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1. 发明授权

US4716900A Intraintestinal bypass graft 失效
标题翻译：肠内旁路移植物
公开(公告)号：US4716900A
公开(公告)日：1988-01-05
申请号：US861692
申请日：1986-05-09
申请人： Biagio Ravo , Thomas E. Sloane, Jr. , Christine L. Regan
发明人： Biagio Ravo , Thomas E. Sloane, Jr. , Christine L. Regan
IPC分类号： A61F2/02 , A61B20060101 , A61B17/11 , A61B17/12 , A61F20060101 , A61F2/00 , A61F2/04 , C08L20060101 , C14B20060101
CPC分类号： A61F2/04
摘要： An improved intraintestinal bypass graft for attachment in the lumen of a resectioned intestine or duct upstream of the anastomosis site in order to protect the healing anastomosis comprises an elongated tube formed of a thin, highly flexible, water-impervious wall material terminating at its distal end in a short, reduced diameter nipple. The surgical procedure for implanting the bypass graft can be simplified and shortened in time by readily fitting the distal nipple over one end of an elongated pliable leader, or alternatively over the terminal anvil nut of a circular anastomosis surgical stapler, and then drawing the leader or stapler body through the patient's anus to pull the distal end of the bypass graft out of the anus. The need to tie the distal end of the bypass graft to the leader or surgical stapler is eliminated.
摘要翻译：改进的肠内旁路移植物用于附着在吻合部位上游的切除的肠道或管道的内腔中以保护愈合吻合包括细长管，其由薄的，高度柔性的防水壁材料形成，终止于其远端在一个短的，缩径的乳头。用于植入旁路移植物的外科手术可以通过将远端乳头容易地装配在细长的柔韧的前导件的一端上，或者替代地在圆形吻合外科缝合器的端子砧座螺母上，然后将头部或吻合器身体通过患者的肛门将旁路移植物的远端拉出肛门。消除了将旁路移植物的远端连接到引导件或外科缝合器的需要。

2. 发明授权

US4905693A Surgical method for using an intraintestinal bypass graft 失效
标题翻译：使用肠内旁路移植术的手术方法
公开(公告)号：US4905693A
公开(公告)日：1990-03-06
申请号：US273111
申请日：1988-11-16
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61B17/11 , A61B19/00
CPC分类号： A61B17/1114 , A61B90/39
摘要： A technique whereby leakage from an anastomosis and problems directly resulting from such leakage are eliminated. The technique is an anastomosis procedure for securing intraintestinal bypass graft formed preferably of a soft latex or silastic tube with a radiopaque axial line for x-ray observation after implantation. The ends of the tube are sutured or stapled to the mucosal or submucosal linings, and after a period of about 10 to 15 days during which the anastomosis is healing, the bypass graft separates naturally from the wall of the intestine, and is finally expelled naturally from the anus. This graft prevents leakage at the anastomosis and thus substitutes for and makes unnecessary a colostomy or any other diversionary procedure.
摘要翻译：消除了从吻合泄漏和由这种泄漏直接导致的问题的技术。该技术是用于固定肠内旁路移植物的吻合方法，其优选地由具有不透射线轴线的软胶乳或硅橡胶管形成，用于在植入后进行X射线观察。管的端部被缝合或缝合到粘膜或粘膜下层衬里，并且在吻合愈合的约10至15天的时间段之后，旁路移植物自然地与肠壁隔离，最后自然排出从肛门这种移植物可以防止吻合口漏出，从而代替并使不必要的结肠造口术或任何其他转移手术。

