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41. 发明申请

US20110213285A1 Splint system and method of use 失效
标题翻译：夹板系统和使用方法
公开(公告)号：US20110213285A1
公开(公告)日：2011-09-01
申请号：US13068122
申请日：2011-05-03
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F5/04
CPC分类号： A61F5/05816 , A61F5/05841 , A61F5/0585 , A61F2005/0153
摘要： Devices and methods are disclosed for achieving control and stabilization of bone fractures in mammals, most specifically humans. Stabilization and traction is often required to support fractured bones of the arms or legs. The devices and methods disclosed herein are especially useful in the emergency or military setting. The devices utilize a collapsible frame or inflatable member that may be expanded and locked into position. The frame or inflatable member is fabricated primarily from polymeric materials with low radiodensity. The limb contact regions are adjustable to fit a wide variety of limb sizes and fracture locations. The traction applied by the splint is adjustable, controllable and measurable. The traction splint is sufficiently compact that it will fit in a compartment of most ambulances and emergency rescue vehicles, thus making it more available for use than standard traction splints in use today. The traction splint is either a separate device or integrated into a backboard.
摘要翻译：公开了用于实现哺乳动物，特别是人的骨折的控制和稳定的装置和方法。通常需要稳定和牵引力来支撑手臂或腿部的骨折骨。本文公开的装置和方法在紧急或军事环境中特别有用。这些装置利用可膨胀的框架或可膨胀构件，其可以被扩展并锁定到位。框架或可充气构件主要由具有低辐射密度的聚合材料制成。肢体接触区域是可调节的，以适应各种各样的肢体大小和骨折位置。由夹板施加的牵引力是可调节的，可控的和可测量的。牵引夹板足够紧凑，使其能够适应大部分救护车和紧急救援车辆的隔间，从而使其比现在使用的标准牵引夹板更可用。牵引夹板是单独的装置或集成到背板中。

42. 发明申请

US20100228077A1 EXPANDABLE INTRA-AORTIC BALLOON PUMP SHEATH 有权
标题翻译：可膨胀的内部气泡泵
公开(公告)号：US20100228077A1
公开(公告)日：2010-09-09
申请号：US12781916
申请日：2010-05-18
申请人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
发明人： Jay A. Lenker , Joseph Bishop , George F. Kick , Edward J. Nance
IPC分类号： A61M1/12
CPC分类号： A61M25/0662 , A61M2025/0024
摘要： Disclosed is an expandable transluminal sheath, for introduction into the body while in a first, low cross-sectional area configuration, and subsequent expansion of at least a part of the distal end of the sheath to a second, enlarged cross-sectional configuration. The sheath is configured for use in the vascular system and has utility in the introduction and removal of balloon counterpulsation catheters. The access route is through the femoral arteries and the iliac arteries into the aorta, where an intra-aortic balloon pump catheter is positioned to provide cardiac support. The distal end of the sheath is maintained in the first, low cross-sectional configuration during advancement to the arteries into the aorta. The distal end of the sheath is subsequently expanded using a radial dilatation device.
摘要翻译：公开了一种可膨胀的经腔护套，用于在处于第一低截面区域构造的情况下引入身体，并且随后将护套的远端的至少一部分膨胀至第二扩大横截面构造。鞘被配置为用于血管系统，并且可用于引入和移除球囊反搏导管。进入路径是通过股动脉和髂动脉进入主动脉，其中主动脉内球囊泵导管被定位成提供心脏支持。护套的远端在进入主动脉的动脉中保持在第一，低横截面构型。随后使用径向扩张装置使护套的远端膨胀。

