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61. 发明申请

US20140358168A1 Apparatus and Methods for Occluding an Anatomical Structure 有权
标题翻译：闭塞解剖结构的装置和方法
公开(公告)号：US20140358168A1
公开(公告)日：2014-12-04
申请号：US14462930
申请日：2014-08-19
申请人： James David Hughett, SR. , Salvatore Privitera , Michael D. Hooven
发明人： James David Hughett, SR. , Salvatore Privitera , Michael D. Hooven
IPC分类号： A61B17/12
CPC分类号： A61B17/12022 , A61B17/08 , A61B17/1227 , A61B17/1285 , A61B2017/1205
摘要： Apparatus and methods are disclosed for occluding an anatomical structure including an occlusion apparatus having first and second beams and at least one connector for connecting the respective ends of the beams together. The occlusion apparatus may be adapted for use in a deployment device having a pair of jaws and optionally having a respective pair of shuttle bodies for releasably connecting an occlusion apparatus to the jaws while in an open position and for releasing the occlusion device from the jaws while in a closed position. A system for occluding an anatomical structure is also disclosed that includes an occlusion apparatus and a deployment device for holding the occlusion apparatus in an open position for locating the occlusion device adjacent the anatomical structure to be occluded and then moving the occlusion apparatus to a closed position and locking the occlusion apparatus in the closed position.
摘要翻译：公开了用于闭塞解剖结构的装置和方法，所述解剖结构包括具有第一和第二梁的闭塞装置和用于将梁的相应端部连接在一起的至少一个连接器。闭塞装置可以适用于具有一对钳口的展开装置，并且可选地具有相应的一对梭体，用于在处于打开位置时将闭塞装置可释放地连接到钳口，并且用于将咬合装置从夹爪释放，同时处于关闭状态。还公开了一种用于闭塞解剖结构的系统，其包括闭塞装置和用于将闭塞装置保持在打开位置的展开装置，用于将闭塞装置邻近待闭塞的解剖结构定位，然后将闭塞装置移动到闭合位置并将闭塞装置锁定在关闭位置。

62. 发明申请

US20130131649A1 SURGICAL DEVICE 有权
标题翻译：外科手术
公开(公告)号：US20130131649A1
公开(公告)日：2013-05-23
申请号：US13586737
申请日：2012-08-15
申请人： James David Hughett, SR. , Keith Edward Martin , Salvatore Privitera
发明人： James David Hughett, SR. , Keith Edward Martin , Salvatore Privitera
IPC分类号： A61B17/00
CPC分类号： A61B17/10 , A61B17/00 , A61B17/00234 , A61B17/083 , A61B17/1227 , A61B17/1285 , A61B2017/00367
摘要： A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.
摘要翻译：一种医疗器械，包括：（A）包括第一构件和第二构件的第一接头，所述第一构件构造成在X-Y平面中可相对于所述第二构件重新定位; （B）可操作地联接到所述第一接头的第二接头，所述第二接头包括第三部件和第四部件，所述第三部件被配置为在垂直于所述X-Y平面的Y-Z平面中相对于所述第四部件重新定位; 和（C）可操作地联接到第一关节和第二关节的控制器，所述控制器包括构造成引导重新定位所述第一构件和所述第二构件中的至少一个的第一控制，以及第二控制，所述第二控制被配置为直接重新定位第三成员和第四成员中的至少一个。

63. 发明申请

US20120179153A1 SURGICAL INSTRUMENT WITH SEPARATE TOOL HEAD AND METHOD OF USE 有权
标题翻译：具有独立工具头的手术仪器及其使用方法
公开(公告)号：US20120179153A1
公开(公告)日：2012-07-12
申请号：US13422208
申请日：2012-03-16
申请人： Salvatore Privitera , Matthew J. Winkler
发明人： Salvatore Privitera , Matthew J. Winkler
IPC分类号： A61B18/18 , A61B19/00
CPC分类号： A61B34/70 , A61B17/10 , A61B17/32 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B34/30 , A61B2017/00243 , A61B2017/320044 , A61B2018/00577 , A61B2018/145 , A61B2034/305
摘要： Surgical instruments are disclosed in which an elongated shaft is used in conjunction with a separate, remotely actuable tool head for performing a procedure on a target tissue. The shaft has a tool engagement member carried at its distal end that is remotely actuable through the shaft to engage and release the tool head.
摘要翻译：公开了一种外科器械，其中细长轴与单独的可远程致动的工具头结合使用，用于在靶组织上执行过程。轴具有在其远端承载的工具接合构件，该工具接合构件可通过轴远程地致动以接合和释放工具头。

