公开(公告)号：US08449479B2

公开(公告)日：2013-05-28

申请号：US11568603

申请日：2005-04-29

申请人： Jeffrey Radzuinas ,  Paul DiCesare ,  Christopher A. Battles

发明人： Jeffrey Radzuinas ,  Paul DiCesare ,  Christopher A. Battles

IPC分类号： A61B5/00

CPC分类号： A61B5/150832 ,  A61B5/150022 ,  A61B5/150259 ,  A61B5/150412 ,  A61B5/150442 ,  A61B5/150503 ,  A61B5/150564 ,  A61B5/150618 ,  A61B5/150717 ,  A61B5/150885 ,  A61B5/15111 ,  A61B5/15117 ,  A61B5/1513 ,  A61B5/15144

摘要： The medical puncturing device (10) includes a housing (12) having a proximal end (18) and a distal end (16) and a skin puncturing assembly (14) within the housing. The skin puncturing assembly includes a movable carrier (50) and a skin puncturing element (52). The skin puncturing element is adapted to puncture the skin of a patient. The carrier is movable from a retracted position wherein a distal tip of the skin puncturing element is disposed within the housing, to a puncturing position wherein the distal tip is exposed to puncture the skin of the patient. The carrier is moved from the retracted position to the puncturing position upon radial deformation of the housing. An internal guide (42) may be provided within the housing for guiding the movement of the carrier from the retracted position to the puncturing position.

摘要翻译： 医疗穿刺装置（10）包括在壳体内具有近端（18）和远端（16）以及皮肤穿刺组件（14）的壳体（12）。 皮肤穿刺组件包括可移动的载体（50）和皮肤穿刺元件（52）。 皮肤穿刺元件适于穿刺患者的皮肤。 所述托架可以从缩回位置移动，其中所述皮肤穿刺元件的远侧末端设置在所述外壳内，到达穿刺位置，其中所述远端尖端暴露以刺穿所述患者的皮肤。 当壳体径向变形时，托架从缩回位置移动到穿刺位置。 内部引导件（42）可以设置在壳体内，用于将托架的运动从缩回位置引导到穿刺位置。

公开(公告)号：US08328717B2

公开(公告)日：2012-12-11

申请号：US12714823

申请日：2010-03-01

申请人： Christopher A. Battles

发明人： Christopher A. Battles

IPC分类号： A61B1/32

CPC分类号： A61B17/3462 ,  A61B2017/3464

摘要： A seal device comprising: a seal housing defining a central axis, the seal housing having an inner wall and an outer wall, the inner wall defining an opening along the central axis; a rotatable head mounted to the seal housing; at least one finger pivotally mounted to the rotatable head, the fingers defining an aperture for reception of a surgical instrument; and a cam mounted to the rotatable head for pivoting the fingers upon rotation of the rotatable head, the at least one finger configured to reduce the amount by which the surgical instrument may be moved off-axis relative to the central axis.

摘要翻译： 一种密封装置，包括：限定中心轴线的密封壳体，所述密封壳体具有内壁和外壁，所述内壁沿着所述中心轴线限定开口; 安装到密封壳体的可旋转头; 至少一个手指枢转地安装到可旋转的头部，所述手指限定用于接收外科器械的孔; 以及安装到可旋转头部的凸轮，用于在可旋转头部旋转时枢转指状物，所述至少一个手指构造成减少手术器械相对于中心轴线离轴移动的量。

公开(公告)号：US20110054261A1

公开(公告)日：2011-03-03

申请号：US12846380

申请日：2010-07-29

申请人： Christopher A. Battles

发明人： Christopher A. Battles

IPC分类号： A61B1/32

CPC分类号： A61B17/3462 ,  A61B2017/347

摘要： A surgical portal apparatus includes a portal, a seal, a plurality of restricting members, and a lockout assembly. The portal defines a longitudinal axis and has a longitudinal opening. The seal is disposed in mechanical cooperation with the portal and defines a passage for reception of a surgical object. The plurality of restricting members are arranged about the longitudinal axis to define a passage therethrough and positioned to contact the surgical object. The restricting members have contacting segments adapted for radial movement relative to the longitudinal axis from a rest position to a displaced position. The lockout assembly includes a locking member disposed distal of the restricting members. The locking member is positioned to intersect the longitudinal opening and engage the surgical object. The locking member is operatively coupled with the restricting members to minimize offset manipulation of the surgical object.

