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71. 发明授权

US07306614B2 Overtube apparatus for insertion into a body 有权
标题翻译：用于插入身体的Overtube装置
公开(公告)号：US07306614B2
公开(公告)日：2007-12-11
申请号：US11364036
申请日：2006-02-28
申请人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
CPC分类号： A61F5/0083 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/1114 , A61B17/1155 , A61B17/12013 , A61B17/122 , A61B17/29 , A61B2017/00557 , A61B2017/00818 , A61B2017/0648 , A61B2017/0649 , A61B2017/081 , A61B2017/1139 , A61B2017/12018 , A61B2017/2926 , A61B2017/306 , A61B2090/395
摘要： An overtube apparatus for insertion into a body is described herein. The assembly includes an overtube having a lumen defined throughout. The distal end of the overtube member has two or more windows in apposition configured to draw in tissue via a vacuum. A drive tube, which also defines a lumen, is inserted and is freely adjustable within the overtube. A spiral or helical fastener, which is temporarily attached to the drive tube distal end, is positioned within the overtube lumen. Endoscopic devices can be inserted within the drive tube lumen and advanced past the distal ends of both the drive tube and overtube. A pump provides the vacuum to draw apposed regions of tissue from within a hollow body organ into the windows of the overtube. Once the tissue has been invaginated, the drive tube is rotated to advance the fastener into the tissue to fasten them together.
摘要翻译：这里描述了用于插入体内的超管设备。组件包括具有整个限定的内腔的外套管。外套管构件的远端具有两个或更多个窗口，其配置构造成经由真空抽吸在组织中。还限定了管腔的驱动管被插入并且在外套管内可自由地调节。临时连接到驱动管远端的螺旋或螺旋紧固件位于外套管腔内。内窥镜装置可以插入驱动管腔内并且推进经过驱动管和外套管的远端。泵提供真空以将中空身体器官内的组织区域从外套管的窗口中抽出。一旦已经中断组织，驱动管被旋转以将紧固件推进到组织中以将它们紧固在一起。

72. 发明授权

US06694979B2 Methods and devices for use in performing pulmonary procedures 有权
公开(公告)号：US06694979B2
公开(公告)日：2004-02-24
申请号：US09797910
申请日：2001-03-02
申请人： Mark E. Deem , Bernard H. Andreas , Sunmi Chew , Antony J. Fields , Ronald French , Hanson S. Gifford, III , Ronald R. Hundertmark , Alan R. Rapacki , Douglas S. Sutton , Peter M. Wilson
发明人： Mark E. Deem , Bernard H. Andreas , Sunmi Chew , Antony J. Fields , Ronald French , Hanson S. Gifford, III , Ronald R. Hundertmark , Alan R. Rapacki , Douglas S. Sutton , Peter M. Wilson
IPC分类号： A61M1600
CPC分类号： F16K15/147 , A61B17/12022 , A61B17/12104 , A61B17/12131 , A61B17/12172 , A61B17/221 , A61B2017/1205 , A61B2017/2215 , A61B2090/061 , A61F2/04 , A61F2/24 , A61F2/2403 , A61F2/2412 , A61F2/2418 , A61F2/91 , A61F2002/043 , A61F2220/0008 , A61F2220/0016 , A61F2220/005 , Y10S128/912
摘要： An implantable flow control element is provided which prevents air from entering an isolated portion of a patient's lung. The element may permit air to escape from the isolated portion so that the element acts like a valve. Systems for implanting pulmonary devices are also provided.

