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1. 发明申请

US20090240249A1 System and Method for Performing Ablation and Other Medical Procedures Using An Electrode Array with Flexible Circuit 审中-公开
标题翻译：使用柔性电路的电极阵列进行消融和其他医疗程序的系统和方法
公开(公告)号：US20090240249A1
公开(公告)日：2009-09-24
申请号：US12476832
申请日：2009-06-02
申请人： Eric K.Y. Chan , Yuri Belman
发明人： Eric K.Y. Chan , Yuri Belman
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B5/0422 , A61B2017/00084 , A61B2018/0016 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00875
摘要： A probe for use in medical procedures includes a longitudinal member, a flexible sheath, and a flexible circuit. The longitudinal member includes at least one electrode and at least one thermocouple disposed thereon. The flexible sheath is coupled to and at least partially surrounding the longitudinal member. The flexible circuit is coupled to the sheath and also to the at least one electrode and the at least one thermocouple. The flexible circuit is configured to provide power to the at least one electrode and a return path to the at least one thermocouple.
摘要翻译：用于医疗程序的探针包括纵向构件，柔性护套和柔性电路。纵向构件包括至少一个电极和设置在其上的至少一个热电偶。柔性护套耦合到并且至少部分地围绕纵向构件。柔性电路耦合到外壳以及至少一个电极和至少一个热电偶。柔性电路被配置为向至少一个电极提供电力，并且向至少一个热电偶提供返回路径。

2. 发明授权

US07998149B2 Suturing device, system, and method 有权
标题翻译：缝合装置，系统和方法
公开(公告)号：US07998149B2
公开(公告)日：2011-08-16
申请号：US11532032
申请日：2006-09-14
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/2841 , A61B2017/00367
摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.
摘要翻译：改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于使用标准针夹。将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

3. 发明申请

US20070060931A1 Suturing Device, System, and Method 有权
标题翻译：缝合装置，系统和方法
公开(公告)号：US20070060931A1
公开(公告)日：2007-03-15
申请号：US11532032
申请日：2006-09-14
申请人： Henry Hamilton , Yuri Belman , Alexander Zatyuryukin , Patricia Moore
发明人： Henry Hamilton , Yuri Belman , Alexander Zatyuryukin , Patricia Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/2841 , A61B2017/00367
摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.
摘要翻译：改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于使用标准针夹。将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

4. 发明授权

US06846283B2 Methods and apparatus for loading radioactive seeds into brachytherapy needles 失效
公开(公告)号：US06846283B2
公开(公告)日：2005-01-25
申请号：US10134098
申请日：2002-04-25
申请人： Thomas C. Green , Ryan P. Boucher , Yuri Belman
发明人： Thomas C. Green , Ryan P. Boucher , Yuri Belman
IPC分类号： A61M5/32 , A61M36/04 , A61M36/12 , A61N5/10 , A61N5/00
CPC分类号： A61M37/0069 , A61M5/329 , A61M2210/166 , A61N5/1007 , A61N5/1027 , A61N2005/1009 , A61N2005/101 , A61N2005/1011
摘要： Methods and apparatus are provided for loading therapeutic materials into brachytherapy needles. The apparatus comprises an apparatus with chambers, and radioactive seed and spacer cartridges received therein. The apparatus may be used in conjunction with a standard brachytherapy needle coupled to the distal end of the apparatus. The plunger dislodges seeds and spacers from the cartridge chambers to load the needle with a predetermined packing arrangement.

5. 发明授权

US11337690B2 Offset jaw suturing device, system, and methods 有权
公开(公告)号：US11337690B2
公开(公告)日：2022-05-24
申请号：US13491488
申请日：2012-06-07
申请人： Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/062 , A61B17/00
摘要： Improved medical suturing devices, systems, and methods for maintaining a position and orientation of a suture needle at a fixed location relative to a suturing device. An exemplary device include a clamp having opposing grasping surfaces for grasping the needle at a first location, and a needle contacting surface for contacting the needle at a second location, the second location a distance axially away from the first location so as to inhibit unintended movement of the needle relative to the device, which may include rotation of the needle about the first location and rotation of the needle about its axis. In many embodiments, the device includes a first and second clamp and a mechanism for alternating grasping of the needle between the first and second clamp. The device may also be incorporated into a single-clamp needle grasping device.

