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61. 发明授权

US5722986A Inflatable devices for separating layers of tissue, and methods of using 失效
标题翻译：用于分离组织层的充气装置和使用方法
公开(公告)号：US5722986A
公开(公告)日：1998-03-03
申请号：US685744
申请日：1996-07-24
申请人： Jeffrey A. Smith , Albert K. Chin , Frederic H. Moll
发明人： Jeffrey A. Smith , Albert K. Chin , Frederic H. Moll
IPC分类号： A61B1/12 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61F2/84 , A61M25/00 , A61B29/00
CPC分类号： A61B17/22032 , A61B1/00082 , A61B1/015 , A61B1/018 , A61B1/3132 , A61B17/0218 , A61B17/0281 , A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/22059 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , A61B90/361
摘要： An apparatus and method for separating tissue layers and providing a working space for performing a medical procedure. A first balloon is inserted between the tissue layers and inflated to dissect the tissue layers. A second balloon is also positioned between the tissue layers and inflated to retract the tissue layers. The first balloon is then deflated and punctured with a sharp instrument to created an opening in the first balloon. The second balloon is positioned to impeded the escape of insufflation fluid from the working space and the working space is then insufflated. An instrument for performing the medical procedure may then be introduced into the working space through the opening in the first balloon.
摘要翻译：一种用于分离组织层并提供用于执行医疗程序的工作空间的装置和方法。将第一气囊插入组织层之间并充气以解剖组织层。第二球囊也位于组织层之间并且被充气以使组织层缩回。然后第一个气球用尖锐的仪器放气并刺穿，以在第一个气球中形成一个开口。定位第二个气球以阻止吹入流体从工作空间逸出，然后吹扫工作空间。然后可以通过第一气囊中的开口将用于执行医疗程序的仪器引入工作空间。

62. 发明授权

US5531856A Endoscopic inflatable retraction devices 失效
标题翻译：内窥镜充气回缩装置
公开(公告)号：US5531856A
公开(公告)日：1996-07-02
申请号：US106538
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , B32B3/10 , B32B27/00 , B32B31/26
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： An inflatable apparatus for organ retraction includes a main envelope which forms a main chamber. An additional chamber is formed by attaching the periphery of an additional envelope to the outside or the inside of the main envelope. The part of the surface of the main envelope that is not covered by the additional envelope provides a plurality of windows, which, after the additional chamber is inflated, may be at least partially removed to provide apertures through which treatment or observation can be carried out.
摘要翻译：用于器官收缩的可充气装置包括形成主室的主信封。通过将附加信封的周边附接到主信封的外部或内部来形成附加的室。主外壳的未被附加外壳覆盖的表面的部分提供了多个窗口，其在额外的腔室被充气之后可以被至少部分地移除以提供可以进行治疗或观察的孔。

63. 发明授权

US5465711A Surgical procedures using endoscopic inflatable retraction devices 失效
标题翻译：外科手术采用内窥镜充气回缩装置
公开(公告)号：US5465711A
公开(公告)日：1995-11-14
申请号：US106285
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： Retraction of an organ or tissue plane to be retracted is performed to gain access for a surgical instrument to treat an organ or tissue plane to be treated. An inflatable retractor, including a main envelope enclosing a main chamber, is provided with the main envelope in a collapsed state. The main envelope of the retractor is placed adjacent the organ or tissue plane to be retracted. The main chamber is inflated to an expanded state to retract the organ or tissue plane to be retracted. An aperture is pierced in the main envelope to provide access for the surgical instrument passed into the main chamber to contact an organ or tissue plane to be treated while the main chamber is maintained in the expanded state, notwithstanding the aperture pierced in the main envelope. The organ or tissue plane to be retracted and the organ or tissue plane to be treated may be different parts of the same organ or tissue plane. The method may be used in procedures including retracting the bowel to provide anterior access to organs, including the spinal column, the aorta and the kidneys, lying outside the peritoneum; retracting one part of the lung to provide access to another part of the lung; retracting the pericardium from the heart to provide access to the outer surface of the heart; retracting the liver to provide access to the gastro-esophagal junction; and retracting the brain from the dura mater to provide access to the brain.
摘要翻译：执行要缩回的器官或组织平面的缩回以获得外科器械的通路，以治疗待治疗的器官或组织平面。包括封闭主室的主要信封的可充气牵开器具有处于折叠状态的主信封。牵开器的主要信封放置在器官或组织平面附近以便缩回。主室被膨胀到膨胀状态以缩回器官或组织平面以缩回。当主室保持在膨胀状态时，尽管在主信封中刺穿了孔，但是在主信封中刺穿了孔，以便进入主室中的手术器械进入以接触待处理的器官或组织平面。待收缩的器官或组织平面和待治疗的器官或组织平面可以是相同器官或组织平面的不同部分。该方法可以用于包括缩回肠道以提供位于腹膜外侧的器官（包括脊柱，主动脉和肾脏）的前部通路的程序。缩回肺的一部分以提供对另一部分肺的通路; 从心脏收回心包以提供进入心脏外表面的通路; 缩回肝脏以进入胃食管结; 并从硬脑膜回缩大脑以提供对大脑的接触。

