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91. 发明申请

US20120296289A1 NEEDLE GUARD CLIP WITH HEEL 有权
标题翻译：针头护具夹
公开(公告)号：US20120296289A1
公开(公告)日：2012-11-22
申请号：US13564443
申请日：2012-08-01
申请人： Sean J. Albert , Dennis M. Bialecki
发明人： Sean J. Albert , Dennis M. Bialecki
IPC分类号： A61M5/00
CPC分类号： A61B17/3496 , A61M5/3273 , A61M25/0606 , A61M25/0618 , A61M2005/3247 , A61M2005/325
摘要： A needle guard clip assembly has a clip and a spring, the clip having a first wall with a needle passage therethrough, a generally parallel second wall, a strut connecting the two walls, and a heel extending from the first wall. The walls, strut, and heel are an integral piece. The spring is associated with and extends from the first wall.
摘要翻译：护针夹具组件具有夹子和弹簧，夹子具有穿过其中的针通道的第一壁，大致平行的第二壁，连接两个壁的支柱和从第一壁延伸的脚跟。墙壁，支柱和脚跟是一个整体。弹簧与第一个墙壁相连接并延伸。

92. 发明授权

US08308639B2 Split hoop wound retractor with gel pad 有权
标题翻译：分体箍卷绕牵引器与凝胶垫
公开(公告)号：US08308639B2
公开(公告)日：2012-11-13
申请号：US13050042
申请日：2011-03-17
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Donald L. Gadberry
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Donald L. Gadberry
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

93. 发明申请

US20120203251A1 Gastropexy Kit 有权
标题翻译： Gastropexy工具包
公开(公告)号：US20120203251A1
公开(公告)日：2012-08-09
申请号：US13448149
申请日：2012-04-16
申请人： John Anthony Rotella , Donald Jay McMichael , Nathan Christopher Griffith , Thomas Gregory Estes
发明人： John Anthony Rotella , Donald Jay McMichael , Nathan Christopher Griffith , Thomas Gregory Estes
IPC分类号： A61B17/04
CPC分类号： A61M25/065 , A61B17/0401 , A61B17/0487 , A61B17/06119 , A61B17/06161 , A61B17/3496 , A61B2017/00004 , A61B2017/00424 , A61B2017/00477 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0451 , A61B2017/0496 , A61B2017/06052 , A61B2090/034 , A61B2090/037 , A61B2090/0801 , A61B2090/08021 , A61B2090/0811 , A61M25/0612 , A61M25/0643 , Y10T24/3936
摘要： A gastropexy kit includes a plurality of safety needle assemblies. Each safety needle assembly includes a needle and a stylus. A fastener is positioned in a distal end of the needle. The fastener is coupled to one end of the suture and a suture retention hub is coupled to an opposite end of the suture. The fastener is deployed in a patient's stomach via the needle and stylus which has a blunt distal end which extends through the needle to push the fastener out of the needle and to blunt the needle. The suture retention hub is positioned on a patient's skin and adjustably tensions the suture, which, desirably, is a resorbable suture.
摘要翻译：胃软组件包括多个安全针组件。每个安全针组件包括针和触针。紧固件位于针的远端。紧固件联接到缝合线的一端，并且缝合线保持毂联接到缝合线的相对端。紧固件经由针和触针部署在患者的胃中，针和触针具有钝的远端，其延伸穿过针以将紧固件推出针并钝化针。缝合线保持轮毂定位在患者的皮肤上并且可调节地使缝合线张紧，缝合线理想地是可再吸收的缝合线。

94. 发明授权

US08226697B2 Method for treating intervertebral disc 有权
标题翻译：治疗椎间盘的方法
公开(公告)号：US08226697B2
公开(公告)日：2012-07-24
申请号：US11872437
申请日：2007-10-15
申请人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
IPC分类号： A61F7/00 , A61B18/14
CPC分类号： A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要： A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译：描述了可以定位在椎间盘中的位置以用于椎间盘的诊断或治疗的装置。治疗可以包括例如施加能量或去除材料，并且可以降低椎间盘内的压力。可以应用射频能量。修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃，并且足够的时间使胶原蛋白焊接。也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中，从而密封裂缝来治疗椎间裂。另外可以通过在导管的远端提供具有远端，近端，纵向轴线和椎间盘内节段的导管来治疗椎间裂缝，在该导管的至少一个功能元件上。下一步是向导管的近端施加一个力，这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸，但是哪个力不足以刺穿纤维环。接下来，功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。然后功能单元处理环形裂缝。任选地，存在添加物质以密封裂缝的附加步骤。还公开了一种外部引导性椎间盘装置。

