Apparatus and method for treating female urinary incontinence
    11.
    发明授权
    Apparatus and method for treating female urinary incontinence 有权
    女性尿失禁治疗的装置及方法

    公开(公告)号:US06605097B1

    公开(公告)日:2003-08-12

    申请号:US09691359

    申请日:2000-10-18

    IPC分类号: A61B1704

    摘要: A surgical instrument for introducing a support strand into the body to treat female urinary incontinence has an elongated, curved shaft with a distal end insertable into the body. The shaft has a lumen therein extending at least a portion of the length of the shaft through which the support strand may pass in an axial direction. The shaft has a slot on an exterior surface thereof communicating with the lumen allowing the support strand to be laterally passed between the lumen to a position outside the shaft. A pointed element, is removably positionable on the distal end of the shaft for facilitating the insertion of the shaft through the body and is connectable at one end to the support strand. The pointed element may either be swaged directly to the strand or be in the form of an elongated needle with an eye to which the strand is removably attached. In an associated method, the shaft sequentially delivers the pointed element through the body twice, forming a loop around the urethra to relieve incontinence. The slot in the shaft permits the instrument to be disassociated from the strand without disturbing the loop.

    摘要翻译: 用于将支撑线引入体内以治疗女性尿失禁的外科器械具有细长的弯曲轴,其具有可插入体内的远端。 所述轴具有内腔,其延伸所述轴的所述长度的至少一部分,所述支撑绳可以沿其轴向穿过所述长度的至少一部分。 轴在其外表面上具有与内腔连通的狭槽,允许支撑线在内腔之间横向通过到轴外部的位置。 尖头元件可移动地定位在轴的远端上,以便于轴穿过主体插入,并且可以在一端与支撑线连接。 尖锐的元件可以直接模制到股线上,或者可以是具有眼睛的细长针的形式,股线可拆卸地连接在该眼睛上。 在相关联的方法中,轴顺序地将尖锐的元件穿过身体两次,在尿道周围形成环,以缓解失禁。 轴中的槽允许仪器与绞线分离,而不会干扰环路。

    Surgical knot pusher device and improved method of forming knots
    12.
    发明授权
    Surgical knot pusher device and improved method of forming knots 失效
    手术结推动装置和改善形成结的方法

    公开(公告)号:US5562684A

    公开(公告)日:1996-10-08

    申请号:US320483

    申请日:1994-10-11

    申请人: Gene W. Kammerer

    发明人: Gene W. Kammerer

    摘要: A surgical knot pusher device comprises a thick-walled cannula or tube having a beveled elliptical face and a central channel for slidably receiving one end of a suture. The other end of the suture is slidably inserted in one of a pair of longitudinal grooves formed on the outer surface of the cannula which intersect the elliptical face at the opposite ends of its major axis. One of the longitudinal grooves extends along the longest portion of the cannula and the other longitudinal groove extends along the shortest portion of the of the cannula. As the knot pusher device is inserted into a surgical port, a knot formed in the suture is engaged by the beveled face and advanced toward a surgical site. A notch is formed at the proximal end of the cannula for receiving the end of the suture threaded into the central channel. A threading element comprising an elongated rod with a deformable loop is provided to thread the suture into the central channel of the cannula.

    摘要翻译: 手术结推动器装置包括具有斜切椭圆面的厚壁插管或管,以及可滑动地容纳缝合线的一端的中心通道。 缝合线的另一端可滑动地插入形成在插管的外表面上的一对纵向凹槽中的一个,纵向凹槽在其长轴的相对端与椭圆面相交。 纵向槽中的一个沿插管的最长部分延伸,另一个纵向槽沿插管的最短部分延伸。 当结推动器装置插入手术端口时,形成在缝合线中的结被斜面接合并且朝向手术部位前进。 在套管的近端处形成切口,用于接收穿入中心通道的缝合线的端部。 提供包括具有可变形环的细长杆的穿线元件,以将缝合线螺纹连接到插管的中心通道中。

    Surgical tissue retrieval instrument
    13.
    发明授权
    Surgical tissue retrieval instrument 失效
    手术组织检索仪

