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1.发明授权公开(公告)号：US08585733B2
公开(公告)日：2013-11-19
申请号：US12474234
申请日：2009-05-28
申请人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
发明人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B17/06066 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B2017/00818 , A61B2017/0404 , A61B2017/0451 , A61B2017/0472 , A61F2/0063 , A61F2/0077 , A61F5/0003 , A61F5/003 , A61F5/0073 , A61F2002/0072 , A61M25/0068
摘要： Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
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公开(公告)号：US20090275972A1
公开(公告)日：2009-11-05
申请号：US12473881
申请日：2009-05-28
申请人： Shuji Uemura , Brian K. Shiu , Pablo G. Acosta , Theodore M. Bender , Matthew B. Newell , Dane A. Johnson , Beverly Huss , Joshua Makower , Crystine M. Lee , Timothy A. Limon
发明人： Shuji Uemura , Brian K. Shiu , Pablo G. Acosta , Theodore M. Bender , Matthew B. Newell , Dane A. Johnson , Beverly Huss , Joshua Makower , Crystine M. Lee , Timothy A. Limon
IPC分类号： A61M29/00
CPC分类号： A61F5/0073 , A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/3417 , A61B17/3421 , A61B2017/003 , A61B2017/00818 , A61B2017/00827 , A61B2017/0417 , A61B2017/0496 , A61B2017/06052 , A61B2017/06176 , A61B2017/3445 , A61M25/1002 , A61M29/00 , A61M2025/1093
摘要： Tools, devices and methods for treating a patient. An incision or puncture is made though the patient's skin and a delivery tract is made through an opening formed by the incision or puncture, subcutaneous fat and fascia, far into the patient's abdominal cavity. A guide member is inserted through the delivery tract and a distal end portion of the guide member is positioned at a target location within the abdominal cavity. An implantable device is delivered with the aid of the guide member, and the implantable device is attached to at least one internal body structure. A fillable member of the implantable device is at least partially filled with fluid. The guide member is removed and an adjustment member is attached to a conduit in fluid communication with the fillable member. The attachment member is anchored to an internal body structure and the incision or puncture is closed.
摘要翻译： 用于治疗患者的工具，装置和方法。 通过患者的皮肤和输送管道通过由切口或穿刺形成的开口，皮下脂肪和筋膜制成远离患者的腹腔而进行切口或穿刺。 引导构件通过输送管道插入，并且引导构件的远端部分位于腹腔内的目标位置。 借助于引导构件输送可植入装置，并且将可植入装置附接到至少一个内部主体结构。 可植入装置的可填充构件至少部分地填充有流体。 引导构件被移除并且调节构件附接到与可填充构件流体连通的导管。 附着构件锚固到内部身体结构，并且切口或穿刺闭合。
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3.发明授权Devices, tools and methods for performing minimally invasive abdominal surgical procedures 有权用于进行微创腹部外科手术的装置，工具和方法公开(公告)号：US08460321B2
公开(公告)日：2013-06-11
申请号：US13041093
申请日：2011-03-04
申请人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
发明人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B17/06066 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B2017/00818 , A61B2017/0404 , A61B2017/0451 , A61B2017/0472 , A61F2/0063 , A61F2/0077 , A61F5/0003 , A61F5/003 , A61F5/0073 , A61F2002/0072 , A61M25/0068
摘要： Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
摘要翻译： 提供方法，系统，装置和组件，用于通过以下方式治疗患者：通过腹部的患者的皮肤进行切口或穿刺; 通过由切口或穿刺形成的开口建立初始束; 通过道路推进仪器; 使所述器械的远端部分抵靠所述腹腔的内表面; 通过腹腔的内表面驱动至少一个针刺针; 继续驾驶直到所述至少一个缝合针离开所述腹腔的内表面; 将由所述至少一个缝合针中的每一个承载的缝合线分别锚定到出口位置处的缝合锚; 并向每个缝线施加张力。
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4.发明申请公开(公告)号：US20090281563A1
公开(公告)日：2009-11-12
申请号：US12474253
申请日：2009-05-28
申请人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
发明人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
IPC分类号： A61M29/02
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B17/06066 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B2017/00818 , A61B2017/0404 , A61B2017/0451 , A61B2017/0472 , A61F2/0063 , A61F2/0077 , A61F5/0003 , A61F5/003 , A61F5/0073 , A61F2002/0072 , A61M25/0068
