摘要:
A reduced-pressure, linear-wound closing bolster (126) has a pivotable frame (130) that moves from an extended position to a compressed position under the influence of reduced pressure. The closing bolster (126) may have a first closing member (132), a second closing member (146), and an interior space. A manifold member is disposed within the interior space (174) and may be coupled to the pivotable frame (130). When a reduced pressure is applied, the pivotable frame (130) is urged from the extended position to the compressed position. A first gripping member (145) for transmitting a closing force from the first closing member to a first edge (106) of a linear wound may be attached. Likewise, a second gripping member (159) for transmitting a closing force from the second closing member (146) to a second edge (108) of the linear wound may be attached.
摘要:
A treatment system including a tension relief layer having a central elastic region coupled between a pair of opposing wings; a porous region within the central elastic region that allows for the passage of material from an incision or wound to an upper surface of the tension relief layer; and a conformable sealing layer configured to be applied over the tension relief layer and adhered forming a sealed space around at least a portion of the wound. At least a portion of each of the opposing wings have adhesive lower surfaces. The opposing wings are configured to be stretched away from one another towards a first tensile configuration and while held in the first tensile configuration adhered to skin on opposing sides of the incision or wound. Related devices, systems and methods are also described.
摘要:
A surgical implant for fixing a soft tissue to a bone comprising a staple and a plate. The staple and the plate are positionable on an instrument in such a way that the plate may be manipulated with the instrument to hold the soft tissue against the bone and in such a way that the staple is fixable to the bone with the plate positioned between a bridge of the staple and the soft tissue when legs of the staple are driven through the plate and into the bone.
摘要:
A device for compressing body tissue includes a clip having a connection portion with first and second clip arms extending therefrom, the clip includes a recess formed on an inner surface of the connection portion, the recess being shaped and sized to slidably receive a mounting bar coupled to an outer surface of an endoscope on which the mounting bar is mounted with inner surfaces of the first and second clip arms maintained in an open position by contact between an endoscope on which the mounting bar is mounted and the inner surfaces of the first and second clip arms. The clip is slidable over the outer surface of an endoscope on which the mounting bar is mounted until the clip moves distally beyond the distal end of the endoscope so that the first and second clip arms spring closed to grip tissue therebetween.
摘要:
The present invention relates to a device for intermittently obstructing a bodily opening, such as a gastric opening, and includes a proximal member connected to a distal member by a tether. The proximal member is formable from an elongated and narrower configuration to a contracted or expanded but wider configuration. When employed in the stomach, the device may be arranged transluminally with the distal member disposed in the duodenum and the proximal member disposed against the pyloric valve, intermittently occluding the pyloric valve and preventing or delaying, the flow of gastric contents through the pyloric valve.
摘要:
The invention provides devices, systems and methods for tissue approximation and repair at treatment sites. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the abdomen, thorax, cardiovascular system, heart, intestinal tract, stomach, urinary tract, bladder, lung, and other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site. In addition, many of the devices and systems of the invention are adapted to be reversible and removable from the patient at any point without interference with or trauma to internal tissues.
摘要:
A closure system, assembly and attended method for closing and opening in the tissue of the patient includes first and second closure members each including a biased construction operative for disposition of the closure members into an out of retracted and expanded orientations. A connector is disposed in interconnecting relation with the closure members and structured to establish at least a partial spacing there between. The biased construction and the interconnection of the closure members facilitate con current disposition of the closure members with one another into and through an introductory instrument as well as independent and successive disposition of the first and second closure members into a closing relation to the tissue opening upon exiting the introductory instrument.
摘要:
Devices, systems and methods are provided for anchoring implantable medical devices to maintain an implanted position. In some embodiments, the medical devices are stimulation leads which are implanted near a portion of the neural anatomy for providing stimulation thereto. To maintain position of the lead, the lead is anchored with the use of a tissue-captured anchor which is attached to the lead at a desired point of anchoring. The anchor maintains position of the lead by resisting movement of the anchor between tissue layers at the point of anchoring.
摘要:
Disclosed are devices and methods for treating regurgitation through a valve in the heart. The devices can include an expandable, fluid-tight bladder configured to be deployed between valve leaflets of the heart valve. The bladder can include an upper portion that extends into the atrium of the heart; a lower portion that extends into the ventricle of the heart; and a middle portion positionable within the line of valve leaflet coaptation that provides a sealing surface for one or more of the leaflets.