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1. 发明授权

US06450952B1 Medical body access device 有权
标题翻译：医疗机构接入装置
公开(公告)号：US06450952B1
公开(公告)日：2002-09-17
申请号：US09296829
申请日：1999-04-22
申请人： Robert F. Rioux , Raymond Rackley
发明人： Robert F. Rioux , Raymond Rackley
IPC分类号： A61B132
CPC分类号： A61B1/32 , A61B1/0669 , A61B1/07
摘要： A medical device for retracting tissue allows access to the inside of the body by “prying open” an existing or created opening in a body. The device comprises a substantially transparent head having first and second head halves defining a substantially conical surface including a gap when the first and second head halves are joined. Angular motion of the first and second head halves enlarges the existing or created opening and provides an area of access to the inside of the body. The substantially transparent nature of the device allows it to function as a light pipe so that the operator can see the body cavity or tract opened by the device. The device has scissors-like handles to allow an operator to open or close the device with one hand.
摘要翻译：用于回缩组织的医疗装置允许通过“撬开”身体中现有或创建的开口进入身体的内部。该装置包括基本上透明的头部，其具有第一和第二半部分，当第一和第二半部连接时，第一和第二半部限定基本上圆锥形的表面，包括间隙。第一和第二半部分的角运动扩大现有的或创建的开口，并提供进入身体内部的区域。该装置的基本上透明的性质允许其用作光管，使得操作者可以看到由该装置打开的体腔或管道。该设备具有剪刀式手柄，以允许操作者用一只手打开或关闭该装置。

2. 发明授权

US06702741B2 Medical body access device 失效
标题翻译：医疗机构接入装置
公开(公告)号：US06702741B2
公开(公告)日：2004-03-09
申请号：US10198856
申请日：2002-07-19
申请人： Robert F. Rioux , Raymond Rackley
发明人： Robert F. Rioux , Raymond Rackley
IPC分类号： A61B132
CPC分类号： A61B1/32 , A61B1/0669 , A61B1/07
摘要： A medical device for retracting tissue allows access to the inside of the body by “prying open” an existing or created opening in a body. The device comprises a substantially transparent head having first and second head halves defining a substantially conical surface including a gap when the first and second head halves are joined. Angular motion of the first and second head halves enlarges the existing or created opening and provides an area of access to the inside of the body. The substantially transparent nature of the device allows it to function as a light pipe so that the operator can see the body cavity or tract opened by the device. The device has scissors-like handles to allow an operator to open or close the device with one hand.
摘要翻译：用于回缩组织的医疗装置允许通过“撬开”身体中现有或创建的开口进入身体的内部。该装置包括基本上透明的头部，其具有第一和第二半部分，当第一和第二半部连接时，第一和第二半部限定基本上圆锥形的表面，包括间隙。第一和第二半部分的角运动扩大现有的或创建的开口，并提供进入身体内部的区域。该装置的基本上透明的性质允许其用作光管，使得操作者可以看到由该装置打开的体腔或管道。该设备具有剪刀式手柄，以允许操作者用一只手打开或关闭该装置。

3. 发明授权

US08485962B2 Implantable sling for the treatment of incontinence and method of using the same 有权
公开(公告)号：US08485962B2
公开(公告)日：2013-07-16
申请号：US13217250
申请日：2011-08-25
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： A method of treating urinary incontinence includes making an incision and exposing urethral tissue in a patient and employing a tool to place an implant into the incision. The method also includes coupling a first end of the implant to the tool and directing the tool and the first end of the implant through a first obturator foramen of the patient and following the same approach on a contralateral side of the patient thus suspending the implant between the first obturator foramen and the second obturator foramen of the patient. The method additionally includes elevating a urethra of the patient with a central portion of the implant, and securing the first end of the implant relative to a first descending ramus of the patient and securing the second end of the implant relative to a second descending ramus of the patient.

