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公开(公告)号：US20110029010A1
公开(公告)日：2011-02-03
申请号：US12511053
申请日：2009-07-28
申请人： Salvatore Castro , Robert E. Welt
发明人： Salvatore Castro , Robert E. Welt
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/2909 , A61B2017/0034 , A61B2017/2905 , A61B2017/2911 , A61B2017/292 , A61B2017/2925 , A61B2017/2939 , A61B2017/2945 , A61B2018/1432
摘要： A medical dissector having an elongate flexible shaft and dissecting jaws. The jaws moveable from opened to closed and from closed to open using pull actuation of an elongate actuation members such as a pull cables. A first pull cable controls opening of the jaws, while a second pull cable controls closing of the jaws. The shaft and jaws of the instrument are axially rotatable relative to the handle to rotate the jaws about the longitudinal axis of the shaft.
摘要翻译： 一种具有细长柔性轴和解剖钳口的医用解剖器。 夹爪可以从打开状态移动到关闭状态，并且可通过诸如拉线的细长致动构件的拉动来从关闭运动到打开。 第一拉索控制夹爪的开口，而第二拉索控制夹爪的关闭。 仪器的轴和钳口相对于手柄可轴向旋转，以使夹爪围绕轴的纵向轴线旋转。
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公开(公告)号：US20100174363A1
公开(公告)日：2010-07-08
申请号：US12649692
申请日：2009-12-30
申请人： Salvatore Castro
发明人： Salvatore Castro
CPC分类号： A61F2/2418 , A61F2/2436 , A61F2220/005 , A61F2220/0058 , Y10T29/49995
摘要： Valve prostheses are disclosed that are adapted for secure and aligned placement relative to a heart annulus. The valve prostheses may be placed in a non-invasive manner, e.g., via trans-catheter techniques. The valve prosthesis may include a support ring, a plurality of leaflet membranes mounted with respect to the support ring, and a plurality of retention clip elements. The support structure is advantageously formed from a tubular member or flat stock of shape memory metal. A delivery system for delivery of a valve prosthesis embodying the disclosed support structure is also disclosed.
摘要翻译： 公开了适于相对于心脏环的安全和对准放置的阀门假体。 瓣膜假体可以以非侵入性方式放置，例如通过反式导管技术。 瓣膜假体可以包括支撑环，相对于支撑环安装的多个小叶膜和多个保持夹子元件。 支撑结构有利地由形状记忆金属的管状构件或扁平坯料形成。 还公开了一种用于递送体现本发明的支撑结构的瓣膜假体的输送系统。
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公开(公告)号：US07105025B2
公开(公告)日：2006-09-12
申请号：US11146787
申请日：2005-06-07
CPC分类号： A61F2/446 , A61B17/1757 , A61B2017/0256 , A61F2/442 , A61F2/4611 , A61F2002/2835 , A61F2002/30131 , A61F2002/302 , A61F2002/30235 , A61F2002/30611 , A61F2002/30616 , A61F2002/30747 , A61F2002/30785 , A61F2002/30787 , A61F2002/3082 , A61F2002/3085 , A61F2002/30858 , A61F2002/4475 , A61F2002/448 , A61F2002/4681 , A61F2230/0013 , A61F2230/0065 , A61F2230/0069 , A61F2250/0063 , A61F2310/00017 , A61F2310/00023 , A61F2310/00179
摘要： A bone fusion implant system including a first implant body having substantially flat top and bottom surfaces for engaging opposing vertebrae and a side wall extending between the top and bottom surfaces, the side wall including a concave recess and a second implant body having substantially flat top and bottom surfaces for engaging the opposing vertebrae and a side wall extending between the top and bottom surfaces thereof, the side wall of the second implant including an arcuate portion adapted to be received within the concave recess for enabling the first and second implant bodies to be positioned in nested side-by-side relation between the opposing vertebrae.
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公开(公告)号：US06981966B2
公开(公告)日：2006-01-03
申请号：US10444378
申请日：2003-05-23
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5/178
CPC分类号： A61M25/04 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.
