Jerome B Riebman
Physician in Sunnyvale, CA

7074180, Jul 11, 2006

Feb 21, 2003

10/371756

Arthur A. Bertolero - Danville CA, US
Raymond S. Bertolero - Danville CA, US
Jerome B. Riebman - Sunnyvale CA, US

Endoscopic Technologies, Inc. - Danville CA

A61B 1/00, H04N 5/64

600101, 600112, 348841, 206438

An improvement in a method for closed-chest, video-assisted diagnostic or surgical treatment of a patient is provided. The improvement comprises draping a video monitor with a transparent sterile surgical drape and positioning the draped monitor within the surgical field so that a surgeon can perform an internal surgical or diagnostic procedure and view it on the monitor to provide improved visual alignment for the surgeon. A flexible, sterile drape for covering the video monitor is disclosed. An apparatus for assisting the surgeon in performing closed-chest, video-assisted surgical or diagnostic treatment of a patient is disclosed which comprises a movable cabinet having an adjustable arm to which is affixed a video monitor that can be extended into the surgical field of an operating room to improve the visualization of the surgery performed by the surgeon. An improved operating table for assisting a surgeon in performing closed-chest, video-assisted surgical or diagnostic treatment of a patient is also disclosed along with endoscopic visualization apparatus and an improved design of a view scope that allows the doctor to get closer to a patient during the operation.

2005026, Dec 1, 2005

May 3, 2005

11/122272

Arthur Bertolero - Danville CA, US
Raymond Bertolero - Danville CA, US
Jerome Riebman - Sunnyvale CA, US

A61B001/32

600219000

An adjustable surgical retractor and its use for improving a surgeon's ability to perform closed-chest video-assisted exploratory, diagnostic or surgical procedures on a patient. The surgical retractor has opposable blades which can be inserted into a surgical incision in a patient undergoing a surgical procedure then spread apart to form an elongated access opening through which a instrument may be inserted to perform exploratory, diagnostic or surgical procedures. The blades used in the surgical retractor may be flexible or rigid and are attachable to the retractor. The blades are of a width, depth and thickness to provide an access to an internal cavity or subcutaneous region to allow greater degrees of freedom to the surgeon in inserting instruments into the access opening. The use of the surgical retractor forms a substantially ovoid channel, through which a medical instrument can be inserted to perform surgical or other operations.

2003013, Jul 10, 2003

Dec 9, 2002

10/297858

Larry Mager - Pleasanton CA, US
Jerome Riebman - Sunnyvale CA, US
Raymond Bertolero - Danville CA, US
Arthur Bertolero - Danville CA, US

A61M025/10, A61M025/14, A61M005/14

604/006160, 604/007000

A multi-lumen aortic balloon catheter is disclosed. The catheter is designed to assist surgeons in more effectively performing cardiovascular surgery, particularly cardiopulmonary bypass (CPB) surgery. In one aspect the catheter is inserted into a femoral artery and threaded through the artery to the aortic arch where it is positioned so that the balloon is positioned in the ascending aorta. When inflated, the balloon (preferably a cylindrical design) blocks the aortic arch between the great arteries and the coronary ostia. A cardioplegia solution is delivered to the heart through an internal lumen in the catheter to slow the heart. Blood from a cardiopulmonary machine is transported through a blood flow lumen of the catheter to be delivered antegrade flow throughout the arteries. The catheter has a distal portion having fewer lumens than are present in a proximal portion. An alternative multilumen aortic balloon catheter is disclosed that is inserted through a patient's aorta.

2002001, Feb 7, 2002

Aug 16, 2001

09/932756

Arthur Bertolero - Danville CA, US
Raymond Bertolero - Danville CA, US
Jerome Riebman - Sunnyvale CA, US

A61M029/00

604/102030, 604/509000, 604/915000

A single, multichannel catheter useful for extracorporeal circulation of blood to a patient undergoing cardiovascular treatments or surgery. The catheter has three independent channels and an expandable balloon at one end of the catheter. The first channel is the largest and is of a size that allows for delivery of blood to a patient in an amount sufficient to maintain the patient's metabolism and perfusion throughout the treatment or surgery. A second channel, smaller than the first, is integrated into the wall of the first channel and is suitable for delivering a biologically active fluid (e.g., for cardioplegia) to the heart and/or venting the left heart. A third channel, also smaller than the first, is integrated into the wall of the first channel and suitable for delivering a fluid to the balloon for its expansion when positioned in the ascending aorta to occlude the flow of blood to the heart. It is important that the first channel accounts for at least about 70% of the total channel volume. The catheter provides an improved means of performing cardiovascular surgery on a patient using a cardiopulmonary machine for extracorporeal circulation of blood. The catheter is particularly useful for cardiac surgery. The multichannel catheter is best prepared using an extrusion molding technique.

