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公开(公告)号：US5554137A
公开(公告)日：1996-09-10
申请号：US134354
申请日：1993-10-08
申请人： Wayne P. Young , Salvatore Castro
发明人： Wayne P. Young , Salvatore Castro
CPC分类号： A61B17/3417 , A61B2017/00473
摘要： A piercing tip for penetrating body tissue is provided which includes a conical body and a triangular cutting blade positioned within a slot formed in the conical body. The piercing tip is particularly adapted for mounting at the distal end of an obturator and for use as part of a trocar assembly.
摘要翻译： 提供用于穿透身体组织的穿刺尖端，其包括锥形体和位于形成在锥形体中的狭槽内的三角形切割刀片。 穿刺尖端特别适于安装在闭孔器的远端并用作套管针组件的一部分。
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公开(公告)号：US5507754A
公开(公告)日：1996-04-16
申请号：US109779
申请日：1993-08-20
CPC分类号： A61F2/0036 , A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , 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
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 is provided. The invention includes an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the length of the suture, an apparatus for applying the anchoring device, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced. The method involves securing a first anchor to a first structure, such as the vaginal wall, securing a second anchor to a second structure, such as Cooper's ligament, and drawing the suture relative to the cinching member to approximate the first and second anchors, and thereby move the first structure and the second structure into juxtaposition so as to approximate them.
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。 本发明包括一种锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间用于调节缝合线的长度的紧固构件，用于施加锚定装置的装置以及用于相对于收紧构件拉伸缝合线的装置 在它被放置之后。 该方法包括将第一锚固件固定到第一结构，例如阴道壁，将第二锚固件固定到第二结构（例如库珀氏韧带），并且相对于收紧构件拉紧缝合线以近似第一和第二锚固件，以及 从而将第一结构和第二结构移动到并置以便近似它们。
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公开(公告)号：US5382255A
公开(公告)日：1995-01-17
申请号：US002208
申请日：1993-01-08
IPC分类号： A61B17/00 , A61B17/128 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/1285 , A61B2017/00464 , A61B2017/2927 , Y10S227/901 , Y10T403/58
摘要： The present invention relates to surgical instruments having a housing or elongated cartridge, a frame and an apparatus for releasably connecting the housing to the frame. Typically, the housing has active elements which perform a particular function during a surgical procedure, such as forceps, graspers, clip appliers or staplers. The frame includes an actuating system for actuating the active elements, such as a pivotal handle or a release lever.
摘要翻译： 本发明涉及具有外壳或细长盒的外科器械，框架和用于将外壳可释放地连接到框架的装置。 通常，外壳具有在外科手术过程中执行特定功能的活动元件，例如镊子，抓紧器，夹持器或订书机。 框架包括用于致动活动元件的致动系统，例如枢转手柄或释放杆。
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44.发明授权公开(公告)号：US09986987B2
公开(公告)日：2018-06-05
申请号：US15275896
申请日：2016-09-26
申请人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.
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45.发明申请公开(公告)号：US20170105712A1
公开(公告)日：2017-04-20
申请号：US15275896
申请日：2016-09-26
申请人： Manoj B. Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B. Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device provides a lateral extension element, such as a slotted t-bar or wings, which is inserted into a trocar and deployed to position receptor ports about 1 cm from the trocar. The trocar is removed, and stylet guides are deployed to create a path from the housing to the receptor ports, thereby creating a suture path with segments from the outside of the device to each port, and between ports. A stylet is inserted through the suture path, and used to pull a suture of choice through the path. A stylet guide has a partially extended position to permit precise intra-muscular location of an anesthetic injection before being fully deployed. The t-bar is rotated back to a vertical position to permit removal to of the suture placement device so that the suture can be tied.
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46.发明授权Apparatus and method for fascial closure device for laparoscopic trocar port site and surgery 有权腹腔镜套管针头部位和手术用于筋膜闭合装置的装置和方法公开(公告)号：US09451950B2
公开(公告)日：2016-09-27
申请号：US14284456
申请日：2014-05-22
申请人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
发明人： Manoj B Patel , Philip Zhao , Neal Patel , Landon Gilkey , David M. Albala , Salvatore Castro
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B2017/00623 , A61B2017/00637 , A61B2017/00659 , A61B2017/00663 , A61B2017/047 , A61B2017/0472
摘要： A suture placement device is inserted into an endoscopic trocar port site. A pivot bar with a pair of receptor ports is moved from a folded to an extended position below the fascia. The trocar port is removed over the device as the pivot bar is pulled upward against the fascia. A pair of stylet guides are deployed from two sides of the device housing, and intercept the receptor ports, thereby creating a suture path through the first guide, through a channel in the pivot bar between the receptor ports, and through the second guide. A stylet is directed through the suture path to pull a suture through the path. The guides are refracted, the pivot bar is folded, the device is removed, and the suture is tied. A stylet guide may have a partially deployed position to accurately inject an anesthetic at a desired intra-muscular layer.
