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41. 发明申请

US20080097467A1 SYSTEM AND METHODS FOR PREVENTING INTRAVASATION DURING INTRAUTERINE PROCEDURES 有权
标题翻译：系统和方法，用于在肛门手术过程中预防侵入
公开(公告)号：US20080097467A1
公开(公告)日：2008-04-24
申请号：US11852116
申请日：2007-09-07
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. Distension is achieved mechanically, rather than with liquid distension media, thereby eliminating the risk of intravasation.
摘要翻译：公开了用于执行改善的妇科和泌尿系统程序的系统，方法，装置和装置。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。扩张是机械地实现的，而不是液体膨胀介质，从而消除了渗透的风险。

42. 外观设计

USD349339S Surgical adhesion barrier applicator 失效
公开(公告)号：USD349339S
公开(公告)日：1994-08-02
申请号：US163
申请日：1992-10-05
申请人： Mary B. Youtsler , Ronald D. Adams , Kevin R. O'Brian , Richard M. O'Grady , Robert L. Marvin, Jr. , Kenneth C. Deutsch , John O. White
设计人： Mary B. Youtsler , Ronald D. Adams , Kevin R. O'Brian , Richard M. O'Grady , Robert L. Marvin, Jr. , Kenneth C. Deutsch , John O. White

43. 发明授权

US09392935B2 Methods for performing a medical procedure 有权
标题翻译：执行医疗程序的方法
公开(公告)号：US09392935B2
公开(公告)日：2016-07-19
申请号：US11923482
申请日：2007-10-24
申请人： Ronald D. Adams , William H. Gruber , David L. Foshee , Theodore J. Mosler , Douglas R. Drew
发明人： Ronald D. Adams , William H. Gruber , David L. Foshee , Theodore J. Mosler , Douglas R. Drew
IPC分类号： A61B1/00 , A61B1/303 , A61B17/02 , A61B17/42 , A61M25/00 , A61B1/12 , A61B17/00 , A61B17/22 , A61B17/3207 , A61B17/34
CPC分类号： A61B1/303 , A61B1/00135 , A61B17/0218 , A61B17/42 , A61B2017/00867 , A61B2017/22069 , A61B2017/320775 , A61B2017/3445 , A61B2017/4216 , A61B2090/3614 , A61M25/0023 , A61M25/0097
摘要： Methods are disclosed, for performing therapeutic or diagnostic procedures at a remote site. According to one embodiment, the methods include the use of a system including an introducer designed for transcervical insertion into the uterus. The introducer is constructed to include a fluid lumen, an instrument lumen, and a visualization lumen. The system may include a fluid source, which is coupled to the fluid lumen and is used to deliver a fluid to the uterus either for washing the uterus or for fluid distension of the uterus. The system additionally includes a tissue modifying device, such as a morcellator, and a distension device for distending the uterus and/or for maintaining the uterus in a distended state. The tissue modifying device and the distension device are alternately deliverable to the uterus through the instrument lumen. The system may further include a hysteroscope deliverable to the uterus through the visualization lumen.
摘要翻译：公开了用于在远程站点执行治疗或诊断程序的方法。根据一个实施例，所述方法包括使用包括设计用于子宫颈插入子宫的导引器的系统。导引器被构造成包括流体腔，仪器腔和可视腔。该系统可以包括流体源，该流体源联接到流体腔并且用于将流体输送到子宫以用于洗涤子宫或用于子宫的流体膨胀。该系统还包括组织修改装置，例如morcellator，以及膨胀装置，用于使子宫膨胀和/或维持子宫处于扩张状态。组织改变装置和膨胀装置交替地通过仪器内腔递送到子宫。该系统还可以包括通过可视化腔输送到子宫的子宫镜。

44. 发明授权

US08647349B2 Systems for performing gynecological procedures with mechanical distension 有权
标题翻译：用机械膨胀进行妇科手术的系统
公开(公告)号：US08647349B2
公开(公告)日：2014-02-11
申请号：US11852151
申请日：2007-09-07
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. The system and devices provide simplified use and reduced risk of adverse events. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. An intrauterine access end procedure system includes a mechanical distension element, to eliminate the need for liquid distension media at pressure sufficient to create a risk of intravasation.
摘要翻译：公开了用于执行改进的妇科和泌尿系统程序的系统，方法，装置和装置。系统和设备提供简单的使用和降低不良事件的风险。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。子宫内进入结束程序系统包括机械膨胀元件，以在足以产生渗透风险的压力下消除对液体膨胀介质的需要。

