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1.发明授权
公开(公告)号：US5901895A
公开(公告)日：1999-05-11
申请号：US726029
申请日：1996-10-04
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus for applying surgical fasteners to body tissue which includes a body having a proximal portion defining a central longitudinal axis and an articulating distal portion; a fastener cartridge containing at least one surgical fastener therein and positionable in the articulating distal portion; an anvil mounted adjacent the fastener cartridge and defining a fastener forming surface against which surgical fasteners are formed when ejected from the fastener cartridge; a fastener driving mechanism operatively associated with the fastener cartridge and actuatable from the handle to eject the at least one fastener from the fastener cartridge; a link member having a distal portion offset from the body central longitudinal axis and pivotably connected to the articulating distal portion at a point spaced from the body central longitudinal axis, the link member being movable between a proximal-most position to move the distal portion to an articulated condition away from the central longitudinal axis on a first side of the body and a distal-most position to move the distal portion to an articulated condition away from the central longitudinal axis on a second side of the body; and a control lever connected to the link member and pivotable about a point located along the body central longitudinal axis between a first position corresponding to the proximal-most position of the link member and a second position corresponding to the distal-most position of the link member.
摘要翻译： 用于将外科紧固件应用于身体组织的装置，其包括具有限定中心纵向轴线的近端部分和关节式远端部分的主体; 紧固件盒，其中包含至少一个手术紧固件，并且可定位在所述关节式远端部分中; 邻近所述紧固件卡盘安装的砧座，并且限定紧固件成形表面，当从所述紧固件卡盘弹出时，所述砧座形成有外科紧固件; 紧固件驱动机构，其与所述紧固件卡盘可操作地相关联并且可从所述手柄驱动，以将所述至少一个紧固件从所述拉链卡盘中弹出; 连杆构件具有偏离本体中心纵向轴线的远侧部分并且在与本体中心纵向轴线间隔开的点处可枢转地连接到铰接远端部分，该连杆构件可在最近端部位置之间移动，以将远侧部分移动到 在所述主体的第一侧上远离所述中心纵向轴线的关节运动状态以及远侧位置，以使所述远侧部分移动到远离所述主体的第二侧上的所述中心纵向轴线的关节运动状态; 以及控制杆，其连接到所述连杆构件并且可围绕位于沿着所述主体中心纵向轴线的点在相对于所述连杆构件的最近侧位置的第一位置和对应于所述连杆的最远位置的第二位置之间枢转的点 会员。
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公开(公告)号：US07887552B2
公开(公告)日：2011-02-15
申请号：US11450602
申请日：2006-06-09
申请人： Alan B. Bachman
发明人： Alan B. Bachman
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B2017/00243 , A61B2017/00783 , A61B2017/00991 , A61B2017/0472 , A61B2017/306
摘要： A single catheter mitral valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter mitral valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip.
摘要翻译： 用于稳定组织部分并选择性地将组织紧固件施加到其上的单个导管二尖瓣修复装置。 本发明的单导管二尖瓣修复装置包括具有形成在其上的至少一个真空端口的可延伸的接合尖端，与接合尖端连通的至少一个可展开紧固件，以及与端口连通的至少一个致动器构件。 可部署的紧固件能够可控制地接合和紧固位于接合末端附近的组织段。
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公开(公告)号：US07112207B2
公开(公告)日：2006-09-26
申请号：US10423046
申请日：2003-04-24
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
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公开(公告)号：US5733265A
公开(公告)日：1998-03-31
申请号：US719222
申请日：1996-09-25
申请人： Alan B. Bachman , Jeffrey A. Stein
发明人： Alan B. Bachman , Jeffrey A. Stein
IPC分类号： A61M5/32
CPC分类号： A61M5/3216 , A61M5/5086
摘要： A needle assembly includes an elongate needle, a needle hub with an axial bore therethrough to receive and hold the needle projecting axially, the needle hub further is releasably mountable on a fluid handling device. The assembly has an elongate shield having an open proximal end, a distal end and a sidewall with an inside surface defining a cavity. There is an elongate aperture into the cavity from about the distal end to the proximal end. The assembly has a hinge that includes a mount for retaining the shield onto the hub, the mount has an opening therein that is sized and shaped to receive at least a portion of the needle hub. The shield is movable about the hinge by an off-axis pivotal movement between an initial closed position, an open position and a latched position. The assembly has a removable cover that is disposed over the elongate aperture in the shield and engaging the shield to hold it in the initial closed position. The cover is removable by a distal axial movement that also opens the shield, disengages the cover from the shield exposes at least the distal point of the needle. There is a latch for latching the shield to the mount when the shield is in the latched position.