6837864, Jan 4, 2005

Feb 18, 2000

09/913881

Arthur A. Bertolero - Danville CA, US
Raymond S. Bertolero - Danville CA, US
Jerome B. Riebman - Sunnyvale CA, US

Endoscopic Technologies, Inc. - Danville CA

A61M 3700

604 616, 604 401, 604509

This invention is a multichannel catheter for extracorporeal circulation of blood to a patient undergoing cardiovascular treatments or surgery. The catheter has three independent channels, an obturator and an expandable balloon at one end of the catheter. The first channel is the largest and is of a size that allows for delivery of blood through outlet parts in the wall of the first channel to a patient in an amount sufficient to maintain the patient's metabolism and perfusion throughout the treatment or surgery. The obturator is longitudinally insertable into the first channel. A second channel, smaller than the first, is integrated into the wall of the first channel, and is suitable for delivering a biologically active fluid (e. g. , for cardioplegia) to the heart and/or venting the left heart. A third channel, also smaller than the first, is integrated into the wall of the first channel, and suitable for delivering a fluid to the balloon for its expansion when positioned in the ascending aorta to occlude the flow of blood to the heart.

6309349, Oct 30, 2001

Jul 6, 1999

9/171207

Arthur A. Bertolero - Danville CA
Raymond S. Bertolero - Danville CA
Jerome B. Riebman - Sunnyvale CA

Endoscopic Technologies, Inc. - Danville CA

A61B 132

600213

An adjustable surgical retractor and its use for improving a surgeon's ability to perform closed-chest video-assisted exploratory, diagnostic or surgical procedures on a patient. The surgical retractor is designed to have opposable blades which can be inserted into a surgical incision in a patient undergoing a surgical procedure then spread apart to form an elongated access opening through which a instrument may be inserted to perform exploratory, diagnostic or surgical procedures. The blades used in the surgical retractor may be flexible or rigid and are attachable to the retractor. The blades are of a width, depth and thickness to provide an access to an internal cavity or subcutaneous region to allow greater degrees of freedom to the surgeon in inserting instruments into the access opening. The use of the surgical retractor forms a substantially ovoid channel, through which a medical instrument can be inserted to aid a doctor in performing surgical or other operations.

2006019, Sep 7, 2006

May 8, 2006

11/429187

Jerome Riebman - Sunnyvale CA, US
Kevin Ohashi - Jamaica Plain MA, US

A61N 1/362

600016000

Devices and methods are disclosed for assisting in blood flow from a weakened or injured heart, particularly for pediatric patents. A low profile, multi-chambered implantable mechanism is used to collect blood from a blood vessel and re-pump the blood out with an induced pressure emanating from a fluid pressure source. The devices and methods described herein are easy to use and may be attachable to body tissue without use of suture anastomosis.

2006018, Aug 17, 2006

Dec 22, 2005

11/318049

Brent Constantz - Menlo Park CA, US
Jerome Riebman - Sunnyvale CA, US
Philip Houle - Menlo Park CA, US

A61B 17/20

604022000

Fluid delivery devices having a porous applicator, as well as methods for using the same in the highly localized delivery of fluid to a target site, are provided. The subject devices have a porous applicator through which fluid must flow in order to contact the target delivery site. The subject devices find use in a variety of fluid delivery applications in which the localized delivery of a fluid to a target site is desired. Also provided are systems and kits that include the subject fluid delivery devices.

7066874, Jun 27, 2006

Jan 6, 2004

10/751405

Jerome B. Riebman - Sunnyvale CA, US
Kevin L. Ohashi - Jamaica Plain MA, US

Bay Innovation Group, LLC - Sunnyvale CA

A61N 1/362

600 16

Devices and methods are disclosed for assisting in blood flow from a weakened or injured heart, particularly for pediatric patients. A low profile, multi-chambered implantable mechanism is used to collect blood from a blood vessel and re-pump the blood out with an induced pressure emanating from a fluid pressure source. The devices and methods described herein are easy to use and may be attachable to body tissue without use of suture anastomosis.

7018328, Mar 28, 2006

Feb 9, 2001

10/297791

Larry F. Mager - Pleasanton CA, US
Jerome B. Riebman - Sunnyvale CA, US
Raymond Bertolero - Danville CA, US
Arthur A Bertolero - Danville CA, US
Tamer Ibrahim - Oakland CA, US

Endoscopic Technologies, Inc. - Danville CA

A61F 2/00

600 37, 606206, 606235

A tissue stabilizer is disclosed that comprises a malleable planer foot integrated into a flexible membrane and is useful for stabilizing tissue such as the heart while performing surgery thereon. The malleable planar foot has an open central region and a rigid arm connected to the foot. The membrane integrated with the foot has a shape approximating the foot, a lower section having a bottom surface for contacting the tissue to be stabilized, and an upper section opposite the lower section. The membrane has an inner chamber in fluid communication through an opening with a plurality of suction ports on the bottom surface. An outlet port connects the inner chamber and suction ports to a negative pressure source. The tissue stabilizer has a centrally-located open region through which the tissue to be stabilized can be accessed and is designed so that when the bottom surface of the membrane is positioned on a tissue to be stabilized and a negative pressure is applied to the outlet port, the bottom surface tends to conform to the surface contour of the tissue to be stabilized through the action of suction by the ports and compression by the foot.