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公开(公告)号:US20050251210A1
公开(公告)日:2005-11-10
申请号:US11036946
申请日:2005-01-14
申请人: Hendrik Westra , Cang Lam , Richard Ewers , Vahid Saadat
发明人: Hendrik Westra , Cang Lam , Richard Ewers , Vahid Saadat
CPC分类号: A61B17/0469 , A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/22031 , A61B17/29 , A61B2017/003 , A61B2017/00349 , A61B2017/00407 , A61B2017/00827 , A61B2017/00867 , A61B2017/0406 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0443 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0464 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06052 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/0649 , A61B2090/061
摘要: Methods and apparatus for controlled grasping and cinching or locking of a tissue anchor are provided. In one variation, a tube is provided having a lumen and a resilient member that obstructs the lumen. A grasper may be advanced coaxially through the lumen, such that it reversibly displaces the resilient member and extends beyond the lumen's outlet to engage an element of the tissue anchor. The grasper then may be retracted within the tube, such that the resilient member again obstructs the lumen of the tube. Continued retraction of the grasper may act to cinch the anchor, for example, via interaction between the anchor and the obstructing resilient member. During cinching, a cinching mechanism of the anchor optionally may be positioned at least partially within the tube to enhance lateral stability. Furthermore, feedback indicative of a degree of cinching or locking may be provided during cinching.
摘要翻译: 提供了用于控制抓握和夹紧或锁定组织锚的方法和装置。 在一个实施例中,提供具有内腔和阻碍内腔的弹性构件的管。 夹持器可以同轴地穿过管腔前进,使得其可逆地移位弹性构件并且延伸超出管腔的出口以接合组织锚的元件。 然后,抓紧器可以缩回到管内,使得弹性构件再次阻塞管的内腔。 抓持器的继续缩回可以例如通过锚固件和阻碍弹性构件之间的相互作用而使锚固件收紧。 在收紧期间,锚固件的收紧机构任选地可以至少部分地定位在管内以增强横向稳定性。 此外,可以在收紧期间提供表示收紧或锁定程度的反馈。
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公开(公告)号:US20050251206A1
公开(公告)日:2005-11-10
申请号:US10841245
申请日:2004-05-07
申请人: Tracy Maahs , Richard Ewers , Jesus Flores , Alex Khairkhahan , Ruey-Feng Peh , Vahid Saadat , Cang Lam
发明人: Tracy Maahs , Richard Ewers , Jesus Flores , Alex Khairkhahan , Ruey-Feng Peh , Vahid Saadat , Cang Lam
IPC分类号: A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/08 , A61B17/10 , A61B17/28 , A61B17/34
CPC分类号: A61B17/08 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06066 , A61B17/064 , A61B17/10 , A61B17/29 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0475 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/081 , A61B2017/3488 , Y10T24/39 , Y10T24/3936
摘要: Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism either within the anchor itself of positioned proximally of the anchor may allow for the uni-directional translation while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates the cinching of the tissue plication between the anchors and it may be utilized in one or several anchors in cinching a tissue fold.
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公开(公告)号:US20050251205A1
公开(公告)日:2005-11-10
申请号:US10840951
申请日:2004-05-07
申请人: Richard Ewers , Tracy Maahs , Jesus Flores , Alex Khairkhahan , Ruey-Feng Peh , Vahid Saadat
发明人: Richard Ewers , Tracy Maahs , Jesus Flores , Alex Khairkhahan , Ruey-Feng Peh , Vahid Saadat
IPC分类号: A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/08 , A61B17/10 , A61B17/28 , A61B17/34
CPC分类号: A61B17/08 , A61B17/00234 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06066 , A61B17/064 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0475 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06028 , A61B2017/06052 , A61B2017/06176 , A61B2017/081 , A61B2017/3488 , Y10T24/39 , Y10T24/3936 , Y10T24/3969
摘要: Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism either within the anchor itself of positioned proximally of the anchor may allow for the uni-directional translation while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This uni-directional anchor locking mechanism facilitates the cinching of the tissue plication between the anchors and it may be utilized in one or several anchors in cinching a tissue fold.
