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1. 发明授权

US09386968B2 Apparatus and methods for sealing a vascular puncture 有权
标题翻译：用于密封血管穿刺的装置和方法
公开(公告)号：US09386968B2
公开(公告)日：2016-07-12
申请号：US13105822
申请日：2011-05-11
申请人： Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
发明人： Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
IPC分类号： A61B17/00
CPC分类号： A61B17/0057 , A61B17/00491 , A61B2017/0065 , A61B2017/00654 , A61B2017/00778 , A61B2017/00898 , A61M39/06
摘要： An apparatus for sealing a puncture through tissue having an introducer sheath therein includes an elongate positioning member including a housing on a proximal end and an expandable member on a distal end, and a cartridge advanceable along the positioning member from a proximal position to a distal position. The cartridge includes a tubular member including a sealant and an advancer member disposed within lumen of the tubular member. A sleeve is slidably disposed over the tubular member distal end such that, when the tubular member is advanced over the positioning member, the tubular member distal end enters the introducer sheath while the sleeve is stopped and slides over the tubular member to expose the tubular member distal end within the introducer sheath. The introducer sheath and cartridge are then withdrawn, exposing the sealant within the puncture.
摘要翻译：一种用于密封通过其中具有引导器护套的组织穿刺的装置，其中包括细长定位构件，其包括在近端上的壳体和在远端上的可扩张构件，以及可沿着定位构件从近侧位置向远侧位置可前进的盒。所述筒包括管状构件，所述管状构件包括密封剂和设置在所述管状构件的内腔内的推进构件。套管可滑动地设置在管状构件远端上方，使得当管状构件推进到定位构件上时，管状构件远端在套管停止时进入导引器护套，并在管状构件上滑动以暴露管状构件引导器鞘内的远端。然后引导器护套和药筒被抽出，使穿刺中的密封剂暴露。

2. 发明申请

US20120290001A1 APPARATUS AND METHODS FOR SEALING A VASCULAR PUNCTURE 有权
标题翻译：用于密封血管内窥镜的装置和方法
公开(公告)号：US20120290001A1
公开(公告)日：2012-11-15
申请号：US13105822
申请日：2011-05-11
申请人： Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
发明人： Andy H. Uchida , Kevin To , Brandon Fell , Peter A. Swenson
IPC分类号： A61B17/03
CPC分类号： A61B17/0057 , A61B17/00491 , A61B2017/0065 , A61B2017/00654 , A61B2017/00778 , A61B2017/00898 , A61M39/06
摘要： An apparatus for sealing a puncture through tissue having an introducer sheath therein includes an elongate positioning member including a housing on a proximal end and an expandable member on a distal end, and a cartridge advanceable along the positioning member from a proximal position to a distal position. The cartridge includes a tubular member including a sealant and an advancer member disposed within lumen of the tubular member. A sleeve is slidably disposed over the tubular member distal end such that, when the tubular member is advanced over the positioning member, the tubular member distal end enters the introducer sheath while the sleeve is stopped and slides over the tubular member to expose the tubular member distal end within the introducer sheath. The introducer sheath and cartridge are then withdrawn, exposing the sealant within the puncture.
摘要翻译：一种用于密封通过其中具有引导器护套的组织穿刺的装置，其中包括细长定位构件，其包括在近端上的壳体和在远端上的可扩张构件，以及可沿着定位构件从近侧位置向远侧位置可前进的盒。所述筒包括管状构件，其包括密封剂和设置在所述管状构件的内腔内的推进器构件。套管可滑动地设置在管状构件远端上方，使得当管状构件推进到定位构件上时，管状构件远端在套管停止时进入导引器护套，并在管状构件上滑动以暴露管状构件引导器鞘内的远端。然后引导器护套和药筒被抽出，使穿刺中的密封剂暴露。

