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91. 发明申请

US20090264986A1 HELICAL STENT HAVING IMPROVED FLEXIBILITY AND EXPANDABILITY 有权
标题翻译：具有改进的灵活性和可扩展性的螺旋固定装置
公开(公告)号：US20090264986A1
公开(公告)日：2009-10-22
申请号：US12465354
申请日：2009-05-13
申请人： Thomas O. BALES , Peter K. Kratsch , Kenneth E. Perry
发明人： Thomas O. BALES , Peter K. Kratsch , Kenneth E. Perry
IPC分类号： A61F2/06
CPC分类号： A61F2/88 , A61F2/915 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91558 , A61F2002/91583 , A61F2250/0036 , A61F2250/0037 , A61F2250/0098
摘要： A stent includes a central portion of helically wound undulations formed of struts, cylindrical end portions, and transition zones between the helical portion and the cylindrical 5 portions. According to a first aspect of the invention, the torsional flexibility of the stent is maximized by having bridges connecting adjacent winding be interrupted by the maximum possible number of undulations. In a preferred design, each winding includes nineteen undulations around the circumference, bridges are provided every five undulations. According to a second aspect of the invention, uniform, opening of the transition zone is achieved by altering 10 the width, and thereby the flexibility, of a series of struts in accordance with their lengths. Specifically, the long transition zone struts are made wider.
摘要翻译：支架包括由支柱，圆柱形端部和螺旋部分和圆柱形5部分之间的过渡区形成的螺旋缠绕起伏的中心部分。根据本发明的第一方面，通过使连接相邻绕组的桥被最大可能数量的起伏中断，使支架的扭转柔性最大化。在优选的设计中，每个绕组围绕圆周包括19个起伏，每五个起伏提供桥。根据本发明的第二方面，通过根据其长度改变一系列支柱的宽度，从而改变柔性，实现过渡区域的均匀打开。具体来说，长过渡区支柱被做得更宽。

92. 发明申请

US20090143805A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143805A1
公开(公告)日：2009-06-04
申请号：US12270146
申请日：2008-11-13
申请人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
发明人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock.
摘要翻译：可连接到超声波波导，电池和超声波运动发生器组件的一次性超声手术手柄包括：第一手柄主体部分，其中限定有形成为在其中容纳电池的无菌密封的电池容纳室，连接到第二手柄主体部分到第一手柄主体部分，以及电耦合。第二手柄主体部分具有暴露于环境的波导附件基座和暴露于环境的超声波运动发生器组件基座，并且成形为将波导附件底座中的超声波波导通过第二手柄发生器组件连接到超声波运动发生器组件手柄主体部分。当超声波运动发生器组件对准在超声波运动发生器组装座时，电耦合可操作以将电池保持室内的电池连接到超声波运动发生器组件。

93. 发明申请

US20090143801A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143801A1
公开(公告)日：2009-06-04
申请号：US12266320
申请日：2008-11-06
申请人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
发明人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译：一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架，具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。

94. 发明申请

US20090143799A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 审中-公开
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143799A1
公开(公告)日：2009-06-04
申请号：US12266226
申请日：2008-11-06
申请人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
发明人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61N7/02 , A61B17/1285 , A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2017/320098 , A61B2018/00595 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body defining a battery-holding compartment shaped to receive a battery therein and operable to couple a proximal end of an ultrasonic waveguide to an ultrasonic transducer therethrough. The body has a transducer dock exposed to the environment and interchangeably housing the transducer and a waveguide attachment dock shaped to align and attach the proximal end of the waveguide to the transducer and hold them at the body when the respectively docked at the transducer and attachment docks. A disposable driving-wave generation circuit in the handle body electrically contacts the battery and the transducer when the battery and the transducer are disposed respectively in the battery-holding compartment and the transducer dock. The circuit generates an output waveform sufficient to cause ultrasonic movement along the waveguide by exciting the transducer when the transducer is coupled to the waveguide.
摘要翻译：一次性超声波手术手柄包括一次性手柄主体，其限定电池保持室，其形状为在其中容纳电池并且可操作以将超声波导的近端耦合到超声换能器。身体具有暴露于环境的换能器基座并且可互换地容纳换能器和波导附件基座，其形状用于将波导的近端对准和附接到换能器并将其保持在身体处，当分别对接在换能器和附接基座。当电池和换能器分别设置在电池保持室和换能器座中时，手柄体中的一次性驱动波发生电路与电池和换能器电接触。当换能器耦合到波导时，该电路产生足以引起超声波沿波导移动的输出波形。

