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1. 发明授权

US5024234A Ultrasonic imaging catheter with guidewire channel 失效
标题翻译：超声波成像导管带导丝通道
公开(公告)号：US5024234A
公开(公告)日：1991-06-18
申请号：US422935
申请日：1989-10-17
申请人： James J. Leary , John R. McKenzie
发明人： James J. Leary , John R. McKenzie
IPC分类号： A61B8/12 , A61B17/22
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461 , A61M25/09 , A61B2017/22078 , A61M2025/0183
摘要： Intravascular catheters including both a flexible catheter body and a less flexible housing mounted at a distal end of the catheter body are provided with a flexible distal tip, preferably having a conical geometry. Guidewire channel or lumen is formed within the tip, and optionally additional guidewire lumens are formed in the housing or the distal end of the catheter body, or both. The catheters may thus be inserted and withdrawn over a guidewire without the need for the entire length of the catheter to pass over the guidewire.
摘要翻译：包括柔性导管主体和安装在导管主体的远端处的较小柔性壳体的血管内导管设置有柔性远侧末端，优选具有圆锥形几何形状。导丝通道或管腔形成在尖端内，并且可选地在导管主体的外壳或远端形成额外的导丝管腔，或两者。因此，导管可以在导线上插入和取出，而不需要导管的整个长度通过导线。

2. 发明授权

US06267747B1 Aortic catheter with porous aortic root balloon and methods for inducing cardioplegic arrest 失效
公开(公告)号：US06267747B1
公开(公告)日：2001-07-31
申请号：US09306696
申请日：1999-05-06
申请人： Wilfred J. Samson , Janine Robinson , Steve Baker , James J. Leary
发明人： Wilfred J. Samson , Janine Robinson , Steve Baker , James J. Leary
IPC分类号： A61M2900
CPC分类号： A61M25/10 , A61M1/3613 , A61M5/16881 , A61M25/0075 , A61M25/1002 , A61M39/22 , A61M2025/0073 , A61M2025/0076 , A61M2025/1052 , A61M2025/1072 , A61M2025/1086 , A61M2025/1097 , A61M2202/047 , A61M2210/127
摘要： The present invention relates to a catheter or cannula system that facilitates cardiopulmonary bypass surgeries and enables prolonged circulatory support of the heart. More specifically, the present invention provides an aortic catheter system including a porous aortic root balloon capable of occluding the aorta, delivering cardioplegia and providing tactile feedback and helping to maintain the competency of regurgitant aortic valves.

3. 发明授权

US08858538B2 Apparatus and methods for hybrid endoscopic and laparoscopic surgery 有权
标题翻译：混合内镜和腹腔镜手术的装置和方法
公开(公告)号：US08858538B2
公开(公告)日：2014-10-14
申请号：US13728940
申请日：2012-12-27
申请人： Amir Belson , James J. Leary
发明人： Amir Belson , James J. Leary
IPC分类号： A61B17/00
CPC分类号： A61B17/00 , A61B1/00087 , A61B1/04 , A61B1/3132 , A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0483 , A61B17/29 , A61B17/3201 , A61B17/3423 , A61B34/30 , A61B34/37 , A61B90/361 , A61B2017/00278 , A61B2017/00362 , A61B2017/00411 , A61B2017/00464 , A61B2017/00477 , A61B2017/00539 , A61B2017/00544 , A61B2017/00876 , A61B2017/2901 , A61B2017/2902 , A61B2017/2931 , A61B2017/2943 , A61B2090/306 , A61B2090/3614
摘要： Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.
摘要翻译：描述的装置和方法允许将内窥镜和腹腔镜手术的技术组合成称为NOTES辅助腹腔镜手术的微创混合手术技术。描述了一种手动和机器人控制的模块化腹腔镜工具，其具有腹腔镜输送到外科手术部位的小直径轴。较大直径的工作尖端通过插入到外科手术部位的NOTES输送管通过自然孔口输送并连接到模块化腹腔镜工具的轴上。更大直径的工作提示提高了模块化腹腔镜工具的有效性，也可以减少所用腹腔镜口的数量和尺寸。

