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59 条记录 (耗时 0.02 秒)

    Percutaneous tract measuring and forming device
    41.
    发明授权
    Percutaneous tract measuring and forming device 失效
    经皮道测量和成形装置

    公开(公告)号：US5356382A

    公开(公告)日：1994-10-18

    申请号：US965219

    申请日：1992-10-23

    申请人： George J. Picha ,  Angela P. Nguyen ,  Jim Gelbke

    发明人： George J. Picha ,  Angela P. Nguyen ,  Jim Gelbke

    IPC分类号： A61B17/34 ,  A61B5/103 ,  A61B17/32 ,  A61B17/3211 ,  A61B19/00 ,  A61J15/00 ,  A61M29/00 ,  A61M25/00

    CPC分类号： A61J15/0019 ,  A61B17/3415 ,  A61B2017/3484 ,  A61B2090/061 ,  A61J15/0023 ,  A61J15/0034 ,  A61J15/0065

    摘要： A surgical tool for use in initial placement of a gastrostomy device in a patient includes an obturator, a cannula and an outer flexible tubular member. A pointed end of the obturator and an adjacent dilator cooperate to incise a tract through the abdominal and stomach walls of the patient. The obturator is removed, leaving the cannula and outer tubular member in place. A deformable section of the flexible tubular member is expanded by movement of the cannula. The outwardly deformed section is then pulled up against the inner wall of the stomach wherein the thickness of the stomach and abdominal walls can be measured by use of visible scale indicia carried on the external surface of the flexible tubular member. Subsequent to the noted measurement, a guidewire or pull wire is passed through a lumen provided by the cannula. The guidewire is used for placing a gastrostomy device of suitable size in the incised tract.

    摘要翻译： 用于胃造口术装置初始放置在患者中的手术工具包括闭孔器，套管和外部柔性管状构件。 闭塞器的尖端和相邻的扩张器配合以切开患者的腹壁和胃壁。 去除封闭器，使插管和外管状部件保持在适当的位置。 柔性管状构件的可变形部分通过套管的移动而膨胀。 然后向外变形的部分被拉到胃内壁上，其中胃和腹壁的厚度可以通过使用携带在柔性管状构件的外表面上的可见标尺标记来测量。 在所述测量之后，导线或拉线穿过由插管提供的内腔。 导丝用于将切割道中适当尺寸的胃造口术装置放置。

    Low profile gastrostomy device
    43.
    发明授权
    Low profile gastrostomy device 失效
    薄型胃造口术

    公开(公告)号：US4863438A

    公开(公告)日：1989-09-05

    申请号：US803386

    申请日：1985-11-29

    申请人： Michael L. Gauderer ,  George J. Picha ,  Dennis Siedlak

    发明人： Michael L. Gauderer ,  George J. Picha ,  Dennis Siedlak

    IPC分类号： A61J15/00 ,  A61M1/00

    CPC分类号： A61M39/0247 ,  A61J15/0038 ,  A61J15/0065 ,  A61J15/0015 ,  A61J15/0092 ,  A61M2025/0233 ,  A61M2039/0255 ,  A61M2039/027 ,  A61M2039/0276 ,  A61M2039/0279 ,  A61M2039/0291 ,  A61M2039/0297 ,  A61M2210/1053

    摘要： Device includes a flexible, hollow tube portion having a resiliently deformable mushroom shape tip at the inner end thereof to retain the tube in the stomach or other viscera of a patient and provide an enlarged internal chamber for the mounting of a one-way flapper valve therein and the seating of the flapper valve against the inner end of the tube portion to prevent reflux of gastric contents while permitting the influx of fluids into the stomach or other viscera of the patient through the tube portion. A pair of oppositely extending, relatively short, flat wings are integrally molded on the outer end of the tube portion to make the tube portion self-retaining and flush up against the skin. The wings are relatively narrow in width, whereby the tube portion may be rotated a part turn to bring the wings into contact with different areas of the skin if irritation should occur. A plug is integrally molded on the outer end of one of the wings by a flexible membrane which permits the plug to be inserted into the tube at the outer end thereof and removed therefrom as desired.

