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51. 发明授权

US06468205B1 Method and apparatus for combined dissection and retraction 有权
标题翻译：用于组合解剖和收缩的方法和装置
公开(公告)号：US06468205B1
公开(公告)日：2002-10-22
申请号：US09472765
申请日：1999-12-27
申请人： Kenneth H. Mollenauer , James E. Jervis
发明人： Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B1900
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.
摘要翻译：一种用于从第二组织层解剖第一组织层，然后保持打开用于执行外科手术的解剖空间的方法和装置。该方法包括以下步骤：在体内进行切口，将放气的气囊解剖器引入切口中，使气囊解剖器膨胀，以使第一层组织从第二层组织切除，以顺序地在解剖空间内展开牵开器以打开解剖空间，并且可选地放气或排空气囊解剖器以打开用于外科手术的腔。该装置包括组合的解剖器 - 牵开器，其具有设置在气球解剖器的表面上并与之一体化的气囊牵开器。

52. 发明授权

US06306141B1 Medical devices incorporating SIM alloy elements 失效
标题翻译：包含SIM合金元件的医疗器械
公开(公告)号：US06306141B1
公开(公告)日：2001-10-23
申请号：US08483291
申请日：1995-06-07
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1756
CPC分类号： A61C7/12 , A61B17/0642 , A61B17/08 , A61B17/72 , A61B2017/00867 , A61B2017/0647 , A61B2017/0649 , A61C2201/007 , A61F2/01 , A61F2/07 , A61F2/2409 , A61F6/14 , A61F2002/30093 , A61F2210/0019 , A61L27/04 , A61L31/022 , A61L2400/16 , A61L2430/02
摘要： Medical devices which are currently proposed to use elements made from shape memory alloys may be improved by the use of stress-induced martensite alloy elements instead. The use of stress-induced martensite decreases the temperature sensitivity of the devices, thereby making them easier to install and/or remove.
摘要翻译：目前提出使用由形状记忆合金制成的元件的医疗装置可以通过使用应力诱导马氏体合金元素来改善。应力诱发马氏体的使用降低了装置的温度敏感度，从而使它们更易于安装和/或去除。

53. 发明授权

US6032671A Method and apparatus for combined dissection and retraction 失效
公开(公告)号：US6032671A
公开(公告)日：2000-03-07
申请号：US93102
申请日：1998-06-08
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.

54. 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。

55. 发明授权

US5904690A Device or apparatus for manipulating matter 失效
标题翻译：用于操纵物品的装置或装置
公开(公告)号：US5904690A
公开(公告)日：1999-05-18
申请号：US483785
申请日：1995-06-07
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
IPC分类号： A61B17/00 , A61B17/28 , A61B17/32 , A61B18/14 , B25B9/00 , A61B17/04
CPC分类号： A61B17/29 , A61B17/320016 , A61B17/32056 , B25B9/00 , A61B2017/00353 , A61B2017/00455 , A61B2017/320064 , A61B2018/1407
摘要： The present invention provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate metallic members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the metallic member(s) in a relatively straightened state, and actuating means for extending the metallic member(s) from the housing to manipulate matter within the said space and for withdrawing the metallic member(s) into the housing, the arrangement being such that the metallic 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 said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.Preferably the invention provides such a device or apparatus which is of elongate form for surgical manipulation of matter within a living body, and which has the manipulator means at its distal end with the metallic member(s) having pseudoelasticity at the temperature to be encountered within that body, and wherein the actuating means is operable from the proximal end of the device.
摘要翻译：本发明提供了一种用于在密闭或不可接近的空间中操纵物质的装置或装置，包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭曲的细长金属构件构造的操纵器装置，以及空心壳体细长的管状形式）或能够至少保持金属构件处于相对矫直状态的套管;以及致动装置，用于将金属构件从壳体延伸以在所述空间内操纵物件，并且用于将金属构件所述装置使得所述金属构件以侧向或螺旋方式伪弹性地弯曲或扭转以在所述操作温度下从所述壳体延伸来操纵所述物质;以及在所述温度下退回到房屋中时，变得相对矫直。优选地，本发明提供了一种用于手术操纵生物体内的物质的细长形式的装置或装置，并且在其远端具有操纵器装置，金属构件在所遇到的温度下具有假弹性所述主体，并且其中所述致动装置可从所述装置的近端操作。

