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11. 发明授权

US06537289B1 Blood vessel clip applicator 有权
标题翻译：血管夹施放器
公开(公告)号：US06537289B1
公开(公告)日：2003-03-25
申请号：US09689220
申请日：2000-10-11
申请人： Helmut Kayan , James E. Jervis
发明人： Helmut Kayan , James E. Jervis
IPC分类号： A61B1704
CPC分类号： A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0042 , A61B2017/00429
摘要： A blood vessel clip, preferably comprising spring quality material, has a head connected to a first leg and a second leg. Preferably, the two legs of the blood vessel clip are in a “V” configuration so that a blood vessel can be located therebetween. The blood vessel clip is adapted so that, when forced axially through a constricted region of a clip applicator, a compressive force is exerted on the head by the constricted region. This compressive force causes the legs of the clip to move closer relative to one another, thereby closing the clip and occluding a blood vessel located between the two legs. A variety of blood vessel clips having different shapes, cross-sections and grooves suitable for occluding a blood vessel are described.
摘要翻译：优选地包括弹簧质量材料的血管夹具有连接到第一腿部和第二腿部的头部。优选地，血管夹的两条腿处于“V”形状，使得血管位于它们之间。血管夹被适配成使得当被迫轴向穿过夹子施加器的收缩区域时，压缩力由收缩区域施加在头部上。该压缩力使得夹子的腿相对于彼此移动更靠近，从而闭合夹子并阻塞位于两个腿之间的血管。描述了具有不同形状，各种适合于阻塞血管的截面和凹槽的血管夹。

12. 发明授权

US6004337A Apparatus for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用于腹腔镜可视化开发用于腹腔镜手术的解剖空间的装置
公开(公告)号：US6004337A
公开(公告)日：1999-12-21
申请号：US990385
申请日：1997-12-15
申请人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/32 , A61B17/00
CPC分类号： A61B17/32 , A61B2017/320048
摘要： Apparatus for creating an anatomic space in tissue in a body of a patient using a cannula with proximal and distal extremities and a bore extending therethrough to provide an open end. A balloon having an inflated space is provided. The balloon is capable of assuming collapsed and inflated conditions. A retainer is carried by the balloon for forming the balloon when in a collapsed condition into a generally cylindrical roll to aid in inserting the balloon into the tissue. An obturator shaft having a rounded distal end is sized so that it extends through the cannula and into the roll. A laparoscope can be introduced into the obturator shaft to permit viewing through the obturator shaft and the balloon. An inflation tube is provided for inflating the balloon after it is disposed in the tissue to cause the balloon to progressively expand to create separation forces in the tissue to create the anatomic space.
摘要翻译：用于使用具有近端和远端四肢的套管以及穿过其延伸以提供开放端的孔来在患者身体中的组织中产生解剖空间的装置。提供具有充气空间的气球。气球能够承担塌缩和膨胀的状况。保持器由气囊承载，以在塌缩状态下形成气囊以形成大致圆柱形的辊以有助于将气囊插入组织中。具有圆形远端的闭孔轴的尺寸设计成使得其延伸穿过套管并进入辊中。腹腔镜可以被引入到闭孔轴中以允许通过闭孔轴和气囊观察。提供充气管，用于在将气囊放置在组织中之后对气囊进行充气，以使气囊逐渐膨胀以在组织中产生分离力以产生解剖空间。

13. 发明申请

US20090076533A1 METHOD FOR BLOOD VESSEL CLIP APPLICATION 有权
标题翻译：血管夹片应用方法
公开(公告)号：US20090076533A1
公开(公告)日：2009-03-19
申请号：US12271103
申请日：2008-11-14
申请人： Helmut Kayan , James E. Jervis
发明人： Helmut Kayan , James E. Jervis
IPC分类号： A61B17/122
CPC分类号： A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0042 , A61B2017/00429
摘要： A blood vessel clip applicator preferably includes two twist pins at one end, between which a blood vessel is placed before occlusion. A magazine in the blood vessel clip applicator preferably holds a plurality of blood vessel clips and can be rotated independently from a grip assembly, whereby the twist pins can be rotated to compress a blood vessel held between them. A blood vessel clip is preferably placed on the blood vessel after it has been flattened.A blood vessel clip preferably comprises spring quality material, and preferably has a head connected to a first leg and a second leg. The magazine preferably has a constricted region adjacent to an exit aperture. As the head enters the constricted region, the compressive force exerted on the head by the constricted region opens the blood vessel clip to an open position.In an alternate embodiment, a plunger applies a blood vessel clip with a direct stroke. The plunger has a plurality of stepwise indentations used to restrain the blood vessel clips before application and for pushing them all forward substantially simultaneously during application.In an alternate embodiment, a variety of blood vessel clips having different shapes, cross-sections and grooves are suitable for use with the blood vessel clip applicator. The alternate blood vessel clip preferably have two legs in a “V” configuration and a head connecting the two legs. The constricted region compresses the head of the blood vessel clip as it passes through the constricted region, thereby closing the clip onto the blood vessel. These alternate embodiments may comprise substantially annealed metal.
摘要翻译：优选地，血管夹施加器在一端包括两个扭转销，在闭塞之前放置血管。血管夹施加器中的杂志优选地保持多个血管夹，并且可以独立于手柄组件旋转，由此扭转销可以旋转以压缩保持在它们之间的血管。血管夹在平坦化之后优选放置在血管上。血管夹优选地包括弹簧质量材料，并且优选地具有连接到第一腿部和第二腿部的头部。该盒优选地具有与出口孔相邻的收缩区域。当头进入收缩区域时，由收缩区域施加在头部上的压缩力将血管夹打开到打开位置。在替代实施例中，柱塞施加具有直接冲程的血管夹。柱塞具有多个阶梯式压痕，用于在施用之前约束血管夹，并且在施用期间基本上同时推动它们。在替代实施例中，具有不同形状，横截面和凹槽的各种血管夹适用于血管夹施加器。替代血管夹优选地具有“V”构型的两条腿和连接两条腿的头部。收缩区域在通过收缩区域时压缩血管夹的头部，从而将夹子封闭在血管上。这些替代实施例可以包括基本退火的金属。

