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1. 发明授权

US06840951B2 Laparoscopic access port for surgical instruments or the hand 失效
标题翻译：手术器械或手的腹腔镜入口
公开(公告)号：US06840951B2
公开(公告)日：2005-01-11
申请号：US10004468
申请日：2001-10-23
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B17/34 , A61B19/08 , A61B17/08
CPC分类号： A61B17/3462 , A61B17/3423 , A61B17/3498 , A61B46/10 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

2. 发明授权

US06319246B1 Laparoscopic access port for surgical instruments or the hand 有权
标题翻译：手术器械或手的腹腔镜入口
公开(公告)号：US06319246B1
公开(公告)日：2001-11-20
申请号：US09451570
申请日：1999-11-30
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B1700
CPC分类号： A61B17/3462 , A61B17/3423 , A61B17/3498 , A61B46/10 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

3. 发明授权

US6024736A Laparascopic access port for surgical instruments or the hand 失效
标题翻译：用于手术器械或手的Laparascopic进出口
公开(公告)号：US6024736A
公开(公告)日：2000-02-15
申请号：US902144
申请日：1997-07-29
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B17/34 , A61B19/08 , A61B17/00
CPC分类号： A61B17/3462 , A61B17/3423 , A61B46/10 , A61B17/3498 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

4. 发明授权

US5653705A Laparoscopic access port for surgical instruments or the hand 失效
标题翻译：手术器械或手的腹腔镜入口
公开(公告)号：US5653705A
公开(公告)日：1997-08-05
申请号：US319986
申请日：1994-10-07
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B17/34 , A61B19/08 , A61B19/00
CPC分类号： A61B17/3462 , A61B17/3423 , A61B46/10 , A61B17/3498 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

5. 发明授权

US06371910B1 Inflatable manipulator for organ positioning during surgery 有权
标题翻译：充气器官手术器官定位
公开(公告)号：US06371910B1
公开(公告)日：2002-04-16
申请号：US09438811
申请日：1999-11-10
申请人： Hans J. Zwart , Lawrence R. Tyler , Thomas J. Palermo , Kevin Van Bladel , Roderick A. Young , James E. Jervis
发明人： Hans J. Zwart , Lawrence R. Tyler , Thomas J. Palermo , Kevin Van Bladel , Roderick A. Young , James E. Jervis
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B2017/00017 , A61B2017/00022 , A61B2017/00084 , A61B2017/00243 , A61B2017/00557 , A61B2017/320048 , A61B2090/032 , A61B2090/034 , A61B2090/061 , A61B2090/064
摘要： An inflatable manipulator for organ manipulation during surgery is disclosed. The system typically includes an inflatable balloon connected to an infusion source where the balloon is either coupled to a relatively rigid platform or fitted with a positioning structure such as a pocket. In open heart surgery, the platform is used to position and stabilize the balloon under the heart. In minimally invasive surgery, the balloon fitted with the pocket and can be rolled into a narrow configuration and inserted through a small incision using an insertion device. The insertion device can then be removed once the manipulator is in position. In use, the balloon of the manipulator is inflated by the infusion source thereby elevating and tilting the organ to the desired position for surgical access. Systems including multiple chamber manipulators each with a separate infusion source are also disclosed, as are combined methods for cooling organs during surgery and for using the manipulators to separate adhesions.
摘要翻译：公开了一种用于手术中器官操作的充气操纵器。该系统通常包括连接到输注源的可充气气囊，其中气囊被联接到相对刚性的平台或者配合有定位结构例如口袋。在心脏直视手术中，平台用于在心脏下定位和稳定气囊。在微创手术中，气囊装配有口袋，并且可以卷成狭窄的构造并且通过使用插入装置的小切口插入。一旦操纵器就位就可以将插入装置移除。在使用中，操纵器的球囊被输注源膨胀，从而升高并将器官倾斜到期望的位置以进行外科手术。还公开了包括具有单独输注源的多个腔室操纵器的系统，以及用于在手术期间冷却器官和使用操纵器分离粘连的组合方法。

