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公开(公告)号：US20170189006A1
公开(公告)日：2017-07-06
申请号：US15293231
申请日：2016-10-13
发明人： Alan E. Shluzas , John F. Shanley
CPC分类号： A61B17/04 , A61B5/00 , A61B5/0066 , A61B5/021 , A61B5/0402 , A61B5/14542 , A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/06109 , A61B17/06166 , A61B17/3478 , A61B2017/00044 , A61B2017/00057 , A61B2017/00243 , A61B2017/00247 , A61B2017/00336 , A61B2017/0406 , A61B2017/0409 , A61B2017/047 , A61B2017/0472 , A61B2017/0495 , A61B2017/0496 , A61B2017/0498 , A61B2017/06019 , A61B2017/06076 , A61B2017/06176 , A61B2017/22038 , A61B2017/3425 , A61B2090/062 , A61B2090/0807 , A61B2090/3735 , A61B2090/3782 , A61B2090/3966 , A61F2/02 , A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/0888
摘要： One embodiment is directed to a system for closing a wound created across a portion of a tissue structure, comprising a suture member having proximal and distal ends; an anchor member coupled to the distal end of the suture member; a tension retainer assembly releasably coupleable to the suture member; and a suture buttress movably intercoupled to the suture member between the anchor member and the tension retainer and configured to minimize direct sliding contact between the suture member and the tissue structure portion around the location of the suture buttress. Other configurations are disclosed for utilizing suture buttress material, also termed tubular braided pledgets, for various suturing, closure, and stabilization configurations.
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公开(公告)号：US08926657B2
公开(公告)日：2015-01-06
申请号：US13725916
申请日：2012-12-21
IPC分类号： A61B17/08 , A61B17/34 , A61B17/00 , A61B17/04 , A61B19/00 , A61B17/06 , A61B17/22 , A61B17/30
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.
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公开(公告)号：US20160345964A1
公开(公告)日：2016-12-01
申请号：US15234756
申请日：2016-08-11
发明人： John F. Shanley
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a system for advancing a needle into a tissue structure, comprising: an elongate needle member having a tapered distal tip; an insertion member having proximal and distal ends, the distal end being coupled to the elongate needle member, and the proximal end being configured to be manipulated by an operator; and a tissue interface indentor member coupled to the insertion member and operatively coupled to the elongate needle member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal tip of the elongate needle member and change an available angle of penetration between such portions and the distal tip of the elongate needle member as the distal tip is inserted into tissue structure.
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公开(公告)号：US20150119905A1
公开(公告)日：2015-04-30
申请号：US14527740
申请日：2014-10-29
发明人： Alan E. Shluzas , Stephen H. Diaz
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B2017/00004 , A61B2017/00022 , A61B2017/00349 , A61B2017/00575 , A61B2017/00623 , A61B2017/00663 , A61B2017/00862 , A61B2017/00871 , A61B2017/00884 , A61B2017/0403 , A61B2017/0404 , A61B2017/0406 , A61B2017/0408 , A61B2017/0409 , A61B2017/0417 , A61B2017/0446 , A61B2017/0448 , A61B2017/0464 , A61B2017/0495 , A61B2017/0496 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/22069 , A61B2090/065
摘要： One embodiment is directed to a system for closing a wound created at least partially across a tissue structure wall, comprising: a helical needle; a suture member coupled to the helical needle and configured to be pulled along a helical pattern with helical movement of the helical needle; an outer delivery member rotatably coupled to the helical needle; a drive shaft axially movably coupled to the outer delivery member; and a plurality of suture guide struts projecting distally from the outer delivery member; wherein upon helical insertion of the helical needle relative to the outer delivery member, the helical needle is advanced such that it becomes disposed around the guide struts, such that the guide struts prevent radial migration of the suture as it is helically wound into the tissue structure.
摘要翻译： 一个实施例涉及一种用于闭合至少部分地横跨组织结构壁产生的伤口的系统，包括：螺旋针; 缝合构件，其联接到所述螺旋针并且构造成沿着所述螺旋形针的螺旋运动沿着螺旋图案被拉动; 可旋转地联接到螺旋针的外部传送构件; 轴向可移动地联接到外部递送构件的驱动轴; 以及从所述外部传送构件向远侧突出的多个缝合线引导支柱; 其中，当螺旋针相对于外部递送构件螺旋插入时，螺旋针被推进，使得其被布置在引导支柱周围，使得当引导支柱螺旋形缠绕到组织结构中时，引导支柱防止缝合线的径向移动 。
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公开(公告)号：US20140100594A1
公开(公告)日：2014-04-10
申请号：US13725903
申请日：2012-12-21
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.
