公开(公告)号：US08764796B2

公开(公告)日：2014-07-01

申请号：US11307520

申请日：2006-02-10

申请人： Andrew Kaplan ,  Gregory L Ruff ,  Jeffrey C. Leung ,  Matthew A. Megaro

发明人： Andrew Kaplan ,  Gregory L Ruff ,  Jeffrey C. Leung ,  Matthew A. Megaro

IPC分类号： A61B17/04

CPC分类号： A61B17/00234 ,  A61B17/0057 ,  A61B17/04 ,  A61B17/06061 ,  A61B17/06166 ,  A61B17/062 ,  A61B17/1114 ,  A61B17/1146 ,  A61B2017/00575 ,  A61B2017/0061 ,  A61B2017/00632 ,  A61B2017/00663 ,  A61B2017/00792 ,  A61B2017/06052 ,  A61B2017/06057 ,  A61B2017/06171 ,  A61B2017/06176 ,  A61B2017/1135

摘要： A method for joining and holding closed a wound in bodily tissue, fastening junctions of wounds, tying off wounds, joining a foreign element to tissue, and altering the position of tissue using a barbed suture including sharp pointed ends. Each end of the suture includes barbs on that permit movement in an opposing direction to the barbs on the other end of the suture. This two-way barbed suture is used by the method of the present invention in applications including abdominal surgeries such as a Nissen fundoplication, laparoscopic uses such as stabilizing a bowel structure and performing a closure of a cystostomy, liver to bowel anastomosis, closure of an orifice of a Zenker's Diverticulum, endoscopic uses such as closure of ulcerative lesions or and post-procedural tissue defects, bladder wound closure, valve replacement surgery, device attachment, cosmetic surgery, and blood vessel wound closure.

摘要翻译： 用于接合和保持身体组织中的伤口闭合的方法，紧固伤口的连接点，将伤口束紧，将异物连接到组织，以及使用包括尖锐尖端的带刺的缝合线改变组织的位置。 缝合线的每个端部都包括有倒钩，允许在与缝合线另一端上的倒钩相反的方向上移动。 这种双向有倒刺的缝合线用于本发明的方法中，包括腹部手术如尼森基底层切开术，腹腔镜用途如稳定肠结构并执行闭合膀胱造口术，肝脏排便吻合，闭合 Zenker憩室的孔，内窥镜使用，例如关闭溃疡性病变或术后组织缺陷，膀胱伤口闭合，瓣膜置换手术，装置附着，整容手术和血管伤口闭合。

公开(公告)号：US20140156001A1

公开(公告)日：2014-06-05

申请号：US13705349

申请日：2012-12-05

申请人： Amir Davodian

发明人： Amir Davodian

IPC分类号： A61F2/12

CPC分类号： A61F2/12 ,  A61F2250/0003

摘要： A valve assembly for an implant has an inner shell, a self-sealing material disposed within the inner shell, and an insertion pathway extending through the self-sealing material. At least one gap is formed in the self-sealing material that intersects with the insertion pathway to define a proximal pathway section and a distal pathway section. A filling tube is passed through the valve assembly for filling the outer shell of the implant with a fluid. After the implant is filled, the filling tube is removed. As the filling tube is removed, if the self-sealing material within the distal section of the pathway is unable to self-seal before the fluid reaches its proximal end, the fluid is diverted into the gap. The time that elapses before the gap is completely filled by the fluid provides sufficient time for the self-sealing material within the proximal section of the pathway to self-seal.

