公开(公告)号：US20110282360A1

公开(公告)日：2011-11-17

申请号：US13191560

申请日：2011-07-27

申请人： H. Jonathan Tovey ,  Keith Ratcliff ,  Kenneth E. Toso ,  Peter W.J. Hinchliffe

发明人： H. Jonathan Tovey ,  Keith Ratcliff ,  Kenneth E. Toso ,  Peter W.J. Hinchliffe

IPC分类号： A61B19/00

CPC分类号： A61B19/2203 ,  A61B10/0233 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/1285 ,  A61B17/32053 ,  A61B17/3211 ,  A61B18/20 ,  A61B34/30 ,  A61B34/70 ,  A61B34/76 ,  A61B2017/0023 ,  A61B2017/00247 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/06047 ,  A61B2017/0609 ,  A61B2018/00392 ,  A61B2034/305

摘要： Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electromechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electromechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.

摘要翻译： 呈现配置用于安装到机器人手臂以执行至少一个手术任务的一次性装载单元（DLU）。 每个DLU包括具有至少一个连接器的附接平台，所述至少一个连接器用于接合机器人臂的远端上的至少一个连接器，用于将DLU连接到机器人手臂，头部部分在一端连接到附接平台并构造成用于容纳 机电致动组件，以及从头部部分延伸并与机电致动组件可操作地相关联的至少一个手术工具构件，用于控制至少一个手术工具构件的操作和移动。 所述至少一个手术工具构件可包括切割组件，主动脉孔冲孔组件，激光组件，取芯组件或血管缝合组件。

公开(公告)号：US20110130778A1

公开(公告)日：2011-06-02

申请号：US13023926

申请日：2011-02-09

申请人： Peter W.J. Hinchliffe

发明人： Peter W.J. Hinchliffe

IPC分类号： A61B17/22

CPC分类号： B82Y10/00 ,  A61B17/22032 ,  A61M25/1011

摘要： A catheter has a lumen for a thrombectomy device and at least two balloons of different compliancies. In one embodiment, the catheter is adapted to clear dialysis grafts. One balloon is adapted to expand a stenosis at a venous junction of a dialysis graft and another balloon is adapted to pull a stenosis at an arterial junction of a dialysis graft. A single catheter may be used to perform a dialysis thrombectomy procedure.

摘要翻译： 导管具有用于血栓切除装置的内腔和至少两个不同顺应性的气囊。 在一个实施例中，导管适于清除透析移植物。 一个气球适于在透析移植物的静脉连接处扩张狭窄，另一个球囊适于在透析移植物的动脉连接处拉动狭窄。 可以使用单个导管进行透析血栓切除术。

公开(公告)号：US20110029067A1

公开(公告)日：2011-02-03

申请号：US12880499

申请日：2010-09-13

申请人： James F. McGuckin, JR. ,  Peter W.J. Hinchliffe

发明人： James F. McGuckin, JR. ,  Peter W.J. Hinchliffe

IPC分类号： A61F2/06

CPC分类号： A61F2/82 ,  A61B17/0644 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12109 ,  A61B17/12172 ,  A61B2017/00867 ,  A61B2017/0641 ,  A61F2/2412 ,  A61F2/2433 ,  A61F2/2442 ,  A61F2/2445 ,  A61F2/2475 ,  A61F2002/8483 ,  A61F2210/0019 ,  A61F2220/0016

摘要： A vascular device comprising a plurality of vessel engaging members and a valve. The device is movable from a collapsed insertion position having a first diameter to a second expanded position having a second diameter larger than the first diameter. The plurality of vessel engaging members extend outwardly from the device for securely engaging the internal wall of a vessel upon expansion of the device to the second expanded position, wherein the vessel engaging members pull the internal wall of the vessel radially inwardly upon movement of the device from the second expanded position toward a first expanded position having a third diameter greater than the first diameter and less than the second diameter. In the first expanded position the valve is movable between an open position to allow blood flow therethrough to a closed position to prevent blood flow.