95. 发明申请

US20090138003A1 Cordless Medical Cauterization and Cutting Device 有权
标题翻译：无线医疗烧灼切割装置
公开(公告)号：US20090138003A1
公开(公告)日：2009-05-28
申请号：US12270111
申请日：2008-11-13
申请人： Derek Dee Deville , Matthew A. Palmer , Thomas O. Bales , Korey Kline , Sean McBrayer
发明人： Derek Dee Deville , Matthew A. Palmer , Thomas O. Bales , Korey Kline , Sean McBrayer
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要： A cordless cautery and cutting surgical device includes a modular battery and a surgical handle. The battery has a cordless radio-frequency-signal-generation assembly generating an output radio-frequency signal and a first selectively removable connector part. The surgical handle has a first handle body portion with a bipolar cautery and cutting end effector. The end effector has jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle has a second body portion connected to the first body portion, defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery, and a second selectively removable connector part operable to removably hold the first connector part thereto. The second connector part has conductors electrically connecting the RF assembly to the bipolar contacts for supplying the radio-frequency signal to the bipolar contacts when the first and second connector parts are removably secured together.
摘要翻译：无绳电烙和切割手术装置包括模块电池和手术手柄。电池具有产生输出射频信号的无绳射频信号发生组件和第一选择性可移除的连接器部分。手术手柄具有第一把手主体部分，其具有双极烧灼和切割末端执行器。末端执行器具有双极触点的夹爪和设置在钳口之间的切割刀片。手柄具有连接到第一主体部分的第二主体部分，其中限定有选择性地暴露于环境并可移除地保持在其中的电池的无菌密封电池容纳室，以及可操作地可移除地将第一连接器部分到此。第二连接器部分具有将RF组件电连接到双极触点的导体，用于当第一和第二连接器部件可拆卸地固定在一起时将射频信号提供给双极触点。

96. 发明授权

US07172549B2 Radioactive therapeutic seed having selective marker configuration 失效
标题翻译：具有选择标记物配置的放射性治疗种子
公开(公告)号：US07172549B2
公开(公告)日：2007-02-06
申请号：US10811536
申请日：2004-03-29
申请人： Charles R. Slater , Thomas O. Bales
发明人： Charles R. Slater , Thomas O. Bales
IPC分类号： A61M36/00 , A61N5/00
CPC分类号： A61N5/1027 , A61B90/39 , A61B2090/3954 , A61N2005/1024
摘要： Radioactive therapeutic seeds include a carrier structure bearing a radioactive isotope and a radiopaque marker. According to several embodiments, the seeds include a central plug provided with an axial marker and a relatively transverse bore extending through the marker. A second marker may be positioned in the bore, thereby distinguishing a seed provided with the second marker relative to a seed not provided with the second marker. According to another embodiment, the isotope is deposited on the outer surface of a hollow radiolucent tube. A biologically-compatible, radiolucent, surface-sealing layer seals the external surface of the tube. A radiopaque marker wire of selected length is positioned in the hollow of the tube. Seeds may be distinguished from one another by providing seeds with marker wires of different lengths. According to other embodiments, the seed includes a cylindrical outer member, and an inner member provided within the outer member and having two large diameter portions and a relatively smaller diameter portion therebetween. A marker is disposed within the inner member, and a radioactive isotope is carried on the inner member. The marker may be drilled to a smaller size. Each embodiment permits at least two groups of seeds to be distinguished from one another by the use of differing marker configurations.
摘要翻译：放射治疗种子包括具有放射性同位素和不透射线标记的载体结构。根据几个实施例，种子包括设置有轴向标记的中心塞和延伸穿过标记的相对横向的孔。可以将第二标记物定位在孔中，从而与提供有第二标记的种子相对于未设置第二标记的种子进行区分。根据另一个实施方案，同位素沉积在中空的射线可透管的外表面上。生物相容的射线可透过的表面密封层密封管的外表面。所选长度的不透射线标记线位于管的中空中。通过为种子提供不同长度的标记线，种子可以彼此区分。根据其他实施例，种子包括圆柱形外部构件和设置在外部构件内部并具有两个大直径部分和其间相对较小直径部分的内部构件。标记物设置在内部构件内，并且放射性同位素被承载在内部构件上。标记可以钻到较小的尺寸。每个实施例允许通过使用不同的标记物构造将至少两组种子彼此区分开。