95. 发明申请

US20120179187A1 STABILIZATION SYSTEM AND ASPIRATION DEVICE WITH PROTECTED CUTTING EDGE 有权
标题翻译：具有保护切割边缘的稳定系统和吸收装置
公开(公告)号：US20120179187A1
公开(公告)日：2012-07-12
申请号：US13346245
申请日：2012-01-09
申请人： Michael K. H. Loushin , Keith J. Leland
发明人： Michael K. H. Loushin , Keith J. Leland
IPC分类号： A61B17/34
CPC分类号： A61B5/14507 , A61B1/00149 , A61B1/227 , A61B1/32 , A61B10/0045 , A61B17/3468 , A61B17/3496 , A61B90/50 , A61B2010/0054 , A61B2017/00738 , A61B2090/034 , A61B2090/062 , A61B2090/064 , A61F11/002 , A61M1/0039 , A61M1/0047
摘要： A device performs a myringotomy and includes a main body, a hollow positioning member, a cutting edge for piercing a tympanic membrane, a protective sheath and an actuator. The main body is oriented along an axis and has a proximal end, a distal end and an outer surface. The main body includes an attachment hub for receiving components that provide suction. The hollow positioning member extends at least partially along the axis, is coupled to the main body and includes a distal end. The actuator is located on the main body and is configured to move the protective sheath from a first position that surrounds the cutting edge to a second position that exposes the cutting edge and from the second position back to the first position.
摘要翻译：一种装置进行鼓膜切开术，包括主体，中空定位构件，用于刺穿鼓膜的切割边缘，保护护套和致动器。主体沿轴线定向并且具有近端，远端和外表面。主体包括用于接收提供抽吸的部件的附接轮毂。中空定位构件至少部分地沿着轴线延伸，联接到主体并且包括远端。所述致动器位于所述主体上并且构造成将所述保护护套从围绕所述切割边缘的第一位置移动到第二位置，所述第二位置使所述切割边缘从所述第二位置回到所述第一位置。

96. 发明授权

US08137318B2 Surgical protection device for a surgical sealing element and surgical sealing system 有权
标题翻译：手术密封元件手术保护装置及手术密封系统
公开(公告)号：US08137318B2
公开(公告)日：2012-03-20
申请号：US12459944
申请日：2009-07-08
申请人： Tom Schweitzer , Rupert Mayenberger
发明人： Tom Schweitzer , Rupert Mayenberger
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B2017/00477 , A61B2017/3464
摘要： In order to improve a surgical protection device for a surgical sealing element of a surgical sealing system comprising a trocar, the sealing element having an insertion opening which can be widened, the protection device comprising a base member which can be arranged on the trocar or on a part thereof, is closed in a ring shape and has an opening and several protection elements which are arranged in circumferential direction and point parallel or towards a longitudinal axis of the protection device, the protection elements having free ends pointing essentially in a distal direction, such that protection of the sealing element can be as complete as possible irrespective of the degree of expansion thereof, it is suggested that at least some of the protection elements have retaining elements on an outer side at their free ends or in the area of their free ends for engagement with the sealing element.Furthermore, an improved surgical sealing system is suggested.
摘要翻译：为了改进包括套针针的手术密封系统的手术密封元件的外科手术保护装置，该密封元件具有可以加宽的插入开口，该保护装置包括基部构件，该基座构件可布置在套管针上或其一部分以环形封闭，并且具有开口和若干保护元件，其沿圆周方向布置并且指向平行或朝向保护装置的纵向轴线，保护元件具有基本上在远端方向上指向的自由端，使得密封元件的保护可以尽可能完整，而不管其膨胀程度如何，建议至少一些保护元件在其自由端的外侧或其自由端的区域中具有保持元件端部用于与密封元件接合。此外，建议改进的手术密封系统。