摘要翻译： 针组件包括细长的针头，具有穿过其中的轴向孔的针座，用于容纳和保持针轴向突出，针座还可拆卸地安装在流体处理装置上。 组件具有细长的屏蔽件，其具有开口的近端，远端和具有限定空腔的内表面的侧壁。 从远端到近端有一个细长的孔进入空腔。 组件具有铰链，该铰链包括用于将屏蔽件保持在轮毂上的安装座，该安装座具有其中的开口，该开口的尺寸和形状被设计成可容纳针毂的至少一部分。 屏蔽件可以通过在初始关闭位置，打开位置和锁定位置之间的离轴枢转运动来围绕铰链移动。 组件具有可移除的盖，其被布置在护罩中的细长孔的上方并且与护罩接合以将其保持在初始关闭位置。 通过远端轴向运动可以移除盖子，该远端轴向运动也打开护罩，使盖与屏蔽件脱开至少暴露出针头的远端。 当屏蔽处于锁定位置时，有一个闩锁用于将屏蔽件锁定到安装座上。
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公开(公告)号：US08475472B2
公开(公告)日：2013-07-02
申请号：US13584476
申请日：2012-08-13
申请人： Alan B. Bachman
发明人： Alan B. Bachman
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B2017/00243 , A61B2017/00783 , A61B2017/00991 , A61B2017/0472 , A61B2017/306
摘要： A single catheter valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip.
摘要翻译： 用于稳定组织部分并选择性地将组织紧固件施加到其上的单个导管瓣膜修复装置。 本发明的单个导管瓣膜修复装置包括具有形成在其上的至少一个真空端口的可延伸的接合尖端，与接合尖端连通的至少一个可展开紧固件以及与该端口连通的至少一个致动器构件。 可部署的紧固件能够可控制地接合和紧固位于接合末端附近的组织段。
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公开(公告)号：US20120310333A1
公开(公告)日：2012-12-06
申请号：US13584476
申请日：2012-08-13
申请人： Alan B. Bachman
发明人： Alan B. Bachman
IPC分类号： A61F2/24
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B2017/00243 , A61B2017/00783 , A61B2017/00991 , A61B2017/0472 , A61B2017/306
摘要： A single catheter valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip.
摘要翻译： 用于稳定组织部分并选择性地将组织紧固件施加到其上的单个导管瓣膜修复装置。 本发明的单个导管瓣膜修复装置包括具有形成在其上的至少一个真空端口的可延伸的接合尖端，与接合尖端连通的至少一个可展开紧固件以及与该端口连通的至少一个致动器构件。 可部署的紧固件能够可控制地接合和紧固位于接合末端附近的组织段。
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公开(公告)号：US20110137326A1
公开(公告)日：2011-06-09
申请号：US13027045
申请日：2011-02-14
申请人： Alan B. Bachman
发明人： Alan B. Bachman
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B2017/00243 , A61B2017/00783 , A61B2017/00991 , A61B2017/0472 , A61B2017/306
摘要： A single catheter mitral valve repair device for stabilizing a tissue portion and selectively applying a tissue fastener thereto. The single catheter mitral valve repair device of the present invention includes an extendable engagement tip having at least one vacuum port formed thereon, at least one deployable fastener in communication with the engagement tip, and at least one actuator member in communication with the port. The deployable fastener is capable of controllably engaging and fastening a tissue segment located proximal to the engagement tip.
