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1. 发明授权

US09220885B2 Placement devices that enable patients to accurately position medical patches at target locations and methods therefor 有权
标题翻译：使患者能够在目标位置准确定位医疗补丁的放置装置及其方法
公开(公告)号：US09220885B2
公开(公告)日：2015-12-29
申请号：US12642176
申请日：2009-12-18
申请人： Stephen B. Wahlgren , Andrea Slater Tomko , Glenn H. Stahl , Andrew Joseph March , Rochelle Kleinberg , Karin Elise Taylor , Martin J. Nohilly , Michael William Ammerman
发明人： Stephen B. Wahlgren , Andrea Slater Tomko , Glenn H. Stahl , Andrew Joseph March , Rochelle Kleinberg , Karin Elise Taylor , Martin J. Nohilly , Michael William Ammerman
IPC分类号： A61N1/04 , A61N1/05
CPC分类号： A61N1/05 , A61N1/0456 , A61N1/0492 , A61N1/08
摘要： A placement device for a medical patch includes an alignment guide having a shaft with a first end having a first anatomical alignment marker and a second end having a second anatomical alignment marker, a swinging gate both pivotally and rotationally coupled with the first end of the shaft for selectively pivoting the gate toward and away from the shaft and rotating the gate between opposite sides of the shaft, whereby the gate has first and second major faces and a first opening extending through the gate between the first and second major faces. The placement device includes a spacer for selectively adjusting spacing between the gate and the first end of the shaft, and a flexible diaphragm having a flexible dome disposed within the first gate opening. At least one magnet is located in the center of the flexible dome for holding the medical patch within the flexible dome.
摘要翻译：用于医疗贴片的放置装置包括具有轴的对准引导件，第一端具有第一解剖学对准标记，第二端具有第二解剖对准标记，摆动门与轴的第一端枢转地和旋转地联接用于选择性地将门朝向和远离地枢转，并且在所述轴的相对侧之间旋转所述门，由此所述门具有第一和第二主面以及在所述第一和第二主面之间延伸穿过所述门的第一开口。所述放置装置包括用于选择性地调节所述门和所述轴的所述第一端之间的间隔的间隔件，以及具有设置在所述第一门开口内的柔性圆顶的柔性隔膜。至少一个磁体位于柔性圆顶的中心，用于将医疗贴片保持在柔性圆顶内。

2. 发明申请

US20110152987A1 PLACEMENT DEVICES THAT ENABLE PATIENTS TO ACCURATELY POSITION MEDICAL PATCHES AT TARGET LOCATIONS AND METHODS THEREFOR 有权
标题翻译：放置设备，使得患者能够在目标位置上精确定位医疗护理及其方法
公开(公告)号：US20110152987A1
公开(公告)日：2011-06-23
申请号：US12642176
申请日：2009-12-18
申请人： Stephen B. Wahlgren , Andrea Slater Tomko , Glenn H. Stahl , Andrew Joseph March , Rochelle Kleinberg , Karin Elise Taylor , Martin J. Nohilly , Michael William Ammerman
发明人： Stephen B. Wahlgren , Andrea Slater Tomko , Glenn H. Stahl , Andrew Joseph March , Rochelle Kleinberg , Karin Elise Taylor , Martin J. Nohilly , Michael William Ammerman
IPC分类号： A61N1/04
CPC分类号： A61N1/05 , A61N1/0456 , A61N1/0492 , A61N1/08
摘要： A placement device for a medical patch includes an alignment guide having a shaft with a first end having a first anatomical alignment marker and a second end having a second anatomical alignment marker, a swinging gate both pivotally and rotationally coupled with the first end of the shaft for selectively pivoting the gate toward and away from the shaft and rotating the gate between opposite sides of the shaft, whereby the gate has first and second major faces and a first opening extending through the gate between the first and second major faces. The placement device includes a spacer for selectively adjusting spacing between the gate and the first end of the shaft, and a flexible diaphragm having a flexible dome disposed within the first gate opening. At least one magnet is located in the center of the flexible dome for holding the medical patch within the flexible dome.
摘要翻译：用于医疗贴片的放置装置包括具有轴的对准引导件，第一端具有第一解剖学对准标记，第二端具有第二解剖对准标记，摆动门与轴的第一端枢转地和旋转地联接用于选择性地将门朝向和远离地枢转，并且在所述轴的相对侧之间旋转所述门，由此所述门具有第一和第二主面以及在所述第一和第二主面之间延伸穿过所述门的第一开口。所述放置装置包括用于选择性地调节所述门和所述轴的所述第一端之间的间隔的间隔件，以及具有设置在所述第一门开口内的柔性圆顶的柔性隔膜。至少一个磁体位于柔性圆顶的中心，用于将医疗贴片保持在柔性圆顶内。

