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31. 发明授权

US07351259B2 Device, system and method to affect the mitral valve annulus of a heart 有权
标题翻译：影响心脏二尖瓣环的装置，系统和方法
公开(公告)号：US07351259B2
公开(公告)日：2008-04-01
申请号：US10843223
申请日：2004-05-10
申请人： Gary Swinford , Jay N. Wilkins , Cory Williamson , William E. Clem , Erik G. Green , Martin B. Albini
发明人： Gary Swinford , Jay N. Wilkins , Cory Williamson , William E. Clem , Erik G. Green , Martin B. Albini
IPC分类号： A61F2/24
CPC分类号： A61F2/2451 , Y10S623/904
摘要： A device for modifying the shape of a mitral valve annulus. In one embodiment, the device includes a connector disposed between first and second anchors, the first and second anchors each adapted to be deployed in a coronary sinus adjacent the mitral valve annulus to anchor the device in the coronary sinus; and an actuation element adapted to receive a proximally or distally directed actuation force from an actuator and to transmit the actuation force to the first and second anchors simultaneously. The invention also includes a system for modifying the shape of a mitral valve annulus, including a percutaneous deployment apparatus, including an actuator; and a percutaneous mitral valve annuloplasty device with a connector disposed between first and second anchors, the first and second anchors each adapted to be deployed in a coronary sinus adjacent the mitral valve annulus to anchor the device in the coronary sinus; and an actuation element adapted to receive a distally proximally directed actuation force from the actuator and to transmit the actuation force to the first and second anchors simultaneously. The invention also includes a method of using such devices and systems.
摘要翻译：用于改变二尖瓣环的形状的装置。在一个实施例中，该装置包括设置在第一和第二锚固件之间的连接器，第一和第二锚固件各自适于部署在邻近二尖瓣环的冠状窦中，以将装置锚定在冠状窦中; 以及致动元件，其适于从致动器接收近端或远端定向的致动力并且将致动力同时传递到第一和第二锚定器。本发明还包括用于改变二尖瓣环的形状的系统，包括包括致动器的经皮展开装置; 以及具有设置在第一和第二锚固件之间的连接器的经皮二尖瓣瓣环成形术装置，所述第一和第二锚固件各自适于部署在邻近所述二尖瓣环的冠状窦中，以将所述装置锚定在冠状窦中; 以及致动元件，其适于从所述致动器接收远侧近端定向的致动力并将所述致动力同时传递到所述第一和第二锚固件。本发明还包括使用这种装置和系统的方法。

32. 发明授权

US6063045A Pubococcygeal training biofeedback device 失效
标题翻译：蒲公英培训生物反馈装置
公开(公告)号：US6063045A
公开(公告)日：2000-05-16
申请号：US7122
申请日：1998-01-14
申请人： Michael S. Wax , Michel A. Boileau , Gary L. Hoffman , Matthew W. Hoskins , William G. McCoy , William E. Clem , Robert Mesaros
发明人： Michael S. Wax , Michel A. Boileau , Gary L. Hoffman , Matthew W. Hoskins , William G. McCoy , William E. Clem , Robert Mesaros
IPC分类号： A61F2/958 , A61M25/00 , A63B21/008 , A63B23/20 , A63B24/00
CPC分类号： A63B24/00 , A61M25/10 , A63B23/20 , A61M2025/0002 , A61M2210/1067 , A61M2210/1078 , A61M2230/60 , A63B2071/0638 , A63B21/008 , A63B2220/56
摘要： A training device is disclosed for exercising the pubococcygeal or pelvic floor muscles, for example in the treatment of incontinence. The device includes a cylindrical, deformable probe for insertion into the vagina or rectum of a user. The probe is connected to a pressure transducer, which detects the pressure applied to the probe by contraction of the pelvic floor muscles and displays a pressure indicator to the user to help direct the contraction of the appropriate muscles. The pressure indicator may take the form of a series of nested figures, such as curves or concentric semi-circles, that incrementally converge toward a common point as pressure on the probe increases. The nested figures incrementally retreat from the common point as pressure on the probe decreases. The training unit guides a user through an exercise routine by tracking the overall exercise time and the timing between flexing and relaxation cycles. The training unit can include a controller, such as a microcontroller, that is coupled to the inflatable probe for detecting the pressure within the probe. The controller tracks the timing of exercises performed by the user and guides the user through alternating cycles of muscular contraction and relaxation to provide a safe and effective biofeedback regimen.
摘要翻译：公开了用于锻炼脓胸或骨盆底肌肉的训练装置，例如在治疗失禁中。该装置包括用于插入使用者的阴道或直肠的圆柱形可变形探针。探头连接到压力传感器，该压力传感器通过骨盆底肌肉的收缩来检测施加到探针的压力，并向使用者显示压力指示器以帮助引导适当肌肉的收缩。压力指示器可以采取一系列嵌套图形的形式，例如曲线或同心半圆，当探头上的压力增加时，其可以逐渐收敛到公共点。当探头上的压力降低时，嵌套图形从普通点逐渐退缩。训练单元通过跟踪整个运动时间和弯曲和放松周期之间的时间来引导用户通过锻炼程序。训练单元可以包括诸如微控制器的控制器，其耦合到可充气探针，用于检测探针内的压力。控制器跟踪用户进行的锻炼的时间，并引导用户通过肌肉收缩和放松的交替周期，以提供安全有效的生物反馈方案。

