公开(公告)号：US5674231A

公开(公告)日：1997-10-07

申请号：US545974

申请日：1995-10-20

申请人： David T. Green ,  Scott E. Manzo ,  Peter W. J. Hinchliffe

发明人： David T. Green ,  Scott E. Manzo ,  Peter W. J. Hinchliffe

IPC分类号： A61B17/00 ,  A61B17/122 ,  A61B17/128 ,  A61B17/10

CPC分类号： A61B17/1227 ,  A61B17/0057 ,  A61B17/1285 ,  A61B17/00234 ,  A61B2017/00637 ,  A61B2017/00668 ,  A61B2017/00672

摘要： An apparatus and method are disclosed for applying a surgical clip to an exterior wall of a blood vessel to at least partially close a hole formed therein. The apparatus includes a handle portion, an elongated body extending distally from the handle portion and dimensioned to extend through a hole in the wall of a blood vessel, and a collapsible locator associated with a distal end portion of the elongated body and mounted for movement between a collapsed position and an expanded deployed position. The locator is adapted to expand within an interior lumen of the blood vessel to maintain the distal end portion of the elongated body in a desired location with respect to the hole in blood vessel wall such that a surgical clip releasably supported adjacent the distal end portion of the elongated body can be applied to the exterior wall of the blood vessel to close the hole formed therein.

摘要翻译： 公开了一种用于将外科夹子施加到血管的外壁以至少部分地闭合其中形成的孔的装置和方法。 该装置包括手柄部分，从手柄部分向远侧延伸并且尺寸设置成延伸穿过血管壁壁的细长体，以及与细长体的远端部分相关联的可折叠定位器， 折叠位置和展开位置。 定位器适于在血管的内腔内扩张，以将细长体的远端部分相对于血管壁中的孔保持在期望的位置，使得外科夹具可释放地支撑在邻近的远端部分 可以将细长体施加到血管的外壁上以封闭其中形成的孔。

公开(公告)号：US5586986A

公开(公告)日：1996-12-24

申请号：US393541

申请日：1995-02-23

申请人： Peter W. J. Hinchliffe

发明人： Peter W. J. Hinchliffe

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/34

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.

摘要翻译： 一种用于施加缝合线的手术器械，包括具有近端和远端的细长壳体，与所述细长壳体的远端相关联的装置，用于承载至少一个针，所述针托架装置可在缩回位置和延伸位置 至少一针位于针托架上的装置，以及与针托架装置相关联的装置，用于将针托架装置移动到延伸位置以展开至少一个针，使得当针运送装置由运动装置移动时 针架从缩回位置移动到延伸位置，由此使得至少一个针以连续的运动方式穿过组织接合路径。 用于施加缝合线的本发明的外科器械的另一个实施例包括具有近端和远端的细长壳体和与细长壳体的远端相关联的装置，用于将预定距离的至少两根针头 彼此相对，所述携带和展开装置能够相对于缩回位置的第一平面旋转，并且相应于延伸位置的第二平面旋转，同时将所述至少两个针保持彼此预定的距离。 仪器最好还包括与细长壳体相关的至少一个针保持装置，用于接收和保持至少两个针。 针保持装置可以包括设置在细长壳体内的一对针接收袋。 针接收袋可以填充有柔顺材料或闩锁机构。