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1. 发明授权

US06945950B2 Ureteral stent with small bladder tail(s) 失效
标题翻译：具有小膀胱尾的输尿管支架
公开(公告)号：US06945950B2
公开(公告)日：2005-09-20
申请号：US10661823
申请日：2003-09-12
申请人： Ralph V. Clayman , Alyssa J. Dassa , Christopher Fishbein , Douglas E. Godshall , Willet F. Whitemore, III
发明人： Ralph V. Clayman , Alyssa J. Dassa , Christopher Fishbein , Douglas E. Godshall , Willet F. Whitemore, III
IPC分类号： A61F2/04 , A61F2/94 , A61M5/00
CPC分类号： A61M27/008 , A61B2017/003 , A61B2018/00148 , A61B2018/0016 , A61B2018/00791 , A61F2002/048
摘要： A ureteral stent for assisting movement of urine along a patient's ureter and into the patient's bladder. The stent includes an elongated tubular segment extending toward the bladder from a kidney end region for placement in the renal cavity to a bladder end region. A central lumen connects at least one opening at the first end region to at least one opening in the bladder end region. Thin flexible tail(s) are attached to the bladder end region of the tubular segment at a point outside the bladder so as to receive urine from the opening in the bladder end region and to transport urine from there across the ureter/bladder junction and into the bladder. The tails include an elongated external urine-transport surface configured to transport urine. The transporting surface(s) are configured to extend along at least part of the ureter, across the ureter/bladder junction, and into the bladder.
摘要翻译：输尿管支架用于辅助尿液沿着患者输尿管运动并进入患者膀胱。支架包括从肾端部区域朝向膀胱延伸的细长管状部分，用于放置在肾腔中至膀胱端部区域。中央腔将第一端区域的至少一个开口连接到膀胱端区域中的至少一个开口。薄的柔性尾部在膀胱外部的一个点处附接到管状区段的膀胱端部区域，以便从膀胱端部区域中的开口接收尿液并将尿液从那里输送穿过输尿管/膀胱结，并进入膀胱尾部包括配置成输送尿液的细长的外部尿液输送表面。输送表面构造成沿着输尿管的至少一部分延伸穿过输尿管/膀胱连接处并进入膀胱。

2. 发明授权

US4199882A Person and blood identification wrist band 失效
标题翻译：人血识别腕带
公开(公告)号：US4199882A
公开(公告)日：1980-04-29
申请号：US911714
申请日：1978-06-02
申请人： Ralph V. Clayman
发明人： Ralph V. Clayman
IPC分类号： A61B5/117 , A61B19/00 , G09F3/00 , G09F3/02
CPC分类号： G09F3/005 , A61B5/117 , A61B90/90
摘要： A person and blood identification wrist band including a wrist band having a transparent pocket for a first identification tag of person and blood type. A blood container removably attached to the wrist band and having a transparent pocket on the blood container for a second identification tag identical to the first tag. The blood container has a pierceable membrane for filling the container with blood from a syringe. When the blood container is removed with its identification tag from the wrist band the identical first identification tag on the wrist band is visible.
摘要翻译：一种人和血液识别腕带，包括具有用于人和血型的第一识别标签的透明袋的腕带。一种血液容器，其可移除地附接到腕带并且在血液容器上具有与第一标签相同的第二识别标签的透明袋。血液容器具有可刺穿的膜，用于从注射器向血液充填血液。当血液容器从其腕带上用其识别标签去除时，腕带上的相同的第一识别标签是可见的。

3. 发明授权

US07135015B2 Ureteral access sheath 有权
公开(公告)号：US07135015B2
公开(公告)日：2006-11-14
申请号：US09882630
申请日：2001-06-13
申请人： Gary R. Dulak , Ralph V. Clayman
发明人： Gary R. Dulak , Ralph V. Clayman
IPC分类号： A61M25/00
CPC分类号： A61M25/0014 , A61M25/0017 , A61M25/0662 , A61M2025/0681 , A61M2210/1089
摘要： A ureteral access sheath adapted for insertion into a urethra includes an elongate tube extending between a proximal end and a distal end. A handle assembly is disposed at the proximal end and includes enlarged portions which inhibit migration of the sheath into the urethra. The enlarged portions are shaped like the bell of a horn with a concave, distally-facing outer surface and a convex, proximally-facing inner surface. The inner surface functions as a funnel while the outer surface is sized and configured to receive adjacent fingers of a user's hand held in its natural position. In an associated method, this shape of the handle assembly facilitates maintaining the sheath in a stationary position during insertion and removal of instrumentation. The handle assembly can be movable on the tube to facilitate variation of the sheath link in situ.

