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1. 发明授权

US08480693B2 Method and device for temporary emergency vessel anastomoses 失效
标题翻译：临时应急容器吻合的方法和装置
公开(公告)号：US08480693B2
公开(公告)日：2013-07-09
申请号：US12070697
申请日：2008-02-19
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B2017/1107
摘要： A device and method for achieving hemostasis and leakage control in vascular structures and other body ducts or vessels in an emergency room or trauma situation. The device has at least one shunt that contains an obturator on an end of the shunt. The shunt is inserted into a damaged vessel or lumen for sealing the leak or hemorrhage. Two shunts that both contain obturators on one of their ends can be inserted into two different vessels or lumens when the vessel or lumen has been severed. The obturators allow for the improved ease of insertion into the vessel or lumen. The two shunts are then releasably attached to restore fluid communication through the vessel or lumen. The shunt is placed temporarily within the patient and then removed when definitive repair can be achieved by a qualified physician.
摘要翻译：用于在急诊室或创伤情况下在血管结构和其他身体导管或血管中实现止血和泄漏控制的装置和方法。该装置具有至少一个在分路端部包含闭孔器的分路器。分流器插入损伤的血管或腔内以密封泄漏或出血。当血管或内腔已被切断时，两个分流器都可以插入到两个不同的血管或腔内。闭孔器允许改进容易插入血管或内腔。然后将两个分流器可释放地连接以恢复通过容器或内腔的流体连通。分流器临时放置在患者体内，然后在由合格医师进行确定性修复时取出。

2. 发明授权

US07322995B2 Method and apparatus for vascular and visceral clipping 失效
标题翻译：血管和内脏剪切的方法和装置
公开(公告)号：US07322995B2
公开(公告)日：2008-01-29
申请号：US10663038
申请日：2003-09-15
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61B17/122
CPC分类号： A61B17/083 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/1227 , A61B17/128 , A61B2017/12004 , Y10T24/44376
摘要： Devices and methods for achieving hemostasis and leakage control in hollow body vessels such as the small and large intestines, arteries and veins as well as ducts leading to the gall bladder and other organs. The devices and methods disclosed herein are especially useful in the emergency, trauma surgery or military setting, and most especially during damage control procedures. In such cases, the patient may have received trauma to the abdomen, extremities, neck or thoracic region. The devices utilize removable or permanently implanted, broad, soft, parallel jaw clips with minimal projections to maintain vessel contents without damage to the tissue comprising the vessel. These clips are applied using either standard instruments or custom devices that are subsequently removed leaving the clips implanted, on a temporary or permanent basis, to provide for hemostasis or leakage prevention, or both. These clips overcome the limitations of clips and sutures that are currently used for the same purposes. The clips come in a variety of shapes and sizes. The clips may be placed and removed by open surgery or laparoscopic access.
摘要翻译：用于在诸如小肠和大肠，动脉和静脉的中空体血管以及通向胆囊和其他器官的导管中实现止血和泄漏控制的装置和方法。本文公开的装置和方法在紧急，创伤手术或军事设置中尤其有用，并且尤其是在损伤控制程序期间。在这种情况下，患者可能已经受到腹部，四肢，颈部或胸部区域的创伤。这些装置利用具有最小突起的可移除或永久植入的，宽的，柔软的平行颚夹，以维持血管内容物，而不损伤包含血管的组织。这些夹子使用标准仪器或定制设备进行应用，随后移除，临时或永久地植入夹子，以提供止血或防漏，或两者兼有。这些剪辑克服了目前用于相同目的的剪辑和缝合线的限制。夹子有各种形状和尺寸。夹子可以通过开放手术或腹腔镜手术进行放置和移除。

3. 发明授权

US07022094B2 Splint system and method of use 失效
标题翻译：夹板系统和使用方法
公开(公告)号：US07022094B2
公开(公告)日：2006-04-04
申请号：US10764123
申请日：2004-01-24
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F5/00
CPC分类号： A61F5/0585
摘要： Devices and methods are disclosed for achieving control and stabilization of bone fractures in mammals, most specifically humans. Stabilization and traction is often required to support fractured bones of the arms or legs. The devices and methods disclosed herein are especially useful in the emergency or military setting. The devices utilize a collapsible frame that may be expanded and locked into position. The frame is fabricated primarily from polymeric materials with low radiodensity. The limb contact regions are adjustable to fit a wide variety of limb sizes and fracture locations. The traction applied by the splint is adjustable, controllable and measurable. The traction splint of the current invention is sufficiently compact that it will fit in a compartment of most ambulances and emergency rescue vehicles, thus making it more available for use than standard traction splints in use today. The traction splint is either a separate device or integrated into a backboard.
摘要翻译：公开了用于实现哺乳动物，特别是人的骨折的控制和稳定的装置和方法。通常需要稳定和牵引力来支撑手臂或腿部的骨折骨。本文公开的装置和方法在紧急或军事环境中特别有用。这些装置利用可扩展的框架，并将其锁定到位。该框架主要由具有低辐射密度的聚合材料制成。肢体接触区域是可调节的，以适应各种各样的肢体大小和骨折位置。由夹板施加的牵引力是可调节的，可控的和可测量的。本发明的牵引夹板足够紧凑，使其适合大部分救护车和紧急救援车辆的隔间，从而使其比目前使用的标准牵引夹板更可用。牵引夹板是单独的装置或集成到背板中。

