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公开(公告)号:US07552853B2
公开(公告)日:2009-06-30
申请号:US11626633
申请日:2007-01-24
申请人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Scott J. Epperly , Kenneth A. Eliasen
发明人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Scott J. Epperly , Kenneth A. Eliasen
IPC分类号: A61B17/068
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A closure device for an arteriotomy includes an elongate tube having a distal opening. The elongate tube has least two opposing longitudinal slots and a pair of opposing corners defined where each slot meets the distal opening. A staple is disposed within the tube, the staple having at least two opposing legs aligned with the at least two slots. Each slot is pinched together adjacent the distal opening such that the opposing corners of each slot converge to cover the tip of the respective staple leg to guard the staple tips against contact with the tissue track. The corners of each slot are separable to permit the respective staple leg to pass there between.
摘要翻译: 用于动脉切开术的闭合装置包括具有远端开口的细长管。 细长管具有至少两个相对的纵向狭槽和一对相对的拐角,其中每个狭槽都与远端开口相接合。 订书针设置在管内,订书针具有与至少两个狭槽对准的至少两个相对的支脚。 每个狭槽被夹在邻近远端开口处,使得每个狭槽的相对的角部会聚以覆盖相应的钉腿的尖端,以保护钉末端免受与组织轨迹的接触。 每个槽的角部是可分离的,以允许相应的短纤维腿在其间通过。
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公开(公告)号:US20080177300A1
公开(公告)日:2008-07-24
申请号:US11626595
申请日:2007-01-24
申请人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Kenneth A. Eliasen , Scott J. Epperly
发明人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Kenneth A. Eliasen , Scott J. Epperly
IPC分类号: A61B17/00
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A closure device for an arteriotomy includes an elongate hollow shaft and an elongate driver slidably disposed therein. The elongate hollow shaft includes a pair of a pair of opposing actuation tips disposed at a distal end thereof defining a staple chamber there between. An anvil extends into the staple chamber from one of the actuation tips. The closure device includes a release mechanism for spreading apart the pair of opposing actuation tips to provide a gap associated with the anvil, the gap dimensioned such that the staple may pass there through. A method of using the closure device is also disclosed.
摘要翻译: 用于动脉切开术的闭合装置包括细长空心轴和可滑动地设置在其中的细长驱动器。 细长空心轴包括一对相对的致动尖端,其设置在其远端处,在其之间限定缝合室。 一个砧座从一个致动尖端延伸到钉仓中。 闭合装置包括释放机构,用于展开该对相对的致动尖端以提供与砧座相关联的间隙,所述间隙的尺寸使得订书钉可能通过其中。 还公开了使用封闭装置的方法。
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公开(公告)号:US20080173691A1
公开(公告)日:2008-07-24
申请号:US11626567
申请日:2007-01-24
申请人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Kenneth A. Eliasen , Scott J. Epperly
发明人: Juan-Pablo Mas , Matthew F. Spurchise , Richard D. Lobello , Kenneth A. Eliasen , Scott J. Epperly
IPC分类号: A61B17/068
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A method for closing an arteriotomy includes providing a guiding system and a closure system. The guiding system is mounted over a dilator, and advanced along a guidewire through the arteriotomy and into the blood vessel lumen. The guiding system includes two stabilization wire guides. A retention foot is disposed at a distal portion of each stabilization wire guide, the foot being deployable into contact against an inner surface of the vessel wall. The guidewire and dilator are withdrawn from the patient, leaving the stabilization wire guides in place. The closure system carries a stapler and is advanced along the stabilization wire guides to an extraluminal position. The stapler is then activated to close the arteriotomy. The retention feet are undeployed and the guiding and closure systems are withdrawn from the body, leaving a staple to hold the arteriotomy closed.
摘要翻译: 用于闭合动脉切开术的方法包括提供引导系统和闭合系统。 引导系统安装在扩张器上,并沿着导丝通过动脉切开术进入血管腔。 引导系统包括两个稳定导线导轨。 保持脚设置在每个稳定导线器的远端部分处,所述脚部可展开成与血管壁的内表面接触。 引导线和扩张器从患者身体中取出,使稳定导线导向器就位。 封闭系统承载订书机,并且沿着稳定导丝器前进到外部位置。 然后激活订书机以关闭动脉切开术。 保持脚未被部署,并且引导和闭合系统从身体排出,留下钉以将动脉切开术闭合。
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公开(公告)号:US07628306B2
公开(公告)日:2009-12-08
申请号:US11626616
申请日:2007-01-24
申请人: Matthew F. Spurchise , Richard D. Lobello , Juan-Pablo Mas , Kenneth A. Eliasen , Scott J. Epperly
发明人: Matthew F. Spurchise , Richard D. Lobello , Juan-Pablo Mas , Kenneth A. Eliasen , Scott J. Epperly
IPC分类号: A61B17/068
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A closure device for an arteriotomy includes an elongate tube having a distal opening, a staple disposed within the tube, and a frangible cap mounted across the distal opening to guard the staple tips against contact with the tissue track. The frangible cap is pierced, fractured or torn when the staple is advanced through the distal opening. A portion of the torn frangible cap may be implanted with the staple as a pledget. The staple may be carried within the elongate tube by a stapler comprising an elongate hollow shaft and an elongate driver slidably disposed therein. A pair of opposing actuation tips is disposed at a distal end of the hollow shaft to define an open-sided staple chamber there between. An anvil is fixedly disposed within the staple chamber, which holds at least a proximal portion of the staple.
