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    • 1. 发明授权
    • Skull closure device and procedure
    • 颅关闭装置及程序
    • US6022351A
    • 2000-02-08
    • US255334
    • 1999-02-23
    • Paul W. BremerRoss L BremerScott Gingold
    • Paul W. BremerRoss L BremerScott Gingold
    • A61B17/064A61B17/68A61B17/56
    • A61B17/688A61B17/0643A61B2017/0647Y10S606/907
    • A fastener system for use in reattaching a skull flap in an opening formed in a patient's skull during brain surgery, is simple, quick, and easy to use, and is cost effective. The system includes a fastener element and a substantially disc shaped lock element. Both are made of bio-compatible radiolucent rigid plastic material. The fastener element has a substantially disc shaped head and a shank, the shank having substantially flat first and second substantially parallel surfaces having ratchet teeth on them. The shank typically has a thickness, with ratchet teeth, where it extends through a gap between the skull flap and the skull, of about 1-2 mm. The lock element has a through extending opening defined at least in part by locking teeth which cooperate with the ratchet teeth to allow the lock element to be brought tightly into contact with the skull and skull flap to hold the fastener and lock elements in place and to position the skull flap in the skull. The system, once installed, cannot be removed without actually cutting away the components.
    • 用于在脑外科手术中形成在患者头骨中的开口中重新安装颅骨瓣的紧固件系统是简单,快速且易于使用的,并且是成本有效的。 该系统包括紧固元件和基本上盘形的锁定元件。 两者均由生物相容的射线可透性刚性塑料材料制成。 紧固元件具有基本上为圆盘形的头部和柄部,柄部具有基本平坦的第一和第二基本上平行的表面,在其上具有棘轮齿。 柄通常具有厚度,棘轮齿通过颅骨瓣和颅骨之间的间隙延伸约1-2mm。 锁定元件具有至少部分地通过与棘齿配合的锁定齿限定的贯穿延伸开口,以允许锁定元件与颅骨和颅骨瓣紧密接触,以将紧固件和锁定元件保持在适当位置,并且 将颅骨瓣置于头骨中。 系统一旦安装,就不能在没有切断部件的情况下被移除。
    • 2. 发明授权
    • Full engagement interlocking
    • 完全接合互锁
    • US5163771A
    • 1992-11-17
    • US780974
    • 1991-10-23
    • Paul W. BremerRandall A. Barr
    • Paul W. BremerRandall A. Barr
    • F16C11/10
    • F16C11/10Y10T403/32368Y10T403/7035Y10T403/7092
    • Interlocking surface elements are created in such a way that there is almost 100% engagement between the surfaces, so that they positively lock together, and will not cam with respect to each other. Each element comprises a number of uniformly dimensioned semi-conically shaped surfaces emanating from a common center and disposed in an alternating inverted configuration. Each surface has first and second edges extending in a longitudinal direction. A flat surface of substantially constant dimension in a plane substantially perpendicular to the longitudinal direction connects the first and second edges of adjacent, alternately inverted, semi-conically shaped surfaces, so as to maximize the engagement area between the elements. The elements may be of vacuum formed plastic, molded plastic, or metal stampings. They may be circular (e.g. disc shaped) in plan, and the semi-conically shaped surfaces may all be hollow.
    • 以这样的方式制造联锁表面元件,使得表面之间几乎有100%的接合,使得它们相互锁定在一起并且不会相对于彼此凸轮。 每个元件包括从公共中心发出并以交替倒置配置布置的多个均匀尺寸的半圆锥形表面。 每个表面具有在纵向方向上延伸的第一和第二边缘。 在基本垂直于纵向方向的平面上具有基本恒定尺寸的平坦表面连接相邻的,交替倒置的,半圆锥形的表面的第一和第二边缘,以便最大化元件之间的接合面积。 元件可以是真空成型的塑料,模制塑料或金属冲压件。 它们可以是平面的圆形(例如盘形),并且半圆锥形表面都可以是中空的。
    • 3. 发明授权
    • Cervical traction tongs
    • 子宫颈牵引钳
    • US5042462A
    • 1991-08-27
    • US605422
    • 1990-10-30
    • Paul W. Bremer
    • Paul W. Bremer
    • A61B17/64A61B19/00
    • A61B17/6433A61B2017/00902
    • Cervical traction tongs having cooperating first and second curved arms made of MRI and biologically compatible and CT transparent material. Skull pins having main bodies of MRI and biologically compatible and CT transparent material, and pointed skull engaging tips of radiolucent material (e.g. single crystal alumina ceramic) extend through openings at one end of the arms, while at the other ends the arms are connected together in an adjustable manner, so as to adjust the spacing between the pin pointed tips. The arms have enlarged circular end terminations having radially extending serrations which cooperate together, and are held in a position to which they are moved by a through extending bolt and nut. The arms have sufficient elasticity to provide constant pressure urging the pointed pin tips against the human skull during use. A flexible strand for applying tension is passed through an arcuate elongated opening in the serrated end terminations of the arms. Torque limiting caps associated with the pins apply torque. When used to treat a human with an injury to the cervical spine, the tongs and skull pins are removed from sterile packaging, and once the human need no longer remain in traction, the tongs are disposed of.
    • 子宫颈牵引夹具有由MRI和生物相容性和CT透明材料制成的合作的第一和第二弯曲臂。 具有MRI主体和生物学兼容性和CT透明材料的头骨销,以及射线透射材料(例如单晶氧化铝陶瓷)的尖头颅骨接合尖端延伸穿过臂的一端处的开口,而在另一端连接臂 以可调节的方式,以便调整针尖尖之间的间距。 臂具有扩大的圆形终端,其具有径向延伸的锯齿,它们配合在一起,并且被保持在通过延伸的螺栓和螺母移动的位置。 臂具有足够的弹性以在使用期间提供恒定的压力,以将尖头针尖推向人头骨。 用于施加张力的柔性绳穿过臂的锯齿状末端终端中的弧形细长开口。 与销相关的扭矩限制帽施加扭矩。 当用来治疗患有颈椎受伤的人时,钳和颅骨销从无菌包装中取出,一旦人需要不再保持牵引力,钳子就被丢弃。
    • 4. 发明授权
    • System for controlling shape and direction of a catheter, cannula,
electrode, endoscope or similar article
    • 用于控制导管,套管,电极,内窥镜或类似物品的形状和方向的系统
    • US4753223A
    • 1988-06-28
    • US927861
    • 1986-11-07
    • Paul W. Bremer
    • Paul W. Bremer
    • A61B1/005A61B1/00
    • A61B1/0058
    • A steerable medical probe device, such as a catheter, comprises a flexible, inner tubular body, a plurality of electrical conductors wrapped about the inner tubular body; and an insulating layer surrounding the conductors. Rigid non-conductive rings are adhesively secured at axially spaced locations along the distal end of the probe. A plurality of shape memory titanium-nickel wires extend between adjacent pairs of rings, and are electrically connected to a control device and power source. The control device may be operated to apply low current pulses selectively through one or more of the wires to effect contraction of the heated wires and thereby cause the distal end of the probe to bend in a desired direction.
    • 可导向的医疗探针装置,例如导管,包括柔性内管状体,围绕内管体缠绕的多个电导体; 以及围绕导体的绝缘层。 刚性非导电环沿着探针的远端在轴向间隔开的位置被粘合地固定。 多个形状记忆钛镍线在相邻的成对环之间延伸,并且电连接到控制装置和电源。 控制装置可以被操作以通过一个或多个电线选择性地施加低电流脉冲,以实现加热的线的收缩,从而使得探头的远端在期望的方向上弯曲。