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1. 发明授权

US08956276B2 Implant for pelvic organ prolapse repair 有权
标题翻译：盆腔器官脱垂修复植入物
公开(公告)号：US08956276B2
公开(公告)日：2015-02-17
申请号：US13147486
申请日：2009-12-21
申请人： Robert Young , Walter Freitag , Doug Evans
发明人： Robert Young , Walter Freitag , Doug Evans
IPC分类号： A61F2/00 , A61F13/00
CPC分类号： A61F2/0045 , A61F2230/006
摘要： A medical article is used to repair prolapses of various pelvic organs including vaginal vault prolapse. The medical article can include a first flap comprising a dual density mesh formed of a first and second filament, a second flap comprising a single density mesh formed of the first filament, and a third flap comprising a single density mesh formed of the second filament. The first, second, and third flap can share a common intersection that can form an arc. The medical article can be formed by knitting a uniform piece of mesh and the arc can be configured to conform to a surface of a pelvic organ. Methods of manufacturing and methods of using the medical article are also disclosed.
摘要翻译：医疗用品用于修复各种盆腔器官的脱垂，包括阴道穹窿脱垂。医疗用品可以包括第一皮瓣，其包括由第一和第二细丝形成的双重密度网，第二皮瓣，包括由第一细丝形成的单一密度网，以及包括由第二细丝形成的单密度网的第三皮瓣。第一，第二和第三挡板可以共享可以形成弧的公共交叉点。医疗用品可以通过编织均匀的网状物而形成，并且电弧可以被配置成符合盆腔器官的表面。还公开了制造方法和使用医疗制品的方法。

2. 发明申请

US20100010501A2 APPARATUS AND METHOD FOR INTRODUCING IMPLANTS 审中-公开
标题翻译：介绍植入物的设备和方法
公开(公告)号：US20100010501A2
公开(公告)日：2010-01-14
申请号：US12159589
申请日：2006-12-28
申请人： Noah Meade , Doug Evans
发明人： Noah Meade , Doug Evans
IPC分类号： A61B17/42
CPC分类号： A61B17/06066 , A61B17/0482 , A61B17/0485 , A61B17/06109 , A61B17/32056 , A61B17/3468 , A61B2017/00424 , A61B2017/00805 , A61B2017/06052 , A61B2017/0608 , A61B2017/06085 , A61B2017/061
摘要： In one embodiment, an introducer includes a handle, a needle extending from the handle, the needle having a distal end and defining an inner lumen, the needle further having an opening that provides access to the inner lumen, a snare having an implant coupling element, the snare being positioned within the inner lumen of the needle, the snare being extendable from the needle opening to an extended position in which the implant coupling element is positioned outside of the inner lumen and retractable to a retracted position in which at least a portion of the implant coupling element is positioned within the inner lumen, and a snare extension mechanism provided on the handle, the extension mechanism being configured to alternately extend and retract the snare.
摘要翻译：在一个实施例中，导引器包括手柄，从手柄延伸的针，针具有远端并限定内腔，针还具有提供对内腔的通路的开口，具有植入物联接元件的圈套所述圈套被定位在所述针的内腔内，所述圈套可从所述针开口延伸到延伸位置，在所述伸出位置中，所述植入物联接元件位于所述内腔的外部并且可缩回到缩回位置，在所述缩回位置，至少一部分所述植入物联接元件位于所述内腔内，以及设置在所述手柄上的圈套延伸机构，所述延伸机构构造成交替地延伸和缩回所述圈套。

