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1. 发明授权

US07897167B2 Implantable graft to close a fistula 有权
标题翻译：植入式移植物闭合瘘管
公开(公告)号：US07897167B2
公开(公告)日：2011-03-01
申请号：US11472642
申请日：2006-06-21
申请人： David N. Armstrong , Brian L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
发明人： David N. Armstrong , Brian L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
IPC分类号： A61F2/02
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/06 , A61B17/06166 , A61B17/3468 , A61B50/30 , A61B2017/00004 , A61B2017/00628 , A61B2017/00641 , A61B2017/00646 , A61B2017/00654 , A61B2017/00659 , A61B2017/00898 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/22038 , A61L27/227 , A61L27/24 , A61L27/3616 , A61L27/3629 , A61L27/3633 , A61L27/58 , A61M27/00
摘要： An implantable graft, which may be inserted into a fistula tract to occlude the primary opening of the fistula, is provided. To prevent unintentional displacement of the graft or extrusion of the graft from the fistula of a patient, the graft may be provided with a cap that extends laterally from at least one end of the body of the graft, where the cap may be integral with the body of the graft, attachable to at least one end of the body of the graft, and/or moveable along the body of the graft. The graft may also have a tail that extends from one end of the body of the graft to assist in placement of the graft in a fistula tract. The graft may be an integral unit made of a single material, such as a heterograft material, or may include distinct components made of the same or different materials. Methods for closing a fistula tract are also provided.
摘要翻译：提供了一种植入式移植物，其可以插入瘘道以封闭瘘的主要开口。为了防止移植物的意外移位或将移植物从患者的瘘管挤出，移植物可以设置有从移植物的主体的至少一端侧向延伸的帽，其中帽可以与移植物的主体，可附接到移植物的身体的至少一端，和/或沿着移植物的主体移动。移植物还可以具有从移植物的身体的一端延伸的尾部，以帮助将移植物放置在瘘管道中。移植物可以是由诸如异种移植材料的单一材料制成的整体单元，或者可以包括由相同或不同材料制成的不同部件。还提供了关闭瘘管的方法。

2. 发明授权

US08501217B2 Implantable graft to close a fistula 有权
标题翻译：植入式移植物闭合瘘管
公开(公告)号：US08501217B2
公开(公告)日：2013-08-06
申请号：US13018582
申请日：2011-02-01
申请人： David N. Armstrong , Brain L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
发明人： David N. Armstrong , Brain L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
IPC分类号： A61F2/02
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/06 , A61B17/06166 , A61B17/3468 , A61B50/30 , A61B2017/00004 , A61B2017/00628 , A61B2017/00641 , A61B2017/00646 , A61B2017/00654 , A61B2017/00659 , A61B2017/00898 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/22038 , A61L27/227 , A61L27/24 , A61L27/3616 , A61L27/3629 , A61L27/3633 , A61L27/58 , A61M27/00
摘要： An implantable graft, which may be inserted into a fistula tract to occlude the primary opening of the fistula, is provided. To prevent unintentional displacement of the graft or extrusion of the graft from the fistula of a patient, the graft may be provided with a cap that extends laterally from at least one end of the body of the graft, where the cap may be integral with the body of the graft, attachable to at least one end of the body of the graft, and/or moveable along the body of the graft. The graft may also have a tail that extends from one end of the body of the graft to assist in placement of the graft in a fistula tract. The graft may be an integral unit made of a single material, such as a heterograft material, or may include distinct components made of the same or different materials. Methods for closing a fistula tract are also provided.
摘要翻译：提供了一种植入式移植物，其可以插入瘘道以封闭瘘的主要开口。为了防止移植物的意外移位或将移植物从患者的瘘管挤出，移植物可以设置有从移植物的主体的至少一端侧向延伸的帽，其中帽可以与移植物的主体，可附接到移植物的身体的至少一端，和/或沿着移植物的主体移动。移植物还可以具有从移植物的身体的一端延伸的尾部，以帮助将移植物放置在瘘管道中。移植物可以是由诸如异种移植材料的单一材料制成的整体单元，或者可以包括由相同或不同材料制成的不同部件。还提供了关闭瘘管的方法。

