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公开(公告)号：US06579299B2
公开(公告)日：2003-06-17
申请号：US09782975
申请日：2001-02-14
IPC分类号： A61B1722
CPC分类号： A61B17/320758 , A61B2017/320008
摘要： A surgical apparatus for removing deposits from an interior of a vessel comprising a rotatable shaft and a rotatable tip mounted to the rotatable shaft which is rotatable about its longitudinal axis upon rotation of the shaft to remove deposits from the interior of the vessel. The tip has a distal portion, a proximal portion and an intermediate portion between the distal and proximal portions. The intermediate portion is defined by a plurality of transverse cross-sectional areas, wherein each transverse cross-sectional area defines first and second axes substantially perpendicular to each other to define a width dimension along a first axis and a height dimension along the second axis. The height dimension is greater than the width dimension.
摘要翻译： 一种用于从容器内部去除沉积物的手术装置，包括可旋转轴和安装到可旋转轴的可旋转尖端，所述可转动的轴在轴的旋转时可围绕其纵向轴线旋转以从容器的内部移除沉积物。 尖端具有远侧部分，近端部分和远端部分和近端部分之间的中间部分。 中间部分由多个横截面区域限定，其中每个横截面区域限定彼此基本垂直的第一和第二轴线，以限定沿着第一轴线的宽度尺寸和沿第二轴线的高度尺寸。 高度尺寸大于宽度尺寸。
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公开(公告)号：US5603702A
公开(公告)日：1997-02-18
申请号：US287395
申请日：1994-08-08
申请人： Robert C. Smith , Peter W. J. Hinchliffe , James Correia , Martin J. Nohilly , Kurt Azarbarzin , Richard D. Gresham
发明人： Robert C. Smith , Peter W. J. Hinchliffe , James Correia , Martin J. Nohilly , Kurt Azarbarzin , Richard D. Gresham
CPC分类号： A61M39/0693 , A61B17/3462 , A61M39/06 , A61B2017/3464
摘要： Valve assembly for sealed reception of an elongated object includes a valve body having at least one opening configured and dimensioned to permit entry of an elongated object and defining a central longitudinal axis, an elongated seal member formed of a resilient material and defining an aperture in general alignment with the opening of the valve body whereby the aperture is configured and dimensioned such that insertion of the object into the aperture causes the resilient material defining the aperture to resiliently engage the outer surface of the object in a substantially fluid flight manner, and at least one elongated guard member disposed within the seal member in supporting contact with the inner surface thereof. The guard member is positioned to engage the elongated object upon at least partial insertion of the elongated object into the valve body. The guard member includes at least a first substantially rigid portion adapted to be displaced relative to the longitudinal axis to facilitate expansion of the aperture of the seal member upon entry of the object therein and a second portion having less rigidity than the first portion of the guard member to enhance passage of the elongated object through the valve body.
摘要翻译： 用于密封接收细长物体的阀组件包括阀体，阀体具有至少一个开口，其构造和尺寸被设计成允许细长物体进入并限定中心纵向轴线，由弹性材料形成的细长密封件并且通常限定孔 与阀体的开口对准，由此孔被构造和尺寸设计成使得物体插入孔中使得限定孔的弹性材料以基本上流体的飞行方式弹性地接合物体的外表面，并且至少 一个细长的防护构件设置在密封构件内，与其内表面支撑接触。 防护构件定位成在细长物体至少部分地插入阀体中时与细长物体接合。 防护构件包括至少第一基本上刚性的部分，其适于相对于纵向轴线移位，以便于在物体进入时密封构件的孔的膨胀，并且具有比护罩的第一部分更小刚度的第二部分 以增强细长物体通过阀体的通过。
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公开(公告)号：US09138313B2
公开(公告)日：2015-09-22
申请号：US13449618
申请日：2012-04-18
CPC分类号： A61F2/2412 , A61B2017/00243 , A61F2/2421 , A61F2/2436 , A61F2230/0091 , Y10S623/904
摘要： A method of minimally invasively replacing a cardiac valve of a patient including inserting a delivery catheter intraluminally, inserting a valve resecting instrument intraluminally through the delivery catheter to a position adjacent the cardiac valve of a patient, manipulating the valve resecting instrument to resect the cardiac valve, removing the resected valve through the delivery catheter, and providing a delivery instrument having a replacement valve contained therein. The delivery instrument is advanced into the delivery catheter and intraluminally so that a distal end portion of the instrument is adjacent an annulus of a patient, and a first portion of the valve is exposed from the delivery instrument to position it on a first side of the annulus, and thereafter a second portion of the valve is exposed to position it on a second side of the annulus.
