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1. 发明授权

US06626930B1 Minimally invasive mitral valve repair method and apparatus 有权
标题翻译：微创二尖瓣修复方法及装置
公开(公告)号：US06626930B1
公开(公告)日：2003-09-30
申请号：US09562406
申请日：2000-05-01
申请人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
发明人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
IPC分类号： A61B1708
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

2. 发明授权

US07651512B2 Lancer 有权
标题翻译：蓝瑟
公开(公告)号：US07651512B2
公开(公告)日：2010-01-26
申请号：US10400739
申请日：2003-03-27
申请人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
发明人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
IPC分类号： A61B17/14
CPC分类号： A61B5/15186 , A61B5/1411 , A61B5/150022 , A61B5/150106 , A61B5/15019 , A61B5/150412 , A61B5/150503 , A61B5/150587 , A61B5/150717 , A61B5/15113 , A61B5/15117 , A61B5/1519 , A61B5/15194
摘要： A lancer device that enables a user to draw blood from a patient and discard the used lancet without touching it. The device also has an adjustable tip for selecting the depth of stylet penetration into the patient and a triggering mechanism that utilizes a yoke latch and a leaf spring to discharge the lancet. The lancer also has a dampening feature to reduce vibrations when the lancet is moving.
摘要翻译：一种使用户能够从患者抽取血液并且丢弃所使用的柳叶刀而不触摸它的乳房装置。该装置还具有可调节的尖端，用于选择穿刺入患者的探针的深度，以及触发机构，其利用轭闩锁和板簧弹出刺血针。舞者还有一个减震功能，以减少刺血针移动时的振动。

3. 发明授权

US06558402B1 Lancer 有权
标题翻译：蓝瑟
公开(公告)号：US06558402B1
公开(公告)日：2003-05-06
申请号：US09366149
申请日：1999-08-03
申请人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , Michael A. Di Biasi , Amir Ali Sharifi-Mehr , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
发明人： Todd M. Chelak , Jonathan B. Gabel , Robert E. West , Michael A. Di Biasi , Amir Ali Sharifi-Mehr , William J. Allen , Alan Bachman , Scott W. Reed , Ray Adams
IPC分类号： A61B1714
CPC分类号： A61B5/15186 , A61B5/1411 , A61B5/150022 , A61B5/150106 , A61B5/15019 , A61B5/150412 , A61B5/150503 , A61B5/150587 , A61B5/150717 , A61B5/15113 , A61B5/15117 , A61B5/1519 , A61B5/15194
摘要： A lancer device that enables a user to draw blood from a patient and discard the used lancet without touching it. The device also has an adjustable tip for selecting the depth of stylet penetration into the patient and a triggering mechanism that utilizes a yoke latch and a leaf spring to discharge the lancet. The lancer also has a dampening feature to reduce vibrations when the lancet is moving.
摘要翻译：一种使用户能够从患者抽取血液并且丢弃所使用的柳叶刀而不触摸它的乳房装置。该装置还具有可调节的尖端，用于选择穿刺入患者的探针的深度，以及触发机构，其利用轭闩锁和板簧弹出刺血针。舞者还有一个减震功能，以减少刺血针移动时的振动。

4. 发明授权

US06761725B1 Percutaneous entry system and method 失效
标题翻译：经皮进入系统和方法
公开(公告)号：US06761725B1
公开(公告)日：2004-07-13
申请号：US10030216
申请日：2002-09-03
申请人： Jeffrey Grayzel , Joseph Grayzel , William J Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William J Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B1732
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： Apparatus to achieve percutaneous entry to a blood vessel includes several coacting combinations of coacting instruments, some capable of independent action, as well as enabling clear visualisation of the operative area, precise location of the operative site, capture and immobilization of the vessel, and guidance in the positioning and insertion of the puncturing needle Additionally, apparatus is provided for the placement of a sponge directly on the entry wound in the vessel to reduce bleeding. The present invention also sets forth a method for vascular puncture and more particularly for the arterial puncture procedure. The line of maximal pulsation is ascertained, and a small incision in the skin is made. A dissecting-retracting tool (100) is then employed to create a skin-to-vessel channel. The vessel is inspected through the spread fingers. A tubular access conduit (300), mounted on an obturator-carrier (400), is inserted until it rest upon the vessel. The dissector-retractor (100) is removed and the obturator (400) is withdrawn from the conduit (300) leaving the conduit (300) in place. A needle guide (312) is then passed down inside the conduit (300) to contact the vessel. A needle is advanced to the anterior wall of the artery to enter the lumen. A sponge can be positioned with the conduit pressed against the puncture site to reduce bleeding.
摘要翻译：实现经皮进入血管的装置包括共同作用仪器的几种联合组合，一些能够独立作用的共同作用组合，以及使得能够清楚地看到手术区域，手术部位的精确位置，血管的捕获和固定以及引导在穿刺针的定位和插入中。另外，提供了用于将海绵直接放置在容纳在容器中的入口上以减少渗血的装置。本发明还提出了一种用于血管穿刺的方法，更具体地说是用于动脉穿刺手术。确定最大脉动线，并进行皮肤小切口。然后使用解剖缩回工具（100）来产生皮肤到血管通道。通过手指检查血管。安装在密闭载体（400）上的管状进入导管（300）被插入，直到其搁置在容器上。去除解剖器 - 牵开器（100）并且将封闭器（400）从导管（300）中取出，离开导管（300）就位。然后，针导向器（312）在导管（300）内向下通过以与容器接触。针头前进到动脉的前壁进入管腔。海绵可以定位，导管压靠穿刺部位以减少出血。