73. 发明授权

US06387106B1 Surgical clamp pad with interdigitating teeth 有权
标题翻译：外科手术钳与交叉齿
公开(公告)号：US06387106B1
公开(公告)日：2002-05-14
申请号：US09578626
申请日：2000-05-25
申请人： Thomas A. Howell , Douglas S. Sutton
发明人： Thomas A. Howell , Douglas S. Sutton
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/122 , A61B2017/2825 , A61B2017/2837
摘要： Opposable surgical clamp members having opposable resilient pads with wedge-shaped and cylindrical protrusions extending from the surfaces of the pads and the use of such members for occluding vessels and other tubular body structures are described. The protrusions are arranged such that when the members are moved toward one another, the protrusions of one pad interdigitate with the protrusions of the other pad. Upon engagement with a vessel, portions of the vessel are forced into the interdigital spaces providing for improved gripping of the vessel. The protrusions also resist lateral or transverse movement of a clamped vessel relative to the pads. The existence of through holes under the pad surface alters the relative resiliency of the pad, allowing for an overall pad resiliency that minimizes trauma to a clamped vessel while allowing the local resiliency of the protrusions themselves to be of a hardness to avoid excessive deflection and retain the desired shape and gripping ability.
摘要翻译：描述了具有可从垫的表面延伸的楔形和圆柱形突起的相对的弹性垫以及用于封闭容器和其它管状结构的这种构件的使用的相对的手术夹具。突起被布置成使得当构件彼此移动时，一个垫的突起与另一个垫的突起相互交错。在与容器接合时，容器的部分被迫进入叉指间空间，从而改善对容器的抓握。这些突起还抵抗夹持的容器相对于衬垫的横向或横向移动。在垫表面下方的通孔的存在改变了垫的相对弹性，允许整体衬垫弹性使得对夹紧的容器的创伤最小化，同时允许突起本身的局部弹性具有硬度以避免过度的偏转和保持所需的形状和抓握能力。

74. 发明授权

US06206896B1 Surgical clamp pad with interdigitating teeth 有权
标题翻译：外科手术钳与交叉齿
公开(公告)号：US06206896B1
公开(公告)日：2001-03-27
申请号：US09361750
申请日：1999-07-27
申请人： Thomas A. Howell , Douglas S. Sutton , Thomas J. Fogarty
发明人： Thomas A. Howell , Douglas S. Sutton , Thomas J. Fogarty
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/122 , A61B2017/2825 , A61B2017/2837
摘要： Opposable surgical clamp members having opposable resilient pads with wedge-shaped and cylindrical protrusions extending from the surfaces of the pads and the use of such members for occluding vessels and other tubular body structures are described. The protrusions are arranged such that when the members are moved toward one another, the protrusions of one pad interdigitate with the protrusions of the other pad. Upon engagement with a vessel, portions of the vessel are forced into the interdigital spaces providing for improved gripping of the vessel. The protrusions also resist lateral or transverse movement of a clamped vessel relative to the pads. The existence of holes under the pad surface alters the relative resiliency of the pad, allowing for an overall pad resiliency that minimizes trauma to a clamped vessel while allowing the local resiliency of the protrusions themselves to be of a hardness to avoid excessive deflection and retain the desired shape and gripping ability.
摘要翻译：描述了具有可从垫的表面延伸的楔形和圆柱形突起的相对的弹性垫以及用于封闭容器和其它管状结构的这种构件的使用的相对的手术夹具。突起被布置成使得当构件彼此移动时，一个垫的突起与另一个垫的突起相互交错。在与容器接合时，容器的部分被迫进入叉指间空间，从而改善对容器的抓握。这些突起还抵抗夹持的容器相对于衬垫的横向或横向移动。衬垫表面下方的孔的存在改变了垫的相对弹性，允许整体衬垫弹性使得对夹紧的容器的创伤最小化，同时允许突起本身的局部弹性具有硬度以避免过度偏转并保持期望的形状和抓握能力。

