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1. 发明授权

US06258113B1 Needle herniorrhaphy devices 失效
标题翻译：针疝装置
公开(公告)号：US06258113B1
公开(公告)日：2001-07-10
申请号：US09628364
申请日：2000-07-28
申请人： Ronald D. Adams , William J. Shaw
发明人： Ronald D. Adams , William J. Shaw
IPC分类号： A61M2500
CPC分类号： A61F2/0063 , A61B17/00234 , A61B17/0218 , A61B2017/320044 , A61B2090/0815 , A61F2002/0072
摘要： Guidewire-deliverable devices and methods of using the devices for separating adjacent layers of tissue and for delivering a surgical prosthesis to an operating site. A guidewire-deliverable cannula provides an elongate window for accessing the operating site with a tissue-separating device. The tissue-separating device may include one of several types of an inflatable balloon or a tissue-dissecting member. The tissue-separating balloon may simultaneously deliver the prosthesis during tissue separation and may further be detached to remain with the prosthesis over the operating site. Alternatively, the prosthesis may be separately provided after the adjacent layers of tissue have been separated.
摘要翻译：导丝可输送装置和使用该装置分离组织相邻层并将外科假体递送到手术部位的方法。导丝可输送套管提供用于利用组织分离装置进入操作部位的细长窗口。组织分离装置可以包括几种类型的可膨胀气球或组织解剖构件中的一种。组织分离球囊可以在组织分离期间同时递送假体，并且还可以在操作部位上拆卸以保留在假体上。或者，可以在相邻的组织层已经分离之后单独提供假体。

2. 发明授权

US6099518A Needle herniorrhaphy devices 有权
公开(公告)号：US6099518A
公开(公告)日：2000-08-08
申请号：US175169
申请日：1998-10-20
申请人： Ronald D. Adams , William J. Shaw
发明人： Ronald D. Adams , William J. Shaw
IPC分类号： A61B17/00 , A61B17/02 , A61B17/03 , A61B17/32 , A61B19/00 , A61F2/00 , A61M25/00
CPC分类号： A61F2/0063 , A61B17/0218 , A61B17/00234 , A61B2017/320044 , A61B2090/0815 , A61F2002/0072
摘要： Guidewire-deliverable devices and methods of using the devices for separating adjacent layers of tissue and for delivering a surgical prosthesis to an operating site. A guidewire-delverable cannula provides an elongate window for accessing the operating site with a tissue-separating device. The tissue-separating device may include one of several types of an inflatable balloon or a tissue-dissecting member. The tissue-separating balloon may simultaneously deliver the prosthesis during tissue separation and may further be detached to remain with the prosthesis over the operating site. Alternatively, the prosthesis may be separately provided after the adjacent layers of tissue have been separated.

3. 发明授权

US08840626B2 Systems for performing gynecological procedures with simultaneous tissue cutting and removal 有权
标题翻译：执行妇科手术同时进行组织切割和移除的系统
公开(公告)号：US08840626B2
公开(公告)日：2014-09-23
申请号：US11852200
申请日：2007-09-07
申请人： Ronald D. Adams , William H. Gruber , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： Ronald D. Adams , William H. Gruber , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42 , A61B17/12 , A61B19/00 , A61B18/22 , A61B17/00 , A61B17/32 , A61B18/02 , A61B17/02 , A61B18/14
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. The system is configured to permit simultaneous tissue cutting and removal from a target site. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.
摘要翻译：公开了用于执行改进的妇科和泌尿系统程序的系统，方法，装置和装置。该系统被配置为允许从目标部位同时进行组织切割和移除。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

4. 发明授权

US08083666B2 Endoscopic resection devices and related methods of use 有权
标题翻译：内窥镜切除装置及相关使用方法
公开(公告)号：US08083666B2
公开(公告)日：2011-12-27
申请号：US11332443
申请日：2006-01-13
申请人： Ronald D. Adams
发明人： Ronald D. Adams
IPC分类号： A61B1/00
CPC分类号： A61B1/00154 , A61B10/04 , A61B17/115 , A61B17/320016
摘要： Described is a tissue resection system which includes a guide element; a resection head; a positioning mechanism and an actuating mechanism. The resection head includes a guide channel slidably receiving the guide element and an endoscope channel sized to slidably receive an endoscope therein, so that, when the resection head is slid along the guide element, the endoscope and the resection head follow a path defined by the guide element. The positioning mechanism moves the resection head relative to a distal end of the endoscope between a first position in which the distal end of the endoscope extends distally out of the endoscope channel and a second position in which the distal end of the endoscope is received within the endoscope channel. The actuating mechanism moving a portion of an outer wall of the resection head to open and close a resection chamber defined by the outer wall.
摘要翻译：描述了一种包括引导元件的组织切除系统; 切除头; 定位机构和致动机构。切除头包括可滑动地接收引导元件的引导通道和尺寸适于可滑动地容纳内窥镜的内窥镜通道，使得当切除头沿着引导元件滑动时，内窥镜和切除头遵循由引导元素所述定位机构将所述切除头相对于所述内窥镜的前端部移动到所述内窥镜的前端从所述内窥镜通道向远侧延伸出的第一位置和所述内窥镜的前端在所述内窥镜的远端内部被接收的第二位置内窥镜通道。所述致动机构移动所述切除头的外壁的一部分以打开和闭合由所述外壁限定的切除室。

