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1. 发明申请

US20140100509A1 DIALYSIS CATHETER 有权
公开(公告)号：US20140100509A1
公开(公告)日：2014-04-10
申请号：US14076179
申请日：2013-11-09
申请人： Stephan A. DeFonzo
发明人： Stephan A. DeFonzo
IPC分类号： A61M25/00 , A61M1/36
CPC分类号： A61M25/0026 , A61M1/3653 , A61M1/3659 , A61M1/3661 , A61M25/0023 , A61M25/0032
摘要： A dialysis catheter including a first portion having an outer wall having a first diameter, an elongated distal portion having a second diameter smaller than the first diameter, and a transition region between the first portion and distal portion. A first longitudinally extending venous lumen is configured to deliver blood. First and second independent longitudinally extending arterial lumens are configured to withdraw blood from a patient. The venous lumen and arterial lumen have first and second regions each positioned a first distance from the outer wall of the catheter and a third region positioned a second shorter distance from the outer wall of the catheter to form an arch shaped wall portion progressively increasing in thickness from the third region toward the first region and from the third region to the second region.
摘要翻译： 1.一种透析导管，包括具有第一直径的外壁的第一部分，具有小于所述第一直径的第二直径的细长远端部分和所述第一部分与所述远端部分之间的过渡区域。第一纵向延伸的静脉内腔构造成输送血液。第一和第二独立纵向延伸的动脉腔被构造成从患者抽出血液。静脉内腔和动脉腔具有第一和第二区域，每个区域与导管的外壁定位成第一距离，并且第三区域位于离导管外壁的第二较短距离处，以形成逐渐增加厚度的拱形壁部分从第三区域朝向第一区域，从第三区域到第二区域。

2. 发明申请

US20130178890A1 VEIN FILTER 有权
标题翻译： VEIN过滤器
公开(公告)号：US20130178890A1
公开(公告)日：2013-07-11
申请号：US13726160
申请日：2012-12-23
申请人： John H. Thinnes, JR. , James F. McGuckin, JR. , Stephan A. DeFonzo , Lindsay L. Carter
发明人： John H. Thinnes, JR. , James F. McGuckin, JR. , Stephan A. DeFonzo , Lindsay L. Carter
IPC分类号： A61F2/01
CPC分类号： A61F2/01 , A61B2017/2215 , A61F2/013 , A61F2002/011 , A61F2002/016 , A61F2002/018 , A61F2002/8483 , A61F2220/0016 , A61F2230/005 , A61F2230/008 , A61F2250/0059
摘要： A vessel filter comprising a first region and a second region wherein the filter is movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. A first region has a filter portion having a converging region to direct particles toward the center of the filter and the second region is flared in the expanded position to have a transverse dimension increasing toward a second end portion opposite the first end portion. The second region includes a vessel engaging portion at the second end portion. The first region includes a plurality of spaced apart elongated struts with adjacent struts being joined.
摘要翻译：一种容器过滤器，包括第一区域和第二区域，其中所述过滤器可以在用于输送到容器的折叠位置和用于放置在容器内的膨胀位置之间移动。第一区域具有过滤器部分，该过滤器部分具有会聚区域以将颗粒引向过滤器的中心，并且第二区域在展开位置展开，以使横向尺寸朝向与第一端部相对的第二端部部分增加。第二区域包括在第二端部处的容器接合部分。第一区域包括多个间隔开的细长支柱，其相邻的支柱被连接。

3. 发明申请

US20090308908A1 APPARATUS FOR APPLYING SURGICAL FASTENERS TO BODY TISSUE 失效
标题翻译：用于将外科紧固件应用于身体组织的装置
公开(公告)号：US20090308908A1
公开(公告)日：2009-12-17
申请号：US12548053
申请日：2009-08-26
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/068
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

4. 发明授权

US06981966B2 Valve assembly for introducing instruments into body cavities 失效
公开(公告)号：US06981966B2
公开(公告)日：2006-01-03
申请号：US10444378
申请日：2003-05-23
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5/178
CPC分类号： A61M25/04 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

