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1. 发明授权

US07077848B1 Sutureless occular surgical methods and instruments for use in such methods 有权
标题翻译：无缝合的外科手术方法和手段用于此类方法
公开(公告)号：US07077848B1
公开(公告)日：2006-07-18
申请号：US09523767
申请日：2000-03-11
申请人： Eugene de Juan, Jr. , Terry H. Shelley , Aaron C. Barnes , Patrick S. Jensen
发明人： Eugene de Juan, Jr. , Terry H. Shelley , Aaron C. Barnes , Patrick S. Jensen
IPC分类号： A61F11/00
CPC分类号： A61F9/00727 , A61F9/007
摘要： Featured are new methods for performing intra-ocular surgery that allow surgical personnel to access the intra-ocular volume to perform a surgical procedure or technique but which does not require the use of sutures to seal the sclera and/or conjunctiva following the procedure. The methods of the present invention generally include providing an entry alignment device and inserting the entry alignment device into an eye through both the conjunctiva and sclera so as to form an entry aperture that extends between the exterior of the eye and the intra-ocular volume within the eye. The provided alignment device is configured so as to form or provide an aperture or opening in each of the conjunctiva and sclera of the eye and to maintain these apertures or openings in each of the conjunctiva and sclera aligned during the surgical procedure so these apertures or openings form the entry aperture. In more particular aspects, the provided entry alignment device is sized such that when the entry alignment device is removed from the eye following the completion of the surgical procedure, the aperture or opening formed in the sclera seals without the use of sutures. In a more specific aspect of the present invention, the provided entry alignment device is sized such that the apertures or openings and thus the entry aperture are self sealing. In other embodiments, a plurality of entry alignment devices are provided so a plurality of entry apertures can be formed in the eye. The invention also features a high speed vitreous cutting and aspirating device particularly configured for use in such methods and surgical procedures and techniques as well as the related entry alignment devices and other surgical instruments.
摘要翻译：特色是执行眼内手术的新方法，其允许手术人员进入眼内容积以执行外科手术或技术，但不需要使用缝合线来在手术之后密封巩膜和/或结膜。本发明的方法通常包括提供入口对准装置，并通过结膜和巩膜将入口对准装置插入眼睛，以便形成在眼睛外部和眼内容积之间延伸的入口孔，眼。所提供的对准装置构造成在眼睛的结膜和巩膜的每一个中形成或提供孔或开口，并且在外科手术过程中将每个结膜和巩膜中的这些孔或开口保持对准，使得这些孔或开口形成入口孔径。在更具体的方面，所提供的入口对准装置的尺寸设定成使得当外科手术完成后，当进入对准装置从眼睛中取出时，形成在巩膜中的孔或开口不使用缝合线进行密封。在本发明的更具体的方面，所提供的入口对准装置的尺寸使得孔或开口以及因此的进入孔是自密封的。在其它实施例中，设置多个入口对准装置，使得可以在眼睛中形成多个入口孔。本发明还具有高速玻璃切割和抽吸装置，其特别构造用于这些方法和外科手术和技术以及相关入口对准装置和其它手术器械中。