4. 发明申请

US20130211196A1 APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY 有权
公开(公告)号：US20130211196A1
公开(公告)日：2013-08-15
申请号：US13728936
申请日：2012-12-27
申请人： Amir Belson , James J. Leary
发明人： Amir Belson , James J. Leary
IPC分类号： A61B17/00 , A61B1/313 , A61B1/04 , A61B1/00 , A61B1/32
CPC分类号： A61B17/00 , A61B1/00087 , A61B1/04 , A61B1/3132 , A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0483 , A61B17/29 , A61B17/3201 , A61B17/3423 , A61B34/30 , A61B34/37 , A61B90/361 , A61B2017/00278 , A61B2017/00362 , A61B2017/00411 , A61B2017/00464 , A61B2017/00477 , A61B2017/00539 , A61B2017/00544 , A61B2017/00876 , A61B2017/2901 , A61B2017/2902 , A61B2017/2931 , A61B2017/2943 , A61B2090/306 , A61B2090/3614
摘要： Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.

5. 发明申请

US20130150832A1 APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY 有权
标题翻译：混合内镜和手术手术的装置和方法
公开(公告)号：US20130150832A1
公开(公告)日：2013-06-13
申请号：US13728940
申请日：2012-12-27
申请人： Amir Belson , James J. Leary
发明人： Amir Belson , James J. Leary
IPC分类号： A61B17/00
CPC分类号： A61B17/00 , A61B1/00087 , A61B1/04 , A61B1/3132 , A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0483 , A61B17/29 , A61B17/3201 , A61B17/3423 , A61B34/30 , A61B34/37 , A61B90/361 , A61B2017/00278 , A61B2017/00362 , A61B2017/00411 , A61B2017/00464 , A61B2017/00477 , A61B2017/00539 , A61B2017/00544 , A61B2017/00876 , A61B2017/2901 , A61B2017/2902 , A61B2017/2931 , A61B2017/2943 , A61B2090/306 , A61B2090/3614
摘要： Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.
摘要翻译：描述的装置和方法允许将内窥镜和腹腔镜手术的技术组合成称为NOTES辅助腹腔镜手术的微创混合手术技术。描述了一种手动和机器人控制的模块化腹腔镜工具，其具有腹腔镜输送到外科手术部位的小直径轴。较大直径的工作尖端通过插入到外科手术部位的NOTES输送管通过自然孔口输送并连接到模块化腹腔镜工具的轴上。更大直径的工作提示提高了模块化腹腔镜工具的有效性，也可以减少所用腹腔镜口的数量和尺寸。

6. 发明申请

US20130066365A1 RAPID CLOSING SURGICAL CLOSURE DEVICE 有权
标题翻译：快速闭合手术闭合装置
公开(公告)号：US20130066365A1
公开(公告)日：2013-03-14
申请号：US13414176
申请日：2012-03-07
申请人： Amir Belson , Brian Beckey , James J. Leary
发明人： Amir Belson , Brian Beckey , James J. Leary
IPC分类号： A61B17/03
CPC分类号： A61B17/08 , A61B17/085 , A61B2017/081 , A61B2017/088
摘要： A surgical or wound closure device utilizes a slide fastener for rapidly closing a surgical incision or wound with precise apposition of the sides of the incision. The surgical closure devices are configured for linear incisions, shaped incisions, such as used for wedge biopsy or excisional biopsy, and long incisions, such as used for laparotomy or surgical removal of redundant skin. The surgical closure device may be adhered to the patient's skin prior to making an incision and is subsequently used for closing the incision.
摘要翻译：外科手术或伤口闭合装置利用拉链来快速地闭合切口或切口的两侧的精确并置的伤口。手术闭合装置被配置用于线性切口，成形切口，例如用于楔形活检或切除活检，以及长切口，例如用于剖腹手术或手术切除多余皮肤。手术闭合装置可以在切口之前粘附到患者的皮肤上，随后用于闭合切口。

