公开(公告)号：EP2361069B1

公开(公告)日：2018-12-26

申请号：EP09825282.8

申请日：2009-11-02

申请人： KCI Licensing, Inc.

发明人： LOCKE, Christopher, Brian ,  ROBINSON, Timothy, Mark

IPC分类号： A61F13/02 ,  A61M1/00 ,  A61B17/00 ,  A61F13/00 ,  A61B17/08

CPC分类号： A61F13/00068 ,  A61B17/085 ,  A61B2017/00526 ,  A61B2017/00867 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/086 ,  A61B2017/345 ,  A61F13/00987 ,  A61M1/0088 ,  A61M2205/0266 ,  Y10T29/49826

摘要： A wound-closing dressing, which is suitable for use as part of a reduced-pressure, wound-treatment system, may include a sealing drape, one or more contracting elements, and a gripping member. The contracting element may be coupled to the sealing drape and is configured to contract when activated and to generate a closing force. A gripping member is coupled to the sealing drape and is configured to transmit the closing force to a patient's epidermis. Other dressings, systems, and methods are also disclosed.

公开(公告)号：EP2954848B1

公开(公告)日：2018-11-28

申请号：EP15171448.2

申请日：2015-06-10

申请人： Ethicon LLC

发明人： Shelton, IV Frederick E. ,  Harris, Jason L. ,  Swayze, Jeffrey S. ,  Bakos, Gregory ,  Dunki-Jacobs, Adam R. ,  Smith, Bret W. ,  Cohn, Simon ,  Matonick, John

IPC分类号： A61B17/115 ,  A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B17/068

CPC分类号： A61B17/105 ,  A61B17/00491 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00964 ,  A61B2017/0641 ,  A61B2017/0688 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07271

摘要： Adjunct material and methods of using adjunct material to reinforce a staple line are provided herein. In general, adjunct material can be used to maintain a seal in tissue and prevent stapled tissue from tearing. This adjunct material can be coupled to a jaw of a surgical stapler, and can be deployed into tissue along with the staples. In some embodiments, the adjunct material can be sized and shaped so that a portion of the material extends laterally outside of the staple line and distributes strain to tissue outside of the staple line. In certain aspects, sealant can be applied to the staple line and to the adjunct material in various ways to further seal the tissue and/or prevent leaks from forming in the tissue.

公开(公告)号：EP2279700B1

公开(公告)日：2018-10-03

申请号：EP10177651.6

申请日：2007-08-31

申请人： Covidien LP

发明人： Stopek, Joshua ,  Cohen, Matthew D

IPC分类号： A61B17/04 ,  A61B17/06

CPC分类号： A61B17/06166 ,  A61B17/06066 ,  A61B2017/00004 ,  A61B2017/00336 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/06057 ,  A61B2017/06176 ,  A61L17/005 ,  A61L2300/404 ,  A61L2300/406 ,  A61L2300/41 ,  A61L2300/416 ,  A61L2300/418 ,  A61L2300/602

摘要： Barbed surgical sutures are prepared with a bioactive agent thereon. In embodiments, the bioactive agent may be an antimicrobial or clotting agent deposited within the angle formed by the barb and the suture body. Placement of the bioactive agent in the angle between the barb and suture body enhances the delivery of the bioactive agent to wound tissue at the point of contact.

公开(公告)号：EP2769685B1

公开(公告)日：2018-06-06

申请号：EP14000611.5

申请日：2014-02-21

申请人： Arthrex, Inc.

发明人： Schmieding, Reinhold ,  Libby, Dustin ,  Dreyfuss, Peter J. ,  Bradley, James P.

IPC分类号： A61B17/04 ,  A61B17/06

CPC分类号： A61B17/0493 ,  A61B17/0401 ,  A61B17/06166 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/0403 ,  A61B2017/0406 ,  A61B2017/0414 ,  A61B2017/0427 ,  A61B2017/0464 ,  A61B2017/0495 ,  A61L17/005

摘要： A suture construct for fixation of soft tissue to bone (or of soft tissue to soft tissue) formed of a flexible material (for example, a suture strand, a braid, a suture tape, a stuffed suture, or a combination thereof) with a portion having an expanded footprint to provide a cushion or tissue protector between the flexible strand (suture) and the tissue to be attached. The suture and cushion may be manufactured from materials that have properties to amplify the body's healing response. The cushion may have any shape and geometry that provides cushioning action between the suture and the tissue to be fixated. The cushion may be provided along the length of the flexible strand (i.e., the flexible strand may be provided with a cushion) or the flexible strand may extend from the cushion.

公开(公告)号：EP2517642B1

公开(公告)日：2018-01-10

申请号：EP12166171.4

申请日：2012-04-30

申请人： Ethicon LLC

发明人： Shelton, IV, Frederick E. ,  Baxter, III, Chester O. ,  Aronhalt, Taylor W. ,  Young, Joseph E.