3. 发明授权

US07449019B2 Intervertebral decompression 有权
标题翻译：椎间盘减压
公开(公告)号：US07449019B2
公开(公告)日：2008-11-11
申请号：US10650928
申请日：2003-08-29
申请人： Andy H. Uchida , Kevin To
发明人： Andy H. Uchida , Kevin To
IPC分类号： A61B18/04
CPC分类号： A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40
摘要： A method of delivering energy to an intervertebral disc includes positioning an energy delivery device adjacent an inner wall of the disc, and shrinking the nucleus pulposus. An energy delivery element of the device is positioned adjacent a bulge in the intervertebral disc. Energy delivery is controlled based on monitored temperature. A device for delivering energy includes a catheter with a distal portion configured to be inserted into a patient and to follow a natural boundary of a patient tissue, and an energy delivery element located at the distal portion for treating tissue. The distal portion includes a braided polymeric material. The catheter has a proximal portion including a tube for transmitted torque to the distal portion. The energy delivery element is a resistive heating coil having a length, e.g., of about 1.5 cm.
摘要翻译：向椎间盘递送能量的方法包括将能量递送装置定位成邻近盘的内壁并收缩髓核。装置的能量输送元件邻近椎间盘中的凸起定位。基于监测温度控制能量输送。用于递送能量的装置包括导管，其具有被构造成插入到患者体内并且跟随患者组织的自然边界的远端部分，以及位于远端部分处的用于治疗组织的能量输送元件。远端部分包括编织的聚合材料。导管具有近端部分，其包括用于向远端部分传递扭矩的管。能量输送元件是具有例如约1.5cm长度的电阻加热线圈。

4. 发明授权

US10182800B2 Apparatus and methods for sealing a vascular puncture 有权
公开(公告)号：US10182800B2
公开(公告)日：2019-01-22
申请号：US13354278
申请日：2012-01-19
申请人： Andy H. Uchida , Anthony P. Spizuoco , Kevin To , Florencia Lim , Scott R. Sershen
发明人： Andy H. Uchida , Anthony P. Spizuoco , Kevin To , Florencia Lim , Scott R. Sershen
IPC分类号： A61B17/00 , A61L24/02 , C08L71/02 , A61B17/22 , A61B90/90
摘要： A sealant is provided for sealing a puncture through tissue that includes an elongate first section including a proximal end, a distal end, and a cross-section sized for delivery into a puncture through tissue, and a second section fused to and extending from the distal end of the first section. The first section may be formed from a freeze-dried hydrogel that expands when exposed to physiological fluid within a puncture. The second section may be formed from a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, the precursors remaining in an unreactive state until exposed to an aqueous physiological, whereupon the precursors undergo in-situ crosslinking with one another to provide an adhesive layer bonded to the first section. Apparatus and methods for delivering the sealant into a puncture through tissue are also provided.

5. 发明申请

US20120209323A1 APPARATUS AND METHODS FOR SEALING A VASCULAR PUNCTURE 审中-公开
标题翻译：用于密封血管内窥镜的装置和方法
公开(公告)号：US20120209323A1
公开(公告)日：2012-08-16
申请号：US13354278
申请日：2012-01-19
申请人： Andy H. Uchida , Anthony P. Spizuoco , Kevin To , Florencia Lim , Scott R. Sershen
发明人： Andy H. Uchida , Anthony P. Spizuoco , Kevin To , Florencia Lim , Scott R. Sershen
IPC分类号： A61B17/08 , B32B9/00 , A61B17/10
CPC分类号： A61B17/0057 , A61B90/90 , A61B2017/00495 , A61B2017/00526 , A61B2017/00561 , A61B2017/0065 , A61B2017/00871 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00951 , A61B2017/22067 , A61B2017/22069 , A61L24/02 , C08L71/02
摘要： A sealant is provided for sealing a puncture through tissue that includes an elongate first section including a proximal end, a distal end, and a cross-section sized for delivery into a puncture through tissue, and a second section fused to and extending from the distal end of the first section. The first section may be formed from a freeze-dried hydrogel that expands when exposed to physiological fluid within a puncture. The second section may be formed from a solid mass of non-freeze-dried, non-crosslinked hydrogel precursors, the precursors remaining in an unreactive state until exposed to an aqueous physiological, whereupon the precursors undergo in-situ crosslinking with one another to provide an adhesive layer bonded to the first section. Apparatus and methods for delivering the sealant into a puncture through tissue are also provided.
摘要翻译：提供密封剂用于密封通过组织的穿刺，所述组织包括细长的第一部分，所述细长的第一部分包括近端，远端以及尺寸适于通过组织输送穿刺的横截面，以及与所述远端第一部分结束。第一部分可以由冻干的水凝胶形成，当暴露于穿刺内的生理流体时，该水凝胶膨胀。第二部分可以由固体物质的非冷冻干燥的非交联水凝胶前体形成，前体保持在非活性状态直到暴露于水性生理学，于是前体彼此原位交联以提供粘合到第一部分的粘合剂层。还提供了用于将密封剂输送穿过组织穿刺的装置和方法。