摘要翻译： 手术入口装置包括入口，密封件，多个限制构件和锁定组件。 入口限定纵向轴线并具有纵向开口。 密封件与入口机械配合地设置并且限定了用于接收外科手术物体的通道。 多个限制构件围绕纵向轴线布置以限定穿过其中的通道并且定位成接触外科手术对象。 限制构件具有适于相对于纵向轴线从静止位置到移动位置的径向运动的接触段。 锁定组件包括设置在限制构件的远侧的锁定构件。 锁定构件定位成与纵向开口相交​​并与外科物体接合。 锁定构件与限制构件可操作地联接以最小化手术对象的偏移操作。

公开(公告)号：US20100069930A1

公开(公告)日：2010-03-18

申请号：US12586021

申请日：2009-09-16

申请人： Mitchell Roslin ,  Paresh C. Shah ,  Oleg Shikhman ,  Danial P. Ferreira ,  Jeffrey P. Radziunas ,  Christopher A. Battles

发明人： Mitchell Roslin ,  Paresh C. Shah ,  Oleg Shikhman ,  Danial P. Ferreira ,  Jeffrey P. Radziunas ,  Christopher A. Battles

IPC分类号： A61B17/08

CPC分类号： A61B17/0057 ,  A61B2017/00659 ,  A61B2017/00663 ,  A61B2017/047 ,  A61F2/0063 ,  A61F2002/0072

摘要： Apparatus and methods enable insertion and tensioned deployment of a secondary material prosthetic device into a body cavity or other tissue of a patient, such as for example hernia repair mesh into the abdominopelvic cavity of a patient through the hernia site. The present invention establishes fixation sites for the prosthetic device and tensions it against the body tissue. It may also be used implant fixation devices within the body tissue so that the prosthetic device is tensioned into firm abutting contact with the body tissue. Instrument deployment and fixation struts may be advanced in retrograde fashion in order to reduce needed deployment volume within the patient's body cavity. The prosthetic device advantageously may be flexibly coupled to the instrument via fixation devices such as sutures, so as to increase orientation flexibility.

摘要翻译： 装置和方法使得辅助材料假体装置能够插入和张紧部署到患者的体腔或其他组织中，例如疝修补通过疝部位进入患者的腹部腹腔。 本发明建立了假体装置的固定位置并将其张紧到身体组织上。 还可以在体内组织中使用植入物固定装置，使得假体装置被张紧成与身体组织紧密接触。 仪器部署和固定支柱可以以逆行方式进行，以减少患者体腔内所需的展开体积。 有利地，假体装置可以经由诸如缝合线的固定装置柔性地联接到器械，以便增加取向灵活性。

公开(公告)号：US20080188882A1

公开(公告)日：2008-08-07

申请号：US11568634

申请日：2005-05-05

申请人： Paul Dicesare ,  Jeffrey Radziunas ,  Christopher A. Battles

发明人： Paul Dicesare ,  Jeffrey Radziunas ,  Christopher A. Battles

IPC分类号： A61B17/34

CPC分类号： A61B5/1411 ,  A61B5/150022 ,  A61B5/150259 ,  A61B5/150412 ,  A61B5/150442 ,  A61B5/150503 ,  A61B5/150564 ,  A61B5/150618 ,  A61B5/150717 ,  A61B5/150832 ,  A61B5/150885 ,  A61B5/15111 ,  A61B5/15117 ,  A61B5/1513 ,  A61B5/15142 ,  A61B5/15144 ,  A61B5/15186

摘要： The medical puncturing device includes a housing (12), a shield (13), and a skin puncturing assembly disposed within the housing. The shield is axially movable in the housing. The skin puncturing assembly includes a movable carrier and a skin puncturing element mounted to the carrier. A distal end of the skin puncturing element is adapted for puncturing the skin of a patient. The carrier is movable from a retracted position wherein the skin puncturing element is disposed within the shield to a puncturing position wherein the distal end of the skin puncturing element is exposed. The carrier is maintained in the retracted position by engagement of flexure members or a retaining tab with the carrier. A drive spring is provided to move the carrier from the retracted position to the puncturing position. A retraction spring is provided to return the carrier and skin puncturing element into the housing.