64. 发明授权

US08034051B2 Ablation device with sensor 有权
标题翻译：消融装置与传感器
公开(公告)号：US08034051B2
公开(公告)日：2011-10-11
申请号：US11457919
申请日：2006-07-17
申请人： Keith Edward Martin , Salvatore Privitera , Christopher J. Park
发明人： Keith Edward Martin , Salvatore Privitera , Christopher J. Park
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/0016 , A61B2018/00577 , A61B2018/00648 , A61B2018/00702 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61N1/3622
摘要： An electrosurgical device having a distal tip for creating a lesion on tissue includes a first electrode and a second electrode that are parallel for the delivery of RF energy to tissue. A sensor electrode is provided parallel to and spaced away from the first electrode a different distance than the second electrode. When the sensor electrode and at least one of the first and second electrodes are in contact with tissue, The electrosurgical device can perform at least one of the following: ablating tissue, and sensing at least one selected from the group of voltage, tissue impedance, electrical conduction, conduction time, conduction velocity, and signal phase angle.
摘要翻译：具有用于在组织上产生损伤的远侧末端的电外科装置包括平行于将RF能量递送至组织的第一电极和第二电极。传感器电极平行于第一电极并与第二电极间隔开距离与第二电极不同的距离。当传感器电极和第一和第二电极中的至少一个与组织接触时，电外科设备可以执行以下中的至少一个：烧蚀组织，并感测从电压，组织阻抗，电导，导通时间，传导速度和信号相位角。

65. 发明申请

US20110245579A1 MEDICAL EFFECTOR SYSTEM 审中-公开
标题翻译：医疗效果系统
公开(公告)号：US20110245579A1
公开(公告)日：2011-10-06
申请号：US13158524
申请日：2011-06-13
申请人： Paul J. Bruggeman , Mark A. Burdorff , William L. Collins, JR. , William T. Donofrio , Curt R. Eyster , Hal H. Katz , James F. Martin , Anil K. Nalagatla , Paul J. Niklewski , Salvatore Privitera , Fred B. Stevens, III , Jeffery J. Wuennemann , Randall S. Hickle
发明人： Paul J. Bruggeman , Mark A. Burdorff , William L. Collins, JR. , William T. Donofrio , Curt R. Eyster , Hal H. Katz , James F. Martin , Anil K. Nalagatla , Paul J. Niklewski , Salvatore Privitera , Fred B. Stevens, III , Jeffery J. Wuennemann , Randall S. Hickle
IPC分类号： A61M5/168 , A61M16/01 , A61N2/00
CPC分类号： A61M5/142 , A61B5/0836 , A61B5/411 , A61B5/6819 , A61B5/682 , A61B5/7495 , A61M5/14228 , A61M5/162 , A61M5/16831 , A61M5/172 , A61M16/0051 , A61M16/024 , A61M16/0493 , A61M16/0672 , A61M16/0677 , A61M16/0688 , A61M16/0808 , A61M16/085 , A61M16/0858 , A61M21/02 , A61M2016/0027 , A61M2016/1025 , A61M2021/0027 , A61M2202/0208 , A61M2202/048 , A61M2202/062 , A61M2205/05 , A61M2205/12 , A61M2205/123 , A61M2205/13 , A61M2205/14 , A61M2205/273 , A61M2205/3334 , A61M2205/3553 , A61M2205/3561 , A61M2205/3584 , A61M2205/505 , A61M2205/6072 , A61M2205/7536 , A61M2209/084 , A61M2210/0618 , A61M2210/0625 , A61M2210/0662 , A61M2230/04 , A61M2230/06 , A61M2230/205 , A61M2230/30 , A61M2230/432 , A61M2230/63 , G06Q50/22 , G06Q50/24
摘要： A sedation delivery system comprised of a bedside unit and a procedure unit. The bedside unit contains a series of connection points for receiving inputs from a series of patient monitors. The procedure unit contains a patient monitoring and a drug delivery pump or magnetic flux generator capable of sedative therapy to a patient. The sedation delivery system contains the capability to issue and receive a request from a non-sedated patient, issue and receive a request from a sedated patient and then to calculate a time difference. The sedation delivery system program operates the pump or magnetic flux generator based upon at least some of the patient outputs and program inputs including a calculated time difference. A removable umbilical cable connects the two units and allows the output of the patient monitors as well as other information to travel between the two units.
摘要翻译：一种由床边单元和程序单元组成的镇静递送系统。床边单元包含一系列连接点，用于接收来自一系列病人监护仪的输入。程序单元包含能够对患者进行镇静治疗的患者监测和药物输送泵或磁通量发生器。镇静递送系统包含发出和接收来自非镇静患者的请求的能力，发出并接收来自镇静患者的请求，然后计算时间差。所述镇静递送系统程序基于所述患者输出和程序输入中的至少一些包括计算出的时间差来操作所述泵或磁通量产生器。可拆卸的脐带电缆连接两个单元，并允许患者监护仪的输出以及其他信息在两个单元之间行进。

