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71. 发明申请

US20100324416A1 CAVITY-FILLING BIOPSY SITE MARKERS 有权
公开(公告)号：US20100324416A1
公开(公告)日：2010-12-23
申请号：US12852286
申请日：2010-08-06
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones
IPC分类号： A61B8/00
CPC分类号： A61B8/481 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/3908 , A61B2090/392 , A61B2090/3925 , A61B2090/395 , A61B2090/3954 , A61B2090/3966 , A61B2090/3987 , A61B2090/3995 , A61K49/006 , A61K49/222 , A61M37/0069
摘要： The invention provides materials, devices and methods for marking biopsy sites for a limited time. The biopsy-marking materials are ultrasound-detectable bio-resorbable powders, with powder particles typically between about 20 microns and about 800 microns in maximum dimension, more preferably between about 300 microns and about 500 microns. The powders may be formed of polymeric materials containing cavities sized between about 10 microns and about 500 microns, and may also contain binding agents, anesthetic agents, hemostatic agents, and radiopaque markers. Devices for delivering the powders include tubes configured to contain the powders and to fit within a biopsy cannula, the powders being ejected by action of a syringe. Systems may include a tube containing powder, and a syringe containing sterile saline. The tube may be configured to fit within a biopsy cannula such as a Mammotome® or SenoCor 360™ cannula.
摘要翻译：本发明提供用于在有限时间内标记活检部位的材料，装置和方法。活检标记材料是可超声检测的生物可再吸收粉末，粉末颗粒通常在最大尺寸为约20微米至约800微米之间，更优选为约300微米至约500微米。粉末可以由含有大约10微米至约500微米的空腔的聚合材料形成，并且还可以含有粘合剂，麻醉剂，止血剂和不透射线的标记物。用于递送粉末的装置包括被配置为容纳粉末并且装配在活检插管内的管，粉末通过注射器的作用喷射。系统可以包括含有粉末的管和含有无菌盐水的注射器。管可以被配置成装配在活检插管内，例如Mammotome或SenoCor 360 TM插管。

72. 发明授权

US07651511B2 Vascular clamp for caesarian section 有权
标题翻译：剖宫产血管夹
公开(公告)号：US07651511B2
公开(公告)日：2010-01-26
申请号：US10359386
申请日：2003-02-05
申请人： Fred H. Burbank , Michael L. Jones , R. J. Serra , Greig E. Altieri , Jill Uyeno
发明人： Fred H. Burbank , Michael L. Jones , R. J. Serra , Greig E. Altieri , Jill Uyeno
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B5/026 , A61B5/489 , A61B8/06 , A61B8/12 , A61B2017/2825 , A61B2017/4216 , A61B2090/08021
摘要： The invention provides devices, systems and methods for clamping arteries which are useful in reducing or abolishing blood flow in an artery, and may be used to control hemorrhage following a caesarian delivery. A clamping device embodying features of the invention includes a pair of clamping members with opposed pressure-applying members having facing pressure-applying surfaces, at least one of which is a yieldable pressure-applying surface. The yieldable pressure-applying surface is preferably resilient. The clamping members are configured to adjust the distance between pressure-applying surfaces, and a blood flow sensor is disposed on at least one of the pressure-applying members to aid in locating the target artery and also to monitor blood flow through the artery. The clamping device is particularly suitable for occluding uterine arteries by compressing the broad ligament which contains the uterine artery and which is connected to the patient's uterus with the arterial clamp.
摘要翻译：本发明提供用于夹紧动脉的装置，系统和方法，其用于减少或消除动脉中的血液流动，并且可用于控制在切片递送之后的出血。体现本发明特征的夹紧装置包括一对夹紧构件，其具有相对的施加压力的构件，其具有面对的压力施加表面，其中至少一个是可屈服的施加压力表面。可屈服的施加压力的表面优选是弹性的。夹紧构件构造成调节压力施加表面之间的距离，并且血压传感器设置在至少一个压力施加构件上，以帮助定位目标动脉并且还监测通过动脉的血流。夹紧装置特别适用于通过压缩包含子宫动脉的宽韧带并用动脉夹连接到患者的子宫来闭塞子宫动脉。