3. 发明授权

US08100928B2 Morcellator with detachable handle 有权
标题翻译： Morcellator可拆卸手柄
公开(公告)号：US08100928B2
公开(公告)日：2012-01-24
申请号：US11502341
申请日：2006-08-10
申请人： Martin J. Nohilly , Simon Cohn
发明人： Martin J. Nohilly , Simon Cohn
IPC分类号： A61B17/32
CPC分类号： A61B17/320758 , A61B17/32002 , A61B17/32053 , A61B17/34 , A61B17/3476 , A61B2017/0046 , A61B2017/00738 , A61B2017/320024 , A61B2017/320775
摘要： A surgical morcellator includes a trocar body portion and a handle portion detachably mounted to the trocar body portion. The trocar body portion is relatively lightweight and may be used separately from the handle portion with other laparoscopic instruments while morcellation is not required during the surgical procedure.
摘要翻译：外科手术器械包括套管针体部分和可拆卸地安装到套针针体部分的手柄部分。套针针体部分相对较轻，并且可以与其他腹腔镜器械分开使用手柄部分，而在外科手术过程中不需要磨牙。

4. 发明申请

US20080039883A1 Anti-coring device for a surgical morcellator 审中-公开
标题翻译：用于外科手术的反取芯装置
公开(公告)号：US20080039883A1
公开(公告)日：2008-02-14
申请号：US11502339
申请日：2006-08-10
申请人： Martin J. Nohilly
发明人： Martin J. Nohilly
IPC分类号： A61B17/32
CPC分类号： A61B17/320758 , A61B17/32002 , A61B17/32053 , A61B18/148 , A61B2017/320024 , A61B2017/320775 , A61B2018/1407 , A61B2090/08021
摘要： An anti-coring device for a surgical morcellator, which morcellator has a rotatable cutting blade having a sharpened edge and an outer sleeve that is axially moveable on the cutting blade, includes a shield mounted on the distal end of the outer sleeve and axially moveable therewith to selectively cover and at least partially uncover the sharpened edge of the rotatable cutting blade. The shield includes a main body and a protrusion extending axially from the main body and partially about the circumference of the cutting blade. The shield is axially positionable on the cutting blade so that is selectively covers the entire circumference of the sharpened edge of the cutting blade with its main body or only covers a portion of the circumference of the sharpened edge of the cutting blade with its protrusion, leaving the remaining portion of the sharpened edge exposed.
摘要翻译：一种用于外科手术的反取芯装置，其具有可旋转切割刀片，其具有锋利的边缘，以及可在切割刀片上轴向移动的外套筒，其包括安装在外套筒的远端上并可与其轴向移动的护罩以选择性地覆盖并且至少部分地露出可旋转切割刀片的锋利边缘。护罩包括主体和从主体轴向延伸并且部分地围绕切割刀片的圆周延伸的突起。屏蔽件可轴向定位在切割刀片上，使其可选择地以其主体覆盖切割刀片的锋利边缘的整个圆周，或仅用其突出部覆盖切割刀片的锋利边缘的一部分圆周，离开锋利边缘的剩余部分暴露。