    公开(公告)号:US5480404A

    公开(公告)日:1996-01-02

    申请号:US78881

    申请日:1993-06-16

    IPC分类号: A61B17/00

    摘要: A surgical tissue retrieval instrument has a collapsible pouch at the distal end of an elongated support tube for retrieving internal body tissue through a trocar tube. The instrument includes a belt which is formed into a loop slidably attached about the open end of the pouch. The belt is slidably extendable through the support tube for expanding the open end of the pouch to receive the tissue and retractable into the support tube for drawing the open end of the pouch closed to enclose the tissue in the pouch. The belt has an oblong, e.g., rectangular, cross section oriented with its larger cross-sectional dimension perpendicular to the plane of the loop to provide stability at the open end of the pouch and to enable use of the pouch in a scoop-like manner to place the tissue therein. A portion of the belt is thermally set into a curved configuration to urge the loop into a normally expanded shape with the belt extended from the distal end of the support tube. A belt actuator mechanism includes a reciprocating finger grip and a ratchet mechanism which operates in a toggle-like manner to advance and retract the belt along the support tube to open and close the pouch. The pouch has an elongated tapered shape to align the tissue with the length or depth of the pouch to facilitate the withdrawal of the pouch and tissue through an incision at the trocar site.

    摘要翻译: 手术组织取出器具有在细长支撑管的远端处的可折叠袋,用于通过套针管检索内部身体组织。 该仪器包括形成为围绕袋的开口端可滑动地附接的环的带。 带可滑动地延伸通过支撑管,用于扩展袋的开口端以接收纸巾并可伸缩到支撑管中,以将袋的开口端封闭以封闭袋中的纸巾。 带具有长方形的,例如矩形的横截面,其横截面尺寸较大,垂直于环的平面,以在袋的开口端提供稳定性,并且能够以勺状方式使用袋 以将组织放置在其中。 带的一部分被热定形为弯曲构型,以将带从支撑管的远端延伸出来,将环推到正常膨胀的形状。 皮带致动器机构包括往复式手指握柄和棘轮机构,该棘轮机构以类似肘节的方式操作以沿着支撑管推进和缩回皮带以打开和关闭该小袋。 小袋具有细长的锥形形状,以使组织与袋的长度或深度对齐,以便于袋和组织通过套管针部位处的切口而被抽出。

    Method of tying knots using a tube knot applicator
    14.
    发明授权
    Method of tying knots using a tube knot applicator 失效
    使用管结施加器捆扎结的方法

    公开(公告)号:US5454820A

    公开(公告)日:1995-10-03

    申请号:US92400

    申请日:1993-07-14

    IPC分类号: A61B17/00 A61B17/04 A61B17/06

    摘要: A tube knot applicator for use in endosurgical procedures. The tube knot applicator has an elongated tube member having a distal end and a proximal end, as well as an axial passage therethrough. The tube member has slits for partially collapsing the distal end of the tube as well as a removable plug mounted in the distal end of the tube to prevent the distal end of the tube from collapsing by supporting distal slitted end. A suture having at least one slip knot and at least one locking knot is mounted in the tube knot applicator with the knot tied about the collapsing means. A sleeve is mounted to the distal end of tube knot applicator over the suture knot and the distal end.

    摘要翻译: 用于内窥镜手术的管结施用器。 管结施加器具有细长管构件,其具有远端和近端,以及穿过其中的轴向通道。 管构件具有用于部分地折叠管的远端的狭缝以及安装在管的远端中的可移除的塞子,以防止管的远端通过支撑远端狭缝端部而塌陷。 具有至少一个滑结和至少一个锁定结的缝合线被安装在管结施加器中,并且结在塌缩装置上。 在缝合结和远端上将套筒安装到管结施加器的远端。

    Methods for using looped tissue-grasping devices
    16.
    发明授权
    Methods for using looped tissue-grasping devices 有权
    使用环状组织夹持装置的方法

    公开(公告)号:US07967841B2

    公开(公告)日:2011-06-28

    申请号:US12131182

    申请日:2008-06-02

    IPC分类号: A61B17/04 A61L17/00

    摘要: A method for repairing friable tissue having a defect therein includes providing a looped barbed suture having a plurality of barbs extending outwardly therefrom along at least a portion of a length thereof, and having first and second ends, first and second end portions and a middle portion therebetween. The first and second ends are fixedly coupled to a single needle, and the plurality of barbs extends outwardly away from the needle. The steps further include placing the looped barbed suture around an outer surface of the friable tissue in a spaced apart configuration and so as to extend across the defect, passing the needle through the friable tissue and around the middle portion of the looped barbed suture one or more times at the middle portion, and removing the needle from the looped barbed suture.

