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    ANNULAR ACCESS DEVICE USING T-ANCHORS
    13.
    发明申请
    ANNULAR ACCESS DEVICE USING T-ANCHORS 审中-公开
    使用T型锚杆的环形通道装置

    公开(公告)号：US20070073342A1

    公开(公告)日：2007-03-29

    申请号：US11535383

    申请日：2006-09-26

    申请人： Corbett Stone ,  Jennifer Diederich ,  Bryan Knodel

    发明人： Corbett Stone ,  Jennifer Diederich ,  Bryan Knodel

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0401 ,  A61B17/0487 ,  A61B2017/00004 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/06057 ,  A61F2002/444

    摘要： Suture locking devices and methods. In one embodiment, the device includes a suture lock, a rotatable actuator adjacent to the lock, and a release mechanism. The lock defines a pair of suture holes which receive sutures attached to tissue (e.g. a spinal disc) of the surgical site. When the actuator rotates the sutures are wound together (preferably around a hub on the lock) thereby securing the plate to the tissue. Furthermore, the release mechanism is coupled to the lock in such a manner that when the release mechanism is actuated the device releases the lock. The release mechanism may include a push button that is biased away from the lock. Also, the actuator may include a thumbwheel and a gear. Further, the gear may also define suture holes. Additionally, a pull ring connected to a pair of loops for drawing the sutures through the instrument may be included.

    摘要翻译： 缝合锁定装置和方法。 在一个实施例中，该装置包括缝合线锁，邻近锁的可旋转致动器以及释放机构。 该锁限定了一对缝合孔，其接合附接到手术部位的组织（例如脊椎盘）的缝合线。 当致动器旋转时，缝合线缠绕在一起（优选围绕锁定件上的轮毂），从而将板固定到组织上。 此外，释放机构以这样的方式联接到锁定，即当释放机构被致动时，该装置释放锁定。 释放机构可以包括偏压远离锁的按钮。 此外，致动器可以包括指轮和齿轮。 此外，齿轮还可以限定缝合孔。 此外，可以包括连接到用于通过仪器绘制缝线的一对环的拉环。

    Stress urinary incontinence implant and device for deploying same
    14.
    发明授权
    Stress urinary incontinence implant and device for deploying same 有权
    压力性尿失禁植入物及其部署装置

    公开(公告)号：US07942806B2

    公开(公告)日：2011-05-17

    申请号：US11321659

    申请日：2005-12-29

    申请人： Michael R. Tracey ,  Steve Bell ,  Bryan Knodel

    发明人： Michael R. Tracey ,  Steve Bell ,  Bryan Knodel

    IPC分类号： A61F2/00

    CPC分类号： A61F2/0045 ,  A61B17/0625 ,  A61B2017/00805 ,  A61F2/0036

    摘要： A suburethral implant for treating stress urinary incontinence (SUI) includes an elongated plate-like member which is slightly curved in transverse cross-section, and a pair of spaced apart arms having hooked ends or barbs which extend from the plate-like member. A device for deploying the suburethral implant for treating SUI includes a vaginal probe for insertion in the vaginal canal of a patient, and a urethra locator probe for the simultaneous insertion in the urethra of a patient. The urethra probe is spaced apart from and overlies the vaginal probe. The vaginal probe includes a wall in which is formed an exit port. A suburethral implant introducer assembly is extendable and retractable through the exit port on the vaginal probe. The introducer assembly has a distal end on which is removably mounted a suburethral implant. The introducer assembly is extendable through the exit port to pierce the vaginal canal wall of the patient in order to position the suburethral implant in proximity to the patient's urethra. The hooked ends or barbs on the arms of the suburethral implant engage the tissue surrounding the patient's urethra and are affixed thereto during deployment of the implant. The introducer assembly is then retracted into the vaginal probe, whereby the implant is released from the introducer assembly and remains affixed to tissue in proximity to the patient's urethra.

    摘要翻译： 用于治疗压力性尿失禁的尿道植入物（SUI）包括在横截面上略微弯曲的细长板状构件，以及一对间隔开的臂，其具有从板状构件延伸的钩端或倒钩。 用于部署用于治疗SUI的尿道植入物的装置包括用于插入患者阴道内的阴道探针和用于同时插入患者尿道的尿道定位器探针。 尿道探针与阴道探针间隔开并覆盖阴道探针。 阴道探针包括形成有出口的壁。 尿道植入物导引器组件可以通过阴道探针上的出口延伸和缩回。 导引器组件具有远端，其上可移除地安装有尿道植入物。 导引器组件可通过出口延伸以刺穿患者的阴道管壁，以将尿道植入物定位在患者的尿道附近。 尿道植入物的手臂上的钩状端或倒钩与患者尿道周围的组织接合，并在植入物展开过程中固定在其上。 导引器组件然后缩回到阴道探针中，由此植入物从导引器组件释放并且保持附着于患者尿道附近的组织。

    ELASTOMERIC SEAL FOR USE WITHIN A CATHETER COMPONENT
    15.
    发明申请
    ELASTOMERIC SEAL FOR USE WITHIN A CATHETER COMPONENT 审中-公开
    弹药密封件用于电缆组件