33. 外观设计

USD366916S Weight bench 失效
公开(公告)号：USD366916S
公开(公告)日：1996-02-06
申请号：US28862
申请日：1994-09-23
申请人： William E. Clem
设计人： William E. Clem

34. 发明授权

US5395294A Foot pad for stair climber exerciser 失效
标题翻译：脚垫，用于爬梯练习者
公开(公告)号：US5395294A
公开(公告)日：1995-03-07
申请号：US181775
申请日：1994-01-18
申请人： William E. Clem
发明人： William E. Clem
IPC分类号： A63B23/04 , G05G1/48 , A63B22/04
CPC分类号： A63B22/0056 , A63B22/0046 , A63B2208/0204
摘要： A foot pad for a stair climber type exerciser having a relatively soft cushioning pad overlying a rigid base member. The pad has a length of at least about one foot, a width of at least about four inches, and an undulating contoured surface extending from about one-quarter to at least about two-thirds of the way from the front to the rear of the pad. It also has an overall top surface convexity fore-and-aft enabling easier weight shift, from the user's heel to the ball of the foot as the attitude of the pedal changes during cyclical pivotal movement of the part of apparatus on which the foot pad is mounted. The cushioning pad disclosed is formed of molded polyvinylchloride with a hardness of about Durometer 70 Shore A.
摘要翻译：一种用于爬梯式练习器的脚垫，其具有覆盖刚性基座构件的相对柔软的缓冲垫。衬垫具有至少约一英尺的长度，至少约四英寸的宽度，以及从其前部至后部的大约四分之一至四分之一至四分之一的延伸的波形轮廓表面垫。它还具有前后整体的顶部表面凸起，使得当脚踏板的部件的周期性枢转运动期间踏板的姿态改变时，能够从使用者的脚跟到脚的球体更容易地进行重量移动安装。公开的缓冲垫由硬度为约硬度为70肖氏A的模制聚氯乙烯形成。

35. 发明授权

US09877720B2 Control features for articulating surgical device 有权
公开(公告)号：US09877720B2
公开(公告)日：2018-01-30
申请号：US13235623
申请日：2011-09-19
申请人： Barry C. Worrell , Zhifan F. Huang , Jason R. Lesko , Matthew C. Miller , Geoffrey S. Strobl , Gregory A. Trees , Charles S. Black , William E. Clem , Emron Henry , Kevin M. Montgomery
发明人： Barry C. Worrell , Zhifan F. Huang , Jason R. Lesko , Matthew C. Miller , Geoffrey S. Strobl , Gregory A. Trees , Charles S. Black , William E. Clem , Emron Henry , Kevin M. Montgomery
IPC分类号： A61B19/00 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/0038 , A61B2017/2908 , A61B2017/2927 , A61B2017/2946
摘要： An electrosurgical device includes a body, an end effector, a cutting member, and a shaft. The end effector comprises a pair of jaws and at least one electrode that is operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The body includes a controller operable to selectively actuate the articulation section. The controller may include a rotary knob, a pivoting knob, or a pivoting fin, among other things. An electrical coupling may contact a conductive moving member along at least two axes. A resiliently biased lever may assist a trigger in returning from an actuated position to a home position.

