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1. 发明授权

US06468285B1 Surgical instruments and procedures 失效
标题翻译：手术器械和手术
公开(公告)号：US06468285B1
公开(公告)日：2002-10-22
申请号：US09389724
申请日：1999-09-03
申请人： Thomas H. S. Hsu , Inderbir S Gill , Mark S. Goodin , Bryan P. Byermann , Helmuth Kotschi
发明人： Thomas H. S. Hsu , Inderbir S Gill , Mark S. Goodin , Bryan P. Byermann , Helmuth Kotschi
IPC分类号： A61B1708
CPC分类号： A61B17/1227 , A61B17/062 , A61B17/11 , A61B17/1146 , A61B17/221 , A61B2017/1103 , A61B2017/1107 , A61B2017/2924 , A61B2017/2944
摘要： Paired vascular clamps simplify laparoscopic vascular reconstruction surgery by providing an instrument for bringing vessel ends together to a reasonable working distance under a controlled fashion. A first clamp, with a pivoted connecting arm, and a second clamp with a lock/release device for attaching the second clamp to the connecting arm, can be inserted through an trocar or other port into a surgical field and then positioned on with the first clam and the second clamp in side-by-side and substantially parallel relationship, so that said first clamp and said second clamp can hold and position one or more vessels or elongated tissues. A laparoscopic approximator-everter has extendable blades for gripping blood vessel edges or other tissue to be anamosted, and an extendable sheath that can be advanced to surround the blades. Notches in the end of the sheath automatically evert and approximate the blood vessel edges for laparoscopic clip application or suturing when the sheath is advanced to surround the blades.
摘要翻译：配对的血管夹具通过提供一种用于将血管末端合并到合理的工作距离的仪器来简化腹腔镜血管重建手术。具有枢转连接臂的第一夹具和具有用于将第二夹具连接到连接臂的锁定/释放装置的第二夹具可以通过套管针或其它端口插入外科手术区域中，然后与第一夹具蛤蜊和第二夹具并排并且基本上平行的关系，使得所述第一夹具和所述第二夹具可以保持并定位一个或多个容器或细长组织。腹腔镜近似器具有用于夹持血管边缘或其他待组织的组织的可延伸刀片，以及可前进以包围刀片的可延伸护套。护套末端的槽口自动翻转和近似血管边缘，用于腹腔镜夹片施加或缝合时，护套前进以包围刀片。

2. 发明授权

US08375955B2 Surgical procedure 有权
标题翻译：外科手术
公开(公告)号：US08375955B2
公开(公告)日：2013-02-19
申请号：US12700859
申请日：2010-02-05
申请人： Mihir M. Desai , Inderbir S. Gill , Frank Bonadio
发明人： Mihir M. Desai , Inderbir S. Gill , Frank Bonadio
IPC分类号： A61B19/00
CPC分类号： A61B17/3423 , A61B17/0293 , A61B50/30 , A61B2017/00349 , A61B2017/06052 , A61B2017/3447 , A61B2017/3449 , A61B2050/0065
摘要： A surgical procedure is carried out on any suitable hollow organ, such as a gall bladder located beneath an abdominal wall. In a first step of the procedure the hollow organ is inflated by air or water through an inflation line so that the organ swells up. A scalpel is then used to create an incision in the abdominal wall. Sutures are then inserted through the opening and these are used to pull up the inflated organ to the opening. The inflated organ is now presented to the opening and a laparascopic procedure is carried out on the organ. A number of medical devices may be employed to perform the procedure for example a scalpel, an introducer device, an instrument access device, an insufflator, a camera device, and various surgical instruments.
摘要翻译：在任何合适的中空器官（例如位于腹壁下方的胆囊）上进行外科手术。在该程序的第一步中，中空器官通过空气或水通过充气线膨胀，使得器官膨胀。然后使用手术刀在腹壁中创建切口。然后将缝合线穿过开口插入，并且这些用于将膨胀的器官拉到开口。膨胀的器官现在呈现在开口处，并且在器官上进行了laparoascopic程序。可以采用许多医疗装置来执行例如解剖刀，导引器装置，器械进入装置，吹入器，相机装置和各种外科器械的过程。