IPC分类号： A61B17/072 ,  A61B17/00 ,  A61B17/29 ,  A61B17/064 ,  A61B17/115 ,  A61B90/92 ,  A61B17/295 ,  A61B17/32 ,  A61B17/10

CPC分类号： A61B17/105 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/1155 ,  A61B17/2909 ,  A61B17/295 ,  A61B90/92 ,  A61B2017/00004 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00327 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/0409 ,  A61B2017/0641 ,  A61B2017/0688 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2902 ,  A61B2017/2908 ,  A61B2017/291 ,  A61B2017/2919 ,  A61B2017/292 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037 ,  A61B2090/0811

摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened. The anvil includes primary and secondary staple receiving pockets, in particular arranged such that a staple leg that does not properly enter a primary staple pocket may instead enter a secondar staple pocket.

公开(公告)号：EP3251606A1

公开(公告)日：2017-12-06

申请号：EP15880062.3

申请日：2015-10-14

申请人： National Hospital Organization ,  OZK CO., LTD. ,  Shinwa Syoji Co., Ltd.

发明人： AOGI, Kenjiro ,  YAMASAKI, Haruhiko ,  MITSUHASHI, Katsunori ,  MORISHITA, Yoshiro

IPC分类号： A61B17/02

CPC分类号： A61B17/02 ,  A61B2017/00884 ,  A61B2017/00991 ,  A61B2017/0225

摘要： Provided is a retractor that makes it possible to reduce operation costs, is less likely to cause damage to surgical incision sites, do not reduce workability, and also makes it possible to easily maintain the desired surgical field and to change the surgical field or widen or narrow the area of the surgical field, depending on the surgical situation. The retractor 1 for holding a surgical incision open and maintaining a surgical field during an operation includes a belt-shaped body A made of a wire; and a connecting part B that is provided at one end portion of the belt-shaped body A and capable of being connected to another end portion or an intermediate portion of the belt-shaped body A so that the belt-shaped body A can be formed into a loop of a desired size. The retractor 1 is so configured that when the belt-shaped body A is formed into a loop, the outer surface of the belt-shaped body A resists the force generated at the surgical incision and acting in such a direction as to close the surgical incision.

摘要翻译： 本发明提供一种牵开器，其能够降低操作成本，不易导致对手术切口部位的损伤，不会降低可操作性，并且还能够容易地保持期望的手术区域并且改变手术区域或扩大或 根据手术情况缩小手术区域的面积。 用于在手术过程中保持手术切口并保持手术区域的牵开器1包括：由线材制成的带状体A; 以及连接部分B，其设置在带状体A的一个端部处并能够连接到带状体A的另一个端部或中间部分，从而可以形成带状体A 成为所需大小的循环。 牵开器1被构造成当带状体A形成为环时，带状体A的外表面抵抗在手术切口处产生的力并且沿着关闭手术切口的方向 。

公开(公告)号：EP2361069A4

公开(公告)日：2017-06-21

申请号：EP09825282

申请日：2009-11-02

申请人： KCI LICENSING INC

发明人： LOCKE CHRISTOPHER BRIAN ,  ROBINSON TIMOTHY MARK

IPC分类号： A61F13/02 ,  A61B17/00 ,  A61F13/00 ,  A61M1/00

CPC分类号： A61F13/00068 ,  A61B17/085 ,  A61B2017/00526 ,  A61B2017/00867 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/086 ,  A61F13/00987 ,  A61M1/0088 ,  A61M2205/0266 ,  Y10T29/49826

摘要： A wound-closing dressing, which is suitable for use as part of a reduced-pressure, wound-treatment system, may include a sealing drape, one or more contracting elements, and a gripping member. The contracting element may be coupled to the sealing drape and is configured to contract when activated and to generate a closing force. A gripping member is coupled to the sealing drape and is configured to transmit the closing force to a patient's epidermis. Other dressings, systems, and methods are also disclosed.

摘要翻译： 适合用作减压伤口处理系统的一部分的伤口闭合敷料可以包括密封盖布，一个或多个收缩元件和夹紧构件。 收缩元件可以联接到密封盖布并且构造成当被激活时收缩并产生闭合力。 夹持构件联接到密封盖布并且构造成将闭合力传递到患者的表皮。 其他敷料，系统和方法也被披露。

公开(公告)号：EP2162071B1

公开(公告)日：2017-05-03

申请号：EP08772314.4

申请日：2008-07-01

申请人： Cardiva Medical, Inc

发明人： YASSINZADEH, Zia ,  WEITZ, Jeffrey I. ,  STAFFORD, Alan

IPC分类号： A61B17/03

CPC分类号： A61B17/0057 ,  A61B17/00491 ,  A61B2017/00659 ,  A61B2017/00676 ,  A61B2017/00778 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/3484 ,  A61B2090/032

摘要： Drug eluting vascular closure devices and methods for closing a blood vessel puncture site disposed at a distal end of a tissue tract are described. The devices and methods rely on a combination of the body's own natural mechanism to achieve hemostasis with chemical and/or biological agents to accelerate the hemostatic process. One method includes the steps of introducing a closure device through the tissue tract and deploying an expansible member at a distal end of the device within the blood vessel to occlude the puncture site. A chemical and/or biological sealing member disposed proximal the expansible member is then displaced so as to expose a chemical and/or biological region or release region of the device. At least one chemical and/or biological agent is thereafter released from the device and into the tissue tract to accelerate the occlusion process in the tract.