36. 发明授权

US09681884B2 Surgical instrument with stress sensor 有权
公开(公告)号：US09681884B2
公开(公告)日：2017-06-20
申请号：US13484563
申请日：2012-05-31
申请人： William E. Clem , William D. Dannaher , Daniel W. Price , Cory G. Kimball , Foster B. Stulen , Eitan T. Wiener , John B. Schulte , Danius P. Silkaitus , Stephen J. Balek , Michael R. Lamping , Jacqueline C. Aronhalt
发明人： William E. Clem , William D. Dannaher , Daniel W. Price , Cory G. Kimball , Foster B. Stulen , Eitan T. Wiener , John B. Schulte , Danius P. Silkaitus , Stephen J. Balek , Michael R. Lamping , Jacqueline C. Aronhalt
IPC分类号： A61B17/32 , A61B18/14 , A61B17/00 , A61B18/00 , A61B90/00
CPC分类号： A61B17/320068 , A61B18/1402 , A61B2017/00473 , A61B2018/00702 , A61B2018/00708 , A61B2018/00988 , A61B2090/064
摘要： An apparatus includes an end effector, an energy component, a control module, and a directional force sensor assembly associated with the energy component and control module. The directional force assembly can include a piezoelectric disc, a piezoresistive element, an accelerometer, and/or a Hall Effect sensor. The end effector of the apparatus can include ultrasonic blade, an RF electrode, or a staple driving assembly. In some versions, the energy component includes an ultrasonic transducer. The control module may be configured to operate the energy component at a first energy setting in response to a first detected force and at a second energy setting in response to a second detected force. The apparatus may also include an activation feature to be operated by a user. In some versions the piezoelectric disc may include a plurality of segments and may be configured to induce movement in at least part of the energy component.

37. 外观设计

USD696631S1 Electrical connector 有权
公开(公告)号：USD696631S1
公开(公告)日：2013-12-31
申请号：US29392033
申请日：2011-05-17
申请人： Daniel W. Price , William E. Clem , Matthew C. Miller , Cory G. Kimball , Brennan G. McCabe , Jeffrey D. Messerly , Shawn C. Snyder
设计人： Daniel W. Price , William E. Clem , Matthew C. Miller , Cory G. Kimball , Brennan G. McCabe , Jeffrey D. Messerly , Shawn C. Snyder

38. 发明申请

US20130324998A1 LOADING CARTRIDGE FOR SURGICAL INSTRUMENT END EFFECTOR 有权
标题翻译：手术仪器终端效应器的装载盒
公开(公告)号：US20130324998A1
公开(公告)日：2013-12-05
申请号：US13484547
申请日：2012-05-31
申请人： Cory G. Kimball , Daniel W. Price , William E. Clem , William D. Dannaher
发明人： Cory G. Kimball , Daniel W. Price , William E. Clem , William D. Dannaher
IPC分类号： A61B18/18 , A61B17/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2090/0811 , A61B2090/0813
摘要： A surgical instrument includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly, an end effector, and a rotational knob operable to rotate the transmission assembly and the end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling assembly portions cooperatively couple the end effector assembly to the body assembly for use. An attachment assembly may be used to rotatably couple the first and second coupling assembly portions.
摘要翻译：手术器械包括主体组件和选择性地可耦合的端部执行器组件。末端执行器组件可以包括传动组件，端部执行器和可操作以旋转传动组件和末端执行器的旋转旋钮。主体组件包括触发器和壳体，其具有构造成容纳端部执行器组件的一部分的远端开口。第一和第二联接组件部分将端部执行器组件协作地联接到主体组件以供使用。附接组件可用于可旋转地联接第一和第二联接组件部分。

