公开(公告)号：US20090326467A1

公开(公告)日：2009-12-31

申请号：US12468133

申请日：2009-05-19

申请人： Michael Bettuchi ,  Richard D. Gresham

发明人： Michael Bettuchi ,  Richard D. Gresham

IPC分类号： A61B17/34

CPC分类号： A61B17/3498 ,  A61B17/00234 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/00862

摘要： A surgical portal apparatus includes a portal housing, an elongated portal member connected to the portal housing and depending therefrom, and a seal member comprising a resilient material and being mounted to the portal housing. The portal housing and the portal member have an axial bore for reception and passage of a surgical object. The seal member includes leading and trailing faces and has inner portions defining a passage to permit passage of a surgical object. One of the leading and trailing faces defines a plurality of recessed cells formed within interconnected struts. The interconnected struts are relatively flexible to flex upon radial offset manipulation of the object to permit corresponding movement of the passage while substantially maintaining a seal about the surgical object. At least some of the recessed cells define a generally rectangular arrangement. Preferably, the leading end face of the seal member has the recessed cells.

摘要翻译： 手术入口装置包括入口壳体，连接到入口壳体并从其离开的细长入口构件，以及密封构件，其包括弹性材料并且安装到入口壳体。 入口外壳和入口构件具有用于接收和通过手术物体的轴向孔。 密封构件包括前缘和后表面，并且具有限定通道以允许手术物体通过的内部部分。 前后面之一限定了形成在互连支柱内的多个凹槽。 相互连接的支柱相对柔性，以在对象的径向偏移操作时弯曲以允许通道的相应移动，同时基本上保持围绕手术对象的密封。 至少一些凹进的单元限定了大致矩形的布置。 优选地，密封构件的前端面具有凹槽。

公开(公告)号：US20090318869A1

公开(公告)日：2009-12-24

申请号：US12434864

申请日：2009-05-04

申请人： Patrick D. Mozdzierz ,  Michael Bettuchi

发明人： Patrick D. Mozdzierz ,  Michael Bettuchi

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B17/3423 ,  A61B17/3498

摘要： The present disclosure relates to a valve or seal of the type adapted to allow the introduction of an instrument or object therethrough. In particular, the valve disclosed herein is adapted to maintain a substantially fluid-tight seal with a surgical instrument and is used during a minimally invasive surgical procedure. The valve disclosed herein incorporates one or more bladder members adapted to retain a fluid therein that are associated by one or more interstitial members.

摘要翻译： 本公开涉及适于允许通过其引入仪器或物体的类型的阀或密封件。 特别地，本文公开的阀适合于保持与外科器械的基本上不透液体的密封并且在微创手术过程中使用。 本文公开的阀结合了一个或多个适于在其中保持流体的气囊构件，其中一个或多个间隙构件相关联。

公开(公告)号：US20080290134A1

公开(公告)日：2008-11-27

申请号：US11807144

申请日：2007-05-25

申请人： Michael Bettuchi ,  Brian Nentwick

发明人： Michael Bettuchi ,  Brian Nentwick

IPC分类号： A61B17/064

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271

摘要： A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

摘要翻译： 提供了一种外科缝合器具，其具有用于将支撑材料固定到砧座和与手术器械相关联的钉仓容纳盒的系统。 该系统包括保持器，该保持器被构造成接合砧座或订书钉容纳盒并且在保持器和砧座或订书钉容纳盒之间捕获支撑材料。 公开的保持器以卡扣配合或摩擦配合的方式接合砧座或订书钉容纳盒。 支撑材料包括周向穿孔线，使得支撑材料的中心能够被装订到组织，而支撑材料的其余部分保持在砧座或钉仓容纳盒中。

公开(公告)号：US20070203510A1

公开(公告)日：2007-08-30

申请号：US11365637

申请日：2006-02-28

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B17/08

CPC分类号： A61B17/115 ,  A61B17/07292 ,  A61B17/1155

摘要： An apparatus for forming an anastomosis between adjacent tissue sections is provided. The apparatus includes an anastomosis device including an anvil assembly having a shaft which is selectively attachable to a tubular body portion, wherein the tubular body portion includes at least one annular row of staples operatively disposed therein. The apparatus further includes a disk having an outer terminal portion and a substantially centrally located aperture. The disk includes an adhesive material at the outer terminal portion. Wherein the outer terminal portion of the disk extends radially outward beyond the outer-most row of the at least one annular row of staples to adhesively attach the tissue sections together radially outward of the at least one annular row of staples.

