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1. 发明授权

US08574256B2 Method of performing a suprapubic transurethral cystostomy 有权
标题翻译：执行耻骨上尿道膀胱造口术的方法
公开(公告)号：US08574256B2
公开(公告)日：2013-11-05
申请号：US13346587
申请日：2012-01-09
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/34
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith. The apparatus includes an elongate tubular body including a proximal portion and a distal portion inclined relative to one another. The distal portion extends along an axis to an end configured for receipt through a urethra. An elongate arm has a first end operably attached to the proximal portion of the tubular body and a second end providing an indicator establishing an axis aligned coaxially with the axis of the distal portion. A surgical opening is formed with a cutting member being extended along the axis of the indicator.
摘要翻译：耻骨上尿道膀胱切开术及其手术开口的形成方法。该装置包括细长管状体，其包括相对于彼此倾斜的近端部分和远侧部分。远侧部分沿着轴线延伸到被配置为通过尿道接收的端部。细长臂具有可操作地附接到管状体的近端部分的第一端和提供构造与远侧部分的轴线同轴对准的轴的指示器的第二端。手术开口形成有沿着指示器的轴线延伸的切割构件。

2. 发明申请

US20090088599A1 Method of accessing a bladder and associated apparatus therefor 有权
标题翻译：接触膀胱及其相关装置的方法
公开(公告)号：US20090088599A1
公开(公告)日：2009-04-02
申请号：US12239129
申请日：2008-09-26
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61M29/00
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A bladder access apparatus and method of provided access into a bladder through a abdominal wall therewith is provided. The apparatus has an annular body extending between opposite ends with a through passage extending between the ends. A tubular sheath is attached to one end of the body in coaxial alignment with the through passage. The sheath is expandable from a first diameter to an enlarged second diameter. The apparatus has an elongate stylet with a rod sized for receipt in the sheath. The rod has a length greater than the tubular sheath and a diameter substantially the same as the first diameter of the sheath. The apparatus includes a rigid, tubular body having an outer diameter corresponding substantially to the second diameter of the sheath and a rigid, cylindrical member sized for sliding receipt in the tubular body.
摘要翻译：提供了一种提供通过腹壁进入膀胱的膀胱进入装置和方法。该装置具有在相对端部之间延伸的环形体，在两端之间延伸有通道。管状护套与穿通通道同轴对准地连接到身体的一端。护套从第一直径扩大到扩大的第二直径。该装置具有细长的管心针，其具有尺寸适于接收在护套中的杆。杆的长度大于管状护套，直径与护套的第一直径基本相同。该装置包括刚性的管状体，其具有基本上对应于护套的第二直径的外径，以及尺寸适于在管状体中滑动收容的刚性圆柱形构件。

3. 发明申请

US20100298857A1 Apparatus and Method for Performing Cystotomy Procedures 有权
标题翻译：用于执行膀胱切开术的装置和方法
公开(公告)号：US20100298857A1
公开(公告)日：2010-11-25
申请号：US12790313
申请日：2010-05-28
申请人： Ronald E. Zook , Laurence K. Sampson , Timothy E. Braun , Kenneth A. High , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Laurence K. Sampson , Timothy E. Braun , Kenneth A. High , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/34 , A61M29/00
CPC分类号： A61M29/00 , A61B17/3403 , A61B17/3415 , A61B17/3462 , A61B2017/00278 , A61B2017/00473 , A61B2017/00477 , A61B2017/3484 , A61B2090/062
摘要： A cystotomy apparatus includes a sound from which an advancement device having a cutting tip creates a surgical pathway from the bladder through abdominal tissue to the external abdomen along a predetermined path. The cutting tip is captured and removed from the advancement device in a capture cup located in the predetermined path by an alignment structure. The cutting tip is removed from the advancement device while within the capture cup, to allow a dilator, cannula or catheter to be drawn through the surgical pathway into the bladder.
摘要翻译：囊状切开装置包括声音，具有切割尖端的前进装置从该声音沿着预定路径产生从膀胱通过腹部组织到外部腹部的外科路径。通过对准结构，在位于预定路径中的捕获杯中从切割装置捕获并移除切割尖端。切割尖端在推进装置的同时在捕获杯内被移除，以允许扩张器，插管或导管通过手术通道进入膀胱。