3. 发明授权

US07771384B2 Trocar with integral irrigation and suction tube 有权
标题翻译：套管带一体式灌溉和抽吸管
公开(公告)号：US07771384B2
公开(公告)日：2010-08-10
申请号：US10922548
申请日：2004-08-20
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61M1/00
CPC分类号： A61B17/3421 , A61B1/126 , A61B90/361 , A61B90/70 , A61B2017/00973 , A61B2017/3445 , A61B2217/005 , A61B2217/007
摘要： A trocar tube incorporating integral irrigation and aspiration capabilities with positioning control. These capabilities can be used in conjunction with endoscopic tools which can be fed through the trocar housing. Specifically, the invention can be used to clean the lens of a laparoscope while it is in place in the trocar tube to eliminate the need for removal of the laparoscope for cleansing. The trocar tube telescoping tip permits independent control of the position of irrigation and aspiration while other tools are in use. Trocar tube channels in the wall of the trocar tube enable fluids to be fed to the distal end of the trocar tube, and enable material to be aspirated from the distal end of the trocar tube. The trocar tube channels are connected to a fluid source and an aspirating device. Aspiration and fluid flow are controlled by a foot pedal or other device that allows hands-free control. The specific improvements in endoscopic procedures afforded by this device inhere in the ability to leave irrigation and aspiration capabilities in place throughout an endoscopic procedure, the ability to supply irrigation and aspiration capabilities to various types of endoscopic tools, including existing laparoscopic tools without self-cleaning capabilities, the ability to direct irrigation and aspiration flow, the minimization of the need to place and remove multi-purpose tools during the procedure.
摘要翻译：套管套管结合集成灌溉和抽吸能力与定位控制。这些功能可以与可以通过套管针壳体喂入的内窥镜工具结合使用。具体地，本发明可用于在套管针中的适当位置清洁腹腔镜的镜片，以消除用于清除腹腔镜的需要。套管针管伸缩尖端允许独立控制灌溉和抽吸的位置，同时使用其他工具。套管针管壁中的套针管通道使得流体能够被供给到套管针管的远端，并且能够从套管针管的远端吸出材料。套针管通道连接到流体源和抽吸装置。吸气和流体流动由脚踏板或其他允许免提控制的装置控制。该设备提供的内窥镜手术的具体改进在于能够在内窥镜手术中将灌洗和抽吸能力置于适当位置的能力，能够为各种类型的内窥镜工具提供灌注和抽吸能力，包括现有的腹腔镜手术，无需自我清洁能力，直接灌溉和抽吸流动的能力，在过程中最大限度地减少放置和移除多用途工具。

4. 发明授权

US4719916A Intraintestinal bypass tube 失效
标题翻译：肠内旁路管
公开(公告)号：US4719916A
公开(公告)日：1988-01-19
申请号：US910252
申请日：1986-09-19
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61B17/11 , A61B19/00
CPC分类号： A61B17/1114 , A61B90/39
摘要： The intestinal graft is a graft formed of a thin wall latex or silastic tube of various widths and lengths. The upper circular end of the tube and vertical seam are reinforced by fabric which contains a radiopaque filament. When the graft is joined to the submucosal layer of the bowel proximal to the usual anastomosis, it will prevent salivary esophago-gastrointestinal secretions, food, and fecal flow from coming in contact with the anastomotic closure site.The graft will thus prevent leakage from any intestinal anastomosis and will guarantee a healed anastomosis by the time the graft is naturally expelled from rectum.
摘要翻译：肠移植物是由各种宽度和长度的薄壁胶乳或硅橡胶管形成的移植物。管的上圆形端和垂直接缝由包含不透射线的纤维的织物增强。当移植物连接到靠近通常吻合的肠粘膜下层时，它将防止唾液食管 - 胃肠道分泌物，食物和粪便流体与吻合闭合部位接触。因此，移植物将防止任何肠吻合的渗漏，并且将在移植物自然地从直肠排出时保证愈合的吻合。