7. 发明授权

US07641684B2 Catheter system for stenting bifurcated vessels 有权
标题翻译：用于支架分叉血管的导管系统
公开(公告)号：US07641684B2
公开(公告)日：2010-01-05
申请号：US10833494
申请日：2004-04-27
申请人： Pierre Hilaire , James J. Leary , Machiel Van Der Leest
发明人： Pierre Hilaire , James J. Leary , Machiel Van Der Leest
IPC分类号： A61F2/06
CPC分类号： A61F2/954 , A61F2/856 , A61F2/958 , A61F2/97 , A61F2002/065 , A61F2002/067 , A61F2250/006
摘要： A catheter system and method are described for stenting a vessel at a bifurcation or sidebranch of the vessel. The catheter system includes a first balloon catheter, a second balloon catheter and a releasable linking device for holding the first and second balloon catheters arranged in a side-by-side configuration and aligned with one another along a longitudinal axis. The linking device allows the catheter system to be advanced as a unit and helps prevent premature or inadvertent dislodgement of the stent from the catheters, yet is releasable so that one or both of the balloon catheters can be released from the linking device and maneuvered separately from the rest of the catheter system when desired. The method utilizes the described catheter system for stenting bifurcated vessels using a modified “kissing balloons” technique.
摘要翻译：描述了用于在血管的分叉或侧分支处支架血管的导管系统和方法。导管系统包括第一气囊导管，第二球囊导管和可释放连接装置，用于保持以并排构造布置并沿着纵向轴线彼此对准的第一和第二气囊导管。连接装置允许导管系统作为一个单元前进，并且有助于防止支架从导管中过早或无意地移出，但是可释放，使得气囊导管中的一个或两个可以从连接装置释放并与导管系统的其余部分。该方法利用所描述的导管系统用于使用改进的“接吻气球”技术支架分叉血管。

8. 发明申请

US20090232282A1 Fluoroscopy operator protection device 有权
标题翻译：荧光镜操作者保护装置
公开(公告)号：US20090232282A1
公开(公告)日：2009-09-17
申请号：US12313782
申请日：2008-11-21
申请人： Amir Belson , James J. Leary
发明人： Amir Belson , James J. Leary
IPC分类号： H01J35/16 , A61B6/04
CPC分类号： A61B6/107 , A61B6/4423 , A61B6/4441 , A61B6/487 , A61B6/589
摘要： A radiation protection device attaches to the C-arm of a fluoroscope and shields and collimates the X-ray beam between the X-ray source and the patient and between the patient and the image intensifier. One embodiment has a radiation shield of X-ray opaque material that surrounds the C-arm of the fluoroscopy system, the X-ray source and the image intensifier. A padded slot fits around the patient's body. Another embodiment has conical or cylindrical radiation shields that extend between the X-ray source and the patient and between the patient and the image intensifier. The radiation shields have length adjustments and padded ends to fit the device to the patient. The radiation protection device may be motorized to advance and withdraw the radiation shields. A blanket-like radiation shield covers the patient in the area surrounding where the X-ray beam enters the body.
摘要翻译：辐射防护装置连接到荧光镜的C形臂，并且屏蔽和准直X射线源与患者之间以及患者与图像增强器之间的X射线束。一个实施例具有围绕荧光透视系统的C臂，X射线源和图像增强器的X射线不透明材料的辐射屏蔽。一个填充的槽适合患者的身体。另一实施例具有在X射线源和患者之间以及患者与图像增强器之间延伸的锥形或圆柱形辐射屏蔽。辐射屏蔽具有长度调节和填充端，以将装置适合于患者。辐射防护装置可以被电动以推进和撤回辐射屏蔽。毯状辐射屏蔽覆盖X射线束进入身体周围区域的患者。

