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公开(公告)号：US08834562B2
公开(公告)日：2014-09-16
申请号：US11483240
申请日：2006-07-07
申请人： Chao Chin-Chen , Randy David Burce Grishaber , Gene W. Kammerer , Issac John Khan , Jin Park , Daniel Olsen , Rudolph Cedro
发明人： Chao Chin-Chen , Randy David Burce Grishaber , Gene W. Kammerer , Issac John Khan , Jin Park , Daniel Olsen , Rudolph Cedro
CPC分类号： A61B17/0057 , A61B2017/003 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/0409 , A61B2017/0419 , A61B2017/06052
摘要： The present invention relates to a delivery system for delivering a device for closing a passageway in a body, for example a patent foramen ovale (PFO) in a heart. The delivery system has an elongate member having a proximal and distal end. A deflectable needle assembly having luminal and abluminal surfaces is slideably engaged within the elongate member. An actuator is slideabley engaged within the elongate member and attached to the needle tip assembly such that translational movement of the actuator causes deflection of the deflectable needle assembly.
摘要翻译： 本发明涉及一种用于递送用于封闭体内通道的装置的递送系统，例如心脏中的卵孔卵泡（PFO）。 递送系统具有具有近端和远端的细长构件。 具有管腔和外侧表面的可偏转针组件可滑动地接合在细长构件内。 致动器可滑动地接合在细长构件内并附接到针尖组件，使得致动器的平移运动导致可偏转针组件的偏转。
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公开(公告)号：US08579933B2
公开(公告)日：2013-11-12
申请号：US11446477
申请日：2006-06-02
申请人： Chao Chin-Chen , Randy David Burce Grishaber , Gene W. Kammerer , Issac John Khan , Jin Park , Daniel Olsen
发明人： Chao Chin-Chen , Randy David Burce Grishaber , Gene W. Kammerer , Issac John Khan , Jin Park , Daniel Olsen
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B2017/00575 , A61B2017/00592 , A61B2017/00606 , A61B2017/00615 , A61B2017/00867 , A61B2017/0409 , A61B2017/0419
摘要： A device for deploying a mechanical closure device for closing a passageway in a body, for example a patent foramen ovale (PFO) in a heart. The deployment device has a first tubular structure having proximal and distal ends. A second tubular structure is substantially coaxial to and slideably engaged within the first tubular structure. The second tubular structure has a first substantially linear shape when constrained within the first tubular structure, and a second curvilinear shape when telescopically extended from the distal end of the first tubular structure. A third tubular structure is substantially coaxial to and slideably engaged within the second tubular structure. The third tubular structure is configured to provide sufficient rigidity to push the mechanical closure device from the distal end of the second tubular structure, and provide sufficient flexibility to assume a curvilinear shape when deflected by the second tubular structure.
摘要翻译： 用于部署用于封闭身体中的通道的机械闭合装置的装置，例如心脏中的卵孔卵泡（PFO）。 展开装置具有第一管状结构，其具有近端和远端。 第二管状结构与第一管状结构基本同轴并可滑动地接合。 第二管状结构当被限制在第一管状结构内时具有第一基本线性形状，以及当从第一管状结构的远端可伸缩地延伸时的第二曲线形状。 第三管状结构基本上与第二管状结构同轴并可滑动地接合。 第三管状结构被构造成提供足够的刚度以从第二管状结构的远端推动机械闭合装置，并且当由第二管状结构偏转时提供足够的柔性以呈现曲线形状。
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公开(公告)号：US07452368B2
公开(公告)日：2008-11-18
申请号：US10941238
申请日：2004-09-15
IPC分类号： A61D1/00
CPC分类号： A61B17/1222 , A61B17/064 , A61B2017/0053 , A61B2017/0419 , A61B2050/3013 , A61B2050/3015
摘要： A system for holding surgical fasteners each having a first anchor, a second anchor and a connector extending therebetween upwardly from the first and second anchors, and a method for loading the same into an applicator. The system includes a shuttle having first and second channels dimensioned to slidably receive therein the first and second anchors, and having first and second grooves respectively forming openings into the channels along a portion of a length of the channels. When the first and second anchors are received within the first and second channels, the connector of the surgical fastener extends out of the shuttle through the first and second grooves. The system also includes a cartridge having at least a first channel dimensioned to slidably receive the shuttle therein, and having a first projection extending into the first channel. When the shuttle and loaded fastener are received within the cartridge channel, the connector of the surgical fastener abuts the first projection to thereby limit movement of the fastener toward a distal end of the cartridge.
