公开(公告)号：US08096457B1

公开(公告)日：2012-01-17

申请号：US12477065

申请日：2009-06-02

申请人： Philipe R. Manoux ,  Michael Murillo ,  John E. Rivera

发明人： Philipe R. Manoux ,  Michael Murillo ,  John E. Rivera

IPC分类号： A61B17/064

CPC分类号： A61B17/07207 ,  A61B2017/00309 ,  A61B2017/00314 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2905

摘要： An exemplary surgical apparatus may include a flexible articulation insert separated into segments, where at least one segment is longitudinally slidable relative to at least one other segment, and where at least one passage is defined longitudinally through the insert; and at least one feeder belt extending through a corresponding passage in the insert, where staples are frangibly connected to the feeder belt.

摘要翻译： 示例性手术装置可以包括分离成段的柔性关节运动插入物，其中至少一个区段相对于至少一个其他区段可纵向滑动，并且其中至少一个通道纵向地限定穿过插入物; 以及延伸穿过插入件中的相应通道的至少一个进给器带，其中订书针易于连接到馈送带。

公开(公告)号：US09700299B2

公开(公告)日：2017-07-11

申请号：US13323391

申请日：2011-12-12

申请人： Justin D. Saliman ,  John G. McCutcheon ,  Christopher P. Bender ,  Mark Y. Hirotsuka ,  Michael Murillo ,  Michael J. Hendricksen

发明人： Justin D. Saliman ,  John G. McCutcheon ,  Christopher P. Bender ,  Mark Y. Hirotsuka ,  Michael Murillo ,  Michael J. Hendricksen

IPC分类号： A61B17/04 ,  A61B17/062 ,  A61B17/06 ,  A61B17/29

CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/0485 ,  A61B17/062 ,  A61B17/0625 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/06009 ,  A61B2017/06014 ,  A61B2017/06042 ,  A61B2017/06176 ,  A61B2017/2927

摘要： Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices are dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Methods of suturing tissue using a dual deployment suture passer are also described.

公开(公告)号：US20170027558A1

公开(公告)日：2017-02-02

申请号：US15289054

申请日：2016-10-07

申请人： Michael MURILLO ,  Michael J. HENDRICKSEN ,  Yoav BEN-HAIM

发明人： Michael MURILLO ,  Michael J. HENDRICKSEN ,  Yoav BEN-HAIM

IPC分类号： A61B17/04

摘要： Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer; the suture passer may be operated to pass one or more lengths of suture without having to be manually reloaded. In particular, described herein are preloaded and automatically reloading apparatuses typically.

摘要翻译： 缝合路人和使用方法。 这里描述的是预先装有缝合线的缝合路人，包括耦合到缝合线路传送器以形成加载的缝合线路传送器的弹药筒; 可以操作缝合通道以通过一个或多个长度的缝合线，而不必手动重新加载。 特别地，这里描述的是预加载和自动重新加载装置。

公开(公告)号：US20170020512A1

公开(公告)日：2017-01-26

申请号：US15216482

申请日：2016-07-21

申请人： Michael MURILLO ,  Mark Y. HIROTSUKA ,  Michael J. HENDRICKSEN ,  Stephen J. PETER ,  Christopher P. BENDER

发明人： Michael MURILLO ,  Mark Y. HIROTSUKA ,  Michael J. HENDRICKSEN ,  Stephen J. PETER ,  Christopher P. BENDER

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/06133 ,  A61B17/0625 ,  A61B2017/0053 ,  A61B2017/06042

摘要： Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer that are configured to prevent a length of suture (e.g., already-passed suture) from re-entering the channel of the suture passer jaw and getting recaptured and/or entangled by the tissue penetrator. In particular, described herein are preloaded and automatically re-loading suture passers that are adapted to include a gate, guide, or shield on one of the jaws of the suture passer, and methods of operating such suture passers for surgical use including repairing tissue.

摘要翻译： 缝合路人和使用方法。 这里描述的是预先装入缝合线的缝合路人，包括与缝合线路传送器联接以形成加载的缝合线路通路的药筒，其构造成防止一段缝合线（例如，已经通过的缝合线）重新进入缝线路径的通道 下巴并被组织穿透器重新捕获和/或缠结。 特别地，本文所描述的是预先加载和自动重新加载的缝合路人，其适于在缝合线路传送器的钳口之一上包括门，引导件或护罩，以及操作这种缝合路人用于手术用途的方法，包括修复组织。

公开(公告)号：US20150297215A1

公开(公告)日：2015-10-22

申请号：US14681528

申请日：2015-04-08

申请人： Michael J. HENDRICKSEN ,  Michael MURILLO ,  Christopher P. BENDER ,  Mark Y. HIROTSUKA ,  Stephen J. PETER

发明人： Michael J. HENDRICKSEN ,  Michael MURILLO ,  Christopher P. BENDER ,  Mark Y. HIROTSUKA ,  Stephen J. PETER

IPC分类号： A61B17/04

摘要： Described herein suture passer apparatus (devices and systems) that may be used to suture tissue within a narrow, confined space. In particular, described herein are suture passers having an elongate body and a lower jaw member that houses a tissue penetrator that is adapted to extend laterally from the lower jaw member and be deflected by a second jaw member? The second jaw member typically deflects the tissue penetrator either distally or proximally.

