公开(公告)号：US08678991B2

公开(公告)日：2014-03-25

申请号：US13438556

申请日：2012-04-03

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61F2/00

CPC分类号： A61F2/0045

摘要： A method of treating anal incontinence in a patient comprises providing a sling having a central portion and first and second arms, creating a subcutaneous tunnel between a first buttock incision and a second buttock incision in the patient, mechanically widening the subcutaneous tunnel to create a pocket for the central portion of the sling, grasping the first arm of the sling and pulling the sling through the subcutaneous tunnel such that the central portion of the sling rests underneath the ano-rectum, inserting an introducer needle through a first thigh incision formed in the patient and advancing the introducer needle through the first buttock incision, pulling the first sling arm through the first thigh incision, inserting the introducer needle through a second thigh incision formed in the patient and advancing the introducer needle through the second buttock incision, and pulling the second sling aim through the second thigh incision.

摘要翻译： 一种在患者中治疗肛门失禁的方法包括提供具有中心部分和第一和第二臂的吊带，在患者的第一臀部切口和第二臀部切口之间产生皮下隧道，机械地加宽皮下隧道以产生口袋 对于吊索的中心部分，抓住吊索的第一臂并将吊索拉过皮下隧道，使得吊索的中心部分位于直肠下方，将导引针穿过形成在第一大腿切口中的第一大腿切口 将引导器针穿过第一臀部切口，将第一吊索拉动通过第一大腿切口，将导引针穿过形成在患者体内的第二大腿切口插入穿过第二臀部切口的引导器针， 第二条吊臂穿过第二大腿切口。

公开(公告)号：US08449447B2

公开(公告)日：2013-05-28

申请号：US12836286

申请日：2010-07-14

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61F2/00

CPC分类号： A61F2/0045 ,  A61B17/06166 ,  A61B17/3468 ,  A61F2/004 ,  A61F2/0063 ,  A61F2002/0068 ,  A61F2002/0072 ,  A61F2210/0004 ,  A61F2220/0016 ,  A61F2230/0039 ,  A61F2230/0078 ,  A61F2230/008 ,  A61F2250/0003

摘要： Using a sling that includes a central portion and at least two arms extending from the central portion, a method of treating anal incontinence may include positioning the central portion posteriorly to the rectum and/or anus of a subject, and extending each arm of the sling to a respective obturator region. Using a sling having the same or similar structure, a method of treating pelvic organ prolapse may include positioning the central portion beneath the ano-rectum of a subject, and extending each arm of the sling to a respective thigh incision near the obturator region.

摘要翻译： 使用包括中心部分和从中心部分延伸的至少两个臂的吊带，治疗肛门失禁的方法可以包括将中心部分向后定位到对象的直肠和/或肛门，并且延伸吊带的每个臂 到相应的闭孔区域。 使用具有相同或相似结构的吊带，治疗盆腔器官脱垂的方法可以包括将中心部分定位在受试者的直肠下方，并且将吊索的每个臂延伸到闭孔区附近的相应的大腿切口。

公开(公告)号：US20120215060A1

公开(公告)日：2012-08-23

申请号：US13438556

申请日：2012-04-03

申请人： PETER L. ROSENBLATT

发明人： PETER L. ROSENBLATT

IPC分类号： A61F2/04

CPC分类号： A61F2/0045

摘要： A method of treating anal incontinence in a patient comprises providing a sling having a central portion and first and second arms, creating a subcutaneous tunnel between a first buttock incision and a second buttock incision in the patient, mechanically widening the subcutaneous tunnel to create a pocket for the central portion of the sling, grasping the first arm of the sling and pulling the sling through the subcutaneous tunnel such that the central portion of the sling rests underneath the ano-rectum, inserting an introducer needle through a first thigh incision formed in the patient and advancing the introducer needle through the first buttock incision, pulling the first sling arm through the first thigh incision, inserting the introducer needle through a second thigh incision formed in the patient and advancing the introducer needle through the second buttock incision, and pulling the second sling aim through the second thigh incision.