摘要翻译： 一种用于保持手术紧固件的系统，每个具有第一锚固件，第二锚固件和从第一和第二锚固件向上延伸的连接器，以及用于将其装载到施用器中的方法。 该系统包括具有第一和第二通道的梭子，其尺寸设计成可滑动地容纳第一和第二锚固件，并且具有沿着通道长度的一部分分别在通道中形成开口的第一和第二槽。 当第一和第二锚固件被容纳在第一和第二通道内时，手术紧固件的连接器从梭子穿过第一和第二凹槽延伸出来。 该系统还包括具有至少第一通道的盒，其尺寸被设计成可滑动地容纳梭子，并且具有延伸到第一通道中的第一突出部。 当穿梭和加载的紧固件被容纳在药筒通道内时，手术紧固件的连接器与第一突起抵接，从而限制紧固件朝向药筒的远端的运动。
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公开(公告)号：US20080281357A1
公开(公告)日：2008-11-13
申请号：US11801414
申请日：2007-05-09
IPC分类号： A61B17/04
CPC分类号： A61B17/06166 , A61B17/0469 , A61B2017/06052 , A61B2017/06176
摘要： A looped tissue-grasping device includes a looped suture having two ends swaged to a needle and a plurality of tissue-grasping elements provided on the looped suture. The device is used for joining bodily tissue in surgical applications and wound repair. The configuration of the tissue-grasping elements permit movement of the suture through the tissue in the direction the needle is pulled and, prevent slippage or movement of the suture in a direction opposite to the direction of movement of the needle.
摘要翻译： 环状组织抓取装置包括环形缝合线，其具有挤压到针的两端和设置在环状缝合线上的多个组织抓握元件。 该装置用于在外科应用和伤口修复中连接身体组织。 组织抓握元件的构造允许缝合线沿着针被拉动的方向移动通过组织，并且防止缝合线在与针的移动方向相反的方向上滑动或移动。
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公开(公告)号：US07112210B2
公开(公告)日：2006-09-26
申请号：US10404576
申请日：2003-04-01
申请人： Ulf Ulmsten , Gene W. Kammerer
发明人： Ulf Ulmsten , Gene W. Kammerer
CPC分类号： A61F2/0045 , A61B17/00491 , A61B2017/00805 , A61B2017/0419
摘要： The invention relates to a surgical instrument and a method for treating female urinary incontinence. A tape or mesh is permanently implanted into the body as a support for the urethra. In one embodiment, portions of the tape comprise tissue growth factors and adhesive bonding means for attaching portions of the tape to the pubic bone. In a further embodiment, portions of the tape comprise attachment means for fastening portions of the tape to fascia within the pelvic cavity. In both embodiments the tape is implanted with a single incision through the vaginal wall.
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公开(公告)号：US20050070930A1
公开(公告)日：2005-03-31
申请号：US10912605
申请日：2004-08-05
申请人： Gene W. Kammerer
发明人： Gene W. Kammerer
CPC分类号： A61F2/0063 , A61F2002/0068 , A61F2250/003
摘要： An implantable surgical mesh is provided, one embodiment of which includes a plurality of absorbable filaments, and a plurality of non-absorbable filaments. Substantially all of the plurality of non-absorbable filaments are substantially aligned in a single direction with substantially no cross-linking therebetween. The plurality of absorbable filaments are interwoven with the non-absorbable filaments to thereby form a bi-directional mesh structure prior to absorption of the absorbable filaments.
摘要翻译： 提供了一种可植入手术网，其一个实施例包括多个可吸收长丝，以及多个不可吸收的长丝。 基本上所有多个不可吸收的丝基本上在单个方向上基本上对准，基本上没有它们之间的交联。 多个可吸收长丝与不可吸收长丝交织，从而在吸收可吸收长丝吸收之前形成双向网格结构。
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公开(公告)号：US6152935A
公开(公告)日：2000-11-28
申请号：US210406
申请日：1998-12-11
CPC分类号： A61B17/0469 , A61B17/083 , A61B2017/00004 , A61B2017/0409 , A61B2017/0419 , A61B2017/0618 , A61B2017/0647 , A61F2002/30093 , A61F2210/0019
摘要： An H-type fastener for tissue. The fastener has a central spring member. The spring member has a first end and a second end. Tissue anchor members are mounted to each end. When placed in tissue, the spring member provides a compressive spring force upon tissue between the anchor members of the fastener.