14. 发明授权

US07229452B2 Tack and tack applier 有权
公开(公告)号：US07229452B2
公开(公告)日：2007-06-12
申请号：US10421170
申请日：2003-04-22
申请人： Helmut Kayan
发明人： Helmut Kayan
IPC分类号： A61B17/10
CPC分类号： A61B17/0644 , A61B17/0682 , A61B2017/00867 , A61F2/0063
摘要： A surgical tack is disclosed for securing a surgical mesh material to body tissue. The tack includes a pair of legs and an arcuate cross-member. A surgical tack applier is also disclosed, for applying the surgical tack. The applier includes an elongate tubular portion having a jacket with a main channel and a pair of longitudinally extending sub channels. A rotatable drive rod having a helical thread is coupled to the applier, and the sub channels receive the legs of the tack. The helical thread receives the arcuate cross-member of the surgical tack. Rotation of the drive rod drives the tack from the distal end of the applier.

15. 发明授权

US07169157B2 Tacking tool and tack 有权
标题翻译：攻击工具和粘性
公开(公告)号：US07169157B2
公开(公告)日：2007-01-30
申请号：US10418404
申请日：2003-04-17
申请人： Helmut Kayan
发明人： Helmut Kayan
IPC分类号： A61B17/08 , A61B17/04 , B21F9/00
CPC分类号： A61B17/0644 , A61B17/0682 , A61B2017/00867 , A61B2017/06052 , A61B2017/0649
摘要： A surgical tacking apparatus for forming and applying surgical fasteners during laparoscopic or endoscopic procedures is disclosed. It includes a housing having a handle, an elongated tubular portion extending from the housing, a wire advancer, and a wire shaping nose at its distal end. An annular fastener is also disclosed.
摘要翻译：公开了一种用于在腹腔镜或内窥镜手术中形成和应用手术紧固件的手术治疗装置。它包括具有把手的壳体，从壳体延伸的细长管状部分，导线推进器和在其远端处的线形成鼻部。还公开了一种环形紧固件。

16. 发明授权

US06673083B1 Method for blood vessel clip application 有权
标题翻译：血管夹应用方法
公开(公告)号：US06673083B1
公开(公告)日：2004-01-06
申请号：US09689208
申请日：2000-10-11
申请人： Helmut Kayan , James E. Jervis
发明人： Helmut Kayan , James E. Jervis
IPC分类号： A61B1704
CPC分类号： A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0042 , A61B2017/00429
摘要： A blood vessel clip applicator comprises a magazine adapted to hold a plurality of blood vessel clips therein and two twist pins at one end, whereby the twist pins can be rotated to compress a blood vessel held between them. A blood vessel clip, having a head connected to first and second legs in a “V” configuration, is placed on the blood vessel after it has been flattened. The magazine has a constricted region adjacent to an exit aperture. As the head of a blood vessel clip passes through the constricted region, the compressive force exerted on the head by the constricted region opens or closes the legs of the blood vessel clip. A variety of blood vessel clips having different shapes, cross-sections and grooves are suitable for use with the blood vessel clip applicator.
摘要翻译：血管夹施加器包括适于在其中容纳多个血管夹的盒，在一端保持两个捻针，由此扭转销可以旋转以压缩保持在它们之间的血管。具有以“V”形式连接到第一和第二腿的头部的血管夹在其被平坦化之后放置在血管上。杂志具有邻近出口孔的收缩区域。当血管夹的头部通过收缩区域时，由收缩区域施加在头部上的压缩力打开或关闭血管夹的腿部。具有不同形状，横截面和凹槽的各种血管夹适用于血管夹施加器。