97. 发明授权

US06878162B2 Helical stent having improved flexibility and expandability 有权
公开(公告)号：US06878162B2
公开(公告)日：2005-04-12
申请号：US10231666
申请日：2002-08-30
申请人： Thomas O. Bales , Peter K. Kratsch , Kenneth E. Perry
发明人： Thomas O. Bales , Peter K. Kratsch , Kenneth E. Perry
IPC分类号： A61F2/00 , A61F2/84 , A61F2/90 , A61F2/06
CPC分类号： A61F2/88 , A61F2/915 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91558 , A61F2002/91583 , A61F2250/0036 , A61F2250/0037 , A61F2250/0098
摘要： A stent includes a central portion of helically wound undulations formed of struts, cylindrical end portions, and transition zones between the helical portion and the cylindrical portions. According to a first aspect of the invention, the torsional flexibility of the stent is maximized by having bridges connecting adjacent winding be interrupted by the maximum possible number of undulations. In a preferred design, each winding includes nineteen undulations around the circumference, bridges are provided every five undulations. According to a second aspect of the invention, uniform opening of the transition zone is achieved by altering the width, and thereby the flexibility, of a series of struts in accordance with their lengths. Specifically, the long transition zone struts are made wider.

98. 发明授权

US06716226B2 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US06716226B2
公开(公告)日：2004-04-06
申请号：US09891775
申请日：2001-06-25
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales
IPC分类号： A61B1708
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip includes a U-shaped configuration with first and second arms, and a bridge portion therebetween. The first arm is provided with a tip preferably having a catch, and the second arm extends into a deformable retainer having a tissue-piercing end and preferably also a hook. During application, tissue is clamped, and the clip is forced over the clamped tissue and the retainer of the second arm is bent and may be pierced through the tissue. The retainer is toward and around or adjacent the tip of the first arm preferably until the hook is engaged about the catch to secure the clip to the tissue and prevent the clip and tissue from separating. The clip is provided with structure that facilitates the stacking of a plurality of clips in a clip chamber of a clip applier.
摘要翻译：手术夹具包括具有第一和第二臂的U形构造以及它们之间的桥接部分。第一臂设置有优选地具有卡扣的末端，并且第二臂延伸到具有组织穿刺端部并且优选地还有钩子的可变形保持器中。在施用期间，组织被夹紧，并且夹子被压在夹持的组织上，并且第二臂的保持器被弯曲并且可以穿透组织。保持器朝向并围绕或邻近第一臂的尖端，优选地直到钩与锁扣接合以将夹子固定到组织上并防止夹子和组织分离。该夹具设置有便于在施夹器的夹子室中堆叠多个夹子的结构。

