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公开(公告)号:US20110166584A1
公开(公告)日:2011-07-07
申请号:US12987792
申请日:2011-01-10
申请人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Ronald J. Jabba , Anthony Pantages
发明人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Ronald J. Jabba , Anthony Pantages
CPC分类号: A61B17/064 , A61B17/0057 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/1227 , A61B17/1285 , A61B2017/00637 , A61B2017/00672
摘要: An apparatus for delivering a closure element into an opening formed in a blood vessel or other body lumen and methods for manufacturing and using same. The apparatus is configured to retain the closure element such that the closure element is disposed substantially within the apparatus. The apparatus also can engage, and position the closure element substantially adjacent to, the blood vessel wall adjacent to the opening. During deployment of the closure element, the apparatus expands the closure element beyond a natural cross-section of the closure element such that the closure element, when deployed, is configured to engage a significant amount of the blood vessel wall and/or tissue. Engaging the blood vessel wall and/or tissue, the closure element is further configured to return to the natural cross-section, thereby drawing the engaged blood vessel wall and/or tissue substantially closed and/or sealed, such that hemostasis within the opening is enhanced.
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公开(公告)号:US08398656B2
公开(公告)日:2013-03-19
申请号:US13039087
申请日:2011-03-02
申请人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Anthony J. Pantages , Ronald J. Jabba , Brian A. Ellingwood , Laveille Kao Voss , Kelly J. McCrystle , T. Daniel Gross , Arkady Kokish
发明人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Anthony J. Pantages , Ronald J. Jabba , Brian A. Ellingwood , Laveille Kao Voss , Kelly J. McCrystle , T. Daniel Gross , Arkady Kokish
CPC分类号: A61B17/0057 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/10 , A61B17/1227 , A61B2017/0003 , A61B2017/00106 , A61B2017/00349 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/0649 , A61B2017/12018 , A61B2090/065
摘要: An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element can have a shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered.
摘要翻译: 用于传送闭合元件的装置可以包括可拆卸的载体管和用于分裂管的分离器。 载体管可以具有将封闭元件保持为管状构造的外表面,并且可以被分割成径向可膨胀的瓣。 封闭元件可以具有形状记忆体,该形状记忆体具有松弛构型,其中平面环形主体限定具有从身体向内指向的尖齿的内腔。 夹具可以保持在具有梯形纵截面轮廓的基本上不对称的细长管状形状的保持构造中,并且具有尖端的尖端与第一齿纵向对准,该第一齿与基本上相对的第二齿相比更向远侧取向 更靠近并且缩回到具有矩形纵向截面轮廓的管状形状的展开构造,其中第一齿在被递送时与第二齿均匀。
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公开(公告)号:US20110230897A1
公开(公告)日:2011-09-22
申请号:US13039087
申请日:2011-03-02
申请人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Anthony J. Pantages , Ronald J. Jabba , Brian A. Ellingwood , Laveille Kao Voss , Kelly J. McCrystle , T. Daniel Gross , Arkady Kokish
发明人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Anthony J. Pantages , Ronald J. Jabba , Brian A. Ellingwood , Laveille Kao Voss , Kelly J. McCrystle , T. Daniel Gross , Arkady Kokish
IPC分类号: A61B17/10
CPC分类号: A61B17/0057 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/10 , A61B17/1227 , A61B2017/0003 , A61B2017/00106 , A61B2017/00349 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/0649 , A61B2017/12018 , A61B2090/065
摘要: An apparatus for delivering a closure element can include a splittable carrier tube and a splitter to split the tube. The carrier tube can have an outer surface retaining a closure element in a tubular configuration and can be split into radially-expandable flaps. A closure element can have a shape-memory body having a relaxed configuration with a planar-annular body defining a lumen with tines directed inwardly from the body. The clip can be held in a retaining configuration having a substantially asymmetrically-elongated tubular shape with a trapezoidal longitudinal cross-sectional profile and a proximal end having the tines being longitudinally directed with a first tine being more distally oriented compared to a substantially opposite second tine being more proximal, and retracting to a deploying configuration having a tubular shape with a rectangular longitudinal cross-sectional profile with the first tine being even with the second tine when being delivered.