4. 发明授权

US08608640B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US08608640B2
公开(公告)日：2013-12-17
申请号：US13492939
申请日：2012-06-11
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61F2250/0078
摘要： A method of treating urinary incontinence includes forming a first incision exposing a urethral region a patient and forming first and second suprapubic incisions. The method includes tunneling an introducer from the first suprapubic incision superficially anterior to a pubic symphysis of the patient and out of the first incision, attaching a first portion of an implant to the introducer and retracting the introducer and the first portion of the implant from the first incision to the first suprapubic incision, and repeating these maneuvers on the contralateral side. The method includes forming third and fourth incisions and tunneling a suitable introducer from the third/fourth incisions through separate obturator foramen of the patient to allow retracting portions of the implant from the first incision back through to the third/fourth incision with the introducer.
摘要翻译：一种治疗尿失禁的方法包括形成第一切口，暴露患者的尿道区域并形成第一和第二耻骨上切口。该方法包括将引导器从表面上的第一耻骨上切口穿过患者的耻骨联合，并且从第一切口移出，将植入物的第一部分附接到导引器，并将引入器和植入物的第一部分从首先切开第一耻骨上切口，并在对侧重复这些动作。该方法包括形成第三切口和第四切口并且从第三/第四切口穿过合适的导引器穿过患者的分开的闭孔孔，以允许植入物从第一切口部分回缩到具有导引器的第三/第四切口。

5. 发明授权

US07431690B2 Implantable sling for the treatment of male incontinence and method of using the same 有权
标题翻译：用于治疗男性失禁的植入性吊带及其使用方法
公开(公告)号：US07431690B2
公开(公告)日：2008-10-07
申请号：US11119446
申请日：2005-04-30
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61F2250/0078
摘要： An implantable sling for the treatment of male incontinence and method of Implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.
摘要翻译：用于治疗男性尿失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位成穿过闭孔孔和骨盆的至少一个支柱部分，使得植入物的支撑部分可操作地定位在延伸尿道的或远侧，以治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

6. 发明申请

US20080221386A1 Devices for minimally invasive pelvic surgery 有权
标题翻译：微创骨盆手术器械
公开(公告)号：US20080221386A1
公开(公告)日：2008-09-11
申请号：US11894799
申请日：2007-08-20
申请人： Barry N. Gellman , William Martin , Raymond Rackley
发明人： Barry N. Gellman , William Martin , Raymond Rackley
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61B17/00234 , A61B17/0218 , A61B17/0482 , A61B17/06109 , A61B17/221 , A61B17/32 , A61B17/3415 , A61B90/02 , A61B2017/00349 , A61B2017/00805 , A61B2017/06052 , A61B2017/061 , A61B2017/06104 , A61B2017/22035 , A61B2017/22038 , A61B2017/320044 , Y10S128/25
摘要： The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.The present invention relates to prefabricated urethral suspension slings, methods of making the slings, methods of attaching suture to the slings, kits comprising the slings, and methods of using the slings to treat urinary incontinence. The slings comprise a biocompatible material having an elongate shape adapted for urethral suspension. The material has a central portion extending longitudinally between a first end portion and a second end portion. Each end portion of the sling contains at least one suture receiving site. The suture receiving sites are formed prior to surgery and may be reinforced through a variety of means. Sutures may be attached to the suture receiving sites during the manufacturing process or by the physician prior to or during surgery. Additionally, the end portions of the sling containing the suture receiving sites may be thicker than the central portion of the sling.
摘要翻译：在各种实施方案中，本发明提供了用于治疗尿失禁的系统，装置和方法。本发明涉及预制尿道悬吊吊索，制造吊索的方法，将缝合线附接到吊索的方法，包括吊索的套件以及使用吊索处理尿失禁的方法。吊索包括具有适于尿道悬浮液的细长形状的生物相容性材料。该材料具有在第一端部和第二端部之间纵向延伸的中心部分。吊索的每个端部包含至少一个缝线接收部位。在手术之前形成缝线接收部位，并且可以通过各种手段来加强。在制造过程中缝合线可以附着到缝合线接收部位，或者在外科手术之前或之后由医师附着。此外，包含缝合线接收位置的吊索的端部可以比吊索的中心部分更厚。

