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    • 2. 发明授权
    • Ring applicator and method for applying elastic rings to anatomical tissue structures
    • 环形施放器和用于将弹性环施加到解剖组织结构的方法
    • US06547798B1
    • 2003-04-15
    • US09563912
    • 2000-05-04
    • InBae YoonRonald J. BrinkerhoffKendall L. DoblerHal H. KatzRonald J. KolataWilliam J. KraimerLeo J. NolanDelbert E. LucasDonna R. Motz
    • InBae YoonRonald J. BrinkerhoffKendall L. DoblerHal H. KatzRonald J. KolataWilliam J. KraimerLeo J. NolanDelbert E. LucasDonna R. Motz
    • A61B1712
    • A61F6/208A61B17/12013A61B17/30A61B2017/12018A61B2090/061A61F2/2472
    • A ring applicator for applying elastic rings to anatomical tissue during surgical procedures includes an inner member with a forceps movably disposed within a middle tubular member having a distal end configured to hold a plurality of elastic rings in an expanded state and a proximal end with a plurality of longitudinally spaced steps. The middle tubular member is movably disposed in an outer tubular member, and an adjustable stop mechanism is mounted on the proximal end of the outer tubular member to limit axial movement of the outer tubular member relative to the middle tubular member to select which rings are to be ejected. A distal handle is connected with the inner member via slots in the outer and middle tubular members, and a proximal handle is pivotally connected to the middle tubular member via a slot in the outer tubular member. A pusher has a distal end movable between a latched or locked position where the distal end of the pusher protrudes into apertures in the outer and middle tubular members to prevent pivotal movement of the proximal handle and an unlatched or unlocked position where the distal end of the pusher is disengaged from the aperture in the middle tubular member to permit pivotal movement of the proximal handle in order to move the outer tubular member axially relative to the middle tubular member to eject an elastic ring. Distal portions of the outer and middle tubular members are preferably transparent with scale markings formed thereon to allow the surgeon to accurately determine the length of the tissue disposed within the middle tubular member prior to ejecting a ring. A prerelease feature is also disclosed for unlocking the pusher to allow ejection of a ring when the forceps has not been completely withdrawn in to the middle tubular member.
    • 用于在外科手术过程中将弹性环施加到解剖组织的环形施加器包括内部构件,其具有可移动地设置在中间管状构件内的镊子,所述镊子具有构造成将多个弹性环保持在展开状态的远端,并且具有多个 的纵向间隔的台阶。 中间管状构件可移动地设置在外部管状构件中,并且可调止动机构安装在外部管状构件的近端上以限制外部管状构件相对于中间管状构件的轴向运动,以选择哪个环 被弹出。 远端手柄通过外管状构件和中管状构件中的狭槽与内构件连接,并且近侧手柄通过外管状构件中的狭槽枢转地连接到中管构构件。 推动器具有可在锁定或锁定位置之间移动的远端,其中推动器的远端突出到外管状构件和中间管状构件中的孔中,以防止近侧手柄的枢转运动以及未锁定或解锁位置, 推动器从中间管状构件中的孔脱离,以允许近侧手柄的枢转运动,以便相对于中间管状构件轴向移动外部管状构件以弹出弹性环。 外部和中部管状构件的远端部分优选是透明的,其上形成刻度标记,以允许外科医生在排出环之前准确地确定设置在中间管状构件内的组织的长度。 还公开了预释放特征,用于解锁推动器以允许当镊子未完全拉出到中间管状构件时弹出环。
    • 4. 发明授权
    • Air-bubble-monitoring medication assembly, medical system and method
    • 气泡监测药物装配,医疗系统和方法
    • US07338470B2
    • 2008-03-04
    • US10726845
    • 2003-12-03
    • Hal H. KatzPaul J. NiklewskiGregory D. Bishop
    • Hal H. KatzPaul J. NiklewskiGregory D. Bishop
    • A61M1/00
    • A61M5/365
    • An air-bubble-monitoring medication assembly includes a drug infusion subassembly having a tube for administering therein a liquid to a patient, a bubble-size determinator which is positioned to sense an air bubble entrained in the liquid in the tube and which determines the volume of the air bubble, and an analyzer. The analyzer logs the time the detector senses an air bubble and the volume of the air bubble, calculates a running sum of a total air volume of all air bubbles sensed over a time interval, compares the running sum with a preselected limit, and generates an output when the running sum exceeds the preselected limit. The medical system additionally includes a controller assembly which determines a delivery schedule for administering the liquid and which controls the drug infusion subassembly to administer the liquid in accordance with the determined delivery schedule. The method performs the analyzer functions.
    • 气泡监测药物组件包括具有用于向患者施用液体的管的药物输注子组件,气泡尺寸确定器,其被定位成感测夹带在管中的液体中的气泡,并且确定体积 的气泡和分析仪。 分析仪记录检测器感测气泡和气泡体积的时间,计算在一段时间间隔内感测到的所有气泡的总空气体积的运行总和,将运行总和与预选极限进行比较,并产生 当运行总和超过预选极限时输出。 该医疗系统还包括控制器组件,该控制器组件确定用于施用液体的输送计划,并且其根据确定的递送计划控制药物输注子组件来施用液体。 该方法执行分析仪功能。
    • 9. 发明授权
    • Method and apparatus for establishing anastomotic passageways
    • 用于建立吻合通道的方法和装置
    • US6036703A
    • 2000-03-14
    • US245513
    • 1999-02-05
    • David K. EvansRonald J. BrinkerhoffHal H. KatzWilliam J. Kraimer
    • David K. EvansRonald J. BrinkerhoffHal H. KatzWilliam J. Kraimer
    • A61B17/064A61B17/11A61B17/122A61B17/00
    • A61B17/11A61B17/0643A61B17/122A61B2017/0641A61B2017/1107A61B2017/1135
    • A system for establishing an anastomotic passageway between first and second structures within an animal, the first and second structures each having an intima-exposing opening comprises a first plate sized and configured for attachment to the opening of the first structure, the first plate including an attaching portion having means for gripping first structure at its opening, the first plate further including a coupling portion which is positioned exterior of the first structure when the first plate is attached to the first structure; a second plate sized and configured for attachment to the opening of the second structure, the second plate including an attaching portion having means for gripping the second structure at its opening, the second plate further including a coupling portion which is positioned exterior of the second structure when the second plate is attached to the second structure; and means for connecting the coupling portion of said first plate with the coupling portion of said second plate.
    • 一种用于在动物内建立第一和第二结构之间的吻合通道的系统,每个具有内膜暴露开口的第一和第二结构包括大小和构造成附接到第一结构的开口的第一板,第一板包括 附接部具有用于在其开口处夹持第一结构的装置,所述第一板还包括联接部,当所述第一板附接到所述第一结构时,所述联接部位于所述第一结构的外部; 第二板,其尺寸和构造用于附接到第二结构的开口,第二板包括具有用于在其开口处夹持第二结构的装置的附接部分,第二板还包括联接部分,该联接部分位于第二结构的外部 当第二板附接到第二结构时; 以及用于将所述第一板的联接部分与所述第二板的联接部分连接的装置。