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    Method and apparatus for tissue fastening with single translating trigger operation
    1.
    发明授权
    Method and apparatus for tissue fastening with single translating trigger operation 有权
    用单一翻译触发操作进行组织固定的方法和装置

    公开(公告)号：US08074857B2

    公开(公告)日：2011-12-13

    申请号：US11022319

    申请日：2004-12-23

    申请人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    发明人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    IPC分类号： A61B17/10

    CPC分类号： A61B17/08 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/10 ,  A61B17/282 ,  A61B17/30 ,  A61B2017/00004 ,  A61B2017/081

    摘要： A mechanical device and method for gathering and securing tissue with a fastener. The device includes an applicator assembly configured to deploy a fastener in a first direction, a tissue manipulation assembly configured to move from a relaxed position to a grasping position in a second direction transverse to the first direction, and a translating trigger assembly coupled to the applicator assembly and the tissue manipulation assembly. The trigger assembly is configured to move from a relaxed position, through a first position, to a second position along a third direction transverse to the first and second direction. Operation of the trigger assembly from the relaxed position through the first position along the third direction causes the tissue manipulation assembly to move in the second direction to gather a portion of the tissue. Continued operation of the trigger assembly along the third direction causes the applicator assembly to deploy the fastener.

    摘要翻译： 一种用紧固件收集和固定纸巾的机械装置和方法。 该装置包括构造成在第一方向上展开紧固件的施用器组件，组织操作组件，其构造成在横向于第一方向的第二方向上从松弛位置移动到抓握位置;以及平移触发器组件， 组装和组织操作组件。 触发器组件被构造成沿着横向于第一和第二方向的第三方向从松弛位置移动到第一位置到第二位置。 触发器组件从松弛位置沿着第三方向通过第一位置的操作使得组织操作组件沿第二方向移动以收集组织的一部分。 触发器组件沿着第三方向的继续操作导致施用器组件展开紧固件。

    Dynamic bioabsorbable fastener for use in wound closure
    2.
    发明授权
    Dynamic bioabsorbable fastener for use in wound closure 有权
    用于伤口闭合的动态生物可吸收紧固件

    公开(公告)号：US08066736B2

    公开(公告)日：2011-11-29

    申请号：US11097085

    申请日：2005-04-01

    申请人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    发明人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    IPC分类号： A61B17/08 ,  A61B17/10 ,  A61D1/00

    CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/30 ,  A61B2017/00004

    摘要： A fastener for insertion into pierced openings of a tissue wound has a body formed of a generally bioabsorbable polymer defining an initial capture area. The body includes a pair of arms, each with an inwardly projecting cleat operably joined at an elbow portion defining an internal elbow angle. The arms are operably joined to a backspan at a shoulder portion defining an internal shoulder angle. A durable tissue retention zone is defined between the cleat and the arm. The elbow portion and the internal elbow angle define an insertion width greater than a width of the pierced openings resulting in the pierced openings stretching over the cleat and being elastically retained within the durable tissue retention zone. The fastener captures wound tissue in the initial capture area and then dynamically reforms in response to lateral stresses without a fracture failure of the fastener until a minimum degradation period.

    摘要翻译： 用于插入组织缠绕的穿孔的紧固件具有由通常生物可吸收的聚合物形成的主体，其限定初始捕获区域。 主体包括一对臂，每个臂具有向内突出的防滑板，其可操作地连接在限定内肘角的肘部。 臂可操作地连接到限定内肩角度的肩部的背跨。 在防滑板和手臂之间限定一个持久的组织保持区。 肘部部分和内肘角限定了大于穿孔的宽度的插入宽度，导致刺穿的开口在防滑板上方延伸并且被弹性地保持在耐久的组织保持区域内。 紧固件捕获初始捕获区域中的伤口组织，然后响应于横向应力而动态地改变，而没有紧固件的断裂故障直到最小降解周期。

    MECHANICAL METHOD AND APPARATUS FOR BILATERAL TISSUE FASTENING
    3.
    发明申请
    MECHANICAL METHOD AND APPARATUS FOR BILATERAL TISSUE FASTENING 审中-公开
    用于双侧组织固定的机械方法和装置

    公开(公告)号：US20120145765A1

    公开(公告)日：2012-06-14

    申请号：US13314978

    申请日：2011-12-08

    申请人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    发明人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    IPC分类号： A61B17/068

    CPC分类号： A61B17/08 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/10 ,  A61B17/282 ,  A61B17/30 ,  A61B2017/00004 ,  A61B2017/081

    摘要： A mechanical system for bilaterally securing skin tissue utilizes a tissue manipulator apparatus to approximate a portion of an interior surface of each of two pieces of living dermis tissue along a vertical interface below an exterior surface without overlapping either interior surface across the vertical interface. An applicator apparatus includes a driving head portion positioned in the vertical interface and at least partially below the exterior surface and a handle portion positioned at least partially above the exterior surface. The applicator apparatus bilaterally drives at least one portion of the fastener through each piece of the living dermis tissue behind the interior surface of that piece of tissue such that the fastener is positioned below the exterior surface and a portion of the fastener is positioned generally transverse to the vertical interface. Preferably, the manipulator apparatus and the applicator apparatus are arranged together as part of a hand-held instrument.

