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公开(公告)号：US08206415B2
公开(公告)日：2012-06-26
申请号：US10755428
申请日：2004-01-12
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： A vascular closure device used in closing openings in vessel walls while permitting post-operative flow through the vessel includes a housing, at least two tissue engaging members, and at least two jaw members. The tissue engaging members engage tissue portions on opposite sides of the vessel opening and move tissue to a desired, predetermined position. The jaw members are adapted, in an open position, for positioning about the tissue portions in the predetermined position, and in a closed position, to at least partially draw the tissue together to an at least partially approximated condition. An attachment member is associated with at least one of the jaw members and arranged to contact the tissue. In one embodiment, the attachment member is adapted for connection to an energy source whereby energy is transmitted through the attachment member to thermally fuse the tissue engaged by the jaw members to substantially close the opening.
摘要翻译： 用于封闭容器壁中的开口同时允许手术后流过血管的血管闭合装置包括壳体，至少两个组织接合构件和至少两个钳口构件。 组织接合构件接合容器开口的相对侧上的组织部分并将组织移动到期望的预定位置。 钳口构件在打开位置适于围绕组织部分在预定位置定位，并且在关闭位置中至少部分地将组织一起拉伸到至少部分近似的状态。 附接构件与至少一个钳口构件相关联并且布置成接触组织。 在一个实施例中，附接构件适于连接到能量源，由此能量通过附接构件传递，以热熔接由钳口构件接合的组织以基本上封闭开口。
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公开(公告)号：US06676685B2
公开(公告)日：2004-01-13
申请号：US09883427
申请日：2001-06-18
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radio frequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译： 一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装 邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。 第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分 开口的相对侧并将组织动脉部分移动到其转动状态。 第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。 电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。 电极适于连接到射频能量源，由此通过电极传输能量以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。 优选地，电极与第一和第二钳口构件中的每一个相关联。 每个电极可以配置为双极电极。
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公开(公告)号：US06248124B1
公开(公告)日：2001-06-19
申请号：US09503510
申请日：2000-02-14
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radiofrequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译： 一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装 邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。 第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分 开口的相对侧并将组织动脉部分移动到其转动状态。 第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。 电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。 电极适于连接到射频能量源，由此能量通过电极传播，以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。 优选地，电极与第一和第二钳口构件中的每一个相关联。 每个电极可以配置为双极电极。
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公开(公告)号：US5910155A
公开(公告)日：1999-06-08
申请号：US092430
申请日：1998-06-05
申请人： Keith Ratcliff , Roberto Pedros
发明人： Keith Ratcliff , Roberto Pedros
IPC分类号： A61B17/00 , A61B17/122 , A61B17/128 , A61B17/04
CPC分类号： A61B17/128 , A61B17/0057 , A61B17/122 , A61B2017/00004 , A61B2017/00668
摘要： An apparatus for facilitating closure of an opening in a blood vessel, includes a closure instrument having an elongated member defining a longitudinal axis and proximal and distal ends. The elongated member has a vacuum lumen extending at least a portion of the length thereof for conveying a vacuum and terminating in a vacuum port adjacent the distal end of the elongated member. The distal end of the elongated member is dimensioned to be positioned proximal a vessel opening in a blood vessel whereby vessel edge portions defining the vessel opening are at least drawn toward the vacuum port in response to a vacuum conveyed through the vacuum lumen. At least one surgical clip is mounted adjacent the distal end of the elongated member and is adapted to be formed to an at least partially formed condition thereof. The one clip is positioned with respect to the vacuum port to engage the vessel edge portions drawn toward the vacuum port upon movement of the one clip to the formed condition thereof to generally approximate the vessel edge portions to at least partially close the vessel opening. A method for facilitating closure of an opening in a blood vessel is also disclosed.
摘要翻译： 一种用于促进关闭血管中的开口的装置，包括具有限定纵向轴线和近端和远端的细长构件的封闭器械。 细长构件具有延伸其长度的至少一部分的真空腔，用于输送真空并终止在与细长构件的远端相邻的真空口中。 细长构件的远端的尺寸设计成位于血管中的容器开口的近侧，由此响应于通过真空腔输送的真空，限定容器开口的容器边缘部分至少朝向真空端口拉出。 至少一个手术夹子被安装在细长构件的远端附近，并适于形成至少部分形成的状态。 一个夹子相对于真空端口定位以接合在一个夹子移动到其形成状态时被拉向真空端口的容器边缘部分，以大致近似容器边缘部分以至少部分地关闭容器开口。 还公开了一种便于关闭血管中的开口的方法。
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公开(公告)号：US08333780B1
公开(公告)日：2012-12-18
申请号：US12794303
申请日：2010-06-04
申请人： Roberto Pedros , Scott Reed , Pete Wilson
发明人： Roberto Pedros , Scott Reed , Pete Wilson
IPC分类号： A61B17/32
CPC分类号： A61B17/29 , A61B34/30 , A61B34/71 , A61B2017/00314 , A61B2017/00327 , A61B2017/2923 , A61B2017/2927 , A61B2017/2936 , A61B2034/302 , A61B2034/306
摘要： A surgical tool and method of operation are provided. The surgical tool includes an end effector, such as a surgical scissor. The end effector is coupled to an actuating mechanism having a clevis and a pulley. A cable engages the pulley and is attached to one side of the clevis. When one portion of the cable is pulled, the clevis is moved in a first direction causing the end effector to open. When a second portion of the cable is pulled, the clevis moves in the opposite direction and the end effector is closed. The system also includes a mechanism for changing the orientation of the end effector. Another embodiment includes a mechanism for actuating the cable and the end effector.