43. 发明授权

US07695452B2 Method and apparatus for venous drainage and retrograde coronary perfusion 有权
标题翻译：静脉引流和逆行冠状动脉灌注的方法和装置
公开(公告)号：US07695452B2
公开(公告)日：2010-04-13
申请号：US10997739
申请日：2004-11-23
申请人： Jay A. Lenker
发明人： Jay A. Lenker
IPC分类号： A61M29/00 , A61M31/00 , A61M37/00
CPC分类号： A61M1/3653 , A61M1/3613 , A61M1/3656 , A61M1/3659 , A61M1/3664 , A61M2025/1013 , A61M2202/047
摘要： A system is disclosed for cannulating the vena cava of a patient during cardiopulmonary bypass procedures. Such cannulation is necessary for drainage of venous blood from the patient so that it may be oxygenated and pumped back to the patient to perfuse tissues during cardiac surgery and, more specifically, during periods of ischemic cardiac arrest or dysfunction. The device of the present invention not only provides venous drainage for cardiopulmonary bypass, but also performs the function of routing cardioplegic solution through the heart in the retrograde direction. Such cardioplegia provides protection to the heart during periods of ischemic cardiac arrest. This invention replaces a plurality of cannulae currently used for open-heart surgery, thus simplifying the surgical field and improving visibility of the heart. The device allows for the delivery of retrograde cardioplegia to the coronary circulation of both the right and the left side of the heart. The device further includes protection mechanisms to prevent overinflation or excessive pressurization of the right atrium during retrograde delivery of cardioplegia solution.
摘要翻译：公开了一种用于在体外循环手术期间插入患者的腔静脉的系统。这种插管对于从患者排出静脉血是必要的，使得其可以被氧合并泵送回患者以在心脏手术期间更具体地灌注组织，更具体地，在缺血性心脏骤停或功能障碍期间。本发明的装置不仅提供用于体外循环的静脉引流，而且还执行沿逆行方向通过心脏路由心脏停搏溶液的功能。这种心脏停跳在缺血性心脏骤停期间为心脏提供保护。本发明代替目前用于开心手术的多个套管，从而简化了手术领域并提高了心脏的可见度。该装置允许将逆行心麻痹递送到心脏右侧和左侧的冠状动脉循环。该装置还包括用于在逆行递送心麻痹液期间防止右心房过度充气或过度加压的保护机制。

44. 发明申请

US20090216125A1 Reslution optical & ultrasound devices for imaging and treatment of body lumens 有权
标题翻译：用于成像和处理体腔的洗涤光学和超声波装置
公开(公告)号：US20090216125A1
公开(公告)日：2009-08-27
申请号：US12387005
申请日：2009-04-27
申请人： Jay A. Lenker
发明人： Jay A. Lenker
IPC分类号： A61B8/14 , A61B17/32 , A61B18/18 , A61M29/00
CPC分类号： A61B8/12 , A61B8/0808 , A61B8/445 , A61B8/4461
摘要： A rotationally vibrating imaging catheter and method of utilization has an array of ultrasound or optical transducers and an actuator along with signal processing, display, and power subsystems. The actuator of the preferred embodiment is a solid-state nitinol actuator. The actuator causes the array to oscillate such that the tip of the catheter is rotated through an angle equal to or less than 360 degrees. The tip is then capable of rotating back the same amount. This action is repeated until the desired imaging information is acquired. The rotationally vibrating catheter produces more imaging points than a non-rotating imaging catheter and eliminates areas of missing information in the reconstructed image.Rotationally vibrating catheters offer higher image resolution than stationary array catheters and greater flexibility and lower costs than mechanically rotating imaging catheters.The rotationally vibrating array carried on a catheter is vibrated or rocked forward and backward to allow for acquisition of three-dimensional information within a region around the transducer array.The addition of adjunctive therapies to the imaging catheter enhances the utility of the instrument. Examples of such therapies include atherectomy, stent placement, thrombectomy, embolic device placement, and irradiation.
摘要翻译：旋转振动成像导管和利用方法具有超声波或光学换能器阵列以及致动器以及信号处理，显示和电力子系统。优选实施例的致动器是固态镍钛诺致动器。致动器使阵列振荡，使得导管的尖端旋转等于或小于360度的角度。然后尖端能够旋转相同的量。重复该动作，直到获取所需的成像信息。旋转振动导管比非旋转成像导管产生更多的成像点，并消除重建图像中缺失信息的区域。旋转振动导管提供比固定阵列导管更高的图像分辨率，并且具有比机械旋转成像导管更大的灵活性和更低的成本。承载在导管上的旋转振动阵列被振动或向前和向后摇动以允许在换能器阵列周围的区域内采集三维信息。对成像导管添加辅助治疗可增强仪器的效用。这种疗法的实例包括粥样斑块切除术，支架放置，血栓切除术，栓塞装置放置和照射。