4. 发明授权

US6117150A Pneumatic tissue dissector with exhaust system 失效
标题翻译：带排气系统的气动组织分离器
公开(公告)号：US6117150A
公开(公告)日：2000-09-12
申请号：US115008
申请日：1998-07-14
申请人： Edward D. Pingleton , Gary L. Butler , Neal E. Fearnot , Donald R. Hollinger , Timothy G. Vendrely , Ralph V. Clayman
发明人： Edward D. Pingleton , Gary L. Butler , Neal E. Fearnot , Donald R. Hollinger , Timothy G. Vendrely , Ralph V. Clayman
IPC分类号： A61B17/00 , A61B17/28 , A61B17/32 , A61B18/14 , A61B19/00 , A61M1/00 , A61M11/06
CPC分类号： A61B17/00234 , A61B17/00 , A61B17/3203 , A61B90/00 , A61B18/14 , A61B2017/00544 , A61B2017/2905 , A61B2017/320044 , A61B2017/32035 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M1/0064 , A61M11/06
摘要： A pneumatic tissue dissector 10 useful for cutting or dissecting living tissue during endoscopic or laparoscopic procedures includes a dissector tip 16 for exuding a flow of pressurized gas, an inlet arrangement 24 for controlling the flow of gas from the tip 16, and an exhaust system 30 for exhausting the gas exuded from the tip 16. The exhaust system includes an inlet 32 adjacent to the tip 16 and an outlet spaced from the inlet 32. The outlet 34 is operable in coordination with the inlet arrangement 24 and is capable of exhausting a flow of gas about equal to that exuded by the tip 16, ensuring that the pressure in the cavity in which the procedure is performed does not increase or fluctuate. The flow of pressurized gas from the tip 16 is preferably compatible with an insufflation cavity pressure of no more than about 15 mm Hg, and the inlet arrangement 24 preferably supplies gas to the tip 16 at a pressure of no more than about 50 psi. The dissector 10 preferably further includes a laparoscopic introducer sheath 68 which is shorter in length than the distance between the inlet 32 and the outlet 34.
摘要翻译：在内窥镜或腹腔镜手术中可用于切割或解剖活体组织的气动组织剥离器10包括用于渗出加压气体流的分离器尖端16，用于控制来自尖端16的气体流动的入口装置24和排气系统30 用于排出从尖端16渗出的气体。排气系统包括与尖端16相邻的入口32和与入口32间隔开的出口。出口34可与入口装置24协调地操作并且能够排出流大约等于由尖端16渗出的气体，确保执行该过程的空腔中的压力不增加或波动。来自尖端16的加压气体的流动优选地与不超过约15mm Hg的吹入腔压力兼容，并且入口装置24优选以不超过约50psi的压力将气体供应到尖端16。解剖器10优选地还包括腹腔镜引导器护套68，其长度小于入口32和出口34之间的距离。

5. 发明授权

US5628746A Dilatation catheter assembly with cutting element and method of using the same 失效
标题翻译：具有切割元件的扩张导管组件及其使用方法
公开(公告)号：US5628746A
公开(公告)日：1997-05-13
申请号：US347838
申请日：1994-11-30
申请人： Ralph V. Clayman
发明人： Ralph V. Clayman
IPC分类号： A61B18/08 , A61B18/14 , A61B17/39
CPC分类号： A61B18/08 , A61B18/1492 , A61B2018/00107 , A61B2018/00148 , A61B2018/0022 , A61B2018/00285 , A61B2018/00386 , A61B2018/00422 , A61B2018/1213 , A61B2018/1253 , A61B2018/144
摘要： A dilatation catheter assembly is set forth which permits dilatation and incision of tissue whereby trauma and damage to the tissue due to uncontrolled tearing is reduced or eliminated. The assembly comprises an elongated tubular body having a distal end that carries a dilatation bladder and cutting element carried on the exterior of the bladder and that moves radially in concert with the exterior of the bladder as the bladder is inflated and deflated. The bladder is not linearly extensible and is extensible only to a specified volume and/or the cutting element utilized is a radio frequency cutting element.
摘要翻译：阐述了扩张导管组件，其允许组织的扩张和切口，从而减少或消除由于不受控制的撕裂引起的对组织的损伤和损伤。组件包括细长的管状体，其具有远端，所述远端具有承载在膀胱外部的扩张囊和切割元件，并且当膀胱膨胀和放气时，该管状体与囊的外部一起径向移动。膀胱不是线性可延伸的，并且仅可扩展到指定的体积和/或所使用的切割元件是射频切割元件。