    摘要翻译: 用于修复其中具有缺陷的脆性组织的方法包括提供环形有倒钩的缝合线,其具有沿其长度的至少一部分向外延伸的多个倒钩,并且具有第一和第二端,第一和第二端部以及中间部分 之间。 第一和第二端固定地联接到单个针,并且多个倒钩从针向外延伸。 所述步骤还包括将环状带刺的缝合线围绕易碎组织的外表面以间隔开的构型放置并且延伸穿过缺陷,使针穿过脆性组织并围绕环形有倒钩的缝合线的中部,或 在中间部分更多次,并且从循环的有倒勾的缝合线上移除针。

    Conformal surgical balloon with varying wall expansibility

    公开(公告)号:US06607545B2

    公开(公告)日:2003-08-19

    申请号:US09749077

    申请日:2000-12-27

    IPC分类号: A61M2900

    摘要: A surgical balloon for insertion into a body cavity with a major chamber having a first volume and an annexed minor chamber communicating therewith and having a second volume less than the first volume has a continuous outer wall which defines the exterior surface of the balloon on a first side and the interior hollow of the balloon on a second side. The wall is formed from a stretchable elastic material permitting the interior hollow of the balloon to accommodate a variable volume of fluid ranging from a minimum deflated volume associated with a relaxed state of the wall to a maximum inflated volume associated with a stretched state of the wall. The wall has selected areas of varying expansibility attributable to varying wall thickness, heat or chemical treatment. The wall provides the balloon with an inflated shape within the cavity approximating the interior shape of the body cavity, including a first portion approximating the major chamber and a second portion approximating the minor chamber. As applied to balloons for insertion into the uterus for endometrial ablation therapy, the balloon has a pair of projections for inserting into the uterine cornua. The balloon may be preformed to mimic the uterine shape in the deflated state, and may be formed from polyurethane promoting conformance of the inflated balloon to the uterine cavity.

    Drawstring surgical pouch and method of use for preventing ovarian
adhesions
    19.
    发明授权
    Drawstring surgical pouch and method of use for preventing ovarian adhesions 失效
    束带手术袋和用于预防卵巢粘连的方法

    公开(公告)号:US5279539A

    公开(公告)日:1994-01-18

    申请号:US931233

    申请日:1992-08-17

    摘要: A medical device is disclosed for enclosing an internal bodily organ or tissue during surgery. The device is a surgical pouch with two drawstrings. The first drawstring is made up of a resilient, wire-like thread for keeping the mouth of the pouch open during use, and is detachable from the pouch. The second drawstring is intended to cinch the mouth of the pouch closed after the organ or tissue is enclosed and the first drawstring is detached. It is composed of a compliant, bioabsorbable thread.A method of reducing or preventing post-operative ovarian adhesions is also disclosed. The method involves placing a bioabsorbable surgical pouch, especially the surgical pouch of this invention, over an ovary after a surgical procedure, and then cinching the mouth of the pouch closed to isolate the ovary from surrounding bodily tissue.

    摘要翻译: 公开了用于在手术期间封闭内部身体器官或组织的医疗装置。 该装置是具有两个束带的外科手术袋。 第一束带由弹性的线状线组成,用于在使用期间保持袋的口部敞开,并且可从袋中拆卸。 第二束带用于在器官或组织被封闭并且第一束带被分离之后使小袋的口闭合。 它由柔顺的生物可吸收螺纹组成。 还公开了减少或预防术后卵巢粘连的方法。 该方法包括在外科手术之后将可生物吸收的手术袋,特别是本发明的手术袋放置在卵巢上,然后闭合袋的口以将卵巢与周围的身体组织隔离。