摘要翻译: 用于动脉切开术的闭合装置包括具有远侧开口的细长管,设置在管内的钉,以及横跨远侧开口安装的易碎帽,以防止钉头与组织轨迹接触。 当钉子穿过远端开口时,易碎的帽子被刺穿,断裂或撕裂。 破裂的易碎帽的一部分可以用钉子植入。 订书钉可以通过包括细长中空轴和可滑动地设置在其中的细长驱动器的订书机在细长管内承载。 一对相对的致动尖端设置在空心轴的远端处,以在其间限定开放侧缝合室。 砧座固定地设置在钉仓内,其至少保持钉的近端部分。
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公开(公告)号:US07766208B2
公开(公告)日:2010-08-03
申请号:US11626595
申请日:2007-01-24
申请人: Scott J. Epperly , Richard D. Lobello , Juan-Pablo Mas , Matthew F. Spurchise , Katherine G. Coughlin , Kenneth A. Eliasen
发明人: Scott J. Epperly , Richard D. Lobello , Juan-Pablo Mas , Matthew F. Spurchise , Katherine G. Coughlin , Kenneth A. Eliasen
IPC分类号: A61B17/068
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A closure device for an arteriotomy includes an elongate hollow shaft and an elongate driver slidably disposed therein. The elongate hollow shaft includes a pair of a pair of opposing actuation tips disposed at a distal end thereof defining a staple chamber there between. An anvil extends into the staple chamber from one of the actuation tips. The closure device includes a release mechanism for spreading apart the pair of opposing actuation tips to provide a gap associated with the anvil, the gap dimensioned such that the staple may pass there through. A method of using the closure device is also disclosed.
摘要翻译: 用于动脉切开术的闭合装置包括细长空心轴和可滑动地设置在其中的细长驱动器。 细长空心轴包括一对相对的致动尖端,其设置在其远端处,在其之间限定缝合室。 一个砧座从一个致动尖端延伸到钉仓中。 闭合装置包括释放机构,用于展开该对相对的致动尖端以提供与砧座相关联的间隙,所述间隙的尺寸使得订书钉可能通过其中。 还公开了使用封闭装置的方法。
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公开(公告)号:US20080173692A1
公开(公告)日:2008-07-24
申请号:US11626616
申请日:2007-01-24
申请人: Matthew F. Spurchise , Richard D. Lobello , Juan-Pablo Mas , Kenneth A. Eliasen , Scott J. Epperly
发明人: Matthew F. Spurchise , Richard D. Lobello , Juan-Pablo Mas , Kenneth A. Eliasen , Scott J. Epperly
IPC分类号: A61B17/068
CPC分类号: A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/0684 , A61B17/0686 , A61B17/07292 , A61B17/083 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/22038 , A61B2090/037 , A61B2090/0801 , A61B2090/08021
摘要: A closure device for an arteriotomy includes an elongate tube having a distal opening, a staple disposed within the tube, and a frangible cap mounted across the distal opening to guard the staple tips against contact with the tissue track. The frangible cap is pierced, fractured or torn when the staple is advanced through the distal opening. A portion of the torn frangible cap may be implanted with the staple as a pledget. The staple may be carried within the elongate tube by a stapler comprising an elongate hollow shaft and an elongate driver slidably disposed therein. A pair of opposing actuation tips is disposed at a distal end of the hollow shaft to define an open-sided staple chamber there between. An anvil is fixedly disposed within the staple chamber, which holds at least a proximal portion of the staple.
摘要翻译: 用于动脉切开术的闭合装置包括具有远侧开口的细长管,设置在管内的钉,以及横跨该远侧开口安装的易碎帽,以防止钉头与组织轨迹接触。 当钉子穿过远端开口时,易碎的帽子被刺穿,断裂或撕裂。 破裂的易碎帽的一部分可以用钉子植入。 订书钉可以通过包括细长中空轴和可滑动地设置在其中的细长驱动器的订书机在细长管内承载。 一对相对的致动尖端设置在空心轴的远端处,以在其间限定开放侧缝合室。 砧座固定地设置在钉仓内,其至少保持钉的近端部分。
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公开(公告)号:US08162975B2
公开(公告)日:2012-04-24
申请号:US12437652
申请日:2009-05-08
IPC分类号: A61B17/08
CPC分类号: A61B17/0057 , A61B2017/00004 , A61B2017/00557 , A61B2017/00597 , A61B2017/00623 , A61B2017/00659 , A61B2017/00672
摘要: A system and method for closing a percutaneous vessel puncture at the conclusion of a vascular catheterization procedure includes placement of an intravascular closure device having a radially and axially expandable tubular membrane and a radially expandable anchor at the distal end of the membrane. The closure device is placed, by a delivery catheter extending through the puncture site, with its anchor radially expanded in a location upstream of the puncture site to enable the force of a patient's blood flow to deploy the tubular membrane to a proximally extended configuration closing the puncture from within the vessel.
