公开(公告)号：US08287497B2

公开(公告)日：2012-10-16

申请号：US12774169

申请日：2010-05-05

申请人： Russell Heinrich ,  Michael Bettuchi

发明人： Russell Heinrich ,  Michael Bettuchi

IPC分类号： A61M5/178

CPC分类号： A61B17/3462

摘要： An access assembly includes a housing defining a longitudinal axis and having a longitudinal opening therethrough, a cannula extending distally from the housing and in fluid communication with the longitudinal opening and a seal member mounted within the longitudinal opening of the housing. The seal member is configured to receive an instrument therethrough in substantial sealed relation therewith. The housing is adapted to move in at least a radial direction with respect to the longitudinal axis whereby the seal member maintains the substantial sealed relation relative to the instrument as the instrument in manipulated. The housing may be flexible and capable of deflection relative to the longitudinal axis. The housing may comprise an elastomeric material in whole or in part. The seal member may be integrally formed with the housing. The housing may include at least one flexible ring portion and possibly a plurality of ring portions.

摘要翻译： 入口组件包括限定纵向轴线并具有穿过其中的纵向开口的壳体，从壳体向远侧延伸并与纵向开口流体连通的套管和安装在壳体的纵向开口内的密封构件。 密封构件被构造成以与其实质密封的关系接收穿过其中的器械。 壳体适于相对于纵向轴线至少沿径向方向移动，由此密封构件在操纵的仪器时保持相对于仪器的实质密封关系。 壳体可以是柔性的并且能够相对于纵向轴线偏转。 壳体可以全部或部分地包括弹性体材料。 密封构件可以与壳体一体形成。 壳体可以包括至少一个柔性环部分和可能的多个环部分。

公开(公告)号：US08038045B2

公开(公告)日：2011-10-18

申请号：US11807144

申请日：2007-05-25

申请人： Michael Bettuchi ,  Brian Nentwick

发明人： Michael Bettuchi ,  Brian Nentwick

IPC分类号： A61B17/064

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271

摘要： A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

摘要翻译： 提供了一种外科缝合器具，其具有用于将支撑材料固定到砧座和与手术器械相关联的钉仓容纳盒的系统。 该系统包括保持器，该保持器被构造成接合砧座或订书钉容纳盒并且在保持器和砧座或订书钉容纳盒之间捕获支撑材料。 公开的保持器以卡扣配合或摩擦配合的方式接合砧座或订书钉容纳盒。 支撑材料包括周向穿孔线，使得支撑材料的中心能够被装订到组织，而支撑材料的其余部分保持在砧座或钉仓容纳盒中。

公开(公告)号：US08025641B2

公开(公告)日：2011-09-27

申请号：US12957573

申请日：2010-12-01

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B2017/00398 ,  A61B2017/3464 ,  A61B2090/0805

摘要： A surgical access apparatus includes an access member having a longitudinal passageway providing access to a tissue site. An elongated seal member mounted to the access member has an orifice with a variable inner dimension. The elongated seal member establishes a sealing relation about an instrument and is associated with a powered adjustment mechanism for adjusting the variable inner dimension of the orifice. The powered adjustment mechanism includes trailing and leading hubs longitudinally spaced and adapted for relative rotation about an axis defined by the access member. A plurality of spokes extends between the hubs and defines first and second minimum internal dimensions when in first and second conditions respectively upon relative rotation of the hubs. The spokes are arranged about the elongated seal member to adjust the variable inner dimension of the orifice upon relative rotation of the hubs. A powered motion generator effects relative rotation between the hubs.

