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61. 发明授权

US5171311A Percutaneous laparoscopic cholecystectomy instrument 失效
标题翻译：经皮腹腔镜胆囊切除术
公开(公告)号：US5171311A
公开(公告)日：1992-12-15
申请号：US763559
申请日：1991-09-23
申请人： Mark A. Rydell , David J. Parins , Steven W. Berhow
发明人： Mark A. Rydell , David J. Parins , Steven W. Berhow
IPC分类号： A61B18/14 , A61M1/00
CPC分类号： A61B18/1482 , A61B18/1402 , A61B2018/00119
摘要： An instrument for performing a percutaneous laparoscopic cholecystectomy includes a generally rigid, tubular body with a proximal end, a distal end and a lumen extending between these two ends and with a pair of bipolar electrodes projecting from the distal end of the tubular body and a handle member affixed to its proximal end. The outside diameter of the tubular body is sufficiently small that it can readily pass through a cannula inserted through a puncture made through the abdominal wall. A pair of conductors, connected at one end to the bipolar electrodes and at their other end to a source of radio frequency voltage, extend through the tube's lumen and a handle. Moreover, a fluid port may be formed through the handle so as to be in fluid communication with the lumen of the tube whereby fluids may be perfused through the instrument during its use or a suction may be applied to the proximal port for aspirating the surgical site. In one embodiment of the invention, the bipolar electrodes may be formed as conductive traces extending along the peripheral edges of a thin ceramic blade. In an alternative arrangement, the bipolar electrodes comprise first and second closley space J-spaced conductive hook members.
摘要翻译：用于进行经皮腹腔镜胆囊切除术的器械包括通常刚性的管状体，其具有近端，远端和在这两个端部之间延伸的内腔，以及从管状体的远端突出的一对双极电极和手柄构件固定在其近端。管状体的外径足够小，使得其可以容易地穿过插入通过腹壁制成的穿刺的套管。在一端连接到双极电极并且在另一端连接到射频电压源的一对导体延伸穿过管的内腔和手柄。此外，可以通过手柄形成流体端口以便与管腔流体连通，从而在使用过程中可以通过仪器灌注流体，或者可以将吸力施加到近端口以抽吸手术部位。在本发明的一个实施例中，双极电极可以形成为沿着薄陶瓷刀片的周边边缘延伸的导电迹线。在替代布置中，双极电极包括第一和第二闭合空间J隔开的导电钩构件。

62. 发明授权

US5171255A Biopsy device 失效
标题翻译：活检装置
公开(公告)号：US5171255A
公开(公告)日：1992-12-15
申请号：US774892
申请日：1991-10-11
申请人： Mark A. Rydell
发明人： Mark A. Rydell
IPC分类号： A61B10/00 , A61B10/04 , A61B17/00 , A61B17/22 , A61B18/00 , A61B18/14
CPC分类号： A61B10/04 , A61B17/32075 , A61B18/1492 , A61B10/02 , A61B18/1402 , A61B2017/00292 , A61B2018/00196
摘要： A biopsy instrument comprises an elongated flexible tube having a sharpened metal sleeve affixed to its distal end. An anvil member is affixed to the distal end of an elongated rod or wire which fits through the lumen of the tube and which is reciprocally moveable in the longitudinal direction by appropriately manipulating a handle device affixed to the proximal end of the tube. Affixed to the anvil member and electrically connected to the rod is an electrode. Means are provided for connecting an RF voltage between the electrode and metal sleeve for coagulating blood at the site where a tissue sample is excised from the internal wall of a body organ. The tissue sample is excised by positioning it against the sharpened edge of the metal sleeve and drawing back on the anvil to sever the sample and draw it into the interior of the sleeve where it remains until removed.
摘要翻译：活检器械包括细长的柔性管，其具有固定在其远端的尖锐金属套筒。砧构件固定在细长的杆或线的远端，细长的杆或线通过管的内腔配合，并且通过适当地操纵固定到管的近端的把手装置，其可沿纵向方向往复运动。固定在砧座构件上并与杆电连接的是电极。提供了用于连接电极和金属套筒之间的RF电压的装置，用于在从身体器官的内壁切除组织样本的位置处凝结血液。通过将组织样本定位在金属套筒的锋利边缘上并在砧座上拉回来切割样品并将其吸入套筒的内部，直到移除。