摘要翻译： 用于稳定组织部分并选择性地将组织紧固件施加到其上的单个导管二尖瓣修复装置。 本发明的单导管二尖瓣修复装置包括具有形成在其上的至少一个真空端口的可延伸的接合尖端，与接合尖端连通的至少一个可展开紧固件，以及与端口连通的至少一个致动器构件。 可部署的紧固件能够可控制地接合和紧固位于接合末端附近的组织段。
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公开(公告)号：US08852211B2
公开(公告)日：2014-10-07
申请号：US13115246
申请日：2011-05-25
申请人： Dan Mazzucco , Eric Rugart , Jeffrey E. Ransden , Alan B. Bachman , Mark Nicosia , Bob Cargill , Eric Butt
发明人： Dan Mazzucco , Eric Rugart , Jeffrey E. Ransden , Alan B. Bachman , Mark Nicosia , Bob Cargill , Eric Butt
CPC分类号： A61B17/085 , A61B17/083 , A61B17/10 , A61B17/2812 , A61B2017/00004 , A61B2017/088 , A61L2400/04 , A61L2400/18
摘要： A wound closure device for closing a surgical wound is provided. The device includes a flexible base sheet and at least one flexible hemostatic clip for applying pressure to a patient's tissue. The flexible base sheet includes at least a first end and a second end, as well as an aperture extending through the base sheet longitudinally from proximate to the first end toward the second end. The aperture has a first and a second longitudinally extending edge. The clip has a first end, a second end, a top, a bottom, and at least a first and a second clamping member. Each clamping member has a distal edge. The clip is attachable to the base sheet.
摘要翻译： 提供一种用于闭合外科伤口的伤口闭合装置。 该装置包括柔性基片和用于向患者组织施加压力的至少一个柔性止血夹。 柔性基片包括至少第一端和第二端，以及从靠近第一端朝向第二端纵向延伸穿过基片的孔。 孔具有第一和第二纵向延伸的边缘。 夹具具有第一端，第二端，顶部，底部以及至少第一和第二夹紧构件。 每个夹紧构件具有远端边缘。 夹子可附接到基片。
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公开(公告)号：US08328797B2
公开(公告)日：2012-12-11
申请号：US11284752
申请日：2005-11-21
申请人： Peter M. Wilson , Alan B. Bachman
发明人： Peter M. Wilson , Alan B. Bachman
CPC分类号： A61B17/11 , A61B17/320016 , A61B18/1492 , A61B2017/00504 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139 , A61B2017/32004
摘要： Method and device for cutting a blood vessel using a cutting tool from within the blood vessel. A first cut portion of the blood vessel is fused to a second blood vessel to provide a flow channel therebetween.
摘要翻译： 用于使用切割工具从血管内切割血管的方法和装置。 血管的第一切割部分与第二血管融合以在其间提供流动通道。
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公开(公告)号：US20110054258A1
公开(公告)日：2011-03-03
申请号：US12847022
申请日：2010-07-30
申请人： Jonathan B. O'Keefe , Jeffrey E. Ransden , Gene A. Stellon , Leland R. Adams , Joel N. Helfer , Alan B. Bachman , Adam I. Lehman , David N. Fowler
发明人： Jonathan B. O'Keefe , Jeffrey E. Ransden , Gene A. Stellon , Leland R. Adams , Joel N. Helfer , Alan B. Bachman , Adam I. Lehman , David N. Fowler
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/3433
摘要： The present disclosure relates to devices for introducing a port within a body cavity. The system includes a compressible port that collapses radially for positioning into an introducer that is inserted into an incision. Methods for using the devices are also described.
摘要翻译： 本公开涉及在体腔内引入端口的装置。 该系统包括可径向折叠的可压缩端口，用于定位成插入切口中的导引器。 还描述了使用这些装置的方法。
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