64. 发明授权

US5078718A Multi-part method and apparatus for removing pre-placed prosthetic joints and preparing for their replacement 失效
标题翻译：用于去除预先放置的假肢关节并准备更换的多部件方法和装置
公开(公告)号：US5078718A
公开(公告)日：1992-01-07
申请号：US510145
申请日：1990-04-17
申请人： Frederic H. Moll , Milton B. Mccoll , F. T. Watkins , Charles Gresl
发明人： Frederic H. Moll , Milton B. Mccoll , F. T. Watkins , Charles Gresl
IPC分类号： A61F2/46
CPC分类号： A61B17/8847
摘要： A method and apparatus for removing a pre-placed prosthetic joint from a bone cavity and conditioning the cavity for receipt of a replacement joint. The pre-placed joint is first pulled from the mantle of hardened cement holding it within the cavity, thus leaving a cavity within the mantle. A mass of fluid cement is then placed within the cement cavity, after which a pulling tool is inserted into the fluid cement and the fluid cement is permitted to cure to bond with the hardened cement and form an integral mass. The pulling tool has detachable sections or sleeves, each with grip forming elements on its exterior and structure to connect a slap-hammer to its proximal end. Tension is then applied to the each section to remove the section and the cement mantle surrounding it from the bone cavity. The process is repeated for each section until all of the cement mantle is removed.
摘要翻译：一种用于从骨腔去除预置的假体关节并调节腔以接收替换关节的方法和装置。预先放置的接头首先从硬化水泥的地壳中拉出，将其保持在空腔内，从而在地幔内留下一个空腔。然后将大量流体水泥放置在水泥腔内，然后将拉动工具插入流体水泥中，并允许流体水泥固化以与硬化的水泥结合并形成整体。牵引工具具有可拆卸的部分或套筒，每个部分或套筒在其外部具有夹紧形成元件并且将结构连接到其近端。然后将张力施加到每个部分以从骨腔去除该部分和围绕其的水泥套。对于每个部分重复该过程，直到除去所有的水泥套。