2. 发明授权

US06551291B1 Non-traumatic infusion cannula and treatment methods using same 有权
标题翻译：非创伤性输液管和使用其的治疗方法
公开(公告)号：US06551291B1
公开(公告)日：2003-04-22
申请号：US09366914
申请日：1999-08-04
申请人： Eugene de Juan, Jr. , Patrick S. Jensen , Terry H. Shelley
发明人： Eugene de Juan, Jr. , Patrick S. Jensen , Terry H. Shelley
IPC分类号： A61M3500
CPC分类号： A61M25/0068 , A61F9/00727 , A61F9/00821 , A61F2009/00863 , A61F2009/00874 , A61M25/0069 , A61M2025/0042 , A61M2025/0073 , A61M2210/0612
摘要： In preferred aspects, the present invention features a non-traumatic cannula for use in connection with eye surgery, such as retinal tear and/or detachment surgery. The non-traumatic cannula of the present invention is particularly configured so as to minimize or avoid the potential for damage to the retina when infusing air or a gas therein. Related methods are also disclosed for infusing air during eye surgical procedures e.g. for treating a retinal tear or detachment and macular hole surgery. The method for infusing a fluid, such as a gas, into a patient's eye during eye surgery includes flowing the fluid from a fluid source to the patient's eye and diffusing the flowing fluid as it enters into the patient eye. Such a method further includes providing a non-traumatic cannula that is fluidly coupled to the fluid source, and which diffuses fluid exiting an end thereof. Thus, the fluid flowing out of the cannula is thereby diffusively infused.
摘要翻译：在优选的方面，本发明的特征在于用于与眼科手术相关的非外伤套管，例如视网膜撕裂和/或脱离手术。本发明的非外伤性插管特别被配置为当在其中注入空气或气体时，使视网膜损伤的可能性最小化或避免。还公开了相关方法，用于在眼外科手术期间输注空气，例如。用于治疗视网膜撕裂或脱离和黄斑裂孔手术。在眼睛手术期间将诸如气体的流体注入患者眼睛的方法包括将流体从流体源流动到患者的眼睛，并使流动的流体在进入患者眼睛时扩散。这种方法还包括提供流体耦合到流体源的非外伤套管，并且其扩散离开其端部的流体。因此，从插管流出的流体因此被扩散地输注。

3. 发明授权

US06572608B1 Directional laser probe 有权
公开(公告)号：US06572608B1
公开(公告)日：2003-06-03
申请号：US09545143
申请日：2000-04-07
申请人： Eric T. Lee , Patrick S. Jensen , Anthony D. Cornetto, III , Terry H. Shelley , Carl C. Awh , Eugene de Juan, Jr. , Michael D. Auld , Gregg D. Scheller
发明人： Eric T. Lee , Patrick S. Jensen , Anthony D. Cornetto, III , Terry H. Shelley , Carl C. Awh , Eugene de Juan, Jr. , Michael D. Auld , Gregg D. Scheller
IPC分类号： A61B1818
CPC分类号： A61F9/008 , A61B2017/00331 , A61B2017/00867 , A61B2018/2238 , A61B2018/2288 , A61F2009/00863
摘要： A microsurgical laser probe is provided with a distal end portion of an optic fiber that projects from a tubular sleeve of the probe and can be caused to bend relative to the probe sleeve by manual manipulation of a mechanism on a handle of the probe.

4. 发明授权

US06676607B2 Intraoperative microsurgical ultrasonic device and methods related thereto 有权
标题翻译：术中显微外科超声波装置及其相关方法
公开(公告)号：US06676607B2
公开(公告)日：2004-01-13
申请号：US09754830
申请日：2001-01-03
申请人： Eugene de Juan, Jr. , Patrick S. Jensen
发明人： Eugene de Juan, Jr. , Patrick S. Jensen
IPC分类号： A61B814
CPC分类号： A61B5/6848 , A61B5/6885 , A61B8/10 , A61B8/12 , A61B8/4461 , A61B8/4488 , A61B17/00234 , A61B17/29 , A61B34/76 , A61B2017/00022 , A61B2017/00115 , A61B2017/00128 , A61B2017/00345 , A61B2017/00477 , A61B2017/00734 , A61B2090/0813 , A61F9/0017 , A61F9/007 , A61M25/00
摘要： Featured is a device that provides a mechanism for imaging structure and/or tissue of a surgical site during and after performing a microsurgical procedure such as ophthalmic surgical procedures. Also featured are methods and systems related thereto. In the imaging method of the present invention using such a device includes positioning a high frequency ultrasonic signal transmitting and receiving apparatus imaging mechanism in close proximity to the area to be scanned/imaged (e.g., surgical site), so that the high frequency ultrasonic signal penetrates the tissue/structure of the surgical site being scanned. The reflected ultrasonic signals, are processed so as to yield high quality/high resolution images of the scanned tissue/structure. Further, the high resolution images are evaluated by the surgeon during the procedure to determine if the surgical approach should be adjusted. If such a determination is made, then the planned surgical approach is adjusted to accommodate for any conditions not accounted for in the initial planning.
摘要翻译：特色是提供用于在执行显微外科手术（例如眼科外科手术）期间和之后对外科手术部位的结构和/或组织进行成像的机构。还有与之相关的方法和系统。在使用这种装置的本发明的成像方法中包括将高频超声信号发射和接收装置成像机构定位在靠近待扫描/成像区域（例如手术部位）的位置，使得高频超声波信号穿透被扫描的手术部位的组织/结构。反射的超声波信号被处理以产生扫描的组织/结构的高质量/高分辨率图像。此外，在手术过程中，外科医生评估高分辨率图像，以确定是否应调整手术方法。如果做出这样的决定，则调整计划的手术方法以适应初始规划中未考虑的任何情况。