45. 发明授权

US08480700B2 Full thickness resection device 失效
标题翻译：全厚度切除装置
公开(公告)号：US08480700B2
公开(公告)日：2013-07-09
申请号：US13299092
申请日：2011-11-17
申请人： Ronald D. Adams
发明人： Ronald D. Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/320783 , A61B1/00087 , A61B1/00181 , A61B1/0051 , A61B1/05 , A61B1/0676 , A61B1/0684 , A61B1/12 , A61B1/31 , A61B17/0686 , A61B17/072 , A61B17/320016 , A61B90/30 , A61B90/361 , A61B90/37
摘要： A system for treating a target tissue includes (a) an instrument head sized and shaped for insertion into a hollow organ of a living body, the instrument head including a working chamber movable between an open position in which the working chamber is exposed to an exterior of the head and a closed position in which the working chamber is substantially sealed with respect to an exterior of the instrument head, the instrument head including a first imaging device having a field of view extending distally of a distal end thereof and a second imaging device having a field of view within the working chamber; (b) a handle which, during use, remains outside the living body, the handle including an actuator; (c) a steering mechanism coupled to the actuator for steering the instrument head within the hollow organ based on actuation of the actuator; and (d) a controller coupled to the first and second imaging devices for processing the image data received from the first and second imaging devices and providing images to an operator.
摘要翻译：用于治疗目标组织的系统包括（a）尺寸和形状用于插入生物体的中空器官的器械头，所述器械头包括可在工作室暴露于外部的打开位置之间移动的工作室的头部和关闭位置，其中所述工作室相对于所述器械头的外部基本上被密封，所述器械头包括第一成像装置，所述第一成像装置具有从其远端向远端延伸的视场;以及第二成像装置在工作室内有视野; （b）手柄，其在使用期间保持在所述生物体的外部，所述把手包括致动器; （c）联接到所述致动器的转向机构，其基于所述致动器的致动而转向所述中空器官内的所述仪器头; 和（d）耦合到第一和第二成像装置的控制器，用于处理从第一和第二成像装置接收的图像数据并向操作者提供图像。

46. 发明申请

US20080097469A1 INTRAUTERINE ACCESS AND PROCEDURE SYSTEM WITH LATERALLY DEFLECTABLE SHEATH 审中-公开
标题翻译：具有侧向防水性能的入口和过程系统
公开(公告)号：US20080097469A1
公开(公告)日：2008-04-24
申请号：US11852142
申请日：2007-09-07
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/20 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. An intrauterine access and procedure system includes a laterally deflectable sheath. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.
摘要翻译：公开了用于执行改善的妇科和泌尿系统程序的系统，方法，装置和装置。子宫内进入和手术系统包括横向偏转鞘。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

47. 发明授权

US07074229B2 Device for performing endoluminal fundoplication 有权
标题翻译：用于进行腔内胃底切开术的装置
公开(公告)号：US07074229B2
公开(公告)日：2006-07-11
申请号：US10773308
申请日：2004-02-09
申请人： Ronald D. Adams , Charles H. Pugsley, Jr.
发明人： Ronald D. Adams , Charles H. Pugsley, Jr.
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0643 , A61B17/10 , A61B17/1285 , A61B2017/003 , A61B2017/00353 , A61B2017/0417 , A61B2017/0419 , A61B2017/0647 , A61B2017/2905
摘要： A method and device for performing endoluminal fundoplication are described. A device is inserted in the patient's stomach through the esophagus, including an unit adapted to grasp and pull a portion of the gastroesophageal junction into the stomach, and an unit adapted to move a portion of the fundus towards the esophagus. The device also can place fasteners to hold the gastric wall and the esophageal wall secured together, thus forming a valve between esophagus and stomach. An adhesive compound can be used to stabilize the juncture of the two walls.
摘要翻译：描述了用于进行腔内胃底切开术的方法和装置。一种装置通过食道插入患者的胃中，包括适于将胃食管结合部分的一部分抓住并拉到胃中的单元，以及适于将眼底部分向食道移动的单元。该装置还可以放置紧固件以将胃壁和食管壁固定在一起，从而在食道和胃之间形成阀。可以使用粘合剂来稳定两个壁的接合部。

48. 发明授权

US06605078B2 Full thickness resection device 失效
公开(公告)号：US06605078B2
公开(公告)日：2003-08-12
申请号：US09994518
申请日：2001-11-26
申请人： Ronald D. Adams
发明人： Ronald D. Adams
IPC分类号： A61B1700
CPC分类号： A61B17/320783 , A61B1/00087 , A61B1/00181 , A61B1/0051 , A61B1/05 , A61B1/0676 , A61B1/0684 , A61B1/12 , A61B1/31 , A61B17/0686 , A61B17/072 , A61B17/320016 , A61B90/30 , A61B90/361 , A61B90/37
摘要： An operating head for a full thickness resection system includes a first optical device disposed on a distal portion thereof and having a viewing area extending distally of the distal portion and a working chamber extending within an exterior wall of the operating head, a first portion of the exterior wall being moveable with respect to a second portion thereof to selectively open the working chamber to an exterior of the operating head. Furthermore, the operating head includes a second optical device mounted within the working chamber with a viewing area of the second optical device extending distally therefrom.