66. 发明授权

US08029528B2 Instrument guide and method for use 有权
标题翻译：仪器指南和使用方法
公开(公告)号：US08029528B2
公开(公告)日：2011-10-04
申请号：US11254057
申请日：2005-10-19
申请人： Kenneth Lance Miller , Salvatore Privitera , James David Hughett, Sr.
发明人： Kenneth Lance Miller , Salvatore Privitera , James David Hughett, Sr.
IPC分类号： A61B17/00 , A61B18/12
CPC分类号： A61B17/06109 , A61B17/06004 , A61B17/3431 , A61B17/3468 , A61B18/1442 , A61B90/11 , A61B2017/0046 , A61B2017/00469 , A61B2017/00805 , A61B2017/2926 , A61B2017/2927 , A61B2017/2945 , A61B2017/320044 , A61B2017/320056 , A61B2018/1432 , A61B2018/145 , A61F2/0045
摘要： An instrument guide and method for use. An elongate flexible body has a proximal end and a distal end. The elongate body has two portions, one or more resilient than the other. A distal pocket is positioned adjacent the distal end of the elongate flexible body. An anchor is provided to attach the guide to a surgical instrument.
摘要翻译：仪器指南和使用方法。细长的柔性体具有近端和远端。细长体具有两个部分，一个或多个弹性比另一部分。远端袋位于细长柔性体的远端附近。提供锚固件以将引导件附接到外科器械。

67. 发明授权

US07970631B2 Medical effector system 有权
标题翻译：医疗效应器系统
公开(公告)号：US07970631B2
公开(公告)日：2011-06-28
申请号：US11158161
申请日：2005-06-21
申请人： Paul J. Bruggeman , Mark A. Burdorff , William L. Collins, Jr. , William T. Donofrio , Curt R. Eyster , Hal H. Katz , James F. Martin , Anil K. Nalagatla , Paul J. Niklewski , Salvatore Privitera , Fred B. Stevens, III , Jeffery J. Wuennemann , Randall S. Hickle
发明人： Paul J. Bruggeman , Mark A. Burdorff , William L. Collins, Jr. , William T. Donofrio , Curt R. Eyster , Hal H. Katz , James F. Martin , Anil K. Nalagatla , Paul J. Niklewski , Salvatore Privitera , Fred B. Stevens, III , Jeffery J. Wuennemann , Randall S. Hickle
IPC分类号： G06Q10/00 , G06F7/00
CPC分类号： A61M5/142 , A61B5/0836 , A61B5/411 , A61B5/6819 , A61B5/682 , A61B5/7495 , A61M5/14228 , A61M5/162 , A61M5/16831 , A61M5/172 , A61M16/0051 , A61M16/024 , A61M16/0493 , A61M16/0672 , A61M16/0677 , A61M16/0688 , A61M16/0808 , A61M16/085 , A61M16/0858 , A61M21/02 , A61M2016/0027 , A61M2016/1025 , A61M2021/0027 , A61M2202/0208 , A61M2202/048 , A61M2202/062 , A61M2205/05 , A61M2205/12 , A61M2205/123 , A61M2205/13 , A61M2205/14 , A61M2205/273 , A61M2205/3334 , A61M2205/3553 , A61M2205/3561 , A61M2205/3584 , A61M2205/505 , A61M2205/6072 , A61M2205/7536 , A61M2209/084 , A61M2210/0618 , A61M2210/0625 , A61M2210/0662 , A61M2230/04 , A61M2230/06 , A61M2230/205 , A61M2230/30 , A61M2230/432 , A61M2230/63 , G06F19/00 , G06Q50/22 , G06Q50/24
摘要： A medical effector system comprised of a bedside unit and a procedure unit. The bedside unit contains a series of connection points for receiving inputs from a series of patient monitors. The procedure unit contains a patient monitoring and medical effector program, and a drug delivery pump or magnetic flux generator capable of delivering therapeutic energy to a patient. The medical effector system contains the capability to issue and receive a request from a non-sedated patient, issue and receive a request from a sedated patient and then to calculate a time difference. The medical effector program operates the pump or magnetic flux generator based upon at least some of the patient outputs and program inputs including a calculated time difference. A removable umbilical cable connects the two units and allows the output of the patient monitors as well as other information to travel between the two units.
摘要翻译：包括床边单元和程序单元的医疗执行器系统。床边单元包含一系列连接点，用于接收来自一系列病人监护仪的输入。程序单元包括患者监测和医疗效应器程序，以及能够将治疗能量递送给患者的药物输送泵或磁通量发生器。医疗执行器系统包含发出和接收来自非镇静患者的请求的能力，发出并接收来自镇静患者的请求，然后计算时间差。医疗效应器程序基于患者输出和程序输入中的至少一些包括计算出的时间差来操作泵或磁通量发生器。可拆卸的脐带电缆连接两个单元，并允许患者监护仪的输出以及其他信息在两个单元之间行进。

