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51. 发明授权

US06953467B2 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 失效
标题翻译：用于开发用于腹腔镜疝修补和补片的解剖空间的装置和方法
公开(公告)号：US06953467B2
公开(公告)日：2005-10-11
申请号：US10117765
申请日：2002-04-05
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort , Helmut L. Kayan
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort , Helmut L. Kayan
IPC分类号： A61B1/00 , A61B1/303 , A61B1/307 , A61B1/31 , A61B1/313 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/32 , A61B17/34 , A61B18/08 , A61B19/00 , A61F2/00 , A61F2/958 , A61M25/06 , A61M29/02
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： An apparatus for creating an anatomic space in tissue in a body includes an introducer and a sheath. The tubular sheath may surround the introducer, and may have a weakened region along its longitudinal axis. A handle may be provided on the sheath. The handle may be adapted to be pulled proximally to separate the weakened region and allow the sheath to be removed from the introducer. The sheath may be secured to the introducer via detents or latches on the handle.
摘要翻译：用于在身体中的组织中产生解剖空间的装置包括导引器和护套。管状护套可以围绕导引器，并且可以沿着其纵向轴线具有弱化区域。手柄可以设置在护套上。手柄可以适于被向近侧拉伸以分离弱化区域并且允许护套从导引器移除。护套可以通过手柄上的棘爪或闩锁固定到导引器。

52. 发明授权

US06916331B2 Skin seal with inflatable membrane 失效
标题翻译：皮肤密封与充气膜
公开(公告)号：US06916331B2
公开(公告)日：2005-07-12
申请号：US10439107
申请日：2003-05-15
申请人： Kenneth H. Mollenauer , Michelle Y. Monfort
发明人： Kenneth H. Mollenauer , Michelle Y. Monfort
IPC分类号： A61B17/00 , A61B17/08 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/3431 , A61B90/40 , A61B2017/00557 , A61B2017/3419 , A61B2017/3486
摘要： A skin seal or trocar stabilizer with an inflatable balloon in the shape of a dumbbell, where the balloon may be stored within a cannula for easy placement in an incision and inflated to deploy the balloon inside the body, and a portion of the balloon expands inside the cannula, whereby medical instruments may be passed through the skin seal into a laparoscopic workspace while the balloon is inflated, thereby allowing the use of normal short surgical instruments during laparoscopic procedures and during insufflation.
摘要翻译：具有哑铃形状的可膨胀气球的皮肤密封或套针针稳定器，其中气囊可以存储在套管内以便于放置在切口中并且充气以将气囊展开在身体内部，并且气囊的一部分在内部膨胀套管，其中医疗器械可以在气囊膨胀时通过皮肤密封件进入腹腔镜工作空间，从而允许在腹腔镜手术期间和在吹气期间使用正常的短外科器械。

53. 发明授权

US06755845B2 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 失效
标题翻译：用于开发用于腹腔镜疝修补和补片的解剖空间的装置和方法
公开(公告)号：US06755845B2
公开(公告)日：2004-06-29
申请号：US10356967
申请日：2003-02-03
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
IPC分类号： A61B1700
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： Laparoscopic apparatus and method for insertion into a space or potential space in a body comprising an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is provided and is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A tunneling member is mounted on the distal extremity of the tunneling shaft. A balloon assembly is provided which is removably secured to the tunneling shaft. The balloon assembly includes a balloon wrapped about said tunneling shaft. A sheath is provided which encloses the balloon on the tunneling shaft. The sheath has a slit extending longitudinally thereof permitting the sheath to be removed whereby the balloon can be released and inflated. A tubular member is provided which has a balloon inflation lumen thereon and is coupled to the balloon for inflating said balloon.
摘要翻译：腹腔镜装置和插入到体内的空间或潜在空间中的方法，包括具有导管装置，导引装置具有带有延伸穿过其中的孔的管状构件。提供隧道轴组件并且可滑动地安装在导引装置的孔中。隧道轴组件包括具有近端和远端的隧道轴。隧道构件安装在隧道杆的远端上。提供气囊组件，其可移除地固定到隧道轴。球囊组件包括围绕所述隧道轴缠绕的气球。提供了一种护套，其将气球包围在隧道轴上。护套具有纵向延伸的狭缝，允许护套被移除，由此气囊可以被释放和膨胀。提供了一种管状构件，其上具有球囊充气腔，并且联接到球囊，用于使气囊膨胀。