5. 发明授权

US06974441B2 Inflatable intraluminal molding device 失效
标题翻译：充气腔内成型装置
公开(公告)号：US06974441B2
公开(公告)日：2005-12-13
申请号：US10825544
申请日：2004-04-15
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61B1/12 , A61B17/00 , A61B17/02 , A61B17/12 , A61B19/00 , A61F2/958 , A61M29/00
CPC分类号： A61B1/00165 , A61B1/00082 , A61B1/00154 , A61B1/015 , A61B1/018 , A61B1/07 , A61B1/2736 , A61B1/31 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B2017/00557 , A61B2017/12127 , A61B2090/306 , A61M25/1002 , A61M25/1011
摘要： An intraluminal device has an elongated body member having a series of independent inflatable sections along its length. At least one inflating/deflating line extends from each inflatable section to a distal end of the body member. The device may be used for positing, isolating or identifying a lumen by giving shape to a collapsed viscus. The device may also be used to visualize intraluminal structure or control pressure within a hollow viscus from within the hollow viscus.
摘要翻译：腔内装置具有细长的主体构件，其沿其长度具有一系列独立的可充气部分。至少一个充气/放气线从每个可充气部分延伸到主体部件的远端。该装置可以用于通过给塌陷粘液形状来定位，隔离或识别内腔。该装置还可用于从中空粘液内观察中空粘液内的腔内结构或控制压力。

6. 发明授权

US6117148A Intraluminal anastomotic device 有权
标题翻译：腔内吻合装置
公开(公告)号：US6117148A
公开(公告)日：2000-09-12
申请号：US173867
申请日：1998-10-16
申请人： Biagio Ravo , Enrico Nicolo
发明人： Biagio Ravo , Enrico Nicolo
IPC分类号： A61B17/115 , A61B17/04
CPC分类号： A61B17/115 , A61B17/1155
摘要： An intestinal intraluminal reconstruction and resection device includes a mechanism for intussusception of the bowel, a bowel anastomosis mechanism and a mechanism for severing the resected bowel. The surgical device allows the user to carry out intraluminally an anastomosis first, prior to resection of the intestine or any hollow viscus, therefore not exposing the dirty intraluminal content to the clean abdominal or thoracic cavities. The above is achieved by first intussuscepting the hollow viscus, then anastomosis and finally intraluminal resection.
摘要翻译：肠腔内重建和切除装置包括肠套叠机构，肠吻合机制和切除肠道的机制。手术装置允许使用者在切除肠或任何中空粘液之前首先进行内镜吻合，因此不会将脏的腔内内容物暴露于清洁的腹部或胸腔。以上是通过首先套管中空粘液，然后吻合并最终进行腔内切除来实现的。

7. 发明申请

US20110065984A1 COMBINATION ENDOSCOPIC OPERATIVE DELIVERY SYSTEM 审中-公开
标题翻译：组合内镜手术输送系统
公开(公告)号：US20110065984A1
公开(公告)日：2011-03-17
申请号：US12949395
申请日：2010-11-18
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61B1/00
CPC分类号： A61B1/0125 , A61B1/00073 , A61B1/00128 , A61B1/00154 , A61B1/012
摘要： An endoscope for performing minimally invasive surgery includes along a portion of its length a means such as a groove for slidingly engaging with a corresponding means such as a tongue in a second endoscope and guiding the second endoscope into the patient. Multiple endoscope may be connected together and guide one another into or out of a patient. The tongue structure may include incongruous portions to permit two endoscopes to be partially connected and guided by one another.
摘要翻译：用于进行微创手术的内窥镜包括沿着其长度的一部分，包括用于在第二内窥镜中与诸如舌片的相应装置滑动地接合的装置，并将第二内窥镜引导到患者体内。多个内窥镜可以连接在一起并将其彼此引导进入或流出患者。舌结构可以包括不协调的部分，以允许两个内窥镜彼此部分连接和引导。