75. 发明授权

US6004340A Balloon dissecting instruments 失效
标题翻译：气球解剖仪
公开(公告)号：US6004340A
公开(公告)日：1999-12-21
申请号：US963132
申请日：1997-10-28
申请人： George D. Hermann , Fred H. Co , Douglas S. Sutton
发明人： George D. Hermann , Fred H. Co , Douglas S. Sutton
IPC分类号： A61B17/00 , A61B1/00 , A61B17/02 , A61B17/22 , A61B17/32 , A61F2/958 , A61M25/01 , A61M25/12 , A61M29/02 , A61M29/00
CPC分类号： A61B17/00008 , A61B1/00082 , A61B1/00154 , A61B17/0218 , A61M25/0194 , A61M25/10 , A61M29/02 , A61B2017/00243 , A61B2017/00336 , A61B2017/00469 , A61B2017/00557 , A61B2017/22072 , A61B2017/320044 , A61B2017/320048 , A61M2025/09183 , A61M2025/1061 , A61M2025/1075 , A61M2025/1093 , A61M25/1002
摘要： Balloon loaded dissection devices with elongate balloons and a pushing member are disclosed for creating a tunnel alongside an elongate vessel in the body. The devices may utilize an elongate balloon of any suitable length which may be formed of an elastic or non-elastic material. The balloon may be of double walled construction and may be provided with a central lumen which may receive a guide rod, scope or other surgical instrument. The device may have a support tube secured to the inner wall of the balloon to provide columnar support for the apparatus. The support tube may have a transparent shroud attached to a distal end of the support tube. There is an open space between the distal end of the support tube and the end of the shroud allowing access to adjacent tissue. The shroud may perform blunt dissection and/or retraction to clear an open space for viewing or for performing surgical procedures. The support tube receives a scope or other surgical instrument and may have a stop member to translate pushing force applied to the scope to pushing force on the apparatus. By using the guide rod or scope as a pushing member the apparatus may be advanced alongside the vessel it is desired to dissect free from attached tissue. A balloon cover which may be elastic or resilient is provided to surround the balloon and facilitate compression of the balloon after it is deflated.
摘要翻译：公开了具有细长气囊和推动构件的气囊装载的解剖装置，用于在身体中的细长血管旁边形成隧道。这些装置可以利用可由弹性或非弹性材料形成的任何合适长度的细长气囊。球囊可以是双层结构，并且可以设置有可以容纳导杆，范围或其它外科器械的中心腔。该装置可以具有固定到球囊的内壁的支撑管，以为该装置提供柱状支撑。支撑管可以具有附接到支撑管的远端的透明罩。在支撑管的远端和护罩的端部之间存在允许进入相邻组织的开放空间。护罩可以执行钝性解剖和/或缩回以清除用于观察或执行外科手术的开放空间。支撑管接收镜架或其他手术器械，并且可具有止动构件以将施加到镜架的推力转换成对装置的推力。通过使用导杆或镜子作为推动构件，装置可以沿着容器前进，期望从附着的组织中解剖。可以具有弹性或弹性的气球盖被设置成围绕气球并且有助于在气囊收缩之后压缩气囊。

76. 发明授权

US5993472A Balloon dissecting instruments 失效
标题翻译：气球解剖仪
公开(公告)号：US5993472A
公开(公告)日：1999-11-30
申请号：US926796
申请日：1997-09-10
申请人： George D. Hermann , Fred H. Co , Douglas S. Sutton
发明人： George D. Hermann , Fred H. Co , Douglas S. Sutton
IPC分类号： A61B1/00 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/32 , A61F2/958 , A61M25/01 , A61M29/02 , A61M29/00
CPC分类号： A61B17/0218 , A61B1/00082 , A61B1/00154 , A61B1/32 , A61B17/00008 , A61M25/0194 , A61M29/02 , A61B2017/00243 , A61B2017/00557 , A61B2017/22072 , A61B2017/320044 , A61B2017/320048 , A61M2025/09183 , A61M2025/1093 , A61M25/10 , A61M25/1011
摘要： Balloon loaded dissection devices with elongate balloons and a pushing member are disclosed for creating a tunnel alongside an elongate vessel in the body. The devices may utilize an elongate balloon of any suitable length which may be formed of an elastic or non-elastic material. The balloon may be of double walled construction and may be provided with a central lumen which may receive a guide rod, scope or other surgical instrument. The device may have a support tube secured to the inner wall of the balloon to provide columnar support for the apparatus. The support tube receives the guide rod, scope or other surgical instrument and may have a stop member to translate pushing force applied to the guide rod or scope to pushing force on the apparatus. By using the guide rod or scope as a pushing member the apparatus may be advanced alongside the vessel it is desired to dissect free from attached tissue. A balloon cover which may be elastic or resilient is provided to surround the balloon and facilitate compression of the balloon after it is deflated. In an additional feature, the guide rod and/or tubular member are plastically bendable into a curved shape such that the balloon dissector may be adjusted into a curved shape.
摘要翻译：公开了具有细长气囊和推动构件的气囊装载的解剖装置，用于在身体中的细长血管旁边形成隧道。这些装置可以利用可由弹性或非弹性材料形成的任何合适长度的细长气囊。球囊可以是双层结构，并且可以设置有可以容纳导杆，范围或其它外科器械的中心腔。该装置可以具有固定到球囊的内壁的支撑管，以为该装置提供柱状支撑。支撑管接收导杆，镜或其它手术器械，并且可以具有止动构件，以将施加到导杆或镜架的推力平移到装置上的推力。通过使用导杆或镜子作为推动构件，装置可以沿着容器前进，期望从附着的组织中解剖。可以具有弹性或弹性的气球盖被设置成围绕气球并且有助于在气囊收缩之后压缩气囊。在另外的特征中，导杆和/或管状构件可塑性弯曲成弯曲形状，使得气囊解剖器可以调节成弯曲形状。

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