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17 条记录 (耗时 0.045 秒)

    Articulating suturing device and method
    11.
    发明授权
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US08057491B2

    公开(公告)日：2011-11-15

    申请号：US12966961

    申请日：2010-12-13

    申请人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    发明人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    IPC分类号： A61B17/04 ,  A61B17/10

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    Device and method for deploying and organizing sutures for anastomotic and other attachments
    14.
    发明授权
    Device and method for deploying and organizing sutures for anastomotic and other attachments 有权
    用于部署和组织缝合吻合和其他附件的装置和方法

    公开(公告)号：US06190396B1

    公开(公告)日：2001-02-20

    申请号：US09395921

    申请日：1999-09-14

    申请人： Kate Whitin ,  Lewis Isbell

    发明人： Kate Whitin ,  Lewis Isbell

    IPC分类号： A61B1704

    CPC分类号： A61B17/11 ,  A61B17/0469 ,  A61B17/0482 ,  A61B2017/0472 ,  A61B2017/06057

    摘要： Devices, methods, and kits are provided for use with a body duct. More specifically, a device is provided for positioning sutures through a body duct. The device comprises a shaft structure for holding the end of the body duct and a suture organizer mounted about the structure. A plurality of needles are arranged on the shaft structure where each of the needles are advanced along a path in radially outward direction from the shaft structure through the end of the body duct and into a suture organizer. The suture organizer is movable relative to the shaft structure. Preferably, but not necessarily, moving the suture organizer extends the sutures from the body duct. Preferably, after the sutures have been positioned through the body duct, they may be tied off with sutures from a target body duct or tissue, where the tying off of the sutures will join the body duct to the targeted area. The suture organizer can hold the needle and sutures to facilitate the tying off of individual sutures. The present invention preferably allows for the placement of sutures in the body duct in an evenly spaced radial pattern at a specified distance from the end of the body duct.

    摘要翻译： 提供了与身体导管一起使用的装置，方法和试剂盒。 更具体地，提供了一种用于通过身体导管定位缝合线的装置。 该装置包括用于保持身体导管的端部的轴结构和围绕该结构安装的缝线组织器。 多个针布置在轴结构上，其中每个针沿着径向向外的方向从轴结构穿过身体导管的端部前进，并且进入缝线组织器。 缝线组织器相对于轴结构是可移动的。 优选地，但不是必须地，移动缝合线组织器从身体导管延伸缝合线。 优选地，在缝线被定位穿过身体管道之后，它们可以用来自目标体导管或组织的缝合线束扎，其中缝合线将使体导管连接到目标区域。 缝线组织者可以握住针和缝合线，以方便绑扎个别缝合线。 本发明优选地允许将缝线放置在体导管中，距身体导管端部指定距离处的均匀间隔的径向图案。

    Devices and method for handling a plurality of suture elements during a suturing procedure
    16.
    发明授权
    Devices and method for handling a plurality of suture elements during a suturing procedure 有权
    在缝合过程中处理多个缝合线元件的装置和方法

    公开(公告)号：US06558399B1

    公开(公告)日：2003-05-06

    申请号：US09610099

    申请日：2000-06-30

    申请人： Lewis Isbell ,  Jasper Jackson ,  Katherine Whitin

    发明人： Lewis Isbell ,  Jasper Jackson ,  Katherine Whitin

    IPC分类号： A61B1704

    CPC分类号： A61B17/06061 ,  A61B17/0466 ,  A61B17/0467

    摘要： A suture handling device for handling a plurality of suture elements is provided. The suture handling device comprises a body. It further comprises a plurality of passages defined on the body. Each passage has a mouth and an opposed end. The passages are arranged to diverge outwardly relative to one another in a direction away from their mouths, such that when the suture handling device is advanced over a plurality of spaced apart suture elements so that the suture elements enter the mouths and pass along the passages, the suture elements become spaced further apart. Advantageously, the suture handling device can be provided with an engaging formation for engaging the suture elements in the slots after they have been spaced further apart, thereby to retain the suture elements on the device.

    摘要翻译： 提供了一种用于处理多个缝线元件的缝线处理装置。 缝线处理装置包括主体。 它还包括限定在身体上的多个通道。 每个通道都有一个嘴和一个相反的一端。 通道被布置成在远离其嘴部的方向上相对于彼此向外发散，使得当缝线处理装置前进多个间隔开的缝合元件时，使得缝合线元件进入口并沿着通道传递， 缝线元件进一步间隔开。 有利地，缝合线处理装置可以设置有接合结构，用于在缝隙元件间隔开更远的位置之后将缝线元件接合在缝隙中，从而将缝线元件保持在装置上。