5. 发明授权

US09456824B2 Manual surgical ligation clip applier 有权
标题翻译：手术手术结扎夹
公开(公告)号：US09456824B2
公开(公告)日：2016-10-04
申请号：US13618858
申请日：2012-09-14
申请人： Lynn Willett , Philip Schmidt , Dan Monahan , Adam Lehman , Leland Ray Adams , Paul Whiting , Salvatore Castro , Alan Bachman
发明人： Lynn Willett , Philip Schmidt , Dan Monahan , Adam Lehman , Leland Ray Adams , Paul Whiting , Salvatore Castro , Alan Bachman
IPC分类号： A61B17/10 , A61B17/128 , A61B17/122
CPC分类号： A61B17/1222 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B90/03 , A61B2017/12004
摘要： A ligation clip applier is provided. The clip applier includes: a pair of jaws; a distal clevis tube to which the jaws are pivotally mounted; a proximal clevis tube located behind the distal clevis tube, wherein the distal clevis tube and the proximal clevis tubes move axially with respect to each other; a clip lock actuator fixed to one of the proximal and distal clevis tubes; and a distal pushrod extending through the distal and proximal clevis tubes and forming a camming connection with the jaws configured to close and move the jaws toward a proximal direction toward the clip lock actuator when the distal pushrod is moved in the proximal direction. A method for applying a clip on a vessel is disclosed.
摘要翻译：提供结扎夹施压器。夹子包括：一对钳口; 一个远端的U形夹管，夹爪枢转地安装在其上; 位于远侧U形夹管后面的近端U形管管，其中远端U形夹管和近端U形管相对于彼此轴向移动; 固定到近端和远端U形夹管之一的夹锁致动器; 以及远端推杆，其延伸穿过远端和近侧U形夹管，并形成与所述夹爪相配合的凸轮连接，当所述远端推杆沿所述近端方向移动时，所述夹爪构造成使所述夹爪朝向近侧方向朝向夹锁致动器移动。公开了一种将夹子施加在容器上的方法。

6. 发明授权

US08979874B2 Method and apparatus for surgical fastening 有权
标题翻译：手术紧固方法和装置
公开(公告)号：US08979874B2
公开(公告)日：2015-03-17
申请号：US12977706
申请日：2010-12-23
申请人： Roger E. Darois , Augustus Felix , Alan Bachman , Ray Adams , Joseph Paul , Ed Chester , Adam Lehman , Barry Smith , Jeff Stein
发明人： Roger E. Darois , Augustus Felix , Alan Bachman , Ray Adams , Joseph Paul , Ed Chester , Adam Lehman , Barry Smith , Jeff Stein
IPC分类号： A61B17/08 , A61B17/068 , A61B17/064 , A61L31/14 , B25B17/00 , B25B23/06 , A61B17/86 , A61B17/88
CPC分类号： A61B17/068 , A61B17/064 , A61B17/861 , A61B17/864 , A61B17/8875 , A61B2017/0648 , A61L31/148 , B25B17/00 , B25B23/065
摘要： A surgical fastener system includes a plurality of fasteners having a throughbore with an internally threaded portion. The fasteners may engage with a threaded mandrel that passes through the throughbore of the fasteners. A rotator may rotate the fasteners relative to the mandrel to move at least one of the fasteners along the mandrel, e.g., along the mandrel's longitudinal axis. A distal end of the mandrel may be inserted into a material, such as a tissue, prosthetic or other, and a fastener may be deployed from the distal end of the mandrel while the distal end is positioned in the material. The throughbore of the fasteners may include a threaded portion and an unthreaded portion, may include an angled face or other feature to aid in fastener deployment and/or have curved depressions in the head portion.
摘要翻译：外科紧固件系统包括具有带内螺纹部分的通孔的多个紧固件。紧固件可以与穿过紧固件的通孔的螺纹心轴接合。旋转器可以相对于心轴旋转紧固件，以沿着心轴移动至少一个紧固件，例如沿心轴的纵向轴线。心轴的远端可以插入诸如组织，假体或其他材料中的材料中，并且紧固件可以从心轴的远端展开，而远端位于材料中。紧固件的通孔可以包括螺纹部分和无螺纹部分，可以包括成角度的面部或其他特征以帮助紧固件展开和/或在头部部分具有弯曲的凹陷。