4. 发明授权

US08382785B2 Apparatus and method for performing cystotomy procedures 有权
标题翻译：用于执行膀胱切开术的装置和方法
公开(公告)号：US08382785B2
公开(公告)日：2013-02-26
申请号：US12790313
申请日：2010-05-28
申请人： Ronald E. Zook , Laurence K. Sampson , Timothy E. Braun , Kenneth A. High , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Laurence K. Sampson , Timothy E. Braun , Kenneth A. High , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/34 , A61B17/32 , A61M29/00
CPC分类号： A61M29/00 , A61B17/3403 , A61B17/3415 , A61B17/3462 , A61B2017/00278 , A61B2017/00473 , A61B2017/00477 , A61B2017/3484 , A61B2090/062
摘要： A cystotomy apparatus includes a sound from which an advancement device having a cutting tip creates a surgical pathway from the bladder through abdominal tissue to the external abdomen along a predetermined path. The cutting tip is captured and removed from the advancement device in a capture cup located in the predetermined path by an alignment structure. The cutting tip is removed from the advancement device while within the capture cup, to allow a dilator, cannula or catheter to be drawn through the surgical pathway into the bladder.
摘要翻译：囊状切开装置包括声音，具有切割尖端的前进装置从该声音沿着预定路径产生从膀胱通过腹部组织到外部腹部的外科路径。通过对准结构，在位于预定路径中的捕获杯中从切割装置捕获并移除切割尖端。切割尖端在推进装置的同时在捕获杯内被移除，以允许扩张器，插管或导管通过手术通道进入膀胱。

5. 发明申请

US20090088786A1 Method of Performing a Suprapubic Transurethral Cystostomy and Associated Procedures and Apparatus Therefor 有权
标题翻译：执行耻骨上尿道膀胱造瘘的方法及相关手术及其设备
公开(公告)号：US20090088786A1
公开(公告)日：2009-04-02
申请号：US12238941
申请日：2008-09-26
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/32
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith. The apparatus includes an elongate tubular body including a proximal portion and a distal portion inclined relative to one another. The distal portion extends along an axis to an end configured for receipt through a urethra. An elongate arm has a first end operably attached to the proximal portion of the tubular body and a second end providing an indicator establishing an axis aligned coaxially with the axis of the distal portion. A surgical opening is formed with a cutting member being extended along the axis of the indicator.
摘要翻译：耻骨上尿道膀胱切开术及其手术开口的形成方法。该装置包括细长管状体，其包括相对于彼此倾斜的近端部分和远侧部分。远侧部分沿着轴线延伸到被配置为通过尿道接收的端部。细长臂具有可操作地附接到管状体的近端部分的第一端和提供构造与远侧部分的轴线同轴对准的轴的指示器的第二端。手术开口形成有沿着指示器的轴线延伸的切割构件。

6. 发明申请

US20120109175A1 Method of Performing a Suprapubic Transurethral Cystostomy 有权
标题翻译：执行耻骨上尿道膀胱造瘘的方法
公开(公告)号：US20120109175A1
公开(公告)日：2012-05-03
申请号：US13346587
申请日：2012-01-09
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/32
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith. The apparatus includes an elongate tubular body including a proximal portion and a distal portion inclined relative to one another. The distal portion extends along an axis to an end configured for receipt through a urethra. An elongate arm has a first end operably attached to the proximal portion of the tubular body and a second end providing an indicator establishing an axis aligned coaxially with the axis of the distal portion. A surgical opening is formed with a cutting member being extended along the axis of the indicator.
摘要翻译：耻骨上尿道膀胱切开术及其手术开口的形成方法。该装置包括细长管状体，其包括相对于彼此倾斜的近端部分和远侧部分。远侧部分沿着轴线延伸到被配置为通过尿道接收的端部。细长臂具有可操作地附接到管状体的近端部分的第一端和提供构造与远侧部分的轴线同轴对准的轴的指示器的第二端。手术开口形成有沿着指示器的轴线延伸的切割构件。