45. 发明申请

US20080132915A1 Method and apparatus for vascular and visceral clipping 失效
标题翻译：血管和内脏剪切的方法和装置
公开(公告)号：US20080132915A1
公开(公告)日：2008-06-05
申请号：US12011572
申请日：2008-01-28
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61B17/128 , A61B17/122 , B65D81/18
CPC分类号： A61B17/083 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/1227 , A61B17/128 , A61B2017/12004 , Y10T24/44376
摘要： Devices and methods for achieving hemostasis and leakage control in hollow body vessels such as the small and large intestines, arteries, and veins as well as ducts leading to the gall bladder and other organs. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting, and most especially during damage control procedures. In such cases, the patient may have received trauma to the abdomen, extremities, neck or thoracic region. The devices utilize removable or permanently implanted, broad, soft, parallel jaw clips with minimal projections to maintain vessel contents without damage to the tissue comprising the vessel. These clips are applied using either standard instruments or custom devices that are subsequently removed leaving the clips implanted, on a temporary or permanent basis, to provide for hemostasis or leakage prevention, or both. These clips overcome the limitations of clips and sutures that are currently used for the same purposes. The clips come in a variety of shapes and sizes. The clips may be placed and removed by open surgery or laparoscopic access.
摘要翻译：在诸如小肠和大肠，动脉和静脉的中空体血管以及通向胆囊和其他器官的导管中实现止血和泄漏控制的装置和方法。本文公开的装置和方法在紧急，创伤手术或军事设置中尤其有用，并且尤其是在损伤控制程序期间。在这种情况下，患者可能已经受到腹部，四肢，颈部或胸部区域的创伤。这些装置利用具有最小突起的可移除或永久植入的，宽的，柔软的平行颚夹，以维持血管内容物，而不损伤包含血管的组织。这些夹子使用标准仪器或定制设备进行应用，随后移除，临时或永久地植入夹子，以提供止血或防漏，或两者兼有。这些剪辑克服了目前用于相同目的的剪辑和缝合线的限制。夹子有各种形状和尺寸。夹子可以通过开放手术或腹腔镜手术进行放置和移除。

46. 发明授权

US07135010B2 Method and apparatus for rapid deployment chest drainage 有权
标题翻译：方法和装置快速部署胸腔引流
公开(公告)号：US07135010B2
公开(公告)日：2006-11-14
申请号：US11152413
申请日：2005-06-14
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61M25/00
CPC分类号： A61B17/3415 , A61B17/3439 , A61B2217/005 , A61M1/008
摘要： Devices and methods are disclosed for achieving chest drainage in humans or other animals. Chest drainage is often required following traumatic injury or surgery. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting. The devices utilize a chest tube with a cutting distal end and a central blunt trocar. The blunt trocar or obturator shields the sharp cutting distal end of the chest tube until controllably retracted. Once the blunt trocar or obturator is retracted, the chest tube is advanced out through its sterile, protective package and into the patient. The blunt trocar is advanced back into its position to shield the sharp tip of the chest tube during patient insertion. The chest tube also includes a hold-down mechanism that is created by an adhesive seal to the patient's chest and ribbons or straps that are wrapped around the chest tube once it is correctly positioned. The straps include adhesive ends to grip the chest tube once the straps are in place.
摘要翻译：公开了用于在人或其他动物中实现胸腔引流的装置和方法。创伤性损伤或外科手术后经常要求胸腔引流。本文公开的装置和方法在紧急，创伤手术或军事设置中特别有用。这些装置使用具有切割远端和中心钝头套管针的胸管。钝的套管针或闭孔器屏蔽胸管的锋利切割远端，直到可控地缩回。一旦钝头套管针或闭孔器缩回，胸管通过其无菌的保护包装进入患者体内。钝头套管针在病人插入期间前进到其位置以屏蔽胸管的锋利尖端。胸部管还包括通过对患者胸部的粘合密封产生的压紧机构，并且一旦正确定位，则将其缠绕在胸管周围的带或带。带子包括胶带端部，以便在带子到位时抓住胸管。