56. 发明授权

US5607443A Expansible tunneling apparatus for creating an anatomic working space with laparoscopic observation 失效
标题翻译：用于通过腹腔镜观察创建解剖工作空间的可扩展隧道装置
公开(公告)号：US5607443A
公开(公告)日：1997-03-04
申请号：US267488
申请日：1994-06-29
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , James E. Jervis
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , 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： A61B17/0218 , A61B17/320016 , A61B18/08 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61B17/3421 , A61B17/3439 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61B90/361 , A61F2002/0072 , A61M29/02
摘要： An expansible laparoscopic tunneling apparatus for creating an anatomic working space. The apparatus provides laparoscopic observation both during tunneling operations, when the apparatus is advanced bluntly to a desired location within the body of a patient, and during subsequent tissue dissection when a balloon associated with the apparatus is inflated to create the working space. In a preferred embodiment, the apparatus comprises a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to cooperatively form a blunt tipped obturator. The tunneling member has a bore sized to accept a conventional laparoscope, and a blunt distal end to facilitate tunneling. A trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member wherein the combination of the tunneling member and rolled balloon forms a semi-rigid blunt tipped obturator. A horseshoe shaped balloon for dissecting around obstructions within the body is also disclosed.
摘要翻译：一种用于创建解剖工作空间的可扩展的腹腔镜隧道装置。该装置在隧道操作期间，当设备直接前进到患者身体内的期望位置时，以及在随后的组织解剖期间，当与装置相关联的气囊被充气以产生工作空间时，提供腹腔镜观察。在优选实施例中，该装置包括中空隧道构件和设置在隧道构件的远端处的可充气气囊，以协同地形成钝头堵塞器。隧道构件具有尺寸适于接受常规腹腔镜的孔，以及用于促进隧道的钝的远端。可以将套针针插入到切口中以提供对先前创建的外科手术进行空间的访问。通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道构件，其中隧道构件和滚动气球的组合形成半刚性钝头尖端填塞器。还公开了一种用于解剖身体内的障碍物的马蹄形气囊。

57. 发明授权

US5601572A Device or apparatus for manipulating matter having a elastic ring clip 失效
标题翻译：用于操纵具有弹性环夹的物品的装置或装置
公开(公告)号：US5601572A
公开(公告)日：1997-02-11
申请号：US486550
申请日：1995-06-07
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/08 , A61B17/10 , A61B17/12 , A61B17/22 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/08 , A61B18/14 , A61F2/00 , A61F2/16 , B25B9/00 , B26B13/26
CPC分类号： A61B17/29 , A61B10/02 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/295 , A61B17/320016 , A61B17/32056 , A61B18/082 , B25B9/00 , B26B13/26 , A61B10/06 , A61B17/30 , A61B17/3201 , A61B17/3421 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , A61B2017/2905 , A61B2017/2927 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943 , A61B2017/303 , A61B2017/320064 , A61B2017/32113 , A61B2018/00642 , A61B2018/00791 , A61B2018/1407 , A61F2002/30093 , A61F2210/0019
摘要： The present invention provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate metallic members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the metallic member(s) in a relatively straightened state, and actuating means for extending the metallic member(s) from the housing to manipulate matter within the said space and for withdrawing the metallic member(s) into the housing, the arrangement being such that the metallic 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 said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.Preferably the invention provides such a device or apparatus which is of elongate form for surgical manipulation of matter within a living body, and which has the manipulator means at its distal end with the metallic member(s) having pseudoelasticity at the temperature to be encountered within that body, and wherein the actuating means is operable from the proximal end of the device.
摘要翻译：本发明提供了一种用于在密闭或不可接近的空间中操纵物质的装置或装置，包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭曲的细长金属构件构造的操纵器装置，以及空心壳体细长的管状形式）或能够至少保持金属构件处于相对矫直状态的套管;以及致动装置，用于将金属构件从壳体延伸以在所述空间内操纵物件，并且用于将金属构件所述装置使得所述金属构件以侧向或螺旋方式伪弹性地弯曲或扭转以在所述操作温度下从所述壳体延伸来操纵所述物质;以及在所述温度下退回到房屋中时，变得相对矫直。优选地，本发明提供了一种用于手术操纵生物体内的物质的细长形式的装置或装置，并且在其远端具有操纵器装置，金属构件在所遇到的温度下具有假弹性所述主体，并且其中所述致动装置可从所述装置的近端操作。