6. 发明授权

US6015382A Inflatable manipulator for organ positioning during surgery and method of use 失效
标题翻译：用于手术器官定位的充气手术器械和使用方法
公开(公告)号：US6015382A
公开(公告)日：2000-01-18
申请号：US951799
申请日：1997-10-16
申请人： Hans J. Zwart , Lawrence R. Tyler , Thomas J. Palermo , Kevin Van Bladel , Roderick A. Young , James E. Jervis
发明人： Hans J. Zwart , Lawrence R. Tyler , Thomas J. Palermo , Kevin Van Bladel , Roderick A. Young , James E. Jervis
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00017 , A61B2017/00022 , A61B2017/00084 , A61B2017/00243 , A61B2017/00557 , A61B2017/320048 , A61B2090/032 , A61B2090/034 , A61B2090/061 , A61B2090/064
摘要： An inflatable manipulator for organ manipulation during surgery is disclosed. The system typically includes an inflatable balloon connected to an infusion source where the balloon is either coupled to a relatively rigid platform or fitted with a positioning structure such as a pocket. In open heart surgery, the platform is used to position and stabilize the balloon under the heart. In minimally invasive surgery, the balloon fitted with the pocket and can be rolled into a narrow configuration and inserted through a small incision using an insertion device. The insertion device can then be removed once the manipulator is in position. In use, the balloon of the manipulator is inflated by the infusion source thereby elevating and tilting the organ to the desired position for surgical access. Systems including multiple chamber manipulators each with a separate infusion source are also disclosed, as are combined methods for cooling organs during surgery and for using the manipulators to separate adhesions.
摘要翻译：公开了一种用于手术中器官操作的充气操纵器。该系统通常包括连接到输注源的可充气气囊，其中气囊被联接到相对刚性的平台或者配合有定位结构例如口袋。在心脏直视手术中，平台用于在心脏下定位和稳定气囊。在微创手术中，气囊装配有口袋，并且可以卷成狭窄的构造并且通过使用插入装置的小切口插入。一旦操纵器就位就可以将插入装置移除。在使用中，操纵器的球囊被输注源膨胀，从而升高并将器官倾斜到期望的位置以进行外科手术。还公开了包括具有单独输注源的多个腔室操纵器的系统，以及用于在手术期间冷却器官和使用操纵器分离粘连的组合方法。

7. 发明授权

US5984943A Combination dissector and expander 有权
标题翻译：组合解剖器和扩张器
公开(公告)号：US5984943A
公开(公告)日：1999-11-16
申请号：US179680
申请日：1998-10-16
申请人： Roderick A. Young
发明人： Roderick A. Young
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B19/00 , A61F2/12
CPC分类号： A61B17/0218 , A61B90/02 , A61F2/12 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048
摘要： A combination tissue dissector and long term expander is disclosed for use in plastic surgery applications and other applications where it is desirable to dissect a tissue pocket and serially expand the dissected pocket through long term tissue expansion. The combination device performs the separate functions of dissection and long term expansion in a single balloon package. In an exemplary embodiment, three sheets of substantially inelastic material are bonded together at their outer margins to form two discrete inflatable chambers. The lower inflatable chamber defined by the middle and lower balloon sheets is further welded together at various points over the sheet's surface area to create a semi-rigid base portion which provides a flat well-defined footprint for the balloon. The semi-rigid base prevents further enlargement of the tissue pocket at the margins when the device is utilized as a tissue expander. In a preferred method of use for the combination device, the combination device is tunneled bluntly to a desired location within the body. The device is then inflated to dissect tissue layers along natural tissue planes and create a tissue pocket. After dissection, the combination device may be left within the body as a temporary implant to further expand the tissue pocket through long term expansion until the desired tissue pocket volume is achieved.
摘要翻译：公开了一种用于整形手术应用和其它应用的组合组织剥离器和长期膨胀器，其中希望通过长期组织扩张来解剖组织袋并连续扩张解剖口袋。组合设备在单个气球包中执行单独的解剖和长期扩展功能。在一个示例性实施例中，三片基本上无弹性的材料在其外边缘处结合在一起以形成两个不连续的可充气室。由中间和下部气囊片限定的下部可充气腔室进一步在片材的表面区域上的各个点处焊接在一起，以形成半刚性基部，从而为球囊提供平坦明确的覆盖区域。当该装置用作组织扩张器时，半刚性基部防止在边缘处的组织袋的进一步扩大。在用于组合装置的优选方法中，组合装置被钝化地隧穿到身体内的期望位置。然后将装置充气以沿着天然组织平面解剖组织层并产生组织袋。在解剖之后，组合装置可以作为临时植入物留在体内，以通过长期扩张进一步膨胀组织袋，直到实现所需的组织袋体积。

