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    Suturing device and method
    1.
    发明申请
    Suturing device and method 有权
    缝合装置和方法

    公开(公告)号：US20070043385A1

    公开(公告)日：2007-02-22

    申请号：US11503652

    申请日：2006-08-14

    申请人： Anthony Nobles ,  Steven Decker ,  Benjamin Brosch

    发明人： Anthony Nobles ,  Steven Decker ,  Benjamin Brosch

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0491 ,  A61B17/06166 ,  A61B17/0625 ,  A61B2017/00637 ,  A61B2017/00659 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/00867 ,  A61B2017/0472 ,  A61B2017/06042 ,  A61B2017/2911

    摘要： A suturing device and method allows a physician to remotely suture biological tissue. The device includes an elongate body, first and second arms operably connected to the elongated body, whereby each arm mounts an end portion of a suture, and first and second needles, each needle having a distal end and being mounted such that the distal end of the needle is movable to engage respective end portions of said suture. The suturing apparatus further includes an actuator which drives the needles to engage the suture. The suturing apparatus further includes an occluding device operably connected to the elongate body such that the occluding device may be advanced from the distal end of the elongate body to temporarily occlude the incision to be sutured.

    摘要翻译： 缝合装置和方法允许医生远程缝合生物组织。 该装置包括细长主体，第一和第二臂可操作地连接到细长主体，由此每个臂安装缝合线的端部，以及第一和第二针，每个针具有远端并被安装成使得远端 针可移动以接合所述缝合线的相应端部。 缝合装置还包括致动器，其驱动针以接合缝合线。 缝合装置还包括可操作地连接到细长主体的闭塞装置，使得闭塞装置可以从细长体的远端推进，以临时闭塞待缝合的切口。

    Method and apparatus for holding suture ends to facilitate tying of knots
    2.
    发明申请
    Method and apparatus for holding suture ends to facilitate tying of knots 审中-公开
    用于保持缝合线的方法和装置，以便于结结

    公开(公告)号：US20060282102A1

    公开(公告)日：2006-12-14

    申请号：US11438619

    申请日：2006-05-22

    申请人： Anthony Nobles ,  Raymond Lee ,  Steven Decker ,  Benjamin Brosch

    发明人： Anthony Nobles ,  Raymond Lee ,  Steven Decker ,  Benjamin Brosch

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0483 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/06061 ,  A61B17/3421

    摘要： A knot-tying assist device allows a physician to remotely tie and cinch a knot in two ends of a suture extending from an incision in a vessel or organ of a patient in order to seal an opening in the vessel or organ. The knot-tying assist device includes a first receiving portion and a second receiving portion spaced apart along the device for receiving and holding the two ends of the suture. The receiving portions may hold the suture ends loosely, or alternatively may hold the suture ends under tension to facilitate tying the knot. The knot-tying device further includes an engagement portion to stabilize the knot-tying assist device relative to the treatment location. The engagement portion may assist in maintaining tension on the two suture ends so that the suture can hold the incision closed prior to the knot being tied and cinched.

    摘要翻译： 打结辅助装置允许医生远程地绑扎并绑扎在从患者的容器或器官中的切口延伸的缝线的两端，以密封容器或器官中的开口。 结束辅助装置包括沿着装置间隔开的用于接收和保持缝合线的两端的第一容纳部分和第二容纳部分。 接收部分可以松动地保持缝合线端部，或者可选地将缝合线端部保持在张力下以便于结扎结。 打结装置还包括一个接合部分，用于相对于处理位置来稳定打结辅助装置。 接合部分可以有助于维持两个缝合线端部的张力，使得缝合线可以在结被束缚和收紧之前保持切口闭合。

    Suturing device and method for sealing an opening in a blood vessel or other biological structure
    3.
    发明申请
    Suturing device and method for sealing an opening in a blood vessel or other biological structure 审中-公开

    公开(公告)号：US20060195120A1

    公开(公告)日：2006-08-31

    申请号：US11354302

    申请日：2006-02-14

    申请人： Anthony Nobles ,  Steven Decker ,  Benjamin Brosh

    发明人： Anthony Nobles ,  Steven Decker ,  Benjamin Brosh

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0491 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/00867 ,  A61B2017/0472 ,  A61B2017/06042 ,  A61B2017/2911