63. 发明授权

US5026371A Handle for polypectome snare with bipolar electrodes 失效
标题翻译：用双极电极处理polypectome圈套
公开(公告)号：US5026371A
公开(公告)日：1991-06-25
申请号：US590783
申请日：1990-10-01
申请人： Mark A. Rydell , Brent L. Anderson
发明人： Mark A. Rydell , Brent L. Anderson
IPC分类号： A61B17/32 , A61B18/14
CPC分类号： A61B18/14 , A61B17/32056 , A61B18/1402 , A61B2018/1407
摘要： An improved handle for a polypectome snare for use in excising polyps from an internal body cavity. The apparatus generally comprises a radio frequency polypectome snare which includes a hand grip assembly, a flexible tubing assembly capable of fitting within an endoscope, an electrode loop portion and a power supply means. The hand grip assembly is made of molded pieces of inflexible plastic comprising a longitudinal housing portion and a slide member having opposing finger grip members. When the slide member is in its most proximal position, the electrode loop portion is withdrawn into the flexible tubing. As the slide member is advanced toward the distal end of the longitudinal housing, the electrode wires are advanced out of the flexible tubing, forming a loop that can be placed around the stem of a polyp. Once again withdrawing the loop into the end of the flexible tubing while simultaneously applying RF voltage shears the polyp at its base. The slide member and housing are designed to be molded using conventional equipment, a significant improvement over the prior art in which several pieces had been proportioned by hand. This is possible because the molded housing of the hand grip is fitted with a longitudinal slot which receives the molded slide member in such manner that the only movement permitted is proximal or distal to the tubing. The electrode wires are affixed to a molded slide block on the slide member and are encased in rigid conductor tubes that extend the full length of the housing. A molded guide and retaining hub further stabilize the wires in the distal end of the housing. The electrode wires thus remain insulated from one another and do not short or arc because this stabilized arrangement at the distal end of the housing works in tandem with the stabilizing aspect of the slide member slide block to prohibit twisting of the wires or conductor tubes.
摘要翻译：一种用于从内部体腔切除息肉的多节点圈套的改进手柄。该装置通常包括射频多光谱圈套，其包括手柄组件，能够装配在内窥镜内的柔性管组件，电极环部分和电源装置。手柄组件由不弯曲塑料的模制件制成，其包括纵向壳体部分和具有相对的手指抓握构件的滑动构件。当滑动构件处于其最近的位置时，电极环部分被抽出到柔性管中。当滑动构件朝向纵向壳体的远端前进时，电极线从柔性管道中推出，形成可以放置在息肉的茎周围的环。再次将回路引回到柔性管的末端，同时施加RF电压在其底部剪切息肉。滑动构件和壳体被设计为使用常规设备模制，相对于其中几个手已经成比例的现有技术的显着改进。这是可能的，因为手柄的模制壳体装配有纵向槽，其容纳模制的滑动构件，使得允许的唯一移动在管的近端或远端。电极线固定在滑动构件上的模制滑动块上，并且被封装在延伸壳体全长的刚性导体管中。模制的引导件和保持衬套进一步稳定了外壳远端的电线。电极线因此保持彼此绝缘并且不短路或弧形，因为在壳体的远端处的这种稳定的布置与滑动构件滑块的稳定方面一起工作，以防止电线或导体管的扭曲。