5. 发明授权

US09402999B2 Transdermal medical patch 有权
标题翻译：透皮贴片
公开(公告)号：US09402999B2
公开(公告)日：2016-08-02
申请号：US13464634
申请日：2012-05-04
申请人： Stephen Wahlgren , Martin J. Nohilly , Anthony R. DiUbaldi , Rex O. Bare , Bradley Sargent , Michael W. Ammerman , Jeffrey C. Smith , Kathryn M. Kukulka
发明人： Stephen Wahlgren , Martin J. Nohilly , Anthony R. DiUbaldi , Rex O. Bare , Bradley Sargent , Michael W. Ammerman , Jeffrey C. Smith , Kathryn M. Kukulka
IPC分类号： A61N1/04 , A61N1/30 , A61N1/36
CPC分类号： A61N1/303 , A61N1/0428 , A61N1/0456 , A61N1/0492 , A61N1/36014
摘要： A medical patch having a multi-piece bottom liner including a central liner sequentially removable independently of two outer perimeter liners. The multi-piece liner covering two adhesives of different peel force. Removal of the central liner exposes a first temporary/repositionable adhesive. Once properly positioned, the outer perimeter liners are removed to expose a second stronger adhesive. A foam cushioning layer is disposed beneath and extends beyond a footprint of every printed circuit board to prevent skin irritation. The medical patch may be designed specifically for stimulation of the sacral (S3 foramen) spinal nerve without the use of a separate mechanical placement tool or assistance by another.
摘要翻译：一种具有多片底部衬垫的医疗贴片，其包括独立于两个外周边衬垫顺序地移除的中心衬垫。多片衬里覆盖两种不同剥离力的粘合剂。去除中心衬垫露出第一个临时/可重新定位的粘合剂。一旦正确定位，移除外周衬里以露出第二较强的粘合剂。泡沫缓冲层设置在每个印刷电路板的下方并延伸超过每个印刷电路板的印迹，以防止皮肤刺激。医疗补片可以专门设计用于刺激骶骨（S3孔）脊神经，而不使用单独的机械放置工具或由另一机械辅助。

6. 发明授权

US5833696A Apparatus for applying surgical clips 失效
标题翻译：用于外科夹子的装置
公开(公告)号：US5833696A
公开(公告)日：1998-11-10
申请号：US725181
申请日：1996-10-03
申请人： Kenneth H. Whitfield , Martin J. Nohilly , George M. Chelednik
发明人： Kenneth H. Whitfield , Martin J. Nohilly , George M. Chelednik
IPC分类号： A61B17/12 , A61B17/128 , A61B17/28
CPC分类号： A61B17/1285 , A61B2017/2837 , A61B2017/2923 , A61B2017/2929
摘要： A surgical clip applying instrument is disclosed which includes a handle portion, a body extending distally from the handle portion and defining a longitudinal axis, and a plurality of surgical clips disposed within the body. A jaw assembly is mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. A clip pusher is provided to individually distally advance a distalmost surgical clip to the jaw assembly while the jaw portions are in the spaced-apart position. An actuator at least partially disposed within the body is longitudinally movable in response to actuation of the handle portion. A jaw closure member is positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position. The actuator and the jaw closure member define an interlock therebetween to produce simultaneous movement of the actuator and the jaw closure member when the actuator is positioned adjacent the distal end portion of the body.
摘要翻译：公开了一种外科夹子应用仪器，其包括手柄部分，从手柄部分向远侧延伸并限定纵向轴线的主体以及设置在主体内的多个外科夹具。钳口组件安装在身体的远端部分附近。钳口组件包括可在间隔开和近似位置之间移动的第一和第二钳口部分。提供夹子推动器以在钳口部分处于间隔开的位置时单独地将最远端的手术夹子前进到钳口组件。至少部分地设置在主体内的致动器响应于手柄部分的致动而纵向移动。钳口闭合构件邻近第一和第二钳口部分定位，以将钳口部分移动到近似位置。致动器和钳口闭合构件在致动器和夹钳闭合构件之间限定了互锁，以在致动器邻近身体的远端部分定位时产生致动器和钳口闭合构件的同时移动。

