公开(公告)号：EP3265004A1

公开(公告)日：2018-01-10

申请号：EP16759631.1

申请日：2016-03-04

申请人： Ancora Heart, Inc.

发明人： SAMPSON, Russel ,  ADAM, Charles, J. ,  NGUYEN, Son ,  BARON, David, Scott

IPC分类号： A61B17/94

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0493 ,  A61B90/06 ,  A61B2017/00247 ,  A61B2017/00336 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/0464 ,  A61B2090/062 ,  A61B2090/0811 ,  A61B2090/3966

摘要： Disclosed herein are devices and methods for assessing the surface of a target cardiac tissue and for delivering a tissue anchor to cardiac tissue at a preselected depth within the myocardium in a beating heart procedure. In one variation, an anchor delivery device comprises an elongate body, a tissue anchor disposed within a first longitudinal lumen of the elongate body, and a tissue depth indicator slidable within a second longitudinal lumen of the elongate body. The tissue depth indicator has a first configuration that indicates the boundary of the surface of the target tissue and a second configuration that indicates when the distal tip of the elongate body has been advanced to a preselected depth into the target tissue. In some variations, a tissue depth indicator may also be configured to resist or limit the penetration of the delivery device into tissue after a preselected depth has been reached.

公开(公告)号：EP3062710A4

公开(公告)日：2017-09-20

申请号：EP14850216

申请日：2014-10-01

申请人： KIA MICHAEL AMIRFARZAD ,  BONADIO FRANK ,  HALPIN LUCY DOLORES

发明人： KIA MICHAEL AMIRFARZAD ,  BONADIO FRANK ,  HALPIN LUCY DOLORES

IPC分类号： A61B17/04 ,  A61F2/00 ,  A61L27/56

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0482 ,  A61B17/0491 ,  A61B17/0493 ,  A61B17/06166 ,  A61B2017/003 ,  A61B2017/06052 ,  A61B2017/0619 ,  A61F2/0063

摘要： A suture device comprises a shaft and a needle which creates a curved pathway for delivery of a suture. The curved needle is rotatably movable from a retracted to an extended configuration. The suture is housed in a feed channel within the shaft. The shaft also houses a suture receiving channel with an open distal end. A suture cutter is located adjacent to the suture feed channel distal end for cutting the suture, when required. The device also comprises a rotatable twisting element having a rotating shaft and a pair of radially extending arms, having through suture-receiving through holes. A heating rod in the form of a heating element is also provided to heat meld a twist when formed in the suture.

摘要翻译： 缝合装置包括轴和针，其形成用于输送缝合线的弯曲路径。 弯曲的针可从缩回构型旋转地移动到伸展构型。 缝合线容纳在轴内的供给通道中。 该轴还容纳具有开放远端的缝合线接收通道。 当需要时，缝合线切割器位于缝合线供给通道远端附近用于切割缝合线。 该装置还包括具有旋转轴和一对径向延伸臂的可旋转扭转元件，其具有穿过缝合线接收通孔。 还提供了加热元件形式的加热棒，以在缝合线中形成时加热捻合。

公开(公告)号：EP3185797A1

公开(公告)日：2017-07-05

申请号：EP15837002.3

申请日：2015-08-25

申请人： Bioventrix, Inc.

发明人： VAN BLADEL, Kevin ,  WEISS, Aaron ,  ANNEST, Lon ,  MATA JR., Gilbert

IPC分类号： A61B17/94 ,  A61M1/10

CPC分类号： A61F2/2487 ,  A61B17/0401 ,  A61B17/0493 ,  A61B2017/00243 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/061 ,  A61B2017/2927

摘要： According to one embodiment, a protective device for use in congestive heart failure treatments, and other treatments, includes a control mechanism, an elongate shaft, and a protective plate. The control mechanism is coupled with a proximal end of the elongate shaft and the protective plate is pivotably coupled with a distal end of the elongate shaft. The elongate shaft enables the protective plate to be inserted within a body and navigated distally of a heart wall. The protective plate has a relatively wide and thin body portion and is pivotable relative to the elongate shaft by operation of the control mechanism. Pivoting and/or navigating of the protective plate within the body allows the protective plate to be positioned adjacent the heart wall to shield body organs or tissue surrounding the heart wall from being damaged by surgical instruments inserted through the heart wall.