54. 发明授权

US06514272B1 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 失效
标题翻译：用于开发用于腹腔镜疝修补和补片的解剖空间的装置和方法
公开(公告)号：US06514272B1
公开(公告)日：2003-02-04
申请号：US09132877
申请日：1998-08-11
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
IPC分类号： A61B1700
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： Laparoscopic apparatus and method for insertion into a space or potential space in a body including an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is provided and is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A tunneling member is mounted on the distal extremity of the tunneling shaft. A balloon assembly is provided which is removably secured to the tunneling shaft. The balloon assembly includes a balloon wrapped about said tunneling shaft. A sheath is provided which encloses the balloon on the tunneling shaft. The sheath has a slit extending longitudinally thereof permitting the sheath to be removed whereby the balloon can be released and inflated. A tubular member is provided which has a balloon inflation lumen thereon and is coupled to the balloon for inflating said balloon.
摘要翻译：腹腔镜装置和方法，用于插入主体中的空间或潜在空间，包括具有延伸穿过其中的孔的管状构件的导引器装置。提供隧道轴组件并且可滑动地安装在导引装置的孔中。隧道轴组件包括具有近端和远端的隧道轴。隧道构件安装在隧道杆的远端上。提供气囊组件，其可移除地固定到隧道轴。球囊组件包括围绕所述隧道轴缠绕的气球。提供了一种护套，其将气球包围在隧道轴上。护套具有纵向延伸的狭缝，允许护套被移除，由此气囊可以被释放和膨胀。提供了一种管状构件，其上具有球囊充气腔，并且联接到球囊，用于使气囊膨胀。

55. 发明授权

US06468292B1 Skin seal with inflatable membrane 有权
标题翻译：皮肤密封与充气膜
公开(公告)号：US06468292B1
公开(公告)日：2002-10-22
申请号：US09383027
申请日：1999-08-25
申请人： Kenneth H. Mollenauer , Michelle Y. Monfort
发明人： Kenneth H. Mollenauer , Michelle Y. Monfort
IPC分类号： A61B1708
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/3431 , A61B90/40 , A61B2017/00557 , A61B2017/3419 , A61B2017/3486
摘要： A skin seal or trocar stabilizer with an inflatable balloon in the shape of a dumbbell, where the balloon may be stored within a cannula for easy placement in an incision and inflated to deploy the balloon inside the body, and a portion of the balloon expands inside the cannula, whereby medical instruments may be passed through the skin seal into a laparoscopic workspace while the balloon is inflated, thereby allowing the use of normal short surgical instruments during laparoscopic procedures and during insufflation.
摘要翻译：具有哑铃形状的可膨胀气球的皮肤密封或套针针稳定器，其中气囊可以存储在套管内以便于放置在切口中并且充气以将气囊展开在身体内部，并且气囊的一部分在内部膨胀套管，其中医疗器械可以在气囊膨胀时通过皮肤密封件进入腹腔镜工作空间，从而允许在腹腔镜手术期间和在吹气期间使用正常的短外科器械。

56. 发明授权

US06368337B1 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 失效
标题翻译：用于开发用于腹腔镜疝修补和补片的解剖空间的装置和方法
公开(公告)号：US06368337B1
公开(公告)日：2002-04-09
申请号：US08861913
申请日：1997-05-22
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort , Helmut L. Kayan
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort , Helmut L. Kayan
IPC分类号： A61B1700
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： Apparatus for creating an anatomic spade in tissue in a body comprising an introducer device having a tubular member with a bore extending therethrough. A tunneling shaft assembly is slidably mounted in the bore of the introducer device. The tunneling shaft assembly includes a tunneling shaft having proximal and distal extremities. A blunt tip is secured to the distal extremity of the tunneling shaft. A balloon assembly is provided. The balloon assembly is removably secured to the tunneling shaft. The balloon assembly includes a deflated collapsed balloon. A sheath encloses the balloon and is carried by the tunneling shaft. The sheath has a weakened region extending longitudinally thereof permitting the sheath to be removed to release the balloon.
摘要翻译：用于在身体的组织中产生解剖学铲子的装置，包括具有带有延伸穿过其中的孔的管状构件的导引器装置。隧道轴组件可滑动地安装在导引器装置的孔中。隧道轴组件包括具有近端和远端的隧道轴。钝头固定到隧道轴的远端。提供气球组件。气囊组件可移除地固定到隧道轴。气囊组件包括放气的折叠气球。护套围绕气球并由隧道轴承载。护套具有沿其纵向延伸的弱化区域，允许护套被移除以释放气囊。

57. 发明授权

US5496345A Expansible tunneling apparatus for creating an anatomic working space 失效
标题翻译：用于创建解剖工作空间的可扩展隧道装置
公开(公告)号：US5496345A
公开(公告)日：1996-03-05
申请号：US324519
申请日：1994-10-17
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Michelle Y. Monfort
IPC分类号： A61B1/00 , A61B1/303 , A61B1/307 , A61B1/31 , A61B1/313 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/32 , A61B17/34 , A61B18/08 , A61B19/00 , A61F2/00 , A61F2/958 , A61M25/06 , A61M29/02
CPC分类号： A61B17/320016 , A61B17/0218 , A61B18/08 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61M29/02 , A61B17/3421 , A61B17/3439 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61B90/361 , A61F2002/0072
摘要： An expansible tunneling apparatus for tunneling bluntly to a desired location within the human body and for creating an anatomic working space for the performance of a surgical procedure by utilizing an inflatable balloon to dissect tissue along natural separation planes once the desired space has been reached. In a disclosed embodiment, a tubular member has a bore extending therethrough to provide an open distal end. A rigid tunneling shaft is insertable into the bore of the tubular member to provide a blunt tipped obturator. A balloon associated with the apparatus is disposed such that it surrounds the tunneling shaft when the balloon is deflated, as it would be when tunneling bluntly through tissue. A sheath surrounds the balloon and has a weakened region that permits the sheath to be released thereby permitting the balloon to expand to dissect tissue layers and create the anatomic working space. A balloon inflation lumen may be utilized to supply an appropriate balloon inflation medium to inflate the balloon.
摘要翻译：一种可扩展的隧道装置，用于直接隧道到人体内的期望位置，并且一旦达到所需的空间，就通过利用可膨胀的气囊来沿着自然分离平面分离组织来创建用于执行外科手术过程的解剖学工作空间。在公开的实施例中，管状构件具有延伸穿过其中的孔以提供开放的远端。刚性隧道轴可插入到管状构件的孔中以提供钝的尖端填塞器。与该装置相关联的气囊被布置成使得当球囊放气时，其包围隧道轴，就像在通过组织直线穿透时一样。护套围绕球囊并且具有弱化区域，其允许护套被释放，从而允许气囊膨胀以解剖组织层并产生解剖工作空间。球囊充气腔可用于供应适当的球囊充气介质以使气囊膨胀。