摘要翻译： 一种最小限度地侵入性地替换患者的心脏瓣膜的方法，包括内窥镜插入输送导管，通过输送导管将瓣膜切除仪器内窥镜插入到与患者的心脏瓣膜相邻的位置，操纵瓣膜切除器械切除心脏瓣膜 通过输送导管去除切除的瓣膜，并提供其中包含置换瓣膜的输送器械。 输送器械被推进到输送导管中并且在腔内进行，使得器械的远端部分邻近患者的环带，并且阀的第一部分从输送器械暴露以将其定位在患者的第一侧 环，然后将阀的第二部分暴露以将其定位在环的第二侧上。
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公开(公告)号：US09066744B2
公开(公告)日：2015-06-30
申请号：US13935836
申请日：2013-07-05
申请人： Menno Kalmann , Peter W. J. Hinchliffe , Adam I. Lehman , Daniel Helme , Norbert Thomas Jankowski , Joel N. Helfer
发明人： Menno Kalmann , Peter W. J. Hinchliffe , Adam I. Lehman , Daniel Helme , Norbert Thomas Jankowski , Joel N. Helfer
IPC分类号： A61B17/00 , A61B17/285 , A61B17/16 , A61B17/295 , A61B17/3201 , A61B17/29
CPC分类号： A61B17/295 , A61B17/00 , A61B17/1608 , A61B17/2816 , A61B17/282 , A61B17/285 , A61B17/3201 , A61B2017/00353 , A61B2017/00367 , A61B2017/2902 , A61B2017/2922 , A61B2017/2925 , A61B2017/2933 , A61B2017/2938 , A61B2017/2939 , A61B2017/2945 , A61B2017/2947
摘要： A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.
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公开(公告)号：US08821528B2
公开(公告)日：2014-09-02
申请号：US10899471
申请日：2004-07-26
CPC分类号： A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/0067 , A61F2230/0078 , A61F2230/008 , A61F2230/0091
摘要： The present provides a removable vessel filter comprising a first and second filtering portion and a first and second anchoring portion, wherein a transverse dimension of the first filtering portion in an expanded configuration is less than a transverse dimension of the first anchoring portion in an expanded configuration, and a transverse dimension of the second filtering portion is less than a transverse dimension of the second anchoring portion. The first and second filtering portions are positioned closer to each other than the first and second anchoring portions, and the anchoring portions being formed on first and second opposite portions of the vessel filter. The vessel filter is removable from a vessel wall by engagement of either the first filtering portion or the second filtering portion.
摘要翻译： 本发明提供了一种可移除的容器过滤器，其包括第一和第二过滤部分以及第一和第二锚固部分，其中处于膨胀构型的第一过滤部分的横向尺寸小于第一锚定部分在扩展构型中的横向尺寸 并且第二过滤部分的横向尺寸小于第二锚固部分的横向尺寸。 第一和第二过滤部分比第一和第二锚固部分更靠近彼此定位，并且锚固部分形成在容器过滤器的第一和第二相对部分上。 容器过滤器通过第一过滤部分或第二过滤部分的接合而从容器壁移除。
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公开(公告)号：US08512318B2
公开(公告)日：2013-08-20
申请号：US13191560
申请日：2011-07-27
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.
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公开(公告)号：US08435218B2
公开(公告)日：2013-05-07
申请号：US13023926
申请日：2011-02-09
IPC分类号： A61M5/00
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。
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公开(公告)号：US08424741B2
公开(公告)日：2013-04-23
申请号：US11471126
申请日：2006-06-20
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B1/2736 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/3205 , A61B2017/00278 , A61B2017/00827 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2923
摘要： A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.
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公开(公告)号：US07799014B2
公开(公告)日：2010-09-21
申请号：US10924076
申请日：2004-08-23
IPC分类号： A61M25/00
CPC分类号： A61M25/04 , A61M1/285 , A61M1/3661 , A61M25/0028 , A61M25/0029 , A61M25/0032 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/0071 , A61M25/0074 , A61M25/008 , A61M25/0102 , A61M25/0194 , A61M25/09041 , A61M2025/0031 , A61M2025/0036 , A61M2025/0081
摘要： A dialysis catheter comprising a catheter body having a proximal portion, a distal portion, a first longitudinally extending central lumen configured to deliver blood, and at least three longitudinally extending lumens positioned radially of the central lumen and configured to withdraw blood from a patient. At least one blood delivery opening is formed in the distal portion of the catheter body and in fluid communication with the first lumen and configured for passage of blood therethrough. At least three blood withdrawal openings are formed in the outer wall of the catheter body, wherein each of the openings is in fluid communication with one of the at least three lumens and is configured for passage of blood from a patient.
摘要翻译： 一种透析导管，其包括具有近端部分的远端部分，远端部分，构造成输送血液的第一纵向延伸的中心腔和至少三个纵向延伸的腔，所述导管主体位于所述中心腔的径向位置并且被配置为从患者抽出血液。 至少一个血液输送开口形成在导管主体的远端部分中并且与第一腔流体连通并且构造成使血液通过其中。 在导管主体的外壁中形成至少三个抽血开口，其中每个开口与至少三个流明中的一个流体连通，并且构造成用于从患者通过血液。
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公开(公告)号：US07011645B2
公开(公告)日：2006-03-14
申请号：US10279466
申请日：2002-10-24
CPC分类号： A61M1/285 , A61M1/3661 , A61M25/001 , A61M25/0028 , A61M25/0029 , A61M25/0032 , A61M25/0068 , A61M25/007 , A61M25/0071 , A61M25/008 , A61M25/0097 , A61M25/04 , A61M25/0668 , A61M25/09041 , A61M2025/0006 , A61M2025/0031 , A61M2025/0034 , A61M2025/0036 , A61M2025/0081 , A61M2025/0286 , A61M2025/09125
摘要： A catheter for delivering and withdrawing blood from a patient's body comprising a catheter body having a distal portion, a central return lumen extending from a proximal portion of the catheter body to the distal portion to allow blood passage therethrough, at least three longitudinally extending intake lumens independent of the return lumen and radially displaced with respect to the return lumen, and means for enabling simultaneous cut off of fluid flow to the at least three longitudinally extending lumens.
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