摘要翻译： 一种在患者中治疗肛门失禁的方法包括提供具有中心部分和第一和第二臂的吊带，在患者的第一臀部切口和第二臀部切口之间产生皮下隧道，机械地加宽皮下隧道以产生口袋 对于吊索的中心部分，抓住吊索的第一臂并将吊索拉过皮下隧道，使得吊索的中心部分位于直肠下方，将导引针穿过形成在第一大腿切口中的第一大腿切口 将引导器针穿过第一臀部切口，将第一吊索拉动通过第一大腿切口，将导引针穿过形成在患者体内的第二大腿切口插入穿过第二臀部切口的引导器针， 第二条吊臂穿过第二大腿切口。

公开(公告)号：US08172745B2

公开(公告)日：2012-05-08

申请号：US12369415

申请日：2009-02-11

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61F2/00

CPC分类号： A61F2/0045

摘要： A method of treating anal incontinence in a patient comprises providing a sling having a central portion and first and second arms, creating a subcutaneous tunnel between a first buttock incision and a second buttock incision in the patient, mechanically widening the subcutaneous tunnel to create a pocket for the central portion of the sling, grasping the first arm of the sling and pulling the sling through the subcutaneous tunnel such that the central portion of the sling rests underneath the ano-rectum, inserting an introducer needle through a first thigh incision formed in the patient and advancing the introducer needle through the first buttock incision, pulling the first sling arm through the first thigh incision, inserting the introducer needle through a second thigh incision formed in the patient and advancing the introducer needle through the second buttock incision, and pulling the second sling arm through the second thigh incision.

摘要翻译： 一种在患者中治疗肛门失禁的方法包括提供具有中心部分和第一和第二臂的吊带，在患者的第一臀部切口和第二臀部切口之间产生皮下隧道，机械地加宽皮下隧道以产生口袋 对于吊索的中心部分，抓住吊索的第一臂并将吊索拉过皮下隧道，使得吊索的中心部分位于直肠下方，将导引针穿过形成在第一大腿切口中的第一大腿切口 将引导器针穿过第一臀部切口，将第一吊索拉动通过第一大腿切口，将导引针穿过形成在患者体内的第二大腿切口插入穿过第二臀部切口的引导器针， 第二条吊臂穿过第二大腿切口。

公开(公告)号：US08109867B2

公开(公告)日：2012-02-07

申请号：US12790453

申请日：2010-05-28

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61F2/00

CPC分类号： A61F2/0063 ,  A61F2/0045 ,  A61F2002/0072 ,  A61F2230/006 ,  A61F2230/0093

摘要： A sacrocolpopexy mesh that includes lateral support to improve vaginal contact during colpopexy and to prevent slipping.

摘要翻译： 一种囊状网状物，其包括侧支撑以改善阴道内的阴道接触并防止滑倒。

公开(公告)号：US08079963B2

公开(公告)日：2011-12-20

申请号：US12747782

申请日：2008-12-12

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61B1/32 ,  A61B5/05 ,  A61B5/103 ,  A61B5/117 ,  A61B17/42 ,  A61B19/00 ,  A61M29/00

CPC分类号： A61B5/053 ,  A61B5/0538

摘要： Devices and methods that may be employed to detect and/or prevent intraoperative full thickness penetration of anatomic walls, and to provide delineation of anatomic structures during surgery.

摘要翻译： 可用于检测和/或预防解剖壁的术中全厚度穿透的装置和方法，以及在手术期间提供解剖结构的描绘。

公开(公告)号：US07931612B2

公开(公告)日：2011-04-26

申请号：US11994027

申请日：2006-06-27

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61M1/00 ,  A61M5/14

CPC分类号： A61M39/286 ,  A61M5/16881 ,  A61M39/24

摘要： An intravenous fluid administration apparatus may include a proximal conduit having a spiked first end for attaching to a reservoir of fluid and a second end, a distal conduit, an intermediate conduit network providing fluid communication from the proximal conduit's second end to the distal conduit and including first and second constituent conduits that provide parallel paths from the proximal conduit to the distal conduit, a flow regulator so engaged with the first constituent conduit as to enable control of fluid flow therethrough, and a pressure-responsive valve so interposed in the second constituent conduit as to permit flow from the proximal conduit to the distal conduit through the second constituent conduit when a fluid pressure difference across the valve exceeds a threshold and to prevent such flow when the difference does not exceed the threshold.

摘要翻译： 静脉内流体给药装置可包括近端导管，其具有尖端的第一端，用于连接到流体贮存器，第二端，远端导管，中间导管网络，提供从近端导管的第二端到远端导管的流体连通，并且包括 第一和第二组成导管，其提供从近侧导管到远端导管的平行路径;流量调节器，其与第一构成导管接合，以便能够控制流过其中的流体流动;以及压力响应阀，其插入第二构成导管 以便当跨过阀门的流体压力差超过阈值时，允许通过第二构成导管从近端导管流到远端导管，并且当差值不超过阈值时防止这种流动。

公开(公告)号：US20100217232A1

公开(公告)日：2010-08-26

申请号：US11994027

申请日：2006-06-27

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61M25/00

CPC分类号： A61M39/286 ,  A61M5/16881 ,  A61M39/24

摘要： An intravenous fluid administration apparatus may include a proximal conduit having a spiked first end for attaching to a reservoir of fluid and a second end, a distal conduit, an intermediate conduit network providing fluid communication from the proximal conduit's second end to the distal conduit and including first and second constituent conduits that provide parallel paths from the proximal conduit to the distal conduit, a flow regulator so engaged with the first constituent conduit as to enable control of fluid flow therethrough, and a pressure-responsive valve so interposed in the second constituent conduit as to permit flow from the proximal conduit to the distal conduit through the second constituent conduit when a fluid pressure difference across the valve exceeds a threshold and to prevent such flow when the difference does not exceed the threshold.