    公开(公告)号：US20090069757A1

    公开(公告)日：2009-03-12

    申请号：US12205888

    申请日：2008-09-07

    申请人： John I. Muri ,  Bryan Knodel ,  Gaylene Fisch

    发明人： John I. Muri ,  Bryan Knodel ,  Gaylene Fisch

    IPC分类号： A61M25/00 ,  B23P11/00

    CPC分类号： A61M25/0606 ,  A61M25/0693 ,  Y10T29/49826

    摘要： A sealing engagement between components in a catheter system is made using an elastomeric material. The sealing engagement is formed in a manner that allows a catheter needle to pass through a passageway in the center of the elastomeric material maintaining the sealing engagement between the components of the catheter system. The elastomeric material is shaped to fit circumferentially into one of the components and shaped to mechanically assist the passageway to close up after a needle passes through the passageway during retraction. The elastomeric material remains in a stationary position as the needle is retracted. One or more structures can be integrated within the elastomeric material to provide for compression and to prevent deformation of the passageway.

    摘要翻译： 使用弹性体材料制造导管系统中的部件之间的密封接合。 密封接合形成为允许导管针穿过弹性体材料中心的通道，保持导管系统的部件之间的密封接合。 弹性体材料成形为周向地配合到其中一个部件中并成形为在退回时针穿过通道之后机械地协助通道关闭。 当针回缩时，弹性体材料保持在静止位置。 一个或多个结构可以集成在弹性体材料内以提供压缩并防止通道的变形。

    Surgical tools for treatment of spinal stenosis
    16.
    发明授权
    Surgical tools for treatment of spinal stenosis 有权
    用于治疗脊柱狭窄的手术工具

    公开(公告)号：US08394102B2

    公开(公告)日：2013-03-12

    申请号：US12824043

    申请日：2010-06-25

    申请人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    发明人： Robert Garabedian ,  Amie R. Borgstrom ,  Gregory B. Arcenio ,  Ronald Leguidleguid ,  Michael P. Wallace ,  Bryan Knodel

    IPC分类号： A61B17/70

    CPC分类号： A61B17/00234 ,  A61B17/1659 ,  A61B17/1671 ,  A61B2017/00469 ,  A61B2017/320044

    摘要： Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.

    摘要翻译： 这里描述的是拉丝手柄装置，用于固定到组织穿透的拉丝。 在一些实施例中，该装置包括手柄主体，拉线锁定，其被配置为将拉线手柄装置可移除地锁定到手柄主体内的拉线上，以及尖端容纳元件，其构造成保持拉线的远端。 在一些实施例中，手柄主体还包括被配置为存储拉丝的远端部分的储存室。 这里还描述了使用拉线手柄装置捕获拉线的方法。 在一些实施例中，该方法包括以下步骤：将拉线的远端插入拉线手柄装置中，将拉线进一步推入拉线手柄装置，同时拉线的远端部分包含在拉丝手柄装置内， 拉线手柄装置内的拉丝的远端部分。

    Applicator and method for deploying a surgical fastener
    19.
    发明申请
    Applicator and method for deploying a surgical fastener 审中-公开
    用于部署手术紧固件的敷贴器和方法

    公开(公告)号：US20050288689A1

    公开(公告)日：2005-12-29

    申请号：US10877669

    申请日：2004-06-25

    申请人： Gene Kammerer ,  Mark Howansky ,  Bryan Knodel

    发明人： Gene Kammerer ,  Mark Howansky ,  Bryan Knodel

    IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10

    CPC分类号： A61B17/0682 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0642 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0472 ,  A61B2017/06052

    摘要： An applicator for deploying a fastener having two legs into tissue. The applicator has two elongated hollow needle members, slotted portions at the distal ends of the hollow needle members for releasably retaining the legs of the fastener, two push rods adapted to move lengthwise in the two needle members, and an actuator for moving the two push rods in the needle members so as to eject the leg portions of the fastener from the slotted portion of the two needle members. A method for deploying the fastener in tissue is also disclosed.

    摘要翻译： 一种用于将具有两条腿的紧固件部署到组织中的施加器。 涂抹器具有两个细长的中空针构件，中空针构件的远端处的开槽部分用于可释放地保持紧固件的腿，两个推杆适于在两个针构件中纵向移动，以及用于移动两个推动件的致动器 杆部件中的杆，以便从两个针构件的开槽部分弹出紧固件的腿部。 还公开了一种在组织中展开紧固件的方法。

    Method for using a needle holder to assist in suturing
    20.
    发明授权
    Method for using a needle holder to assist in suturing 失效
    使用针架来辅助缝合的方法

    公开(公告)号：US5897563A

    公开(公告)日：1999-04-27

    申请号：US947115

    申请日：1997-10-08

    申请人： InBae Yoon ,  Ronald J. Brinkerhoff ,  David Stefanchik ,  Jeffrey S. Swayze ,  Bryan Knodel ,  Rudolph H. Nobis

    发明人： InBae Yoon ,  Ronald J. Brinkerhoff ,  David Stefanchik ,  Jeffrey S. Swayze ,  Bryan Knodel ,  Rudolph H. Nobis

    IPC分类号： A61B17/04

    CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/0491

    摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.

    摘要翻译： 根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。 该装置还具有从手柄向远侧延伸的右臂和左臂。 装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。 该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。 右夹具保持具有附着于其上的缝合线的针。 该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。 此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。 然后，该方法包括使臂的远端彼此远离地移动。 最后，该方法包括从组织中去除针。