7. 发明授权

US6042534A Stabilization sling for use in minimally invasive pelvic surgery 失效
标题翻译：用于微创骨盆手术的稳定吊带
公开(公告)号：US6042534A
公开(公告)日：2000-03-28
申请号：US23398
申请日：1998-02-13
申请人： Barry N. Gellman , William Martin , Raymond Rackley
发明人： Barry N. Gellman , William Martin , Raymond Rackley
IPC分类号： A61F2/02 , A61B17/00 , A61B17/04 , A61F2/00 , A61L31/00 , A61L31/04 , A61L31/16
CPC分类号： A61F2/0045 , A61F2/0063 , A61L31/005 , A61L31/044 , A61L31/16 , A61B2017/00805 , A61B2017/0225 , A61B2017/0496 , A61F2210/0004 , A61F2250/0067 , A61F2250/0097 , A61L2300/406 , A61L2300/602
摘要： The present invention relates to prefabricated urethral suspension slings, methods of making the slings, methods of attaching suture to the slings, kits comprising the slings, and methods of using the slings to treat urinary incontinence. The slings comprise a biocompatible material having an elongate shape adapted for urethral suspension. The material has a central portion extending longitudinally between a first end portion and a second end portion. Each end portion of the sling contains at least one suture receiving site. The suture receiving sites are formed prior to surgery and may be reinforced through a variety of means. Sutures may be attached to the suture receiving sites during the manufacturing process or by the physician prior to or during surgery. Additionally, the end portions of the sling containing the suture receiving sites may be thicker than the central portion of the sling.
摘要翻译：本发明涉及预制尿道悬吊吊索，制造吊索的方法，将缝合线附接到吊索的方法，包括吊索的套件以及使用吊索治疗尿失禁的方法。吊索包括具有适于尿道悬浮液的细长形状的生物相容性材料。该材料具有在第一端部和第二端部之间纵向延伸的中心部分。吊索的每个端部包含至少一个缝线接收部位。在手术之前形成缝线接收部位，并且可以通过各种手段来加强。在制造过程中缝合线可以附着到缝合线接收部位，或者在外科手术之前或之后由医师附着。此外，包含缝合线接收位置的吊索的端部可以比吊索的中心部分更厚。

8. 发明授权

US08727962B2 Devices for minimally invasive pelvic surgery 有权
标题翻译：微创骨盆手术器械
公开(公告)号：US08727962B2
公开(公告)日：2014-05-20
申请号：US11894799
申请日：2007-08-20
申请人： Barry N. Gellman , William Martin , Raymond Rackley
发明人： Barry N. Gellman , William Martin , Raymond Rackley
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61B17/00234 , A61B17/0218 , A61B17/0482 , A61B17/06109 , A61B17/221 , A61B17/32 , A61B17/3415 , A61B90/02 , A61B2017/00349 , A61B2017/00805 , A61B2017/06052 , A61B2017/061 , A61B2017/06104 , A61B2017/22035 , A61B2017/22038 , A61B2017/320044 , Y10S128/25
摘要： The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.The present invention relates to prefabricated urethral suspension slings, methods of making the slings, methods of attaching suture to the slings, kits comprising the slings, and methods of using the slings to treat urinary incontinence. The slings comprise a biocompatible material having an elongate shape adapted for urethral suspension. The material has a central portion extending longitudinally between a first end portion and a second end portion. Each end portion of the sling contains at least one suture receiving site. The suture receiving sites are formed prior to surgery and may be reinforced through a variety of means. Sutures may be attached to the suture receiving sites during the manufacturing process or by the physician prior to or during surgery. Additionally, the end portions of the sling containing the suture receiving sites may be thicker than the central portion of the sling.
摘要翻译：在各种实施方案中，本发明提供了用于治疗尿失禁的系统，装置和方法。本发明涉及预制尿道悬吊吊索，制造吊索的方法，将缝合线附接到吊索的方法，包括吊索的套件以及使用吊索处理尿失禁的方法。吊索包括具有适于尿道悬浮液的细长形状的生物相容性材料。该材料具有在第一端部和第二端部之间纵向延伸的中心部分。吊索的每个端部包含至少一个缝线接收部位。在手术之前形成缝线接收部位，并且可以通过各种手段来加强。在制造过程中缝合线可以附着到缝合线接收部位，或者在外科手术之前或之后由医师附着。此外，包含缝合线接收位置的吊索的端部可以比吊索的中心部分更厚。

9. 发明授权

US08029435B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US08029435B2
公开(公告)日：2011-10-04
申请号：US12480701
申请日：2009-06-09
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： An implantable sling for the treatment of male or female incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra (male) or mid-urethral region (female) to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.
摘要翻译：用于治疗男性或女性失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位穿过闭孔孔和骨盆的至少一个支撑部分，使得植入物的支撑部分可操作地定位在延伸的尿道（男性）或中间尿道区域（女性）的或远侧，直到治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

10. 发明授权

US07559885B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US07559885B2
公开(公告)日：2009-07-14
申请号：US11674962
申请日：2007-02-14
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： An implantable sling for the treatment of male or female incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra (male) or mid-urethral region (female) to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.
摘要翻译：一种用于治疗男性或女性失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位穿过闭孔孔和骨盆的至少一个支撑部分，使得植入物的支撑部分可操作地定位在延伸的尿道（男性）或中间尿道区域（女性）或远侧治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

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