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公开(公告)号:US07651528B2
公开(公告)日:2010-01-26
申请号:US11281566
申请日:2005-11-18
申请人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
发明人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
IPC分类号: A61F2/08
CPC分类号: A61B17/0401 , A61B2017/00862 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0435 , A61B2017/0437 , A61F2/0805 , A61F2/0811 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2002/0888
摘要: Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.
摘要翻译: 描述了用于将腱固定到骨的装置,系统和方法。 示例性手术植入物是能够抓住腱并将其牢固地保持在骨隧道中的修改的骨锚。 一旦部署,锚向肌腱递送横向压缩,提供直接腱骨压缩以促进愈合。 锚具有不同的形式,允许其在插入骨隧道之前附接到腱上,或者当手术过程指示时插入到腱臂之间。 所产生的骨骼压缩肌腱允许以比传统技术更简单的方式进行固定固定。 该锚的修改还可以使锚固体抓住和保持缝线。 这种变化有利于无肩袖修复的技术。
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公开(公告)号:US08435294B2
公开(公告)日:2013-05-07
申请号:US12634581
申请日:2009-12-09
申请人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
发明人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
IPC分类号: A61F2/08
CPC分类号: A61B17/0401 , A61B2017/00862 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0435 , A61B2017/0437 , A61F2/0805 , A61F2/0811 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2002/0888
摘要: Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.
摘要翻译: 描述了用于将腱固定到骨的装置,系统和方法。 示例性手术植入物是能够抓住腱并将其牢固地保持在骨隧道中的修改的骨锚。 一旦部署,锚向肌腱递送横向压缩,提供直接腱骨压缩以促进愈合。 锚具有不同的形式,允许其在插入骨隧道之前附接到腱上,或者当手术过程指示时插入到腱臂之间。 所产生的骨骼压缩肌腱允许以比传统技术更简单的方式进行固定固定。 该锚的修改还可以使锚固体抓住和保持缝线。 这种变化有利于无肩袖修复的技术。
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公开(公告)号:US20100152850A1
公开(公告)日:2010-06-17
申请号:US12634581
申请日:2009-12-09
申请人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
发明人: Kenneth D. Montgomery , Sidney D. Fleischman , James G. Whayne , Kevin L. Ohashi , Nicanor Domingo , John Wright , Derek J. Harper , Heber Crockett
IPC分类号: A61F2/08
CPC分类号: A61B17/0401 , A61B2017/00862 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0435 , A61B2017/0437 , A61F2/0805 , A61F2/0811 , A61F2002/0852 , A61F2002/0858 , A61F2002/0882 , A61F2002/0888
摘要: Devices, systems and methods for fixation of tendon to bone are described. An exemplary surgical implant is a modified bone anchor that is able to grasp the tendon and hold it firmly in a bone tunnel. Once deployed, the anchor delivers lateral compression to the tendon, providing direct tendon to bone compression to facilitate healing. The anchor has different versions which allow it to be attached to the tendon prior to insertion into the bone tunnel, or be inserted between tendon arms when the surgical procedure dictates. The resulting tendon to bone compression allows for the firm fixation in a manner markedly simpler than traditional techniques. A modification of this anchor can also allow the anchor to grasp and hold suture. This variation facilitates the technique for knotless rotator cuff repair.
摘要翻译: 描述了用于将腱固定到骨的装置,系统和方法。 示例性手术植入物是能够抓住腱并将其牢固地保持在骨隧道中的修改的骨锚。 一旦部署,锚向肌腱递送横向压缩,提供直接腱骨压缩以促进愈合。 锚具有不同的形式,允许其在插入骨隧道之前附接到腱上,或者当手术过程指示时插入到腱臂之间。 所产生的骨骼压缩肌腱允许以比传统技术更简单的方式进行固定固定。 该锚的修改还可以使锚固体抓住和保持缝线。 这种变化有利于无肩袖修复的技术。
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公开(公告)号:US10448963B2
公开(公告)日:2019-10-22
申请号:US13184310
申请日:2011-07-15
IPC分类号: A61B17/29 , A61B17/00 , A61B17/04 , A61B17/064 , A61B17/08 , A61B17/128 , A61B17/068 , A61B17/06 , A61B17/30 , A61F2/08
摘要: Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.
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公开(公告)号:US20100137887A1
公开(公告)日:2010-06-03
申请号:US12621872
申请日:2009-11-19
CPC分类号: A61B17/29 , A61B17/00234 , A61B17/0469 , A61B17/0643 , A61B17/0682 , A61B17/083 , A61B17/1285 , A61B2017/00004 , A61B2017/00243 , A61B2017/00349 , A61B2017/00827 , A61B2017/00867 , A61B2017/0419 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0618 , A61B2017/0647 , A61B2017/2901 , A61B2017/306 , A61F2/0811
摘要: Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.