摘要翻译： 提供了一种用于在相邻组织切片之间形成吻合的装置。 该装置包括吻合装置，其包括具有可选择性地附接到管状主体部分的轴的砧座组件，其中管状主体部分包括可操作地设置在其中的至少一个环形排的钉。 该装置还包括具有外部端子部分和基本上位于中心的孔径的盘。 盘在外端子部分包括粘合剂材料。 其中，所述盘的外部末端部分径向向外延伸超过所述至少一个环形排订钉钉的最外排，以将所述组织部分粘合地附接到所述至少一个环形排钉钉的径向外侧。

公开(公告)号：US20070203509A1

公开(公告)日：2007-08-30

申请号：US11365636

申请日：2006-02-28

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B17/08

CPC分类号： A61B17/115 ,  A61B17/07292 ,  A61B17/1155

摘要： An apparatus for forming an anastomosis between adjacent intestinal sections is provided. The apparatus includes an anastomosis device including an anvil assembly having a shaft which is selectively attachable to a tubular body portion; and a hub for locating an annular structure between the adjacent intestinal sections. The hub includes a central sleeve defining a lumen for receiving the shaft of the anvil assembly therein. The central sleeve forms a connection portion for engaging a feature on the anastomosis device and connecting the hub to the device. The apparatus further includes an annular structure operatively connected to the sleeve and extending radially outwardly therefrom.

摘要翻译： 提供了一种用于在相邻肠段之间形成吻合的装置。 该装置包括一个吻合装置，它包括一个砧座组件，该砧座组件具有可选择性地附接到管状本体部分上的轴; 以及用于在相邻肠段之间定位环形结构的轮毂。 毂包括限定用于容纳砧座组件的轴的内腔的中心套筒。 中心套筒形成用于接合吻合装置上的特征并将轮毂连接到装置的连接部分。 该装置还包括可操作地连接到套筒并从其径向向外延伸的环形结构。

公开(公告)号：US09364229B2

公开(公告)日：2016-06-14

申请号：US12692882

申请日：2010-01-25

申请人： William L. D'Agostino ,  Michael Bettuchi

发明人： William L. D'Agostino ,  Michael Bettuchi

IPC分类号： A61B17/072 ,  A61B17/115 ,  A61B17/00 ,  A61B17/11

CPC分类号： A61B17/1152 ,  A61B17/00491 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00004 ,  A61B2017/00893 ,  A61B2017/1132 ,  A61B2017/1157

摘要： The present disclosure provides annular support structures for use in conjunction with stapling devices. These annular support structures may be suitable for reducing occurrences of leaking, bleeding and/or stricture, as well as anastomotic tension, when anastomosing various body structures.

摘要翻译： 本公开提供了用于结合装订装置的环形支撑结构。 当吻合各种身体结构时，这些环形支撑结构可适于减少泄漏，出血和/或狭窄以及吻合张力的发生。

公开(公告)号：US09028448B2

公开(公告)日：2015-05-12

申请号：US12434864

申请日：2009-05-04

申请人： Patrick D. Mozdzierz ,  Michael Bettuchi

发明人： Patrick D. Mozdzierz ,  Michael Bettuchi

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B17/3423 ,  A61B17/3498

摘要： The present disclosure relates to a valve or seal of the type adapted to allow the introduction of an instrument or object therethrough. In particular, the valve disclosed herein is adapted to maintain a substantially fluid-tight seal with a surgical instrument and is used during a minimally invasive surgical procedure. The valve disclosed herein incorporates one or more bladder members adapted to retain a fluid therein that are associated by one or more interstitial members.