5. 发明授权

US5497933A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5497933A
公开(公告)日：1996-03-12
申请号：US133978
申请日：1993-10-08
申请人： Stephan A. DeFonzo , Wayne P. Young , Samson L. Pennatto , Andrew Komlosi
发明人： Stephan A. DeFonzo , Wayne P. Young , Samson L. Pennatto , Andrew Komlosi
IPC分类号： A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063
摘要： An apparatus is disclosed for endoscopic application of surgical staples to body tissue in laparoscopic hernia surgery, preferably with surgical mesh. The apparatus includes a staple storage cartridge supported on a pivotal support system at the distal end of the endoscopic section. An elongated pusher system extends from the frame to the endoscopic section and individually advances the staples distally. A pair of legs project distally from the pusher plate to engage the staple during closure to prevent unwanted roll or deformation of the staple. A trigger system actuates the pusher. An anvil structure having rounded anvil legs to match the configuration of the staples provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue to attach the portion of the mesh to the body tissue. The staple storage cartridge may be pivoted with respect to the longitudinal axis of the endoscopic section from 0.degree. to about 20.degree., 45.degree., and 65.degree. and the cartridge may be rotated about its own axis independent of the endoscopic section. The distalmost tip of the instrument includes two distally extending members which engage the body tissue to stabilize the orientation of the instrument during application of staples.
摘要翻译：公开了一种用于在腹腔镜疝手术中内窥镜施用外科缝合至身体组织的装置，优选地使用外科手术网。该装置包括支撑在内窥镜部分的远端处的枢转支撑系统上的订书钉存储盒。细长的推动器系统从框架延伸到内窥镜部分并且单独地向前移动钉。一对腿从推动板向远端突出以在关闭期间接合钉，以防止不期望的卷轴或变形钉。触发系统启动推杆。具有圆形砧座腿以匹配钉的构造的砧座结构提供单独地封闭每个钉以包围外科手术网的至少一部分并穿透身体组织以将网的该部分附接到身体组织。订书钉存储盒可以相对于内窥镜部分的纵向轴线从0°至大约20°，45°和65°枢转，并且筒可以独立于内窥镜部分围绕其自身的轴线旋转。仪器的最远端是包括两个远端延伸的构件，它们与身体组织接合，以在施加钉时稳定仪器的取向。

6. 发明授权

US5364002A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5364002A
公开(公告)日：1994-11-15
申请号：US861065
申请日：1992-03-31
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

7. 发明申请

US20140142622A1 VASCULAR HOLE CLOSURE DEVICE 有权
标题翻译：血管孔封闭装置
公开(公告)号：US20140142622A1
公开(公告)日：2014-05-22
申请号：US14082163
申请日：2013-11-17
申请人： Richard T. Briganti , James F. McGuckin, JR. , Walter H. Peters , James S. Tarmin , Stephan A. DeFonzo
发明人： Richard T. Briganti , James F. McGuckin, JR. , Walter H. Peters , James S. Tarmin , Stephan A. DeFonzo
IPC分类号： A61B17/00
CPC分类号： A61B17/0057 , A61B17/064 , A61B2017/00637 , A61B2017/00659 , A61B2017/00867
摘要： A device for closing an aperture in a vessel wall comprising an elongated member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture. The elongated member has a dimension to prevent egress of fluid through the aperture. A material forms two curved legs having ends positionable external of the vessel. The legs curve in different directions and a retention portion is formed in the material to retain the legs during placement of the elongated member inside the vessel.
摘要翻译：一种用于封闭容器壁中的孔的装置，包括具有纵向轴线的细长构件并且可抵靠孔的内部开口定位在容器的内部。细长构件具有防止流体通过孔流出的尺寸。材料形成具有位于容器外部的端部的两个弯曲腿。腿部在不同方向上弯曲，并且在将细长构件放置在容器内部期间，在材料中形成保持部分以保持腿部。

