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    • 1. 发明申请
    • ENDOSCOPIC MESH DELIVERY SYSTEM WITH INTEGRAL MESH STABILIZER AND VAGINAL PROBE
    • 具有整体网状稳定器和血管探针的内窥镜输送系统
    • US20150051442A1
    • 2015-02-19
    • US14475361
    • 2014-09-02
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian Lipford
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian Lipford
    • A61F2/00
    • A61F2/0063A61B17/00234A61B17/42A61B2017/00876A61F2/0045A61F2002/0072A61F2210/009
    • A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer, anchoring it in position. The mesh stabilizer employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer expands to a functional configuration where it interfaces with the probe head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.
    • 公开了一种用于骶骨混合手术的网格递送系统。 该系统使用网状稳定器,其通过外科手术端口进入压缩构型进入腹部,以及阴道探针(通过阴道插入),其具有与网状物稳定器接合的磁性或非磁性头部,将其固定在适当位置 。 网状稳定器采用假弹性形状记忆合金,并折叠紧凑,以将流线型构造的多个网带或单个Y形外科手术网输送到腹部,以促进骶骨混合手术。 分娩后,稳定器膨胀到功能性配置,在那里它与探头接口,并稳定和可调节地进给网带,用于缝合,同时保持网状物在阴道顶点上的稳定性,同时保持多余的网眼免于外科医生的视图 。 缝合后,稳定剂可以通过外科手术口移除。
    • 4. 发明申请
    • ENDOSCOPIC MESH DELIVERY SYSTEM WITH INTEGRAL MESH STABILIZER AND VAGINAL PROBE
    • 具有整体网状稳定器和血管探针的内窥镜输送系统
    • US20110174313A1
    • 2011-07-21
    • US12973189
    • 2010-12-20
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • A61F6/08
    • A61F2/0063A61B17/00234A61B17/42A61B2017/00876A61F2/0045A61F2002/0072A61F2210/009
    • A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.
    • 公开了一种用于骶骨混合手术的网格递送系统。 该系统使用以压缩构型通过外科口引入腹部的网状物稳定器(30)和通过与网状物啮合的磁性或非磁性头部的阴道探针(10)(通过阴道插入) 稳定器(30),将其固定到位。 网状稳定器(30)采用假弹性形状记忆合金,并且折叠成紧凑型,以将流线型结构中的多个网带或单个Y形外科手术网输送到腹部中,以便于骶骨混合手术。 在输送之后,稳定器(30)膨胀成功能性结构,其中其与探针(10)头部相接合,并稳定并可调节地进给网带以进行缝合,同时保持网状物在阴道顶点上的稳定性并且同时保持过量 网眼掩盖了外科医生的看法。 缝合后,稳定剂可以通过外科手术口移除。
    • 5. 发明申请
    • ENDOSCOPIC MESH DELIVERY SYSTEM WITH INTEGRAL MESH STABILIZER AND VAGINAL PROBE
    • 具有整体网状稳定器和血管探针的内窥镜输送系统
    • US20140018610A1
    • 2014-01-16
    • US13863491
    • 2013-04-16
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAusin Cox
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAusin Cox
    • A61F2/00A61B17/00
    • A61F2/0063A61B17/00234A61B17/42A61B2017/00876A61F2/0045A61F2002/0072A61F2210/009
    • A mesh delivery system for sacral colpopexy and other procedures involving surgical mesh is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) in preparation for fixation to the vaginal muscularis while maintaining stabilization of the mesh on the vaginal muscularis and while keeping excess mesh from obscuring the surgeons view. After fixation of the mesh to the vaginal muscularis, the stabilizer can be removed back through the surgical port.
