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1. 发明授权

US5733265A Shielded needle assembly 失效
标题翻译：屏蔽针组件
公开(公告)号：US5733265A
公开(公告)日：1998-03-31
申请号：US719222
申请日：1996-09-25
申请人： Alan B. Bachman , Jeffrey A. Stein
发明人： Alan B. Bachman , Jeffrey A. Stein
IPC分类号： A61M5/32
CPC分类号： A61M5/3216 , A61M5/5086
摘要： A needle assembly includes an elongate needle, a needle hub with an axial bore therethrough to receive and hold the needle projecting axially, the needle hub further is releasably mountable on a fluid handling device. The assembly has an elongate shield having an open proximal end, a distal end and a sidewall with an inside surface defining a cavity. There is an elongate aperture into the cavity from about the distal end to the proximal end. The assembly has a hinge that includes a mount for retaining the shield onto the hub, the mount has an opening therein that is sized and shaped to receive at least a portion of the needle hub. The shield is movable about the hinge by an off-axis pivotal movement between an initial closed position, an open position and a latched position. The assembly has a removable cover that is disposed over the elongate aperture in the shield and engaging the shield to hold it in the initial closed position. The cover is removable by a distal axial movement that also opens the shield, disengages the cover from the shield exposes at least the distal point of the needle. There is a latch for latching the shield to the mount when the shield is in the latched position.
摘要翻译：针组件包括细长的针头，具有穿过其中的轴向孔的针座，用于容纳和保持针轴向突出，针座还可拆卸地安装在流体处理装置上。组件具有细长的屏蔽件，其具有开口的近端，远端和具有限定空腔的内表面的侧壁。从远端到近端有一个细长的孔进入空腔。组件具有铰链，该铰链包括用于将屏蔽件保持在轮毂上的安装座，该安装座具有其中的开口，该开口的尺寸和形状被设计成可容纳针毂的至少一部分。屏蔽件可以通过在初始关闭位置，打开位置和锁定位置之间的离轴枢转运动来围绕铰链移动。组件具有可移除的盖，其被布置在护罩中的细长孔的上方并且与护罩接合以将其保持在初始关闭位置。通过远端轴向运动可以移除盖子，该远端轴向运动也打开护罩，使盖与屏蔽件脱开至少暴露出针头的远端。当屏蔽处于锁定位置时，有一个闩锁用于将屏蔽件锁定到安装座上。

2. 发明授权

US5830221A Coil fastener applier 失效
标题翻译：线圈紧固件施工机
公开(公告)号：US5830221A
公开(公告)日：1998-11-03
申请号：US717492
申请日：1996-09-20
申请人： Jeffrey A. Stein , William J. Allen , Richard L. Markus , Alan B. Bachman , Deborah M. Bryan , Henry E. Holsten , Stephen A. DeFonzo , Robert C. Savage
发明人： Jeffrey A. Stein , William J. Allen , Richard L. Markus , Alan B. Bachman , Deborah M. Bryan , Henry E. Holsten , Stephen A. DeFonzo , Robert C. Savage
IPC分类号： A61B17/064 , A61B17/068 , A61B17/28 , A61F2/00 , A61B17/08
CPC分类号： A61B17/068 , A61B17/064 , A61B2017/0649 , A61B2017/2923 , A61B2017/2946 , A61F2/0063 , Y10S227/901
摘要： There is provided a surgical coil fastener applier for use in applying helical coil fasteners in surgical procedures, such as hernia repair, to affix surgical mesh to tissue. The coil fastener applier includes a housing having a handle extending therefrom and a trigger pivotally mounted on the housing. An elongated tubular portion extends from the housing and includes a drive rod rotatably supported therein and slidably supporting a plurality of coil fasteners thereon. A drive assembly is provided within the housing to rotate the drive rod and coil fasteners. The drive assembly includes an anti-reverse mechanism to allow rotation of the drive rod in only one direction. An actuation assembly is provided within the housing to convert the motion of the trigger into rotary motion for supply to the drive assembly. The drive assembly includes structure to limit the amount of rotary motion supplied to the drive assembly. The drive assembly further includes a ratchet and pawl mechanism to prevent a partial cycling of the coil fastener applier. Also provided are various coil fasteners for use with the coil fastener applier.
摘要翻译：提供了一种用于在诸如疝修补术的外科手术中应用螺旋线圈紧固件的外科用线圈紧固件敷贴器，以将外科手术网固定到组织上。线圈紧固件施加器包括具有从其延伸的手柄的壳体和枢转地安装在壳体上的触发器。细长的管状部分从壳体延伸并且包括可旋转地支撑在其中并且可滑动地支撑多个线圈紧固件的驱动杆。驱动组件设置在壳体内以旋转驱动杆和线圈紧固件。驱动组件包括防反转机构，以允许驱动杆在仅一个方向上旋转。致动组件设置在壳体内以将触发器的运动转换成旋转运动，以供给驱动组件。驱动组件包括限制提供给驱动组件的旋转运动量的结构。驱动组件还包括棘轮和棘爪机构，以防止线圈紧固件施加器的部分循环。还提供了与线圈紧固件施加器一起使用的各种线圈紧固件。

