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公开(公告)号:US11369366B2
公开(公告)日:2022-06-28
申请号:US16128193
申请日:2018-09-11
申请人: Ethicon LLC
发明人: Charles J. Scheib , Joshua D. Young
IPC分类号: A61B34/20 , A61B17/04 , A61B17/06 , A61B17/062 , A61B34/32 , A61B34/30 , A61B1/045 , A61B1/06 , A61B1/07 , A61B1/313 , A61B17/00 , A61B17/34 , A61B17/11 , A61B17/115 , A61B17/064 , A61B90/30 , A61B90/00 , A61B1/05 , A61B1/00 , A61B5/00 , A61B90/13 , A61B34/00 , A61B90/35 , A61B17/02 , A61B1/04 , G02F1/13 , A61B34/10
摘要: A surgical visualization system is disclosed. The surgical visualization system is configured to identify one or more structure(s) and/or determine one or more distances with respect to obscuring tissue and/or the identified structure(s). The surgical visualization system can facilitate avoidance of the identified structure(s) by a surgical device. The surgical visualization system can comprise a first emitter configured to emit a plurality of tissue-penetrating light waves and a second emitter configured to emit structured light onto the surface of tissue. The surgical visualization system can also include an image sensor configured to detect reflected visible light, tissue-penetrating light, and/or structured light. The surgical visualization system can convey information to one or more clinicians regarding the position of one or more hidden identified structures and/or provide one or more proximity indicators. In various instances, a robotic camera of the surgical visualization system can monitor and track one or more tagged structures.
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公开(公告)号:US20220160349A1
公开(公告)日:2022-05-26
申请号:US17650623
申请日:2022-02-10
IPC分类号: A61B17/04 , A61B17/062
摘要: Disclosed are devices and methods for delivering several sutures accurately and simultaneously around the perimeter of an annular prosthetic device (prosthetic heart valve, annuloplasty ring, etc.) to secure the prosthetic device within a native heart valve region. Devices can comprise a proximal handle portion including an actuator and a distal suturing portion including several curved and straight needles arrayed around the shaft axis. The straight needles and the curved needles are configured to simultaneously guide a plurality of sutures through the native tissue and through the annular prosthetic device. The actuator can cause the straight needles to move axially relative to the curved needles and can also cause the curved needles to rotate, such that the motions are coordinated to simultaneously place all the sutures.
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公开(公告)号:US11284885B2
公开(公告)日:2022-03-29
申请号:US16072561
申请日:2016-11-22
申请人: Dura Tap LLC
发明人: Mark F. Kurd , David Greg Anderson , Jaime F. Sarabia , Eric Buehlmann , Jay P. Tapper , Jens Johnson , Ann R. Lee , Catherine Margaret Unruh
IPC分类号: A61B17/062 , A61B17/04 , A61B17/06 , A61B17/00
摘要: A suturing device includes a curved needle, a suture, an elongate body, an actuator and a curved needle holder. The suture connects with the curved needle. The actuator interacts with the elongate body and is operable between a first operating position and a second operating position. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes a distal end section having a distal-most tip. The curved needle holder includes an inner surface defining a needle passage for holding the needle and a distal opening. The curved needle has a curved needle radius and the curved needle passage has a curved needle passage radius that is different than the curved needle radius and the curved needle frictionally engages the inner surface when the needle is in a retracted position.
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14.
公开(公告)号:US11259798B2
公开(公告)日:2022-03-01
申请号:US16511545
申请日:2019-07-15
发明人: Timothy A. Limon , Grant Duque
IPC分类号: A61B17/062 , A61B34/30 , A61B17/28
摘要: A medical device includes a clevis, a first jaw, and a second jaw. The first jaw includes a first proximal gripping portion and a first distal gripping portion, and the first proximal gripping portion includes a first needle alignment portion. The second jaw is coupled to the clevis and includes a second proximal gripping portion and a second distal gripping portion, and the second proximal gripping portion includes a second needle alignment portion. The first and second needle alignment portions are located opposite each other when in the closed orientation. The first and second needle alignment portions define a clamp path when in the closed orientation within which the curved portion of the needle is received when the second jaw is in the open orientation. The first and second needle alignment portions are configured to rotate the needle when moving to the closed orientation.
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公开(公告)号:US11246583B2
公开(公告)日:2022-02-15
申请号:US14742065
申请日:2015-06-17
IPC分类号: A61B17/04 , A61F2/00 , A61B17/068 , A61B17/062 , A61B17/064 , A61B17/072 , A61B17/00
摘要: In one embodiment, a medical device includes a delivery tool having a carrier member, and a cartridge. The cartridge is coupled to the delivery tool. The cartridge defines an opening. The cartridge is configured to retain an anchor defining a lumen. The carrier member has a retracted configuration and an extended configuration. The carrier member is configured to extend through the lumen defined by the anchor and through the opening defined by the cartridge when the cartridge is coupled to the delivery tool and the carrier member is in its extended configuration.