摘要翻译: 公开了用于修复软组织的装置,系统和方法。 手术系统允许通过抓住,对齐和缝合或固定组织来产生组织修复。 例如,该系统可用于将过多的荚膜组织夹在一起并降低整体荚膜体积。 展开装置包括中央把持机构和外夹子输送系统。 夹子实施例可以是穿透组织层并且部署或锁定以将组织夹在一起的单组分或多组分(穿透和锁定基底组分)。 该系统的一个实例被用于减少关节囊组织松弛,并通过限制较差的松弛(前或后)和解决或消除病理性前或后翻译来减少关节的半脱位或脱位的可能性。
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公开(公告)号:US09808280B2
公开(公告)日:2017-11-07
申请号:US11737493
申请日:2007-04-19
IPC分类号: A61B17/00 , A61B17/34 , A61B17/02 , A61B17/12 , A61B17/32 , A61B17/29 , A61B17/30 , A61B18/00
CPC分类号: A61B17/3421 , A61B17/0218 , A61B17/12 , A61B17/320016 , A61B17/3423 , A61B2017/00243 , A61B2017/0243 , A61B2017/2905 , A61B2017/308 , A61B2017/3419 , A61B2017/3445 , A61B2017/3486 , A61B2018/00291
摘要: Methods and devices described herein facilitate improved treatment of body organs. More specifically, devices and methods described herein are for minimally invasive surgery permit improved diaphragmatic access to a body cavity to perform a surgical procedure, for example ablation and/or coagulation of cardiac tissue during minimally invasive surgical access to the heart. The diaphragmatic access described provides direct visualization of anatomic structures within the thoracic cavity such as the posterior left atrium, the posterior side of pulmonary veins, or any other such anatomic structure.
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公开(公告)号:US09603658B2
公开(公告)日:2017-03-28
申请号:US12821067
申请日:2010-06-22
CPC分类号: A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要: An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
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公开(公告)号:US08998900B2
公开(公告)日:2015-04-07
申请号:US11408302
申请日:2006-04-21
CPC分类号: A61B18/1492 , A61B18/148 , A61B2018/00029 , A61B2018/00083 , A61B2018/00291 , A61B2018/00351 , A61B2018/00577 , A61B2018/00589 , A61B2018/1435 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要: A surgical device integrating a suction mechanism with a coagulation mechanism is provided for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source. A fluid source to passively transport fluid along the contacted soft tissue surface may be provided in order to push the maximum temperature deeper into tissue.
摘要翻译: 提供了一种将抽吸机构与凝固机构整合的手术装置,用于改善损伤创建能力。 该装置包括细长构件,其具有围绕用于凝固软组织的装置的绝缘覆盖物。 穿过覆盖物的暴露部分暴露出凝结成分元件的区域,并且连接到细长构件中的路线到真空源的腔。 可以提供用于沿着接触的软组织表面被动地输送流体的流体源,以将最大温度推到组织中。
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公开(公告)号:US20110077672A1
公开(公告)日:2011-03-31
申请号:US12946987
申请日:2010-11-16
IPC分类号: A61B17/12
CPC分类号: A61B17/12013 , A61B17/00234 , A61B17/00491 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/064 , A61B2017/00243 , A61B2017/00349 , A61B2017/0443 , A61B2017/0464 , A61B2017/0649 , A61B2017/3488 , A61F2/2487
摘要: Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.
摘要翻译: 公开了用于插入龋齿减少组件如网状构件,化学粘合剂或可扩张锚的心房附件的装置。
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公开(公告)号:US06972023B2
公开(公告)日:2005-12-06
申请号:US10122075
申请日:2002-04-11
IPC分类号: A61B17/00 , A61B17/02 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/30 , A61B17/08
CPC分类号: A61B17/11 , A61B17/0206 , A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/30 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要: Distal anastomosis devices and associated methodology are described herein. Connector and connector components as well as tools associated therewith are disclosed. The connectors are preferably adapted to produce an end-to-side anastomosis at a graft/coronary artery junction. A fitting alone, or a fitting in combination with a collar may be used as a connector. Each fitting may be deployed by deflecting its shape to provide clearance for a rear segment that rotates about adjoining hinge section(s) so to fit the connector within an aperture formed in a host vessel. Upon return to a substantially relaxed position, a rear segment anchors the fitting it in place. The distal fitting may include additional side features for interfacing with the host vessel/coronary artery. The collar may include features complimentary to those of a fitting and provisions for securing the graft vessel.
摘要翻译: 本文描述了远端吻合装置和相关方法。 公开了连接器和连接器部件以及与其相关联的工具。 连接器优选适于在移植物/冠状动脉交界处产生端对侧吻合。 单独的配件或与套环组合的配件可以用作连接器。 每个配件可以通过偏转其形状来部署,以便为围绕相邻的铰链部分旋转的后部段提供间隙,以便将连接器装配在形成在主机容器中的孔内。 在返回到基本松弛的位置时,后部段将其安装在适当的位置。 远端配件可以包括用于与宿主血管/冠状动脉接口的附加侧部特征。 套环可以包括与配件相匹配的特征和用于固定移植物容器的装置。
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