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31. 发明授权

US07179272B2 Apparatus and method for dissecting tissue layers 失效
公开(公告)号：US07179272B2
公开(公告)日：2007-02-20
申请号：US10786873
申请日：2004-02-25
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 , A61B1/32 , A61M29/02
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
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 The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation.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.

32. 发明授权

US06986774B2 Method of manipulating matter in a mammalian body 有权
公开(公告)号：US06986774B2
公开(公告)日：2006-01-17
申请号：US10238813
申请日：2002-09-09
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis
IPC分类号： A61F11/00
CPC分类号： A61B10/02 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/29 , A61B17/30 , A61B17/320016 , A61B17/3201 , A61B17/32056 , A61B17/3421 , A61B18/082 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , A61B2017/2212 , A61B2017/2215 , A61B2017/2905 , A61B2017/2927 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943 , A61B2017/303 , A61B2017/320064 , A61B2017/32113 , A61B2018/00642 , A61B2018/00791 , A61B2018/1407 , A61B2090/0811 , A61F2002/30093 , A61F2210/0019 , B25B9/00 , B26B13/26
摘要： The invention provides a method of using an apparatus for manipulating matter in a confined or inaccessible space, comprising providing an apparatus having manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the temperature.

33. 发明授权

US06921364B2 Method and apparatus for combined dissection and retraction 有权
公开(公告)号：US06921364B2
公开(公告)日：2005-07-26
申请号：US10244778
申请日：2002-09-16
申请人： Kenneth H. Mollenauer , James E. Jervis
发明人： Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61F2/958 , A61M29/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61M29/02
摘要： A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.

34. 发明授权

US06866676B2 Apparatus and method for dissecting tissue layers 失效
标题翻译：用于解剖组织层的装置和方法
公开(公告)号：US06866676B2
公开(公告)日：2005-03-15
申请号：US10403389
申请日：2003-03-28
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 , A61F2/958 , A61M25/00 , A61M25/06 , A61M29/02
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
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手术过程。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。

35. 发明授权

US06840951B2 Laparoscopic access port for surgical instruments or the hand 失效
标题翻译：手术器械或手的腹腔镜入口
公开(公告)号：US06840951B2
公开(公告)日：2005-01-11
申请号：US10004468
申请日：2001-10-23
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B17/34 , A61B19/08 , A61B17/08
CPC分类号： A61B17/3462 , A61B17/3423 , A61B17/3498 , A61B46/10 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

36. 发明授权

US06562056B2 Balloon device for use in surgery and method of use 失效
标题翻译：气球装置用于手术和使用方法
公开(公告)号：US06562056B2
公开(公告)日：2003-05-13
申请号：US09945604
申请日：2001-09-04
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61M25/1027 , A61M25/1029 , A61M25/1034 , A61M25/1036 , A61M29/02 , A61M2025/1054
摘要： A balloon device useful for dissecting tissue or retracting tissue for the purpose of providing space for laproscopic surgery includes a balloon having at least two protuberances in its distal region. The present device is particularly useful in bladder neck suspension and hernia repair procedures.
摘要翻译：用于解剖组织或缩回组织以用于提供用于腹腔镜手术的空间的气囊装置包括在其远侧区域中具有至少两个突起的气囊。本装置在膀胱颈悬液和疝修补程序中特别有用。

37. 发明授权

US06533805B1 Prosthesis and method for deployment within a body lumen 失效
标题翻译：在体腔内部署的假体和方法
公开(公告)号：US06533805B1
公开(公告)日：2003-03-18
申请号：US08627667
申请日：1996-04-01
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61F206
CPC分类号： A61F2/90 , A61F2/88 , A61F2/95 , A61F2002/9505 , A61F2002/9528
摘要： A stent and catheter for implanting or removing a helical-shaped stent within a body passageway; the catheter having an elongate sheath capable of being secured to one end of the stent at a distal region of the sheath and an inner member extending from the sheath capable of being secured to the other end of the stent. The inner member is rotatable relative to the sheath to transmit torque to the stent to permit unwinding of the helical stent at its limiting strain to expand the stent. Also discussed are methods for performing procedures for implanting or removing a helical stent from a body passageway.
摘要翻译：用于在身体通道内植入或移除螺旋形支架的支架和导管; 所述导管具有能够在所述护套的远侧区域处固定到所述支架的一端的细长护套，以及从所述护套延伸的内部构件，所述内部构件能够固定到所述支架的另一端。内部构件可相对于护套旋转，以将扭矩传递到支架，以允许螺旋支架在其极限应变下展开以扩张支架。还讨论了用于执行从身体通道植入或移除螺旋支架的过程的方法。