摘要翻译： 描述了药物洗脱血管闭合装置和关闭布置在组织管道远端的血管穿刺部位的方法。 该装置和方法依靠人体自身机制的组合来实现止血与化学和/或生物制剂以加速止血过程。 一种方法包括通过组织管道引入闭合装置并在血管内的装置的远端部署可膨胀构件以闭塞穿刺部位的步骤。 然后置于可膨胀构件附近的化学和/或生物密封构件移位，以暴露装置的化学和/或生物学区域或释放区域。 此后，至少一种化学和/或生物制剂从装置释放并进入组织道以加速道内的阻塞过程。

公开(公告)号：EP3135321A1

公开(公告)日：2017-03-01

申请号：EP16186395.6

申请日：2016-08-30

申请人： Ethicon Endo-Surgery, LLC

发明人： SHELTON, IV Frederick E. ,  HARRIS, Jason L. ,  WIDENHOUSE, Tamara S. ,  VENDELY, Michael J.

IPC分类号： A61L31/16 ,  A61B17/00

CPC分类号： A61L31/16 ,  A61B17/00 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/07214 ,  A61B2017/07242 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61L31/04 ,  A61L31/148 ,  A61L2430/34

摘要： Adjunct material is provided that has multiple reservoirs formed therein and releasably carrying a plurality of vessels that each retain at least one medicant. An implantable adjunct has at least one bioabsorbable polymer configured to maintain the vessels within a reservoir. Disruption of the at least one bioabsorbable polymer allows release of the vessels from at least one of the reservoirs. A rate of the vessels' release can be controlled by a degradation rate of the at least one bioabsorbable polymer. The released vessels are, in turn, disrupted to thereby cause at least one medicant disposed therein to release and thus provide a desired effect on tissue in-growth.

摘要翻译： 提供了附加材料，其具有形成在其中的多个储存器并且可释放地携带多个容器，每个容器保留至少一种药剂。 可植入辅助物具有至少一种生物可吸收聚合物，其被配置为将容器保持在储存器内。 至少一种生物可吸收聚合物的破坏允许容器从至少一个储存器释放。 容器释放的速率可以通过至少一种生物可吸收聚合物的降解速率来控制。 释放的血管又被破坏，从而使至少一种药物放置在其中以释放，从而对组织生长提供期望的效果。

公开(公告)号：EP2964305A4

公开(公告)日：2017-03-01

申请号：EP14760849

申请日：2014-03-07

申请人： SCIENTIA VASCULAR LLC

发明人： LIPPERT JOHN

IPC分类号： A61B17/12

CPC分类号： A61B17/12113 ,  A61B17/12022 ,  A61B17/12031 ,  A61B17/1214 ,  A61B2017/00309 ,  A61B2017/00526 ,  A61B2017/00831 ,  A61B2017/00884 ,  A61B2017/1205 ,  A61B2017/12054

摘要： An embodiment is directed to an embolic device comprised of a coil made of a first material and disposed on the inside of a tube structure made of a second material. The tube structure has micro-fabricated fenestrations formed in the tube to provide fluid communication between the lumen of the tube and the surrounding environment, thereby exposing the inner coil. The fenestrations also trip flow around the embolic device. In one embodiment, the embolic device is comprised of a tantalum coil on the inside of a polyetheretherketone (PEEK) tube. The PEEK tube has the advantage of providing a micro-machined delivery implant frame and radiopacity, while the internal tantalum coil provides radiopacity and thrombogenicity. A material other than PEEK may be used for embodiments of embolic devices without departing from the spirit of the disclosure.

摘要翻译： 实施例涉及一种栓塞装置，其包括由第一材料制成的线圈，并且设置在由第二材料制成的管结构的内侧。 管结构具有形成在管中的微型开窗，以在管的管腔和周围环境之间提供流体连通，从而暴露内部线圈。 开窗也会跳动栓塞装置周围的流动。 在一个实施例中，栓塞装置由聚醚醚酮（PEEK）管内侧的钽线圈构成。 PEEK管具有提供微加工的输送植入框架和不透射线的优点，而内部钽线圈提供不透射线性和血栓形成性。 除了PEEK之外的材料可以用于栓塞装置的实施例，而不脱离本公开的精神。