7. 发明授权

US08118826B2 Method of performing a suprapubic transurethral cystostomy and associated procedures and apparatus therefor 有权
标题翻译：执行耻骨上尿道膀胱造瘘的方法及其相关程序及其装置
公开(公告)号：US08118826B2
公开(公告)日：2012-02-21
申请号：US12238941
申请日：2008-09-26
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61B17/34 , A61B17/32
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith. The apparatus includes an elongate tubular body including a proximal portion and a distal portion inclined relative to one another. The distal portion extends along an axis to an end configured for receipt through a urethra. An elongate arm has a first end operably attached to the proximal portion of the tubular body and a second end providing an indicator establishing an axis aligned coaxially with the axis of the distal portion. A surgical opening is formed with a cutting member being extended along the axis of the indicator.
摘要翻译：耻骨上尿道膀胱切开术及其手术开口的形成方法。该装置包括细长管状体，其包括相对于彼此倾斜的近端部分和远侧部分。远侧部分沿着轴线延伸到被配置为通过尿道接收的端部。细长臂具有可操作地附接到管状体的近端部分的第一端和提供构造与远侧部分的轴线同轴对准的轴的指示器的第二端。手术开口形成有沿着指示器的轴线延伸的切割构件。

8. 发明授权

US08118736B2 Method of accessing a bladder and associated apparatus therefor 有权
标题翻译：接触膀胱及其相关装置的方法
公开(公告)号：US08118736B2
公开(公告)日：2012-02-21
申请号：US12239129
申请日：2008-09-26
申请人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
发明人： Ronald E. Zook , Timothy E. Braun , Kenneth A. High , Laurence K. Sampson , Steve W. Jackinsky , Pete W. Kroehl , Davey B. Palmer , David W. Wright , Paul P. Burek
IPC分类号： A61M29/00
CPC分类号： A61B17/3415 , A61B17/3403 , A61B17/3462 , A61B2017/00278 , A61B2017/3484 , A61B2090/062
摘要： A bladder access apparatus and method of provided access into a bladder through a abdominal wall therewith is provided. The apparatus has an annular body extending between opposite ends with a through passage extending between the ends. A tubular sheath is attached to one end of the body in coaxial alignment with the through passage. The sheath is expandable from a first diameter to an enlarged second diameter. The apparatus has an elongate stylet with a rod sized for receipt in the sheath. The rod has a length greater than the tubular sheath and a diameter substantially the same as the first diameter of the sheath. The apparatus includes a rigid, tubular body having an outer diameter corresponding substantially to the second diameter of the sheath and a rigid, cylindrical member sized for sliding receipt in the tubular body.
摘要翻译：提供了一种提供通过腹壁进入膀胱的膀胱进入装置和方法。该装置具有在相对端部之间延伸的环形体，在两端之间延伸有通道。管状护套与穿通通道同轴对准地连接到身体的一端。护套从第一直径扩大到扩大的第二直径。该装置具有细长的管心针，其具有尺寸适于接收在护套中的杆。杆的长度大于管状护套，直径与护套的第一直径基本相同。该装置包括刚性的管状体，其具有基本上对应于护套的第二直径的外径，以及尺寸适于在管状体中滑动收容的刚性圆柱形构件。