    摘要翻译： 用于双边固定皮肤组织的机械系统利用组织操纵器装置沿着外表面下方的垂直界面近似两个活的真皮组织中的每一个的内表面的一部分，而不会跨越垂直界面重叠内表面。 涂抹器装置包括位于垂直界面中并且至少部分地位于外表面下方的驱动头部分以及至少部分地位于外表面上方的手柄部分。 施用装置通过在该组织的内表面之后的每一块活的真皮组织双向地驱动紧固件的至少一部分，使得紧固件位于外表面的下方，并且紧固件的一部分大致横向于 垂直界面。 优选地，操作器装置和施加装置作为手持式器械的一部分一起布置在一起。

    Mechanical method and apparatus for bilateral tissue fastening
    4.
    发明授权
    Mechanical method and apparatus for bilateral tissue fastening 有权
    双侧组织紧固的机械方法和装置

    公开(公告)号：US07950559B2

    公开(公告)日：2011-05-31

    申请号：US10607497

    申请日：2003-06-25

    申请人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    发明人： James A. Peterson ,  Christopher J. Sperry ,  Joseph M. Gryskiewicz ,  Delmer L. Smith ,  David B. Herridge

    IPC分类号： A61B17/10

    CPC分类号： A61B17/064 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/282 ,  A61B17/30 ,  A61B2017/00004 ,  A61B2017/081

    摘要： A mechanical system for bilaterally securing skin tissue preferably utilizes a tissue manipulator apparatus to approximate a portion of an interior surface of each of two pieces of living dermis tissue along a vertical interface below an exterior surface without overlapping either interior surface across the vertical interface. An applicator apparatus includes a driving head portion positioned in the vertical interface and at least partially below the exterior surface and a handle portion positioned at least partially above the exterior surface. The applicator apparatus bilaterally drives at least one portion of the fastener through each piece of the living dermis tissue behind the interior surface of that piece of tissue such that the fastener is positioned below the exterior surface and a portion of the fastener is positioned generally transverse to the vertical interface. Preferably, the manipulator apparatus and the applicator apparatus are arranged together as part of a hand-held instrument capable of carrying and deploying multiple fasteners.

    摘要翻译： 用于双侧固定皮肤组织的机械系统优选地利用组织操纵器装置沿着外表面下方的垂直界面近似两个活的真皮组织中的每一个的内表面的一部分，而不会跨越垂直界面重叠内表面。 涂抹器装置包括位于垂直界面中并且至少部分地位于外表面下方的驱动头部分以及至少部分地位于外表面上方的手柄部分。 施用装置通过在该组织的内表面之后的每一块活的真皮组织双向地驱动紧固件的至少一部分，使得紧固件位于外表面的下方，并且紧固件的一部分大致横向于 垂直界面。 优选地，操纵器装置和施加装置一起布置在能够承载和展开多个紧固件的手持式仪器的一部分上。

    Method and apparatus for tissue fastening
    7.
    发明申请
    Method and apparatus for tissue fastening 审中-公开
    组织固定方法和装置

    公开(公告)号：US20080249563A1

    公开(公告)日：2008-10-09

    申请号：US11732704

    申请日：2007-04-04

    申请人： James A. Peterson ,  David B. Herridge

    发明人： James A. Peterson ,  David B. Herridge

    IPC分类号： A61B17/03

    CPC分类号： A61B17/10 ,  A61B17/083

    摘要： Methods and apparatus directed to tissue capture, presentation and retention using a surgical apparatus. One or more tissue capture arms can include surface features that engage captured tissue and provide omni-directional support during capture and retention of the tissue. The tissue clamping arm can include improved centering features for positioning captured tissue relative to a penetrator that is advance into the capture tissue. Through improved tissue handling and tissue retention relative to the penetrator, captured tissue can be consistently pierced regardless of external forces and techniques. The tissue clamping arm can include gripping members arranged along an interface surface to improve tissue grip and presentation.

    摘要翻译： 用于使用外科手术器械的组织捕获，呈现和保留的方法和装置。 一个或多个组织捕获臂可以包括接合捕获的组织的表面特征，并且在捕获和保持组织期间提供全方向的支撑。 组织夹持臂可以包括改进的对中特征，用于相对于进入捕获组织的穿透器定位捕获的组织。 通过改善相对于穿透器的组织处理和组织保持，捕获的组织可以一直穿透，而不管外力和技术如何。 组织夹持臂可以包括沿着界面表面布置的夹持构件，以改善组织夹持和呈现。

    Bladder with high pressure replenishment reservoir
    8.
    发明授权
    Bladder with high pressure replenishment reservoir 有权
    膀胱与高压补充水库

    公开(公告)号：US06971193B1

    公开(公告)日：2005-12-06

    申请号：US10092873

    申请日：2002-03-06

    申请人： Daniel R. Potter ,  David B. Herridge

    发明人： Daniel R. Potter ,  David B. Herridge

    IPC分类号： A43B13/20 ,  A43B21/28 ,  A61F5/14 ,  A43B7/14 ,  A43B19/00

    CPC分类号： A43B13/203 ,  A43B13/206 ,  A43B21/285

    摘要： A shock absorbing bladder for use in the sole of an article of footwear is disclosed. The bladder includes a plurality of inflated chambers at different pressure levels. The bladder includes a first sealed chamber formed of a barrier material. The first chamber contains a fluid at a first fluid pressure. A second sealed chamber also forms part of the bladder. The second chamber is formed of a second barrier material and contains an inflation fluid at a second fluid pressure that is greater than said first fluid pressure. The second chamber is operatively coupled to the first chamber so that the inflation fluid from the second chamber moves into the first chamber to replenish fluid leaving the first chamber.

    摘要翻译： 公开了一种用于鞋类鞋底中的减震囊。 气囊包括在不同压力水平的多个充气室。 囊包括由阻挡材料形成的第一密封室。 第一室包含处于第一流体压力的流体。 第二个密封腔也形成膀胱的一部分。 所述第二室由第二阻挡材料形成并且包含在大于所述第一流体压力的第二流体压力下的充气流体。 第二室可操作地联接到第一室，使得来自第二室的充气流体进入第一室以补充离开第一室的流体。