摘要翻译: 在血管导管术过程结束时关闭经皮血管穿刺的系统和方法包括在膜的远端放置具有径向和轴向可扩张的管状膜和可径向扩张的锚固体的血管内闭合装置。 闭合装置通过延伸穿过穿刺部位的输送导管放置,其锚固件在穿刺部位的上游位置径向扩张,以使得患者的血液流动的力能够将管状膜展开至近端延伸的构型, 从船内穿刺。
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公开(公告)号:US20100286725A1
公开(公告)日:2010-11-11
申请号:US12437652
申请日:2009-05-08
IPC分类号: A61B17/08
CPC分类号: A61B17/0057 , A61B2017/00004 , A61B2017/00557 , A61B2017/00597 , A61B2017/00623 , A61B2017/00659 , A61B2017/00672
摘要: A system and method for closing a percutaneous vessel puncture at the conclusion of a vascular catheterization procedure includes placement of an intravascular closure device having a radially and axially expandable tubular membrane and a radially expandable anchor at the distal sad of the membrane. The closure device is placed, by a delivery catheter extending through the puncture site, with its anchor radially expanded in a location upstream of the puncture site to enable the force of a patient's blood flow to deploy the tubular membrane to a proximally extended configuration closing the puncture from within the vessel.
摘要翻译: 在血管导管插入术结束时闭合经皮血管穿刺的系统和方法包括在膜的远端伤口处放置具有径向和轴向可扩张的管状膜和径向可扩张的锚固体的血管内闭合装置。 闭合装置通过延伸穿过穿刺部位的输送导管放置,其锚固件在穿刺部位的上游位置径向扩张,以使得患者的血液流动的力能够将管状膜展开至近端延伸的构型, 从船内穿刺。
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公开(公告)号:US20090270807A1
公开(公告)日:2009-10-29
申请号:US12108082
申请日:2008-04-23
IPC分类号: A61M1/00
CPC分类号: A61B17/22 , A61B2017/22039 , A61B2017/22079 , A61B2217/005 , A61M1/0031
摘要: An aspiration catheter is provided in which vacuum may be accumulated within the catheter and released suddenly within a distal region of the catheter to induce ingestion of intravascular matter into the catheter through an open distal port while avoiding large losses of suction common with catheters having long aspiration lumens. Conventional aspiration using the same catheter can subsequently complement the procedure by fully removing the ingested matter from the catheter.
摘要翻译: 提供了一种抽吸导管,其中真空可以积聚在导管内并突然在导管的远端区域内释放,以通过开放的远端端口诱导将血管内物质摄取入导管,同时避免与具有长抽吸的导管相同的大量吸入损失 流明 使用相同导管的常规抽吸可以随后通过从导管中完全去除摄取的物质来补充该过程。
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公开(公告)号:US20080221614A1
公开(公告)日:2008-09-11
申请号:US11684061
申请日:2007-03-09
申请人: Juan-Pablo Mas
发明人: Juan-Pablo Mas
IPC分类号: A61B17/08
CPC分类号: A61B17/3439 , A61B17/0057
摘要: A method for closing an arteriotomy includes providing a guiding system and a closure system. The guiding system advanced through a sheath extending through the arteriotomy and into the blood vessel lumen. The guiding system includes a pair of stabilization wire guides, each guide including a retention foot disposed at a distal portion thereof. The retention feet are deployed within the lumen. With the entire sheath outside of the vessel, the closure device is then further advanced along the guiding system, or the sheath is pulled proximally over the closure device, thereby stretching or tearing a distal portion of the sheath. The closure system includes a closure device, such as a stapler including a staple that is actuated to close the arteriotomy. The retention feet are undeployed and the guiding system is removed from the body.
摘要翻译: 用于闭合动脉切开术的方法包括提供引导系统和闭合系统。 引导系统通过延伸通过动脉切开并进入血管腔的鞘进行。 引导系统包括一对稳定线引导件,每个引导件包括设置在其远端部分的保持脚。 保留脚部署在管腔内。 随着整个护套在容器外部,闭合装置然后沿着引导系统进一步前进,或者护套被近侧拉向封闭装置上,从而拉伸或撕裂护套的远端部分。 闭合系统包括闭合装置,例如包括被致动以关闭动脉切开术的钉的订书机。 保持脚未被部署,引导系统从身体移除。
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