8. 发明授权

US5108430A Implantable reservoir adapted to receive and store structural devices therein 失效
标题翻译：适于在其中接收和存储结构装置的可植入储存器
公开(公告)号：US5108430A
公开(公告)日：1992-04-28
申请号：US571947
申请日：1990-08-23
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61F2/00
CPC分类号： A61F2/04 , A61F2/0009 , A61F2/042
摘要： An artificial anus includes a hollow tubular support member, having a cylindrical body portion and a pair of radially-extending flanges at the two opposed open ends of the body portion, and a releasable plug for sealingly closing the hollow support member. The support member is suitable for implantation within an opening in the abdominal wall of the patient, with one of the radially-extending flanges lying upon the dermis or subcutaneous tissue, the other of the flanges lying on the fascia or peritoneum, and the end of the patient's colon received within the support member. Inner and outer layers of at least a portion of the cylindrical body portion are capable of receiving soft tissue ingrowth. A pressure transducer of electrical contact is provided on the support member and connected to an electrode in contact with the patient's skin, so that when the colon becomes pressurized the patient is signalled that the plug should be released. The device can be modified to serve as an artificial bladder or implantable body access device.
摘要翻译：人造肛门包括中空管状支撑构件，其具有在主体部分的两个相对的开口端处的圆柱形本体部分和一对径向延伸的凸缘，以及用于密封地封闭中空支撑构件的可释放塞子。支撑构件适于植入在患者腹壁的开口内，其中一个径向延伸的凸缘位于真皮或皮下组织上，另一个凸缘位于面板或腹膜上，并且末端患者的结肠在支撑构件内容纳。圆柱体部分的至少一部分的内层和外层能够接收软组织向内生长。电触头的压力传感器设置在支撑构件上并连接到与患者皮肤接触的电极，使得当结肠变得加压时，患者被告知插塞应该被释放。该装置可以被修改以用作人造膀胱或植入体进入装置。

9. 发明授权

US4781176A Implantable device 失效
公开(公告)号：US4781176A
公开(公告)日：1988-11-01
申请号：US17126
申请日：1987-02-20
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61F2/00 , A61B19/00
CPC分类号： A61F2/0009
摘要： An artificial anus includes a hollow tubular support member, having a cylindrical body portion and a pair of radially-extending flanges at the two opposed open ends of the body portion, and a releasable plug for sealingly closing the hollow support member. The support member is suitable for implantation within an opening in the abdominal wall of the patient, with one of the radially-extending flanges lying upon the dermis or subcutaneous tissue, the other of the flanges lying on the fascia or peritoneum, and the end of the patient's colon received within the support member. Inner and outer layers of at least a portion of the cylindrical body portion are capable of receiving soft tissue ingrowth. A pressure transducer or electrical contact is provided on the support member and connected to an electrode in contact with the patient's skin, so that when the colon becomes pressurized the patient is signalled that the plug should be released. The device can be modified to serve as an artificial bladder or implantable body access device.

10. 发明申请

US20130289351A1 Combination Endoscopic Operative Delivery System 审中-公开
标题翻译：组合内镜手术输送系统
公开(公告)号：US20130289351A1
公开(公告)日：2013-10-31
申请号：US13920783
申请日：2013-06-18
申请人： Biagio Ravo
发明人： Biagio Ravo
IPC分类号： A61B1/012
CPC分类号： A61B1/0125 , A61B1/00073 , A61B1/00128 , A61B1/00154 , A61B1/012
摘要： An endoscope for performing minimally invasive surgery includes along a portion of its length a means such as a groove for slidingly engaging with a corresponding means such as a tongue in a second endoscope and guiding the second endoscope into the patient. Multiple endoscope may be connected together and guide one another into or out of a patient. The tongue structure may include incongruous portions to permit two endoscopes to be partially connected and guided by one another.
摘要翻译：用于进行微创手术的内窥镜包括沿着其长度的一部分，包括用于在第二内窥镜中与诸如舌片的相应装置滑动地接合的装置，并将第二内窥镜引导到患者体内。多个内窥镜可以连接在一起并将其彼此引导进入或流出患者。舌结构可以包括不协调的部分，以允许两个内窥镜彼此部分连接和引导。

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