摘要： Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
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5.发明申请DEVICES, SYSTEM AND METHODS FOR MINIMALLY INVASIVE ABDOMINAL SURGICAL PROCEDURES 审中-公开装置，系统和方法，用于最小的入侵腹腔镜手术公开(公告)号：US20090281386A1
公开(公告)日：2009-11-12
申请号：US12474070
申请日：2009-05-28
申请人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
发明人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
IPC分类号： A61B1/01
CPC分类号： A61F5/0073 , A61B17/00234 , A61B17/3417 , A61B17/3421 , A61B90/361 , A61B2017/003 , A61B2017/320044 , A61B2017/349 , A61F5/0003 , A61M25/0068 , A61M25/0069 , A61M25/008 , A61M25/0102 , A61M25/0169
摘要： Apparatus, tools, device and methods provided for treating a patient including: making an incision or puncture though the patient's skin; establishing an initial tract through an opening formed by the incision or puncture; inserting a guide member having a flexible distal portion and a distal tip into the initial tract and extending the initial tract to form a delivery tract leading to a target location within the patient's body; wherein said distal tip and at least a portion of a remainder of said guide member are transparent and delivering an obturator and conduit assembly over said guide member to place a distal end of the conduit of said obturator and conduit assembly in a location at or near the target location, said obturator having been inserted into said conduit prior to delivering said assembly over said guide member such that a distal end of said obturator extends distally out of a distal opening of said conduit wherein said obturator comprises a central lumen adapted to closely follow said guide member while sliding thereover.
摘要翻译： 提供用于治疗患者的装置，工具，装置和方法，包括：通过患者的皮肤进行切口或穿刺; 通过由切口或穿刺形成的开口建立初始束; 将具有柔性远端部分和远侧末端的引导构件插入初始管道中并延伸初始管道以形成通向患者体内目标位置的输送管道; 其中所述远侧末端和所述引导构件的剩余部分的至少一部分是透明的，并且在所述引导构件上方输送闭塞器和管道组件，以将所述闭塞器和导管组件的导管的远端放置在位于或接近 所述闭塞器在将所述组件输送到所述引导构件上之前被插入所述导管中，使得所述闭孔器的远端向远侧延伸出所述导管的远端开口，其中所述闭孔器包括适于密切跟随所述导管 引导成员，同时滑动。
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6.发明申请DEVICES, SYSTEM AND METHODS FOR MINIMALLY INVASIVE ABDOMINAL SURGICAL PROCEDURES 审中-公开装置，系统和方法，用于最小的入侵腹腔镜手术公开(公告)号：US20090281376A1
公开(公告)日：2009-11-12
申请号：US12474118
申请日：2009-05-28
申请人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
发明人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
CPC分类号： A61F5/0073 , A61B17/00234 , A61B17/3417 , A61B17/3421 , A61B90/361 , A61B2017/003 , A61B2017/00477 , A61B2017/320044 , A61B2017/3445 , A61B2017/349 , A61F5/0003 , A61M25/0069 , A61M25/0102 , A61M25/0169
摘要： Apparatus, tools, device and methods provided for treating a patient including: making an incision or puncture though the patient's skin; establishing an initial tract through an opening formed by the incision or puncture; inserting a guide member having a flexible distal portion and a distal tip into the initial tract and extending the initial tract to form a delivery tract leading to a target location within the patient's body; wherein said distal tip and at least a portion of a remainder of said guide member are transparent and delivering an obturator and conduit assembly over said guide member to place a distal end of the conduit of said obturator and conduit assembly in a location at or near the target location, said obturator having been inserted into said conduit prior to delivering said assembly over said guide member such that a distal end of said obturator extends distally out of a distal opening of said conduit; wherein said obturator comprises a central lumen adapted to closely follow said guide member while sliding thereover.