97. 发明授权

US08092456B2 Multiple pathways for spinal nerve root decompression from a single access point 有权
标题翻译：从单个接入点的脊髓神经根减压的多个途径
公开(公告)号：US08092456B2
公开(公告)日：2012-01-10
申请号：US12352978
申请日：2009-01-13
申请人： Jeffery L. Bleich , Michael Sheinberg , Michael P. Wallace
发明人： Jeffery L. Bleich , Michael Sheinberg , Michael P. Wallace
IPC分类号： A61B17/00 , A61B17/56 , A61B17/58 , A61B17/82 , A61F2/30
CPC分类号： A61B17/320016 , A61B17/1671 , A61B17/29 , A61B17/32002 , A61B17/32053 , A61B17/320758 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2017/3445 , A61B2017/3447 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61N1/0551 , A61N1/08
摘要： A method of accessing target tissue adjacent to a spinal nerve of a patient includes the steps of accessing a spine location of the patient by entering the patient through the skin at an access location, inserting a flexible tissue modification device through the access location to the spine location, advancing a distal portion of the first flexible tissue modification device from the spine location to a first exit location, passing through the first exit location and out of the patient, advancing the first or a second flexible tissue modification device through the same access location to the spine location and to a second exit location, and passing through the second exit location and out of the patient.
摘要翻译：一种接近患者脊髓神经附近的目标组织的方法包括以下步骤：通过进入患者的皮肤进入患者的脊柱位置，将柔性组织修饰装置穿过入口位置插入脊柱位置，将第一柔性组织修改装置的远端部分从脊柱位置推进到第一出口位置，穿过第一出口位置并离开患者，使第一或第二柔性组织修改装置通过相同的存取位置到达脊柱位置并且到达第二出口位置，并且穿过第二出口位置并离开患者。

98. 发明授权

US08082043B2 Method for treating intervertebral disc degeneration 有权
标题翻译：椎间盘退变的治疗方法
公开(公告)号：US08082043B2
公开(公告)日：2011-12-20
申请号：US11930783
申请日：2007-10-31
申请人： Hugh R. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
发明人： Hugh R. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
IPC分类号： A61F7/00 , A61B18/08
CPC分类号： A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40
摘要： A percutaneous method treats degenerate disc disease characterized by a circumferential bulge. The method provides a catheter having a distal end, a proximal end, and a longitudinal axis, the distal end having an intradiscal section with at least one energy delivery device. The next step is applying a force longitudinally to the proximal end of the catheter which is sufficient to advance the intradiscal section through a nucleus pulposus and around an inner wall of an annulus, but which force is insufficient for the intradiscal section to puncture the annulus fibrosus. Next the energy delivery device is positioned at a selected location of the annulus by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. The thermal energy delivery device is positioned adjacent the annulus and used to heat and stiffen the disc. Optionally, there is an additional step of adding a substance to reinforce the area. Optionally, access to the disc is provided by an introducer having an introducer lumen with an opening at a terminus of the introducer. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译：经皮方法治疗以圆周隆起为特征的退行性椎间盘疾病。该方法提供了具有远端，近端和纵向轴线的导管，远端具有具有至少一个能量输送装置的椎间盘内截面。下一步是向导管的近端纵向施加一个力，这足以使椎间盘内部分通过髓核并环绕环的内壁，但哪个力不足以使椎间盘内的部分刺穿纤维环。接下来，能量输送装置通过使导管前进或缩回并且可选地扭转导管的近端来定位在环的选定位置。热能输送装置位于环形空间附近，用于加热和加强盘片。任选地，还有一个添加物质以加强该区域的步骤。任选地，通过导引器提供对盘的访问，所述导引器具有在引导器的末端具有开口的导引器内腔。还公开了一种外部引导性椎间盘装置。

