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    • 5. 发明申请
    • SURGICAL DEVICE WITH TACK-FREE GEL AND METHOD OF MANUFACTURE
    • 具有无粘性凝胶的手术设备和制造方法
    • WO2005013803A9
    • 2005-06-02
    • PCT/US2004025511
    • 2004-08-05
    • APPLIED MED RESOURCESAHLBERG RUSSELL EADLPARVAR PAYAMTAYLOR SCOTT VWIXEY MATTHEW AMARTINEZ DANIELBRUSTAD JOHN R
    • AHLBERG RUSSELL EADLPARVAR PAYAMTAYLOR SCOTT VWIXEY MATTHEW AMARTINEZ DANIELBRUSTAD JOHN R
    • A61B17/00A61B17/22A61B17/34B29C39/00B29C39/12A61B
    • A61M3/0279A61B17/3423A61B17/3462A61B17/3498A61B2017/00469A61B2017/22067B29C37/0067B29C39/006B29C39/025B29C39/123
    • A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
    • 公开了一种制作无粘性凝胶的方法,包括以下步骤:提供限定模腔的模具,所述模腔包含塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且形成不粘性凝胶作为模腔的塑料薄层在熔体上熔化。 成型步骤还包括将凝胶从熔融状态冷却到固化状态。 塑料材料的熔化温度低于凝胶的模塑温度; 并且温差越高,塑料材料的熔化越大,并且凝胶表面上的塑料材料层越厚。 模具可以由低密度聚乙烯(LDPE)形成。 采用本发明的方法,将熔融凝胶在其模塑温度下的热量传递到LDPE模具的表面上,以熔化薄层LDPE。 模具可以包括具有形成多个模腔的多个模具孔的模具基座,每个模具孔包括轴向销以模制穿过凝胶中心的轴向孔,LDPE缸提供预定内径用于 模具和安装在轴向销上并设置在模具基座中的每个模腔的底部的LDPE盘。 该方法可以进一步包括在低摩擦粉末例如聚四氟乙烯(PTFE)和润滑剂中蘸取凝胶的步骤。 所述模具还可以包括模具顶部,所述模具顶部设置在所述模具基部的轴向上并且包括形成多个腔体的多个孔,每个所述模具顶部孔适于接收所述LDPE圆筒,并且第二LDPE圆盘设置在所述顶部 模具顶部的每个模腔。
    • 6. 发明申请
    • SURGICAL INSTRUMENT ACCESS DEVICE
    • 手术仪器访问装置
    • WO2005032331A3
    • 2006-09-08
    • PCT/US2004028250
    • 2004-08-30
    • APPLIED MED RESOURCESKAHLE HENRYADLPARVAR PAYAMJOHNSON GARY M
    • KAHLE HENRYADLPARVAR PAYAMJOHNSON GARY M
    • A61B1/32A61B17/00A61B17/34
    • A61B17/3423A61B5/024A61B5/0507A61B5/08A61B5/6889A61B5/6898A61B17/0293A61B17/3431A61B17/3498A61B2017/00526
    • A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
    • 手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有用于在不存在仪器的情况下产生零密封的特性,以及用于具有高达约37mm直径的仪器的仪器密封件。 阀可以包括凝胶材料,并且进入通道可以包括保护套筒,以在插入和抽出锋利的外科器械时提供伤口保护。 阀还包括可以用凝胶材料插入或模制的盖环。 保护套可以围绕盖环的内径粘合或模制。 保护套筒可以是单个管状构件,或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。 保护套和盖环可以由相同或不同的材料组成。 外科进入装置还包括形成中空空间的阀周向布置的至少一个支撑环和可操作地放置在中空空间中的缠绕牵开器。 卷绕卷收器包括内圈,外圈和连接内圈和外圈的柔性套管。
    • 7. 发明申请
    • SUTURE SECURING DEVICE AND METHOD
    • 防静电装置和方法
    • WO2005046430A3
    • 2006-04-06
    • PCT/US2004035420
    • 2004-10-26
    • APPLIED MED RESOURCESWIXEY MATTHEW AHART CHARLES CADLPARVAR PAYAM
    • WIXEY MATTHEW AHART CHARLES CADLPARVAR PAYAM
    • A61B17/04
    • A61B17/0487A61B2017/045A61B2017/0488
    • The invention is directed to a device and method for securing a passed surgical suture (60, 70) in a manner similar to a tied knot. The suture securing device comprises a male piece (300) having a top portion (310), a center shaft (340) having one end connected to the top portion, and an end member having a capturing feature (375) connected to another end of the center shaft; and a female piece (400) having a top end and a bottom end comprising a column being generally cylindrical in shape and forming a hollow opening (450) along its length, wherein the opening slidingly receives the center shaft and a suture to be captured and held by the capturing feature, the suture being secured in place between the column and the center shaft.