39. 发明申请

US20120203213A1 ACTIVATION FEATURE FOR SURGICAL INSTRUMENT WITH PENCIL GRIP 有权
标题翻译：手术仪器的激活功能与PENCIL GRIP
公开(公告)号：US20120203213A1
公开(公告)日：2012-08-09
申请号：US13426834
申请日：2012-03-22
申请人： Cory G. Kimball , Daniel W. Price , William E. Clem
发明人： Cory G. Kimball , Daniel W. Price , William E. Clem
IPC分类号： A61B17/00
CPC分类号： A61B17/320068 , A61B2017/00017 , A61B2017/00367 , A61B2017/00424 , A61B2018/00916 , A61C1/0015 , A61C1/07 , H01H15/005 , H01H15/06
摘要： An exemplary surgical instrument comprises a handpiece, an end effector, and an activation and control feature that is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature includes a “floating” button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature may comprise capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology that uses a resonant standing wave on a surface that is perturbed by the presence of a finger, and/or any other suitable type of technology.
摘要翻译：示例性外科器械包括手持件，末端执行器和激活和控制特征，其可操作以选择性地激活末端执行器并为端部执行器选择能量水平。激活和控制功能的一个版本包括“浮动”按钮功能，其中基于按钮从原始位置的位移来实现激活和控制。在一些版本中，激活和控制功能被密封在手机内，但是可以通过用户与手持件的触摸来控制。密封构造可以允许手持件可以消毒，例如使用蒸汽灭菌。激活和控制特征可以包括电容开关，电阻式传感器，谐振腔切换技术，红外感测技术，在表面上使用谐振驻波的技术，其被手指的存在所扰乱，和/或任何其它合适类型技术。

40. 发明申请

US20100255957A1 METHOD FOR CARRYING OUT ISOMETRIC EXERCISE REGIMEN 有权
标题翻译：执行异步训练方法
公开(公告)号：US20100255957A1
公开(公告)日：2010-10-07
申请号：US12819112
申请日：2010-06-18
申请人： William E. Clem , Richard Rae Clem , Thomas J. Wernikowski , Joachim Eldring , Nathaniel Longstreet , Steven Wood , Seth Huckstead
发明人： William E. Clem , Richard Rae Clem , Thomas J. Wernikowski , Joachim Eldring , Nathaniel Longstreet , Steven Wood , Seth Huckstead
IPC分类号： A63B23/16
CPC分类号： A63B21/0023 , A63B21/0004 , A63B21/05 , A63B23/03508 , A63B23/16 , A63B2071/0625 , A63B2071/0655 , A63B2220/51 , A63B2220/833 , G06F19/00
摘要： A method for isometric exercise safely reduces resting blood pressure and increases overall cardiovascular health. The method utilizes an apparatus that provides resistance to force and maximizes user/patient comfort. The handle or grip of the apparatus may be squeezed with a force less than the maximum squeeze force of the user, thereby restricting blood flow through contracting muscles and safely increasing blood pressure during exercise. Resting blood pressure is reduced through use of the method. The restricted blood flow reduces localized necrosis due to obstruction of blood supply. The method includes measuring and recording the maximum squeeze force of a user, calculating a fractional force using the duration of exercise or a desired fractional force percentage, and inducing the user to apply the fractional force, a lesser fractional force or no force for a time.
摘要翻译：等距运动的方法安全地降低静息血压并增加整体心血管健康。该方法利用提供抵抗力并使用户/患者舒适度最大化的装置。可以用小于使用者的最大挤压力的力挤压装置的手柄或手柄，从而通过收缩肌肉限制血液流动并且在运动期间安全地增加血压。休息的血压通过使用方法减少。限制性血液流量减少由于血液供应阻塞引起的局部坏死。该方法包括测量和记录用户的最大挤压力，使用运动持续时间或期望的分数力百分比计算分数力，并且诱导使用者施加分数力，较小的分力或无力一段时间。

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