49. 发明授权

US06258113B1 Needle herniorrhaphy devices 失效
标题翻译：针疝装置
公开(公告)号：US06258113B1
公开(公告)日：2001-07-10
申请号：US09628364
申请日：2000-07-28
申请人： Ronald D. Adams , William J. Shaw
发明人： Ronald D. Adams , William J. Shaw
IPC分类号： A61M2500
CPC分类号： A61F2/0063 , A61B17/00234 , A61B17/0218 , A61B2017/320044 , A61B2090/0815 , A61F2002/0072
摘要： Guidewire-deliverable devices and methods of using the devices for separating adjacent layers of tissue and for delivering a surgical prosthesis to an operating site. A guidewire-deliverable cannula provides an elongate window for accessing the operating site with a tissue-separating device. The tissue-separating device may include one of several types of an inflatable balloon or a tissue-dissecting member. The tissue-separating balloon may simultaneously deliver the prosthesis during tissue separation and may further be detached to remain with the prosthesis over the operating site. Alternatively, the prosthesis may be separately provided after the adjacent layers of tissue have been separated.
摘要翻译：导丝可输送装置和使用该装置分离组织相邻层并将外科假体递送到手术部位的方法。导丝可输送套管提供用于利用组织分离装置进入操作部位的细长窗口。组织分离装置可以包括几种类型的可膨胀气球或组织解剖构件中的一种。组织分离球囊可以在组织分离期间同时递送假体，并且还可以在操作部位上拆卸以保留在假体上。或者，可以在相邻的组织层已经分离之后单独提供假体。

50. 发明授权

US5503796A Method for conform extrusion of powder feed 失效
标题翻译：粉末进料的顺应挤出方法
公开(公告)号：US5503796A
公开(公告)日：1996-04-02
申请号：US394922
申请日：1995-02-27
申请人： Uday K. Sinha , Ronald D. Adams
发明人： Uday K. Sinha , Ronald D. Adams
IPC分类号： B21C23/00 , B22F3/20 , B22F3/02
CPC分类号： B21C23/005 , B22F3/20
摘要： Method for continuously extruding powdered, comminuted, or particulated feed material with a Conform extrusion machine or the like in cooperation with a forming wheel rotatably disposed within a portion of the Conform wheel to compress the feed material into a compacted feedstock. Compressing of the feed material into a compacted feedstock enables uniform and reliable conveyance of the feed material into the extrusion machine without unnecessarily subjecting the compressed feedstock to air or oxygen. An auxiliary shoe member conforming to the outer periphery of the forming wheel and to the Conform shoe enables separation of the compacted feedstock from the forming wheel. The auxiliary shoe directs the compacted feedstock into a passageway formed by the Conform machine extrusion wheel and extrusion shoe. As the respective wheels are rotated the forces on the compacted feedstock heat it and cause it to yield and flow through an extrusion chamber adjacent the Conform machine abutment; it is then extruded from a die in the wall of the chamber. A temperature control system in heat exchanging relationship with the chamber in proximity to the die maintains a desired temperature uniformity in the chamber material to provide uniformity of grain size in the extruded product. Temperature control systems may also be provided for the feed material and for metallurgical control of the extruded product.
摘要翻译：与Conform挤出机等连续挤出粉末状，粉碎状或微粒状进料的方法与可旋转地设置在Conform轮的一部分内的成型轮配合，将原料压缩成压实原料。将进料压缩成压实的原料使得均匀可靠地将进料输送到挤压机中，而不必使经压缩的原料进入空气或氧气。符合成型轮的外周和Conform鞋的辅助鞋构件能够使压实的原料与成型轮分离。辅助鞋将压实的原料引导到由Conform机器挤出轮和挤出鞋形成的通道中。当相应的轮旋转时，压实原料上的力加热它并使其产生并流过邻近Conform机器基台的挤出室; 然后将其从腔室的模具中挤出。与模具附近的腔室热交换关系的温度控制系统在腔室材料中保持期望的温度均匀性，以提供挤出产品中的粒度均匀性。还可以为进料提供温度控制系统并用于冶金控制挤压产品。

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