6. 发明授权

US07662133B2 Spinal fluid introduction 失效
标题翻译：脊柱液介绍
公开(公告)号：US07662133B2
公开(公告)日：2010-02-16
申请号：US10782900
申请日：2004-02-23
申请人： Nelson Scarborough , John V. Hamilton , Andy H. Uchida , Ralph I. McNall , Steven Lepke , Peter A. Weissman
发明人： Nelson Scarborough , John V. Hamilton , Andy H. Uchida , Ralph I. McNall , Steven Lepke , Peter A. Weissman
IPC分类号： A61M37/00 , A61B5/103 , A61B5/117
CPC分类号： A61M5/1456 , A61B17/3401 , A61B17/8822 , A61M5/16827 , A61M5/16854 , A61M2025/0007 , A61M2205/3331
摘要： A fluid introduction system includes an introducer configured to create a pressure of at least 69 kPa within a spine, and an operator configured to actuate the introducer to introduce fluid into the spine according to a predetermined fluid introduction profile. The system can include a computer readable medium having code for receiving fluid introduction data indicative of a fluid introduction parameter, and for receiving response data indicative of a response of the patient at a time related to a time of the fluid introduction data. A method for introducing fluid includes positioning a first introducer in a first portion of a spine, positioning a second introducer in a second, different portion of the spine and, without removing the first and second introducers, introducing fluid into the first portion of the spine with the first introducer and introducing fluid into the second portion of the spine with the second introducer.
摘要翻译：流体引入系统包括导引器，其构造成在脊柱内产生至少69kPa的压力，以及操作器，其配置成致动导引器以根据预定流体导入曲线将流体引入脊柱。该系统可以包括具有用于接收指示流体引入参数的流体引入数据的代码的计算机可读介质，以及用于在与流体引入数据的时间相关的时间接收表示患者的响应的响应数据。用于引入流体的方法包括将第一导引器定位在脊柱的第一部分中，将第二导引器定位在脊柱的第二不同部分中，并且不移除第一和第二导引器，将流体引入脊柱的第一部分与第一导引器一起引入流体到第二引导器到脊柱的第二部分。

7. 发明授权

US6084494A Shuntable magnetic mask support apparatus 失效
标题翻译：可分流磁性面罩支撑装置
公开(公告)号：US6084494A
公开(公告)日：2000-07-04
申请号：US787615
申请日：1997-01-23
申请人： Geary L. Chew , Matthew K. Schwiebert , Ayn R. Lavagnino , Andy H. Uchida
发明人： Geary L. Chew , Matthew K. Schwiebert , Ayn R. Lavagnino , Andy H. Uchida
IPC分类号： H01L21/687 , H01F7/20
CPC分类号： H01L21/68721 , H01L21/68728 , H01L21/68757 , H01L21/68778 , H01L21/68785
摘要： A mask support device including two communicating elements, a first element having ferromagnetic shunts, and a second element containing permanent magnets, and wherein the elements are rotatable about a central axis and assume fixed positions in the rotation. The mask support device in one position attracts a ferromagnetic metal mask. In a second position, owing to the shunt redirecting the magnetic field, releases the metal mask.
摘要翻译：一种掩模支撑装置，包括两个连通元件，具有铁磁分流器的第一元件和包含永磁体的第二元件，并且其中所述元件可围绕中心轴线旋转并且在旋转中呈现固定位置。一个位置的掩模支撑装置吸引铁磁金属掩模。在第二位置，由于分流重定向磁场，释放金属掩模。

