公开(公告)号：US20050288708A1

公开(公告)日：2005-12-29

申请号：US10959787

申请日：2004-10-06

申请人： Gene Kammerer ,  Dorothy Dion ,  Scott Ciarrocca

发明人： Gene Kammerer ,  Dorothy Dion ,  Scott Ciarrocca

IPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/08

CPC分类号： A61B17/083 ,  A61B17/0469 ,  A61B17/0644 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0646

摘要： A fastener for surgical repair of tissue is provided along with methods for its use. The fastener includes first and second anchors and a connector including a first central biasing section coupled to the first anchor and a second central biasing section having coupled to the second anchor, and a connector section extending between the other ends of the first and second central biasing sections. The first and second central biasing sections are capable of being elastically deformed from a first relaxed resting position to a second extended position wherein the connector section is positioned a further distance away from and is biased toward the anchors.

摘要翻译： 提供用于组织外科修复的紧固件及其使用方法。 紧固件包括第一和第二锚固件和连接器，该连接器包括联接到第一锚固件的第一中心偏置部分和联接到第二锚固件的第二中心偏置部分，以及在第一和第二中心偏置件的另一端之间延伸的连接器部分 部分。 第一和第二中心偏压部分能够从第一松弛静止位置弹性变形到第二延伸位置，其中连接器部分定位在更远的距离处并且朝向锚定件偏置。

公开(公告)号：US20060058818A1

公开(公告)日：2006-03-16

申请号：US10941238

申请日：2004-09-15

申请人： Jessica Liberatore ,  Mark Howansky ,  Gene Kammerer ,  James Rudnick

发明人： Jessica Liberatore ,  Mark Howansky ,  Gene Kammerer ,  James Rudnick

IPC分类号： A61B17/10

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。

公开(公告)号：US20070123915A1

公开(公告)日：2007-05-31

申请号：US11258436

申请日：2005-10-25

申请人： Gene Kammerer ,  Peter Komarnycky

发明人： Gene Kammerer ,  Peter Komarnycky

IPC分类号： A61B17/08

CPC分类号： A61F2/0063 ,  A61B90/90 ,  A61B2090/3937 ,  A61F2/0045 ,  A61F2/0095 ,  A61F2002/0068 ,  A61F2250/0004 ,  A61F2250/0097

摘要： Various surgical assemblies are provided, one embodiment of which includes a substantially flat template having first and second opposed sides, and having a plurality of graduated markings on said first side, and a substantially flat, flexible, surgical implant removably secured to the template and having first and second substantially flat opposed sides, and at least a first trimable portion. The surgical implant is removably coupled to the template so that the first side of the template is substantially adjacent to the first side of the surgical mesh, and so that the plurality of graduated markings are substantially adjacent to the first trimable portion of the surgical implant.

摘要翻译： 提供了各种手术组件，其一个实施例包括具有第一和第二相对侧的基本上平坦的模板，并且在所述第一侧上具有多个刻度标记，以及基本上平坦，柔性的手术植入物，其可移除地固定到模板并具有 第一和第二基本平坦的相对侧，以及至少第一可修剪部分。 手术植入物可移除地联接到模板，使得模板的第一侧基本上与手术网的第一侧相邻，并且使得多个刻度标记基本上与外科植入物的第一可修剪部分相邻。

公开(公告)号：US20050250978A1

公开(公告)日：2005-11-10

申请号：US10854289

申请日：2004-05-07

申请人： Gene Kammerer

发明人： Gene Kammerer

IPC分类号： A61B17/08 ,  A61F2/00 ,  A61F2/02 ,  A61F13/00

CPC分类号： A61F2/0045 ,  A61F2/0063

摘要： A urethra support having an elongated mesh tape portion and a mesh extension affixed to the tape portion transverse thereto. In accordance with a method of the invention, the urethra support is inserted into the lower pelvic cavity of a patient with the tape portion forming a sling extending beneath and supporting the urethra of the patient. In this position, the tape portion is generally perpendicular to the urethra. The extension is inserted into the peri-urethral fascia along at least a portion of the length of the urethra. This induces the formation of scar tissue proximate the extension, with the scar tissue eventually contracting thereby compressing the urethra.

摘要翻译： 尿道支架，其具有细长的网带部分和与横向于其的带部分固定的网状延伸部。 根据本发明的方法，将尿道支撑件插入到患者的下骨盆腔中，其中带部分形成在患者的尿道下方延伸并支撑尿道的吊带。 在该位置，胶带部分通常垂直于尿道。 延伸部沿着尿道长度的至少一部分插入尿道周围的筋膜。 这导致在延伸部附近形成瘢痕组织，瘢痕组织最终收缩从而压缩尿道。

公开(公告)号：US20070032821A1

公开(公告)日：2007-02-08

申请号：US11446479

申请日：2006-06-02

申请人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac Khan ,  Jin Park ,  Daniel Olsen

发明人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac 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： The present invention is a method and device for closing a passageway in a body, for example a patent foramen ovale (PFO) in a heart, and related methods of using such closure devices for closing the passageway. The closure device includes a closure line having a first and a second end. A first expandable device is connected to the first end of the closure line. A second expandable device is located along the second end of the closure line, and is capable of sliding along the closure line in one direction while preventing sliding movement in the opposite direction. Alternatively the second closure line is fixed along the second end of the closure line.