摘要翻译： 根据一个实施例，用于充血性心力衰竭治疗和其他治疗的保护装置包括控制机构，细长轴和保护板。 控制机构与细长轴的近端连接，并且保护板与细长轴的远端可枢转地连接。 细长轴使得保护板能够插入身体内并在心脏壁的远侧导航。 保护板具有相对较宽和较薄的主体部分，并且通过控制机构的操作可相对于细长轴枢转。 在身体内枢转和/或导航保护板允许保护板定位在心脏壁附近，以屏蔽身体器官或心脏壁周围的组织，以免被插入心脏壁的外科器械损伤。

公开(公告)号：EP3145421A2

公开(公告)日：2017-03-29

申请号：EP15795593.1

申请日：2015-05-15

申请人： Safepath Medical Inc.

发明人： DOLAN, David P. ,  MORGAN, Dan ,  LANE, Joseph P. ,  SABIN, Paul ,  LAUDER, Nick

IPC分类号： A61B17/062

CPC分类号： A61B17/0482 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/0493 ,  A61B17/0625 ,  A61B2017/00407 ,  A61B2017/0608

摘要： A device for suturing tissue includes a handle including a housing and a suturing needle for advancing a suture through the tissue. The device also includes a first needle gripper that is configured to both grasp and release the suturing needle. A second needle gripper is also configured to both grasp and release the suturing needle. An actuator is coupled to the housing and is operatively coupled to: (a) a first linkage that pivots the second gripping gripper between a fully extended position and a retracted position relative to the housing; and (b) a second linkage that is operatively coupled to the first and second needle grippers and configured to alter a state of each of the first and second needle grippers. The second linkage can include a one-way clutch.

摘要翻译： 用于缝合组织的装置包括手柄，其包括壳体和用于使缝合线穿过组织的缝合针。 该装置还包括第一针夹持器，其构造成既抓住并释放缝合针。 第二针夹持器也构造成能够抓住并释放缝合针。 致动器联接到壳体并且可操作地联接到：（a）第一连杆，其将第二夹持夹爪相对于壳体在完全伸出位置和缩回位置之间枢转; 和（b）第二连杆，其可操作地联接到第一和第二针夹持器并且构造成改变第一和第二针夹持器中的每一个的状态。 第二连杆机构可包括单向离合器。

公开(公告)号：EP1919544A4

公开(公告)日：2017-03-01

申请号：EP06769658

申请日：2006-08-09

申请人： SAFETRACH AB

发明人： SAFETRACH AB

IPC分类号： A61M16/04 ,  A61B17/28

CPC分类号： A61B17/3403 ,  A61B17/0493 ,  A61B17/2812 ,  A61B17/3415 ,  A61B17/3494 ,  A61B2017/0023 ,  A61B2017/00238 ,  A61B2017/3405 ,  A61B2017/3482 ,  A61B2090/034 ,  A61B2090/062 ,  A61B2090/08021 ,  A61M16/0472

摘要： A device (11) for facilitating tracheotomy. The device comprises a first branch (92), which is adapted to be introduced down the trachea of a patient, such that the end thereof is located below the larynx, and a second branch (114), adapted to be arranged on the outside of the neck with the end thereof located adjacent to the site intended for the tracheostoma. The end of the second branch comprises a guiding tube for a needle, and the end of the first branch comprises a protection plate. When the needle is moved towards the skin through the guiding tube and penetrates the skin and tracheal wall in order to provide said tracheostoma, the needle is directed towards the protection plate, and may engage it after passage through the tracheal wall. In such a manner the other side of the tracheal wall is protected. Furthermore, the tracheostoma will automatically be located at the best position.

摘要翻译： 一种用于促进气管切开术的装置（11）。 该装置包括第一分支（92），其适于沿着患者的气管向下引入，使得其端部位于喉部下方，以及第二分支（114），适于布置在患者的外侧 其末端的颈部位于用于气管切开瘤的位置附近。 第二分支的端部包括用于针的引导管，并且第一分支的端部包括保护板。 当针通过引导管朝皮肤移动并穿透皮肤和气管壁以便提供所述气管腔时，针被引向保护板，并且可以在通过气管壁之后将其接合。 以这种方式，气管壁的另一侧被保护。 此外，气管切开瘤将自动位于最佳位置。

公开(公告)号：EP3062710A1

公开(公告)日：2016-09-07

申请号：EP14850216.4

申请日：2014-10-01

申请人： Kia, Michael Amirfarzad ,  Bonadio, Frank ,  Halpin, Lucy Dolores

发明人： Kia, Michael Amirfarzad ,  Bonadio, Frank ,  Halpin, Lucy Dolores

IPC分类号： A61B17/04 ,  A61F2/00 ,  A61L27/56

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0482 ,  A61B17/0491 ,  A61B17/0493 ,  A61B17/06166 ,  A61B2017/003 ,  A61B2017/06052 ,  A61B2017/0619 ,  A61F2/0063

摘要： A suture device comprises a shaft and a needle which creates a curved pathway for delivery of a suture. The curved needle is rotatably movable from a retracted to an extended configuration. The suture is housed in a feed channel within the shaft. The shaft also houses a suture receiving channel with an open distal end. A suture cutter is located adjacent to the suture feed channel distal end for cutting the suture, when required. The device also comprises a rotatable twisting element having a rotating shaft and a pair of radially extending arms, having through suture-receiving through holes. A heating rod in the form of a heating element is also provided to heat meld a twist when formed in the suture.

