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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：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：US20160213361A1
公开(公告)日：2016-07-28
申请号：US15093556
申请日：2016-04-07
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：US20160030082A1
公开(公告)日：2016-02-04
申请号：US14881013
申请日：2015-10-12
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：US09161778B2
公开(公告)日：2015-10-20
申请号：US13725897
申请日：2012-12-21
IPC分类号： A61B1/00 , A61B17/34 , A61B17/00 , A61B17/04 , A61B17/06 , A61B17/22 , A61B17/30 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/3468 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , 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 , A61B2090/306 , 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：US20150223792A1
公开(公告)日：2015-08-13
申请号：US14698426
申请日：2015-04-28
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.
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：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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