5. 发明申请

US20090242612A1 Method and Device for Full Thickness Resectioning of an Organ 有权
标题翻译：器官全层切除术的方法与装置
公开(公告)号：US20090242612A1
公开(公告)日：2009-10-01
申请号：US12482574
申请日：2009-06-11
申请人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

6. 发明授权

US06669706B2 Thin soft tissue surgical support mesh 有权
公开(公告)号：US06669706B2
公开(公告)日：2003-12-30
申请号：US10024440
申请日：2001-12-18
申请人： Peter J. Schmitt , Ronald D. Adams
发明人： Peter J. Schmitt , Ronald D. Adams
IPC分类号： A61B1704
CPC分类号： A61F2/0063 , A61F2002/0068 , A61F2250/0067
摘要： A soft and pliable surgical support mesh exhibiting increased resistance to inhabitation of infectious matter. The mesh includes a support trellis formed of multifilament yarns wherein the interstitial voids located between the filaments of said yarns are enclosed within an infection-impervious matrix. The meshes may be designed to be extremely thin yet retain the requisite strength for repairing soft tissue, which allows for a low profile when folded for delivery.

7. 发明授权

US06585144B2 Integrated surgical staple retainer for a full thickness resectioning device 有权
公开(公告)号：US06585144B2
公开(公告)日：2003-07-01
申请号：US09835480
申请日：2001-04-17
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： An integrated surgical staple retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the fill thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.

8. 发明授权

US5395383A Adhesion barrier applicator 失效
标题翻译：粘合阻隔涂料
公开(公告)号：US5395383A
公开(公告)日：1995-03-07
申请号：US187376
申请日：1994-01-27
申请人： Ronald D. Adams , Richard M. O'Grady , Robert L. Marvin, Jr. , Mary B. Youtsler , Michael T. Brown
发明人： Ronald D. Adams , Richard M. O'Grady , Robert L. Marvin, Jr. , Mary B. Youtsler , Michael T. Brown
IPC分类号： A61B1/00 , A61B20060101 , A61B17/00 , A61B17/12 , A61B17/42 , A61B19/00 , A61F2/00
CPC分类号： A61F2/0063 , A61B17/00234 , A61B2090/0816 , A61F2002/0072
摘要： An applicator is provided for applying a sheet of surgical material, e.g., an adhesion barrier or other surgical fabric, to internal body tissue. The applicator includes an expandable operating tip which is insertable into an endoscopic tube through an incision in a body to enable a surgeon to apply the adhesion barrier or other surgical fabric to tissue inside the body. A preferred embodiment of the applicator includes a set of telescoping tubes comprising an outer delivery tube, a intermediate deployment tube, and a inner irrigation tube. An expandable spreader tip is mounted at the distal end of the irrigation tube and connected to the distal end of the deployment tube. By advancing the deployment tube and irrigation tube relative to the delivery tube, the spreader tip is exposed at the distal end of the delivery tube. The spreader tip is expanded by movement of the deployment tube relative to the irrigation tube to spread the adhesion barrier over the tissue. A nozzle is provided at the distal end of the irrigation tube for applying a fluid, e.g., a saline solution, to the adhesion barrier.
摘要翻译：提供了一种用于将外科材料片材例如粘附屏障或其它手术织物片材施加到内部身体组织的施加器。施用器包括可扩展的操作尖端，其可通过体内的切口插入到内窥镜管中，以使得外科医生能够将粘附屏障或其它手术织物施加到身体内的组织。涂抹器的优选实施例包括一组伸缩管，其包括外部输送管，中间展开管和内部冲洗管。可膨胀的扩张器尖端安装在冲洗管的远端并连接到展开管的远端。通过相对于输送管推进展开管和冲洗管，扩张器尖端在输送管的远端处露出。通过展开管相对于冲洗管的运动来扩展吊具末端，以将粘附屏障铺展在组织上。在冲洗管的远端处设置一个喷嘴，用于将一种流体例如盐水溶液施加到粘合屏障上。