47. 发明授权

US06905484B2 Method and apparatus for rapid deployment chest drainage 失效
标题翻译：方法和装置快速部署胸腔引流
公开(公告)号：US06905484B2
公开(公告)日：2005-06-14
申请号：US10676562
申请日：2003-09-30
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61H20060101 , A61M1/00 , A61M25/00
CPC分类号： A61M27/00 , A61B17/32093 , A61B17/3415 , A61B17/3417 , A61B17/3421 , A61B17/3439 , A61B2017/3407 , A61B2017/3409 , A61M25/002 , A61M25/007 , A61M2025/0233 , A61M2025/026 , A61M2025/0266
摘要： Devices and methods are disclosed for achieving chest drainage in humans or other animals. Chest drainage is often required following traumatic injury or surgery. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting. The devices utilize a chest tube with a cutting distal end and a central blunt trocar. The blunt trocar or obturator shields the sharp cutting distal end of the chest tube until controllably retracted. Once the blunt trocar or obturator is retracted, the chest tube is advanced out through its sterile, protective package and into the patient. The blunt trocar is advanced back into its position to shield the sharp tip of the chest tube during patient insertion. The chest tube also includes a hold-down mechanism that is created by an adhesive seal to the patient's chest and ribbons or straps that are wrapped around the chest tube once it is correctly positioned. The straps include adhesive ends to grip the chest tube once the straps are in place.
摘要翻译：公开了用于在人或其他动物中实现胸腔引流的装置和方法。创伤性损伤或外科手术后经常要求胸腔引流。本文公开的装置和方法在紧急，创伤手术或军事设置中特别有用。这些装置使用具有切割远端和中心钝头套管针的胸管。钝的套管针或闭孔器屏蔽胸管的锋利切割远端，直到可控地缩回。一旦钝头套管针或闭孔器缩回，胸管通过其无菌的保护包装进入患者体内。钝头套管针在病人插入期间前进到其位置以屏蔽胸管的锋利尖端。胸部管还包括通过对患者胸部的粘合密封产生的压紧机构，并且一旦正确定位，则将其缠绕在胸管周围的带或带。带子包括胶带端部，以便在带子到位时抓住胸管。

48. 发明授权

US06878161B2 Stent graft loading and deployment device and method 失效
标题翻译：支架移植装载和部署装置及方法
公开(公告)号：US06878161B2
公开(公告)日：2005-04-12
申请号：US10133154
申请日：2002-04-25
申请人： Jay A. Lenker
发明人： Jay A. Lenker
IPC分类号： A61F2/90 , A61F2/06
CPC分类号： A61F2/90 , A61F2/07 , A61F2/844 , A61F2/89 , A61F2002/075 , A61F2002/9511 , A61F2220/005 , A61F2220/0066 , A61F2220/0075 , A61F2230/0054 , A61F2230/0067
摘要： An endoluminal prosthesis includes a tubular graft, an expandable annular support structure and a restraining mechanism restraining the prosthesis in a collapsed configuration in which the annular support structure is compressed to a low profile. The restraining mechanism holds the annular support structures in the collapsed configuration until the prosthesis is positioned for deployment. The restraining mechanism is then released to allow the annular support structures to expand into conforming engagement with the inner wall of a lumen in which the prosthesis is to be deployed. A feature according to the invention provides a balloon catheter onto which the prosthesis is loaded for deployment where the balloon is expanded to provide a radial force to release the restraining mechanism. Another feature provides for a restraining member that breaks upon application of the radial force to release the annular support structure from its constrained configuration. Another feature of the invention provides for independent and/or sequential release of the annular support members. Various types of annular support members attached to tubular grafts in a variety of manners may be used in accordance with the invention. The invention may be used in tubular grafts for endoluminal placement within a body lumen, including blood vessels, and for the treatment of abdominal and other aneurysms.
摘要翻译：腔内假体包括管状移植物，可扩张的环状支撑结构和限制假体处于折叠构造的约束机构，其中环形支撑结构被压缩至低轮廓。限制机构将环形支撑结构保持在折叠构型中，直到假体被定位用于展开。然后释放约束机构以允许环形支撑结构膨胀成与其中将要展开假体的内腔的内壁相一致的接合。根据本发明的特征提供了一种气囊导管，其上装载假体用于展开，其中气囊被扩张以提供径向力以释放约束机构。另一个特征提供了限制构件，其在施加径向力时破裂，以将环形支撑结构从其约束构型释放。本发明的另一个特征提供了环形支撑构件的独立和/或顺序释放。根据本发明，可以使用以各种方式附接到管状移植物上的各种类型的环形支撑构件。本发明可用于管状移植物，用于腔内放置在体腔内，包括血管，以及用于治疗腹部和其他动脉瘤。