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公开(公告)号:US20220000473A1
公开(公告)日:2022-01-06
申请号:US17289921
申请日:2019-12-03
发明人: Rachel Mann , Madeline Smerchansky , Nicholas Quan , Bailey Klee , Raymond W. Pak , Jared M. Brown
IPC分类号: A61B17/04 , A61B17/062 , A61B17/11
摘要: This document describes devices and methods for suturing an anastomosis. For example, this document describes transurethral probe devices that can be used to suture a vesicourethral anastomosis with one continuous stitch along a helical toroidal path.
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公开(公告)号:US11213289B2
公开(公告)日:2022-01-04
申请号:US16401336
申请日:2019-05-02
发明人: Samuel Raybin , Paul Smith , Kevin James McElwee , John B. Golden , Matthew Robert Jagelski , Ray Hewenson Tong , Naroun Suon
IPC分类号: A61B17/04 , A61B17/062 , A61B17/06
摘要: A tissue closure device includes a needle and a suture extending therefrom, a proximal head including a proximal slot and a proximal locking mechanism for releasably engaging a first end of the needle in the proximal slot in a first configuration, and a distal head movably coupled to the proximal head so that the proximal and distal heads are movable relative to one another between an open configuration, in which a target tissue is received therebetween, and a closed configuration, in which the target tissue gripped therebetween. The distal head includes a distal slot and a distal locking mechanism for releasably engaging a second end of the needle in the distal slot in a second configuration, the needle movable between the first and second configurations by rotating the needle, the needle alternatingly passed between the proximal and distal heads to thread the suture through the target tissue.
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公开(公告)号:US11207090B2
公开(公告)日:2021-12-28
申请号:US16112154
申请日:2018-08-24
申请人: Ethicon LLC
IPC分类号: A61B17/29 , A61B17/00 , A61B17/28 , A61B17/04 , A61B17/128 , A61B17/10 , A61B18/14 , A61B17/06 , A61B18/12 , A61B18/00 , A61B34/30 , A61B17/3201 , A61B90/98 , A61B17/062 , A61B17/068 , A61B17/285 , A61B17/295 , A61B90/00 , A61B17/34 , G06F3/147 , A61B34/00
摘要: A surgical instrument comprising a shiftable transmission is disclosed. The transmission comprises a mechanism for assuring that the transmission is in one of a plurality of predefined configurations.
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公开(公告)号:US20210386496A1
公开(公告)日:2021-12-16
申请号:US17459372
申请日:2021-08-27
IPC分类号: A61B34/37 , B25J9/16 , A61B34/00 , A61B90/20 , B25J3/04 , B25J9/10 , B25J15/00 , A61B17/062 , A61B90/00 , A61B34/30 , A61B34/35 , A61B1/313 , A61B10/04 , A61B17/00 , G05B19/402 , A61B90/25
摘要: A medical instrument for surgery includes at least one frame and at least one jointed device. The jointed device includes at least one first joint member, or first link, adapted to connect to at least one portion of the frame and at least one second joint member, or second link. The first joint member is connected by a rotational joint to the second joint member. The medical instrument includes at least a pair of tendons, adapted to move the second joint member with respect to the first joint member. Each of the first joint member and the second joint member includes a main structural body made in a single piece with one or more convex contact surfaces. Each of the convex contact surfaces is a ruled surface formed by straight line portions all parallel to each other and substantially parallel to a joint movement axis.
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公开(公告)号:US11197665B2
公开(公告)日:2021-12-14
申请号:US16419082
申请日:2019-05-22
申请人: Covidien LP
IPC分类号: A61B17/04 , A61B17/06 , A61B17/062
摘要: A needle reload device includes a loading assembly including a needle holder pulley and a needle release arm. The needle holder pulley includes a base including first and second portions configured to receive a needle. The needle release arm is transitionable between an engaged state, in which the needle release arm engages the needle holder pulley to inhibit rotation of the needle holder pulley, and a disengaged state, in which the needle release arm is disengaged from the needle holder pulley such that the needle holder pulley is rotatable. When the needle release arm is in the engaged state, the first portion of the needle holder pulley is positioned between jaws of a stitching device, and when the needle release arm is in the disengage state, the second portion of the base of the needle holder pulley is positioned between the jaws.
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