容器本身的壁可以用作泵装置; 或者可以在阴囊内植入单独的泵。

47. 发明授权

US3987789A Malleable penile prosthesis 失效
标题翻译：可恶的先知
公开(公告)号：US3987789A
公开(公告)日：1976-10-26
申请号：US626373
申请日：1975-10-28
申请人： Gerald W. Timm , John H. Burton
发明人： Gerald W. Timm , John H. Burton
IPC分类号： A61F2/00 , A61F2/26 , A61L27/06 , A61F5/00 , A61F5/42
CPC分类号： A61L27/06 , A61F2/26 , A61F2310/00023
摘要： A prosthesis adapted to be implanted in the penis for simulating an erection is disclosed herein. The prosthesis includes an elongated, malleable rod portion which is housed within a generally tubular, physiologically inert plastic body. The malleable rod portion enables the prosthesis to be conformed to a variety of shapes by bending or twisting same. During intercourse the prosthesis will maintain the penis in an erectile state, and afterwards the penis may be positioned and maintained by the prosthesis in a convenient, comfortable position.

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