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公开(公告)号：US6004326A
公开(公告)日：1999-12-21
申请号：US926806
申请日：1997-09-10
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02 , A61B17/16 , A61B17/17 , A61B17/56 , A61B17/92 , A61F2/30 , A61F2/44 , A61F2/46
CPC分类号： A61F2/4611 , A61B17/025 , A61B17/1604 , A61B17/1671 , A61B17/1757 , A61B17/3498 , A61B2017/00261 , A61B2017/0256 , A61B2017/3464 , A61B2017/922 , A61F2/446 , A61F2002/30787 , A61F2002/4475 , A61F2002/448 , A61F2002/4627
摘要： A laparoscopic surgical retractor for use during a laparoscopic spinal procedure, includes an elongated sleeve member having proximal and distal end portions and defining a longitudinal opening therethrough and a valve assembly mounted to the proximal end portion of the elongated sleeve member for sealing a surgical instrument introduced within the longitudinal opening of the sleeve member. The distal end portion is configured for insertion at least partially into an intervertebral space between adjacent opposed vertebrae to distract the adjacent vertebrae. A method for inserting a fusion implant with the use of the retractor is also disclosed.
摘要翻译： 一种在腹腔镜脊柱手术期间使用的腹腔镜手术牵开器，包括具有近端部分和远端部分并且限定穿过其的纵向开口的细长套管部件，以及安装到细长套管部件的近端部分的阀组件，用于密封引入的手术器械 在套筒构件的纵向开口内。 远端部分构造成至少部分地插入到相邻的相对的椎骨之间的椎间隙中，以分散相邻的椎骨。 还公开了使用牵开器插入融合植入物的方法。
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公开(公告)号：US5755732A
公开(公告)日：1998-05-26
申请号：US799753
申请日：1997-02-11
CPC分类号： A61B17/0218 , A61B17/025 , A61B17/320016 , A61B17/3496 , A61B2017/00261 , A61B2017/0256 , A61B2017/2902 , A61B2017/2931 , A61B2017/2932 , A61B2017/2933 , A61B2017/2937 , A61B2017/2943 , A61B2017/2946
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing and removing at least a portion of an intervertebral disc. Instrumentation includes tissue spreaders and cutting instruments. In particular, the tissue spreading instruments include instruments for spreading pre-sacral tissue such as fascia and for spreading adjacent vertebrae to facilitate access to the intervertebral disc. Endoscopic cutting instruments deliver a cutting blade in a sheathed position to the site of the disc nucleus followed by deployment to remove portions of the disc nucleus.
摘要翻译： 本发明提供了对于访问和去除椎间盘的至少一部分特别有用的内窥镜仪器和外科技术。 仪器包括组织撒布机和切割工具。 特别地，组织扩张仪器包括用于传播诸如筋膜的前骶骨组织和用于扩展相邻椎骨以便于进入椎间盘的器械。 内窥镜切割仪器将护套位置的切割刀片提供到椎间盘细胞核的位置，然后部署以去除椎间盘核的部分。
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公开(公告)号：US5620458A
公开(公告)日：1997-04-15
申请号：US213963
申请日：1994-03-16
CPC分类号： A61B17/0218 , A61B17/025 , A61B17/320016 , A61B17/3496 , A61B2017/00261 , A61B2017/0256 , A61B2017/2902 , A61B2017/2931 , A61B2017/2932 , A61B2017/2933 , A61B2017/2937 , A61B2017/2943 , A61B2017/2946
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing and removing at least a portion of an intervertebral disc. Instrumentation includes tissue spreaders and cutting instruments. In particular, the tissue spreading instruments include instruments for spreading pre-sacral tissue such as fascia and for spreading adjacent vertebrae to facilitate access to the intervertebral disc. Endoscopic cutting instruments deliver a cutting blade in a sheathed position to the site of the disc nucleus followed by deployment to remove portions of the disc nucleus.