摘要翻译： 静脉内流体给药装置可包括近端导管，其具有尖端的第一端，用于连接到流体贮存器，第二端，远端导管，中间导管网络，提供从近端导管的第二端到远端导管的流体连通，并且包括 第一和第二组成导管，其提供从近侧导管到远端导管的平行路径;流量调节器，其与第一构成导管接合，以便能够控制流过其中的流体流动;以及压力响应阀，其插入第二构成导管 以便当跨过阀门的流体压力差超过阈值时，允许通过第二构成导管从近端导管流到远端导管，并且当差值不超过阈值时防止这种流动。

公开(公告)号：US20090062851A1

公开(公告)日：2009-03-05

申请号：US12041856

申请日：2008-03-04

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61B17/04 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/0487 ,  A61B17/062 ,  A61B2017/00805 ,  A61B2017/045 ,  A61B2017/0488

摘要： Suture-based fasteners and fastening methods for soft tissue reconstruction are described that can include a needle tip swaged onto two sutures and loaded onto the end of a curved needle shaft. The needle shaft and tip can be driven through the tissues to be sutured and back out to where the needle tip can make a permanent connection with a locking bead. The needle shaft can be retracted, leaving two sutures extending from the side of the bead. One suture can be of nonabsorbable material and can be brought through the end of the locking bead opposite the tip and pulled to tighten the suture loop. The other suture can be of an absorbable material and can be used to rotate the locking bead under one of the layers of tissue being sutured after the suture loop is tightened. Following rotation, the second suture can be trimmed.

摘要翻译： 描述了用于软组织重建的基于缝合的紧固件和紧固方法，其可以包括在两根缝合线上锻造并装载到弯曲针轴的端部上的针尖。 针轴和尖端可以通过组织被驱动以被缝合并返回到针尖可以与锁定凸耳永久连接的位置。 针轴可以缩回，留下两个缝线从胎圈的一侧延伸。 一条缝合线可以是不可吸收的材料，并且可以通过与尖端相对的锁定珠的端部被牵引以收紧缝线环。 另一条缝合线可以是可吸收材料，并且可以用于在缝合线圈被紧固之后在被缝合的组织层之一下旋转锁定珠。 旋转后，可以修剪第二缝合线。

公开(公告)号：US07338502B2

公开(公告)日：2008-03-04

申请号：US10740132

申请日：2003-12-18

申请人： Peter L. Rosenblatt

发明人： Peter L. Rosenblatt

IPC分类号： A61B17/10 ,  A61B17/04 ,  A61B17/06 ,  A61B17/062

CPC分类号： A61B17/0487 ,  A61B17/062 ,  A61B2017/00805 ,  A61B2017/045 ,  A61B2017/0488

摘要： Suture-based fasteners and fastening methods for soft tissue reconstruction are described that can include a needle tip swaged onto two sutures and loaded onto the end of a curved needle shaft. The needle shaft and tip can be driven through the tissues to be sutured and back out to where the needle tip can make a permanent connection with a locking bead. The needle shaft can be retracted, leaving two sutures extending from the side of the bead. One suture can be of nonabsorbable material and can be brought through the end of the locking bead opposite the tip and pulled to tighten the suture loop. The other suture can be of an absorbable material and can be used to rotate the locking bead under one of the layers of tissue being sutured after the suture loop is tightened. Following rotation, the second suture can be trimmed.

摘要翻译： 描述了用于软组织重建的基于缝合的紧固件和紧固方法，其可以包括在两根缝合线上锻造并装载到弯曲针轴的端部上的针尖。 针轴和尖端可以通过组织被驱动以被缝合并返回到针尖可以与锁定凸耳永久连接的位置。 针轴可以缩回，留下两个缝线从胎圈的一侧延伸。 一条缝合线可以是不可吸收的材料，并且可以通过与尖端相对的锁定珠的端部被牵引以收紧缝线环。 另一条缝合线可以是可吸收材料，并且可以用于在缝合线圈被紧固之后在被缝合的组织层之一下旋转锁定珠。 旋转后，可以修剪第二缝合线。