64. 发明授权

US5007908A Electrosurgical instrument having needle cutting electrode and spot-coag electrode 失效
标题翻译：电切手术具有针切电极和点凝电极
公开(公告)号：US5007908A
公开(公告)日：1991-04-16
申请号：US414448
申请日：1989-09-29
申请人： Mark A. Rydell
发明人： Mark A. Rydell
IPC分类号： A61B17/00 , A61B18/00 , A61B18/14 , A61M3/02
CPC分类号： A61B18/1477 , A61B18/1492 , A61B18/1402 , A61B2017/00292 , A61B2018/00119 , A61B2018/00196 , A61B2018/00607 , A61B2018/126 , A61B2018/1472 , A61B2018/162 , A61M3/0279
摘要： An electrosurgical instrument for use in combination with an endoscope for cutting tissue and cauterizing/coagulating the resulting wound area is described. The instrument comprises an elongated flexible tubular member having a proximal end, a distal end, and plural lumens extending therebetween. Affixed to the distal end of the tube is a bullet-shaped ceramic tip member having a centrally-disposed longitudinal bore passing through the side wall of the tip member. The ceramic exterior surface of the tip member is covered with a conductive layer forming a first inactive electrode. An electrical conductor joined to that electrode surface feeds back through a lumen of the tube to its proximal end where it may be coupled to an electrosurgical generator. Also running through a lumen in the tube is another conductor which can be made to project outwardly through the opening in the tip member. A hub having a spring-loaded plunger is affixed to the proximal end of the tube with the plunger joined to the wire so that when the plunger is depressed, the distal end of the wire will project a short distance beyond the extremity of the tip member. By coupling this second conductor to an electrosurgical generator, it becomes the active electrode of a bipolar pair.
摘要翻译：描述了一种与内窥镜组合使用的用于切割组织并烧灼/凝结所得到的伤口区域的电外科器械。仪器包括细长的柔性管状构件，其具有近端，远端和在它们之间延伸的多个腔。附着在管的远端的子弹形陶瓷尖端部件具有通过尖端部件的侧壁的居中设置的纵向孔。尖端部件的陶瓷外表面被形成第一非活性电极的导电层覆盖。连接到该电极表面的电导体通过管的内腔反馈到其近端，在其近端处可以耦合到电外科发生器。还穿过管中的内腔的另一个导体可以通过尖端构件中的开口向外突出。具有弹簧加载柱塞的轮毂被固定到管的近端，其中柱塞接合到线，使得当柱塞被压下时，线的远端将突出超过尖端构件的末端的短距离。通过将该第二导体耦合到电外科发生器，它成为双极对的有源电极。

65. 发明授权

US4811737A Self-purging balloon catheter 失效
标题翻译：自净气囊导管
公开(公告)号：US4811737A
公开(公告)日：1989-03-14
申请号：US120658
申请日：1987-11-16
申请人： Mark A. Rydell
发明人： Mark A. Rydell
IPC分类号： A61M29/02
CPC分类号： A61M25/104 , A61M2025/1077
摘要： A tubular catheter having an inflatable expander member mounted thereon at the distal end thereof is provided with an extremely fine slit passing through the wall of the tubular catheter such that when a liquid is introduced under pressure into the proximal end thereof for inflating the balloon, any air present in the lumen of the catheter and in the yet unexpanded balloon is forced out through the slit. The slit or vent opening through the tube wall is so small that when the catheter is again aspirated to remove the purging fluid, air does not re-enter the expander through the vent opening.
摘要翻译：具有在其远端安装有充气膨胀器构件的管状导管设置有穿过管状导管的壁的极细的狭缝，使得当液体在压力下被引入其近端以使气囊膨胀时，任何存在于导管管腔中的空气和尚未膨胀的球囊中的空气被迫通过狭缝排出。通过管壁的狭缝或通气口开口很小，当再次吸出导管以除去清洗液时，空气不会通过排气口重新进入膨胀机。

66. 发明授权

US4784636A Balloon atheroectomy catheter 失效
标题翻译：气球动脉粥样硬化切除术导管
公开(公告)号：US4784636A
公开(公告)日：1988-11-15
申请号：US44360
申请日：1987-04-30
申请人： Mark A. Rydell
发明人： Mark A. Rydell
IPC分类号： A61B17/32 , A61B17/00 , A61B17/22 , A61B17/3211
CPC分类号： A61B17/320758 , A61B2017/00553 , A61B2017/22075
摘要： A catheter assembly especially designed for the performance of atherectomy procedures which includes a guide catheter having an inflatable balloon disposed on the distal end portion thereof, the guide catheter being dimensioned to receive in its lumen an elongated drive tube having an annular cutting tip affixed to the distal end thereof. A rotational drive mechanism is coupled to the drive tube at its proximal end for rotating same. Provision is also made in the drive mechanism for introducing fluid through the lumen of the guide catheter for inflating its balloon and for drawing a vacuum on the lumen of the drive tube for aspirating the treatment site. In use, the guide catheter with the drive tube and cutter head retracted is advanced up to the occlusion and then, the balloon is inflated to lock the distal end in place. Next, the cutter is rotated at high speed and advanced into the occlusion, while blood and any loose particulate matter is aspirated. The balloon is then deflated and advanced further into the lesion. These steps are repeated until the balloon is totally across the occlusion.