49. 发明授权

US06350278B1 Apparatus and methods for placement and repositioning of intraluminal prostheses 有权
标题翻译：用于放置和重新定位腔内假体的装置和方法
公开(公告)号：US06350278B1
公开(公告)日：2002-02-26
申请号：US09420618
申请日：1999-10-18
申请人： Jay A. Lenker , Kirsten Freislinger , Michael A. Evans , Gwendolyn A. Watanabe , Timothy J. Ryan , Christopher K. Zarins , Richard O. Murphy
发明人： Jay A. Lenker , Kirsten Freislinger , Michael A. Evans , Gwendolyn A. Watanabe , Timothy J. Ryan , Christopher K. Zarins , Richard O. Murphy
IPC分类号： A61F200
CPC分类号： A61F2/07 , A61F2/0095 , A61F2/848 , A61F2/89 , A61F2/91 , A61F2/915 , A61F2/966 , A61F2/97 , A61F2002/065 , A61F2002/067 , A61F2002/075 , A61F2002/826 , A61F2002/91541 , A61F2002/9511 , A61F2002/9522 , A61F2002/9534 , A61F2002/9665 , A61F2210/0019 , A61F2220/0058 , A61F2220/0075 , A61F2230/0054 , A61F2240/001 , A61F2250/0098
摘要： A delivery catheter for a radially compressible tubular prosthesis comprises an elongate shaft slidably received within an elongate sheath. The prosthesis is carried over the distal end of the shaft where it is contained in a radially compressed configuration by the sheath. After introducing the catheter to a desired target location within a body lumen, the prosthesis may be released by proximally retracting the sheath. The prosthesis will remain anchored to the shaft during at least part of the release procedure, permitting the user to recapture the prosthesis by distally advancing the sheath.
摘要翻译：用于可径向压缩的管状假体的输送导管包括可细长的轴，该细长轴可滑动地容纳在细长护套内。假体被承载在轴的远端上，在该远端处，护套以径向压缩的形式容纳在其中。在将导管引入体腔内的期望的目标位置之后，假体可以通过近端缩回护套来释放。在至少部分释放过程期间，假体将保持锚固到轴上，允许使用者通过远侧推进护套来重新捕获假体。

50. 发明授权

US06338725B1 Large-diameter introducer sheath having hemostasis valve and removable steering mechanism 有权
公开(公告)号：US06338725B1
公开(公告)日：2002-01-15
申请号：US09158777
申请日：1998-09-23
申请人： George D. Hermann , Kirsten Freislinger , Steven W. Kim , Jay A. Lenker , Michael A. Evans
发明人： George D. Hermann , Kirsten Freislinger , Steven W. Kim , Jay A. Lenker , Michael A. Evans
IPC分类号： A61M3700
CPC分类号： A61M25/0138 , A61B17/12036 , A61B17/12109 , A61B17/12118 , A61B17/12136 , A61F2/07 , A61F2/958 , A61F2002/065 , A61M25/0045 , A61M25/005 , A61M25/0051 , A61M25/0053 , A61M25/0144 , A61M25/0147 , A61M25/0662 , A61M39/0606 , A61M2025/0046 , A61M2025/0681 , A61M2025/1052 , A61M2025/1061 , A61M2039/062 , A61M2039/0633 , A61M2039/0646 , A61M2039/066 , A61M2039/0686 , A61M2210/127
摘要： A catheter introducing system includes an introducer catheter comprising a flexible sheath having a hemostasis valve and an obturator having a steering mechanism operated by a proximal actuator handle. The catheter introducer system will usually be introduced with the obturator inside of the flexible sheath so that the obturator can effect steering by laterally deflecting the distal end of the combined sheath and obturator. Such catheter introducing systems are particularly useful for large diameter sheaths which are not readily introduced over guide wires. A first exemplary hemostasis valve comprises a compressed foam insert having an axial lumen therein. A second exemplary hemostasis valve comprises an elastomeric insert which receives and seals over the catheter.

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