摘要翻译： 本文描述了可用于在狭窄的有限空间内缝合组织的缝合线路器装置（装置和系统）。 特别地，这里描述的是具有细长主体和下部钳口构件的缝合线路通道，该下部钳口构件容纳组织穿透器，其适于从下部钳口构件横向延伸并且被第二钳口构件偏转; 第二钳口构件通常使组织穿透器向远端或近端偏转。

公开(公告)号：US20150196294A1

公开(公告)日：2015-07-16

申请号：US14572485

申请日：2014-12-16

申请人： Michael MURILLO ,  Michael J. HENDRICKSEN ,  Yoav BEN-HAIM

发明人： Michael MURILLO ,  Michael J. HENDRICKSEN ,  Yoav BEN-HAIM

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0485 ,  A61B17/06066 ,  A61B17/062 ,  A61B2017/00115 ,  A61B2017/0046 ,  A61B2017/0053 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/06042 ,  A61B2017/06047 ,  A61B2017/06095 ,  A61B2017/2933 ,  A61B2090/0811

摘要： Suture passers and methods of use. Described herein are suture passers preloaded with suture, including cartridges that couple to a suture passer to form a loaded suture passer; the suture passer may be operated to pass one or more lengths of suture without having to be manually reloaded. In particular, described herein are preloaded and automatically reloading apparatuses typically.

摘要翻译： 缝合路人和使用方法。 这里描述的是预先装有缝合线的缝合路人，包括耦合到缝合线路传送器以形成加载的缝合线路传送器的弹药筒; 可以操作缝合通道以通过一个或多个长度的缝合线，而不必手动重新加载。 特别地，这里描述的是预加载和自动重新加载装置。

公开(公告)号：US20140074157A1

公开(公告)日：2014-03-13

申请号：US13758994

申请日：2013-02-04

申请人： Mark Y. HIROTSUKA ,  Michael MURILLO ,  Yoav BEN-HAIM ,  Justin D. SALIMAN ,  Chris P. BENDER ,  Michael J. HENDRICKSEN

发明人： Mark Y. HIROTSUKA ,  Michael MURILLO ,  Yoav BEN-HAIM ,  Justin D. SALIMAN ,  Chris P. BENDER ,  Michael J. HENDRICKSEN

IPC分类号： A61B17/04

CPC分类号： A61B17/04 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/0474 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06042 ,  D07B1/185

摘要： Sutures with pre-tied knots for use in percutaneous surgical procedures. Described herein are pre-tied sutures and methods of using them that may be used with a suture passer for percutaneously suturing tissue, including percutaneously passing and securing a loop of suture around a tear in a meniscus tissue of the knee. A suture with a pre-tied knot may include a length of suture and a knot body on the length of suture, and a leader snare tied to the length of suture by the knot body. The leader snare typically has an opening loop (bight or snare) through which an end of the suture may be passed. The tail of the leader snare may be pulled to remove the leader snare for the knot body and draw the end of the suture through the knot body to close the knot, which can then be tightened to secure the tissue.

摘要翻译： 缝合线，用于经皮外科手术。 这里描述的是预先束缚的缝合线和使用它们的方法，其可以与用于经皮缝合组织的缝合路径一起使用，包括在膝盖的弯月面组织中经皮穿过并固定缝合线。 具有预先束缚的结的缝合线可以包括一定长度的缝合线和缝合长度上的结体，以及由结体连接到缝合长度的领导圈套。 领导圈套通常具有开口环（弯曲或圈套），通过该开口环可以通过缝线的末端。 领导圈套的尾巴可以被拉动以去除结体的领导圈套，并且通过结体画出缝合线的末端以闭合结，然后可以将其紧固以固定组织。