摘要翻译： 缝合装置（100）包括轴（101）和针（102），其形成用于输送缝合线（103）的弯曲路径。 弯曲的针（102）可从缩回构型旋转地移动到伸展构型。 缝合线（103）容纳在轴（101）内的供给通道（110）中。 轴（101）还容纳具有开口远端（113）的缝合线接收通道（112）。 当需要时，缝合线切割器（115）位于缝合线供给通道远端（111）附近用于切割缝合线（103）。 该装置还包括具有旋转轴（121）和一对径向延伸臂（122,123）的可旋转扭转元件（120），所述臂具有穿过缝合线接收通孔（124,125）。 当形成在缝合线（103）中时，还提供加热元件（130）形式的加热棒以加热捻合物（135）。

公开(公告)号：EP2837336A3

公开(公告)日：2015-06-03

申请号：EP14184237.7

申请日：2005-05-10

申请人： Olympus Corporation

发明人： Miyamoto, Manabu ,  Iizuka, Shuhei

IPC分类号： A61B17/06 ,  A61B17/29 ,  A61B17/11 ,  A61B17/062

CPC分类号： A61B17/29 ,  A61B17/0493 ,  A61B17/062 ,  A61B17/11 ,  A61B2017/00367 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/2825 ,  A61B2017/2902 ,  A61B2017/2913

摘要： A surgical instrument (1) comprises an operating section (2) including an open/close operating member (422),
an insert section (3) provided to extend from one end side of the operating section;
a clamping portion (404) provided to extend from a distal end extension of the insert section while being inclined at a predetermined angle relative to a longitudinal central axis of the insert section, the clamping portion being able to passively rotate about an axis of the insert-section distal end extension in an extending direction and being able to open and close in response to an opening/closing operation of the open/close operating member, and an open/close force transmitting member being advanced and retracted in interlock with the opening/closing operation of the open/close operating member disposed in the operating section, thereby transmitting an open/close force to the clamping portion.

摘要翻译： 在外科器械中，连续地设置在插入部的前端的处理部设置有针保持装置，该针保持装置具有当针刺入弹性体时能够保持针的弹性体。

公开(公告)号：EP2419027B1

公开(公告)日：2014-04-09

申请号：EP10715038.5

申请日：2010-04-13

申请人： Cook Medical Technologies LLC

发明人： WILLIAMS, Michael, Lee

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0493 ,  A61B17/06061 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2090/0801

公开(公告)号：EP1839592B1

公开(公告)日：2011-12-28

申请号：EP07251438.3

申请日：2007-03-30

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Stokes, Michael J. ,  Shelton IV, Frederik E. ,  Ortiz, Mark S.

IPC分类号： A61B17/04

CPC分类号： A61B17/0482 ,  A61B1/00087 ,  A61B1/00094 ,  A61B1/00133 ,  A61B1/0014 ,  A61B1/005 ,  A61B1/2736 ,  A61B1/313 ,  A61B5/026 ,  A61B5/0261 ,  A61B17/00491 ,  A61B17/0466 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/0493 ,  A61B17/06066 ,  A61B17/062 ,  A61B34/20 ,  A61B90/36 ,  A61B2017/00022 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00407 ,  A61B2017/00469 ,  A61B2017/00477 ,  A61B2017/00561 ,  A61B2017/0479 ,  A61B2017/0496 ,  A61B2017/06076 ,  A61B2017/0608 ,  A61B2017/06185 ,  A61B2017/306 ,  A61B2090/037 ,  A61B2090/0811 ,  A61B2090/374 ,  A61B2090/378

公开(公告)号：EP2317936A1

公开(公告)日：2011-05-11

申请号：EP09790763.8

申请日：2009-07-23

申请人： Ethicon Endo-Surgery, Inc.

发明人： ZEINER, Mark, S. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  ORTIZ, Mark, S. ,  CRAINICH, Lawrence ,  KONDOR, Alex, P.

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0493 ,  A61B17/3498 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2916 ,  A61B2017/292 ,  A61B2017/2923

摘要： A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device includes a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge is removable from the handle. The device includes a second cartridge having at least one fastener releasably connectable to the handle after removal of the first cartridge. The second cartridge being insertable into the device from a proximal end thereof.