摘要翻译： 用于植入物的阀组件具有内壳，设置在内壳内的自密封材料和延伸穿过自密封材料的插入通道。 在自密封材料中形成至少一个间隙，其与插入通道相交以限定近端通路部分和远端通路部分。 填充管通过阀组件以用流体填充植入物的外壳。 填充植入物后，取出灌装管。 当填充管被移除时，如果在流体远端部分之间的自密封材料在流体到达其近端之前不能自密封，则流体被转移到间隙中。 间隙完全充满流体之前经过的时间为通道近端部分内的自密封材料提供了足够的时间来进行自密封。

公开(公告)号：US08740919B2

公开(公告)日：2014-06-03

申请号：US13422003

申请日：2012-03-16

申请人： Jens-Peter Straehnz ,  Doug Souls ,  Michael Cardinale ,  Brian Auer ,  Simon Cohn

发明人： Jens-Peter Straehnz ,  Doug Souls ,  Michael Cardinale ,  Brian Auer ,  Simon Cohn

IPC分类号： A61B17/10

CPC分类号： A61B17/064 ,  A61B17/0682 ,  A61B2090/0807 ,  A61B2090/3908 ,  A61B2090/395

摘要： A device dispenses surgical fasteners inside a body and generates marks outside the body indicating where the surgical fasteners have been dispensed inside the body. The device includes a first member having a surgical fastener dispenser opening, and a second member coupled with the first member, the second member having a distal end that opposes the surgical fastener dispenser opening. The device includes a marking assembly secured to the distal end of the second member. The marking assembly is moveable away from and toward the surgical fastener dispenser opening. The marking assembly is adapted for generating marks on an external surface that mirror the location of each surgical fastener dispensed from the surgical fastener dispenser opening. The device may include a clamp for compressing tissue between the marking assembly and the surgical fastener dispenser.

摘要翻译： 一种装置在体内分配外科紧固件，并在身体外部产生标记，指示手术紧固件已经分配在身体内部。 该装置包括具有手术紧固件分配器开口的第一构件和与第一构件联接的第二构件，第二构件具有与外科紧固件分配器开口相对的远端。 该装置包括固定到第二构件的远端的标记组件。 标记组件可移动并朝向外科紧固件分配器开口移动。 所述标记组件适于在外表面上产生反映从外科紧固件分配器开口分配的每个外科紧固件的位置的标记。 该装置可以包括用于在标记组件和外科紧固件分配器之间压缩组织的夹具。

公开(公告)号：US08728099B2

公开(公告)日：2014-05-20

申请号：US12464177

申请日：2009-05-12

申请人： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew David Daniel ,  Jeremy David Jarrett

发明人： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew David Daniel ,  Jeremy David Jarrett

IPC分类号： A61B17/10

CPC分类号： A61B17/0682 ,  A61B17/064 ,  A61B17/1285 ,  A61B2090/0807

摘要： A firing system for an applicator instrument adapted to dispense surgical fasteners includes a housing, an elongated shaft extending from the housing, a firing rod disposed within the elongated shaft, a firing rod release engageable with the firing rod for preventing distal movement of the firing rod during at least one stage of a firing cycle, a trigger mounted to the housing, and a firing spring having a first end connected with the firing rod and a second end adapted for being sequentially coupled and decoupled from the trigger during the firing cycle. The firing cycle includes an initial stage in which the trigger is open and decoupled from the energy storing element, and the firing spring is at least partially compressed, and a piloting stage during which the firing rod release is disengaged from the firing rod for enabling distal movement of the firing rod.

摘要翻译： 适于分配外科紧固件的施用器具的发射系统包括壳体，从壳体延伸的细长轴，设置在细长轴内的发射杆，与发射杆接合的发射杆释放件，用于防止发射杆 在击发周期的至少一个阶段期间，安装到壳体的触发器和具有与击发杆连接的第一端的击发弹簧，以及适于在击发周期期间顺序地耦合并与触发器分离的第二端。 击发周期包括初始阶段，其中触发器打开并与能量存储元件解耦，并且击发弹簧至少部分地被压缩，并且引燃阶段期间发射杆释放与发射杆脱离以实现远端 发射杆的运动。

公开(公告)号：US08728098B2

公开(公告)日：2014-05-20

申请号：US12464165

申请日：2009-05-12

申请人： Matthew David Daniel ,  Simon Cohn ,  Anthony Miksza ,  Robert Nering ,  Michael Cardinale ,  Richard P. Fuchs ,  Jeremy David Jarrett