摘要翻译： 医疗穿刺装置包括壳体（12），护罩（13）和设置在壳体内的皮肤穿刺组件。 屏蔽件可在壳体中轴向移动。 皮肤穿刺组件包括可移动的载体和安装到载体的皮肤穿刺元件。 皮肤穿刺元件的远端适于穿刺患者的皮肤。 承载件可以从缩回位置移动，其中，皮肤穿刺元件设置在护罩内，到穿刺位置，其中皮肤穿刺元件的远端被暴露。 承载件通过弯曲构件或保持翼片与载体的接合而保持在缩回位置。 提供驱动弹簧以将托架从缩回位置移动到穿刺位置。 提供缩回弹簧以将托架和皮肤穿刺元件返回到壳体中。

公开(公告)号：US08409084B2

公开(公告)日：2013-04-02

申请号：US12846380

申请日：2010-07-29

申请人： Christopher A. Battles

发明人： Christopher A. Battles

IPC分类号： A61B1/3132

CPC分类号： A61B17/3462 ,  A61B2017/347

摘要： A surgical portal apparatus includes a portal, a seal, a plurality of restricting members, and a lockout assembly. The portal defines a longitudinal axis and has a longitudinal opening. The seal is disposed in mechanical cooperation with the portal and defines a passage for reception of a surgical object. The plurality of restricting members are arranged about the longitudinal axis to define a passage therethrough and positioned to contact the surgical object. The restricting members have contacting segments adapted for radial movement relative to the longitudinal axis from a rest position to a displaced position. The lockout assembly includes a locking member disposed distal of the restricting members. The locking member is positioned to intersect the longitudinal opening and engage the surgical object. The locking member is operatively coupled with the restricting members to minimize offset manipulation of the surgical object.

摘要翻译： 手术入口装置包括入口，密封件，多个限制构件和锁定组件。 入口限定纵向轴线并具有纵向开口。 密封件与入口机械配合地设置并且限定了用于接收外科手术物体的通道。 多个限制构件围绕纵向轴线布置以限定穿过其中的通道并且定位成接触外科手术对象。 限制构件具有适于相对于纵向轴线从静止位置到移动位置的径向运动的接触段。 锁定组件包括设置在限制构件的远侧的锁定构件。 锁定构件定位成与纵向开口相交​​并与外科物体接合。 锁定构件与限制构件可操作地联接以最小化手术对象的偏移操作。

公开(公告)号：US08075573B2

公开(公告)日：2011-12-13

申请号：US10847190

申请日：2004-05-17

申请人： Richard A. Gambale ,  Peter J. Lukin ,  Paul C. DiCesare ,  Christopher A. Battles ,  Jeffrey P. Radziunas ,  Danial P. Ferreira

发明人： Richard A. Gambale ,  Peter J. Lukin ,  Paul C. DiCesare ,  Christopher A. Battles ,  Jeffrey P. Radziunas ,  Danial P. Ferreira

IPC分类号： A61B17/04 ,  A61B17/12

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0487 ,  A61B2017/00827 ,  A61B2017/045 ,  A61B2017/0464 ,  A61B2017/047

摘要： Provided is an endoscopic suturing system for joining internal body tissues in a variety of procedures. The system comprises a suturing capsule releasably mountable to the distal end of an endoscope and capable of forming multiple stitches in tissue at a plurality of locations without requiring withdrawal of the capsule from the patient between stitches. Also enclosed is a suture lock to secure the placed stitch that is delivered by a device introduced through the working channel of the indwelling endoscope. Suitable control handles for the suturing capsule and for the suture lock delivery device positioned at the proximal end of the endoscope are provided to facilitate operation by the user.

摘要翻译： 提供了一种用于以各种方法连接内部身体组织的内窥镜缝合系统。 该系统包括可释放地安装到内窥镜的远端的缝合胶囊，并且能够在多个位置处在组织中形成多个线圈，而不需要在线圈之间从患者中取出胶囊。 还包括缝合线锁，用于固定由通过留置内窥镜的工作通道引入的装置输送的放置针迹。 提供用于缝合胶囊和位于内窥镜的近端处的缝线锁输送装置的合适的控制手柄，以便于使用者的操作。

公开(公告)号：US20110112438A1

公开(公告)日：2011-05-12

申请号：US11568603

申请日：2005-04-29

申请人： Jeffrey Radzuinas ,  Paul DiCesare ,  Christopher A. Battles

发明人： Jeffrey Radzuinas ,  Paul DiCesare ,  Christopher A. Battles

IPC分类号： A61B5/151

CPC分类号： A61B5/150832 ,  A61B5/150022 ,  A61B5/150259 ,  A61B5/150412 ,  A61B5/150442 ,  A61B5/150503 ,  A61B5/150564 ,  A61B5/150618 ,  A61B5/150717 ,  A61B5/150885 ,  A61B5/15111 ,  A61B5/15117 ,  A61B5/1513 ,  A61B5/15144

摘要： The medical puncturing device (10) includes a housing (12) having a proximal end (18) and a distal end (16) and a skin puncturing assembly (14) within the housing. The skin puncturing assembly includes a movable carrier (50) and a skin puncturing element (52). The skin puncturing element is adapted to puncture the skin of a patient. The carrier is movable from a retracted position wherein a distal tip of the skin puncturing element is disposed within the housing, to a puncturing position wherein the distal tip is exposed to puncture the skin of the patient. The carrier is moved from the retracted position to the puncturing position upon radial deformation of the housing. An internal guide (42) may be provided within the housing for guiding the movement of the carrier from the retracted position to the puncturing position.