6. 发明授权

US5037379A Surgical tissue bag and method for percutaneously debulking tissue 失效
标题翻译：手术组织袋和经皮减脂组织的方法
公开(公告)号：US5037379A
公开(公告)日：1991-08-06
申请号：US543680
申请日：1990-06-22
申请人： Ralph V. Clayman , Edward D. Pingleton
发明人： Ralph V. Clayman , Edward D. Pingleton
IPC分类号： A61B17/22 , A61B17/00 , A61L33/00
CPC分类号： A61B17/00234 , A61B2017/00287 , Y10S128/24
摘要： A surgical tissue bag for percutaneously debulking large volumes of tissue contained within the bag. The tissue bag comprises two layers of material, an inner layer of a puncture-resistant material and an outer layer of moisture-proof material for containing cells and fluid therein. The bag material is foldable and flexible for insertion through an access sheath into the surgical site and for forming a gas-tight seal when extended through the access sheath or puncture site. A drawstring is attached to the open end of the bag to close the bag when the tissue is contained therein and pulled through the puncture site in the outer surface of the skin. After the closed open end of the bag is pulled through the puncture site, the closed end is fanned out against the outer layer of the skin, and a morcellator is inserted into the bag for debulking the large volume of tissue. The open end of the bag is continually fanned out to maintain a compact and tight containment of the tissue and fluid remaining in the bag. The morcellation process is continued until the entire volume of tissue is removed at which time the remaining portion of the bag is completely removed from the surgical site area.

7. 发明授权

US08282622B2 Ureteral access sheath 有权
标题翻译：输尿管通路鞘
公开(公告)号：US08282622B2
公开(公告)日：2012-10-09
申请号：US11621373
申请日：2007-01-09
申请人： Gary R. Dulak , Ralph V. Clayman
发明人： Gary R. Dulak , Ralph V. Clayman
IPC分类号： A61M25/00
CPC分类号： A61M25/0017 , A61M25/0014 , A61M25/0662
摘要： A ureteral access sheath adapted for insertion into a urethra includes an elongate tube extending between a proximal end and a distal end. A handle assembly is disposed at the proximal end and includes enlarged portions which inhibit migration of the sheath into the urethra. The enlarged portions are shaped like the bell of a horn with a concave, distally-facing outer surface and a convex, proximally-facing inner surface. The inner surface functions as a funnel while the outer surface is sized and configured to receive adjacent fingers of a user's hand held in its natural position. In an associated method, this shape of the handle assembly facilitates maintaining the sheath in a stationary position during insertion and removal of instrumentation. The handle assembly can be movable on the tube to facilitate variation of the sheath link in situ.
摘要翻译：适于插入尿道的输尿管通路护套包括在近端和远端之间延伸的细长管。手柄组件设置在近端处，并且包括抑制鞘进入尿道的迁移的扩大部分。扩大部分的形状像喇叭的钟形，具有凹面的朝向外侧的外表面和朝向内侧的凸面的内表面。内表面用作漏斗，而外表面的尺寸和构造适于接纳保持在其自然位置的用户手的相邻手指。在相关联的方法中，手柄组件的这种形状便于在插入和移除仪器时将护套保持在静止位置。手柄组件可以在管上移动以便于原位将护套连接件变化。

8. 发明授权

US06773432B1 Electrosurgical snare 失效
标题翻译：电外科圈套
公开(公告)号：US06773432B1
公开(公告)日：2004-08-10
申请号：US10110159
申请日：2002-04-05
申请人： Ralph V. Clayman , William C. Collyer , Jaime Landman
发明人： Ralph V. Clayman , William C. Collyer , Jaime Landman
IPC分类号： A61B1739
CPC分类号： A61B17/32056 , A61B18/14 , A61B2018/00083 , A61B2018/1407 , A61B2018/141
摘要： An electrosurgical instrument includes a handle with a hollow elongate configuration and an electrosurgical assembly having ends disposed within the hollow handle and forming a continuous loop moveable by operation of the handle between an enlarged state and a contracted state. An electrosurgical element included in the assembly has an outer surface and axis and a lumen extending along the axis. Transverse portions of the element define a plurality of slots extending transverse to the axis and providing fluid communication between the lumen and the outer surface of the element. The element includes an insulated backbone and a plurality of ribs disposed to extend in space relationship to each other transverse to the backbone. A method of manufacture includes the step of creating slots in the element to define the ribs in the backbone.
摘要翻译：电外科器械包括具有中空细长构造的手柄和电外科组件，其具有设置在中空手柄内的端部，并且形成可通过在放大状态和收缩状态之间操作手柄而可移动的连续环路。包括在组件中的电外科元件具有外表面和轴线以及沿轴线延伸的内腔。元件的横向部分限定了横向于轴线延伸的多个狭缝，并且提供了内腔和元件的外表面之间的流体连通。该元件包括绝缘骨架和多个肋，所述多个肋设置成在横向于骨架的空间关系中延伸。一种制造方法包括在该元件中产生槽以在骨架中限定肋条的步骤。