发明人： Matthew David Daniel ,  Simon Cohn ,  Anthony Miksza ,  Robert Nering ,  Michael Cardinale ,  Richard P. Fuchs ,  Jeremy David Jarrett

IPC分类号： A61B17/10

CPC分类号： A61B17/0682 ,  A61B17/0401 ,  A61B17/064 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0464 ,  A61B2090/0807 ,  A61F2002/0072

摘要： An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, the elongated shaft having a proximal end coupled with the housing and a distal end remote therefrom, and a firing system for dispensing surgical fasteners from the distal end of the elongated shaft. The firing system includes a firing rod disposed in the elongated shaft, the firing system having a firing cycle with a first stage for advancing the firing rod toward the distal end of the elongated shaft at a first rate of speed and a second stage for advancing the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed.

摘要翻译： 用于分配外科紧固件的施用器具包括壳体，从壳体延伸的细长轴，细长轴具有与壳体耦合的近端和远离其的远端，以及用于从远端远端分配外科紧固件的击发系统 细长的轴。 射击系统包括设置在细长轴中的发射杆，该射击系统具有击发循环，其具有第一阶段，用于以第一速度将击发杆朝向细长轴的远端推进，第二阶段用于推进 发射杆以大于第一速度速率的第二速度速度朝向细长轴的远端。

公开(公告)号：US08721681B2

公开(公告)日：2014-05-13

申请号：US12495497

申请日：2009-06-30

申请人： Gregory L. Ruff ,  Matthew A. Megaro ,  Jeffrey C. Leung

发明人： Gregory L. Ruff ,  Matthew A. Megaro ,  Jeffrey C. Leung

IPC分类号： A61B17/04

CPC分类号： A61L17/10 ,  A61B17/04 ,  A61B17/06166 ,  A61B2017/06028 ,  A61B2017/06057 ,  A61B2017/06176 ,  A61L17/04 ,  A61L31/10

摘要： A barbed suture for connecting tissue, and a combination surgical needle with a barbed suture. The suture includes an elongated body and a plurality of barbs projecting from the body. Each barb causes the suture to resist movement in an opposite direction from which the barb faces. The disposition of the barbs on the body may be staggered, twist cut multiple spiral, overlapping, or random. Also, the configuration of the barbs may be a certain spirality angle α, barb cut angle θ, barb cut depth, barb cut length, barb cut distance, corrugated barb underside, arcuate barb base, or varying barb size.

摘要翻译： 用于连接组织的带刺的缝合线，以及带有倒钩的缝合线的组合手术针。 缝合线包括细长主体和从身体突出的多个倒钩。 每个倒钩使缝合线抵抗与倒钩相反的方向移动。 倒钩在身体上的布置可能是交错的，扭曲多个螺旋，重叠或随机。 此外，倒钩的构造可以是一定的螺旋角α，倒钩切割角度＆amp;扭矩，倒钩切割深度，倒钩切割长度，倒钩切割距离，波纹倒钩下侧，弓形倒钩底座或变更倒钩尺寸。

公开(公告)号：US20140128912A1

公开(公告)日：2014-05-08

申请号：US14055079

申请日：2013-10-16

申请人： Ethicon, Inc.

发明人： Thomas Wilkes ,  Frank Cichocki

IPC分类号： A61B17/06

CPC分类号： A61B17/06066 ,  A61B2017/00831 ,  A61B2017/0608 ,  A61L31/022

摘要： Curved surgical needles made from tungsten rhenium alloys are disclosed. The curved surgical needles have body flats. The needles have improved resistance to cracking.

