Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue
    1.
    发明授权
    Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
    用于通过外翻组织边缘进行吻合的方法和装置,以及接合外露组织的暴露内膜

    公开(公告)号:US07497865B2

    公开(公告)日:2009-03-03

    申请号:US10855604

    申请日:2004-05-26

    IPC分类号: A61B17/08 A61B17/10 A61B17/04

    摘要: A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in listening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.

    摘要翻译: 用于吻合的戒指。 优选地,环由金属一体地形成,并且包括从环部延伸的环部分和尖齿和对接构件。 环形部分和尖齿是可延展的,并且优选的是对接部件是可延展的。 环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的,它们将不会从第二形状放松回第一形状。 为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中,齿刺穿孔周围的组织并且卷绕在砧座上。 卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。 本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置,用于精确地对准两个吻合环(每个安装在切口或不同的其他孔中的其他孔中的方法和装置) 器官)并将对准的环固定在一起。 夹子可以压接在对准的环上,或者它们可以是弹簧夹,弹簧夹被弹簧上对准的环,以通过弹簧力将环夹在一起。 也在本发明的范围内的是压接和弹簧夹,用于一起收听两个对准的吻合环。 在其他实施例中,本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法,在另一个器官的孔中安装另一个吻合环,精确对准两个安装的吻合环,并将对准的环固定在一起 。

    Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue
    2.
    发明授权
    Method and apparatus for performing anastomosis with eversion of tissue edges and joining of exposed intima of the everted tissue 失效
    用于通过外翻组织边缘进行吻合的方法和装置,以及接合外露组织的暴露的内膜

    公开(公告)号:US06811555B1

    公开(公告)日:2004-11-02

    申请号:US09654605

    申请日:2000-09-01

    IPC分类号: A61B1708

    摘要: A ring for use in anastomosis. Preferably, the ring is integrally formed from metal, and includes a ring portion and tines and docking members that extend from the ring portion. The ring portion and tines are malleable, and preferably also the docking members are malleable. The ring portion and tines are malleable in the sense that once deformed from a first shape into a second shape, they will not relax back into the first shape from the second. To install the ring in a vessel with the ring portion extending around an incision or other orifice, the tines pierce the tissue around the orifice and are curled against an anvil. The action of curling the tines inverts the tissue near the orifice edges to expose the inside surface of the vessel or organ. Other aspects of the invention are a method and apparatus for installing an anastomosis ring in an incision or other orifice in a vessel or other organ, a method and apparatus for precisely aligning two anastomosis rings (each installed in an incision or other orifice of a different organ) and fastening the aligned rings together. The clips can be crimped onto the aligned rings, or they can be spring clips which are sprung onto the aligned rings to clamp the rings together by spring force. Also within the scope of the invention are crimping and spring clips for use in fastening together two aligned anastomosis rings. In other embodiments, the invention is a method for performing an anastomosis by installing an anastomosis ring in an orifice in an organ, installing another anastomosis ring in an orifice in another organ, precisely aligning the two installed anastomosis rings, and fastening the aligned rings together.

    摘要翻译: 用于吻合的戒指。 优选地,环由金属一体地形成,并且包括从环部延伸的环部分和尖齿和对接构件。 环形部分和尖齿是可延展的,并且优选的是对接部件是可延展的。 环形部分和尖齿在从第一形状变形成第二形状的意义上是可延展的,它们将不会从第二形状放松回第一形状。 为了将环安装在具有围绕切口或其他孔口延伸的环部分的容器中,齿刺穿孔周围的组织并且卷绕在砧座上。 卷曲尖齿的作用使孔边缘附近的组织反转以暴露血管或器官的内表面。 本发明的其它方面是用于将吻合环安装在容器或其他器官中的切口或其它孔中的方法和装置,用于精确地对准两个吻合环(每个安装在切口或不同的其他孔中的其他孔中的方法和装置) 器官)并将对准的环固定在一起。 夹子可以压接在对准的环上,或者它们可以是弹簧夹,弹簧夹被弹簧上对准的环,以通过弹簧力将环夹在一起。 也在本发明的范围内的是压接和弹簧夹,用于将两个对准的吻合环紧固在一起。 在其他实施例中,本发明是一种通过在器官中的孔中安装吻合环来进行吻合的方法,在另一个器官的孔中安装另一个吻合环,精确对准两个安装的吻合环,并将对准的环固定在一起 。

    Apparatus and method for performing an anastomosis
    3.
    发明授权
    Apparatus and method for performing an anastomosis 失效
    用于进行吻合的装置和方法

    公开(公告)号:US06884251B2

    公开(公告)日:2005-04-26

    申请号:US10384250

    申请日:2003-03-06

    摘要: An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.