4. 发明申请

US20120271215A1 SPLINT SYSTEM AND METHOD OF USE 有权
标题翻译：分割系统和使用方法
公开(公告)号：US20120271215A1
公开(公告)日：2012-10-25
申请号：US13541488
申请日：2012-07-03
申请人： ROBERT F. BUCKMAN , Jay A. Lenker , Donald J. Kolehmainen
发明人： ROBERT F. BUCKMAN , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F5/01
CPC分类号： A61F5/05816 , A61F5/05841 , A61F5/0585 , A61F2005/0153
摘要： Devices and methods are disclosed for achieving control and stabilization of bone fractures in mammals, most specifically humans. Stabilization and traction is often required to support fractured bones of the arms or legs. The devices and methods disclosed herein are especially useful in the emergency or military setting. The devices utilize a collapsible, inflatable member that may be expanded and locked into position. The frame or inflatable member is fabricated primarily from polymeric materials with low radiodensity. The limb contact regions are adjustable to fit a wide variety of limb sizes and fracture locations. The traction applied by the splint is adjustable, controllable and measurable. The traction splint is sufficiently compact that it will fit in a compartment of most emergency rescue vehicles, thus making it more available for use than standard traction splints in use today. The traction splint is either a separate device or integrated into a backboard.
摘要翻译：公开了用于实现哺乳动物，特别是人的骨折的控制和稳定的装置和方法。通常需要稳定和牵引力来支撑手臂或腿部的骨折骨。本文公开的装置和方法在紧急或军事环境中特别有用。这些装置利用可膨胀的，可膨胀的构件，其可以被膨胀并锁定到位。框架或可充气构件主要由具有低辐射密度的聚合材料制成。肢体接触区域是可调节的，以适应各种各样的肢体大小和骨折位置。由夹板施加的牵引力是可调节的，可控的和可测量的。牵引夹板足够紧凑，使其适合大多数紧急救援车辆的隔间，因此使其比现在使用的标准牵引夹板更可用。牵引夹板是单独的装置或集成到背板中。

5. 发明申请

US20080294084A1 Method and device for temporary emergency vessel anastomoses 失效
公开(公告)号：US20080294084A1
公开(公告)日：2008-11-27
申请号：US12070697
申请日：2008-02-19
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61M5/00
CPC分类号： A61B17/11 , A61B2017/1107
摘要： A device and method for achieving hemostasis and leakage control in vascular structures and other body ducts or vessels in an emergency room or trauma situation. The device has at least one shunt that contains an obturator on an end of the shunt. The shunt is inserted into a damaged vessel or lumen for sealing the leak or hemorrhage. Two shunts that both contain obturators on one of their ends can be inserted into two different vessels or lumens when the vessel or lumen has been severed. The obturators allow for the improved ease of insertion into the vessel or lumen. The two shunts are then releasably attached to restore fluid communication through the vessel or lumen. The shunt is placed temporarily within the patient and then removed when definitive repair can be achieved by a qualified physician.

6. 发明申请

US20080132820A1 Method and apparatus for hemostasis 有权
公开(公告)号：US20080132820A1
公开(公告)日：2008-06-05
申请号：US12012084
申请日：2008-01-31
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F13/00
CPC分类号： A61B17/1325 , A61F13/00034 , A61F13/022 , A61F13/0246 , A61F13/0273 , A61F13/36 , A61F2013/00387 , A61F2013/00463 , A61F2013/00468 , A61F2013/0054 , A61F2013/00548 , A61F2013/00565 , A61F2013/0074
摘要： Devices and methods are disclosed for achieving hemostasis in patients who have received skin-penetrating wounds to the periphery, including the head, arms, and legs. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery, or military setting. The devices utilize fluid impermeable barriers surrounded by exterior dams and pressure to achieve tamponade and hemostasis, primarily by exertion of force to hold the dams against the skin surrounding a wound. The devices are capable of serving as carriers for thrombogenic, antimicrobial or antipathogenic agents. The devices do not require the use of adhesives to work as they are attached to the patient using mechanical locking devices. Peripheral haemostatic packing devices include optional adhesive hemostatic barriers to attach at least a portion of the device to the skin or to assist with initial coupling of a hold-down strap to another strap using a more secure mechanical lock. The peripheral hemostatic packing system does not completely surround the extremity having the wound and therefore do not cause a tourniquet effect. The peripheral hemostatic packing system preferably is held against the skin surrounding a wound by a force that is generally unidirectional and substantially perpendicular to the plane in which the skin of the wound resides.

