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公开(公告)号：US09463005B2
公开(公告)日：2016-10-11
申请号：US13673995
申请日：2012-11-10
申请人： James F. McGuckin, Jr. , John D. Leedle , James S. Tarmin , Thanu Anidharan , Stephan A. DeFonzo
发明人： James F. McGuckin, Jr. , John D. Leedle , James S. Tarmin , Thanu Anidharan , Stephan A. DeFonzo
CPC分类号： A61B17/0057 , A61B17/0401 , A61B2017/00004 , A61B2017/00659 , A61B2017/00778 , A61B2017/0404 , A61B2017/0456 , A61B2017/0459
摘要： A device for closing an aperture in a vessel wall comprising a covering member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture and having a dimension to prevent egress of fluid through the aperture and having a first opening. A first retainer is positionable external of the vessel. A flexible connecting member operatively connects the covering member and the first retainer, wherein the first opening of the covering member is configured to restrict movement of the connecting member.
摘要翻译： 一种用于封闭容器壁中的孔的装置，包括具有纵向轴线的覆盖构件，并且能够抵靠孔的内部开口定位在容器的内部，并具有防止流体通过孔流出并具有第一开口的尺寸。 第一保持器可定位在容器的外部。 柔性连接构件可操作地连接覆盖构件和第一保持器，其中覆盖构件的第一开口构造成限制连接构件的移动。
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公开(公告)号：US07344518B2
公开(公告)日：2008-03-18
申请号：US10836048
申请日：2004-04-30
CPC分类号： A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0096
摘要： A surgical apparatus for delivering fluid to treat a lesion comprising an elongated member having a distal tip and a plurality of slots formed in a sidewall proximal of the distal tip, a plurality of fluid delivery members positioned in the elongated member and having a lumen and at least one opening communicating with the lumen for delivering fluid to the lesion, and an actuator actuable to a first position to move the plurality of fluid delivery members from a retracted position within the elongated member to a first deployed position extending radially with respect to the elongated member and actuable to a second position to move the plurality of fluid delivery members from the first position to a second deployed position extending further radially from the elongated member.
摘要翻译： 一种用于输送流体以治疗病变的手术装置，其包括具有远侧末端的细长构件和形成在所述远侧末端近侧的侧壁中的多个狭槽;多个流体递送构件，其定位在所述细长构件中并且具有内腔和 至少一个开口，与所述内腔连通以将流体输送到病变;以及致动器，其致动到第一位置，以将所述多个流体输送构件从所述细长构件内的缩回位置移动到相对于所述细长的径向延伸的第一展开位置 并且可致动到第二位置以将多个流体输送构件从第一位置移动到从细长构件进一步径向延伸的第二展开位置。
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公开(公告)号：US07087040B2
公开(公告)日：2006-08-08
申请号：US10074468
申请日：2002-02-12
CPC分类号： A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0085 , A61M2025/0096
摘要： A surgical apparatus for delivering fluid to treat a lesion comprising a housing, an elongated member extending from the housing, and a plurality of tines positioned in the housing. Each of the tines has a lumen and at least one opening communicating with the lumen for delivering fluid to the lesion. An actuator is operatively associated with the tines and actuable to a first position to move the plurality of tines from a retracted position substantially within the elongated member to a first deployed position extending from the elongated member and actuable to a second position to move the plurality of tines from the first position to a second deployed position.
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公开(公告)号：US07331947B2
公开(公告)日：2008-02-19
申请号：US10756625
申请日：2004-01-13
IPC分类号： A61M31/00
CPC分类号： A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0096
摘要： A surgical apparatus for delivering fluid to treat a lesion comprising an elongated member having a distal tip and a plurality of slots formed in a sidewall proximal of the distal tip, a plurality of fluid delivery members positioned in the elongated member and having a lumen and at least one opening communicating with the lumen for delivering fluid to the lesion, and an actuator actuable to a first position to move the plurality of fluid delivery members from a retracted position within the elongated member to a first deployed position extending radially with respect to the elongated member and actuable to a second position to move the plurality of fluid delivery members from the first position to a second deployed position extending further radially from the elongated member.
摘要翻译： 一种用于输送流体以治疗病变的手术装置，其包括具有远侧末端的细长构件和形成在所述远侧末端近侧的侧壁中的多个狭槽;多个流体递送构件，其定位在所述细长构件中并且具有内腔和 至少一个开口，与所述内腔连通以将流体输送到病变;以及致动器，其致动到第一位置，以将所述多个流体输送构件从所述细长构件内的缩回位置移动到相对于所述细长的径向延伸的第一展开位置 并且可致动到第二位置以将多个流体输送构件从第一位置移动到从细长构件进一步径向延伸的第二展开位置。
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公开(公告)号：US06905480B2
公开(公告)日：2005-06-14
申请号：US10081695
申请日：2002-02-22
CPC分类号： A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0096
摘要： A surgical apparatus for delivering fluid to treat a lesion comprising an elongated member having a distal tip and a plurality of slots formed in a sidewall proximal of the distal tip, a plurality of fluid delivery members positioned in the elongated member and having a lumen and at least one opening communicating with the lumen for delivering fluid to the lesion, and an actuator actuable to a first position to move the plurality of fluid delivery members from a retracted position within the elongated member to a first deployed position extending radially with respect to the elongated member and actuable to a second position to move the plurality of fluid delivery members from the first position to a second deployed position extending further radially from the elongated member.