    摘要： A suturing device allows a physician to remotely seal an incision in a blood vessel or other biological tissue. The device comprises an elongated tubular body having a distal portion which is adapted to be inserted percutaneously through the incision and into the blood vessel. The distal portion has first and second retractable arms which extend from the distal portion of the body and releasably hold a suture within the blood vessel. First and second retractable needles, each of which is configured to catch the suture from a respective arm, are provided along the body proximal to the retractable arms. The arms and the needles are remotely movable by the physician using a handle or other control mechanism provided at a distal portion of the device. In operation, the arms are initially deployed within the blood vessel to hold the ends of the suture beyond the circumference of the tubular body. The needles are then deployed from and then retracted into the body, during which time the needles pierce the vessel wall on opposite sides of the incision, release the suture ends from the retractable arms, and pull the suture through the vessel wall. The device is particularly useful for closing an incision in an artery following a catheterization procedure. In one embodiment, the catheter sheath introducer (CSI) used to perform the catheterization procedure is left in place during the suturing procedure.

    Suturing device and method for sealing an opening in a blood vessel or other biological structure
    4.
    发明申请
    Suturing device and method for sealing an opening in a blood vessel or other biological structure 有权
    用于密封血管或其他生物结构中的开口的缝合装置和方法

    公开(公告)号：US20070276414A1

    公开(公告)日：2007-11-29

    申请号：US11653083

    申请日：2007-01-12

    申请人： Anthony Nobles

    发明人： Anthony Nobles

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0491 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/00867 ,  A61B2017/0472 ,  A61B2017/06042 ,  A61B2017/2911

    摘要： A suturing device allows a physician to remotely seal an incision in a blood vessel or other biological tissue. The device comprises an elongated tubular body having a distal portion which is adapted to be inserted percutaneously through the incision and into the blood vessel. The distal portion has first and second retractable arms which extend from the distal portion of the body and releasably hold a suture within the blood vessel. First and second retractable needles, each of which is configured to catch the suture from a respective arm, are provided along the body proximal to the retractable arms. The arms and the needles are remotely movable by the physician using a handle or other control mechanism provided at a distal portion of the device. In operation, the arms are initially deployed within the blood vessel to hold the ends of the suture beyond the circumference of the tubular body. The needles are then deployed from and then retracted into the body, during which time the needles pierce the vessel wall on opposite sides of the incision, release the suture ends from the retractable arms, and pull the suture through the vessel wall. The device is particularly useful for closing an incision in an artery following a catheterization procedure. In one embodiment, the catheter sheath introducer (CSI) used to perform the catheterization procedure is left in place during the suturing procedure.

    摘要翻译： 缝合装置允许医生远程密封血管或其他生物组织中的切口。 该装置包括细长的管状体，其具有远端部分，该远端部分适于经由切口经皮插入并进入血管。 远侧部分具有从主体的远端部分延伸的第一和第二缩回臂，并将缝合线可释放地夹持在血管内。 第一和第二伸缩针，每个可被构造成从相应的臂抓住缝合线，沿着靠近可伸缩臂的主体设置。 臂和针可以由医师使用设置在装置的远端部分处的手柄或其他控制机构远程移动。 在操作中，臂最初部署在血管内以将缝合线的端部保持超过管状体的圆周。 然后将针展开，然后将其缩回到身体中，在此期间，针刺入切口相对侧上的血管壁，将缝合线端部从可伸缩臂释放，并将缝合线拉过血管壁。 该装置特别可用于在导管插入术后闭合动脉中的切口。 在一个实施例中，用于执行导管插入程序的导管鞘导管器（CSI）在缝合过程期间保留就位。

    Device and method for partially occluding blood vessels using flow-through balloon
    6.
    发明申请
    Device and method for partially occluding blood vessels using flow-through balloon 审中-公开

    公开(公告)号：US20060052813A1

    公开(公告)日：2006-03-09

    申请号：US11214447

    申请日：2005-08-29

    申请人： Anthony Nobles

    发明人： Anthony Nobles

    IPC分类号： A61M29/00

    CPC分类号： A61M25/1011 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12109 ,  A61B17/12113 ,  A61B17/12136 ,  A61B2017/22054 ,  A61M2025/1052

    摘要： A device and method are disclosed for partially occluding a blood vessel such that an area of hemostasis within the blood vessel is created without interrupting the blood flow through the blood vessel. The device comprises a first and second occlusive members for partially occluding a blood vessel, spaced apart from one another, wherein the occlusive members are inflatable to at least the inner diameter of the blood vessel. A tubular connector interconnects the first and second occlusive members and forms a conduit which allows the blood to flow through. When the occlusive members are inflated, an area of hemostasis is created between an outer surface of the tubular connector and an inner wall of the blood vessel while blood continues to flow through the tubular portion. A tube adapted to extend through an opening in the blood vessel to deploy the device includes multiple lumens, such as an inflation lumen to inflate the device and a suture lumen to collapse the device.