9. 发明授权

US06139517A Perfusion shunt apparatus and method 失效
标题翻译：灌注分流装置及方法
公开(公告)号：US06139517A
公开(公告)日：2000-10-31
申请号：US212580
申请日：1998-12-14
申请人： John A. Macoviak , Wilfred J. Samson , James J. Leary , Brady D. Esch
发明人： John A. Macoviak , Wilfred J. Samson , James J. Leary , Brady D. Esch
IPC分类号： A61F2/958 , A61M1/36 , A61M29/02 , A61M5/00 , A61M29/00
CPC分类号： A61M25/1002 , A61M1/3613 , A61M1/3653 , A61M2025/1052 , A61M2025/1097 , A61M2210/12 , A61M2210/127 , A61M25/1011
摘要： A perfusion shunt apparatus and methods are described for isolating and selectively perfusing a segment of a patient's cardiovascular system and for directing circulatory flow around the isolated segment. An aortic perfusion shunt apparatus is configured for deployment within a patient's aortic arch and methods are described for isolating the aortic arch vessels from the aortic lumen, for selectively perfusing the arch vessels with a fluid and for directing blood flow within the aortic lumen through a shunt past the isolated arch vessels. The perfusion shunt apparatus may be mounted on a catheter or cannula for percutaneous introduction or for direct insertion into a circulatory vessel, such as the aorta. The perfusion shunt apparatus has application for protecting a patient from embolic stroke or hypoperfusion during cardiopulmonary bypass or cardiac surgery and also for selectively perfusing the cerebrovascular circulation with oxygenated blood or with neuroprotective fluids in the presence of risk factors, such as head trauma or cardiac insufficiency. The perfusion shunt apparatus will also find application for selective perfusion of other organ systems within the body.
摘要翻译：描述了灌注分流装置和方法，用于分离和选择性地灌注患者的心血管系统的一部分并用于引导围绕隔离的部分的循环流动。主动脉瓣灌注分流装置构造成用于部署在患者的主动脉弓内，并且描述了用于将主动脉弓血管与主动脉腔隔离的方法，用于选择性地用流体灌注弓形血管并通过分流器引导主动脉腔内的血流经过孤立的拱形船只。灌注分流装置可以安装在用于经皮引入的导管或套管上，或者用于直接插入诸如主动脉的循环血管。灌注分流装置具有用于在心肺转流或心脏手术期间保护患者免于栓塞性中风或灌注不足的问题，并且还可以在存在诸如头部创伤或心脏功能不全的风险因素的情况下用氧合血液或与神经保护液体选择性灌注脑血管循环。灌注分流装置还可以应用于在体内选择性灌注其他器官系统。

10. 发明授权

US09179914B2 Rapid closing surgical closure device 有权
标题翻译：快速闭合手术闭合装置
公开(公告)号：US09179914B2
公开(公告)日：2015-11-10
申请号：US13414176
申请日：2012-03-07
申请人： Amir Belson , Brian Beckey , James J. Leary
发明人： Amir Belson , Brian Beckey , James J. Leary
IPC分类号： A61B17/08 , A61D1/00
CPC分类号： A61B17/08 , A61B17/085 , A61B2017/081 , A61B2017/088
摘要： A surgical or wound closure device utilizes a slide fastener for rapidly closing a surgical incision or wound with precise apposition of the sides of the incision. The surgical closure devices are configured for linear incisions, shaped incisions, such as used for wedge biopsy or excisional biopsy, and long incisions, such as used for laparotomy or surgical removal of redundant skin. The surgical closure device may be adhered to the patient's skin prior to making an incision and is subsequently used for closing the incision.
摘要翻译：外科手术或伤口闭合装置利用拉链来快速地闭合切口或切口的两侧的精确并置的伤口。手术闭合装置被配置用于线性切口，成形切口，例如用于楔形活检或切除活检，以及长切口，例如用于剖腹手术或手术切除多余皮肤。手术闭合装置可以在切口之前粘附到患者的皮肤上，随后用于闭合切口。

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