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公开(公告)号:US06989004B2
公开(公告)日:2006-01-24
申请号:US10145863
申请日:2002-05-14
IPC分类号: A61M5/178
CPC分类号: A61B18/00 , A61B2017/00867 , A61B2090/3937 , A61M25/0068 , A61M2025/0087 , A61M2025/0096
摘要: A surgical apparatus for delivering fluid to treat a lesion comprising an elongated member having a distal tip and a first and second set of openings formed in a sidewall proximal of the distal tip. The second set of openings is positioned proximally of the first set of openings. First and second set of fluid delivery members are movably positioned in the elongated for delivering fluid to the lesion. An actuator moves the fluid delivery members from a retracted position within the elongated members to a first deployed position extending radially with respect to the elongated member and moves the fluid delivery members from the first deployed position to a second deployed position extending further radially from the elongated member. The fluid delivery members are retained in the first and second deployed positions by a retention member.
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公开(公告)号:US06986752B2
公开(公告)日:2006-01-17
申请号:US10057022
申请日:2002-01-25
IPC分类号: A61M1/00
CPC分类号: A61M1/285 , A61M25/09041
摘要: A peritoneal dialysis catheter for insertion into the abdominal cavity of a patient for delivering and withdrawing fluid from a patient comprising a catheter body having a proximal portion, a distal tip portion and a first longitudinally extending lumen configured to deliver fluid into the abdominal cavity. First and second side openings are formed in an outer wall of the catheter body adjacent the distal tip portion and are in fluid communication with the first lumen and configured for passage of fluid therethrough. A stiffening insert is positioned in the distal tip portion and has a first stiffness greater than a second stiffness of the distal tip portion to facilitate entry into the abdominal cavity. The stiffening insert has a lumen therethrough communicating with the first lumen. A method for insertion of the dialysis catheter is also disclosed.
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公开(公告)号:US06949107B2
公开(公告)日:2005-09-27
申请号:US10609027
申请日:2003-06-27
IPC分类号: A61B17/00 , A61B17/064 , A61B17/10 , A61M5/178
CPC分类号: A61B17/0057 , A61B17/064 , A61B2017/00637 , A61B2017/00659 , A61B2017/00867
摘要: A method of locating a vessel lumen to enable placement of a vascular hole closure device comprising the steps of providing a syringe containing a fluid therein, connecting the syringe to an elongated instrument, exerting a force on the syringe plunger as it is inserted through the tissue towards the vessel wall, and detecting movement of the syringe to eject the fluid to determine entry of the elongated instrument into the vessel lumen.
摘要翻译: 一种定位血管腔以能够放置血管孔闭合装置的方法,包括以下步骤:在其中提供含有流体的注射器,将注射器连接到细长的器械,当注射器柱塞插入穿过组织时施加力 并且检测注射器的运动以喷射流体以确定细长器械进入血管内腔。
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公开(公告)号:US06890349B2
公开(公告)日:2005-05-10
申请号:US09973365
申请日:2001-10-09
CPC分类号: A61F2/07 , A61F2/856 , A61F2/88 , A61F2/89 , A61F2/90 , A61F2/91 , A61F2/954 , A61F2002/061 , A61F2002/065 , A61F2002/067 , A61F2002/072 , A61F2002/075 , A61F2002/821 , A61F2210/0076 , A61F2230/0008 , A61F2230/001 , A61F2230/0013 , A61F2230/0054
摘要: A system for treating stenosis in a target blood vessel, such as the common carotid artery, comprising a graft portion having a main portion and a branch portion extending therefrom. The branch portion extends from the intermediate portion of the main portion at an angle thereto and is in fluid communication with the main portion. A first stent is associated with the main portion and is expandable from a first configuration to a second configuration to retain the main portion in position within the target vessel. A second stent is associated with the branch portion and is expandable from a first configuration to a second configuration to retain the branch portion in position within a branching vessel. In one embodiment, the branch portion is integral with the main portion. In an alternate embodiment the branch portion is connected to the main portion.
摘要翻译: 一种用于治疗目标血管(例如颈总动脉)中的狭窄的系统,包括具有主要部分和从其延伸的分支部分的移植部分。 分支部分从主体部分的中间部分以一定角度延伸并且与主要部分流体连通。 第一支架与主要部分相关联并且可从第一构造扩展到第二构造,以将主要部分保持在目标容器内的适当位置。 第二支架与分支部分相关联并且可从第一构造扩展到第二构造,以将分支部分保持在分支容器内的适当位置。 在一个实施例中,分支部分与主要部分是一体的。 在替代实施例中,分支部分连接到主要部分。
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公开(公告)号:US06835199B2
公开(公告)日:2004-12-28
申请号:US10062760
申请日:2002-01-31
IPC分类号: A61B17068
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.