摘要翻译： 医疗穿刺装置（10）包括在壳体内具有近端（18）和远端（16）以及皮肤穿刺组件（14）的壳体（12）。 皮肤穿刺组件包括可移动的载体（50）和皮肤穿刺元件（52）。 皮肤穿刺元件适于穿刺患者的皮肤。 所述托架可以从缩回位置移动，其中所述皮肤穿刺元件的远侧末端设置在所述外壳内，到达穿刺位置，其中所述远端尖端暴露以刺穿所述患者的皮肤。 当壳体径向变形时，托架从缩回位置移动到穿刺位置。 内部引导件（42）可以设置在壳体内，用于将托架的运动从缩回位置引导到穿刺位置。

公开(公告)号：US20100174143A1

公开(公告)日：2010-07-08

申请号：US12628609

申请日：2009-12-01

申请人： Michael E. Abrams ,  Christopher A. Battles ,  Paul DiCesare ,  Danial P. Ferreira ,  Gregory R. Hires

发明人： Michael E. Abrams ,  Christopher A. Battles ,  Paul DiCesare ,  Danial P. Ferreira ,  Gregory R. Hires

IPC分类号： A61B1/00

CPC分类号： A61B17/3462 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466

摘要： A seal assembly which includes a housing defining a longitudinal axis, a proximal portion and a distal portion and including a bellows disposed along a length thereof. A first sealing membrane and a second sealing membrane associated with the proximal portion of the housing, each sealing membrane configured to create a substantially fluid-tight seal around a surgical instrument inserted therethrough. The bellows configured to allow at least a portion of the housing to move radially with respect to the longitudinal axis.

摘要翻译： 一种密封组件，其包括限定纵向轴线的壳体，近侧部分和远侧部分，并且包括沿其长度设置的波纹管。 与壳体的近侧部分相关联的第一密封膜和第二密封膜，每个密封膜构造成围绕插入其中的外科器械产生基本上流体密封的密封。 波纹管被配置成允许壳体的至少一部分相对于纵向轴线径向移动。

公开(公告)号：US07390332B2

公开(公告)日：2008-06-24

申请号：US10708308

申请日：2004-02-24

申请人： David Selvitelli ,  Thomas C. May ,  Debra Mack ,  Stuart Fromm ,  Christopher A. Battles

发明人： David Selvitelli ,  Thomas C. May ,  Debra Mack ,  Stuart Fromm ,  Christopher A. Battles

IPC分类号： A61B17/04

CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0459 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/0646

摘要： A suture anchor system for repairing torn or damaged tissue is provided and generally includes a first suture anchor having at least one length of suture attached thereto, and a second suture anchor having at least one length of suture attached thereto. Each length of suture is coupled to one another such that a distance between the first and second suture anchors with respect to each other can be selectively adjustable. The suture anchor system also preferably includes at least one slip knot that allows the first and second suture anchors to be maintained in a fixed position with respect to one another. In use, the suture anchors can be deployed through tissue to be repaired and into the anchoring tissue at a position spaced apart from one another by a selected distance. The suture length(s) can then be tensioned to re-approximate the torn or damaged tissue toward the anchoring tissue, thereby securely attached the torn tissue to the anchoring tissue.

摘要翻译： 提供了用于修复被撕裂或损坏的组织的缝合锚固系统，并且通常包括具有附接到其上的至少一段长度的缝合线的第一缝合锚固件和附接有至少一段缝合线的第二缝合锚固件。 缝合线的每个长度彼此联接，使得第一和第二缝合线锚定件之间相对于彼此的距离可以是有选择地可调节的。 缝线锚固系统还优选地包括允许第一和第二缝合线锚固件相对于彼此保持在固定位置的至少一个滑动结。 在使用中，缝合锚可以通过要修复的组织展开并且在相互间隔一定距离的位置处进入锚定组织。 然后可以将缝合线长度拉紧以将撕裂或损坏的组织重新接近锚固组织，从而将撕裂的组织牢固地附接到锚固组织。