摘要翻译： 将缝合线放置装置插入内窥镜套管针端口部位。 具有一对接收器端口的枢轴杆从折叠位置移动到面板下方的延伸位置。 当枢轴杆相对于面板向上拉时，套管针端口被移出设备。 一对探针引导件从装置壳体的两侧展开，并且拦截受体端口，从而通过第一引导件，通过枢转杆中的通道在受体端口之间并通过第二引导件形成缝合路径。 探针通过缝线路径引导缝合线通过路径。 引导件被折射，枢轴杆被折叠，装置被移除，并且缝合线被捆扎。 探针引导件可以具有部分布置的位置以精确地将麻醉剂注射到期望的肌内层。
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公开(公告)号：US08517921B2
公开(公告)日：2013-08-27
申请号：US11109041
申请日：2005-04-18
CPC分类号： A61B1/05 , A61B1/0052 , A61B1/012 , A61B1/018 , A61B1/0676 , A61B17/221 , A61B90/361 , A61B2017/22038 , A61B2017/22042 , A61B2017/2212
摘要： A medical instrument comprising a flexible, filamentous shaft slideably disposed in a sheath, the instrument including an electronic imaging system comprising an image sensor carried on a distal end portion of the instrument. The shaft may be used as a guidewire for a complementary guided device, or it may be used to carry a functional element for performing a procedure at a target site in a patient's body. In other embodiments, the present invention contemplates a flexible sheath, preferably having a simple tubular construction, with an electronic imaging system at its distal end. The sheath is adapted to slideably receive a shaft, preferably a filamentous shaft, that closely fits the sheath. The shaft carries functional element at its distal end. The instruments according to the present invention may include one or more filaments along their length for deflecting an insertable portion of the instrument.
摘要翻译： 一种医疗器械，包括可滑动地设置在鞘中的柔性丝状轴，所述仪器包括电子成像系统，所述电子成像系统包括承载在所述器械的远端部分上的图像传感器。 轴可以用作互补引导装置的导丝，或者可以用于携带用于在患者体内的目标部位执行手术的功能元件。 在其它实施例中，本发明考虑了一种柔性护套，优选地具有简单的管状结构，其远端处具有电子成像系统。 护套适于可滑动地容纳紧密地配合护套的轴，优选为丝状轴。 轴在其远端承载功能元件。 根据本发明的仪器可以包括沿其长度的一个或多个细丝，用于偏转仪器的可插入部分。
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公开(公告)号：US20110184231A1
公开(公告)日：2011-07-28
申请号：US12846788
申请日：2010-07-29
申请人： Brett M. Page , Salvatore Castro
发明人： Brett M. Page , Salvatore Castro
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B90/57 , A61B2017/003 , A61B2017/00318 , A61B2017/2908 , A61B2017/3447 , A61B2090/508
摘要： An instrument port for a single instrument comprises an elongate tube having a lumen. The elongate tube has a rigid section of fixed shape, and a more distal deflectable section. An actuator is coupled to the rigid section of the elongate tube. The actuator has an instrument pathway in communication with the lumen of the tube. The instrument pathway is positioned such that a distal end of a medical instrument may be inserted through the instrument pathway and the lumen and out the distal end of the lumen into a body cavity. Manipulation of the instrument handle engages actuation elements that extend between the actuator and the deflectable section, causing movement of deflectable section and thus moving the instrument tip within the body. The port includes a mount that can be coupled to a stabilization arm within the operating room, allowing the port to be supported and maintained in a chosen position and orientation.