3. 发明授权

US6090073A Direct percutaneous endoscopic jejunostomy method and apparatus 失效
标题翻译：直接经皮内镜下空肠造口术的方法和装置
公开(公告)号：US6090073A
公开(公告)日：2000-07-18
申请号：US217488
申请日：1998-12-21
申请人： Inderbir S. Gill
发明人： Inderbir S. Gill
IPC分类号： A61J15/00 , A61M25/04 , A61M5/178
CPC分类号： A61J15/0069 , A61J15/0019 , A61J15/0023 , A61M25/04 , A61M2025/0233
摘要： A method and apparatus of administering a percutaneous access catheter directly into the jejunum of a patient. The apparatus including a wire having a proximal and distal end. The distal end of the wire includes a probe and the proximal end includes a bend. The needle is provided within a sheath which movably surrounds the wire such that the probe is emergent from the sheath. The method including the steps of administering the sheath and wire of the present invention such that the wire enters the mouth of the patient, passes through the esophagus and extends into the jejunum of the patient, moving the wire to expose the probe beyond the sheath, piercing the wire through the jejunal wall and through the abdominal wall. The method further including attaching a percutaneous access tube to the proximal end of the wire and pulling the wire from its distal end, thereby pulling the tube such that it extends from inside the jejunum to outside the patient's abdominal wall.
摘要翻译：将经皮进入导管直接给予患者空肠的方法和装置。该装置包括具有近端和远端的线。线的远端包括探针，并且近端包括弯曲部。所述针设置在护套内，所述鞘可移动地围绕所述线，使得所述探针从所述护套放出。该方法包括以下步骤：施用本发明的护套和电线，使得电线进入患者的口部，通过食道并延伸到患者的空肠中，移动电线以使探针暴露于鞘外，穿过空肠壁穿过腹壁穿过腹壁。该方法还包括将经皮进入管附接到线的近端并从其远端牵引线，从而拉动管，使得其从空肠内部延伸到患者腹壁外部。

4. 发明授权

US5851195A Direct percutaneous endoscopic jejunostomy method and apparatus 失效
公开(公告)号：US5851195A
公开(公告)日：1998-12-22
申请号：US443149
申请日：1995-05-17
申请人： Inderbir S. Gill
发明人： Inderbir S. Gill
IPC分类号： A61J15/00 , A61M25/04 , A61M31/00
CPC分类号： A61J15/0069 , A61J15/0019 , A61J15/0023 , A61M25/04 , A61M2025/0233
摘要： A method and apparatus of administering a percutaneous access catheter directly into the jejunum of a patient. The apparatus including a wire having a proximal and distal end. The distal end of the wire includes a probe and the proximal end includes a bend. The needle is provided within a sheath which movably surrounds the wire such that the probe is emergent from the sheath. The method including the steps of administering the sheath and wire of the present invention such that the wire enters the mouth of the patient, passes through the esophagus and extends into the jejunum of the patient, moving the wire to expose the probe beyond the sheath, piercing the wire through the jejunal wall and through the abdominal wall. The method further including attaching a percutaneous access tube to the proximal end of the wire and pulling the wire from its distal end, thereby pulling the tube such that it extends from inside the jejunum to outside the patient's abdominal wall.

5. 发明申请

US20110011410A1 SURGICAL PROCEDURE 有权
标题翻译：外科手术
公开(公告)号：US20110011410A1
公开(公告)日：2011-01-20
申请号：US12700859
申请日：2010-02-05
申请人： Mihir M. Desai , Inderbir S. Gill , Frank Bonadio
发明人： Mihir M. Desai , Inderbir S. Gill , Frank Bonadio
IPC分类号： A61B17/00
CPC分类号： A61B17/3423 , A61B17/0293 , A61B50/30 , A61B2017/00349 , A61B2017/06052 , A61B2017/3447 , A61B2017/3449 , A61B2050/0065
摘要： A surgical procedure is carried out on any suitable hollow organ, such as a gall bladder located beneath an abdominal wall. In a first step of the procedure the hollow organ is inflated by air or water through an inflation line so that the organ swells up. A scalpel is then used to create an incision in the abdominal wall. Sutures are then inserted through the opening and these are used to pull up the inflated organ to the opening. The inflated organ is now presented to the opening and a laparascopic procedure is carried out on the organ. A number of medical devices may be employed to perform the procedure for example a scalpel, an introducer device, an instrument access device, an insufflator, a camera device, and various surgical instruments.
摘要翻译：在任何合适的中空器官（例如位于腹壁下方的胆囊）上进行外科手术。在该程序的第一步中，中空器官通过空气或水通过充气线膨胀，使得器官膨胀。然后使用手术刀在腹壁中创建切口。然后将缝合线穿过开口插入，并且这些用于将膨胀的器官拉到开口。膨胀的器官现在呈现在开口处，并且在器官上进行了laparoascopic程序。可以采用许多医疗装置来执行例如解剖刀，导引器装置，器械进入装置，吹入器，相机装置和各种外科器械的过程。

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