65. 发明申请

US20100234857A1 MEDICAL ROBOTIC SYSTEM WITH OPERATIVELY COUPLABLE SIMULATOR UNIT FOR SURGEON TRAINING 有权
标题翻译：医疗机器人系统与操作训练的操作性耦合模拟器单元
公开(公告)号：US20100234857A1
公开(公告)日：2010-09-16
申请号：US12755889
申请日：2010-04-07
申请人： Brandon D. Itkowitz , Stephen J. Blumenkranz , Brian E. Miller , Frederic H. Moll , Andris D. Ramans , David J. Rosa
发明人： Brandon D. Itkowitz , Stephen J. Blumenkranz , Brian E. Miller , Frederic H. Moll , Andris D. Ramans , David J. Rosa
IPC分类号： A61B19/00 , G05B15/00 , G06F19/00
CPC分类号： G09B23/285 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/77 , A61B90/361 , A61B2017/00477 , A61B2034/305 , A61B2034/742 , A61B2090/506
摘要： A medical robotic system has a surgeon console which is operatively couplable to a patient side unit for performing medical procedures or operatively couplable to a simulator unit for training purposes. The surgeon console has a monitor, input devices and foot pedals. The patient side unit has robotic arm assemblies coupled to instruments and an endoscope. When the surgeon console is coupled to the patient side unit, the instruments move in response to movement of the input devices to perform a medical procedure while captured images of the instruments are displayed on the monitor. When the surgeon console is coupled to the simulator unit, virtual instruments move in response to movement of the input devices to perform a user selected virtual procedure while virtual images of the virtual instruments are displayed on the monitor.
摘要翻译：医疗机器人系统具有外科医生控制台，其可操作地耦合到患者侧单元，用于执行医疗程序或可操作地耦合到用于训练目的的模拟器单元。外科医生控制台有一个监视器，输入设备和脚踏板。患者侧单元具有耦合到器械和内窥镜的机器人手臂组件。当外科医生控制台耦合到患者侧单元时，仪器响应于输入设备的移动而移动以执行医疗过程，同时将仪器的捕获图像显示在监视器上。当外科医生控制台耦合到模拟器单元时，虚拟仪器响应于输入设备的移动而移动以执行用户选择的虚拟过程，同时虚拟仪器的虚拟图像显示在监视器上。

66. 发明申请

US20080167674A1 AUTOMATED DELIVERY OF A THERAPEUTIC OR COSMETIC SUBSTANCE TO CUTANEOUS, SUBCUTANEOUS AND INTRAMUSCULAR TISSUE REGIONS 有权
标题翻译：自然传递治疗或化妆物质对胰岛素，胰岛素和内分泌组织区域的影响
公开(公告)号：US20080167674A1
公开(公告)日：2008-07-10
申请号：US11621087
申请日：2007-01-08
申请人： Mohan Bodduluri , Miguel G. Canales , James W. McCollum , Philip L. Gildenberg , Douglas E. Kelly , Jeffrey Bird , Frederic H. Moll
发明人： Mohan Bodduluri , Miguel G. Canales , James W. McCollum , Philip L. Gildenberg , Douglas E. Kelly , Jeffrey Bird , Frederic H. Moll
IPC分类号： A61B17/34
CPC分类号： A61B17/3468 , A61B34/30 , A61B34/70 , A61B90/361 , A61B2017/00747 , A61B2017/00752 , A61B2017/00893 , A61B2017/00969 , A61B2090/371 , A61M5/20 , A61M5/204 , A61M5/31525 , A61M5/31546 , A61M5/3287 , A61M37/0069
摘要： Automated systems and methods for delivery of a therapeutic or cosmetic substance into cutaneous, subcutaneous or intramuscular tissue, wherein an automated (e.g., robotic) arm is maneuvered to position a delivery device proximate a targeted location (e.g., an existing hair follicle, a location for implanting a skin filler, or a location for intradermal tattoo ink injection) on a patient's skin surface; and a substantially automated process is used to cause the delivery device to puncture the skin surface and penetrate to a desired depth into the tissue at the targeted location, and deliver the substance therein.
摘要翻译：用于将治疗或化妆物质递送到皮肤，皮下或肌肉内组织的自动系统和方法，其中自动化（例如，机器人）臂被操纵以将输送装置定位在目标位置附近（例如，现有毛囊，位置用于植入皮肤填充物或用于皮内纹身油墨注射的位置）在患者的皮肤表面上; 并且使用基本自动化的方法使得输送装置刺穿皮肤表面并将其穿透到期望的深度进入目标位置的组织，并将物质输送到其中。

67. 发明授权

US06361543B1 Inflatable devices for separating layers of tissue, and methods of using 失效
标题翻译：用于分离组织层的充气装置和使用方法
公开(公告)号：US06361543B1
公开(公告)日：2002-03-26
申请号：US08828751
申请日：1997-03-18
申请人： Albert K. Chin , Jeffrey A. Smith , John P. Lunsford , Frederic H. Moll
发明人： Albert K. Chin , Jeffrey A. Smith , John P. Lunsford , Frederic H. Moll
IPC分类号： A61B1700
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/0225 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An apparatus and method for separating a first layer of tissue from a second layer of tissue. An inflatable balloon is mounted to a delivery device. The inflatable balloon has a first, inwardly-displaced portion which everts when the balloon is inflated. The balloon is inserted into a patient between the first and second tissue layers when the balloon is in the deflated state. The balloon is then inflated so that the first portion is everted thereby minimizing trauma to the tissue layers.
摘要翻译：一种用于从第二层组织分离第一层组织的装置和方法。可充气气囊安装在输送装置上。充气气球具有当气囊膨胀时转动的第一，向内移位的部分。当气囊处于放气状态时，将气囊插入到第一和第二组织层之间的患者体内。然后将气囊充气，使得第一部分被转动，从而最小化对组织层的创伤。