    摘要翻译： 装置包括柔性的中空管部分，其在其内端处具有可弹性变形的蘑菇形尖端，以将管保持在患者的胃或其他内脏中，并且提供用于在其中安装单向瓣阀的扩大的内部腔室 以及挡板阀抵靠管部的内端的位置，以防止胃内容物的回流，同时允许流体通过管部分流入患者的胃或其它内脏。 一对相对延伸的，相对较短的平的翼片一体地模制在管部分的外端上，以使管部自身保持并与皮肤齐平。 翼的宽度相对较窄，由此管部分可以转动一部分，以使得如果发生刺激，则翼部与皮肤的不同区域接触。 插塞通过柔性膜整体模制在一个翼的外端上，该柔性膜允许插塞在其外端被插入到管中并根据需要从其中移除。

    BIOMATERIAL INCLUDING MICROPORES
    47.
    发明申请
    BIOMATERIAL INCLUDING MICROPORES 审中-公开
    包括微生物在内的生物材料

    公开(公告)号：US20090069904A1

    公开(公告)日：2009-03-12

    申请号：US12209370

    申请日：2008-09-12

    申请人： George J. Picha

    发明人： George J. Picha

    IPC分类号： A61F2/02

    CPC分类号： A61F2/18 ,  A61F2210/0004 ,  A61L27/14 ,  A61L27/56

    摘要： A biomaterial including a designed pattern of micropores one at least one surface of the biomaterial is described. The micropores can be provided in a regular or irregular pattern, and can be either continuous or discontinuous. The biomaterial may be formed from a variety of materials, such as a biocompatible polymer or biocompatible tissue. The biomaterial including micropores on a surface may be used for a variety of medical applications such as tissue scaffolding, drug delivery, or tissue fixation.

    摘要翻译： 描述了包括生物材料的至少一个表面的微孔的设计图案的生物材料。 微孔可以以规则或不规则的形式提供，并且可以是连续的或不连续的。 生物材料可以由各种材料形成，例如生物相容性聚合物或生物相容性组织。 包括表面上的微孔的生物材料可以用于各种医疗应用，例如组织支架，药物递送或组织固定。

    Gastrostomy device package and method of assembly
    48.
    发明授权
    Gastrostomy device package and method of assembly 有权
    胃造口术装置包装及组装方法

    公开(公告)号：US06896665B2

    公开(公告)日：2005-05-24

    申请号：US10016532

    申请日：2001-12-10

    申请人： George J. Picha ,  Davor G. Mandic

    发明人： George J. Picha ,  Davor G. Mandic

    IPC分类号： A61M25/02 ,  A61J15/00 ,  A61M29/00

    CPC分类号： A61J15/0015 ,  A61J15/0038 ,  A61J15/0061

    摘要： A gastrostomy device includes a tubular portion and an internal bolster having a radial wing secured to the tubular portion. The internal bolster is flexible and permits elastic deformation between a first orientation with the wing wrapped into a generally cylindrical configuration and a second orientation with the wing unfuried. A constraining member encases the internal bolster to retain the internal bolster in the first orientation and to cover at least a major portion of the wrapped wing. Removal of the casing permits the internal bolster to move from the first orientation to the second orientation. The internal bolster may be deployed by a ripcord, freeing the internal bolster into the patient' stomach and deploying the internal bolster to the second orientation. Alternatively, the internal bolster may be deployed by the constraining member being dissolved by the patient's bodily fluids located inside the patient's stomach.

    摘要翻译： 胃造口术装置包括管状部分和具有固定到管状部分的径向翼的内部枕垫。 内部枕头是柔性的，并且允许在第一方向与翼部之间的弹性变形被包裹成大致圆柱形的构造，并且第二方向与翼不通。 约束构件包住内部枕垫以将内部枕垫保持在第一取向并且覆盖包裹的翼的至少大部分。 外壳的拆卸允许内部垫子从第一方向移动到第二方位。 内部支架可以通过撕开部署，将内部枕垫释放到患者的胃中并将内部枕垫部署到第二方向。 或者，内部枕垫可以由限制构件展开，所述约束构件被位于患者胃内的患者的体液溶解。