    • 本发明涉及一种用于以类似于束缚结的方式固定通过的手术缝合线(60,70)的装置和方法。 缝合线固定装置包括具有顶部部分(310)的中间轴(340)和连接到顶部的一端的中间轴(340)的公片(300),以及具有与另一端连接的捕获特征(375) 中心轴; 和具有顶端和底端的阴部件(400),其包括大体圆柱形的柱,并且沿其长度形成中空开口(450),其中所述开口滑动地容纳所述中心轴和要被捕获的缝合线,并且 通过捕获特征保持,缝合线被固定在柱和中心轴之间的适当位置。
    • 9. 发明申请
    • DEVICE FOR SHAPING INFARCTED HEART TISSUE AND METHOD OF USING THE DEVICE
    • 用于形成感染性心脏组织的装置和使用装置的方法
    • WO0062727A9
    • 2002-08-29
    • PCT/US0010172
    • 2000-04-14
    • HEARTEN MEDICALLAUFER MICHAEL KWADHWANI SURESH KNANCE EDWARD JADLPARVAR PAYAMKORDIS THOMAS F
    • LAUFER MICHAEL KWADHWANI SURESH KNANCE EDWARD JADLPARVAR PAYAMKORDIS THOMAS F
    • A61B18/14A61F7/00
    • A61B18/1402A61B2018/00351A61B2018/00416A61B2018/00791A61B2018/126
    • A device, and method for treating an infarct scar on a heart comprising an electric cable (19) with proximal, and distal ends; a handle (21) with proximal, and distal ends with the proximal end connected to the distal end of the cable; a stem (23) with proximal, and distal ends with the proximal end of the stem connected to the distal end of the handle; a heating element (26) with a first surface for contacting infarct scar tissue connected to the distal end of the stem wherein the heating element comprises at least two electrodes, and at least one temperature sensor (87) positioned on the first surface for sensing a temperature of infarct scar tissue adjacent to the sensor; an energy source connected to the electrodes via the electric cable; and a regulator connected to the energy source, and the temperature sensor of the infarct scar tissue, for controlling the temperature of the infarct scar tissue from about 60 degrees C to about 99 degrees C. Once the heart has been treated, a restraint is disclosed that allows for the shrinkage to be maintained over time.
    • 一种用于治疗心脏上的梗塞瘢痕的装置和方法,包括具有近端和远端的电缆(19); 手柄(21),其具有近端和远端,近端连接到电缆的远端; 杆(23),其具有近端和远端,所述杆的近端连接到手柄的远端; 加热元件(26),其具有用于接触连接到所述杆的远端的梗塞瘢痕组织的第一表面,其中所述加热元件包括至少两个电极,以及定位在所述第一表面上的至少一个温度传感器(87) 与传感器相邻的梗塞瘢痕组织的温度; 通过电缆连接到电极的能量源; 以及连接到能源的调节器和梗塞瘢痕组织的温度传感器,用于将梗塞瘢痕组织的温度控制在约60摄氏度至约99摄氏度之间。一旦心脏被治疗,就会公开一种约束 这允许在一段时间内保持收缩。