68. 发明授权

US07828795B2 Surgical ablation and pacing device 有权
标题翻译：手术消融和起搏装置
公开(公告)号：US07828795B2
公开(公告)日：2010-11-09
申请号：US11363707
申请日：2006-02-28
申请人： Salvatore Privitera , Keith Edward Martin , Michael Dawson Hooven
发明人： Salvatore Privitera , Keith Edward Martin , Michael Dawson Hooven
IPC分类号： A61B18/14 , A61B5/04 , A61N1/05
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/00375 , A61B2018/00577 , A61B2018/1495 , A61N1/05
摘要： A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.
摘要翻译：手术装置具有整体的第一末端，其具有一对电极，其被配置为使用电能来消融组织。第二尖端具有一对电极，其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。第二尖端构造成卡扣到第一尖端上，使得相同的装置可用于消融，起搏和感测。或者，第二末端可以与装置成一体，并且第一末端被配置成卡扣到第二末端。或者，手术装置的单个整体尖端可用于消融，起搏和感测。这种多功能尖端可以包括多个电极对或电极阵列。设备或其他地方的用户界面可以是可操作的，以提供可选择的模式，用于选择性地改变传递到电极的信号的特性。

69. 发明申请

US20100241114A1 CRYOGENIC PROBE 有权
标题翻译：低温探头
公开(公告)号：US20100241114A1
公开(公告)日：2010-09-23
申请号：US12727995
申请日：2010-03-19
申请人： Salvatore Privitera , Jeffrey T. Ruwe
发明人： Salvatore Privitera , Jeffrey T. Ruwe
IPC分类号： A61B18/02
CPC分类号： A61B18/02 , A61B2018/0287
摘要： A cryogenic probe for ablating cardiac tissue is provided comprising a handle piece and an elongated probe tube extending from the handle that terminates in a malleable end effector closed at its distal end and having a smooth outer surface. A semi-rigid insulative sleeve extends from the handle and overlies the proximal portion of the probe tube. An internal support preferably in the form of a coiled spring is located interior of the probe tube for supporting the interior surface of the probe tube. A plurality of cryogenic fluid supply tubes are disposed on the interior of the probe tube for introducing cryogenic fluid to the probe tube, each supply tube having an outlet orifice, with the outlet orifices being staggered along the length of the probe tube. In one embodiment, the probe tube is axially movable relative to the sleeve/handle between retracted and extended positions. Also, the probe tube may be provided with a thermocouple for measuring the temperature of the surface of the probe tube.
摘要翻译：提供了用于消融心脏组织的低温探针，其包括手柄部件和从手柄延伸的细长探针管，其终止于在其远端处封闭并具有平滑外表面的可延展末端执行器。半刚性绝缘套筒从手柄延伸并且覆盖在探针管的近端部分上。优选为螺旋弹簧形式的内部支撑件位于探针管的内部，用于支撑探针管的内表面。多个低温流体供应管设置在探针管的内部，用于将低温流体引入探针管，每个供应管具有出口孔，出口孔沿探针管的长度交错。在一个实施例中，探针管可相对于缩回位置和延伸位置之间的套筒/手柄轴向移动。此外，探针管可以设置有用于测量探针管表面的温度的热电偶。

70. 发明申请

US20100185232A1 SURGICAL CLAMP 有权
标题翻译：手术夹
公开(公告)号：US20100185232A1
公开(公告)日：2010-07-22
申请号：US12748842
申请日：2010-03-29
申请人： James David Hughett, SR. , Salvatore Privitera
发明人： James David Hughett, SR. , Salvatore Privitera
IPC分类号： A61B17/28
CPC分类号： A61B18/1445 , A61B2017/2927 , A61B2017/2944 , A61B2017/2945 , A61B2018/1432 , A61B2018/145 , A61B2018/1861
摘要： A surgical clamp including a pair of jaws, which may be used to ablate or create lesions in tissue. In an exemplary embodiment, the jaws are movable between an articulated position in which the jaws are separated and not parallel to one another, an opened position in which the jaws are separated and substantially parallel to one another, and a closed position in which the jaws are adjacent and substantially parallel to one another.
摘要翻译：包括一对钳口的手术夹具，其可用于在组织中消融或产生损伤。在示例性实施例中，夹爪可以在夹爪分离并且彼此不平行的铰接位置之间移动，其中夹爪彼此分离并且基本上彼此平行的打开位置，以及闭合位置，相邻并且基本上彼此平行。

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