73. 发明申请

US20100010342A1 Tissue site markers for in vivo imaging 有权
标题翻译：用于体内成像的组织位点标记
公开(公告)号：US20100010342A1
公开(公告)日：2010-01-14
申请号：US12460052
申请日：2009-07-13
申请人： Fred H. Burbank , Paul Lubock , Micheal L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人： Fred H. Burbank , Paul Lubock , Micheal L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号： A61B8/14
CPC分类号： A61M37/0069 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61K49/006 , A61K49/222
摘要： The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.
摘要翻译：本发明涉及活检部位标记和标记活组织检查部位的方法，使得活检腔的位置通过常规成像方法，特别是通过超声成像容易看到。本发明的活检部位标记物具有高的超声反射率，从小标记物呈现出实质的声学特征，以避免在随后的成像研究中掩盖诊断组织特征，并且可以容易地与生物特征区别开来。本发明的活检部位标记物的几个公开的实施方案具有放置在组织部位中的声阻抗的高对比度，以便有效地反射和散射超声能量，并且优选地包括气体填充的内部孔。标记可以具有不均匀的表面轮廓以增强声学特征。标记具有在医学成像期间可识别人造的特征形式。可以将活检部位标记物精确地固定到活检部位，以便当放置放置器械被取出时以及随后移动或操纵标记的组织时抵抗活组织腔的迁移。

74. 发明申请

US20090287078A1 Marker or filler forming fluid 审中-公开
标题翻译：标记或填料成型液
公开(公告)号：US20090287078A1
公开(公告)日：2009-11-19
申请号：US12214947
申请日：2008-06-24
申请人： Fred H. Burbank , Michael L. Jones , Frank Louw , Paul Lubock
发明人： Fred H. Burbank , Michael L. Jones , Frank Louw , Paul Lubock
IPC分类号： A61B6/00 , A61M5/00
CPC分类号： A61B90/39 , A61B2090/3908 , A61B2090/3925 , A61B2090/3933 , A61B2090/3987 , A61K49/226
摘要： A solution for forming a marker or filler mass for an intracorporeal site. The solution contains a polar, water soluble non-aqueous solvent such as dimethyl sulfoxide and a bioabsorbable, essentially water insoluble polymer such as polylactic acid, or copolymers of lactic acid and glycolic acid. The solution may be delivered to the biopsy site by a suitable syringe and delivery tube. The delivery tube is preferably provided with a releasable radiopaque element on the distal tip which can be released within the polymeric marker mass formed in the biopsy cavity.
摘要翻译：用于形成体内部位的标记物或填充剂块的溶液。该溶液含有极性的水溶性非水溶剂如二甲基亚砜和生物可吸收的，基本上不溶于水的聚合物如聚乳酸，或乳酸和乙醇酸的共聚物。溶液可以通过合适的注射器和输送管递送到活检部位。输送管优选地设置在远端上的可释放的不透射线元件，其可以在形成于活检腔内的聚合物标记块内释放。

75. 发明授权

US07616979B2 Uterine tissue monitoring device and method 失效
标题翻译：子宫组织监测装置及方法
公开(公告)号：US07616979B2
公开(公告)日：2009-11-10
申请号：US11413260
申请日：2006-04-28
申请人： Michael L. Jones , Jill Uyeno , Fred H. Burbank , Greig E. Altieri
发明人： Michael L. Jones , Jill Uyeno , Fred H. Burbank , Greig E. Altieri
IPC分类号： A61B5/05 , A61B19/00 , A61B17/42 , A61M31/00
CPC分类号： A61B5/14542 , A61B5/14539 , A61B5/1473 , A61B5/4325
摘要： The invention provides a devices, methods and systems to measure and record uterine tissue environment components such as pH during the course of uterine artery occlusion. The uterus becomes ischemic due to the occlusion thereof, and its pH drops sharply within minutes of uterine artery occlusion and remains relatively low for a period of time. The return of normal pH is an indicator of return of blood to the ischemic tissue. In use, a catheter with a pH measuring tip is advanced through the patient's vaginal canal and into the patient's uterine cavity until the pH measuring active electrode on the distal end of the catheter contacts or penetrates the uterine fundus. The active electrode detects the pH and a signal representing pH is transmitted to a pH recording and monitoring device which preferably displays the pH. The signal may be transmitted through a conductor or by a radio transmitter. Components other than pH may be monitored such a pCO2, and pO2.
摘要翻译：本发明提供了在子宫动脉闭塞过程中测量和记录子宫组织环境组分如pH的装置，方法和系统。子宫由于其闭塞而变得缺血，并且其pH在子宫动脉阻塞的几分钟内急剧下降，并且在一段时间内保持相对较低。正常pH值的返回是血液向缺血组织返回的指标。在使用中，具有pH测量尖端的导管通过患者的阴道通道进入患者的子宫腔，直到导管远端的pH测量有源电极接触或穿透子宫底。活性电极检测pH，将表示pH的信号传输到pH记录和监测装置，其优选显示pH值。信号可以通过导体或无线电发射机传输。可以监测除pH以外的成分，例如pCO 2和pO 2。