    • 公开了一种用于骶骨牵引和其他涉及手术网的手术的网状输送系统。 该系统使用以压缩构型通过外科口引入腹部的网状物稳定器(30)和通过与网状物啮合的磁性或非磁性头部的阴道探针(10)(通过阴道插入) 稳定器(30),将其固定到位。 网状稳定器(30)采用假弹性形状记忆合金,并且折叠成紧凑型,以将流线型结构中的多个网带或单个Y形外科手术网输送到腹部中,以便于骶骨混合手术。 在输送之后,稳定器(30)膨胀成功能性结构,其中其与探针(10)头部相接合,并稳定和可调节地进给网带以准备固定到阴道肌肉,同时保持网状物在 同时保持多余的网状物遮蔽外科医生的看法。 将网状结构固定在阴道肌上后,稳定器可以通过外科手术口返回。
    • 6. 发明申请
    • Adjustable sacral mesh fixation device and method
    • 可调骶骨固定装置及方法
    • US20100179575A1
    • 2010-07-15
    • US12590594
    • 2009-11-10
    • Walter Von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • Walter Von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • A61B17/00
    • A61B17/0401A61B17/42A61B2017/00805A61B2017/0454A61B2017/0456A61B2017/06057
    • A sacral mesh fixation device and method of use for sacral colpopexy. The sacral mesh fixation device comprises multiple hinged sections pivoted together at opposite ends and adapted to clamp one or more strips of sacral mesh there between. A latching mechanism is provided for releasably latching the opposing sections shut, thereby releasably clamping the sacral mesh to allow verification of tension. A sequential latching mechanism is provided to fixedly lock the fixation device to the sacral mesh by latching the remaining section to the prior sections. At least one of the sections may be sutured to tissue and the sacral mesh inserted between the sections and releasably clamped in place, thereby releasably affixing the mesh to the tissue or fixedly locking the mesh to the device thereby permanently locking the mesh to the tissue. To use the device, a single mesh fixation device or a plurality of mesh fixation devices may be introduced through a trocar into the abdomen, positioned in a single or supporting array, and sutured to surrounding tissue. The sacral mesh is then clamped between opposing sections of the mesh fixation device(s), thereby temporarily suspending the mesh in a sling. However, the fixation devices can be reopened to facilitate easy readjustment and repositioning of the mesh sling to achieve the proper tension and position or fixedly locked for permanent support of the mesh.
    • 一种骶骨网固定装置及其应用方法。 骶骨网固定装置包括在相对端枢转在一起的多个铰接部分,并且适于在其间夹紧一个或多个骶骨网条。 提供了一种闭锁机构,用于可释放地将相对的部分闭合,从而可释放地夹紧骶骨网以允许检验张力。 提供了一种顺序的锁定机构,用于通过将剩余的部分锁定到先前的部分来将固定装置固定地锁定到骶骨网。 这些部分中的至少一个可以被缝合到组织上,并且骶骨网被插入在部分之间并且可释放地夹紧就位,从而可释放地将网状物固定在组织上或者将网固定到装置上,从而将网状物永久地锁定到组织上。 为了使用该装置,单个网眼固定装置或多个网状固定装置可通过套管针引入腹部,定位在单个或支撑阵列中,并缝合到周围组织。 然后将骶骨网夹紧在网状物固定装置的相对部分之间,从而将网状物暂时悬挂在吊带中。 然而,可以重新打开固定装置,以便于网状吊索的简单的重新调整和重新定位,以实现适当的张力和位置或固定地锁定以用于网的永久支撑。
    • 8. 发明授权
    • Endoscopic mesh delivery system with integral mesh stabilizer and vaginal probe
    • 具有整体网状稳定器和阴道探针的内窥镜网格输送系统
    • US08821372B2
    • 2014-09-02
    • US12973189
    • 2010-12-20
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • Walter von PechmannSamuel C. YoonKeith LipfordBrian LipfordAustin Cox
    • A61F2/00A61F13/00A61B17/08A61B17/42A61B17/00
    • A61F2/0063A61B17/00234A61B17/42A61B2017/00876A61F2/0045A61F2002/0072A61F2210/009
    • A mesh delivery system for sacral colpopexy procedures is disclosed. The system uses a mesh stabilizer (30) that is introduced in a compressed configuration through a surgical port into the abdomen, and a vaginal probe (10) (inserted through the vagina) with a magnetic or non-magnetic head that engages with the mesh stabilizer (30), anchoring it in position. The mesh stabilizer (30) employs a pseudoelastic shape memory alloy, and folds compact to deliver multiple mesh straps or a single Y-shaped surgical mesh in a streamlined configuration into the abdomen for facilitating the sacral colpopexy procedure. After delivery, the stabilizer (30) expands to a functional configuration where it interfaces with the probe (10) head and stabilizes and adjustably feeds the mesh strap(s) for suturing while maintaining stabilization of the mesh on the vaginal apex and while keeping excess mesh from obscuring the surgeons view. After suturing, the stabilizer can be removed back through the surgical port.