9. 发明授权

US06682497B2 Methods and apparatus for treating plantar ulcerations 有权
标题翻译：治疗足底溃疡的方法和装置
公开(公告)号：US06682497B2
公开(公告)日：2004-01-27
申请号：US09756323
申请日：2001-01-08
申请人： Jeffrey L. Jensen , Paul P. Burek
发明人： Jeffrey L. Jensen , Paul P. Burek
IPC分类号： A61F500
CPC分类号： A61F5/0111 , A61F5/012
摘要： The present invention provides methods and an apparatus for treating patients having ulcerations of the lower foot, including patients suffering from diabetic neuropathy. The brace generally includes a pair of rigid shells, a fastening system for joining the shells together to form a unified brace and a combination of bladders which engage the patient's leg and ankle to off-weight the plantar surface, prevent plantar flexing and minimize shearing forces to the plantar surface. The volume of the bladders may be adjusted by the addition or removal of a filler in order to maintain a uniform pressure between the bladders and the patient's leg. The filler contained in the bladders preferably does not undergo significant expansion or contraction in response to temperature or altitude changes. The brace also preferably includes a series of full-length bladders and a specially designed adjustable bladder located within the ankle and heel region of the brace to maximize off-weighting and to prevent the foot from moving downward toward the footbed of the brace. In addition to providing an effective means for off-weighting the plantar surface of a patient, the brace is reuseable, easy to apply and fully adjustable to accommodate changes in a patient's leg size.
摘要翻译：本发明提供了治疗患有下足溃疡的患者的方法和装置，包括患有糖尿病性神经病的患者。支架通常包括一对刚性壳体，用于将壳体连接在一起以形成统一的支架的紧固系统和与患者腿部和脚踝接合以减轻足底表面的囊的组合，防止足底屈曲并最小化剪切力到足底表面。可以通过添加或移除填料来调节囊的体积，以便在气囊和患者腿之间保持均匀的压力。包含在囊中的填料优选地不响应于温度或高度变化而经历显着的膨胀或收缩。支架还优选地包括一系列全长的气囊和专门设计的可调节囊，其位于支架的脚踝和跟部区域内，以最大限度地减少重量并防止脚朝向支架的脚垫向下移动。除了提供用于对患者的足底表面进行重新加权的有效手段之外，支架可再利用，易于施加并且完全可调节以适应患者腿部尺寸的变化。

10. 发明授权

US5256138A Electrosurgical handpiece incorporating blade and conductive gas functionality 失效
标题翻译：包括叶片和导电气体功能的电外科手柄
公开(公告)号：US5256138A
公开(公告)日：1993-10-26
申请号：US592810
申请日：1990-10-04
申请人： Paul P. Burek , William J. Bowers
发明人： Paul P. Burek , William J. Bowers
IPC分类号： A61B18/12 , A61B20060101 , A61B18/00 , A61B17/39
CPC分类号： A61B18/042 , A61B2018/00196 , A61B2018/00958 , H01H2300/014
摘要： An electrosurgical handpiece applies electrical energy to a blade electrode to accomplish blade electrosurgery or to a transfer electrode in a nozzle to transfer electrical energy in arcs in a flowing gas to accomplish conductive gas electrocoagulation. The blade electrode may be selectively extended to conduct blade electrosurgery and withdrawn when conductive gas electrocoagulation is accomplished. Finger activated switches on the handpiece control the application of electrical energy to the blade electrode and the application of gas to the nozzle and the electrical energy to the transfer electrode within the nozzle. A cord includes a tubing for supplying gas to the handpiece. The cord also includes a plurality of conductors for conducting electrical energy to the two electrodes and conducting control signals to an electrosurgical apparatus which delivers the electrical energy and the gas. A nozzle and electrode assembly fits within the end of the tubing.
摘要翻译：电外科手柄将电能施加到刀片电极以实现刀片电外科手术或喷嘴中的转移电极，以在流动气体中的电弧中转移电能以实现导电气体电凝。可以选择性地延伸刀片电极以进行刀片电外科手术，并且在导电气体电凝实现时取出。手柄上的手指激活开关控制对刀片电极的电能的施加以及向喷嘴施加气体以及喷嘴内的转移电极的电能。电线包括用于向手持件供应气体的管道。绳索还包括用于向两个电极传导电能并将控制信号传导到传递电能和气体的电外科设备的多个导体。喷嘴和电极组件装配在管道的端部内。

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