公开(公告)号：USD426883S

公开(公告)日：2000-06-20

申请号：US108180

申请日：1999-07-22

申请人： Mark Berman ,  George J. Picha ,  Gary Austin ,  Shawn Heipp ,  George J. Picha, III ,  Richard T. Nock

设计人： Mark Berman ,  George J. Picha ,  Gary Austin ,  Shawn Heipp ,  George J. Picha, III ,  Richard T. Nock

公开(公告)号：US09302090B2

公开(公告)日：2016-04-05

申请号：US13557850

申请日：2012-07-25

申请人： Derek M. Williams ,  Grant W. Phillips ,  George J. Picha

发明人： Derek M. Williams ,  Grant W. Phillips ,  George J. Picha

IPC分类号： A61M39/20 ,  A61M39/10

CPC分类号： A61J15/003 ,  A61J2200/70 ,  A61J2205/00 ,  A61M39/1011 ,  A61M39/20 ,  A61M2039/1027 ,  A61M2039/1044 ,  A61M2039/1083

摘要： A coupling includes a first input port and a photoluminescent portion associated with the first input port. The first input port may be one or more of a gastric port, a jejunal port, or a balloon port. The first port may have a first glow-in-the dark feature and a second port may have a second glow-in-the-dark feature, which may be different from one another. The coupling may include means for orientation that assists a user in properly orienting a connector to be mounted in the first port in proper orientation and a first connector for coupling to the first port.

摘要翻译： 耦合包括与第一输入端口相关联的第一输入端口和光致发光部件。 第一输入端口可以是胃口，空肠口或气囊端口中的一个或多个。 第一端口可以具有第一亮度在黑暗特征中，并且第二端口可以具有可能彼此不同的第二辉光黑暗特征。 联接器可以包括用于定向的装置，其帮助使用者正确定向要以正确定向安装在第一端口中的连接器，以及用于联接到第一端口的第一连接器。

公开(公告)号：US20140031754A1

公开(公告)日：2014-01-30

申请号：US13557850

申请日：2012-07-25

申请人： Derek M. Williams ,  Grant W. Phillips ,  George J. Picha

发明人： Derek M. Williams ,  Grant W. Phillips ,  George J. Picha

IPC分类号： A61M39/10

CPC分类号： A61J15/003 ,  A61J2200/70 ,  A61J2205/00 ,  A61M39/1011 ,  A61M39/20 ,  A61M2039/1027 ,  A61M2039/1044 ,  A61M2039/1083

摘要： A coupling includes a first input port and a photoluminescent portion associated with the first input port. The first input port may be one or more of a gastric port, a jejunal port, or a balloon port. The first port may have a first glow-in-the dark feature and a second port may have a second glow-in-the-dark feature, which may be different from one another. The coupling may include means for orientation that assists a user in properly orienting a connector to be mounted in the first port in proper orientation and a first connector for coupling to the first port.

摘要翻译： 耦合包括与第一输入端口相关联的第一输入端口和光致发光部件。 第一输入端口可以是胃口，空肠口或气囊端口中的一个或多个。 第一端口可以具有第一亮度在黑暗特征中，并且第二端口可以具有可能彼此不同的第二辉光黑暗特征。 联接器可以包括用于定向的装置，其帮助使用者正确定向要以正确定向安装在第一端口中的连接器，以及用于联接到第一端口的第一连接器。

公开(公告)号：US06375231B1

公开(公告)日：2002-04-23

申请号：US09522733

申请日：2000-03-10

申请人： George J. Picha ,  Gary Austin ,  Eric Lab

发明人： George J. Picha ,  Gary Austin ,  Eric Lab

IPC分类号： F16L1304

CPC分类号： A61M39/1011 ,  A61J15/00 ,  A61J15/0026 ,  A61M2039/1077 ,  Y10S604/905

摘要： An enteral feeding clamp that secures a feeding adapter in relative position to a feeding device. The clamp includes C-shaped members integrally connected by one or more elastic webs. It also includes an elongated elastic band corresponding to each C-shaped member. The band has proximal and distal ends, and is integrally connected to the corresponding C-shaped member at its proximal end. Each of the elongated elastic bands has an enlarged head integrally formed at its distal end. A groove and receptacle are provided on the outer surface of each of the C-shaped members wherein the elastic band can be extended around the feeding adapter or feeding device, be placed in the groove, and have the head placed in the receptacle to secure the clamp in position. A method of using the feeding clamp is also provided.