9. 发明授权

US06716183B2 Guidewire 失效
标题翻译：导丝
公开(公告)号：US06716183B2
公开(公告)日：2004-04-06
申请号：US09947071
申请日：2001-09-05
申请人： Ralph V. Clayman , Edward D. Pingleton , Frans Vandenbroek , Ghassan Sakakine
发明人： Ralph V. Clayman , Edward D. Pingleton , Frans Vandenbroek , Ghassan Sakakine
IPC分类号： A61M2509
CPC分类号： A61M25/09 , A61B1/307 , A61M2025/09083 , A61M2025/09175
摘要： A urological guidewire includes a core formed of a first metallic material and extending toward an end of the guidewire. A coil having a plurality of convolutions is disposed around the core at the end of the guidewire, the coil being formed of a second metallic material different than the first metallic material. A mechanical interlock is formed to inhibit separation of the different materials forming the coil and the core. The mechanical interlock may include an enlargement at the end of the core and a bonding material fixing the enlargement to the coil. The convolutions may include a penultimate convolution with a first radius of curvature and an ultimate convolution having a second, shorter radius of curvature to form a bridge. In this case, portions of the core can be bent back on themselves and directed over or around the bridge to form the mechanical interlock.
摘要翻译：泌尿导丝包括由第一金属材料形成并且朝向导丝的端部延伸的芯。具有多个卷积的线圈在导丝的端部处设置在芯周围，线圈由与第一金属材料不同的第二金属材料形成。形成机械互锁以阻止形成线圈和芯的不同材料的分离。机械互锁可以包括在芯的端部的放大和将放大物固定到线圈的接合材料。卷积可以包括具有第一曲率半径的倒数第二卷积和具有第二较短的曲率半径以形成桥的最终卷积。在这种情况下，芯的部分可以自身弯曲并引导到桥上或周围，以形成机械互锁。

10. 发明授权

US06471684B2 Ureteral access sheath 有权
标题翻译：输尿管通路鞘
公开(公告)号：US06471684B2
公开(公告)日：2002-10-29
申请号：US09303485
申请日：1999-04-30
申请人： Gary R. Dulak , Ralph V. Clayman
发明人： Gary R. Dulak , Ralph V. Clayman
IPC分类号： A61M2500
CPC分类号： A61M25/0014 , A61M25/0017 , A61M25/0662 , A61M2025/0681 , A61M2210/1089
摘要： A ureteral access sheath adapted for insertion into a urethra includes an elongate tube extending between a proximal end and a distal end. A handle assembly is disposed at the proximal end and includes enlarged portions which inhibit migration of the sheath into the urethra. The enlarged portions are shaped like the bell of a horn with a concave, distally-facing outer surface and a convex, proximally-facing inner surface. The inner surface functions as a funnel while the outer surface is sized and configured to receive adjacent fingers of a user's hand held in its natural position. In an associated method, this shape of the handle assembly facilitates maintaining the sheath in a stationary position during insertion and removal of instrumentation. The handle assembly can be movable on the tube to facilitate variation of the sheath link in situ.
摘要翻译：适于插入尿道的输尿管通路护套包括在近端和远端之间延伸的细长管。手柄组件设置在近端处，并且包括抑制鞘进入尿道的迁移的扩大部分。扩大部分的形状像喇叭的钟形，具有凹面的朝向外侧的外表面和朝向内侧的凸面的内表面。内表面用作漏斗，而外表面的尺寸和构造适于接纳保持在其自然位置的用户手的相邻手指。在相关联的方法中，手柄组件的这种形状便于在插入和移除仪器时将护套保持在静止位置。手柄组件可以在管上移动以便于原位将护套连接件变化。

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