99. 发明授权

US06585694B1 Knob-controlled endoscopic needle device 失效
标题翻译：旋钮控制内窥镜针装置
公开(公告)号：US06585694B1
公开(公告)日：2003-07-01
申请号：US09656599
申请日：2000-09-07
申请人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
发明人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
IPC分类号： A61M500
CPC分类号： A61M25/0084 , A61B2090/062 , A61M5/46 , A61M2025/0089
摘要： An endoscopic needle device includes an inner fluid conduit, an outer sheath extending over the length of the conduit, a longitudinally stiff wire extending through the conduit, and a needle fixedly attached to the distal end of the conduit. The distal end of the wire is coupled to one or both of the needle and the distal end of the conduit. The needle includes a proximal opening such that the hollow of the needle is in fluid communication with a lumen of conduit. A proximal handle includes a stationary member and a movable member longitudinally movable relative to the stationary member. The proximal end of the outer sheath is coupled to the stationary member, and the stationary member includes structure to mount the handle to a port of an endoscope. The movable member includes a passageway, and the proximal end of the conduit is coupled to the distal end of the movable member, and a port is provided at the proximal end of the movable member. A syringe may be coupled to the port and operated to inject a fluid which travels through the passageway, the lumen of the conduit, and the needle. In addition, the proximal end of the wire is coupled to the movable member. The handle assembly also includes a knob rotatably coupled to the stationary member, wherein rotation of the knob results in reciprocal movement of the movable member relative to the stationary, and consequently the needle relative to the distal end of the outer sheath.
摘要翻译：内窥镜针装置包括内部流体导管，在导管的长度上延伸的外护套，延伸穿过导管的纵向刚性线，以及固定连接到导管远端的针。线的远端连接到针和导管的远端中的一个或两个。针包括近端开口，使得针的中空与导管的内腔流体连通。近侧手柄包括固定构件和可相对于固定构件纵向移动的可移动构件。外护套的近端联接到固定构件，并且固定构件包括将手柄安装到内窥镜的端口的结构。可动构件包括通道，并且导管的近端联接到可移动构件的远端，并且端口设置在可动构件的近端处。注射器可以联接到端口并且被操作以注射穿过通道，导管的内腔和针的流体。此外，线的近端联接到可动构件。手柄组件还包括可旋转地联接到固定构件的旋钮，其中旋钮的旋转导致可动构件相对于静止件的相互运动，并且因此导致相对于外护套的远端的针。

100. 发明授权

US06527938B2 Method for microporous surface modification of implantable metallic medical articles 失效
标题翻译：可植入金属医疗用品的微孔表面改性方法
公开(公告)号：US06527938B2
公开(公告)日：2003-03-04
申请号：US09886545
申请日：2001-06-21
申请人： Thomas O. Bales , Scott L. Jahrmarkt
发明人： Thomas O. Bales , Scott L. Jahrmarkt
IPC分类号： C25D548
CPC分类号： C22C14/00 , A61B17/06166 , A61B17/064 , A61B17/12 , A61B17/72 , A61B17/80 , A61B17/86 , A61B17/866 , A61B2017/00243 , A61C8/0012 , A61C8/0013 , A61C8/0015 , A61F2/0077 , A61F2/01 , A61F2/28 , A61F2/30767 , A61F2/3094 , A61F2/32 , A61F2/38 , A61F2/82 , A61F2002/30925 , A61F2002/3098 , A61F2002/30981 , A61F2240/001 , A61F2310/00017 , A61F2310/00023 , A61F2310/00029 , A61F2310/00071 , A61F2310/00598 , A61F2310/00616 , A61L27/04 , A61L27/06 , A61L27/50 , A61L27/56 , A61L31/022 , A61L31/14 , A61L31/146 , A61L2400/18 , C23C8/80 , C23F1/26 , Y10T428/12479
摘要： A process for creating surface microporosity on a titanium (or other metal) medical device includes creating a surface oxide layer on the device; placing the device, which is connected to a negative terminal of an electrical power supply, into a calcium chloride bath; connecting the positive terminal of the power supply to an anode immersed in or containing calcium chloride thereby forming an electrolytic cell; passing current through the cell; removing the device from the bath; and cooling and rinsing the device to remove any surface salt. If necessary, the device is etched to remove metal oxide which may have formed during the cooling process. The resulting device has a microporous surface structure. Alternatively, only a designated surface portion of a medical device is made microporous, either by applying a non-oxidizing mask, removing a portion of the oxide layer, or subtracting a portion of a microporous surface.
摘要翻译：在钛（或其它金属）医疗装置上产生表面微孔的方法包括在所述装置上产生表面氧化物层; 将连接到电源的负极端子的装置放入氯化钙浴中; 将电源的正极端子连接到浸入或含有氯化钙的阳极，从而形成电解槽; 使电流通过电池; 从浴缸中取出设备; 并冷却和冲洗该装置以除去任何表面盐。如果需要，该器件被蚀刻以去除可能在冷却过程中形成的金属氧化物。所得装置具有微孔表面结构。或者，仅通过施加非氧化掩模，去除一部分氧化物层或减去一部分微孔表面，将医疗器械的指定表面部分制成微孔。

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