    • 公开了一种用于骶骨混合手术的网格递送系统。 该系统使用以压缩构型通过外科口引入腹部的网状物稳定器(30)和通过与网状物啮合的磁性或非磁性头部的阴道探针(10)(通过阴道插入) 稳定器(30),将其固定到位。 网状稳定器(30)采用假弹性形状记忆合金,并且折叠成紧凑型,以将流线型结构中的多个网带或单个Y形外科手术网输送到腹部中,以便于骶骨混合手术。 在输送之后,稳定器(30)膨胀成功能性结构,其中其与探针(10)头部相接合,并稳定并可调节地进给网带以进行缝合,同时保持网状物在阴道顶点上的稳定性并且同时保持过量 网眼掩盖了外科医生的看法。 缝合后,稳定剂可以通过外科手术口移除。
    • 9. 发明申请
    • Table-mounted surgical instrument stabilizers with single-handed or voice activated maneuverability
    • 台式手术器械稳定器具有单手或声控激活的机动性
    • US20100152749A1
    • 2010-06-17
    • US12584366
    • 2009-09-03
    • Walter von PechmannSamuel C. YoonBen LaneKeith LipfordAustin Cox
    • Walter von PechmannSamuel C. YoonBen LaneKeith LipfordAustin Cox
    • A61B19/00
    • A61B90/50A61B2090/508A61B2090/571
    • A surgical instrument stabilizer system for securely holding virtually any instrument during any procedure, delivering vacuum when applicable, and yet allowing easy single-handed or voice activated repositioning by a user. The system utilizes opposing horizontal side-rails mounted to opposing sides of a surgical table, and opposing arms each slidably mounted on a side rail for global lengthwise positioning along the side rails. The arms carry a transverse beam at the foot of the operating table, and a flexible arm is movably mounted on the beam for global lengthwise positioning along the beam. Alternately, the flexible arm may be affixed directly to one of the existing horizontal side rails. The flexible arm leads to an instrument-supporting hand piece pivotally mounted for angular orientation of an instrument supported thereby. The flexible arm can be freely articulated to any position and locked in place. Thus, a supported instrument can be repositioned quickly and easily by single-handed or voice activated manipulation by a surgeon or surgical assistant, and locked in any position up and down along a vertical axis, forward and back, i.e, toward or away from the patient, and rotationally.
    • 一种手术器械稳定器系统,用于在任何程序中可靠地夹持任何仪器,在适用时提供真空,并允许用户轻松进行单手或声音激活的重新定位。 该系统利用安装在手术台的相对侧的相对的水平侧轨,以及相对的臂,每个臂可滑动地安装在侧轨上,用于沿侧轨整体纵向定位。 手臂在手术台的脚部处携带横梁,并且柔性臂可移动地安装在梁上,用于沿着梁的全局纵向定位。 或者,柔性臂可以直接固定在现有的水平侧轨之一上。 柔性臂通向枢轴安装的仪器支撑手柄,用于由其支撑的仪器的角度定向。 柔性臂可以自由铰接到任何位置并锁定到位。 因此,可以通过外科医生或外科助手的单手或声音激活的操纵来快速且容易地重新定位被支撑的器械,并且沿着垂直轴线向前和向后,即朝向或远离 耐心等候。