8. 发明授权

US5855588A Combination dissector and expander 失效
公开(公告)号：US5855588A
公开(公告)日：1999-01-05
申请号：US933406
申请日：1997-09-19
申请人： Roderick A. Young
发明人： Roderick A. Young
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B19/00 , A61F2/12
CPC分类号： A61B17/0218 , A61B90/02 , A61F2/12 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048
摘要： A combination tissue dissector and long term expander is disclosed for use in plastic surgery applications and other applications where it is desirable to dissect a tissue pocket and serially expand the dissected pocket through long term tissue expansion. The combination device performs the separate functions of dissection and long term expansion in a single balloon package. In an exemplary embodiment, three sheets of substantially inelastic material are bonded together at their outer margins to form two discrete inflatable chambers. The lower inflatable chamber defined by the middle and lower balloon sheets is further welded together at various points over the sheet's surface area to create a semi-rigid base portion which provides a flat well-defined footprint for the balloon. The semi-rigid base prevents further enlargement of the tissue pocket at the margins when the device is utilized as a tissue expander. In a preferred method of use for the combination device, the combination device is tunneled bluntly to a desired location within the body. The device is then inflated to dissect tissue layers along natural tissue planes and create a tissue pocket. After dissection, the combination device may be left within the body as a temporary implant to further expand the tissue pocket through long term expansion until the desired tissue pocket volume is achieved.

9. 发明授权

US08315691B2 Radiosurgical ablation of the myocardium 有权
标题翻译：放射外科手术切除心肌
公开(公告)号：US08315691B2
公开(公告)日：2012-11-20
申请号：US12238809
申请日：2008-09-26
申请人： Thilaka Sumanaweera , Patrick Maguire , Roderick A. Young
发明人： Thilaka Sumanaweera , Patrick Maguire , Roderick A. Young
IPC分类号： A61B6/00
CPC分类号： A61N5/1037 , A61N5/1039 , A61N5/1049 , A61N5/1067 , A61N2005/1059 , A61N2005/1061
摘要： The invention provides a non-invasive system and method for treatment of the heart. In a first aspect, a method for treatment of an anatomical site related to arrhythmogenesis of a heart of a patient comprises creating a target shape encompassing the anatomical site, directing particle beam radiation or x-ray radiation from outside the patient toward the target shape wherein one or more doses of radiation ablates the target shape and disregarding at least one orientation of cardiac motion while creating the target shape or directing the particle beam or both.
摘要翻译：本发明提供了一种用于治疗心脏的非侵入性系统和方法。在第一方面，一种用于治疗与患者心脏的心律失常相关的解剖部位的方法包括产生包围解剖部位的靶形状，将粒子束辐射或从患者外部的X射线辐射引向目标形状，其中一个或多个剂量的辐射消除了目标形状并且忽略了心脏运动的至少一个取向，同时产生目标形状或引导粒子束或二者。

10. 发明申请

US20090080610A1 Radiosurgical Ablation of the Myocardium 有权
标题翻译：放射外科消融心肌
公开(公告)号：US20090080610A1
公开(公告)日：2009-03-26
申请号：US12238809
申请日：2008-09-26
申请人： Thilaka Sumanaweera , Patrick Maguire , Roderick A. Young
发明人： Thilaka Sumanaweera , Patrick Maguire , Roderick A. Young
IPC分类号： A61N5/10 , A61B5/055
CPC分类号： A61N5/1037 , A61N5/1039 , A61N5/1049 , A61N5/1067 , A61N2005/1059 , A61N2005/1061
摘要： The invention provides a non-invasive system and method for treatment of the heart. In a first aspect, a method for treatment of an anatomical site related to arrhythmogenesis of a heart of a patient comprises creating a target shape encompassing the anatomical site, directing particle beam radiation or x-ray radiation from outside the patient toward the target shape wherein one or more doses of radiation ablates the target shape and disregarding at least one orientation of cardiac motion while creating the target shape or directing the particle beam or both.
摘要翻译：本发明提供了一种用于治疗心脏的非侵入性系统和方法。在第一方面，一种用于治疗与患者心脏的心律失常相关的解剖部位的方法包括产生包围解剖部位的靶形状，将粒子束辐射或从患者外部的X射线辐射引向目标形状，其中一个或多个剂量的辐射消除了目标形状并且忽略了心脏运动的至少一个取向，同时产生目标形状或引导粒子束或二者。

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