摘要翻译： 一种包括多个容器接合构件和阀的血管装置。 该装置可从具有第一直径的塌缩插入位置移动到具有大于第一直径的第二直径的第二扩展位置。 多个容器接合构件从装置向外延伸，用于在将装置膨胀到第二扩张位置时牢固地接合容器的内壁，其中容器接合构件在装置移动时径向向内拉动容器的内壁 从第二扩展位置朝向第三直径大于第一直径且小于第二直径的第一扩展位置。 在第一扩张位置，阀可以在打开位置之间移动，以允许血液流过其到关闭位置以防止血液流动。

公开(公告)号：US20110004300A1

公开(公告)日：2011-01-06

申请号：US12880456

申请日：2010-09-13

申请人： James F. McGuckin, JR. ,  Peter W.J. Hinchliffe

发明人： James F. McGuckin, JR. ,  Peter W.J. Hinchliffe

IPC分类号： A61F2/24

CPC分类号： A61F2/2412 ,  A61B2017/00243 ,  A61F2/2421 ,  A61F2/2436 ,  A61F2230/0091 ,  Y10S623/904

摘要： The present invention provides a valve configured for insertion on the proximal and distal sides of a heart valve annulus to replace the heart valve of a patient. The valve comprises a first substantially annular portion adapted to be positioned on a proximal side of the annulus of a patient and a second substantially annular portion adapted to be positioned on a distal side of the annulus of a patient, wherein at least one of the first and second substantially annular portions is movable towards the other portion to a clamped position to clamp around the annulus. The second portion has a flow restricting portion extending therefrom and is movable between a first position to permit the flow of blood and a second position to restrict the flow of blood. In one embodiment, the valve has a suture joining the first and second portions to draw the first and second portions into closer proximity and a cinch member to secure the suture to maintain the first and second portions in the clamped position. In another embodiment, the first and second portions are connected by a first segment which biases the first and second portions toward the clamped position.

摘要翻译： 本发明提供一种构造成用于插入心脏瓣膜环的近侧和远侧以更换患者的心脏瓣膜的阀。 阀包括适于定位在患者的环空的近侧上的第一基本上环形的部分和适于定位在患者的环的远端侧的第二基本上环形的部分，其中，第一 并且第二基本环形部分可朝向另一部分移动到夹紧位置以夹紧环形。 第二部分具有从其延伸的流动限制部分，并且可在第一位置之间移动以允许血液流动，以及第二位置以限制血液流动。 在一个实施例中，阀具有连接第一和第二部分以将第一和第二部分拉近更靠近的缝合线，以及紧固构件以固定缝线以将第一和第二部分保持在夹紧位置。 在另一个实施例中，第一和第二部分通过将第一和第二部分朝向夹紧位置偏压的第一部分连接。

公开(公告)号：US06190414B1

公开(公告)日：2001-02-20

申请号：US08741796

申请日：1996-10-31

申请人： Wayne P. Young ,  Peter W.J. Hinchliffe

发明人： Wayne P. Young ,  Peter W.J. Hinchliffe

IPC分类号： A61F244

CPC分类号： A61F2/4611 ,  A61F2/442 ,  A61F2/4465 ,  A61F2/447 ,  A61F2002/2835 ,  A61F2002/30176 ,  A61F2002/30471 ,  A61F2002/30538 ,  A61F2002/3055 ,  A61F2002/30556 ,  A61F2002/30565 ,  A61F2002/30601 ,  A61F2002/30785 ,  A61F2002/30787 ,  A61F2002/30841 ,  A61F2002/448 ,  A61F2002/4485 ,  A61F2002/4623 ,  A61F2002/4627 ,  A61F2220/0091 ,  A61F2230/0054 ,  A61F2250/0006 ,  A61F2250/0009