17. 发明授权

US6129736A Expansible apparatus with back-loaded cannula 有权
标题翻译：具有背装式插管的可膨胀装置
公开(公告)号：US6129736A
公开(公告)日：2000-10-10
申请号：US250969
申请日：1999-02-16
申请人： James E. Jervis , Helmut Kayan
发明人： James E. Jervis , Helmut Kayan
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61F2/00 , A61M25/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61B90/02 , A61F2/0063 , A61F2002/0072
摘要： The present invention relates to an expansible tunneling apparatus suitable for tissue dissection. The apparatus is provided with a cannula-loading shaft at its proximal end such that a cannula chosen from a range of different cannulas may be loaded over the cannula-loading shaft and installed in an anatomic space created by the expansible tunneling apparatus. The apparatus is also provided with an inflatable member such as a balloon to accomplish the dissection and a sleeve covering the balloon which are removed from the apparatus before the cannula is loaded on the cannula-loading shaft.
摘要翻译：本发明涉及适用于组织剥离的可扩展隧道装置。该设备在其近端处设置有插管加载轴，使得从一定范围的不同插管中选择的插管可以被加载在套管装载轴上并且安装在由可膨胀隧道装置产生的解剖空间中。该装置还设置有可充气构件，例如气囊，以完成解剖，以及覆盖气囊的套筒，其在将套管装载到套管装载轴之前从装置移除。

18. 发明授权

US5772680A Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US5772680A
公开(公告)日：1998-06-30
申请号：US570766
申请日：1995-12-12
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61B18/08 , A61B19/00 , A61F2/00 , A61F2/84 , A61M25/00 , A61M25/06 , A61M25/10 , A61M29/02
CPC分类号： A61M25/1029 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B18/08 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61M25/1038 , A61B17/3421 , A61B17/3439 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61B90/361 , A61F2002/0072 , A61M25/1034 , A61M29/02
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘，以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察该程序。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。还公开了各种气球结构和可重复使用的设计。

19. 发明授权

US5730756A Method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的方法
公开(公告)号：US5730756A
公开(公告)日：1998-03-24
申请号：US388233
申请日：1995-02-13
申请人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61B18/08 , A61B19/00 , A61F2/00 , A61F2/958 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号： A61F2/0063 , A61B17/0218 , A61B17/320016 , A61B18/08 , A61M25/0668 , A61M25/1002 , A61B17/3421 , A61B17/3439 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61B90/361 , A61F2002/0072 , A61M29/02
摘要： Apparatus for creating an anatomic space in tissue in a body of a patient using a cannula with proximal and distal extremities and a bore extending therethrough to provide an open end. A balloon having an inflated space is provided. The balloon is capable of assuming collapsed and inflated conditions. A retainer is carried by the balloon for forming the balloon when in a collapsed condition into a generally cylindrical roll to aid in inserting the balloon into the tissue. An obturator shaft having a rounded distal end is sized so that it extends through the cannula and into the roll. A laparoscope can be introduced into the obturator shaft to permit viewing through the obturator shaft and the balloon. An inflation tube is provided for inflating the balloon after it is disposed in the tissue to cause the balloon to progressively expand to create separation forces in the tissue to create the anatomic space.
摘要翻译：用于使用具有近端和远端四肢的套管以及穿过其延伸以提供开放端的孔来在患者身体中的组织中产生解剖空间的装置。提供具有充气空间的气球。气球能够承担塌缩和膨胀的状况。保持器由气囊承载，以在塌缩状态下形成气囊以形成大致圆柱形的辊以有助于将气囊插入组织中。具有圆形远端的闭孔轴的尺寸设计成使得其延伸穿过套管并进入辊中。腹腔镜可以被引入到闭孔轴中以允许通过闭孔轴和气囊观察。提供充气管，用于在将气囊放置在组织中之后对气囊进行充气，以使气囊逐渐膨胀以在组织中产生分离力以产生解剖空间。

20. 发明授权

US07594920B2 Blood vessel clip and applicator 有权
标题翻译：血管夹和敷贴器
公开(公告)号：US07594920B2
公开(公告)日：2009-09-29
申请号：US10751579
申请日：2004-01-05
申请人： Helmut Kayan , James E. Jervis
发明人： Helmut Kayan , James E. Jervis
IPC分类号： A61B17/10
CPC分类号： A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0042 , A61B2017/00429
摘要： An apparatus for applying a blood vessel clip includes a grip assembly having a handle, an applicator barrel attached to the grip assembly, a magazine connected to the applicator barrel, and a plunger connected to the grip assembly. The magazine has a plunger space and a magazine passage separated by a divider shim. A distal end of the magazine defines an exit aperture. The magazine passage is adapted for storing at least one blood vessel clip therein. The magazine includes a constricted region narrower than a head of the blood vessel clip. The constricted region is spaced apart from the exit aperture and has a narrowest point narrower than the exit aperture. The plunger extends into the plunger space. The plunger moves the at least one blood vessel clip distally through the constricted region and the exit aperture.
摘要翻译：用于施加血管夹的装置包括具有手柄的抓握组件，附接到抓握组件的施用器筒，连接到施用器筒的仓和连接到抓握组件的柱塞。该杂志具有一个柱塞空间和一个由分隔垫片隔开的杂物通道。仓的远端限定出口孔。杂志通道适于在其中存储至少一个血管夹。该杂志包括比血管夹的头部窄的狭窄区域。收缩区域与出口孔间隔开，并且具有比出口孔窄的最窄点。柱塞伸入柱塞空间。柱塞将至少一个血管夹向远侧移动通过收缩区域和出口孔。

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