3. 发明申请

US20110172686A1 Device For Engaging Tissue Having a Preexisting Opening 失效
标题翻译：用于使具有预先存在的开口的组织的装置
公开(公告)号：US20110172686A1
公开(公告)日：2011-07-14
申请号：US13073119
申请日：2011-03-28
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. Dicesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. Dicesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B17/11 , A61B17/064
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis
摘要翻译：用于进行端对侧血管吻合的系统。包括吻合装置，应用仪器和用于进行血管吻合的方法。该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。本发明的第一方面包括血管吻合缝合物。第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。通过将连接构件插入到锚定构件中来完成吻合。第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到靶血管形成吻合

4. 发明授权

US06899718B2 Devices and methods for performing avascular anastomosis 失效
标题翻译：用于进行无血管吻合的装置和方法
公开(公告)号：US06899718B2
公开(公告)日：2005-05-31
申请号：US10830897
申请日：2004-04-23
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B17/00 , A61B17/064 , A61B17/11 , A61B17/115 , A61B17/12 , A61F2/00
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis
摘要翻译：一种用于执行端对侧血管吻合的系统，包括吻合装置，应用仪器和用于进行血管吻合的方法。该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。本发明的第一方面包括血管吻合缝合物。第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。通过将连接构件插入到锚定构件中来完成吻合。第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到靶血管形成吻合

5. 发明授权

US06387105B1 Devices and methods for performing a vascular anastomosis 有权
公开(公告)号：US06387105B1
公开(公告)日：2002-05-14
申请号：US09915626
申请日：2001-07-26
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B17115
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis.

6. 发明授权

US5829589A Pen needle magazine dispenser 失效
标题翻译：笔针杂志机
公开(公告)号：US5829589A
公开(公告)日：1998-11-03
申请号：US928275
申请日：1997-09-12
申请人： Tuan V. Nguyen , Michael A. Dibiasi , Robert E. West , Matthew Murray , Scott Reed , William J. Allen , Jeffrey A. Stein
发明人： Tuan V. Nguyen , Michael A. Dibiasi , Robert E. West , Matthew Murray , Scott Reed , William J. Allen , Jeffrey A. Stein
IPC分类号： A61M5/178 , A61B17/06 , A61M5/00 , A61M5/31 , A61M5/32 , A61M5/34 , B65D83/02 , B65D85/24
CPC分类号： A61M5/002 , A61M5/008 , A61M5/3202 , A61M5/3205 , B65D83/02 , A61M2205/6045 , A61M5/2466 , A61M5/344
摘要： A pen needle magazine dispenser designed to be received and carried in a cap of a medication delivery pen. The dispenser having a cover rotatably mounted on a circular shaped container with a plurality of cavities, wherein each cavity is dimensioned to receive one pen needle. The pen needle being of a type that is forced fit into an adaptor on the pen using threads on the pen needle and corresponding threads in the cavity. The cover includes a slot that is rotated into alignment with one of the cavities in the container to provide the user with access to one unused pen needle and thereby permit the pen needle to be mounted on the pen. After use the used pen needle is returned to the cavity and the cover is rotated until the slot is aligned with another cavity containing the next unused pen needle to be used during the next injection.
摘要翻译：设计用于接收并携带在药物输送笔的帽中的笔针盒分配器。分配器具有可旋转地安装在具有多个空腔的圆形容器上的盖，其中每个空腔的尺寸被设计成接收一个笔针。笔针是强制装配在笔上的适配器上的笔，使用笔针上的螺纹和空腔中的相应螺纹。该盖包括与容器中的其中一个空腔旋转成对准的槽，以使使用者能够访问一个未使用的笔针，从而允许笔针安装在笔上。使用后，使用过的笔针返回到空腔，盖子旋转直到狭缝与下一次注射期间使用的下一个未使用的笔针的另一个空腔对齐。

7. 外观设计

USD360463S Surgical contractor for the closure of skin defects 失效
公开(公告)号：USD360463S
公开(公告)日：1995-07-18
申请号：US11749
申请日：1993-08-13
申请人： Mark T. Steiner , Jeffrey A. Stein , Bernard Hirshowitz
设计人： Mark T. Steiner , Jeffrey A. Stein , Bernard Hirshowitz

8. 发明授权

US07112211B2 Devices and methods for performing avascular anastomosis 有权
标题翻译：用于进行无血管吻合的装置和方法
公开(公告)号：US07112211B2
公开(公告)日：2006-09-26
申请号：US10339434
申请日：2003-01-09
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B17/11
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis.
摘要翻译：用于进行端对侧血管吻合的系统。包括吻合装置，应用仪器和用于进行血管吻合的方法。该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。本发明的第一方面包括血管吻合缝合物。第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。通过将连接构件插入到锚定构件中来完成吻合。第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到靶血管形成吻合。

9. 发明授权

US06984238B2 Devices and methods for performing avascular anastomosis 失效
公开(公告)号：US06984238B2
公开(公告)日：2006-01-10
申请号：US10830952
申请日：2004-04-23
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B17/11
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

10. 发明授权

US06371965B2 Devices and methods for performing a vascular anastomosis 有权
公开(公告)号：US06371965B2
公开(公告)日：2002-04-16
申请号：US09756447
申请日：2001-01-08
申请人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
发明人： Hanson S. Gifford, III , Lee R. Bolduc , Jeffrey A. Stein , Paul C. DiCesare , Peter F. Costa , William A. Holmes
IPC分类号： A61B1711
CPC分类号： A61B17/12109 , A61B17/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B17/12036 , A61B17/12045 , A61B17/12136 , A61B2017/00243 , A61B2017/0641 , A61B2017/1135 , A61B2017/12127 , A61F2002/30092 , A61F2210/0014
摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis.

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