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    Device and method for suturing tissue
    2.
    发明授权
    Device and method for suturing tissue 失效
    用于缝合组织的装置和方法

    公开(公告)号：US06355050B1

    公开(公告)日：2002-03-12

    申请号：US08883246

    申请日：1997-06-26

    申请人： Bernard H. Andreas ,  Michael Barrett ,  Mark J. Foley ,  Brian Gore ,  Lewis Isbell ,  Ronald Songer ,  James W. Vetter

    发明人： Bernard H. Andreas ,  Michael Barrett ,  Mark J. Foley ,  Brian Gore ,  Lewis Isbell ,  Ronald Songer ,  James W. Vetter

    IPC分类号： A61B1710

    CPC分类号： A61B17/0057 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/06066 ,  A61B17/11 ,  A61B17/3417 ,  A61B17/3421 ,  A61B2017/00004 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00867 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/06057 ,  A61F2002/30093 ,  A61F2210/0019

    摘要： The present invention provides devices and methods for suturing a tissue layer having two sides with a suture by releasably retaining at least a portion of the suture in a stationary position on one side of the tissue layer. The portion of the suture is retrieved through the tissue layer from the opposite side whereby the suture is drawn from one side to the opposite side. Devices and methods for suturing the wall of a tubular graft having two sides is also provided using a suture by releasably retaining at least a portion of the suture on one side of the wall. The portion of the length of suture is retrieved through the wall of the graft to the opposite side of the wall. A graft anastomosis assembly provided herein sutures a tubular graft about an aperture in a tissue wall using a suture, a tissue suturing and graft suturing devices. Fastener types other than sutures are useful with the present invention whereby a first fastener portion is releasably retained in a stationary position on one side of a tissue layer while a second fastener portion is driven through the tissue layer from the opposite side and securely engages the two portions together.

    摘要翻译： 本发明提供了用于通过可释放地将缝合线的至少一部分保持在组织层的一侧上的静止位置来缝合具有缝合线的两侧的组织层的装置和方法。 缝线的部分从相对侧通过组织层回收，由此将缝合线从一侧拉到相对侧。 还使用缝合线，通过可释放地将缝合线的至少一部分保持在壁的一侧上来提供用于缝合具有两侧的管状移植物的壁的装置和方法。 缝合长度的一部分通过移植物的壁回收到壁的相对侧。 本文提供的移植物吻合组件使用缝合线，组织缝合和移植物缝合装置缝合围绕组织壁中的孔的管状移植物。 除了缝合线以外的紧固件类型对于本发明是有用的，由此第一紧固件部分可释放地保持在组织层的一侧上的静止位置，而第二紧固件部分从相对侧驱动穿过组织层并且牢固地接合两个 部分在一起。

    Articulating suturing device and method
    5.
    发明授权
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US07837696B2

    公开(公告)日：2010-11-23

    申请号：US10729541

    申请日：2003-12-05

    申请人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    发明人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    ARTICULATING SUTURING DEVICE AND METHOD
    6.
    发明申请
    ARTICULATING SUTURING DEVICE AND METHOD 有权
    描述设备和方法

    公开(公告)号：US20110066184A1

    公开(公告)日：2011-03-17

    申请号：US12950338

    申请日：2010-11-19

    申请人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    发明人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    IPC分类号： A61B17/06 ,  A61B17/04

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    Articulating suturing device and method
    9.
    发明申请
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US20050143761A1

    公开(公告)日：2005-06-30

    申请号：US10909531

    申请日：2004-08-02

    申请人： D. Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard Andreas ,  Lewis Isbell

    发明人： D. Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard Andreas ,  Lewis Isbell

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/28

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    Articulating suturing device and method
    10.
    发明授权
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US08323298B2

    公开(公告)日：2012-12-04

    申请号：US12950338

    申请日：2010-11-19

    申请人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    发明人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。