5. 发明授权

US06969384B2 Surgical devices and methods of use thereof for enhanced tactile perception 有权
标题翻译：手术装置及其使用方法增强触感
公开(公告)号：US06969384B2
公开(公告)日：2005-11-29
申请号：US09756649
申请日：2001-01-03
申请人： Eugene de Juan, Jr. , Patrick S. Jensen
发明人： Eugene de Juan, Jr. , Patrick S. Jensen
IPC分类号： A61B8/10 , A61B8/12 , A61B17/00 , A61B17/28 , A61B19/00 , A61F9/00 , A61F9/007 , A61M25/00
CPC分类号： A61B5/6848 , A61B5/6885 , A61B8/10 , A61B8/12 , A61B8/4461 , A61B8/4488 , A61B17/00234 , A61B17/29 , A61B34/76 , A61B2017/00022 , A61B2017/00115 , A61B2017/00128 , A61B2017/00345 , A61B2017/00477 , A61B2017/00734 , A61B2090/0813 , A61F9/0017 , A61F9/007 , A61M25/00
摘要： Featured are surgical devices that provide enhanced perceptual feedback to a medical practitioner in the form of e.g. tactile sensations or auditory feedback, and methods of use of the devices. The devices and methods of the present invention are particularly suitable for microsurgery applications including ophthalmic or neurosurgical procedures. Use of the present devices and methods will enhance user feedback, allowing for improved perception, thereby increasing performance, speed, and accuracy of surgical procedures.
摘要翻译：特色是提供增强的感知反馈给外科医生的手术装置，其形式为例如触觉或听觉反馈，以及设备的使用方法。本发明的装置和方法特别适用于显微外科应用，包括眼科或神经外科手术。使用本设备和方法将增强用户的反馈，允许改进的感知，从而提高外科手术的性能，速度和准确性。

6. 发明授权

US07217263B2 Device and method for manual retinal vein catheterization 有权
标题翻译：手动视网膜静脉插管术的装置和方法
公开(公告)号：US07217263B2
公开(公告)日：2007-05-15
申请号：US09754094
申请日：2001-01-03
申请人： Mark S. Humayun , Patrick S. Jensen , Terry H. Shelley , Gildo Y. Fujii , Hany S. Hamza , Aaron C. Barnes , Eugene deJuan, Jr.
发明人： Mark S. Humayun , Patrick S. Jensen , Terry H. Shelley , Gildo Y. Fujii , Hany S. Hamza , Aaron C. Barnes , Eugene deJuan, Jr.
IPC分类号： A61M25/00 , A61M5/32
CPC分类号： A61B5/6885 , A61B5/6848 , A61B34/76 , A61B2017/00345 , A61F9/0017 , A61F9/007 , A61M25/00 , A61M2210/0612
摘要： A microcatheter system that allows for vascular infusion into retinal veins for extended periods of time. The microcatheter system includes a flexible cannula that is inserted into the retinal vein lumen and that remains stably within the retinal vein lumen without being held by a robot, micromanipulator or similar holding devices. The microcatheter system is particularly suitable for the treatment of retinal venous occlusive disease.
摘要翻译：一种微导管系统，允许血管输注到视网膜静脉长时间。微导管系统包括插入视网膜静脉管腔中并且稳定地保持在视网膜静脉腔内而不被机器人，显微操纵器或类似保持装置保持的柔性插管。微导管系统特别适用于治疗视网膜静脉闭塞性疾病。

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