    摘要翻译: 使用安装在至少一个容器的外部的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲,以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上,因此当两个容器被接合在一起时,在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘,其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开,以便适当的压力施加到组织以促进愈合而不泄漏。 此外,紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。

    Apparatus and method for performing an anastomosis
    7.
    发明授权
    Apparatus and method for performing an anastomosis 失效
    用于进行吻合的装置和方法

    公开(公告)号:US06565581B1

    公开(公告)日:2003-05-20

    申请号:US09641284

    申请日:2000-08-17

    IPC分类号: A61B1708

    摘要: An anastomosis is performed using a flexible mounting structure mounted on the outside of at least one vessel. Fasteners extend through the vessel and are bent towards the incision to attach the flexible mounting structure to the vessel in a manner that controls the edge of the vessel adjacent to the incision. The mounting structures are oriented on each vessel so fasteners on one mounting structure interdigitate with fasteners on the other mounting structure at the location of contact between the vessels when the two vessels are brought together. This creates two complementary sinusoidal-shaped vessel edges with peaks of one edge being accommodated in the valleys of the other edge. The peak-to-valley orientation forms a sinusoidal-shaped joint which is leak free. The fasteners are spaced so proper pressure is applied to the tissue to promote healing without leaking. Furthermore, the fasteners are sized and shaped to properly engage the tissue and bend in a desired manner. Methods and tools for carrying out the anastomosis according to the invention are also disclosed. Methods for forming the fastener and the tines having the proper characteristics are disclosed. An absorbable ring-shaped stent is also disclosed.

    摘要翻译: 使用安装在至少一个容器的外侧上的柔性安装结构进行吻合。 紧固件延伸穿过容器并朝向切口弯曲,以将控制与切口相邻的容器边缘的方式将柔性安装结构附接到容器。 安装结构被定向在每个容器上,因此当两个容器被接合在一起时,在一个安装结构上的紧固件与另一个安装结构上的紧固件在容器之间的接触位置处相互交错。 这产生两个互补的正弦形容器边缘,其中一个边缘的峰值被容纳在另一个边缘的谷部中。 峰 - 谷取向形成无泄漏的正弦形接头。 紧固件间隔开,以便适当的压力施加到组织以促进愈合而不泄漏。 此外,紧固件的尺寸和形状适于适当地接合组织并以期望的方式弯曲。 还公开了用于进行根据本发明的吻合的方法和工具。 公开了用于形成紧固件和具有适当特性的尖齿的方法。 还公开了可吸收的环形支架。

    Cassette and embedding assembly for handling and holding tissue samples during processing, embedding and microtome procedures, staging devices therefor, and methods therefor
    9.
    发明授权
    Cassette and embedding assembly for handling and holding tissue samples during processing, embedding and microtome procedures, staging devices therefor, and methods therefor 有权
    在处理,嵌入和切片机程序期间处理和保持组织样品的盒式和嵌入组件,其分级装置及其方法

    公开(公告)号:US08609431B2

    公开(公告)日:2013-12-17

    申请号:US12836102

    申请日:2010-07-14

    IPC分类号: G01N1/28

    摘要: The disclosure relates to a cassette, frame and mold for holding a tissue sample during an embedding and mircotoming process, and related methods. The cassette is sectionable in a microtome and includes a body with a bottom wall and a plurality of side walls. First and second side walls are generally V-shaped to present an apex of the “V” to the microtome blade. A lid of the cassette is stiffer than the bottom wall of the cassette to assist with positioning the tissue sample. The side walls of the cassette are perforated so as to significantly reduce the amount of cassette material that must be cut by the microtome blade. In one embodiment, to additionally reduce blade wear the ribs on one side wall are offset lengthwise relative to the ribs on an opposite side wall. An upper flange of the cassette includes depressions configured to register with detents in the frame.

    摘要翻译: 本公开涉及一种用于在嵌入和微型切割过程期间保持组织样本的盒,框架和模具及相关方法。 盒子可在切片机中切片,并且包括具有底壁和多个侧壁的主体。 第一侧壁和第二侧壁通常为V形以呈现与切片机叶片“V”的顶点。 盒的盖比盒的底壁更硬,以帮助定位组织样品。 盒的侧壁是穿孔的,以便显着减少必须由切片机刀片切割的盒材料的量。 在一个实施例中,为了额外地减少刀片磨损,一个侧壁上的肋相对于相对侧壁上的肋纵向偏移。 盒的上凸缘包括配置成与框架中的棘爪对准的凹陷。