67. 发明授权

US4758223A Inflation device for angioplasty catheter 失效
标题翻译：血管成形术导管的通气装置
公开(公告)号：US4758223A
公开(公告)日：1988-07-19
申请号：US945964
申请日：1986-12-24
申请人： Mark A. Rydell
发明人： Mark A. Rydell
IPC分类号： A61F2/958 , A61M29/00
CPC分类号： A61M25/10182 , A61M25/1018 , A61M25/10185 , A61M25/10187
摘要： A hand-operated device for inflating the expander on a balloon-type catheter and for perfusing fluids through the catheter and out its distal end. The inflator device comprises a housing containing a relatively large diameter and volume syringe and a relatively small diameter and volume syringe and a three-way valve for selectively controlling the fluid flow from the large syringe into the small syringe, from the large syringe into the lumen of the catheter or from the small syringe into the lumen of the catheter. By incorporating the two syringes in the same housing, a large volume of fluid, such as a radiopaque contrast medium, can be injected through the catheter and out its distal end while the small diameter and volume syringe can be used to pressurize the expander with considerably less effort than if the large diameter syringe had been used.
摘要翻译：一种用于在球囊型导管上使膨胀器充气并且用于通过导管灌注流体并从其远端排出的手动装置。充气机装置包括一个壳体，其容纳相对较大直径和体积的注射器以及相当小直径和体积的注射器和三通阀，用于选择性地控制从大型注射器到小注射器的流体从大型注射器流入管腔的导管或从小注射器进入导管的内腔。通过将两个注射器并入相同的壳体中，可以通过导管将大量体积的流体（例如不透射线的造影剂）注射到其远端，同时可以使用小直径和体积的注射器来大大地对膨胀器加压比使用大直径注射器的努力更少。

68. 发明授权

US4646742A Angioplasty catheter assembly 失效
标题翻译：血管成形术导管组件
公开(公告)号：US4646742A
公开(公告)日：1987-03-03
申请号：US822385
申请日：1986-01-27
申请人： Brian M. Packard , David J. Parins , Mark A. Rydell
发明人： Brian M. Packard , David J. Parins , Mark A. Rydell
IPC分类号： A61M25/08 , A61F2/958 , A61M25/00 , A61M29/02
CPC分类号： A61M25/10181 , A61M25/1018 , A61M25/104
摘要： An angioplasty catheter having an outer tubular member and a coaxially aligned inner tubular member. The outer tube is of a first predetermined diameter over a majority of its length, but then tapers down, in a transition zone, to a second predetermined diameter less than the first and which extends to the catheter's distal tip. The inner tube has a distal end shaped to mate with the inside surface of the outer tube in the transition zone to form a seal when the inner tube is advanced in the distal direction. An expander is secured to the outer tube and inflatable by perfusing a fluid in the zone between the outer and inner tubes and through ports formed through the wall of the outer tube in the transition zone. By manipulating the proximal end of the inner tube, blood or other fluids may be perfused or exasperated and made to inflate or deflate the expander, the distal end of the inner tube acting as a valve, seating with the inner surface of the outer tube in the transition zone. The inner tube may be removed completely for maximum perfusion or for replacement with a guide wire or an optical fiber when performing laser angioplasty. The hub on the proximal end of the catheter body facilitates the manipulation of the aforementioned valve and the introduction of a perfusant along the length of the catheter body.
摘要翻译：一种血管成形术导管，其具有外部管状构件和同轴对准的内部管状构件。外管在其大部分长度上具有第一预定直径，但是在过渡区域中逐渐变细到比第一预定直径小的第二预定直径，并延伸到导管的远端。内管具有形状与过渡区域中的外管内表面配合的远端，以在内管沿远端方向前进时形成密封。膨胀器被固定到外管并且可以通过在外管和内管之间的区域中灌注流体并且通过在过渡区中通过外管的壁形成的端口来充气。通过操纵内管的近端，血液或其他流体可能被灌注或激怒，并使膨胀器膨胀或放气，内管的远端作为阀，与外管的内表面对准过渡区。当进行激光血管成形术时，内管可以被完全去除以用于最大灌注或用导线或光纤替代。导管主体的近端上的毂有利于上述阀的操作和沿导管主体的长度引入灌注液。