6. 发明授权

US08685045B2 Limited access suturing devices, system, and methods 有权
标题翻译：有限的进入缝合装置，系统和方法
公开(公告)号：US08685045B2
公开(公告)日：2014-04-01
申请号：US13601810
申请日：2012-08-31
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/0625 , A61B90/90 , A61B90/94
摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.
摘要翻译：医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。设备的一部分可以是一次性的，可更换的和/或可重复使用的。靠近夹具的弹簧可以打开夹具或施加夹紧力。

7. 发明授权

US08257371B2 Limited access suturing devices, system, and methods 有权
标题翻译：有限的进入缝合装置，系统和方法
公开(公告)号：US08257371B2
公开(公告)日：2012-09-04
申请号：US12049552
申请日：2008-03-17
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/0625 , A61B90/90 , A61B90/94
摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.
摘要翻译：医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。设备的一部分可以是一次性的，可更换的和/或可重复使用的。靠近夹具的弹簧可以打开夹具或施加夹紧力。

8. 发明授权

US08252007B2 Suturing device, system, and method 有权
标题翻译：缝合装置，系统和方法
公开(公告)号：US08252007B2
公开(公告)日：2012-08-28
申请号：US12829214
申请日：2010-07-01
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/2841 , A61B2017/00367
摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.
摘要翻译：改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于使用标准针夹。将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

9. 发明申请

US20080228204A1 Limited Access Suturing Devices, System, and Methods 有权
标题翻译：有限访问缝合设备，系统和方法
公开(公告)号：US20080228204A1
公开(公告)日：2008-09-18
申请号：US12049552
申请日：2008-03-17
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/0625 , A61B90/90 , A61B90/94
摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.
摘要翻译：医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。设备的一部分可以是一次性的，可更换的和/或可重复使用的。靠近夹具的弹簧可以打开夹具或施加夹紧力。

10. 发明授权

US5399154A Constant torque range-of-motion splint 失效
标题翻译：恒转矩范围的夹板
公开(公告)号：US5399154A
公开(公告)日：1995-03-21
申请号：US85758
申请日：1993-06-30
申请人： Alexander Kipnis , Yuri Belman
发明人： Alexander Kipnis , Yuri Belman
IPC分类号： A61H3/00 , A61F5/01 , A61F5/10
CPC分类号： A61F5/0127 , A61F5/0125 , A61F5/013 , A61F2005/0139 , A61F2005/016 , A61F2005/0167 , A61F2005/0179
摘要： A range-of-motion splint for applying constant torque across a joint undergoing rehabilitative therapy. The splint includes a first brace section configured to engage a portion of a patient's body on a first side of a joint, and a second brace section configured to engage a portion of the patient's body on a second side of the joint. A first arm extends from the first brace section and a second arm extends from the second brace section. The first and second brace section arms are pivotally connected about a splint pivot axis by a pivot mechanism. A driven pulley is mounted to the second arm about the splint pivot axis. A drive pulley is rotatably mounted to the first arm about a drive axis which is spaced from the splint pivot axis. Torque is applied to the drive pulley with respect to the first arm by a spiral spring positioned about the drive axis. A belt couples the drive pulley and the driven pulley to transfer the rotation of the drive pulley to the driven pulley and apply torque between the first and second brace sections. The amount of torque applied between the brace sections can be adjusted by a torque adjusting mechanism which winds and unwinds the spring. An adjustable stop mechanism can be used to limit the range of rotational motion between the brace sections. The brace sections can be locked with respect to one another by a locking mechanism which engages and prevents movement of the drive pulley.
摘要翻译：用于在经历康复治疗的关节上施加恒定扭矩的运动范围的夹板。夹板包括构造成接合患者身体在关节的第一侧上的一部分的第一支撑部分，以及被配置为接合患者身体在关节第二侧上的一部分的第二支撑部分。第一臂从第一支撑部延伸并且第二臂从第二支撑部延伸。第一和第二支撑部分臂通过枢转机构围绕夹板枢转轴线枢转地连接。从动皮带轮围绕夹板枢转轴线安装到第二臂。驱动滑轮围绕与夹板枢转轴线间隔开的驱动轴线可旋转地安装到第一臂。相对于第一臂通过围绕驱动轴定位的螺旋弹簧将扭矩施加到驱动皮带轮。皮带连接驱动皮带轮和从动皮带轮，以将驱动滑轮的旋转传递到从动皮带轮，并在第一和第二支架部分之间施加转矩。施加在支撑部之间的扭矩的量可以通过使弹簧卷起和展开的扭矩调节机构来调节。可以使用可调节的止动机构来限制支架部分之间的旋转运动的范围。支撑部分可以通过接合并防止驱动滑轮的移动的锁定机构相对于彼此锁定。

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