58. 发明授权

US5597378A Medical devices incorporating SIM alloy elements 失效
标题翻译：包含SIM合金元件的医疗器械
公开(公告)号：US5597378A
公开(公告)日：1997-01-28
申请号：US956653
申请日：1992-10-02
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B17/064 , A61B17/08 , A61B17/72 , A61C7/12 , A61F2/00 , A61F2/01 , A61F2/06 , A61F2/24 , A61F6/14 , A61L27/04 , A61L31/02 , A61B17/58
CPC分类号： A61C7/12 , A61B17/0642 , A61B17/08 , A61B17/72 , A61F2/01 , A61F2/2409 , A61F6/14 , A61L27/04 , A61L31/022 , A61B2017/00867 , A61B2017/0647 , A61B2017/0649 , A61C2201/007 , A61F2/07 , A61F2002/30093 , A61F2210/0019 , A61L2400/16 , A61L2430/02
摘要： Medical devices which are currently proposed to use elements made form shape memory alloys may be improved by the use of stress-induced martensite alloy elements instead. The use of stress-induced martensite decreases the temperature sensitivity of the devices, thereby making them easier to install and/or remove.
摘要翻译：目前提出使用由形状记忆合金制成的元件的医疗装置可以通过使用应力诱导马氏体合金元素来改善。应力诱发马氏体的使用降低了装置的温度敏感度，从而使它们更易于安装和/或去除。

59. 发明授权

US5486183A Device or apparatus for manipulating matter 失效
标题翻译：用于操纵物品的装置或装置
公开(公告)号：US5486183A
公开(公告)日：1996-01-23
申请号：US774016
申请日：1991-10-09
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： A61B17/06 , A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/08 , A61B17/10 , A61B17/12 , A61B17/22 , A61B17/221 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/08 , A61B18/14 , A61F2/00 , A61M25/00 , B25B9/00 , B25J18/06 , B25J19/00 , B26B13/26
CPC分类号： B25B9/00 , A61B10/02 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/29 , A61B17/320016 , A61B17/32056 , A61B18/082 , B26B13/26 , A61B10/06 , A61B17/30 , A61B17/3201 , A61B17/3421 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , 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
摘要： The present invention accordingly provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising 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 (preferably of elongate tubular form) 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 said 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 said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature.Preferably the invention provides such a device or apparatus which is of elongate form for surgical manipulation of matter within a living body, and which has the manipulator means at its distal end with the shape memory alloy member(s) having pseudoelasticity at the temperature to be encountered within that body, and wherein the actuating means is operable from the proximal end of the device.
摘要翻译：因此，本发明提供了一种用于在有限或不可接近的空间中操纵物质的装置或装置，包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭转的细长形状记忆合金构件构造的操纵器装置，以及中空壳体（优选为细长管状形式）或能够至少保持形状记忆合金构件处于相对矫直状态的套管;以及致动装置，用于将形状记忆合金构件从壳体延伸到操纵所述形状记忆合金构件内的物质空间并且用于将形状记忆合金构件拉出到壳体中，该布置使得形状记忆合金构件以侧向或螺旋方式假弹性地弯曲或扭曲以操纵该物质在所述操作温度下从壳体延伸，并且在所述温度下退回到壳体中时变得相对矫直。优选地，本发明提供了一种这样的装置或装置，其具有用于外科手术操作生物体内的物质的细长形式，并且在其远端处具有操纵器装置，其形状记忆合金构件在温度下具有假弹性在该身体内遇到，并且其中致动装置可从装置的近端操作。

60. 发明授权

US5199089A Strained distributed optical fiber communication system 失效
标题翻译：应变分布式光纤通信系统
公开(公告)号：US5199089A
公开(公告)日：1993-03-30
申请号：US825234
申请日：1992-01-24
申请人： Bruce D. Campbell , Joseph Zucker , James E. Jervis
发明人： Bruce D. Campbell , Joseph Zucker , James E. Jervis
IPC分类号： G02B6/38 , G02B6/42 , G02B6/44 , H04B10/20
CPC分类号： G02B6/444 , G02B6/3878 , G02B6/4248 , G02B6/4287 , G02B6/3816 , G02B6/3827 , G02B6/3829 , G02B6/3887 , G02B6/4251 , G02B6/4274 , G02B6/4286
摘要： A strained distributed optical fiber distribution network includes read and write optical fibers having taps attached thereto in series so as to strain portions of the fiber in excess of 0.60%, the strained portions being environmentally isolated by an enclosure which includes gel filled seals subject to a resilient load.
摘要翻译：应变分布式光纤分配网络包括具有连接到其上的抽头的读和写光纤，以便使纤维的部分变得超过0.60％，所述应变部分由外壳环境隔离，外壳包括凝胶填充密封件弹性负载。

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