7. 发明授权

US5980493A Modular trocar system and methods and assembly 有权
标题翻译：组合式套管针系统及方法及装配
公开(公告)号：US5980493A
公开(公告)日：1999-11-09
申请号：US140076
申请日：1998-08-25
申请人： Robert C. Smith , Martin J. Nohilly , Marc J. Theroux , Richard D. Gresham , Timothy O. VanLeeuwen
发明人： Robert C. Smith , Martin J. Nohilly , Marc J. Theroux , Richard D. Gresham , Timothy O. VanLeeuwen
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3417 , A61B17/3498 , A61B2017/0042 , A61B2017/0046 , A61B2090/062
摘要： A modular trocar system which includes an obturator assembly, and a cannula assembly defining a longitudinal passageway therethrough configured and dimensioned to slidably receive the obturator assembly, the cannula assembly including a housing which includes a valve assembly and a first mating portion, and a cannula defining a passageway of a predetermined dimension therethrough, the cannula and housing movable alternately between a spaced apart relative orientation and an attached orientation wherein the first and second mating portions are engaged.
摘要翻译：一种模块化套管针系统，其包括闭孔器组件和套管组件，所述插管组件限定穿过其的纵向通道，所述插管组件经配置和尺寸设计成可滑动地容纳所述闭孔器组件，所述插管组件包括壳体，所述壳体包括阀组件和第一配合部分，通过其中的预定尺寸的通道，所述套管和壳体可交替地在间隔开的相对定向和附接取向之间移动，其中所述第一和第二配合部分接合。

8. 发明授权

US5807338A Modular trocar system and methods of assembly 失效
标题翻译：组合套管针系统及组装方法
公开(公告)号：US5807338A
公开(公告)日：1998-09-15
申请号：US546009
申请日：1995-10-20
申请人： Robert C. Smith , Martin J. Nohilly , Marc J. Theroux , Richard D. Gresham , Timothy O. VanLeeuwen
发明人： Robert C. Smith , Martin J. Nohilly , Marc J. Theroux , Richard D. Gresham , Timothy O. VanLeeuwen
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3417 , A61B17/3498 , A61B2017/0042 , A61B2017/0046 , A61B2090/062
摘要： A modular trocar system is provided which includes an obturator assembly, and a cannula assembly defining a longitudinal passageway therethrough configured and dimensioned to slidably receive the obturator assembly, the cannula assembly including a housing which includes a valve assembly and a first mating portion, and a cannula defining a passageway of a predetermined dimension therethrough, the cannula including a second mating portion disposed thereon, the cannula and housing movable alternately between a spaced apart relative orientation and an attached orientation wherein the first and second mating portions are engaged. A method of assembly is also provided and includes the steps of connecting a shield member of a first predetermined configuration and dimension to a first housing section, attaching a knife blade assembly of a second predetermined configuration and dimension to the first housing section with a single motion wherein the attachment permits rotation of the knife blade relative to the first housing section, and attaching the first housing section to a second housing section with a quick connect mechanism which includes first and second mating portions such that the first and second housing sections are movable from a spaced apart position to a connected position in a single motion.
摘要翻译：提供了一种模块化套管针系统，其包括闭孔器组件和限定穿过其的纵向通道的插管组件，其配置和尺寸设计成可滑动地容纳所述闭孔器组件，所述插管组件包括壳体，所述壳体包括阀组件和第一配合部分，套管限定通过其中的预定尺寸的通道，所述套管包括设置在其上的第二配合部分，所述套管和壳体可交替地在间隔开的相对定向和附接取向之间移动，其中所述第一和第二配合部分接合。还提供了一种组装方法，包括以下步骤：将第一预定构造和尺寸的屏蔽构件连接到第一壳体部分，将第二预定构造和尺寸的刀片组件以单个运动附接到第一壳体部分其中所述附件允许所述刀片相对于所述第一壳体部分旋转，并且将所述第一壳体部分附接到具有快速连接机构的第二壳体部分，所述快速连接机构包括第一和第二配合部分，使得所述第一和第二壳体部分可从在单个运动中以连接位置的间隔开的位置。