摘要翻译： 提供了一种手术工具和操作方法。 外科手术工具包括端部执行器，例如手术剪刀。 端部执行器联接到具有U形夹和滑轮的致动机构。 电缆接合滑轮并且连接到U形夹的一侧。 当电缆的一部分被拉动时，U形夹在第一方向上移动，导致末端执行器打开。 当电缆的第二部分被拉动时，U形夹沿相反方向移动，并且端部执行器被关闭。 该系统还包括用于改变末端执行器的取向的机构。 另一个实施例包括用于致动电缆和端部执行器的机构。
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公开(公告)号：US20080283573A1
公开(公告)日：2008-11-20
申请号：US12186269
申请日：2008-08-05
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： A surgical fastener applying apparatus is provided including a cartridge half-section and an anvil half-section, the cartridge half-section and anvil half-section being relatively movable from an unclamped position to a clamped position; and a loading unit receivable in the cartridge half-section and having a plurality of staples and a plurality of staple pusher members. The cartridge half-section includes a frame; a member being longitudinally movable through the loading unit to interact with the plurality of staple pusher members to fire the staples; and a lockout mechanism arranged to block advancement of the member in a locked-out position of the lockout mechanism. In use, after loading of the loading unit in the surgical fastener applying apparatus and subsequent clamping of the cartridge and anvil half-sections, the lockout mechanism is moved to an unlocked position to allow advancement of the member.
摘要翻译： 提供外科紧固件施加装置，其包括筒半部分和砧座半部分，所述钉仓半部分和砧座半部分从松开位置相对移动到夹紧位置; 以及可容纳在盒半部中并具有多个订书钉和多个订书钉推动构件的装载单元。 盒半部包括框架; 一个构件纵向移动通过装载单元与多个缝合钉推动器构件相互作用以起动钉钉; 以及锁定机构，被布置成阻止所述构件在所述锁定机构的锁定位置的前进。 在使用中，在将装载单元装载在手术紧固件施加装置中并随后夹紧钉仓和砧座半部分之后，锁定机构移动到解锁位置以允许构件前进。
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公开(公告)号：US07419081B2
公开(公告)日：2008-09-02
申请号：US11699620
申请日：2007-01-29
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： An improved surgical fastener applying apparatus includes a cartridge half-section and an anvil half-section with the cartridge and anvil half-sections being relatively movable from an unclamped position to a fully clamped position. The apparatus includes a replaceable staple cartridge assembly having a plurality of surgical staples and a pivotably mounted safety lock-out. The safety lock-out is pivotable between an initial position in which a relative movement of the cartridge and anvil half-sections to the fully clamped position is permitted and a blocking position in which a relative movement of the cartridge and anvil half-sections to return them to their fully clamped position after the plurality of staples have been at least partially fired is prevented. The apparatus further includes a pivotably mounted firing lever for moving a pair of camming surfaces longitudinally. In addition, each of the presently disclosed cartridge and anvil half-sections of the fastener applying apparatus includes a clamping lever, which clamping levers are configured and adapted to enable the applying apparatus to be opened by either one of the cartridge half-section and the anvil half-section.
摘要翻译： 一种改进的手术紧固件施加装置包括盒半部分和砧座半部分，其中药筒和砧座半部分可从未夹紧位置相对移动到完全夹紧位置。 该装置包括具有多个外科缝钉和可枢转地安装的安全锁定的可更换钉仓组件。 安全锁定可以在其中允许暗盒和砧座半部分相对于完全夹紧位置的相对移动被允许的初始位置和一个阻挡位置之间枢转，在该位置中，盒和砧座半部分相对运动返回 在多个订书钉已被至少部分烧制之后，它们到达其完全夹紧位置被阻止。 该装置还包括一个可枢转安装的击发杆，用于纵向移动一对凸轮表面。 此外，目前公开的每个紧固件施加装置的筒和砧半部分包括夹紧杆，该夹紧杆构造成适于使施加装置能够通过盒半部和 砧半部分。
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公开(公告)号：US07334717B2
公开(公告)日：2008-02-26
申请号：US10508191
申请日：2003-03-19
申请人： Csaba L. Rethy , Karl H. Ehrenfels , Roberto Pedros , David Ivanko , Randolph F. Lehn , Frank J. Viola
发明人： Csaba L. Rethy , Karl H. Ehrenfels , Roberto Pedros , David Ivanko , Randolph F. Lehn , Frank J. Viola
IPC分类号： A61B17/04 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/105 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： Surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue are provided. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.
摘要翻译： 提供了用于将多个外科紧固件顺序地应用于身体组织的外科紧固件施加装置。 外科紧固件施加装置包括可接收在药筒接收半部分的远端部分中的可替换的药筒组件，药筒组件包括可沿着药筒组件的上表面枢转地设置并可从解锁定向移动的安全锁定， 砧座半部分到药筒接收半部分，到砧座半部分到药筒接收半部分的锁定取向防止组件。
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公开(公告)号：USD472631S1
公开(公告)日：2003-04-01
申请号：US29139771
申请日：2001-04-05
申请人： Wolff M. Kirsch , Douglas J. Cuny , Roberto Pedros , Yong Hua Zhu
设计人： Wolff M. Kirsch , Douglas J. Cuny , Roberto Pedros , Yong Hua Zhu
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公开(公告)号：US08505801B2
公开(公告)日：2013-08-13
申请号：US13329631
申请日：2011-12-19
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/105 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： The present disclosure relates to surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.
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