摘要翻译： 提供用于治疗患者的装置，工具，装置和方法，包括：通过患者的皮肤进行切口或穿刺; 通过由切口或穿刺形成的开口建立初始束; 将具有柔性远端部分和远侧末端的引导构件插入初始管道中并延伸初始管道以形成通向患者体内目标位置的输送管道; 其中所述远侧末端和所述引导构件的剩余部分的至少一部分是透明的，并且在所述引导构件上方输送闭塞器和管道组件，以将所述闭塞器和导管组件的导管的远端放置在位于或接近 所述闭塞器在将所述组件传送到所述引导构件上之前被插入所述导管中，使得所述闭孔器的远端向远侧延伸出所述导管的远端开口; 其中所述闭孔器包括适于紧密跟随所述引导构件同时在其上滑动的中心腔。
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公开(公告)号：US20130102876A1
公开(公告)日：2013-04-25
申请号：US13707580
申请日：2012-12-06
CPC分类号： A61F5/0056 , A61B1/018 , A61B5/05 , A61B17/00234 , A61B17/0401 , A61B17/0469 , A61B17/06066 , A61B17/3415 , A61B17/3423 , A61B90/361 , A61B2017/00818 , A61B2017/0092 , A61B2017/0404 , A61B2017/0411 , A61B2017/0417 , A61B2017/0451 , A61B2017/047 , A61B2017/0472 , A61B2017/2905 , A61B2017/320052 , A61B2017/3405 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3456 , A61B2017/349 , A61B2090/037 , A61B2090/061 , A61B2090/395 , A61F5/0003 , A61F5/003 , A61F5/0073 , A61F5/0089 , A61M5/00 , A61M25/10 , A61M39/0208 , A61M39/0247 , A61M2039/0223 , A61M2039/0261
摘要： An implantable port system which in at least one embodiment includes a base having an upper surface configured to be positioned under and in contact with a first tissue surface in a body, and a port housing having a lower surface configured to be positioned over a second tissue surface above the first tissue surface. The base and the port housing may be separate from one another and do not contact each other at the time of positioning the base. The base and port may be connected together upon positioning the port in contact with the second tissue surface. A method of implanting a port system may include installing at least a portion of a base of the system beneath a tissue layer in a body, and attaching a port housing to the base at a location above the tissue layer, wherein the port housing is not in contact with the base during the installation of a least a part of the base system beneath the tissue layer.
摘要翻译： 一种可植入端口系统，其至少在一个实施例中包括具有被配置为定位在主体中的第一组织表面下方并与之接触的上表面的基部，以及具有被配置为定位在第二组织上的下表面的端口壳体 表面高于第一组织表面。 基座和端口壳体可以彼此分开，并且在定位基座时不彼此接触。 在将端口定位成与第二组织表面接触时，底座和端口可以连接在一起。 植入端口系统的方法可以包括将系统的基部的至少一部分安装在体内的组织层下方，以及将端口壳体附接到组织层上方的位置处，其中端口壳体不是 在组织层下方的至少一部分基础系统的安装期间与基部接触。
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8.发明授权Devices, tools and methods for performing minimally invasive abdominal surgical procedures 有权用于进行微创腹部外科手术的装置，工具和方法公开(公告)号：US07976554B2
公开(公告)日：2011-07-12
申请号：US12474251
申请日：2009-05-28
申请人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
发明人： Matthew B. Newell , Pankaj Rathi , Robert M. George , Marlo Dreissigacker , Narvel M. Brooks, III , Shuji Uemura , Theodore M. Bender , Joshua Makower , Dane A. Johnson , Brian K. Shiu , Pablo G. Acosta , Timothy A. Limon , Beverly Huss , Crystine M. Lee
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B17/06066 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B2017/00818 , A61B2017/0404 , A61B2017/0451 , A61B2017/0472 , A61F2/0063 , A61F2/0077 , A61F5/0003 , A61F5/003 , A61F5/0073 , A61F2002/0072 , A61M25/0068
摘要： Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity, continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity, anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
摘要翻译： 提供方法，系统，装置和组件，用于通过以下方式治疗患者：通过腹部的患者的皮肤进行切口或穿刺; 通过由切口或穿刺形成的开口建立初始束; 通过道路推进仪器; 使所述器械的远端部分抵靠所述腹腔的内表面; 通过所述腹腔的内表面驱动至少一个缝合针，继续驱动，直到所述至少一个缝合针离开所述腹腔的内表面，将由所述至少一个缝合针中的每一个承载的缝线锚定到缝合线 分别在出口处锚定; 并向每个缝线施加张力。
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9.发明申请DEVICES, SYSTEM AND METHODS FOR MINIMALLY INVASIVE ABDOMINAL SURGICAL PROCEDURES 审中-公开装置，系统和方法，用于最小的入侵腹腔镜手术公开(公告)号：US20090281500A1