68. 发明授权

US5704372A Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using 失效
标题翻译：用于分离组织层的内窥镜充气回缩装置及其使用方法
公开(公告)号：US5704372A
公开(公告)日：1998-01-06
申请号：US282287
申请日：1994-07-29
申请人： Frederic H. Moll , Jeffrey A. Smith , John P. Lunsford , Albert K. Chin
发明人： Frederic H. Moll , Jeffrey A. Smith , John P. Lunsford , Albert K. Chin
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/00
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An apparatus for separating a first layer of tissue, such as the peritoneum, from a second layer of tissue, such as the properitoneal fascia. The apparatus includes a main envelope that defines a main inflatable chamber. The apparatus also includes an introducing device that introduces the main envelope in a collapsed state between the first layer of tissue and the second layer of tissue. The introducing device also inflates the main envelope into an expanded state to separate the first layer of tissue from the second layer of tissue, and to create a working space between the two layers of tissue. Finally, the apparatus includes an insufflating device that introduces insufflation gas into the working space between the two layers of tissue. A method for separating a first layer of tissue from a second layer of tissue provides a main envelope and insufflation gas. The main envelope defines a main inflatable chamber. The main envelope is introduced in a collapsed state between the first layer of tissue and the second layer of tissue. The main envelope is inflated into an expanded state to separate the first layer of tissue from the second layer of tissue, and to create a working space between the two layers of tissue. Insufflation gas is then introduced into the working space between the layers of tissue.
摘要翻译：一种用于从第二层组织（例如腹膜筋膜）分离第一层组织（例如腹膜）的装置。该装置包括限定主充气室的主外壳。该装置还包括引入装置，该引入装置将第一层组织和第二组织层之间的折叠状态引入主包络体。导入装置还使主外壳膨胀成展开状态，以将第一层组织与第二层组织分开，并在两层组织之间形成工作空间。最后，该装置包括将吹入气体引入两层组织之间的工作空间中的吹入装置。从第二层组织分离组织的第一层的方法提供主包膜和吹入气体。主要信封定义了一个主要的可充气室。在第一组织层和第二组织层之间的折叠状态下引入主信封。主包膜膨胀成膨胀状态以将第一层组织与第二层组织分开，并在两层组织之间产生工作空间。然后将吹入气体引入组织层之间的工作空间。