69. 发明申请

US20150202049A9 System and Method for Ankle Arthroplasty 有权
标题翻译：踝关节成形术的系统与方法
公开(公告)号：US20150202049A9
公开(公告)日：2015-07-23
申请号：US13226839
申请日：2011-09-07
申请人： Mark A. Rydell , Scott McGarvey , Jeffrey C. Felt
发明人： Mark A. Rydell , Scott McGarvey , Jeffrey C. Felt
IPC分类号： A61F2/42
CPC分类号： A61F2/4202 , A61B17/1615 , A61B17/1659 , A61B17/562 , A61B17/8872 , A61B90/00 , A61B90/90 , A61B2090/061 , A61B2090/062 , A61F2/0095 , A61F2/3094 , A61F2/30965 , A61F2/4225 , A61F2/4606 , A61F2/4657 , A61F2/4684 , A61F2002/30148 , A61F2002/30563 , A61F2002/30576 , A61F2002/30616 , A61F2002/3071 , A61F2002/30754 , A61F2002/3082 , A61F2002/30881 , A61F2002/30884 , A61F2002/4205 , A61F2002/4207 , A61F2002/4215 , A61F2002/4233 , A61F2002/4235 , A61F2002/4622 , A61F2002/4628 , A61F2002/4658 , A61F2230/0017 , A61F2250/0085 , A61F2310/00365
摘要： A monolithic interpositional arthroplasty implant for use in repairing gyngylmus joints such as the joints of the ankle. The implant is a monolithic tibiotalar implant having a first major surface shaped to be positioned against a tibia. The tibia is allowed to articulate across the first major surface. A second major surface is shaped to be positioned against the talus.
摘要翻译：用于修复诸如踝关节之间的Gyngylmus关节的整体式插入关节置换植入物。植入物是具有成形为抵靠胫骨定位的第一主表面的整体式tibiotalar植入物。允许胫骨在第一个主要表面上铰接。第二主表面成形为抵靠距离定位。

70. 发明申请

US20120016380A1 SKIN ABRASION SYSTEM AND METHOD 有权
标题翻译：皮肤磨损系统和方法
公开(公告)号：US20120016380A1
公开(公告)日：2012-01-19
申请号：US13241734
申请日：2011-09-23
申请人： Brian D. Zelickson , David A. Kist , Mark A. Rydell
发明人： Brian D. Zelickson , David A. Kist , Mark A. Rydell
IPC分类号： A61B17/50
CPC分类号： A45D26/0004 , A45D44/00 , A61B17/54 , A61B2017/00128 , A61B2017/00132 , A61B2017/00199 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2017/00734 , A61B2017/00761 , A61B2017/320008 , A61B2017/320076 , A61B2017/320078 , A61B2090/065 , A61K8/0208 , A61Q9/04
摘要： A system and method for rejuvenating skin through ablation using a handheld device (200) having a removable treatment component (213) with an abrasive material on one surface of the component which surface is on a portion of the treatment component (213) configured to conform to a skin surface. The system further includes application of other elements to facilitate skin recovery and rejuvenation processes.
摘要翻译：一种用于通过消融来恢复皮肤的系统和方法，所述手持式装置（200）具有可移除处理部件（213），所述手术装置在所述部件的一个表面上具有研磨材料，该表面位于所述处理部件（213）的被配置为符合到皮肤表面。该系统还包括应用其他元素以促进皮肤恢复和复原过程。

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