摘要翻译： 一个进给夹具，用于将进给适配器固定在与进给装置相对的位置上。 夹具包括通过一个或多个弹性腹板一体连接的C形构件。 它还包括对应于每个C形构件的细长弹性带。 带具有近端和远端，并且在其近端处一体地连接到相应的C形构件。 每个细长的弹性带具有在其远端处一体形成的扩大的头部。 在每个C形构件的外表面上设置有凹槽和插座，其中弹性带可以围绕馈送适配器或馈送装置延伸，放置在凹槽中，并且将头部放置在插座中以固定 夹紧就位。 还提供了使用进给夹的方法。

公开(公告)号：US5158571A

公开(公告)日：1992-10-27

申请号：US748258

申请日：1991-08-21

申请人： George J. Picha

发明人： George J. Picha

IPC分类号： A61B19/00 ,  A61F2/12

CPC分类号： A61F2/12 ,  A61B90/02

摘要： A tissue expander is disclosed. Extending from the outer surface of the tissue expander are a plurality of projections of specific combinations of height and width dimensions selected from the groups consisting of (1) approximately 750 microns high and approximately 250 microns wide and (2) approximately 1,600 microns high and approximately 800 microns wide. Preferred edge-to-edge spacing distance between adjacent projection and center-to-center spacings between adjacent projections are also disclosed. A method of expanding tissue utilizing the disclosed tissue expander is also disclosed.

摘要翻译： 公开了一种组织扩张器。 从组织扩张器的外表面延伸的是高度和宽度尺寸的特定组合的多个突起，其选自由（1）约750微米高和约250微米宽以及（2）约1600微米高和大约 800微米宽。 还公开了相邻突起与相邻突起之间的中心间距之间优选的边缘到边缘的间隔距离。 还公开了利用所公开的组织扩张器来扩张组织的方法。

公开(公告)号：US5084014A

公开(公告)日：1992-01-28

申请号：US626969

申请日：1990-12-13

申请人： George J. Picha ,  Dean J. Secrest

发明人： George J. Picha ,  Dean J. Secrest

IPC分类号： A61B17/00 ,  A61J15/00 ,  A61M25/01

CPC分类号： A61M29/00 ,  A61J15/0019 ,  A61J15/0023 ,  A61J15/0034 ,  A61J15/0065 ,  A61M25/01

摘要： A low profile or skin level gastrostomy device for initial endoscopic placement in an incision provided through the stomach and abdominal walls of a patient has a collapsed resilient end portion packaged and compressed within a shroud that allows the end portion of the device positioned within the stomach to easily pass from the inner to the outer end of the incision. The shroud is pulled or pushed outwardly through the incision until the device is properly positioned therein. Subsequent to device placement, the shroud is removed and discarded, allowing the now external end portion of the device to expand to its normal position so as to engage the outer surface of the abdominal wall to maintain the device in position. Such a gastrostomy device package and method of placement avoid the need for establishing a fistulas stoma tract before placement of a low profile gastrostomy device, as is the usual case.

摘要翻译： 用于初始内窥镜放置在通过患者的胃和腹壁提供的切口中的低剖面或皮肤级胃造口术装置具有封装并压缩在护罩内的折叠的弹性端部，其允许位于胃内的装置的端部 容易从切口的内侧到外端通过。 护罩被拉动或向外推动通过切口，直到器件正确地定位在其中。 在装置放置之后，护罩被移除并丢弃，允许装置的现在的外部端部扩张到其正常位置，以便接合腹壁的外表面以将装置保持在适当的位置。 这样的胃造瘘装置包装和放置方法避免了在放置低剖面胃造口术装置之前建立瘘管口的需要，如通常情况。

公开(公告)号：US5037428A

公开(公告)日：1991-08-06

申请号：US541534

申请日：1990-06-21

申请人： George J. Picha ,  Dean J. Secrest

发明人： George J. Picha ,  Dean J. Secrest

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B2017/1103

摘要： A vessel approximator for use in anastomosis has a pair of opposed arms, each adapted to fit within the end of a vessel segment to be anastomosed. The tips of the arms are tapered to assist in placing an end of a vessel segment onto the arm. A stem extends from the junction of the arms to form a T shape. The stem is substantially thinner than the arms to permit the ends of the vessel segments placed over the arms to be proximate to each other to be sutured together. A ring on the end of the stem allows the device to be sutered in place in the surgical field. A notch at the junction of the arms opposite the stem permits the arms to collapse together when the device is removed from the vessel segments by pulling on the stem.