99. 发明授权

US08075580B2 Device, system and method for interstitial transvascular intervention 有权
标题翻译：用于间质性血管性干预的装置，系统和方法
公开(公告)号：US08075580B2
公开(公告)日：2011-12-13
申请号：US10425756
申请日：2003-04-29
申请人： Joshua Makower
发明人： Joshua Makower
IPC分类号： A61M29/02 , A61B18/12
CPC分类号： A61B17/12022 , A61B1/3137 , A61B17/00234 , A61B17/00491 , A61B17/0057 , A61B17/0643 , A61B17/11 , A61B17/12045 , A61B17/12109 , A61B17/12136 , A61B17/12181 , A61B17/1219 , A61B17/3417 , A61B17/3496 , A61B18/00 , A61B18/1445 , A61B18/1477 , A61B18/1492 , A61B18/24 , A61B90/361 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/00504 , A61B2017/0641 , A61B2017/1107 , A61B2017/1139 , A61B2017/12127 , A61B2017/22038 , A61B2017/22077 , A61B2017/306 , A61B2017/347 , A61B2017/3488 , A61B2018/00392 , A61B2018/00404 , A61B2018/00869 , A61B2018/1425 , A61B2018/1475 , A61B2090/378 , A61B2090/3925 , A61B2090/3929 , A61B2090/3958 , A61F2/07 , A61F2/2493 , A61F2/90 , A61F2/95 , A61F2002/30079 , A61F2002/8486 , A61F2210/009 , A61M2025/0076 , A61M2025/0096 , A61M2025/1052
摘要： Devices, systems and methods for transvascular interstitial interventions, including transvascular, catheter based vascular bypass, transmyocardial revascularization, bypass grafting of blood vessels, and interstitial surgical/interventional procedures wherein a catheter is advanced translumenally through the vasculature to a desired location and an operative instrument is passed through the wall of a blood vessel and to a target location (e.g. another blood vessel, an organ, a tumor, another anatomical structure) such that one or more operative devices may be advanced to the target location to perform the desired operative or interventional procedure.
摘要翻译：用于经血管间质干预的装置，系统和方法，包括经血管，基于导管的血管旁通，经心肌血运重建，血管旁路移植以及间质性外科/介入手术，其中导管通过脉管系统递增到期望的位置和手术器械通过血管的壁并且到达目标位置（例如另一个血管，器官，肿瘤，另一解剖结构），使得一个或多个手术装置可以前进到目标位置以执行期望的手术或介入程序

100. 发明授权

US08029474B2 Trocar for laparoscopic surgery 有权
标题翻译：套管针对腹腔镜手术
公开(公告)号：US08029474B2
公开(公告)日：2011-10-04
申请号：US12740867
申请日：2009-03-31
申请人： Hyun-Kook Chung
发明人： Hyun-Kook Chung
IPC分类号： A61M5/178
CPC分类号： A61B17/3496 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B17/3498 , A61B2017/00526 , A61B2017/3464 , A61B2017/3484
摘要： The present invention relates to a trocar for laparoscopic surgery for performing the laparoscopic surgery through a surgical instrument by making a puncture in the abdomen of a patient, the trocar including: a head unit 10 including an upper case 11 and a lower cover 12; a base unit 20 including a lower case 24 having a trocar sleeve fixing protrusion 21 in a lower part thereof and a coupling member 25 installed at an upper surface thereof; a trocar sleeve 17 installed at the trocar sleeve fixing protrusion 21; a lip valve 60 installed within the head unit 10 and having a tapered lower part; an insertion unit 30 installed at the upper part of the lip valve 60; a button unit 40 including a button 41 elastically installed at an elastic bush 43; and a trocar needle 50 introduced into the trocar sleeve 17 through the lip valve 60 or the insertion unit 30.
摘要翻译：本发明涉及一种用于腹腔镜手术的套针针，其用于通过在患者的腹部穿刺而通过外科器械进行腹腔镜手术，该套针包括：包括上壳体11和下盖12的头单元10; 基部单元20，其具有在其下部具有套针套筒固定突起21的下壳体24和安装在其上表面的联接构件25; 安装在套针套筒固定突起21上的套针套筒17; 安装在头单元10内并具有锥形下部的唇形阀60; 安装在唇形阀60的上部的插入单元30; 包括弹性地安装在弹性衬套43上的按钮41的按钮单元40; 以及通过唇形阀60或插入单元30引导到套针套筒17中的套针针50。

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