公开(公告)日：2009-11-12
申请号：US12474158
申请日：2009-05-28
申请人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
发明人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
IPC分类号： A61B17/34
CPC分类号： A61F5/0073 , A61B17/00234 , A61B17/3421 , A61B2017/003 , A61B2017/2905 , A61B2017/320048 , A61B2017/3445 , A61B2017/3449 , A61B2017/349 , A61F5/0003 , A61M25/0068 , A61M25/007 , A61M25/008 , A61M25/0102 , A61M25/0169
摘要： Apparatus, tools, device and methods provided for treating a patient, including: making an incision or puncture though the patient's skin; establishing an initial tract through an opening formed by the incision or puncture; inserting a guide member having a flexible distal portion and a distal tip into the initial tract and extending the initial tract to form a delivery tract leading to a target location within the patient's body; wherein said distal tip and at least a portion of a remainder of said guide member are transparent; and delivering an obturator and conduit assembly over said guide member to place a distal end of the conduit of said obturator and conduit assembly in a location at or near the target location, said obturator having been inserted into said conduit prior to delivering said assembly over said guide member such that a distal end of said obturator extends distally out of a distal opening of said conduit; wherein said obturator comprises a central lumen adapted to closely follow said guide member while sliding thereover.
摘要翻译： 提供用于治疗患者的装置，工具，装置和方法，包括：通过患者皮肤进行切口或穿刺; 通过由切口或穿刺形成的开口建立初始束; 将具有柔性远端部分和远侧末端的引导构件插入初始管道中并延伸初始管道以形成通向患者体内目标位置的输送管道; 其中所述远侧末端和所述引导构件的剩余部分的至少一部分是透明的; 以及在所述引导构件上方输送闭塞器和导管组件，以将所述封闭器和导管组件的导管的远端放置在目标位置处或附近的位置处，所述闭孔器在将所述组件传送到所述导管之前被插入所述管道中 引导构件，使得所述闭孔器的远端从所述导管的远端开口向远侧延伸; 其中所述闭孔器包括适于紧密跟随所述引导构件同时在其上滑动的中心腔。
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公开(公告)号：US20090281498A1
公开(公告)日：2009-11-12
申请号：US12474087
申请日：2009-05-28
申请人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
发明人： Pablo G. Acosta , Dane A. Johnson , Timothy A. Limon , Beverly Huss , Shuji Uemura , Brian K. Shiu , Theodore M. Bender , Matthew B. Newell , Joshua Makower , Crystine M. Lee
IPC分类号： A61B17/34
CPC分类号： A61F5/0073 , A61B17/00234 , A61B17/3421 , A61B2017/003 , A61B2017/2905 , A61B2017/320048 , A61B2017/3445 , A61B2017/3449 , A61B2017/349 , A61F5/0003 , A61M25/0068 , A61M25/0069 , A61M25/008 , A61M25/0102 , A61M25/0169
摘要： Apparatus, tools, device and methods provided for treating a patient including: making an incision or puncture though the patient's skin; establishing an initial tract through an opening formed by the incision or puncture; inserting a guide member having a flexible distal portion and a distal tip into the initial tract and extending the initial tract to form a delivery tract leading to a target location within the patient's body; wherein said distal tip and at least a portion of a remainder of said guide member are transparent and delivering an obturator and conduit assembly over said guide member to place a distal end of the conduit of said obturator and conduit assembly in a location at or near the target location, said obturator having been inserted into said conduit prior to delivering said assembly over said guide member such that a distal end of said obturator extends distally out of a distal opening of said conduit wherein said obturator comprises a central lumen adapted to closely follow said guide member while sliding thereover.
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