公开(公告)号：US08167898B1

公开(公告)日：2012-05-01

申请号：US12435653

申请日：2009-05-05

申请人： Michael P. Schaller ,  Michael Murillo ,  Nathan H. White ,  Hung K. Nguyen

发明人： Michael P. Schaller ,  Michael Murillo ,  Nathan H. White ,  Hung K. Nguyen

IPC分类号： A61B17/32

CPC分类号： A61B17/3209 ,  A61B17/07207 ,  A61B2017/07285

摘要： An exemplary surgical apparatus may include an anvil including an outer surface, a channel defined therein, and an aperture defined in the outer surface, where the aperture opens to the channel; and a cutter slidable along and within the channel, where at least a portion of the cutter is flexible. Another exemplary surgical apparatus may include an anvil including an open channel defined therein; and a one-piece cutter including a knife adjacent to a bending region, where the cutter is slidable in the channel; where the knife is initially held completely within the anvil, and where the knife flexes out of the channel and out of the anvil in response to proximal motion of the cutter. An exemplary surgical method of treating tissue within the body of a patient may include providing a flexible cutter including a knife; providing an anvil with a channel defined therein; holding the knife completely within the channel in a stowed position; placing the anvil adjacent to tissue; and moving the cutter proximally, wherein that moving causes at least part of the knife to flex out of the channel and into the tissue adjacent to the anvil.

摘要翻译： 示例性手术装置可以包括砧座，其包括外表面，限定在其中的通道和限定在外表面中的孔，其中孔向通道开口; 以及可沿着通道内和内部滑动的切割器，其中刀具的至少一部分是柔性的。 另一示例性外科手术装置可以包括其中限定的开放通道的砧座; 以及包括邻近弯曲区域的刀的单件式切割器，其中刀具在通道中可滑动; 其中刀最初完全保持在砧座内，并且其中刀响应于切割器的近端运动而从通道弯曲并离开砧座。 治疗患者体内的组织的示例性手术方法可包括提供包括刀的柔性切割器; 提供具有限定在其中的通道的砧座; 将刀完全夹在通道内的收纳位置; 将砧座放置在组织附近; 并且向近侧移动切割器，其中所述移动使至少一部分刀从所述通道弯曲并进入邻近所述砧座的组织中。

公开(公告)号：US20110278343A1

公开(公告)日：2011-11-17

申请号：US12477302

申请日：2009-06-03

申请人： Bryan D. Knodel ,  Jared L. Van Cleave ,  Jinhoon Park ,  Michael Murillo ,  Nathan H. White ,  Philipe R. Manoux

发明人： Bryan D. Knodel ,  Jared L. Van Cleave ,  Jinhoon Park ,  Michael Murillo ,  Nathan H. White ,  Philipe R. Manoux

IPC分类号： A61B17/068 ,  A61B18/14

CPC分类号： A61B17/07207 ,  A61B18/1445 ,  A61B2017/0088 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/2933 ,  A61B2017/2936

摘要： One example of a surgical instrument may include a staple holder; staples held by the staple holder; an anvil, where at least one of the staple holder and anvil is movable relative to the other; and at least one electrode located on a surface of the staple holder and/or anvil. Another example of a surgical instrument may include a staple holder; staples held by the staple holder; an anvil, where at least one of the staple holder and the anvil is movable relative to the other between an open configuration and a closed configuration; where an adjustable gap exists between the staple holder and the anvil in the closed configuration; and at least one electrode located on a surface of at least one of the staple holder and/or anvil. An exemplary method may include providing a surgical instrument including an end effector; clamping tissue with the end effector; selecting stapling or electrocautery; and stapling or performing electrocautery accordingly.

摘要翻译： 手术器械的一个示例可以包括钉保持器; 由订书钉架固定的订书钉; 砧座，至少一个订书钉保持架和砧座相对于另一个可移动; 以及至少一个电极，位于钉保持器和/或砧座的表面上。 手术器械的另一示例可以包括钉保持器; 由订书钉架固定的订书钉; 砧座，其中订书钉保持器和砧座中的至少一个在打开构造和关闭构造之间相对于另一个可移动; 其中缝合夹持器和砧座处于闭合构型中存在可调节的间隙; 以及至少一个电极，位于所述钉保持器和/或砧座中的至少一个的表面上。 示例性方法可以包括提供包括末端执行器的外科器械; 用末端执行器夹紧组织; 选择缝合或电烙术; 并相应地装订或执行电烙术。

公开(公告)号：US20110106150A1

公开(公告)日：2011-05-05

申请号：US12968641

申请日：2010-12-15

申请人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

发明人： Nathan H. White ,  Michael P. Schaller ,  Luke W. Clauson ,  Michael Murillo ,  Bernard A. Hausen

IPC分类号： A61B17/064

CPC分类号： A61B17/115 ,  A61B17/1152 ,  A61B2017/00946 ,  A61B2017/07257 ,  A61B2017/22042

摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.

摘要翻译： 用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的刚性砧座的部分。