摘要翻译： 公开了由钨铼合金制成的弯曲外科手术针。 弯曲的手术针具有身体平面。 针头具有改善的耐开裂性。

公开(公告)号：US08661632B2

公开(公告)日：2014-03-04

申请号：US13240447

申请日：2011-09-22

申请人： Clifford A. Dey ,  Dwayne Looney

发明人： Clifford A. Dey ,  Dwayne Looney

IPC分类号： D06C5/00

CPC分类号： D06C5/00

摘要： An apparatus for pliabilizing tubular materials including a frame, a ring holder, and a mandrel assembly. The ring holder assembly is mounted to the frame and includes a circumferential ring, and a plurality of pairs of non-mechanically driven, rotatable wheels mounted around the ring and having a recess extending circumferentially around an outer edge. The mandrel assembly includes a mandrel having proximal and distal ends and a maximum outer circumference, and a plurality of non-mechanically driven, rotatable wheels spaced apart about a circumference of the mandrel and mounted thereto so as to extend radially beyond the maximum outer circumference. The wheels of the mandrel assembly are positioned between and so as to mate with respective pairs of the wheels of the ring holder assembly, and the wheels of the mandrel assembly are sized shaped to mate with the recesses of the respective pairs of wheels of the ring holder assembly.

摘要翻译： 一种用于使包括框架，环保持器和心轴组件的管状材料固定的装置。 环保持器组件安装到框架并且包括周向环和多个非机械驱动的可旋转的成对的轮，其围绕环安装并且具有围绕外边缘周向延伸的凹部。 心轴组件包括具有近端和远端以及最大外圆周的心轴，以及围绕心轴的圆周间隔开并安装在其上以便径向延伸超过最大外圆周的多个非机械驱动的可旋转轮。 心轴组件的轮子定位在环形支架组件的相应对轮之间并且与之相配合，并且心轴组件的轮的尺寸成形为与环的相应对轮的凹槽配合 支架组件。

公开(公告)号：US08658092B2

公开(公告)日：2014-02-25

申请号：US13769026

申请日：2013-02-15

申请人： Ethicon, Inc.

发明人： James P. Kohler ,  Szu-Min Lin ,  Richard Jed Kendall

IPC分类号： A61L2/20 ,  A61L2/00 ,  A61L2/24

CPC分类号： A61L2/208 ,  A61L2/24 ,  A61L2202/122

摘要： A chemical vapor sterilization process is enhanced by concentrating a germicide via exploitation of the difference between the vapor pressures of the germicide and its solvent. A diffusion restriction can be placed into the diffusion path to assist this process and the path then opened to provide rapid diffusion of the thus concentrated germicide. The path through the diffusion restriction can be closed to allow the pressure in a sterilization chamber to be lowered prior to receiving the concentrated germicide.

摘要翻译： 通过利用杀菌剂及其溶剂的蒸气压之间的差异来浓缩杀菌剂来增强化学蒸气灭菌过程。 扩散限制可以放置在扩散路径中以辅助该过程，然后打开路径以提供如此浓缩的杀菌剂的快速扩散。 可以关闭通过扩散限制的路径，以便在接收浓缩杀菌剂之前使灭菌室中的压力降低。

公开(公告)号：US08629314B2

公开(公告)日：2014-01-14

申请号：US12338349

申请日：2008-12-18

申请人： Robert W. Van Holten ,  Jagdishchandra C. Patel

发明人： Robert W. Van Holten ,  Jagdishchandra C. Patel

IPC分类号： A61F13/00 ,  A61F13/51 ,  B32B23/08 ,  B32B23/12

CPC分类号： A61L15/28 ,  A61L31/10 ,  A61L31/141 ,  Y10T428/31986

摘要： An adhesion inhibiting surgical barrier. The surgical barrier includes a wound-facing polymeric coating comprising an enteric polymer; and at least one flexible substrate, the at least one flexible substrate having at least one exterior surface, wherein the polymeric coating is applied to the at least one flexible substrate to substantially cover the at least one exterior surface thereof. A method of inhibiting the formation of adhesions in a patient who has undergone a surgical procedure and a method of repairing a gastric or duodenal perforation are also described herein.

摘要翻译： 粘附抑制手术屏障。 手术屏障包括包含肠溶性聚合物的面向卷绕的聚合物涂层; 以及至少一个柔性基底，所述至少一个柔性基底具有至少一个外表面，其中所述聚合物涂层被施加到所述至少一个柔性基底以基本上覆盖其至少一个外表面。 本文还描述了抑制在经历了外科手术的患者中形成粘连的方法和修复胃或十二指肠穿孔的方法。