7. 发明授权

US08690904B2 Percutaneous access conduit 有权
标题翻译：经皮导管
公开(公告)号：US08690904B2
公开(公告)日：2014-04-08
申请号：US11893853
申请日：2007-08-18
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32 , A61F11/00
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A tubular conduit is used to access blood vessels or other structures in the human body. The conduit has a distal tip angled to match the angle of entry into the body and an end contour adapted for the surface of the target vessel or organ. The contour may be curved to match the curve on the outer surface of the vessel or organ. The conduit's angled and contoured distal end may be adapted to engage, and align the conduit with, the surface of the vessel or organ. The conduit bears a longitudinal groove along its lower, inner surface. When the conduit is appropriately aligned, the groove may be used to guide a needle tip to the desired location, for example, the mid-line of the vessel or organ.
摘要翻译：管状导管用于进入人体内的血管或其他结构。导管具有成角度的远端以匹配进入体内的角度以及适于目标血管或器官表面的端部轮廓。轮廓可以弯曲以匹配血管或器官的外表面上的曲线。导管的成角度和轮廓的远端可以适于将导管与容器或器官的表面接合并对齐。导管沿其下部内表面具有纵向凹槽。当导管适当地对准时，凹槽可用于将针尖引导到所需位置，例如容器或器官的中线。

8. 发明授权

US07666201B2 Spreading instrument 有权
标题翻译：传播仪器
公开(公告)号：US07666201B2
公开(公告)日：2010-02-23
申请号：US10862905
申请日：2004-06-07
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： A spreading instrument includes instrument fingers which can be spread to partially define a cylindrical passage between the instrument fingers. A rounded groove on the interior surface of each instrument finger is tapered lengthwise, becoming shallower towards the distal end of the finger. When the fingers are spread, the opposing grooves partly define a cylindrical passage adapted to receive a tubular structure.
摘要翻译：扩展仪器包括可以扩展以在仪器指状物之间部分限定圆柱形通道的器械指状物。每个乐器手指的内表面上的圆形凹槽是纵向渐缩的，朝着手指的远端变浅。当手指被展开时，相对的槽部分地限定适于接收管状结构的圆柱形通道。

9. 发明申请

US20050033339A1 Percutaneous entry system and method 有权
标题翻译：经皮进入系统和方法
公开(公告)号：US20050033339A1
公开(公告)日：2005-02-10
申请号：US10862905
申请日：2004-06-07
申请人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
发明人： Jeffrey Grayzel , Joseph Grayzel , William Allen , Fred Karl , Alan Bachman , Ray Adams
IPC分类号： A61B17/28 , A61B17/34 , A61B19/00 , A61B17/32
CPC分类号： A61B17/02 , A61B17/0057 , A61B17/2812 , A61B17/282 , A61B17/3403 , A61B17/3439 , A61B2017/00424 , A61B2017/00654 , A61B2017/00778 , A61B2017/320044 , A61B2017/3405 , A61B2090/062 , A61B2090/306
摘要： The present invention relates to ergonomic hand instruments and medical procedures. In particular, the invention relates to a dissector, and methods for the dissection of tissue from skin to an underlying blood vessel and the methods of accomplishing such dissections and arterial and venous punctures.
摘要翻译：本发明涉及符合人体工程学的手动工具和医疗程序。特别地，本发明涉及一种解剖器，以及从皮肤到潜在血管的组织解剖的方法以及完成这种解剖和动脉和静脉穿刺的方法。

10. 发明授权

US09271737B2 Automatic surgical ligation clip applier 有权
标题翻译：自动手术结扎夹具
公开(公告)号：US09271737B2
公开(公告)日：2016-03-01
申请号：US13618215
申请日：2012-09-14
申请人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
发明人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
IPC分类号： A61B17/10 , A61B17/128 , A61B17/122 , A61B17/29 , A61B17/064 , A61B17/28
CPC分类号： A61B17/1285 , A61B17/0643 , A61B17/122 , A61B17/128 , A61B2017/2845 , A61B2017/2912 , A61B2017/2929 , A61B2017/2936 , A61B2017/2937
摘要： An applier for ligation clip is provided. The applier includes: an outer tube having mounting bosses; a pair of jaws pivotally connected to the mounting bosses, the jaws having actuating projections; a feed tube located in the outer tube and configured to move axially within the outer tube, the feed tube having actuating slots in which the actuating projections are located; a clip lock arm located in the outer tube and configured to move axially within the outer tube; and a clip advance arm located in the outer tube and configured to move axially within the outer tube, the clip advance arm having flexible pinchers at one end of the clip advance arm. A method of applying a ligation clip is also disclosed.
摘要翻译：提供了一种用于结扎夹的敷贴器。施加器包括：具有安装凸台的外管; 一对夹爪枢转地连接到安装凸台，所述夹具具有致动突起; 位于所述外管中并且构造成在所述外管内轴向移动的进料管，所述进料管具有致动槽，所述致动槽中致动突起位于所述致动槽中; 夹锁定臂，位于所述外管中并且构造成在所述外管内轴向移动; 以及夹子前进臂，其位于外管中并且构造成在外管内轴向移动，夹子前进臂在夹子前进臂的一端具有柔性捏合器。还公开了应用结扎夹的方法。

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