9. 发明授权

US5325848A Endoscopic tissue manipulator with expandable frame 失效
标题翻译：具有可扩展框架的内窥镜组织机械手
公开(公告)号：US5325848A
公开(公告)日：1994-07-05
申请号：US943096
申请日：1992-09-10
申请人： Ronald D. Adams , Randy J. Embertson , M. Joshua Tolkoff , Robert C. Allman , Fernando A. de Toledo
发明人： Ronald D. Adams , Randy J. Embertson , M. Joshua Tolkoff , Robert C. Allman , Fernando A. de Toledo
IPC分类号： A61B1/00 , A61B17/00 , A61B17/02
CPC分类号： A61B17/0218
摘要： A tissue manipulator is provided which is insertable through an endoscopic tube to enable a surgeon to manipulate tissue inside a body cavity. The endoscopic tissue manipulator includes an expandable tissue manipulating frame adapted to expand transversely through a longitudinal slot in a support tube to provide a spatula-shaped platform which can be manipulated by rotation of the support tube about its longitudinal axis to engage and displace large body organs away from a desired surgical site in a body cavity. The frame consists of a plurality of flexible frame members or wires adapted to flex laterally outward through the longitudinal slot in the support tube into a bow-shaped configuration overlapping the other frame members or wires of the spatula-shaped platform. The instrument can be provided with a single tissue manipulating frame or a pair of frames which are expandable through separate longitudinal slots in the support tube to provide a pair of spatula-shaped platforms to engage the tissue. The pair of frames of the dual frame embodiment may be actuated together or independently.
摘要翻译：提供组织操纵器，其可通过内窥镜管插入，以使外科医生能够操纵体腔内的组织。内窥镜组织操纵器包括可膨胀组织操纵框架，其适于横向延伸穿过支撑管中的纵向狭槽，以提供刮铲形平台，该平台可以通过支撑管围绕其纵向轴线的旋转来操纵，以接合和移位大的身体器官远离体腔中期望的手术部位。该框架包括多个柔性框架构件或线，其适于沿着支撑管中的纵向槽横向向外弯曲成与刮刀形平台的其它框架构件重叠的弓形构造。仪器可以设置有单个组织操纵框架或一对框架，其可以通过支撑管中的分开的纵向狭槽扩展，以提供一对刮板形平台来接合组织。双框实施例的一对框架可以一起或独立地被致动。

10. 发明授权

US4354880A Method of forge-conditioning non-ferrous metals prior to rolling 失效
标题翻译：轧制前锻造有色金属的方法
公开(公告)号：US4354880A
公开(公告)日：1982-10-19
申请号：US248189
申请日：1981-03-30
申请人： Ronald D. Adams , E. Henry Chia
发明人： Ronald D. Adams , E. Henry Chia
IPC分类号： B21B3/00 , B21B13/18 , B22D11/12 , C22F1/08
CPC分类号： B21B3/003 , B22D11/1206 , C22F1/08 , B21B13/18 , B21B2003/001 , B21B2003/005
摘要： A method of continuously casting a molten metal in a casting means to obtain a solidified cast bar at a hot-forming temperature, passing the cast metal at a hot-forming temperature from the casting means to a hot-forming means, and hot forming the cast bar into a wrought product by a two-stage reduction of its cross-sectional area while it is still at a hot-forming temperature, including, in the first stage, the step of forming a shell of finely distributed recrystallized grains in the surface layers of the cast bar by compressive forging affecting at least the surface layer of the cross section of the bar in its as-cast condition prior to the second stage in which substantial reduction of its cross-sectional area by rolling deformation forms the desired wrought product. The shell of fine grains formed on the cast bar during the first stage of compressive deformation permits substantial reduction of the cross-sectional area of the cast bar during the second stage of rolling deformation without the cast bar cracking, even when the cast bar has a high impurity content or is otherwise susceptible to intergranular rupturing.
摘要翻译：一种在铸造装置中连续铸造熔融金属的方法，以在热成型温度下获得固化的铸造棒，使铸造金属在热成型温度下从铸造装置通过热成形装置，并热成型浇铸棒在其仍然处于热成型温度的状态下通过两截面的减小其横截面积而变成锻造品，其包括在第一阶段中在表面形成细分布的再结晶晶粒的壳体的步骤在通过轧制变形形成其横截面积的显着降低的第二阶段之前，通过压缩锻造在至少影响棒的横截面的表面层的铸造条件中影响铸造棒的层形成期望的锻造产品。在压缩变形的第一阶段期间在铸棒上形成的细晶粒的壳体在轧制变形的第二阶段期间可大幅度地减小铸钢件的横截面面积，而不会产生铸钢棒的破裂，即使铸钢棒具有杂质含量高，否则容易发生晶间破裂。

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