摘要翻译： 描述了用于创建和关闭组织进入端口（例如经验性访问端口）的实施例，其涉及导引器跨越对象组织结构的放置，以及配置成利用棘轮机构保持就位的可控制的端口闭合装置组件的展开，以及 在引导器已经被移除之后，将围绕先前进入端口位置的组织保持靠近具有近端和远端支柱组件的密封盘。
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公开(公告)号：US20130116728A1
公开(公告)日：2013-05-09
申请号：US13725916
申请日：2012-12-21
IPC分类号： A61B17/00
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.
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公开(公告)号：US20170119373A1
公开(公告)日：2017-05-04
申请号：US15408274
申请日：2017-01-17
发明人： Alan E. Shluzas
IPC分类号： A61B17/04 , A61B90/00 , A61B17/34 , A61B17/06 , A61B17/062
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a method for tensioning a suture member that crosses a portion of a wall of a tissue structure, comprising: advancing a distal portion of the suture member across at least a portion of a wall of the tissue structure; advancing a tensioning assembly, through which the suture member is threaded, toward the wall of the tissue structure, the tensioning assembly comprising: a tensioning member base having a tissue interface surface configured to engage a portion of the tissue structure when coupled to a suture member that may be threaded through the tensioning member base and into the tissue structure; a suture clamping member configured to be switched from a first mode, wherein a suture may be tensioned back and forth through a space defined at least in part by the clamping member, to a second mode, wherein a suture may only be tensioned in one direction relative to the suture clamping member; and a mode switching member movably coupled to the suture clamping member and configured to be operable to switch the suture clamping member from the first mode to the second mode; adjusting the physical relationship between the tensioning assembly, suture member, and tissue structure wall by modulating the position of the tensioning member base relative to the suture member and tissue structure wall with the tensioning mode switching member in the first mode; and controllably switching the tensioning mode switching member to the second mode.
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公开(公告)号：US20160345970A1
公开(公告)日：2016-12-01
申请号：US15235983
申请日：2016-08-12
发明人： John F. Shanley
IPC分类号： A61B17/062 , A61B17/06 , A61B17/34 , A61B17/04
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a method for advancing a needle into a tissue structure, comprising: advancing a distal end of a needle insertion assembly, the assembly comprising an insertion member coupled to a tissue interface indentor member and movably coupled to an elongate needle member, against a targeted tissue structure such that a distally protruding shape feature of the tissue interface indentor member engages one or more portions of the targeted tissue structure adjacent a distal tip of the elongate needle member at a position at which the elongate needle member distal tip is configured to be advanced through the insertion member and into the tissue structure, and locally changes an available angle of penetration between such portions and the distal tip of the elongate needle member; and inserting the elongate needle member relative to the insertion member and tissue interface indentor member.
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公开(公告)号：US20160074031A1
公开(公告)日：2016-03-17
申请号：US14948139
申请日：2015-11-20
发明人： John F. Shanley
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a system for advancing a needle into a tissue structure, comprising: an elongate needle member having a tapered distal tip; an insertion member having proximal and distal ends, the distal end being coupled to the elongate needle member, and the proximal end being configured to be manipulated by an operator; and a tissue interface indentor member coupled to the insertion member and operatively coupled to the elongate needle member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal tip of the elongate needle member and change an available angle of penetration between such portions and the distal tip of the elongate needle member as the distal tip is inserted into tissue structure.
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公开(公告)号：US09186176B2
公开(公告)日：2015-11-17
申请号：US13725903
申请日：2012-12-21
IPC分类号： A61B1/00 , A61B17/34 , A61B17/00 , A61B17/04 , A61B17/08 , A61B17/10 , A61B19/00 , A61B17/06 , A61B17/22 , A61B17/30
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.
摘要翻译： 描述了用于创建和关闭组织进入端口（例如经验性访问端口）的实施例，其涉及导引器跨越对象组织结构的放置，以及配置成利用棘轮机构保持就位的可控制的端口闭合装置组件的展开，以及 在引导器已被移除之后，将围绕先前进入端口位置的组织保持靠近具有近端和远端支柱组件的密封盘。
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