76. 发明授权

US07565191B2 Tissue site markers for in vivo imaging 有权
标题翻译：用于体内成像的组织位点标记
公开(公告)号：US07565191B2
公开(公告)日：2009-07-21
申请号：US11238201
申请日：2005-09-29
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号： A61B19/00
CPC分类号： A61M37/0069 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61K49/006 , A61K49/222
摘要： The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.
摘要翻译：本发明涉及活检部位标记和标记活组织检查部位的方法，使得活检腔的位置通过常规成像方法，特别是通过超声成像容易看到。本发明的活检部位标记物具有高的超声反射率，从小标记物呈现出实质的声学特征，以避免在随后的成像研究中掩盖诊断组织特征，并且可以容易地与生物特征区别开来。本发明的活检部位标记物的几个公开的实施方案具有放置在组织部位中的声阻抗的高对比度，以便有效地反射和散射超声能量，并且优选地包括气体填充的内部孔。标记可以具有不均匀的表面轮廓以增强声学特征。标记具有在医学成像期间可识别人造的特征形式。可以将活检部位标记物精确地固定到活检部位，以便当放置放置器械被取出时以及随后移动或操纵标记的组织时抵抗活组织腔的迁移。

77. 发明授权

US07404821B2 Treatment for post partum hemorrhage 有权
公开(公告)号：US07404821B2
公开(公告)日：2008-07-29
申请号：US10355809
申请日：2003-01-30
申请人： Fred H. Burbank , Michael L. Jones , Jill Uyeno
发明人： Fred H. Burbank , Michael L. Jones , Jill Uyeno
IPC分类号： A61B17/00
CPC分类号： A61B17/12 , A61B17/2812 , A61B17/42 , A61B2017/00057 , A61B2017/2837 , A61B2090/064 , A61B2090/378
摘要： The invention is directed to instruments and procedures using such instruments for temporarily reducing or terminating blood flow through a female patient's uterine artery to treat post partum hemorrhage (PPH). The uterine artery is occluded by a clamping device which includes a pair of pivotally connected clamping members, with each of the clamping members having a handle and a clamping element at the distal end of the handle. The clamping elements are inclined with respect to the longitudinal axes of the handles at an included obtuse angle between about 120° and about 170°, preferably between about 130° and 160°. An artery locating sensor is provided on the distal end of at least one of the clamping elements. Preferably, the artery locating sensor is a Doppler ultrasound blood flow sensor. After birth, the clamping device is inserted into the female patient's post partum vaginal canal and advanced therein until one of the clamping elements Is in the patient's uterine cervix and the other clamping element is on the exterior of the uterine cervix. The clamping element on the exterior of the patient's uterine cervix is pressed against the patient's vaginal fornix and the clamping device closed so as to occlude the uterine artery disposed within tissue grasped by the clamping device. The clamping device is locked in the closed configuration and maintained in the condition until the patient's uterus is sufficiently clotted up to ensure termination of the hemorrhaging, typically about 5 minutes to about 7 hours.