摘要翻译: 用于缝合组织的系统包括柔性内窥镜和操作头部,其包括一对相对的弯曲的组织夹紧爪,其尺寸设置成穿过食道,钳口可在打开的组织接收构型和封闭组织夹紧之间相对于彼此移动 所述弯曲夹爪中的第一个包括装订机构和包括钉子形成砧座表面的第二夹爪,所述缝合机构包括订书钉狭槽,所述订书钉槽从所述第一 与控制手柄组合的钳口与控制柄相结合,当操作头处于患者胃和食道之一内的操作位置时,控制手柄保持在患者外部,控制手柄包括第一致动器,用于相对于手柄移动钳口 彼此和用于操作装订机构的第二致动器。
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公开(公告)号:US06626903B2
公开(公告)日:2003-09-30
申请号:US09844729
申请日:2001-04-27
IPC分类号: A61B1818
CPC分类号: A61B10/02 , A61B10/0041 , A61B10/0266 , A61B17/0218 , A61B17/221 , A61B17/320016 , A61B17/32056 , A61B17/320725 , A61B18/14 , A61B18/1482 , A61B90/39 , A61B90/40 , A61B2017/00287 , A61B2017/00796 , A61B2017/008 , A61B2017/2212 , A61B2017/2215 , A61B2017/32004 , A61B2017/320072 , A61B2018/1407 , A61B2018/2238
摘要: A surgical biopsy apparatus for cutting tissue comprising a housing having a longitudinal axis, first and second members movable from a retracted position to an extended position with respect to the housing, a third member slidably positioned and extendable with respect to the first member, a fourth member slidably positioned and extendable with respect to the second member, and an electrocautery cutting wire slidable with respect to the third and fourth members to surround a region of tissue positioned between the third and fourth members to cut the tissue.
摘要翻译: 一种用于切割组织的外科活检装置,包括具有纵向轴线的壳体,第一和第二构件可相对于所述壳体从缩回位置移动到延伸位置;第三构件,其相对于所述第一构件可滑动地定位和延伸;第四构件, 可相对于第二构件可滑动地定位和延伸的构件,以及可相对于第三和第四构件滑动的电灼切割线,以围绕定位在第三和第四构件之间的组织区域以切割组织。
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公开(公告)号:US06231565B1
公开(公告)日:2001-05-15
申请号:US09099740
申请日:1998-06-18
IPC分类号: A61B1700
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 electro-mechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electro-mechanical 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,以及至少一个手术工具构件,其从头部部分延伸并且可操作地与电 - 机械致动组件相关联,用于控制至少一个外科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。
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公开(公告)号:US5527321A
公开(公告)日:1996-06-18
申请号:US91793
申请日:1993-07-14
CPC分类号: A61B17/0469 , A61B17/0057 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/3492
摘要: A surgical instrument for applying sutures including an elongated housing having a proximal end and a distal end, means associated with the distal end of the elongated housing for carrying at least one needle, the needle carrier means being movable between a retracted position and an extended position, at least one needle positioned on the needle carrier means, and means associated with the needle carrier means for moving the needle carrier means to the extended position to deploy the at least one needle such that upon movement of the needle carrier means by the moving means, the needle carrier moves from the retracted position to the extended position whereby the at least one needle is caused to travel through a tissue engaging path in one continuous motion. Another embodiment of the surgical instrument of the present invention for applying sutures includes an elongated housing having a proximal end and a distal end and means associated with the distal end of the elongated housing, for carrying and deploying at least two needles at a predetermined distance from each other, the carrying and deploying means being rotatable out of a first plane corresponding to a retracted position and into a second plane corresponding to an extended position while maintaining the at least two needles at the predetermined distance from each other. The instrument preferably further includes at least one needle retaining means associated with the elongated housing for receiving and retaining the at least two needles. The needle retaining means may include a pair of needle receiving pockets disposed within the elongated housing. The needle receiving pockets may be filled with a compliant material or a latch mechanism.
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公开(公告)号:US5478354A
公开(公告)日:1995-12-26
申请号:US91578
申请日:1993-07-14
IPC分类号: A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B19/00
CPC分类号: A61B17/0644 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/00234 , A61B17/068 , A61B2017/00004 , A61B2017/00668 , A61B2017/047 , A61B2017/0472 , A61B2017/0641 , A61B2090/037
摘要: An apparatus for closing trocar wounds and a method for using such apparatus. The apparatus includes a fastener having three or more legs attached to a base. The fastener is placed over a wound and its legs are embedded in tissue about the wound. In other embodiments a fastener is placed under the wound to engage fascia and skin tissue.
摘要翻译: 用于封闭套管针伤口的装置和使用这种装置的方法。 该装置包括具有连接到基座的三个或更多个腿的紧固件。 将紧固件放置在伤口上,其腿部围绕伤口嵌入组织中。 在其它实施例中,将紧固件放置在伤口下方以接合面板和皮肤组织。
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公开(公告)号:US09155618B2
公开(公告)日:2015-10-13
申请号:US13344928
申请日:2012-01-06
CPC分类号: A61F2/2475 , A61F2/2418 , A61F2/91 , A61F2220/005 , A61F2220/0058 , A61F2230/0054
摘要: An implantable device for regulating blood flow through a blood vessel comprising an elongated support dimensioned and configured to be implanted in a blood vessel. The support includes a linking member linking axially spaced apart portions to one another. A valve membrane extends between the axially spaced apart support portions and includes first region folded over the first linking member and attached thereto and a second region adjacent the first region and unattached to the first linking member. The second region is movable between a first position to enable blood flow and a second position to inhibit blood flow.
摘要翻译: 一种用于调节通过血管的血液流动的可植入装置,包括细长的支撑件,该细长支架的尺寸和构造被植入血管。 支撑件包括将轴向间隔开的部分彼此连接的连接构件。 阀膜在轴向间隔开的支撑部分之间延伸并且包括折叠在第一连接构件上并附接到其上的第一区域和与第一区域相邻并且不连接到第一连接构件的第二区域。 第二区域可在第一位置之间移动以实现血液流动,而第二位置可以阻止血液流动。
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