摘要翻译： 外科进入装置包括具有提供对组织部位的通路的纵向通道的进入构件。 安装到进入构件的细长密封构件具有具有可变内部尺寸的孔口。 细长密封构件建立关于仪器的密封关系，并且与用于调节孔的可变内部尺寸的动力调节机构相关联。 动力调节机构包括纵向间隔开的并且适于围绕由接入构件限定的轴线的相对旋转的后缘和前导轮毂。 多个轮辐在轮毂之间延伸并且当在轮毂的相对旋转时分别在第一和第二条件下限定第一和第二最小内部尺寸。 轮辐围绕细长密封构件设置，以在毂的相对旋转时调节孔口的可变内部尺寸。 动力运动发生器影响轮毂之间的相对旋转。

公开(公告)号：US08016177B2

公开(公告)日：2011-09-13

申请号：US12984891

申请日：2011-01-05

申请人： Michael Bettuchi ,  Brian Nentwick

发明人： Michael Bettuchi ,  Brian Nentwick

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271

摘要： A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

公开(公告)号：US08002811B2

公开(公告)日：2011-08-23

申请号：US11113879

申请日：2005-04-25

申请人： Ralph Robert Corradi ,  David N. Fowler ,  Christopher J. Criscuolo ,  Earl Zergiebel ,  Michael Bettuchi ,  Frank J. Viola

发明人： Ralph Robert Corradi ,  David N. Fowler ,  Christopher J. Criscuolo ,  Earl Zergiebel ,  Michael Bettuchi ,  Frank J. Viola

IPC分类号： A61B17/56

CPC分类号： A61B17/064 ,  A61B17/0401 ,  A61B17/068 ,  A61B17/08 ,  A61B17/861 ,  A61B17/862 ,  A61B17/8625 ,  A61B17/8635 ,  A61B17/864 ,  A61B17/866 ,  A61B17/869 ,  A61B17/8883 ,  A61B17/8891 ,  A61B2017/00004 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/0648 ,  A61F2/0063 ,  A61F2220/0016 ,  A61L31/06 ,  A61L31/148 ,  B25B13/481 ,  B25B17/00 ,  B25B23/065 ,  B25B23/101 ,  C08L67/04 ,  Y10S606/916

摘要： A resorbable screw fastener and a method of firing with an applicator capable of applying a surgical fastener to tissue in order to form tissue connection to secure objects to tissue, the fastener including a body portion having a helical thread, a head portion disposed at the proximal end of the body portion. The resorbable screw fastener is 100% resorbed in vivo during a period of time ranging from about 14 days to about one year after implantation.

摘要翻译： 一种可再吸收的螺丝紧固件和一种用能够将外科紧固件施加到组织上以便形成组织连接以将物体固定在组织上的涂抹器的方法，所述紧固件包括具有螺旋形螺纹的主体部分， 身体部分的末端。 可再吸收的螺钉紧固件在植入后约14天至约一年的时间段内在体内100％吸收。

公开(公告)号：US20100249710A1

公开(公告)日：2010-09-30

申请号：US12715682

申请日：2010-03-02

申请人： Kenneth Blier ,  Michael Bettuchi

发明人： Kenneth Blier ,  Michael Bettuchi

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B17/3439

摘要： An apparatus for sealing a passageway through an access assembly includes a variable seal member having an orifice for reception of an instrument therethrough. Each of a pair of compression members has a pressure face for contacting the variable seal member, each pressure face opposing the variable seal member from an opposite longitudinal side, and each compression member moveable with respect to the other compression member in a longitudinal direction transverse to the pressure faces. The compression members may be moved in the longitudinal direction to adjust the degree of compressive force exerted on the portal seal member and thus adjust a diameter of the orifice to effectively interface with the instrument to form a fluid tight relation therewith.