摘要翻译： 用于组织的H型紧固件。 紧固件具有中心弹簧构件。 弹簧构件具有第一端和第二端。 组织锚固件安装在每一端。 当放置在组织中时，弹簧构件在紧固件的锚定构件之间的组织上提供压缩弹簧力。
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公开(公告)号：US5397332A
公开(公告)日：1995-03-14
申请号：US116160
申请日：1993-09-02
CPC分类号： A61F2/0063 , A61B17/0057 , A61B17/00234 , A61B17/3421 , A61F2002/0072
摘要： An applicator for applying a sheet of surgical material, e.g., a surgical mesh, to internal body tissue includes a delivery tube, a deployment tube slidably received within the delivery tube, and a shaft or irrigation tube slidably received within the deployment tube. An expandable spreader tip is connected between the distal ends of the shaft and the deployment tube. The spreader tip is collapsed and inserted in the delivery tube with the surgical mesh. The applicator is inserted through a trocar tube into a body cavity and the spreader tip is exposed by retracting the delivery tube relative to the deployment tube and shaft. The applicator has a first actuator for urging the spreader tip and surgical mesh into engagement with the tissue as the deployment tube is retracted and a second actuator for advancing the deployment tube relative to the shaft to expand the spreader tip to apply the surgical mesh to the tissue. The spreader tip includes a plurality of flexible strips each having its opposite ends pivotally connected to the distal ends of the shaft and the deployment tube. The applicator includes a return spring to bias the deployment tube proximally relative to the shaft to normally maintain the spreader tip collapsed.
摘要翻译： 用于将诸如外科手术网的外科材料片施加到内部身体组织的施加器包括输送管，可滑动地容纳在输送管内的展开管，以及可滑动地容纳在展开管内的轴或冲洗管。 可扩张的扩张器尖端连接在轴的远端和展开管之间。 扩张器尖端被塌缩并且用外科手术网插入到输送管中。 将敷料器通过套针管插入体腔中，通过相对于展开管和轴缩回输送管而使撒布机尖端露出。 施放器具有第一致动器，用于当展开管缩回时用于推动展开尖端和外科手术网与组织接合;以及第二致动器，用于相对于轴推进展开管，以使扩张器尖端膨胀以将外科手术网施加到 组织。 吊具末端包括多个柔性条带，每个柔性条带的相对端枢转地连接到轴的远端和展开管。 施加器包括复位弹簧，用于相对于轴向近侧偏压展开管，以正常地保持扩张器尖端收缩。
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公开(公告)号：US5284485A
公开(公告)日：1994-02-08
申请号：US946197
申请日：1992-09-16
CPC分类号： A61B17/0469 , A61B2017/0474 , A61B2017/0477 , A61B2090/037
摘要： An improved endoscopic device of the type having a surgical needle; a hollow tube; and a filamentary strand attached at its distal end to the surgical needle, and slideably engaged at its proximal end about the tube with a partially tightened slip knot. The improvement in the device relates to means for pulling the filamentary strand through the hollow tube proximally when the surgical needle is detached from the strand. The device can be used to approximate tissue or ligate a vessel.
摘要翻译： 具有手术针的改进型内镜装置; 中空管 以及在其远端附接到手术针的丝状股线，并且在其近端处可滑动地接合具有部分紧固的滑结的管。 该装置的改进涉及当手术针从股线分离时将丝状股线拉近穿过中空管的装置。 该装置可用于近似组织或连接血管。
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公开(公告)号：US4690842A
公开(公告)日：1987-09-01
申请号：US5492
申请日：1987-01-20
CPC分类号： A61L15/12 , Y10T428/31554
摘要： A composition with reduced tack used to reinforce polyurethane casts is disclosed. The composition has controlled foaming activity and a viscosity between 100,000 and 1,000,000. The foaming activity and viscosity and reduced tack allow the formulation to be readily applied to the cast area that is to be reinforced.
摘要翻译： 公开了一种用于增强聚氨酯铸件的具有降低粘性的组合物。 该组合物具有控制发泡活性和粘度在100,000至1,000,000之间。 发泡活性和粘度和降低的粘性使制剂容易地应用于待加强的铸造区域。
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