3. 发明申请

US20110125289A1 Implantable Graft to Close a Fistula 有权
标题翻译：植入式移植物关闭瘘管
公开(公告)号：US20110125289A1
公开(公告)日：2011-05-26
申请号：US13018582
申请日：2011-02-01
申请人： David N. Armstrong , Brain L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
发明人： David N. Armstrong , Brain L. Bates , Mark W. Bleyer , F. Joseph Obermiller , Umesh H. Patel
IPC分类号： A61F2/02
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/06 , A61B17/06166 , A61B17/3468 , A61B50/30 , A61B2017/00004 , A61B2017/00628 , A61B2017/00641 , A61B2017/00646 , A61B2017/00654 , A61B2017/00659 , A61B2017/00898 , A61B2017/0404 , A61B2017/0464 , A61B2017/0496 , A61B2017/22038 , A61L27/227 , A61L27/24 , A61L27/3616 , A61L27/3629 , A61L27/3633 , A61L27/58 , A61M27/00
摘要： An implantable graft, which may be inserted into a fistula tract to occlude the primary opening of the fistula, is provided. To prevent unintentional displacement of the graft or extrusion of the graft from the fistula of a patient, the graft may be provided with a cap that extends laterally from at least one end of the body of the graft, where the cap may be integral with the body of the graft, attachable to at least one end of the body of the graft, and/or moveable along the body of the graft. The graft may also have a tail that extends from one end of the body of the graft to assist in placement of the graft in a fistula tract. The graft may be an integral unit made of a single material, such as a heterograft material, or may include distinct components made of the same or different materials. Methods for closing a fistula tract are also provided.
摘要翻译：提供了一种植入式移植物，其可以插入瘘道以封闭瘘的主要开口。为了防止移植物的意外移位或将移植物从患者的瘘管挤出，移植物可以设置有从移植物的主体的至少一端侧向延伸的帽，其中帽可以与移植物的主体，可附接到移植物的身体的至少一端，和/或沿着移植物的主体移动。移植物还可以具有从移植物的身体的一端延伸的尾部，以帮助将移植物放置在瘘管道中。移植物可以是由诸如异种移植材料的单一材料制成的整体单元，或者可以包括由相同或不同材料制成的不同部件。还提供了关闭瘘管的方法。

4. 发明申请

US20130018228A1 SURGICAL RETRACTOR DEVICE 有权
标题翻译：外科手术器械
公开(公告)号：US20130018228A1
公开(公告)日：2013-01-17
申请号：US13548541
申请日：2012-07-13
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/00862 , A61B2017/00867 , A61B2017/0212 , A61B2017/0225
摘要： Systems, devices, and methods capable of retracting organs are disclosed. In one embodiment, a retractor body comprises a deformable resilient frame defining a central opening and a deformable membrane extending across a portion of the central opening wherein the deformable resilient frame is arranged for complete disposal within the body of a patient and for varying the size of the central opening. In some exemplary embodiments, the retractor is arranged to form a helically coiled arrangement for insertion into the body of a patient. Delivery devices for delivering a deformable resilient retractor and methods of delivery are also disclosed.
摘要翻译：公开了能够缩回器官的系统，装置和方法。在一个实施例中，牵开器主体包括限定中心开口的可变形弹性框架和横跨中心开口的一部分延伸的可变形膜，其中可变形弹性框架设置成在患者身体内完全处置并改变其尺寸中央开放。在一些示例性实施例中，牵开器布置成形成用于插入患者体内的螺旋状盘绕结构。还公开了用于递送可变形弹性牵开器的输送装置和输送方法。

5. 发明授权

US07645229B2 Instrument and method for endoscopic visualization and treatment of anorectal fistula 有权
标题翻译：用于内窥镜可视化和治疗肛门直肠瘘的仪器和方法
公开(公告)号：US07645229B2
公开(公告)日：2010-01-12
申请号：US10945634
申请日：2004-09-21
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B1/00
CPC分类号： A61B1/31 , A61B1/0051 , A61B1/12 , A61B17/0057 , A61B2017/00641
摘要： A fiber-optic endoscopic instrument (Fistuloscope) is used to visualize anorectal fistula, and to accurately identify the course through the fistula. The instrument can be used to flush the fistula, to close the fistula tract by means of injecting sealants or placing grafts in the tract of the fistula or to pass setons, micro-instruments or other means to treat and seal the tract.
摘要翻译：使用光纤内窥镜仪器（Fistuloscope）可视化肛肠直肠瘘，并准确识别通过瘘管的过程。该仪器可用于冲洗瘘管，通过注射密封剂或将移植物置于瘘管中封闭瘘管道，或通过胰管，微器械或其他手段来治疗和密封。

6. 发明授权

US07037314B2 Multiple band ligator and anoscope system and method for using same 有权
标题翻译：多带结扎器及其使用方法
公开(公告)号：US07037314B2
公开(公告)日：2006-05-02
申请号：US10042998
申请日：2002-04-12
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B17/10
CPC分类号： A61B1/31 , A61B17/12013 , A61B2017/12018 , A61B2017/306
摘要： A hemorrhoidal ligator and anoscope system used to facilitate ligation of internal hemorrhoids. The ligating device consists of head, shaft and firing handle assemblies and is capable of storing and releasing multiple rubber bands singularly. The ligating device comprises an inner cylinder that is removable for disposal or reloading for reuse. The inner cylinder may also be configured with a disposable sleeve, the sleeve being disposable or capable of reloading. A modified loading cone is provided for facilitating loading of the rubber bands onto the inner cylinder or the inner cylinder sleeve 9. The anoscope is configured with three lateral apertures that coincide with the anatomic locations of the internal hemorrhoids in man and thus, simultaneously expose all three hemorrhoids for ligation and grading.
摘要翻译：一种用于促进内痔结扎的痔疮结扎器和肛门镜系统。结扎装置由头部，轴和点火手柄组成，能够单独存储和释放多个橡皮筋。结扎装置包括可拆卸的内筒，用于处理或重新加载以便重新使用。内筒也可以配置有一次性套筒，该套筒是一次性的或能够重新加载的。提供了改进的加载锥体，用于便于将橡皮带装载到内筒或内筒套筒9上。眼镜配置有三个侧向孔，其与人的内部痔疮的解剖位置重合，因此同时暴露所有三个痔疮用于结扎和分级。