8. 发明申请

US20100094229A1 SPINAL FLUID INTRODUCTION 审中-公开
标题翻译：脊柱液介绍
公开(公告)号：US20100094229A1
公开(公告)日：2010-04-15
申请号：US12632038
申请日：2009-12-07
申请人： Nelson Scarborough , John V. Hamilton , Andy H. Uchida , Ralph I. McNall , Steven Lepke
发明人： Nelson Scarborough , John V. Hamilton , Andy H. Uchida , Ralph I. McNall , Steven Lepke
IPC分类号： A61M5/315
CPC分类号： A61M5/1456 , A61B17/3401 , A61B17/8822 , A61M5/16827 , A61M5/16854 , A61M2025/0007 , A61M2205/3331
摘要： A fluid introduction system includes an introducer configured to create a pressure of at least 69 kPa within a spine, and an operator configured to actuate the introducer to introduce fluid into the spine according to a predetermined fluid introduction profile. The system can include a computer readable medium having code for receiving fluid introduction data indicative of a fluid introduction parameter, and for receiving response data indicative of a response of the patient at a time related to a time of the fluid introduction data. A method for introducing fluid includes positioning a first introducer in a first portion of a spine, positioning a second introducer in a second, different portion of the spine and, without removing the first and second introducers, introducing fluid into the first portion of the spine with the first introducer and introducing fluid into the second portion of the spine with the second introducer.
摘要翻译：流体引入系统包括导引器，其构造成在脊柱内产生至少69kPa的压力，以及操作器，其配置成致动导引器以根据预定流体导入曲线将流体引入脊柱。该系统可以包括具有用于接收指示流体引入参数的流体引入数据的代码的计算机可读介质，以及用于在与流体引入数据的时间相关的时间接收表示患者的响应的响应数据。用于引入流体的方法包括将第一导引器定位在脊柱的第一部分中，将第二导引器定位在脊柱的第二不同部分中，并且不移除第一和第二导引器，将流体引入脊柱的第一部分与第一导引器一起引入流体到第二引导器到脊柱的第二部分。

9. 发明授权

US07226447B2 Electrosurgical generator 有权
标题翻译：电外科发生器
公开(公告)号：US07226447B2
公开(公告)日：2007-06-05
申请号：US10873289
申请日：2004-06-23
申请人： Andy H. Uchida , Duane W. Marion , Ken Woodland , Katherine A. Knudsen
发明人： Andy H. Uchida , Duane W. Marion , Ken Woodland , Katherine A. Knudsen
IPC分类号： A61B18/18
CPC分类号： A61B18/1206 , A61B2017/00084 , A61B2018/00702 , A61B2018/00791
摘要： A method includes recognizing an electrosurgical probe coupled to an electrosurgical generator, selecting a mode of the electrosurgical generator based upon the recognized probe, setting a therapy profile based upon the selected mode, and displaying the therapy profile. The generator can include user inputs for modifying the therapy profile. A computer implemented method for achieving a target temperature includes: a) receiving the target temperature; b) calculating a first set temperature; c) commanding a first output power level until a measured temperature is equal to or greater than the first set temperature; d) calculating an updated set temperature based upon the target temperature; e) commanding a second output power level until the measured temperature is equal to or greater than the updated set temperature; and repeating d and e until the updated set temperature is equal to the target temperature.
摘要翻译：一种方法包括识别耦合到电外科发生器的电外科探头，基于所识别的探针选择电外科发生器的模式，基于所选择的模式设置治疗简档，以及显示治疗简档。发生器可以包括用于修改治疗简档的用户输入。用于实现目标温度的计算机实现方法包括：a）接收目标温度; b）计算第一设定温度; c）命令第一输出功率电平，直到所测量的温度等于或大于所述第一设定温度; d）基于目标温度计算更新的设定温度; e）命令第二输出功率电平，直到所测量的温度等于或大于更新的设定温度; 并重复d和e直到更新的设定温度等于目标温度。

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