摘要翻译： 用于吻合术的血管近似器具有一对相对的臂，每个臂适于装配在待吻合的血管段末端。 臂的尖端是锥形的，以有助于将血管段的末端放置在臂上。 杆从臂的连接处延伸以形成T形。 该杆基本上比臂更薄，以允许放置在臂上方的血管段的端部彼此靠近以缝合在一起。 杆的端部上的环允许将装置在外科手术区域中适当位置。 在与杆相对的臂的接合部处的切口允许当通过拉动杆从器械段移除装置时，臂一起塌陷。

公开(公告)号：US09138218B2

公开(公告)日：2015-09-22

申请号：US12788800

申请日：2010-05-27

申请人： George J. Picha ,  Matt Thompson ,  Dawn Thompson

发明人： George J. Picha ,  Matt Thompson ,  Dawn Thompson

IPC分类号： A61B1/32 ,  A61B17/02

CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B2017/0287

摘要： A handleless surgical stay includes an elastomeric band with a longitudinal body having a first end. The surgical stay further includes a tissue retention member including a tissue engaging portion and an anchor portion. The anchor portion is coupled to the first end of the elastomeric band such that the tissue engaging portion extends outwardly relative to the first end. Substantially all of the elastomeric band can be configured for engagement with a surgical retractor frame such that the stay does not include a handle.

摘要翻译： 无柄手术支架包括具有第一端的纵向主体的弹性带。 外科住院还包括组织保持构件，其包括组织接合部分和锚定部分。 锚定部分联接到弹性带的第一端，使得组织接合部相对于第一端向外延伸。 基本上所有的弹性体带可被配置成与手术牵开器框架接合，使得支架不包括手柄。

公开(公告)号：US20130110255A1

公开(公告)日：2013-05-02

申请号：US13317719

申请日：2011-10-26

申请人： George J. Picha ,  Dawn Thompson

发明人： George J. Picha ,  Dawn Thompson

IPC分类号： A61F2/02

CPC分类号： A61F2/30771 ,  A61B17/68 ,  A61C8/0018 ,  A61C8/0037 ,  A61C2008/0046 ,  A61F2/0077 ,  A61F2/28 ,  A61F2/2803 ,  A61F2/30756 ,  A61F2/3094 ,  A61F2002/0081 ,  A61F2002/30224 ,  A61F2002/30252 ,  A61F2002/30261 ,  A61F2002/30273 ,  A61F2002/30838 ,  A61F2002/30878 ,  A61F2002/3093 ,  A61F2210/0076 ,  A61F2240/001 ,  A61F2310/00359 ,  A61L27/04 ,  A61L27/06 ,  A61L27/18 ,  A61L27/3608 ,  A61L27/3612 ,  A61L27/365 ,  A61L27/50 ,  A61L2400/18 ,  A61L2430/02 ,  C08L71/12 ,  C08L71/00

摘要： Hard-tissue implants are provided that include a bulk implant, a face, pillars, and slots. The pillars are for implantation into a hard tissue. The slots are to be occupied by the hard tissue. The hard-tissue implant has a Young's modulus of elasticity of at least 10 GPa, has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1, does not comprise any part that is hollow, and does not comprise any non-pillar part extending to or beyond the distal ends of any of the pillars. Methods of making and using hard-tissue implants are also provided.

摘要翻译： 提供了硬组织植入物，其包括体植入物，面部，柱和狭槽。 支柱用于植入硬组织。 槽被硬组织占据。 硬组织植入物具有至少10GPa的杨氏弹性模量，具有（i）槽的体积与（ii）柱的体积和槽的体积之和的总和的比率 为0.40:1至0.90:1，不包括任何中空的部分，并且不包括延伸到或超过任何柱的远端的任何非柱部分。 还提供了制造和使用硬组织植入物的方法。

公开(公告)号：US08048056B2

公开(公告)日：2011-11-01

申请号：US11059872

申请日：2005-02-17

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

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

IPC分类号： A61M31/00

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 unfurled. 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。 内部枕垫是柔性的，并且允许在翼状物的第一取向与大体圆柱形构造之间弹性变形，并且允许翼展开时的第二取向。 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。