7. 发明授权

US09521996B2 Surgical retractor device 有权
标题翻译：手术牵开器
公开(公告)号：US09521996B2
公开(公告)日：2016-12-20
申请号：US13548541
申请日：2012-07-13
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B1/32 , A61B17/02 , A61B17/00
CPC分类号： A61B17/0218 , A61B2017/00862 , A61B2017/00867 , A61B2017/0212 , A61B2017/0225
摘要： Systems, devices, and methods capable of retracting organs are disclosed. In one embodiment, a retractor body comprises a deformable resilient frame defining a central opening and a deformable membrane extending across a portion of the central opening wherein the deformable resilient frame is arranged for complete disposal within the body of a patient and for varying the size of the central opening. In some exemplary embodiments, the retractor is arranged to form a helically coiled arrangement for insertion into the body of a patient. Delivery devices for delivering a deformable resilient retractor and methods of delivery are also disclosed.
摘要翻译：公开了能够缩回器官的系统，装置和方法。在一个实施例中，牵开器主体包括限定中心开口的可变形弹性框架和横跨中心开口的一部分延伸的可变形膜，其中可变形弹性框架设置成在患者身体内完全处置并改变其尺寸中央开放。在一些示例性实施例中，牵开器布置成形成用于插入患者体内的螺旋状盘绕结构。还公开了用于递送可变形弹性牵开器的输送装置和输送方法。

8. 发明授权

US08764791B2 Implantable graft to close a fistula 有权
标题翻译：植入式移植物闭合瘘管
公开(公告)号：US08764791B2
公开(公告)日：2014-07-01
申请号：US11807801
申请日：2007-05-30
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B17/10 , A61D1/00
CPC分类号： A61B17/0057 , A61B17/12022 , A61B17/12131 , A61B2017/00004 , A61B2017/00641 , A61B2017/00654
摘要： An implantable graft, which may be inserted into a fistula tract to occlude the primary opening of the fistula, is provided. The graft may have a curved, generally conical shape with a trumpet-like head end that continuously tapers to a smaller tail end. The graft may be an integral unit made of a single material, such as a heterograft material. Methods of closing single and multiple fistulae are also provided.
摘要翻译：提供了一种植入式移植物，其可以插入瘘道以封闭瘘的主要开口。移植物可以具有弯曲的，大致圆锥形的形状，喇叭状的头端连续变细到较小的尾端。移植物可以是由单一材料制成的整体单元，例如异种移植材料。还提供了关闭单瘘和多瘘的方法。

9. 发明授权

US06577240B2 Hand antiseptic system and method 失效
公开(公告)号：US06577240B2
公开(公告)日：2003-06-10
申请号：US09892982
申请日：2001-06-27
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： G08B2300
CPC分类号： G08B21/245 , A47K5/1217
摘要： A pair of sensors (20A and 20B) are mounted at the entrance to a germ sensitive area. When a person enters the area the sensors are activated in sequence, indicating the direction of movement of the person. An indicator, such as a light or sound alarm is mounted upon an antiseptic dispenser, located within the area. The alarm is actuated by the movement and is de-activated once antiseptic is dispensed from the unit. Likewise when the person moves out of the germ sensitive area, the alarm on a dispenser unit located outside the area is energized and is de-activated upon dispensing of antiseptic.

10. 发明申请

US20140358167A1 ANASTOMOTIC SLEEVE DEVICE 审中-公开
公开(公告)号：US20140358167A1
公开(公告)日：2014-12-04
申请号：US14289266
申请日：2014-05-28
申请人： David N. Armstrong
发明人： David N. Armstrong
IPC分类号： A61B17/115 , A61B17/068
CPC分类号： A61B17/07292 , A61B17/1114 , A61B17/1155
摘要： An anastomotic sleeve or “cup” protection device incorporating distal and proximal sleeves or “cups”, also incorporating a staple-line buttress. The proximal colon is inserted into the proximal sleeve or cup and the shaft of the stapler anvil is passed through a hole in the closed end of the sleeve or cup. The distal sleeve or cup is placed over the head of the staple shaft, and inserted into the rectum for anastomosis. Closure and firing of the stapler creates a staple buttress line at the anastomosis, the proximal sleeve prevents leakage from the proximal colon and the distal sleeve protects the distal colon or rectum from anastomotic leak.
摘要翻译：吻合套管或“杯”保护装置，其包括远端和近端的袖子或“杯子”，还包括钉线支柱。近端结肠插入到近端套筒或杯中，并且吻合器砧的轴穿过套筒或杯的封闭端的孔。远端套筒或杯子放置在钉轴的头部上，并插入直肠用于吻合。吻合器的闭合和点火在吻合处产生钉支撑线，近端套筒防止近端结肠泄漏，远端套管保护远端结肠或直肠免受吻合口漏。

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