摘要翻译: 本文公开了用于定位和固定锚固件的装置和方法。 锚固件适于被递送并植入到组织中,特别是患者胃肠系统内的组织中。 锚固件适于在缝合线上单向滑动,使得组织褶皱可以在锚固件之间束紧。 如果锚固件被拉动,推动或沿着缝合线沿相反方向被推动,锚固件本身内的定位器本身内的锁定机构可以允许单向平移,同时使锚固件能够锁定在缝合线上 。 这种单向锚定锁定机构有助于锚定器之间的组织褶皱收紧,并且可以在一个或多个锚定器中使用,以收紧组织褶皱。
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公开(公告)号:US20040267083A1
公开(公告)日:2004-12-30
申请号:US10738255
申请日:2003-12-17
申请人: Myocor
发明人: Patrick M. McCarthy , Cyril J. Schweich JR. , Todd J. Mortier , Peter T. Keith , Michael J. Kallok
IPC分类号: A61N001/362 , A61F002/00
CPC分类号: A61F2/2487 , A61B17/00234 , A61B17/04 , A61B17/0487 , A61B17/1227 , A61B90/39 , A61B2017/00243 , A61B2017/0404 , A61B2017/0435 , A61B2017/0445 , A61B2017/0446 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/048 , A61B2017/0496 , A61B2090/392 , A61F2/2481
摘要: Various methods and devices are disclosed for improving cardiac function in hearts having zones of infarcted (akinetic) and aneurysmal (dyskinetic) tissue regions. The methods and devices reduce the radius of curvature in walls of the heart proximal infarcted and aneurysmal regions to reduce wall stress and improve pumping efficiency. The inventive methods and related devices include splinting of the chamber wall proximal the infarcted region and various other devices and methods including suture and patch techniques.
摘要翻译: 公开了各种方法和装置,用于改善具有梗死(不稳定)和动脉瘤(运动障碍)组织区域的心脏的心脏功能。 方法和装置减少了心脏近端梗塞和动脉瘤区域的壁的曲率半径,以减少壁应力并提高泵送效率。 本发明的方法和相关设备包括近端梗塞区域的腔壁的夹板以及包括缝线和贴片技术的各种其它装置和方法。
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公开(公告)号:US20040133063A1
公开(公告)日:2004-07-08
申请号:US10734309
申请日:2003-12-12
申请人: Myocor
发明人: Patrick M. McCarthy , Cyril J. Schweich JR. , Todd J. Mortier , Peter T. Keith , Michael J. Kallok
IPC分类号: A61N001/362
CPC分类号: A61F2/2487 , A61B17/00234 , A61B17/04 , A61B17/0487 , A61B17/1227 , A61B90/39 , A61B2017/00243 , A61B2017/0404 , A61B2017/0435 , A61B2017/0445 , A61B2017/0446 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/048 , A61B2017/0496 , A61B2090/392 , A61F2/2481
摘要: Various methods and devices are disclosed for improving cardiac function in hearts having zones of infarcted (akinetic) and aneurysmal (dyskinetic) tissue regions. The methods and devices reduce the radius of curvature in walls of the heart proximal infarcted and aneurysmal regions to reduce wall stress and improve pumping efficiency. The inventive methods and related devices include splinting of the chamber wall proximal the infarcted region and various other devices and methods including suture and patch techniques.
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公开(公告)号:US06629921B1
公开(公告)日:2003-10-07
申请号:US09697711
申请日:2000-10-27
申请人: Cyril J. Schweich, Jr. , Todd J. Mortier , Robert M. Vidlund , Peter T. Keith , Thomas M. Paulson
发明人: Cyril J. Schweich, Jr. , Todd J. Mortier , Robert M. Vidlund , Peter T. Keith , Thomas M. Paulson
IPC分类号: A61M3100
CPC分类号: A61B17/06166 , A61B17/00234 , A61B17/00491 , A61B17/0401 , A61B17/0487 , A61B17/1227 , A61B90/39 , A61B2017/00243 , A61B2017/0404 , A61B2017/0417 , A61B2017/0435 , A61B2017/0445 , A61B2017/0446 , A61B2017/0454 , A61B2017/0458 , A61B2017/0461 , A61B2017/0464 , A61B2017/048 , A61B2017/0496 , A61F2/2481 , A61F2/2487
摘要: An apparatus for treatment of a failing heart by reducing the wall tension therein. In one embodiment, the apparatus includes a tension member for drawing at least two walls of a heart chamber toward each other. Methods for placing the apparatus on the heart are also provided.