摘要翻译： 本发明是一种用于闭合身体中的通道的方法和装置，例如心脏中的卵圆孔（PFO），以及使用这种关闭装置关闭通道的相关方法。 封闭装置包括具有第一和第二端的封闭线。 第一可扩张装置连接到封闭线的第一端。 第二可膨胀装置沿着封闭线的第二端定位，并且能够沿着封闭线在一个方向上滑动，同时防止沿相反方向的滑动。 或者，第二闭合线沿着闭合线的第二端固定。

公开(公告)号：US20070032796A1

公开(公告)日：2007-02-08

申请号：US11483240

申请日：2006-07-07

申请人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac Khan ,  Jin Park ,  Daniel Olsen ,  Rudolph Cedro

发明人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac Khan ,  Jin Park ,  Daniel Olsen ,  Rudolph Cedro

IPC分类号： A61B17/10

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。

公开(公告)号：US20070032820A1

公开(公告)日：2007-02-08

申请号：US11446477

申请日：2006-06-02

申请人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac Khan ,  Jin Park ,  Daniel Olsen

发明人： Chao Chin-Chen ,  Randy Grishaber ,  Gene Kammerer ,  Issac 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 and method 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和方法，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。

公开(公告)号：US5395382A

公开(公告)日：1995-03-07

申请号：US141449

申请日：1993-10-22

申请人： John DiGiovanni ,  Gene Kammerer

发明人： John DiGiovanni ,  Gene Kammerer

IPC分类号： A61B17/00 ,  A61B17/04

CPC分类号： A61B17/0469

摘要： An intracorporeal knot tying device. The knot tying device comprises a cannula tube having a proximal end and a distal end and passage therethrough. A suture is movably mounted within the tubular passage. A needle is mounted to the distal end of the suture. The cannula has in its distal end a slit or a distally extending arm for retaining the suture and maneuvering the suture while tying an intracorporeal knot.

摘要翻译： 体内结打结装置。 打结装置包括具有近端和远端以及穿过其的通道的插管管。 缝合线可移动地安装在管状通道内。 针安装到缝合线的远端。 套管在其远端处具有狭缝或远端延伸的臂，用于保持缝合线并在缝合体内结时操纵缝合线。

公开(公告)号：US5330491A

公开(公告)日：1994-07-19

申请号：US65590

申请日：1993-06-07

申请人： Edward E. Walker ,  Royce L. Ferderick ,  C. Ray Britt ,  Gene Kammerer ,  Barbara Howard

发明人： Edward E. Walker ,  Royce L. Ferderick ,  C. Ray Britt ,  Gene Kammerer ,  Barbara Howard

IPC分类号： A61B17/06 ,  A61B17/00 ,  A61B17/04 ,  A61B17/12 ,  A61B19/00

CPC分类号： A61B17/12013 ,  A61B17/0469 ,  A61B17/06166 ,  A61B2017/00004 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2090/037

摘要： A medical device for ligation or approximating tissue is disclosed. The device has a cannula with proximal and distal ends. The distal end of the cannula has a beveled surface, and the cannula has first and second channels, the first channel extending axially through it, and the second channel extending from the beveled surface to the first channel. The device includes a suture with a slide end and a distal loop, as well as a slip knot securing the loop to the slide end. The slide end is threaded thorough the first and second channels of the cannula and it protrudes from the proximal end of the cannula. In addition, the device incorporates means for securing the positioning of the slide end of the suture in the first channel of the cannula. The device may optionally have a frangible proximal end wherein the proximal end of the suture is mounted to the frangible proximal end.The device is particularly well adapted for use during endoscopic surgery when it is necessary to perform operative procedures through small openings in the body. The device is easy to maneuver and to position, and does not require the user to make the suture knot outside the body.

摘要翻译： 公开了一种用于结扎或近似组织的医疗装置。 该装置具有近端和远端的套管。 套管的远端具有倾斜的表面，并且套管具有第一和第二通道，第一通道轴向地延伸通过它，并且第二通道从斜面延伸到第一通道。 该装置包括具有滑动端和远端环的缝线，以及将环固定到滑动端的滑结。 滑动端穿过套管的第一和第二通道，并从插管的近端突出。 此外，该装置包括用于固定缝合线的滑动端部定位在插管的第一通道中的装置。 该装置可以可选地具有易碎的近端，其中缝合线的近端安装到易碎的近端。 当需要通过身体中的小开口执行手术操作时，该装置特别适用于内窥镜手术期间使用。 该装置易于操纵和定位，并且不需要用户将缝合线结在身体外部。

公开(公告)号：US20080039877A1

公开(公告)日：2008-02-14

申请号：US11873686

申请日：2007-10-17

申请人： Gene Kammerer

发明人： Gene Kammerer

IPC分类号： A61B17/08

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状结构。