69. 发明授权

US5634883A Apparatus for peritoneal retraction 失效
标题翻译：腹膜回缩装置
公开(公告)号：US5634883A
公开(公告)日：1997-06-03
申请号：US452152
申请日：1995-05-26
申请人： Albert K. Chin , Frederic H. Moll
发明人： Albert K. Chin , Frederic H. Moll
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/14 , A61B19/00 , A61B19/02 , A61F2/958 , A61M1/00 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/320016 , A61B50/20 , A61B90/50 , A61B17/32002 , A61B17/3462 , A61B18/14 , A61B2017/00261 , A61B2017/00278 , A61B2017/00535 , A61B2017/00557 , A61B2017/22051 , A61B2017/306 , A61B2017/320048 , A61B2017/32113 , A61B2017/3486 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M25/10 , A61M25/1006
摘要： A method and apparatus for mechanically lifting the abdominal wall away from underlying abdominal organs for laparoscopic surgery without insufflation. In the method an expansible device is inserted in the abdominal cavity through a small incision in a collapsed state and then expanded into engagement with an extensive area of the abdominal wall. Lifting force is then applied to the device for peritoneal retraction. The device takes the form of mechanical rods or arms and/or balloons. In the balloon embodiments lifting force may be applied externally of the abdominal cavity, or internally of the cavity by balloon inflation. Certain of the balloon embodiments are of an annular or U-shaped configuration and include a membrane for draping the internal organs and/or a centrally located balloon for lateral expansion. The balloons may be provided with an internal endoscope for viewing. The method also provides for laparoscopic gallbladder removal, either to the interior or exterior of the balloons. A needle is provided to laparoscopically pierce and drain the gallbladder. The needle carries a balloon inflatable to grip the gallbladder for retraction and removal.
摘要翻译：一种用于机械地将腹壁远离腹腔镜手术的方法和装置，用于腹腔镜手术而不吹气。在该方法中，可膨胀装置通过处于塌缩状态的小切口插入腹腔中，然后膨胀成与腹壁的广泛区域接合。然后将牵引力施加到装置上用于腹膜收缩。该装置采取机械杆或手臂和/或气球的形式。在气囊实施例中，可以通过球囊充气在腹腔外部或腔内部施加提升力。气囊实施例中的某些具有环形或U形构造，并且包括用于悬垂内部器件的膜和/或用于侧向膨胀的位于中心的球囊。气囊可以设置有用于观察的内部内窥镜。该方法还提供了到气囊的内部或外部的腹腔镜胆囊去除。提供一个针以腹腔镜刺穿并排出胆囊。针携带一个充气的气球，以抓住胆囊进行收缩和移除。

70. 发明授权

US5520609A Apparatus and method for peritoneal retraction 失效
标题翻译：腹膜回缩装置及方法
公开(公告)号：US5520609A
公开(公告)日：1996-05-28
申请号：US62707
申请日：1993-05-18
申请人： Frederic H. Moll , Albert K. Chin , Diane E. Caramore , Frank T. Watkins, III
发明人： Frederic H. Moll , Albert K. Chin , Diane E. Caramore , Frank T. Watkins, III
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/14 , A61B19/00 , A61B19/02 , A61F2/958 , A61M1/00 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/320016 , A61B50/20 , A61B90/50 , A61B17/32002 , A61B17/3462 , A61B18/14 , A61B2017/00261 , A61B2017/00278 , A61B2017/00535 , A61B2017/00557 , A61B2017/22051 , A61B2017/306 , A61B2017/320048 , A61B2017/32113 , A61B2017/3486 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M25/10 , A61M25/1006
摘要： A method and apparatus for mechanically lifting the abdominal wall away from underlying abdominal organs for laparoscopic surgery without insufflation. In the method an expansible device is inserted in the abdominal cavity through a small incision in a collapsed state and then expanded into engagement with an extensive area of the abdominal wall. Lifting force is then applied to the device for peritoneal retraction. The device takes the form of mechanical rods or arms and/or balloons. In the balloon embodiments lifting force may be applied externally of the abdominal cavity, or internally of the cavity by balloon inflation. Certain of the balloon embodiments are of an annular or U-shaped configuration and include a membrane for draping the internal organs and/or a centrally located balloon for lateral expansion. The balloons may be provided with an internal endoscope for viewing. The method also provides for laparoscopic gallbladder removal, either to the interior or exterior of the balloons. A needle is provided to laparoscopically pierce and drain the gallbladder. The needle carries a balloon inflatable to grip the gallbladder for retraction and removal.
摘要翻译：一种用于机械地将腹壁远离腹腔镜手术的方法和装置，用于腹腔镜手术而不吹气。在该方法中，可膨胀装置通过处于塌缩状态的小切口插入腹腔中，然后膨胀成与腹壁的广泛区域接合。然后将牵引力施加到装置上用于腹膜收缩。该装置采取机械杆或手臂和/或气球的形式。在气囊实施例中，可以通过球囊充气在腹腔外部或腔内部施加提升力。气囊实施例中的某些具有环形或U形构造，并且包括用于悬垂内部器件的膜和/或用于侧向膨胀的位于中心的球囊。气囊可以设置有用于观察的内部内窥镜。该方法还提供了到气囊的内部或外部的腹腔镜胆囊去除。提供一个针以腹腔镜刺穿并排出胆囊。针携带一个充气的气球，以抓住胆囊进行收缩和移除。

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