3. 发明申请

US20120253110A1 Adjustable Tissue Support Member 有权
标题翻译：可调组织支持会员
公开(公告)号：US20120253110A1
公开(公告)日：2012-10-04
申请号：US13524408
申请日：2012-06-15
申请人： Doug Evans , Henry Holsten
发明人： Doug Evans , Henry Holsten
IPC分类号： A61F2/04
CPC分类号： A61F2/0045 , A61B17/0401 , A61B17/06109 , A61B2017/00805 , A61B2017/0409 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/0446 , A61B2017/0448 , A61B2017/0464 , A61B2017/06009 , A61B2017/06042
摘要： A tissue support system including an implantable tissue support member is described. The tissue support member includes a tissue support portion, a first arm having a first end joined to a first end of the tissue support portion, a second arm having a first end joined to a second end of the tissue support portion, the second arm defining a lumen, a first tissue anchor fixed to a second end of the first arm, a second tissue anchor slidably positioned over the second arm, and a locking member disposed in the lumen of the second arm between the second tissue anchor and a second end of the second arm.
摘要翻译：描述了包括可植入组织支撑构件的组织支撑系统。组织支撑构件包括组织支撑部分，第一臂具有连接到组织支撑部分的第一端的第一端，第二臂，其具有连接到组织支撑部分的第二端的第一端，第二臂限定内腔，固定到第一臂的第二端的第一组织锚固体，可滑动地定位在第二臂上方的第二组织锚固件，以及设置在第二组织锚固体的第二臂的内腔中的锁定构件，第二臂

4. 发明申请

US20120203219A1 FINE DISSECTION ELECTROSURGICAL DEVICE 有权
标题翻译：精细分离静电设备
公开(公告)号：US20120203219A1
公开(公告)日：2012-08-09
申请号：US13023603
申请日：2011-02-09
申请人： Doug Evans , Michael D. Foster , Philip M. Tetzlaff , Rajitha Aluru , Jean Woloszko , Johnson E. Goode
发明人： Doug Evans , Michael D. Foster , Philip M. Tetzlaff , Rajitha Aluru , Jean Woloszko , Johnson E. Goode
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/042 , A61B2018/00583 , A61B2018/00589 , A61B2018/1472 , A61B2218/002
摘要： An electrosurgical wand. At least some of the illustrative embodiments are electrosurgical wands including an elongate shaft that defines a handle end and a distal end, a first discharge aperture on the distal end of the elongate shaft, a first active electrode of conductive material disposed on the distal end of the elongate shaft, the first active electrode has an edge feature, a first return electrode of conductive material disposed a substantially constant distance from the first active electrode, and an aspiration aperture on the distal end of the elongate shaft fluidly coupled to a second fluid conduit.
摘要翻译：电外科手杖至少一些说明性实施例是电外科手术杆，其包括限定手柄端和远端的细长轴，在细长轴的远端上的第一排放孔，设置在第一活动电极的远端所述细长轴，所述第一有源电极具有边缘特征，所述第一导电材料的返回电极与所述第一有源电极设置成基本上恒定的距离，并且所述细长轴的远端上的抽吸孔流体地联接到第二流体导管。

5. 发明授权

US08092366B2 Sling anchor system 有权
标题翻译：吊锚系统
公开(公告)号：US08092366B2
公开(公告)日：2012-01-10
申请号：US12093493
申请日：2006-11-14
申请人： Doug Evans
发明人： Doug Evans
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/0401 , A61B17/06066 , A61B17/06109 , A61B2017/00477 , A61B2017/00805 , A61B2017/0409 , A61B2017/0608 , A61B2017/061 , A61F2/0063 , A61F2002/30713 , A61F2220/0016 , A61F2250/0087 , A61F2310/00359
摘要： The present disclosure is generally directed to surgical articles useful for implanting support members in patients. The articles disclosed herein include a support member, such as a sling for urinary incontinence, tissue anchors, filamentary elements for associating the support member with the anchors, and introducer needles for placing the anchors in a patient. The support members can also be configured for use in pelvic floor repair, such as for treating cystoceles, rectoceles, and enteroceles.
摘要翻译：本公开一般涉及可用于在患者体内植入支撑构件的外科用品。本文公开的制品包括支撑构件，例如用于尿失禁的吊带，组织锚固件，用于将支撑构件与锚固件相关联的丝状元件，以及用于将锚固件放置在患者体内的导引针。支撑构件还可以被配置用于盆底修复，例如用于治疗膀胱，直肠和肠孔。