9. 发明申请

US20110082485A1 CUTTING BLADE FOR MORCELLATOR 审中-公开
标题翻译：切割刀片用于MORCELLATOR
公开(公告)号：US20110082485A1
公开(公告)日：2011-04-07
申请号：US12954280
申请日：2010-11-24
申请人： Martin J. Nohilly , Anthony S. Miksza , Robert Nering
发明人： Martin J. Nohilly , Anthony S. Miksza , Robert Nering
IPC分类号： A61B17/32
CPC分类号： A61B17/3207 , A61B17/32002 , A61B17/32053 , A61B2017/320024 , A61B2017/320775
摘要： A cutting blade for a surgical morcellator has a distal end and a sharpened cutting edge situated at the distal end for transecting tissue to form tissue morsels, the cutting blade being structured to minimize contact between the sharpened edge and a tissue grasping instrument used with the morcellator during a surgical procedure. The cutting blade includes a generally cylindrically-shaped sidewall defining an axial bore for the passage of transected tissue morsels therethrough, the sidewall having an outer surface residing generally in a first cylindrical plane, an inner surface residing generally in a second cylindrical plane, and a sloped surface, the inner surface of the sidewall being disposed radially inwardly of the outer surface of the sidewall, the sloped surface extending transversely between the inner surface and the outer surface in the direction of the distal end of the cutting blade and joining the outer surface at an acute angle to define with the outer surface the sharpened cutting edge, the sharpened cutting edge residing in the first cylindrical plane in which the outer surface of the sidewall generally resides, wherein the sloped surface of the cutting blade sidewall extends radially inwardly beyond the second cylindrical plane in which the inner surface of the cutting blade sidewall generally resides to define a circular protrusion situated radially inwardly of the inner surface for selective engagement with the tissue grasping instrument used with the morcellator during a surgical procedure.
摘要翻译：用于外科手术切割器的切割刀片具有位于远端的远端和锋利的切割刃，用于横切组织以形成组织块，该切割刀片被构造成使得锐化边缘与与切割器一起使用的组织抓取器具之间的接触最小化在外科手术过程中。切割刀片包括大致圆柱形的侧壁，其限定用于穿过其中的横切组织小块通过的轴向孔，该侧壁具有通常位于第一圆柱形平面中的外表面，大体上位于第二圆柱形平面中的内表面，以及所述侧壁的内表面设置在所述侧壁的外表面的径向内侧，所述倾斜表面沿所述切割刀片的远端方向在所述内表面和所述外表面之间横向延伸，并且将所述外表面以锐角与外表面限定锋利的切割边缘，位于侧壁的外表面所在的第一圆柱形平面中的尖锐的切割边缘，其中切割刀片侧壁的倾斜表面径向向内延伸超过第二圆柱面，其中切割刀片侧壁的内表面一般驻留以限定位于内表面的径向内侧的圆形突起，用于在外科手术期间与用于切割器的组织夹持器选择性地接合。

10. 发明申请

US20080039880A1 Cutting blade for morcellator 审中-公开
标题翻译：切割刀片
公开(公告)号：US20080039880A1
公开(公告)日：2008-02-14
申请号：US11502340
申请日：2006-08-10
申请人： Martin J. Nohilly , Anthony S. Miksza , Robert Nering
发明人： Martin J. Nohilly , Anthony S. Miksza , Robert Nering
IPC分类号： A61B17/32
CPC分类号： A61B17/3207 , A61B17/32002 , A61B17/32053 , A61B2017/320024 , A61B2017/320775
摘要： A cutting blade for a morcellator has a generally cylindrical shape and includes a sidewall having an inner surface and an outer surface, each of which at least partially resides respectively in concentric first and second cylindrical planes. The blade sidewall further includes a beveled or sloped surface that extends from the inner surface toward the outer surface to define a sharpened edge situated in the second cylindrical plane in which the outer surface of the cutting blade sidewall resides. The sloped surface is provided to protect the sharpened edge of the morcellator blade when it is not obvious to a surgeon operating the morcellator that a tenaculum used to grasp anatomical tissue at the surgical site may have its tissue grasping claws spread to such an extent that the claws may contact the cutting blade of the morcellator. Under such circumstances, the tenaculum will contact the sloped portion of the inner surface of the cutting blade, rather than the sharpened edge, thereby minimizing the chance that the sharpened edge will become dull or damaged.
摘要翻译：用于旋转器的切割刀片具有大致圆柱形形状，并且包括具有内表面和外表面的侧壁，每个侧面至少部分地分别位于同心的第一和第二圆柱形平面中。叶片侧壁还包括从内表面朝向外表面延伸的斜面或倾斜表面，以限定位于切割刀片侧壁的外表面所在的第二圆柱面中的锋利边缘。倾斜的表面被设置成保护割草机叶片的锋利的边缘，当外科医生操作morcellator不明显的是，用于在外科手术部位掌握解剖组织的肛门可能使其组织抓爪传播到这样的程度，爪可能会接触割草机的切割刀片。在这种情况下，导套将接触切割刀片的内表面的倾斜部分，而不是锐化的边缘，从而最小化锐化边缘变钝或损坏的机会。

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