78. 发明授权

US07329265B2 Uterine artery occlusion clamp 失效
标题翻译：子宫动脉闭塞钳
公开(公告)号：US07329265B2
公开(公告)日：2008-02-12
申请号：US10430880
申请日：2003-05-06
申请人： Fred H. Burbank , Michael L. Jones , Greig E. Altieri
发明人： Fred H. Burbank , Michael L. Jones , Greig E. Altieri
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B17/2812 , A61B17/42 , A61B2017/00057 , A61B2017/2837 , A61B2090/064 , A61B2090/378
摘要： The invention is directed to a uterine artery clamp and the relatively non-invasive treatment procedure utilizing this clamp. The uterine clamp includes a clamping member having a jaw with tissue-contacting surfaces for applying pressure to target tissue and a stabilizing member which is configured to be inserted into the patient's uterine cervical canal. The clamp may be provided with elongated handles to manually adjust the spacing between the jaw and stabilizer and thereby apply pressure to a uterine artery beneath a bundle of tissue held between the jaw and stabilizer. Uterine clamps embodying features of the invention by be used in procedures for treating uterine disorders such as fibroids, DUB, PPH and the like.
摘要翻译：本发明涉及一种子宫动脉钳和利用该钳夹的相对非侵入性治疗方法。子宫夹具包括具有钳口的夹持构件，其具有用于向目标组织施加压力的组织接触表面和被构造成插入到患者子宫颈管中的稳定构件。夹具可以设置有细长的手柄，以手动调节钳口和稳定器之间的间隔，从而对保持在钳口和稳定器之间的组织束下面的子宫动脉施加压力。通过用于治疗子宫疾病如子宫肌瘤，DUB，PPH等的程序中使用体现本发明特征的子宫夹钳。

79. 发明授权

US07229465B2 Method and apparatus for the detection and ligation of uterine arteries 失效
标题翻译：用于子宫动脉检测和结扎的方法和装置
公开(公告)号：US07229465B2
公开(公告)日：2007-06-12
申请号：US10113096
申请日：2002-03-28
申请人： Fred H. Burbank , Michael L. Jones , R. J. Serra , Greig Altieri , Jill Uyeno , Yu-Tung Wong , Randy Werneth
发明人： Fred H. Burbank , Michael L. Jones , R. J. Serra , Greig Altieri , Jill Uyeno , Yu-Tung Wong , Randy Werneth
IPC分类号： A61B17/00 , A61B17/42 , A61B17/08 , A61B5/02
CPC分类号： A61B17/12 , A61B5/026 , A61B5/415 , A61B5/418 , A61B8/06 , A61B8/12 , A61B17/00234 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B17/2812 , A61B17/42 , A61B2017/0046 , A61B2017/4216
摘要： The invention provides devices, systems and methods for occluding arteries without puncturing skin or vessel walls. The devices, systems and methods for occluding arteries are configured to be applied to arteries externally of the arteries. Occlusion may be temporary or permanent, and may be partial or complete. Clamping a device to tissue near to an artery is effective to compress tissue around the artery and to indirectly compress the artery. The methods, devices and systems of the invention find use in, for example, treatment of uterine disorders and conditions which may be treated by occlusion of the uterine arteries. A uterine artery may be accessed via a patient's vagina by compressing a portion of the vaginal wall around a portion of a uterine artery to occlude a uterine artery. Clamping of an artery may also be performed by clamping a device directly onto an artery.
摘要翻译：本发明提供用于闭塞动脉而不刺穿皮肤或血管壁的装置，系统和方法。用于闭塞动脉的装置，系统和方法被配置为施加到动脉外部的动脉。闭塞可能是暂时的或永久的，可能是部分或完全的。将装置夹紧到靠近动脉的组织是有效的压缩动脉周围的组织并间接压缩动脉。本发明的方法，装置和系统可用于例如治疗可能通过闭塞子宫动脉治疗的子宫疾病和病症。通过将子宫动脉的一部分周围的一部分阴道壁压缩以阻塞子宫动脉，可以通过患者的阴道进入子宫动脉。也可以通过将装置直接夹在动脉上来进行动脉的夹紧。

80. 发明授权

US07047063B2 Tissue site markers for in vivo imaging 有权
公开(公告)号：US07047063B2
公开(公告)日：2006-05-16
申请号：US10658911
申请日：2003-09-10
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号： A61B19/00
CPC分类号： A61M37/0069 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61K49/006 , A61K49/222
摘要： The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.

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