8. 发明授权

US08162972B2 Vein filter 有权
标题翻译：静脉过滤器
公开(公告)号：US08162972B2
公开(公告)日：2012-04-24
申请号：US12770508
申请日：2010-04-29
申请人： James F. McGuckin, Jr. , James E. Bressler , John H. Thinnes, Jr. , Stephan A. DeFonzo , Lindsay L. Carter
发明人： James F. McGuckin, Jr. , James E. Bressler , John H. Thinnes, Jr. , Stephan A. DeFonzo , Lindsay L. Carter
IPC分类号： A61F2/01
CPC分类号： A61F2/01 , A61B2017/2215 , A61F2/848 , A61F2002/011 , A61F2002/016 , A61F2002/018 , A61F2002/8483 , A61F2220/0016 , A61F2230/005 , A61F2230/008 , A61F2250/0059
摘要： A vessel filter having a first region and a second region, the filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. The first region has a filter portion having a converging region to direct particles toward the center of the filter and includes a plurality of spaced apart filter struts. The struts each have a strut height defined as a distance between a first wall and a second wall. A plurality of hooks are at the second region, the hooks having a vessel penetrating tip and a width greater than the width of the strut from which it extends such that the penetrating tip portion of the hook extends beyond the first wall.
摘要翻译：一种具有第一区域和第二区域的容器过滤器，所述过滤器可在用于输送到容器的折叠位置和用于放置在容器内的膨胀位置之间移动。第一区域具有过滤器部分，该过滤器部分具有会聚区域，以将颗粒引向过滤器的中心并且包括多个间隔开的过滤器支柱。支柱各自具有被定义为第一壁和第二壁之间的距离的支柱高度。多个钩在第二区域处，钩具有穿透尖端的容器，并且其宽度大于其延伸的支柱的宽度，使得钩的穿透尖端部分延伸超过第一壁。

9. 发明授权

US06989004B2 Apparatus for delivering ablation fluid to treat lesions 有权
公开(公告)号：US06989004B2
公开(公告)日：2006-01-24
申请号：US10145863
申请日：2002-05-14
申请人： Peter W. J. Hinchliffe , James F. McGuckin, Jr. , Stephan A. Defonzo
发明人： Peter W. J. Hinchliffe , James F. McGuckin, Jr. , Stephan A. Defonzo
IPC分类号： A61M5/178
CPC分类号： A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0087 , A61M2025/0096
摘要： A surgical apparatus for delivering fluid to treat a lesion comprising an elongated member having a distal tip and a first and second set of openings formed in a sidewall proximal of the distal tip. The second set of openings is positioned proximally of the first set of openings. First and second set of fluid delivery members are movably positioned in the elongated for delivering fluid to the lesion. An actuator moves the fluid delivery members from a retracted position within the elongated members to a first deployed position extending radially with respect to the elongated member and moves the fluid delivery members from the first deployed position to a second deployed position extending further radially from the elongated member. The fluid delivery members are retained in the first and second deployed positions by a retention member.

10. 发明授权

US06626903B2 Surgical biopsy device 失效
标题翻译：手术活检装置
公开(公告)号：US06626903B2
公开(公告)日：2003-09-30
申请号：US09844729
申请日：2001-04-27
申请人： James F. McGuckin, Jr. , Peter W. J. Hinchliffe , Stephan A. Defonzo
发明人： James F. McGuckin, Jr. , Peter W. J. Hinchliffe , Stephan A. Defonzo
IPC分类号： A61B1818
CPC分类号： A61B10/02 , A61B10/0041 , A61B10/0266 , A61B17/0218 , A61B17/221 , A61B17/320016 , A61B17/32056 , A61B17/320725 , A61B18/14 , A61B18/1482 , A61B90/39 , A61B90/40 , A61B2017/00287 , A61B2017/00796 , A61B2017/008 , A61B2017/2212 , A61B2017/2215 , A61B2017/32004 , A61B2017/320072 , A61B2018/1407 , A61B2018/2238
摘要： A surgical biopsy apparatus for cutting tissue comprising a housing having a longitudinal axis, first and second members movable from a retracted position to an extended position with respect to the housing, a third member slidably positioned and extendable with respect to the first member, a fourth member slidably positioned and extendable with respect to the second member, and an electrocautery cutting wire slidable with respect to the third and fourth members to surround a region of tissue positioned between the third and fourth members to cut the tissue.
摘要翻译：一种用于切割组织的外科活检装置，包括具有纵向轴线的壳体，第一和第二构件可相对于所述壳体从缩回位置移动到延伸位置;第三构件，其相对于所述第一构件可滑动地定位和延伸;第四构件，可相对于第二构件可滑动地定位和延伸的构件，以及可相对于第三和第四构件滑动的电灼切割线，以围绕定位在第三和第四构件之间的组织区域以切割组织。

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