7. 发明授权

US07329792B2 Method and apparatus for hemostasis 失效
标题翻译：止血方法和装置
公开(公告)号：US07329792B2
公开(公告)日：2008-02-12
申请号：US11087224
申请日：2005-03-23
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F13/00
CPC分类号： A61F13/36 , A61B17/1325 , A61B17/135 , A61F13/00 , A61F2013/00463 , A61F2013/00468
摘要： Devices and methods are disclosed for achieving hemostasis in patients who have received skin-penetrating wounds to the periphery, including the head, arms, and legs. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery, or military setting. The devices utilize fluid impermeable barriers surrounded by exterior dams and pressure to achieve tamponade and hemostasis, primarily by exertion of force to hold the dams against the skin surrounding a wound. The devices are capable of serving as carriers for thrombogenic, antimicrobial or antipathogenic agents. The devices do not require the use of adhesives to work as they are attached to the patient using mechanical locking devices. Peripheral haemostatic packing devices include optional adhesive hemostatic barriers to attach at least a portion of the device to the skin or to assist with initial coupling of a hold-down strap to another strap using a more secure mechanical lock. The peripheral hemostatic packing system does not completely surround the extremity having the wound and therefore do not cause a tourniquet effect. The peripheral hemostatic packing system preferably is held against the skin surrounding a wound by a force that is generally unidirectional and substantially perpendicular to the plane in which the skin of the wound resides.
摘要翻译：公开了用于在已经接受皮肤穿透伤口到周边的患者（包括头部，手臂和腿部）中实现止血的装置和方法。这种止血包装装置和方法在紧急，创伤手术或军事设置中特别有用。这些装置利用由外部水坝和压力包围的流体不可渗透的屏障，以实现填塞和止血，主要是通过施加力将坝保持在伤口周围的皮肤上。这些装置能够用作血栓形成，抗微生物或抗病原体的载体。这些装置不需要使用粘合剂来工作，因为它们使用机械锁定装置连接到患者身上。外围止血包装装置包括可选的粘合剂止血屏障，以将装置的至少一部分附接到皮肤上，或者使用更安全的机械锁来帮助将压紧带初始连接到另一条带。外周止血包装系统不完全包围有创伤的肢体，因此不会引起止血带效应。外周止血包装系统优选地通过大体单向且基本上垂直于伤口皮肤所在的平面的力而抵靠围绕伤口的皮肤。

8. 发明授权

US08845569B2 Splint system and method of use 有权
标题翻译：夹板系统和使用方法
公开(公告)号：US08845569B2
公开(公告)日：2014-09-30
申请号：US13541488
申请日：2012-07-03
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F5/00 , A61F5/058 , A61F5/01
CPC分类号： A61F5/05816 , A61F5/05841 , A61F5/0585 , A61F2005/0153
摘要： Devices and methods are disclosed for achieving control and stabilization of bone fractures in mammals, most specifically humans. Stabilization and traction is often required to support fractured bones of the arms or legs. The devices and methods disclosed herein are especially useful in the emergency or military setting. The devices utilize a collapsible, inflatable member that is expanded and locked into position. The frame or inflatable member is fabricated primarily from polymeric materials with low radiodensity. The limb contact regions are adjustable to fit a wide variety of limb sizes and fracture locations. The traction applied by the splint is adjustable, controllable and measurable. The traction splint is compact and will fit in a compartment of most emergency rescue vehicles, thus making it more available for use than standard traction splints used today. The traction splint is either a separate device or integrated into a backboard.
摘要翻译：公开了用于实现哺乳动物，特别是人的骨折的控制和稳定的装置和方法。通常需要稳定和牵引力来支撑手臂或腿部的骨折骨。本文公开的装置和方法在紧急或军事环境中特别有用。这些装置利用可膨胀的，可膨胀的构件，其膨胀并锁定到位。框架或可充气构件主要由具有低辐射密度的聚合材料制成。肢体接触区域是可调节的，以适应各种各样的肢体大小和骨折位置。由夹板施加的牵引力是可调节的，可控的和可测量的。牵引夹板是紧凑的，并且将适合大多数应急救援车辆的舱室，因此使其比目前使用的标准牵引夹板更可用。牵引夹板是单独的装置或集成到背板中。