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公开(公告)号:US6045497A
公开(公告)日:2000-04-04
申请号:US124286
申请日:1998-07-29
申请人: Cyril J. Schweich, Jr. , Todd J. Mortier , Robert M. Vidlund , Peter T. Keith , Thomas M. Paulson
发明人: Cyril J. Schweich, Jr. , Todd J. Mortier , Robert M. Vidlund , Peter T. Keith , Thomas M. Paulson
IPC分类号: A61B17/00 , A61B17/04 , A61B17/06 , A61B17/12 , A61B17/122 , A61B19/00 , A61F2/00 , A61F2/02 , A61M31/00 , A61N1/362
CPC分类号: A61B17/06166 , A61B17/00234 , A61F2/2487 , A61B17/00491 , A61B17/0401 , A61B17/0487 , A61B17/1227 , A61B2017/00243 , A61B2017/0404 , A61B2017/0417 , A61B2017/0435 , A61B2017/0445 , A61B2017/0446 , A61B2017/0454 , A61B2017/0458 , A61B2017/0461 , A61B2017/0464 , A61B2017/048 , A61B2017/0496 , A61B90/39 , A61F2/2481
摘要: An apparatus for treatment of a failing heart by reducing the wall tension therein. In one embodiment, the apparatus includes a tension member for drawing at least two walls of a heart chamber toward each other. Methods for placing the apparatus on the heart are also provided.
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公开(公告)号:US5626590A
公开(公告)日:1997-05-06
申请号:US391237
申请日:1995-02-21
申请人: Peter J. Wilk
发明人: Peter J. Wilk
IPC分类号: A61B17/04 , A61B17/064
CPC分类号: A61B17/0469 , A61B17/0487 , A61B17/0643 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0456 , A61B2017/0464 , A61B2017/0488
摘要: A laparoscopic suturing method comprises the steps of (a) disposing a laparoscopic cannula in an abdominal wall of the patient, (b) moving a first end section of a suture through the laparoscopic cannula and into an abdominal cavity of the patient so that a second end section of the suture remains outside the patient, (c) passing the first end section of the suture through organic abdominal tissues of a patient, and (d) drawing the first end section of the suture back out through the laparoscopic cannula upon passing of the suture through the abdominal tissues of the patient. Upon drawing of the first end section of the suture out of the patient, a suture locking device is slid along the suture end sections and through the laparoscopic cannula until the locking device is substantially juxtaposed to the organic tissues at the opening. Then, the suture end sections are severed on a side of the locking device opposite the abdominal tissues and the opening. The locking device has a pair of channels with barbs pointed in one direction for preventing the suture end sections from being removed from the device.
摘要翻译: 腹腔镜缝合方法包括以下步骤:(a)将腹腔镜套管设置在患者的腹壁中,(b)将缝线的第一端部部分移动通过腹腔镜套管并进入患者的腹腔,使得第二 缝合线的末端部分保留在患者外部,(c)将缝合线的第一端部段穿过患者的有机腹部组织,并且(d)当通过腹腔镜插管时将缝合线的第一端部部分拉出, 缝合通过患者的腹部组织。 当将缝合线的第一端部从患者拉出时,缝合线锁定装置沿着缝合线端部部分并通过腹腔镜套管滑动,直到锁定装置基本上与开口处的有机组织并置。 然后,缝合端部在锁定装置的与腹部组织和开口相对的一侧被切断。 锁定装置具有一对通道,其具有朝向一个方向的倒钩,用于防止缝线端部从装置移除。
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公开(公告)号:US12029413B2
公开(公告)日:2024-07-09
申请号:US16946667
申请日:2020-06-30
IPC分类号: A61B17/04
CPC分类号: A61B17/0487 , A61B17/0401 , A61B2017/0409 , A61B2017/0446
摘要: A system for securing a suture to a wound, durotomy, or other hole. A first anchor is anchored against an insertion point and a suture thread is passed through a loop on the first anchor. The wound is then stitched. A second anchor at an end of the wound holds the other end of the suture thread, to keep the tension in the suture. The suture thread is connected to the second anchor via clipping.
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公开(公告)号:US11950774B2
公开(公告)日:2024-04-09
申请号:US17015992
申请日:2020-09-09
申请人: TIGON MEDICAL
CPC分类号: A61B17/0401 , A61F2/0811 , A61B2017/00473 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0446 , A61B2017/0453 , A61B17/06166 , A61F2002/0081 , A61F2002/0858 , A61F2002/0888 , A61F2220/0016 , A61F2230/0067
摘要: Disclosed are devices, methods and/or systems for securing tissue to bone, including a suture anchor implant having a body through which a suture eyelet extends transversely, and one or more suture pinch slits extending proximally from the suture eyelet, the suture pinch slit(s) angled relative to the longitudinal axis of the anchor.
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