6. 发明申请

US20090137862A1 ADJUSTABLE TISSUE SUPPORT MEMBER 有权
标题翻译：可调组织支持会员
公开(公告)号：US20090137862A1
公开(公告)日：2009-05-28
申请号：US12269749
申请日：2008-11-12
申请人： Doug Evans , Henry Holsten
发明人： Doug Evans , Henry Holsten
IPC分类号： A61F13/00 , A61B17/08 , A61B17/10
CPC分类号： A61F2/0045 , A61B17/0401 , A61B17/06109 , A61B2017/00805 , A61B2017/0409 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/0446 , A61B2017/0448 , A61B2017/0464 , A61B2017/06009 , A61B2017/06042
摘要： The present disclosure relates to implants having two arms and a support portion configured to support a body tissue, such as a urethra. The implants are anchored in soft tissue with tissue anchors having a plurality of barbs. The tissue anchors contain an aperture through which a portion of arm is maintained. A locking member is disposed within at least one of the arms to facilitate fixation of the arm to at least one of the anchors.
摘要翻译：本公开涉及具有两个臂的植入物和被配置为支撑诸如尿道的身体组织的支撑部分。植入物锚定在具有多个倒钩的组织锚的软组织中。组织锚固件包含一个孔，通过该孔保持臂的一部分。锁定构件设置在至少一个臂内，以便于将臂固定到至少一个锚固件。

7. 发明申请

US20100241105A1 SYSTEM FOR INTRODUCING IMPLANTS 审中-公开
标题翻译：介绍植入物的系统
公开(公告)号：US20100241105A1
公开(公告)日：2010-09-23
申请号：US11993089
申请日：2006-08-03
申请人： Noah Meade , Doug Evans
发明人： Noah Meade , Doug Evans
IPC分类号： A61B17/00
CPC分类号： A61B17/06066 , A61B17/0485 , A61B17/06109 , A61B2017/00358 , A61B2017/00805 , A61B2017/0608 , A61B2017/061
摘要： In one embodiment, an introducer system includes an introducer needle having a proximal end and a distal end and defining an inner lumen, the introducer needle further having an opening that provides access to the inner lumen, and a snare having an implant coupling element, the snare being configured to be positioned within the inner lumen of the introducer needle, wherein the snare is extendable from the introducer needle opening to an extended position in which the implant coupling element is positioned outside of the inner lumen and retractable to a retracted position in which the implant coupling element is positioned within the inner lumen.
摘要翻译：在一个实施例中，导引器系统包括具有近端和远端并且限定内腔的导引器针，导引针还具有提供对内腔的通路的开口，以及具有植入物联接元件的圈套，圈套构造成定位在导引针的内腔内，其中该圈套可从导引器针开口延伸到延伸位置，在该延伸位置中，植入物联接元件位于内腔的外侧并可缩回到缩回位置，植入物联接元件位于内腔内。

8. 发明申请

US20100234679A1 PELVIC IMPLANT SYSTEMS AND METHODS 有权
标题翻译： PELVIC植入系统和方法
公开(公告)号：US20100234679A1
公开(公告)日：2010-09-16
申请号：US11993375
申请日：2006-08-03
申请人： Doug Evans
发明人： Doug Evans
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61B17/06066 , A61B17/06109 , A61B2017/00805 , A61B2017/0412 , A61B2017/0427 , A61B2017/0608 , A61B2017/061
摘要： Systems and methods for implanting pelvic implants (10) In one embodiment, an anterior implant (10) has multiple arms (14, 16, 18, 20) that extend outwardly from a body portion (12) of the implant (10) in opposite directions In one embodiment, a posterior implant (10) has multiple arms (14, 16, 18, 20) that generally extend in the same direction In one embodiment, an anterior introducer (170) includes a needle (178) having a curved section (182) that is sized and configured for implanting an anterior prolapse implant (78) In one embodiment, a posterior introducer (170) includes a needle (178) having a curved section (182) that has a first curved portion (184 and a second curved portion, (186) the two curved portions having radii of curvature that are different from each other.
摘要翻译：用于植入骨盆植入物的系统和方法（10）在一个实施例中，前植入物（10）具有多个臂（14,16,18,20），其从植入物（10）的主体部分（12）向外延伸，方向在一个实施例中，后植入物（10）具有大致沿相同方向延伸的多个臂（14,16,18,20）。在一个实施例中，前导引器（170）包括具有弯曲部分（182），其尺寸和构造用于植入前脱垂植入物（78）。在一个实施例中，后导入器（170）包括具有弯曲部分（182）的针（178），所述弯曲部分具有第一弯曲部分（184）和第二弯曲部分，（186）具有彼此不同的曲率半径的两个弯曲部分。