9. 发明授权

US08252970B2 Method and apparatus for hemostasis 失效
标题翻译：止血方法和装置
公开(公告)号：US08252970B2
公开(公告)日：2012-08-28
申请号：US13068648
申请日：2011-05-17
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F13/00
CPC分类号： A61B17/1325 , A61F13/00034 , A61F13/022 , A61F13/0246 , A61F13/0273 , A61F13/36 , A61F2013/00387 , A61F2013/00463 , A61F2013/00468 , A61F2013/0054 , A61F2013/00548 , A61F2013/00565 , A61F2013/0074
摘要： Devices and methods are disclosed for achieving hemostasis in traumatized patients. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery or military setting. In such cases, the patient may have received trauma to abdominal viscera, the thoracic cavity or the periphery. The devices utilize fluid impermeable outer surfaces and distributed pressure to achieve tamponade and hemostasis, primarily by exertion of pressure. The devices are flexible, bendable, and conformable in their wet or dry state so that they exert distributed pressure on the wound. Peripheral haemostatic packing devices include optional adhesive structures to attach one packing device to another. The hemostatic packing devices may be placed and removed by open surgery or laparoscopic access without generating excessive re-bleeding. The devices can be inserted into a wound and filled with fluid, gel, or particulates through an axially elongate tube to generate pressure to tamponade the wound.
摘要翻译：公开了用于实现创伤患者止血的装置和方法。这种止血性包装装置和方法在紧急，创伤手术或军事设置中特别有用。在这种情况下，患者可能已经受到腹部脏器，胸腔或周边的创伤。这些装置利用流体不可渗透的外表面和分布的压力来实现填塞和止血，主要是通过施加压力。这些装置在湿或干燥状态下是柔性的，可弯曲的并且适应，使得它们对伤口施加分布的压力。外围止血包装装置包括可选的粘合剂结构，以将一个包装装置附接到另一个包装装置。止血包装装置可以通过开放手术或腹腔镜进入而放置和移除，而不会产生过度的再出血。这些装置可以插入到伤口中，并通过轴向细长的管填充流体，凝胶或微粒，以产生挤压伤口的压力。

10. 发明申请

US20110224592A1 Method and apparatus for hemostasis 失效
标题翻译：止血方法和装置
公开(公告)号：US20110224592A1
公开(公告)日：2011-09-15
申请号：US13068648
申请日：2011-05-17
申请人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
发明人： Robert F. Buckman , Jay A. Lenker , Donald J. Kolehmainen
IPC分类号： A61F15/00
CPC分类号： A61B17/1325 , A61F13/00034 , A61F13/022 , A61F13/0246 , A61F13/0273 , A61F13/36 , A61F2013/00387 , A61F2013/00463 , A61F2013/00468 , A61F2013/0054 , A61F2013/00548 , A61F2013/00565 , A61F2013/0074
摘要： Devices and methods are disclosed for achieving hemostasis in traumatized patients. Such haemostatic packing devices and methods are especially useful in the emergency, trauma surgery or military setting. In such cases, the patient may have received trauma to abdominal viscera, the thoracic cavity or the periphery. The devices utilize fluid impermeable outer surfaces and distributed pressure to achieve tamponade and hemostasis, primarily by exertion of pressure. The devices come in a variety of configurations including sheet, rolled sheet, folded sheet and polygonal solids including extruded shapes. The devices are capable of serving as carriers for thrombogenic or antipathogenic agents. The devices are flexible, bendable, and conformable in their wet or dry state so that they exert distributed pressure on the wound. Peripheral haemostatic packing devices include optional adhesive hemostatic barriers to cover the entire wound area over the hemostatic pack. The hemostatic packing devices may be placed and removed by open surgery or laparoscopic access without generating excessive re-bleeding, and may further comprise antimicrobial or thrombogenic regions.
摘要翻译：公开了用于实现创伤患者止血的装置和方法。这种止血性包装装置和方法在紧急，创伤手术或军事设置中特别有用。在这种情况下，患者可能已经受到腹部脏器，胸腔或周边的创伤。这些装置利用流体不可渗透的外表面和分布的压力来实现填塞和止血，主要是通过施加压力。这些装置具有各种构造，包括片材，轧制板，折叠片和包括挤出形状的多边形固体。该装置能够用作血栓形成或抗病原体的载体。这些装置在湿或干燥状态下是柔性的，可弯曲的并且适应，使得它们对伤口施加分布的压力。外周止血包装装置包括可选的粘合剂止血屏障，以覆盖止血包装上的整个伤口区域。止血包装装置可以通过开放手术或腹腔镜进入而放置和移除，而不会产生过度的再出血，并且还可以包括抗微生物或血栓形成区域。

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