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    • 63. 发明授权
    • Method and apparatus for vascular and visceral clipping
    • 血管和内脏剪切的方法和装置
    • US08187290B2
    • 2012-05-29
    • US12011572
    • 2008-01-28
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • A61B17/08
    • A61B17/083A61B17/08A61B17/10A61B17/122A61B17/1227A61B17/128A61B2017/12004Y10T24/44376
    • 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 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.
    • 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。 所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,特别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。
    • 64. 发明授权
    • Method and apparatus for hemostasis
    • 止血方法和装置
    • US07943810B2
    • 2011-05-17
    • US12012084
    • 2008-01-31
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • A61F13/00
    • A61B17/1325A61F13/00034A61F13/022A61F13/0246A61F13/0273A61F13/36A61F2013/00387A61F2013/00463A61F2013/00468A61F2013/0054A61F2013/00548A61F2013/00565A61F2013/0074
    • Devices and methods are disclosed for achieving hemostasis in patients who have received skin-penetrating wounds to the periphery, including the head, arms, and legs. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery, or military setting. The devices utilize fluid impermeable barriers surrounded by exterior dams and pressure to achieve tamponade and hemostasis, primarily by exertion of force to hold the dams against the skin surrounding a wound. The devices are capable of serving as carriers for thrombogenic, antimicrobial or antipathogenic agents. The devices do not require the use of adhesives to work as they are attached to the patient using mechanical locking devices. Peripheral haemostatic packing devices include optional adhesive hemostatic barriers to attach at least a portion of the device to the skin or to assist with initial coupling of a hold-down strap to another strap using a more secure mechanical lock. The peripheral hemostatic packing system does not completely surround the extremity having the wound and therefore do not cause a tourniquet effect. The peripheral hemostatic packing system preferably is held against the skin surrounding a wound by a force that is generally unidirectional and substantially perpendicular to the plane in which the skin of the wound resides.
    • 公开了用于在已经接受皮肤穿透伤口到周边的患者(包括头部,手臂和腿部)中实现止血的装置和方法。 这种止血包装装置和方法在紧急,创伤手术或军事设置中特别有用。 这些装置利用由外部水坝和压力包围的流体不可渗透的屏障,以实现填塞和止血,主要是通过施加力将坝保持在伤口周围的皮肤上。 这些装置能够用作血栓形成,抗微生物或抗病原体的载体。 这些装置不需要使用粘合剂来工作,因为它们使用机械锁定装置连接到患者身上。 外围止血包装装置包括可选的粘合剂止血屏障,以将装置的至少一部分附接到皮肤上,或者使用更安全的机械锁来帮助将压紧带初始连接到另一条带。 外周止血包装系统不完全包围有创伤的肢体,因此不会引起止血带效应。 外周止血包装系统优选地通过大体单向且基本上垂直于伤口皮肤所在的平面的力而抵靠围绕伤口的皮肤。
    • 67. 发明授权
    • Splint system and method of use
    • 夹板系统和使用方法
    • US07507216B2
    • 2009-03-24
    • US11397499
    • 2006-04-04
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • A61F5/00
    • A61F5/05816A61F5/05841A61F5/0585A61F2005/0153
    • 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.
    • 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。
    • 68. 发明申请
    • EXPANDABLE INTRA-AORTIC BALLOON PUMP SHEATH
    • 可膨胀的内部气泡泵
    • US20080183136A1
    • 2008-07-31
    • US12021097
    • 2008-01-28
    • Jay A. LenkerJoseph BishopGeorge F. KickEdward J. Nance
    • Jay A. LenkerJoseph BishopGeorge F. KickEdward J. Nance
    • A61M25/01
    • A61M25/0662A61M2025/0024
    • 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.
    • 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。
    • 69. 发明授权
    • Method and device for temporary emergency vessel anastomoses
    • 临时应急容器吻合的方法和装置
    • US07335215B2
    • 2008-02-26
    • US10703220
    • 2003-11-05
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • A61B17/08
    • A61B17/11A61B2017/1107
    • A device and method for achieving hemostasis and leakage control in vascular structures and other body ducts or vessels in an emergency room or trauma situation. The device has at least one shunt that contains an obturator on an end of the shunt. The shunt is inserted into a damaged vessel or lumen for sealing the leak or hemorrhage. Two shunts that both contain obturators on one of their ends can be inserted into two different vessels or lumens when the vessel or lumen has been severed. The obturators allow for the improved ease of insertion into the vessel or lumen. The two shunts are then releasably attached to restore fluid communication through the vessel or lumen. The shunt is placed temporarily within the patient and then removed when definitive repair can be achieved by a qualified physician.
    • 用于在急诊室或创伤情况下在血管结构和其他身体导管或血管中实现止血和泄漏控制的装置和方法。 该装置具有至少一个在分路端部包含闭孔器的分路器。 分流器插入损伤的血管或腔内以密封泄漏或出血。 当血管或内腔已被切断时,两个分流器都可以插入到两个不同的血管或腔内。 闭孔器允许改进容易插入血管或内腔。 然后将两个分流器可释放地连接以恢复通过容器或内腔的流体连通。 分流器临时放置在患者体内,然后在由合格医师进行确定性修复时取出。
    • 70. 发明授权
    • Air bag inflation device
    • 气囊充气装置
    • US07017195B2
    • 2006-03-28
    • US10741639
    • 2003-12-18
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • Robert F. BuckmanJay A. LenkerDonald J. Kolehmainen
    • A61G9/00
    • A41D13/018A61B5/1117A61B5/6804Y10S2/03
    • This invention relates to active protective garments which are inconspicuously worn by an individual and which activate upon certain conditions being met. Activation causes inflation of regions of the active protective garment to provide padding and impact cushioning for the wearer.The invention is an active protective garment such as pair of shorts or pants, a jacket, a vest, underwear, and the like. The garments comprise multiple layers of material that constrain pockets or regions that are inflatable by a source of compressed gas or foam. The garments also comprise sensors to detect ballistic parameters such as acceleration, distance, relative acceleration, and rotation. The sensor information is used to determine whether activation is required. Detection and activation are accomplished in a very short time period in order to offer maximal protection for the individual wearing the garment. The system comprises a computer or logic controller that monitors the sensor data in real time and coordinates the information from all sensors. The system calculates velocity, distance, and rotational velocity. A rule-based system is used to detect a complex fall in progress and discriminate said fall in progress from the events of every day life. The pockets or inflatable regions of the garment protect the individual against falls and other impacts that may cause bone fracture or organ damage.
    • 本发明涉及一种由个体不明显佩戴的活性防护服,并且在某些条件下被激活。 激活导致主动防护服的区域的膨胀为穿戴者提供衬垫和冲击缓冲。 本发明是一种活性防护服,例如短裤或裤子,夹克,背心,内衣等。 衣服包括多层材料,其限制可被压缩气体或泡沫源充气的口袋或区域。 服装还包括用于检测弹道参数(如加速度,距离,相对加速度和旋转)的传感器。 传感器信息用于确定是否需要激活。 检测和激活在非常短的时间内完成,以便为穿着衣服的个人提供最大的保护。 该系统包括计算机或逻辑控制器,其实时监测传感器数据并协调来自所有传感器的信息。 系统计算速度,距离和旋转速度。 使用基于规则的系统来检测复杂的下降过程,并将所有的堕落与每天生活中的事件区分开来。 衣服的口袋或充气区域保护个人免受可能导致骨折或器官损伤的跌倒和其他冲击。