58. 发明授权

US5968066A Methods and devices for blood vessel harvesting 有权
标题翻译：血管收获方法和装置
公开(公告)号：US5968066A
公开(公告)日：1999-10-19
申请号：US206811
申请日：1998-12-07
申请人： Thomas J. Fogarty , George D. Hermann , Jan M. Echeverry , Kenneth H. Mollenauer
发明人： Thomas J. Fogarty , George D. Hermann , Jan M. Echeverry , Kenneth H. Mollenauer
IPC分类号： A61M25/00 , A61B1/32 , A61B17/00 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61F2/82 , A61F2/84 , A61M25/01 , A61M25/10 , A61M29/00 , A61M29/02
CPC分类号： A61B17/00008 , A61B17/0218 , A61M25/10 , A61M25/1002 , A61M29/02 , A61B17/3431 , A61B2017/00557 , A61B2017/22061 , A61B2017/22062 , A61B2017/320044 , A61B2017/320048 , A61B90/361 , A61M2025/1081 , A61M25/0194
摘要： Methods and devices for harvesting blood vessels from the body using minimally invasive surgical techniques are disclosed. The vessel is dissected from surrounding tissue using the tip of a dissection cannula. The dissected tissue may be retracted, for example, by insufflation. The dissection cannula may further include a balloon that can be inflated after insertion between the vessel and the surrounding tissue. An imaging device may be disposed within the cannula to permit viewing through the distal tip. In another aspect, the balloon is an everting balloon that upon inflation everts and advances along the vessel.
摘要翻译：公开了使用微创手术技术从身体收获血管的方法和装置。使用解剖插管的尖端将血管从周围组织切开。解剖组织可以例如通过吹入缩回。解剖插管可以进一步包括可在容器和周围组织插入之后膨胀的气囊。成像装置可以设置在套管内以允许通过远侧末端观察。在另一方面，气球是一种经过膨胀的涡旋气球，沿着船只前进。

59. 发明授权

US08157831B2 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US08157831B2
公开(公告)日：2012-04-17
申请号：US11313175
申请日：2005-12-20
申请人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layer to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creature of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdrawn through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。腹腔镜可以通过隧道构件的开放远端直接观察解剖。当设备用于在组织层与患者体内的感兴趣区域之间隧穿时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层和解剖学的生物分离时，工作空间。解剖空间创建完毕后，通过切口取出装置和腹腔镜。如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将穿透构件插入形成球囊的球囊的内部，穿过隧道构件的通常为圆柱形的辊，并且优选地通过使用整体气囊盖将隧道构件插入到隧道构件以形成半刚性钝头封闭器。

60. 发明授权

US06764497B2 Extraluminal balloon dissection 失效
标题翻译：外腔气囊解剖
公开(公告)号：US06764497B2
公开(公告)日：2004-07-20
申请号：US10238108
申请日：2002-09-09
申请人： Thomas J. Fogarty , George D. Hermann , Jan M. Echeverry , Kenneth H. Mollenauer
发明人： Thomas J. Fogarty , George D. Hermann , Jan M. Echeverry , Kenneth H. Mollenauer
IPC分类号： A61B1700
CPC分类号： A61B17/00008 , A61B17/0218 , A61B17/3431 , A61B90/361 , A61B2017/00557 , A61B2017/22061 , A61B2017/22062 , A61B2017/320044 , A61B2017/320048 , A61M25/0194 , A61M25/10 , A61M25/1002 , A61M29/02 , A61M2025/1081
摘要： The present invention provides balloon dissection apparatus and methods of use in which an elongate balloon is utilized to dissect along a region that follows a naturally existing path alongside a vessel or structure, such as au artery, a vein, a lymphatic vessel, the trachea, the esophagus, or even a nerve bundle.
摘要翻译：本发明提供了气囊解剖装置和使用方法，其中使用细长气囊沿着沿着容器或结构的自然存在的路径的区域进行解剖，诸如au动脉，静脉，淋巴管，气管，食道，甚至神经束。

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