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    Methods and apparatus for surgical fastening
    81.
    发明授权
    Methods and apparatus for surgical fastening 有权

    公开(公告)号：US10285697B2

    公开(公告)日：2019-05-14

    申请号：US14075524

    申请日：2013-11-08

    Applicant: C.R. Bard, Inc.

    Inventor： Saurav V. Gupta ,  Kevin J. Ranucci ,  Derek Leatzow ,  Keith A. Grider

    IPC: A61B17/10 ,  A61B17/068 ,  A61B17/064

    Abstract: A surgical fastener deployment system may include a plurality of coil fasteners having a head and coil body. In one embodiment, the head may be larger in diameter than the coil body. The fasteners may also be mounted on a guide rod or mandrel that passes through a through-hole of the head and the coil body. The shaft may also include a guiding element that contacts and stabilizes the coil body as the fastener is deployed from a distal end of the shaft. When the head approaches and contacts the guiding element, the guiding element may deflect to permit the head to pass.

    Surgical instrument with an actuation lockout
    84.
    发明授权
    Surgical instrument with an actuation lockout 有权

    公开(公告)号：US09649109B2

    公开(公告)日：2017-05-16

    申请号：US13826808

    申请日：2013-03-14

    Applicant: C.R. Bard, Inc.

    Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

    IPC: A61B17/068 ,  A61B17/00 ,  A61B17/064 ,  A61B17/29

    CPC classification number: A61B17/10 ,  A61B17/068 ,  A61B2017/00309 ,  A61B2017/0647 ,  A61B2017/2929 ,  A61F2/0063 ,  A61F2002/0072

    Abstract: Embodiments of a surgical instrument and its methods of use are disclosed. The disclosed embodiments of a surgical instrument may include a handle and an elongated shaft assembly distally extending from the handle. The elongated shaft assembly may include an articulable portion. An articulation control may be associated with the elongated shaft assembly. The articulation control may be movable between a first position in which the elongated shaft assembly is arranged in a first articulation position and a second position in which the elongated shaft assembly is arranged in a second articulation position. The surgical instrument may include a fastener deployment system with a locking member. The articulation control may block movement of the locking member when the articulation control is located in the first position. The articulation control may also permit movement of the locking member when the articulation control is located in the second position.

    FASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING
    86.
    发明申请
    FASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING 审中-公开
    FASCIAL SUTURE ASSEMBLIES和TRANSFASCIAL SUTURING的方法

    公开(公告)号：US20160338692A1

    公开(公告)日：2016-11-24

    申请号：US15226498

    申请日：2016-08-02

    Applicant: C.R. Bard, Inc.

    Inventor： Roger E. Darois ,  Donald E. Ziniti ,  Kevin J. Ranucci

    IPC: A61B17/04

    CPC classification number: A61B17/0469 ,  A61B17/0057 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/0487 ,  A61B2017/00663 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0441 ,  A61B2017/0464 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06009 ,  A61B2017/06052 ,  A61B2017/2923 ,  A61F2/0063 ,  A61F2002/0072

    Abstract: An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the portion of the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.

    Abstract translation: 用于递送缝合线的仪器可以包括手柄，从手柄延伸的轴以及可以移动到超出轴的端部的延伸位置的一对针。 一个或多个缝合线由仪器承载，并可以间接输送。 转折缝合组件包括具有第一段，第二段和其间的中间段的缝合线。 力分配构件可定位在中间段处。 缝合线保持器可以设置在每个缝合线段的端部处，并且可以具有可相对于与其连接的缝合线段的部分移动的连接。 递送经皮缝线的方法包括将装有一个或多个缝合线的双针器械插入腹腔中并从腹腔内部署穿过软组织修复贴片的缝合线，然后通过至少部分 腹壁。

    Handling of fasteners within a surgical instrument
    89.
    发明授权
    Handling of fasteners within a surgical instrument 有权
    处理手术器械内的紧固件

    公开(公告)号：US09427230B2

    公开(公告)日：2016-08-30

    申请号：US13826979

    申请日：2013-03-14

    Applicant: C.R. Bard, Inc.

    Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

    IPC: A61B17/10 ,  A61B17/068 ,  A61B17/00 ,  A61B17/064 ,  A61B17/29

    CPC classification number: A61B17/064 ,  A61B17/068 ,  A61B2017/00309 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2017/2941

    Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.

    Abstract translation: 公开了手术器械及其使用方法。 在一些实施例中，手术器械可以包括手柄和从手柄向远侧延伸的细长轴组件。 外科器械还可以包括用于从细长轴组件展开紧固件的紧固件展开系统，其包括设置在细长轴组件内的往复式驱动轴。 驱动轴可以包括内部通道和至少一个引导表面，其被成形和布置成保持至少一个紧固件在驱动轴的通道中的取向。 在其他实施例中，紧固件展开系统可以包括设置在细长轴组件内的随动件，用于将细长轴组件内的一个或多个紧固件朝向远端紧固件展开位置移位。

    Power assist device for a surgical instrument
    90.
    发明授权
    Power assist device for a surgical instrument 有权
    手术器械辅助装置

    公开(公告)号：US09364235B2

    公开(公告)日：2016-06-14

    申请号：US13804043

    申请日：2013-03-14

    Applicant: C.R. Bard, Inc.

    Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

    IPC: A61B17/10 ,  A61B17/068 ,  A61B17/064 ,  A61B17/29 ,  A61B19/00

    CPC classification number: A61B17/10 ,  A61B17/068 ,  A61B2017/0647 ,  A61B2017/2912 ,  A61B2017/2919 ,  A61B2017/2929 ,  A61B2090/0807 ,  A61F2/0063 ,  A61F2002/0072

    Abstract: A surgical instrument including a power assist device, and its method of use for deploying surgical fasteners, is disclosed. The surgical instrument may include a handle, an elongated shaft extending from the handle, and a surgical fastener deployment system including a driveshaft. The driveshaft is actuatable between at least a first proximal position and a second distal position. A striker is movable relative to the driveshaft and an impact surface is associated with the driveshaft. The impact surface is constructed and arranged to be struck by the striker member to displace the driveshaft to the second distal position and deploy the surgical fastener.

    Abstract translation: 公开了一种包括动力辅助装置的外科器械及其用于部署手术紧固件的方法。 手术器械可以包括手柄，从手柄延伸的细长轴和包括驱动轴的手术紧固件展开系统。 驱动轴可在至少第一近端位置和第二远端位置之间致动。 撞针相对于驱动轴可移动，并且冲击表面与驱动轴相关联。 撞击表面被构造和布置成被撞针构件撞击，以将驱动轴移动到第二远侧位置并展开手术紧固件。

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