摘要翻译： 本发明提供了对于访问和去除椎间盘的至少一部分特别有用的内窥镜仪器和外科技术。 仪器包括组织撒布机和切割工具。 特别地，组织扩张仪器包括用于传播诸如筋膜的前骶骨组织和用于扩展相邻椎骨以便于进入椎间盘的器械。 内窥镜切割仪器将护套位置的切割刀片提供到椎间盘细胞核的位置，然后部署以去除椎间盘核的部分。
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公开(公告)号：US5562689A
公开(公告)日：1996-10-08
申请号：US385524
申请日：1995-02-08
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.
摘要翻译： 提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。 该装置包括锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间的紧固构件，用于调节缝合线的操作长度，用于在内窥镜或腹腔镜手术期间施加锚定装置的关节运动装置，以及用于 在缝合物被放置后相对于收紧构件绘制缝合线。
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公开(公告)号：US5382254A
公开(公告)日：1995-01-17
申请号：US969754
申请日：1992-10-30
IPC分类号： A61B17/128 , A61B19/00 , A61B17/04
CPC分类号： A61B17/1285 , A61B90/03
摘要： An apparatus is disclosed for individually applying surgical clips endoscopically to body tissue which includes a frame, an elongated endoscopic section having clip closing jaws positioned at a distal end thereof and surgical clips slidably positioned therein, rotatably connected to a distal end of the frame such that the endoscopic section extends distally therefrom. The apparatus includes a system for individually advancing the surgical clips into the clip closing jaws and a system for closing the clip closing jaws. An interference mechanism is associated with the a release mechanism, and is configured, dimensioned and adapted to prevent actuation of the jaw closing system until a surgical clip is positioned between the clip closing jaws.
摘要翻译： 公开了一种用于将外科手术夹子内窥镜地应用于包括框架的身体组织的装置，具有位于其远端处的夹子闭合钳口的细长内窥镜部分和可滑动地定位在其中的手术夹，其可旋转地连接到框架的远端，使得 内窥镜部分从其远端延伸。 该装置包括用于将手术夹子单独地推入夹子闭合钳口的系统和用于闭合夹子闭合钳口的系统。 干涉机构与释放机构相关联，并且被配置为尺寸并适于防止钳口关闭系统的致动，直到手术夹子位于夹子闭合钳口之间。
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公开(公告)号：US09271737B2
公开(公告)日：2016-03-01
申请号：US13618215
申请日：2012-09-14
申请人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
发明人： Salvatore Castro , Curtis Thornton , Lynn Willett , Michael Ramsey , Philip Schmidt , Dan Monahan , Adam Lehman , Paul Whiting , Leland Ray Adams , Alan Bachman , Steven Morris , Bradley J. Labarbera
IPC分类号： A61B17/10 , A61B17/128 , A61B17/122 , A61B17/29 , A61B17/064 , A61B17/28
CPC分类号： A61B17/1285 , A61B17/0643 , A61B17/122 , A61B17/128 , A61B2017/2845 , A61B2017/2912 , A61B2017/2929 , A61B2017/2936 , A61B2017/2937
摘要： An applier for ligation clip is provided. The applier includes: an outer tube having mounting bosses; a pair of jaws pivotally connected to the mounting bosses, the jaws having actuating projections; a feed tube located in the outer tube and configured to move axially within the outer tube, the feed tube having actuating slots in which the actuating projections are located; a clip lock arm located in the outer tube and configured to move axially within the outer tube; and a clip advance arm located in the outer tube and configured to move axially within the outer tube, the clip advance arm having flexible pinchers at one end of the clip advance arm. A method of applying a ligation clip is also disclosed.
摘要翻译： 提供了一种用于结扎夹的敷贴器。 施加器包括：具有安装凸台的外管; 一对夹爪枢转地连接到安装凸台，所述夹具具有致动突起; 位于所述外管中并且构造成在所述外管内轴向移动的进料管，所述进料管具有致动槽，所述致动槽中致动突起位于所述致动槽中; 夹锁定臂，位于所述外管中并且构造成在所述外管内轴向移动; 以及夹子前进臂，其位于外管中并且构造成在外管内轴向移动，夹子前进臂在夹子前进臂的一端具有柔性捏合器。 还公开了应用结扎夹的方法。
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