38. 发明授权

US06432121B1 Apparatus and method for guiding placement of a minimally invasive surgical instrument 失效
标题翻译：用于引导微创手术器械放置的装置和方法
公开(公告)号：US06432121B1
公开(公告)日：2002-08-13
申请号：US09384806
申请日：1999-08-27
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61M25/1038 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0194 , A61M25/0668 , A61M25/1002 , A61M29/02 , A61M2025/1081
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手术过程。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。

39. 发明授权

US06330964B1 Apparatus and method for surgical fastening 有权
标题翻译：手术紧固装置及方法
公开(公告)号：US06330964B1
公开(公告)日：2001-12-18
申请号：US09285478
申请日：1999-04-02
申请人： Helmut L. Kayan , James E. Jervis
发明人： Helmut L. Kayan , James E. Jervis
IPC分类号： A61B17068
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus for applying fasteners during endoscopic surgery includes a handle portion, a triggering mechanism and a fastener application. The fastener applicator is detachable from the handle portion by virtue of a rotational locking system and may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The fastener may be formed around a single point on an anvil. The fastener applicator having only one actuated part in its applicator mechanism, and makes use of biased springs controlled by the position of the actuated part for the remaining part of the mechanism. Another embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus applicator mechanism will not reverse in the middle of a triggered application stroke. A method of applying a fastener includes the following steps: moving a fastener from a storage channel, where it has been vertically stacked, to a driving channel by a biased fastener positioning spring as a slide is retracted; advancing the slide until the slide engages the fastener in the driving channel and drives the fastener over an anvil to form the fastener. During advancement of the slide a biased stop spring is forced back into a recess thereby allowing the next fastener to move forward in the storage channel in response to the force of a biased pusher spring; retracting the slide thereby freeing the biased ejector springs to kick the formed fastener off the end of the anvil; and further retracting the slide until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.
摘要翻译：用于在内窥镜手术中应用紧固件的装置包括手柄部分，触发机构和紧固件应用。紧固件施加器通过旋转锁定系统可从手柄部分拆卸，并且可以用新的紧固件施加器代替，该紧固件施加器具有垂直堆叠的紧固件的新鲜负荷。紧固件可以围绕砧座上的单个点形成。紧固件施加器在其施加器机构中仅具有一个致动部件，并且利用由该致动部件的位置控制的偏置弹簧用于机构的剩余部分。本发明的另一个实施例将柱塞/棘轮组件和棘爪部署在装置的手柄部分内，以确保装置施加器机构在触发的施加冲程的中间不会反转。一种施加紧固件的方法包括以下步骤：当滑架缩回时，通过偏置的紧固件定位弹簧将紧固件从垂直堆叠的存储通道移动到驱动通道; 推进滑块直到滑块与驱动通道中的紧固件接合并且将紧固件驱动在砧座上以形成紧固件。在滑块的前进期间，偏置的止动弹簧被迫回到凹部中，从而允许下一个紧固件响应于偏压的推动弹簧的力而在储存通道中向前移动; 缩回滑块，从而释放偏置的顶出弹簧，将形成的紧固件从砧座的端部踢出; 并进一步缩回滑块，直到紧固件定位弹簧再次自由地将最远的紧固件从存储通道移动到驱动通道中。

40. 发明授权

US5606149A Closure for high voltage cable connections having an insulating gel to form gel to gel interface with other insulating gel 失效
标题翻译：关闭高压电缆连接，具有绝缘凝胶，以形成与其他绝缘凝胶的凝胶与凝胶界面
公开(公告)号：US5606149A
公开(公告)日：1997-02-25
申请号：US322822
申请日：1994-10-13
申请人： Harry G. Yaworski , Graham J. Clarke , Wolfgang B. Haverkamp , Pascal LeCordier , James E. Jervis , Brian H. Clark
发明人： Harry G. Yaworski , Graham J. Clarke , Wolfgang B. Haverkamp , Pascal LeCordier , James E. Jervis , Brian H. Clark
IPC分类号： H02G15/103 , H02G15/184 , H02G15/113
CPC分类号： H02G15/184 , H02G15/103
摘要： A closure is provided for connections between high voltage cables and other electrical equipment, such as another high voltage cable, a transformer, or switch gear. Insulation is provided by an insulating gel which forms interfaces with itself and/or materials of the cable or other electrical equipment. The interfaces have a high interfacial dielectric strength, which prevents failure along the interfaces.
摘要翻译：为高压电缆和其他电气设备（例如另一高压电缆，变压器或开关装置）之间的连接提供闭合。绝缘由绝缘凝胶提供，其与其自身和/或电缆或其他电气设备的材料形成接合。这些界面具有很高的界面介电强度，可以防止界面发生故障。

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