摘要翻译： 用于通过进入组件密封通道的装置包括可变密封构件，其具有用于接收仪器的孔口。 一对压缩构件中的每一个具有用于与可变密封构件接触的压力面，与可变密封构件相对的纵向侧相对的每个压力面，并且每个压缩构件在横向于纵向方向的纵向方向上相对于另一个压缩构件移动 压力面。 压缩构件可以在纵向方向上移动以调节施加在门静密封构件上的压缩力的程度，从而调整孔口的直径以有效地与仪器接触以形成与其的流体密封关系。

公开(公告)号：US20100210912A1

公开(公告)日：2010-08-19

申请号：US12636820

申请日：2009-12-14

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B1/32 ,  A61B17/04

CPC分类号： A61B17/06061 ,  A61B17/3421 ,  A61B17/3462 ,  A61B17/3498

摘要： An access port provides passage into a subject's body. This access port generally includes a housing and a suture management system. The housing defines a longitudinal axis and has a longitudinal passage. The longitudinal passage is adapted to allow passage of a plurality of sutures through the housing. The suture management system, which is operatively coupled to the housing, includes a flapper having a plurality of spaced apart recesses. Each recess includes an insert disposed in mechanical cooperation therewith, and each insert has a slit configured to receive and hold at least one suture of the plurality of sutures.

摘要翻译： 访问端口提供对主体身体的通行。 该接入口通常包括壳体和缝合线管理系统。 壳体限定纵向轴线并具有纵向通道。 纵向通道适于允许多个缝合线通过壳体。 可缝合到壳体的缝合线管理系统包括具有多个间隔开的凹槽的挡板。 每个凹部包括与其机械配合地设置的插入件，并且每个插入件具有狭缝，该狭缝构造成容纳和保持多个缝线的至少一个缝合线。

公开(公告)号：US20080125811A1

公开(公告)日：2008-05-29

申请号：US12001625

申请日：2007-12-11

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B17/11

CPC分类号： A61B17/00491 ,  A61B17/064 ,  A61B17/08 ,  A61B17/11 ,  A61B2017/1125

摘要： An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.

摘要翻译： 提供了一种用于向外科手术部位的靶组织施加密封剂的装置。 该装置包括手柄，导管和端部执行器。 手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。 导管存储和/或携带密封剂朝向末端执行器。 端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。

公开(公告)号：US20060195044A1

公开(公告)日：2006-08-31

申请号：US11392088

申请日：2006-03-29

申请人： David Cooke ,  Michael Bettuchi ,  Leland Adams ,  Frederick Karl

发明人： David Cooke ,  Michael Bettuchi ,  Leland Adams ,  Frederick Karl

IPC分类号： A61B10/00

CPC分类号： A61B10/0275 ,  A61B2010/0208 ,  A61B2090/0811

摘要： A method includes actuating a lever to move a cannula of a medical instrument from a first extended position to second retracted position; and actuating the lever to move a stylet of the medical instrument from a third extended position to a fourth retracted position. Actuating the lever comprises moving the lever from a first lever position spaced apart from a housing of the medical instrument to a second lever position closer to the housing

摘要翻译： 一种方法包括致动杠杆以将医疗器械的套管从第一延伸位置移动到第二缩回位置; 并且致动所述杆将所述医疗器械的探针从第三延伸位置移动到第四缩回位置。 致动杆包括将杠杆从与医疗器械的壳体间隔开的第一杆位置移动到靠近壳体的第二杆位置

公开(公告)号：US20060085033A1

公开(公告)日：2006-04-20

申请号：US11241265

申请日：2005-09-30

申请人： Christopher Criscuolo ,  Michael Bettuchi

发明人： Christopher Criscuolo ,  Michael Bettuchi

IPC分类号： A61B17/04

CPC分类号： A61B17/1152 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00495 ,  A61B2017/07214

摘要： According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent sections of tissue is provided. The apparatus includes a body portion; an actuation assembly operatively supported at a proximal end of the body portion; an anvil assembly movably mounted at the distal end of the body portion for movement toward and away from the body portion; an approximation assembly extending between the body portion and the anvil assembly for moving the anvil toward and away from the tubular body portion; a dispersion assembly operatively associated with the approximation assembly, the dispersion assembly including at least one angled surface defining at least one channel interposed between the anvil assembly and the body portion and being configured to dispense a fluid therefrom; and at least one conduit for conducting wound treatment material to the dispersion assembly.