摘要翻译： 一种用于输送流体以治疗病变的手术装置，其包括具有远侧末端的细长构件和形成在所述远侧末端近侧的侧壁中的多个狭槽;多个流体递送构件，其定位在所述细长构件中并且具有内腔和 至少一个开口，与所述内腔连通以将流体输送到病变;以及致动器，其致动到第一位置，以将所述多个流体输送构件从所述细长构件内的缩回位置移动到相对于所述细长的径向延伸的第一展开位置 并且可致动到第二位置以将多个流体输送构件从第一位置移动到从细长构件进一步径向延伸的第二展开位置。
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公开(公告)号：US06623437B2
公开(公告)日：2003-09-23
申请号：US09941014
申请日：2001-08-28
IPC分类号： A61B1000
CPC分类号： A61B10/04 , A61B18/14 , A61B18/1487 , A61B2017/32004 , A61B2018/00982 , A61B2018/1407
摘要： A surgical apparatus for removing a portion of tissue comprising an elongated body having a distal edge and a cutting member fixedly mounted to the elongated body and extending distally of the distal edge of the elongated body member. The cutting member has an exposed conductive distal edge forming an electrosurgical cutting surface for applying electrical energy to tissue. The cutting member resects a tubular region of tissue as the apparatus is advanced through tissue and the resected tissue extends through an opening in the cutting ring for containment within the elongated body.
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公开(公告)号：US5782753A
公开(公告)日：1998-07-21
申请号：US546008
申请日：1995-10-20
CPC分类号： A61B17/00008 , A61B17/0281 , A61B2017/00969 , A61B2090/306 , A61B90/30
摘要： A surgical retractor comprising a base adapted to lie on the patient's skin, a handle slidably mounted with respect to the base, a tissue retracting blade extending from the handle, and a locking member movable from at least a first position to a second position to retain the tissue retracting blade in a selected position. A method for accessing the saphenous vein to facilitate harvesting the vein is also disclosed comprising the steps of making a small incision in the leg of a patient, positioning a retractor on a patient's leg such that a retractor blade extends into the incision and a base lies on the surface of the patient's leg and pulling the retractor blade away from the patient to lift the tissue away from the underlying saphenous vein.
摘要翻译： 一种手术牵开器，包括适于躺在患者皮肤上的底座，相对于基座可滑动地安装的手柄，从手柄延伸的组织缩回刀片以及可从至少第一位置移动到第二位置的锁定构件， 组织缩回刀片处于选定位置。 还公开了一种用于接近隐静脉以方便收获静脉的方法，包括以下步骤：在患者的腿部中进行小切口，将牵开器定位在患者的腿上，使得牵开器刀片延伸到切口中，并且基部位于 在患者腿部的表面上并将牵开器刀片远离病人，以将组织从下面的隐静脉提起。
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公开(公告)号：US5560532A
公开(公告)日：1996-10-01
申请号：US134402
申请日：1993-10-08
IPC分类号： A61B17/064 , A61B17/068 , A61B17/28
CPC分类号： A61B17/0684 , A61B17/0644 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus is disclosed for applying at least one surgical fastener to body tissue, having a frame and a tubular member connected to the frame and extending distally therefrom. The tubular member has a generally longitudinal axis, a proximal end portion, and a distal end portion. At least one surgical fastener is supported by the tubular member, and a mechanism is provided for advancing the at least one surgical fastener distally for positioning adjacent the body tissue. An articulating structure is included for pivotally rotating the distal end portion to predetermined angles with respect to the generally longitudinal axis, where the articulating structure includes a rotatable mechanism rotatable about an axis generally transverse to the longitudinal axis.
摘要翻译： 公开了用于将至少一个手术紧固件应用于身体组织的装置，其具有连接到框架并从其向远侧延伸的框架和管状构件。 管状构件具有大致纵向轴线，近端部分和远端部分。 至少一个手术紧固件由管状构件支撑，并且设置有用于使至少一个外科紧固件向前延伸以用于邻近身体组织定位的机构。 包括用于将远端部分相对于大致纵向轴线枢转地旋转到预定角度的铰接结构，其中所述铰接结构包括可围绕大致横向于纵向轴线的轴线旋转的可旋转机构。
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公开(公告)号：US20140100509A1
公开(公告)日：2014-04-10
申请号：US14076179
申请日：2013-11-09
申请人： Stephan A. DeFonzo
发明人： Stephan A. DeFonzo
CPC分类号： A61M25/0026 , A61M1/3653 , A61M1/3659 , A61M1/3661 , A61M25/0023 , A61M25/0032
摘要： A dialysis catheter including a first portion having an outer wall having a first diameter, an elongated distal portion having a second diameter smaller than the first diameter, and a transition region between the first portion and distal portion. A first longitudinally extending venous lumen is configured to deliver blood. First and second independent longitudinally extending arterial lumens are configured to withdraw blood from a patient. The venous lumen and arterial lumen have first and second regions each positioned a first distance from the outer wall of the catheter and a third region positioned a second shorter distance from the outer wall of the catheter to form an arch shaped wall portion progressively increasing in thickness from the third region toward the first region and from the third region to the second region.
摘要翻译： 1.一种透析导管，包括具有第一直径的外壁的第一部分，具有小于所述第一直径的第二直径的细长远端部分和所述第一部分与所述远端部分之间的过渡区域。 第一纵向延伸的静脉内腔构造成输送血液。 第一和第二独立纵向延伸的动脉腔被构造成从患者抽出血液。 静脉内腔和动脉腔具有第一和第二区域，每个区域与导管的外壁定位成第一距离，并且第三区域位于离导管外壁的第二较短距离处，以形成逐渐增加厚度的拱形壁部分 从第三区域朝向第一区域，从第三区域到第二区域。
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公开(公告)号：US20090308908A1
公开(公告)日：2009-12-17
申请号：US12548053
申请日：2009-08-26
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/068
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。
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