9. 发明申请

US20080300607A1 Apparatus and Method for Introducing Implants 审中-公开
标题翻译：用于引入植入物的装置和方法
公开(公告)号：US20080300607A1
公开(公告)日：2008-12-04
申请号：US12159589
申请日：2006-12-28
申请人： Noah Meade , Doug Evans
发明人： Noah Meade , Doug Evans
IPC分类号： A61B17/42
CPC分类号： A61B17/06066 , A61B17/0482 , A61B17/0485 , A61B17/06109 , A61B17/32056 , A61B17/3468 , A61B2017/00424 , A61B2017/00805 , A61B2017/06052 , A61B2017/0608 , A61B2017/06085 , A61B2017/061
摘要： In one embodiment, an introducer includes a handle, a needle extending from the handle, the needle having a distal end and defining an inner lumen, the needle further having an opening that provides access to the inner lumen, a snare having an implant coupling element, the snare being positioned within the inner lumen of the needle, the snare being extendable from the needle opening to an extended position in which the implant coupling element is positioned outside of the inner lumen and retractable to a retracted position in which at least a portion of the implant coupling element is positioned within the inner lumen, and a snare extension mechanism provided on the handle, the extension mechanism being configured to alternately extend and retract the snare.
摘要翻译：在一个实施例中，导引器包括手柄，从手柄延伸的针，针具有远端并限定内腔，针还具有提供对内腔的通路的开口，具有植入物联接元件的圈套所述圈套被定位在所述针的内腔内，所述圈套可从所述针开口延伸到延伸位置，在所述伸出位置中，所述植入物联接元件位于所述内腔的外部并且可缩回到缩回位置，在所述缩回位置，至少一部分所述植入物联接元件位于所述内腔内，以及设置在所述手柄上的圈套延伸机构，所述延伸机构构造成交替地延伸和缩回所述圈套。

10. 发明授权

US09011428B2 Electrosurgical device with internal digestor electrode 有权
标题翻译：具有内部消化电极的电外科装置
公开(公告)号：US09011428B2
公开(公告)日：2015-04-21
申请号：US13409762
申请日：2012-03-01
申请人： Kim Nguyen , Doug Evans , Seth M. Pransky
发明人： Kim Nguyen , Doug Evans , Seth M. Pransky
IPC分类号： A61B18/14 , A61B18/16
CPC分类号： A61B18/042 , A61B18/1402 , A61B2018/00583 , A61B2018/144 , A61B2018/1472 , A61B2018/162 , A61B2218/002 , A61B2218/005 , A61B2218/007
摘要： An electrosurgical wand is described, for treating a target tissue using electrosurgical energy, which has an elongate shaft with a handle end and a distal end. A first active electrode surface is disposed on the distal end of the shaft and a first digester electrode surface is recessed away from the first active electrode surface and electrically connected with the first active electrode surface. An aspiration aperture is also disposed adjacent the first active electrode surface and fluidly connected with an aspiration lumen, wherein the first digester electrode surface is disposed within the aspiration lumen.
摘要翻译：描述了一种电外科手术棒，用于使用电外科能量治疗靶组织，其具有带柄柄端和远端的细长轴。第一活性电极表面设置在轴的远端上，第一消化器电极表面从第一有效电极表面凹入并与第一有效电极表面电连接。吸入孔还邻近第一有效电极表面设置并与抽吸腔流体连接，其中第一消化器电极表面设置在抽吸腔内。

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