摘要翻译： 本公开涉及适于允许通过其引入仪器或物体的类型的阀或密封件。 特别地，本文公开的阀适合于保持与外科器械的基本上不透液体的密封并且在微创手术过程中使用。 本文公开的阀结合了一个或多个适于在其中保持流体的气囊构件，其中一个或多个间隙构件相关联。

公开(公告)号：US08617206B2

公开(公告)日：2013-12-31

申请号：US12897001

申请日：2010-10-04

申请人： Timothy Sargeant ,  Gregory Fischvogt ,  Michael Bettuchi ,  Gerald Hodgkinson ,  Joshua Stopek ,  Arpan Desai ,  Atu Agawu ,  Saumya Banerjee

发明人： Timothy Sargeant ,  Gregory Fischvogt ,  Michael Bettuchi ,  Gerald Hodgkinson ,  Joshua Stopek ,  Arpan Desai ,  Atu Agawu ,  Saumya Banerjee

IPC分类号： A61B17/08 ,  A61D1/00

CPC分类号： A61B17/0057 ,  A61B2017/00637 ,  A61B2017/00884 ,  A61B2017/00898 ,  A61F2/0063 ,  A61L31/145 ,  A61L31/148

摘要： Biocompatible wound closure devices including an elongate body and a plug member are useful for wound repair. A wound closure device includes an elongate body defining a longitudinal axis and having a proximal end and a distal end, and a plug member having a tissue facing surface and including a first shaped section and a second shaped section, each of the first and second shaped sections having an abutment surface. The first and second shaped sections are movable about a hinge between a collapsed position in which the abutment surfaces extend away from the longitudinal axis of the elongate body and a deployed position in which the abutment surfaces abut and are substantially aligned with the longitudinal axis of the elongate body, the abutment surfaces controlling a deployed angle of the tissue facing surface of the plug member with respect to the elongate body.

摘要翻译： 包括细长主体和塞子部件的生物相容的伤口闭合装置可用于伤口修复。 伤口闭合装置包括限定纵向轴线并具有近端和远端的细长主体以及具有面向组织的表面并包括第一成形部分和第二成形部分的插塞部件，每个第一和第二成形部分 具有邻接表面的部分。 第一和第二成形部分可在关闭位置之间围绕铰链移动，在折叠位置中，邻接表面延伸远离细长主体的纵向轴线和展开位置，在该展开位置中，邻接表面邻接并与其基本对齐 所述邻接表面控制所述插塞构件相对于所述细长主体的面向组织的表面的展开角度。

公开(公告)号：US08480705B2

公开(公告)日：2013-07-09

申请号：US13152625

申请日：2011-06-03

申请人： Michael Bettuchi

发明人： Michael Bettuchi

IPC分类号： A61B17/08

CPC分类号： A61B17/00491 ,  A61B17/064 ,  A61B17/08 ,  A61B17/11 ,  A61B2017/1125

摘要： An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.

公开(公告)号：US08210414B2

公开(公告)日：2012-07-03

申请号：US13205937

申请日：2011-08-09

申请人： Michael Bettuchi ,  Brian Nentwick

发明人： Michael Bettuchi ,  Brian Nentwick

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271

摘要： A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

摘要翻译： 提供了一种外科缝合器具，其具有用于将支撑材料固定到砧座和与手术器械相关联的钉仓容纳盒的系统。 该系统包括保持器，该保持器被构造成接合砧座或订书钉容纳盒并且在保持器和砧座或订书钉容纳盒之间捕获支撑材料。 公开的保持器以卡扣配合或摩擦配合的方式接合砧座或订书钉容纳盒。 支撑材料包括圆周穿孔线，使得支撑材料的中心能够被装订到组织，而支撑材料的其余部分保持在砧座或钉仓容纳盒中。