摘要翻译： 用于单个仪器的仪器端口包括具有内腔的细长管。 细长管具有固定形状的刚性部分和更远侧的可偏转部分。 致动器联接到细长管的刚性部分。 致动器具有与管的内腔连通的仪器通路。 仪器通道被定位成使得医疗器械的远端可以通过仪器通道和内腔插入管腔的远端并进入体腔。 操纵器械手柄接合在致动器和可偏转部分之间延伸的致动元件，引起可偏转部分的移动，从而将器械尖端移动到体内。 该端口包括可以连接到手术室内的稳定臂的安装座，允许端口被支撑并保持在选定的位置和方位。
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公开(公告)号：US20110092963A1
公开(公告)日：2011-04-21
申请号：US12960854
申请日：2010-12-06
申请人： Salvatore Castro
发明人： Salvatore Castro
IPC分类号： A61B17/00
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B90/57 , A61B2017/003 , A61B2017/00318 , A61B2017/2908 , A61B2017/3447 , A61B2090/508
摘要： An instrument port for a medical instrument includes an elongate access tube having a deflectable distal portion and a lumen for receiving a medical instrument. An actuator for deflecting the distal portion includes a distal actuator portion coupled to the access tube, a proximal actuator portion, and a coil spring extending between the distal and proximal actuator portions. An elongate actuation element such as a pull cable has a first end attached to the distal portion of the access tube and a second end coupled to the proximal actuator portion. When a medical instrument is disposed through the instrument port, with its distal end extending from the lumen and its proximal end disposed outside the body cavity, movement of the proximal end of the instrument moves the proximal actuator portion relative to the distal actuator portion to bend the spring and retract the pull cable, causing deflection of the deflectable distal portion of the elongate access tube, steering the distal end of medical instrument.
摘要翻译： 用于医疗器械的器械端口包括具有可偏转的远侧部分和用于接收医疗器械的内腔的细长入口管。 用于偏转远侧部分的致动器包括联接到进入管的远端致动器部分，近侧致动器部分和在远端和近侧致动器部分之间延伸的螺旋弹簧。 诸如拉电缆的细长致动元件具有附接到进入管的远侧部分的第一端和联接到近侧致动器部分的第二端。 当医疗器械通过器械端口布置时，其远端从内腔延伸并且其近端设置在体腔外部，器械的近端的运动使近侧致动器部分相对于远端致动器部分移动以弯曲 弹簧并缩回拉线，引起细长进入管的可偏转远端部分的偏转，转向医疗器械的远端。
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公开(公告)号：US20080208328A1
公开(公告)日：2008-08-28
申请号：US11870001
申请日：2007-10-10
申请人： Joseph D. Antocci , David G. Lamphere , Salvatore Castro , Gregorio Ramon M. Abesames , Howard C. Herrmann
发明人： Joseph D. Antocci , David G. Lamphere , Salvatore Castro , Gregorio Ramon M. Abesames , Howard C. Herrmann
IPC分类号： A61F2/24
CPC分类号： A61F2/2412 , A61F2/243 , A61F2/2436 , A61F2/2439
摘要： Valve prosthesis systems and methods/systems for placement of such valve prostheses are provided that facilitate efficient, reliable and minimally invasive delivery modalities. The placement systems and methods permit remote manipulation and positioning of the valve prosthesis such that desirable placement relative to anatomical structures, e.g., the heart annulus, may be achieved. The valve prosthesis includes a resilient ring, a plurality of leaflet membranes mounted with respect to the resilient ring, and a plurality of positioning elements movably mounted with respect to the flexible ring. The delivery system includes a first elongate element that terminates at the valve prosthesis and is manipulable by an operator to remotely rotate the positioning elements relative to the flexible ring. A second elongate element terminates at the valve prosthesis and is manipulable by an operator to remotely advance the valve prosthesis downward into an anatomical annulus. The second elongate element may be manipulated to remotely advance the valve prosthesis into the anatomical annulus to assume a position for supporting post-implantation function of the valve prosthesis in situ. The first elongate element may be further manipulated to remotely rotate the positioning element relative to the flexible ring to cause the positioning element to engage tissue associated with the anatomical annulus and to thereby maintain the post-implantation position of the valve prosthesis in situ. Methods for valve prosthesis deployment are also provided.
摘要翻译： 提供了用于放置这种瓣膜假体的瓣膜假体系统和方法/系统，其有助于有效，可靠和微创的递送方式。 放置系统和方法允许瓣膜假体的远程操作和定位，使得可以实现相对于解剖结构（例如心脏环）的期望的放置。 瓣膜假体包括弹性环，相对于弹性环安装的多个传膜，以及相对于柔性环可移动地安装的多个定位元件。 递送系统包括终止于瓣膜假体处的第一细长元件，并且可由操作者操纵以相对于柔性环远程旋转定位元件。 第二细长元件终止在瓣膜假体处，并且可由操作者操纵以将瓣膜假体向下远进地推进到解剖环形中。 第二细长元件可以被操纵以将瓣膜假体远程地推进到解剖环空中，以呈现用于在原位支撑瓣膜假体的植入后功能的位置。 可以进一步操作第一细长元件以相对于柔性环远程旋转定位元件，以使得定位元件接合与解剖学环带相关联的组织，并由此原位维持瓣膜假体的植入后位置。 还提供了用于瓣膜假体部署的方法。
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