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1. 发明申请

US20060173483A1 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US20060173483A1
公开(公告)日：2006-08-03
申请号：US11313175
申请日：2005-12-20
申请人： Maciej Kieturakis , Helmut Kayan , Jan Echeverry , Thomas Howell , Kenneth Mollenauer , James Jervis
发明人： Maciej Kieturakis , Helmut Kayan , Jan Echeverry , Thomas Howell , Kenneth Mollenauer , James Jervis
IPC分类号： A61M29/00
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layer to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creature of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdrawn through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。腹腔镜可以通过隧道构件的开放远端直接观察解剖。当设备用于在组织层与患者体内的感兴趣区域之间隧穿时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层和解剖学的生物分离时，工作空间。解剖空间创建完毕后，通过切口取出装置和腹腔镜。如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将穿透构件插入形成球囊的球囊的内部，穿过隧道构件的通常为圆柱形的辊，并且优选地通过使用整体气囊盖将隧道构件插入到隧道构件以形成半刚性钝头封闭器。

2. 发明申请

US20080058854A1 Apparatus and method for dissecting tissue layers 失效
标题翻译：用于解剖组织层的装置和方法
公开(公告)号：US20080058854A1
公开(公告)日：2008-03-06
申请号：US11975901
申请日：2007-10-22
申请人： Maciej Kieturakis , Kenneth Mollenauer , Jan Echeverry , Thomas Howell , James Jervis , Helmut Kayan , Janine Robinson
发明人： Maciej Kieturakis , Kenneth Mollenauer , Jan Echeverry , Thomas Howell , James Jervis , Helmut Kayan , Janine Robinson
IPC分类号： A61M29/02
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。还公开了各种气球结构和可重复使用的设计。

3. 发明申请

US20070118170A1 Apparatus and method for dissecting tissue layers 审中-公开
标题翻译：用于解剖组织层的装置和方法
公开(公告)号：US20070118170A1
公开(公告)日：2007-05-24
申请号：US11654982
申请日：2007-01-17
申请人： Maciej Kieturakis , Kenneth Mollenauer , Jan Echeverry , Thomas Howell , James Jervis , Helmut Kayan , Janine Robinson
发明人： Maciej Kieturakis , Kenneth Mollenauer , Jan Echeverry , Thomas Howell , James Jervis , Helmut Kayan , Janine Robinson
IPC分类号： A61M29/00
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。还公开了各种气球结构和可重复使用的设计。

4. 发明申请

US20060036277A1 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 失效
公开(公告)号：US20060036277A1
公开(公告)日：2006-02-16
申请号：US11208672
申请日：2005-08-22
申请人： Maciej Kieturakis , Kenneth Mollenauer , Michelle Monfort , Helmut Kayan
发明人： Maciej Kieturakis , Kenneth Mollenauer , Michelle Monfort , Helmut Kayan
IPC分类号： A61M29/00
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： An apparatus for creating an anatomic space in tissue in a body comprises an introducer and a sheath. The tubular sheath may surround the introducer, and may have a weakened region along its longitudinal axis. A handle may be provided on the sheath. The handle may be adapted to be pulled proximally to separate the weakened region and allow the sheath to be removed from the introducer. The sheath may be secured to the introducer via detents or latches on the handle.

5. 发明申请

US20080058853A1 Apparatus and method for developing an anatomic space for laparoscopic hernia repair and patch for use therewith 有权
标题翻译：用于开发用于腹腔镜疝修补和补片的解剖空间的装置和方法
公开(公告)号：US20080058853A1
公开(公告)日：2008-03-06
申请号：US11975751
申请日：2007-10-22
申请人： Maciej Kieturakis , Kenneth Mollenauer , Michelle Monfort , Helmut Kayan
发明人： Maciej Kieturakis , Kenneth Mollenauer , Michelle Monfort , Helmut Kayan
IPC分类号： A61B1/32
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： An apparatus for creating an anatomic space in tissue in a body comprises an introducer and a sheath. The tubular sheath may surround the introducer, and may have a weakened region along its longitudinal axis. A handle may be provided on the sheath. The handle may be adapted to be pulled proximally to separate the weakened region and allow the sheath to be removed from the introducer. The sheath may be secured to the introducer via detents or latches on the handle.
摘要翻译：用于在身体中的组织中产生解剖空间的装置包括导引器和护套。管状护套可以围绕导引器，并且可以沿着其纵向轴线具有弱化区域。手柄可以设置在护套上。手柄可以适于被向近侧拉伸以分离弱化区域并且允许护套从导引器移除。护套可以通过手柄上的棘爪或闩锁固定到导引器。

6. 发明申请

US20060167383A1 Screening methods and kits for gastrointestinal diseases 审中-公开
标题翻译：胃肠道疾病筛查方法和试剂盒
公开(公告)号：US20060167383A1
公开(公告)日：2006-07-27
申请号：US11391068
申请日：2006-03-27
申请人： Maciej Kieturakis , Paul Czubarow , Maciej Patelka
发明人： Maciej Kieturakis , Paul Czubarow , Maciej Patelka
IPC分类号： A61B5/00
CPC分类号： A61B10/0038 , A61B10/007 , E03D9/00
摘要： Methods and systems for detecting occult blood and other analytes in the water of a toilet bowl release a dye reagent into the water which produces an observable signal in the presence of the blood or other selected analytes. The dye reagent is preferably dispersed as a liquid, powder, gel, or other form which rapidly mixes and combines with the sample. Additionally, the water of a toilet bowl will have a reduced impurity content such as iron and a surfactant is used to help liberate the analyte from a stool sample. Usually, automatic mechanical or electromechanical dispensing systems are used to release the dye reagent and surfactant into the water.
摘要翻译：用于检测马桶水中的隐血和其他分析物的方法和系统将染料试剂释放到水中，其在存在血液或其它选择的分析物的情况下产生可观察到的信号。染料试剂优选以液体，粉末，凝胶或与样品快速混合并结合的其它形式分散。此外，马桶的水将具有减少的杂质含量，例如铁，并且使用表面活性剂来帮助从粪便样品中释放分析物。通常，使用自动机械或机电分配系统将染料试剂和表面活性剂释放到水中。

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