    Method and apparatus for applying a knot to a suture
    8.
    发明申请
    Method and apparatus for applying a knot to a suture 有权
    将结施加于缝合线的方法和装置

    公开(公告)号：US20070010829A1

    公开(公告)日：2007-01-11

    申请号：US11455894

    申请日：2006-06-19

    申请人： Anthony Nobles ,  Steven Decker ,  Egbert Ratering

    发明人： Anthony Nobles ,  Steven Decker ,  Egbert Ratering

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0491 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0485 ,  A61B17/0487 ,  A61B2017/045 ,  A61B2017/0459 ,  A61B2017/0488

    摘要： A knot placement device allows a physician to apply a knot for securing two or more suture ends extending from an incision in a vessel or organ of a patient relative to each other in order to seal an opening in the vessel or organ. The knot placement device has a handle and an elongate shaft and a push rod slidably inserted in said shaft. A knot is disposed in the distal end of the shaft. An actuator on the handle may be depressed to distally advance said push rod relative to said shaft and thereby distally advance said knot. The knot may include a knot body having an inner cavity and a plug sized to fit securely within the inner cavity. In use, the plug may be inserted into the inner cavity of the knot body to fixedly hold two or more suture ends between the knot body and the plug.

    摘要翻译： 打结放置装置允许医生施加结以固定两个或更多个缝合端，所述两个或多个缝合端从病人的容器或器官中的切口相对于彼此延伸，以密封容器或器官中的开口。 打结放置装置具有手柄和细长轴以及可滑动地插入所述轴中的推杆。 结轴设置在轴的远端。 手柄上的致动器可以被压下以相对于所述轴向远侧推进所述推杆，从而远端推进所述结。 结可以包括具有内腔和插头的结体，其尺寸适于牢固地配合在内腔内。 在使用中，塞子可以插入结体的内腔中，以固定地保持结体和插塞之间的两个或更多个缝合线端部。

    CAVITY ENLARGER METHOD AND APPARATUS
    9.
    发明申请
    CAVITY ENLARGER METHOD AND APPARATUS 审中-公开
    CAVITY ENLARGER方法和装置

    公开(公告)号：US20070225744A1

    公开(公告)日：2007-09-27

    申请号：US11688243

    申请日：2007-03-19

    申请人： Anthony Nobles ,  Luis Maseda

    发明人： Anthony Nobles ,  Luis Maseda

    IPC分类号： A61M29/02

    CPC分类号： A61M29/02 ,  A61B1/32 ,  A61B17/0218

    摘要： A device and method for enlarging and supporting a body cavity are disclosed. One embodiment of the device comprises a tubular, distending balloon having first and second distending members, spaced apart from one another, wherein the distending members are inflatable. A tubular connector interconnects the first and second distending members and forms a conduit which allows for unimpeded passage of objects through the balloon. The balloon is adapted to be inserted into a body cavity in a deflated or semi-deflated state. When the distending members are inflated, an outer surface of the balloon exerts pressure on an interior surface of the body cavity, thereby supporting the body cavity in a distended state while allowing for unimpeded passage of medical instrument and biological material through the balloon.

    摘要翻译： 公开了一种用于扩大和支撑体腔的装置和方法。 该装置的一个实施例包括具有彼此间隔开的第一和第二扩张构件的管状膨胀气囊，其中膨胀构件是可充气的。 管状连接器将第一和第二膨胀构件互连，并形成允许物体不受阻碍地通过气囊的导管。 气囊适于以放气或半放气的状态插入体腔中。 当膨胀构件膨胀时，球囊的外表面在体腔的内表面上施加压力，从而将体腔支撑在膨胀状态，同时允许医疗器械和生物材料通过气囊无阻碍地通过。