摘要： A prosthetic implant for facilitating fusion of adjacent vertebrae includes an implant member dimensioned to be at least partially positioned within an intervertebral space defined between adjacent vertebrae. The implant member includes first and second vertebral engaging plates operatively connected to each other for respectively engaging vertebral end plates of the adjacent vertebrae and having discontinuous surfaces to engage the vertebral end plates and promote bone ingrowth. A displacement member is associated with the engaging plates and is deployable to cause relative movement of the engaging plates to thereby at least laterally displace the engaging plates whereby in a deployed position the engaging plates are in supportive engaged relation with the adjacent vertebrae. The first and second engaging plates are preferably pivotally connected to each other at respective end portions thereof to define a reduced entry profile to facilitate insertion within the intervertebral space. The implant member may also define an interior cavity for accommodating bone growth inducing substances. The first and second engaging plates preferably include apertures extending therethrough to permit communication with the bone growth inducing substances within the interior cavity. The first and second engaging plates may also include projections for engaging the vertebral end plates to assist retention of the implant within the intervertebral space. An apparatus and method for facilitating fusion of adjacent vertebrae are also disclosed.

摘要翻译： 用于促进相邻椎骨的融合的假体植入物包括植入物构件，其尺寸设计成至少部分地定位在相邻椎骨之间限定的椎间隙内。 植入物构件包括彼此操作地连接的第一和第二椎骨接合板，用于分别接合相邻椎骨的椎体端板并且具有不连续表面以接合椎骨端板并促进骨向内生长。 位移构件与接合板相关联并且可展开以引起接合板的相对运动，从而至少横向移位接合板，由此在展开位置，接合板与相邻的椎骨处于支撑接合关系。 第一和第二接合板优选地在其相应端部处彼此枢转地连接以限定减小的入口轮廓，以便于插入在椎间空间内。 植入物构件还可以限定用于容纳骨生长诱导物质的内腔。 第一和第二接合板优选地包括延伸穿过其中的孔，以允许与内部空腔内的骨生长诱导物质的连通。 第一和第二接合板还可以包括用于接合椎骨端板以有助于将植入物保持在椎间空间内的突起。 还公开了一种便于相邻椎骨融合的装置和方法。

公开(公告)号：US5707380A

公开(公告)日：1998-01-13

申请号：US685385

申请日：1996-07-23

申请人： Peter W.J. Hinchliffe ,  Keith Ratcliff ,  Scott E. Manzo ,  David T. Green

发明人： Peter W.J. Hinchliffe ,  Keith Ratcliff ,  Scott E. Manzo ,  David T. Green

IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/115 ,  A61B17/128 ,  A61B17/04

CPC分类号： A61B17/11 ,  A61B17/1152 ,  A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B2017/1107 ,  A61B2017/1135

摘要： A surgical instrument for anastomosis of first and second blood vessels is provided having a handle and a body portion extending distally from the handle. A fastener support is mounted adjacent a distal end portion of the body portion. A plurality of surgical fasteners are releasably supported by the fastener support at the distal end thereof. The surgical fasteners each have a leg with an atraumatic tip. A fastener camming member is mounted adjacent the fastener support. The fastener camming member and fastener support are relatively slidable in response to actuation of the handle to simultaneously deform the surgical fasteners to secure the first and second vessels without piercing the vessels.

摘要翻译： 提供了一种用于吻合第一和第二血管的手术器具，其具有手柄和从手柄向远侧延伸的主体部分。 紧固件支撑件邻近主体部分的远端部分安装。 多个外科紧固件在其远端处由紧固件支撑件可释放地支撑。 外科紧固件每个都具有无创尖端的腿部。 紧固件凸轮构件安装在紧固件支撑件附近。 紧固件凸轮构件和紧固件支撑件响应于手柄的致动而相对滑动，以同时使手术紧固件变形以固定第一和第二血管而不刺穿血管。