摘要翻译: 用于传送闭合元件的装置可以包括可拆卸的载体管和用于分裂管的分离器。 载体管可以具有将封闭元件保持为管状构造的外表面,并且可以被分割成径向可膨胀的瓣。 封闭元件可以具有形状记忆体,该形状记忆体具有松弛构型,其中平面环形主体限定具有从身体向内指向的尖齿的内腔。 夹具可以保持在具有梯形纵截面轮廓的基本上不对称的细长管状形状的保持构造中,并且具有尖端的尖端与第一齿纵向对准,该第一齿与基本上相对的第二齿相比更向远侧取向 更靠近并且缩回到具有矩形纵向截面轮廓的管状形状的展开构造,其中第一齿在被递送时与第二齿均匀。
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公开(公告)号:US07905900B2
公开(公告)日:2011-03-15
申请号:US10356214
申请日:2003-01-30
申请人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Ronald J. Jabba , Anthony J. Pantages , Francisco Javier Sagastegui
发明人: Thomas J. Palermo , William M. Belef , Michael T. Carley , Richard S. Ginn , Ronald J. Jabba , Anthony J. Pantages , Francisco Javier Sagastegui
IPC分类号: A61B17/08
CPC分类号: A61B17/064 , A61B17/0057 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/1227 , A61B17/1285 , A61B2017/00637 , A61B2017/00672
摘要: An apparatus for delivering a closure element into an opening formed in a blood vessel or other body lumen and methods for manufacturing and using same. The apparatus is configured to retain the closure element such that the closure element is disposed substantially within the apparatus. The apparatus also can engage, and position the closure element substantially adjacent to, the blood vessel wall adjacent to the opening. During deployment of the closure element, the apparatus expands the closure element beyond a natural cross-section of the closure element such that the closure element, when deployed, is configured to engage a significant amount of the blood vessel wall and/or tissue. Engaging the blood vessel wall and/or tissue, the closure element is further configured to return to the natural cross-section, thereby drawing the engaged blood vessel wall and/or tissue substantially closed and/or sealed, such that hemostasis within the opening is enhanced.
摘要翻译: 一种用于将闭合元件输送到形成在血管或其他体腔中的开口中的装置及其制造和使用方法。 该装置构造成保持封闭元件,使得封闭元件基本上设置在该装置内。 该装置还可以将封闭件基本上邻近开口附近的血管壁接合并定位。 在封闭元件的展开过程中,该装置将闭合元件膨胀超过封闭元件的自然横截面,使得封闭元件在展开时构造成与大量的血管壁和/或组织接合。 接合血管壁和/或组织,闭合元件进一步构造成返回到自然横截面,从而将所接合的血管壁和/或组织基本上闭合和/或密封,使得开口内止血 增强。
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公开(公告)号:US09579091B2
公开(公告)日:2017-02-28
申请号:US11396731
申请日:2006-04-03
申请人: Richard S. Ginn , William N. Aldrich , W. Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui , Janina Sagastegui
发明人: Richard S. Ginn , William N. Aldrich , W. Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony Pantages , Javier Sagastegui
IPC分类号: A61B17/08 , A61B17/00 , A61B17/064
CPC分类号: A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/083 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/00672 , A61B2017/00862 , A61B2017/0641
摘要: A closure system and methods of use are provided for use in sealing an opening in a body tissue, such as a vascular puncture site. A method of closing the opening in the body tissue can be performed with the closure system having a closure clip. The method can include positioning the closure clip in a first closure clip position adjacent to the opening in the body tissue such that a plurality of spikes of the closure clip are inserted into the tissue at a location outward from a central axis of the opening. Subsequently, the closure clip can be positioned in a second closure clip position such that the plurality of spikes are pulled inward toward the central axis of the opening so as to pull the tissue between the opening and each of the spikes together and close the opening.
摘要翻译: 提供封闭系统和使用方法用于密封诸如血管穿刺部位的身体组织中的开口。 可以在具有闭合夹的封闭系统中执行关闭身体组织中的开口的方法。 该方法可以包括将闭合夹定位在与身体组织中的开口相邻的第一闭合夹具位置中,使得闭合夹的多个尖峰在从开口的中心轴线向外的位置插入到组织中。 随后,闭合夹可以被定位在第二闭合夹夹位置中,使得多个钉被向内朝向开口的中心轴线向内拉,以便将开口和每个钉之间的组织拉到一起并关闭开口。
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公开(公告)号:US06623510B2
公开(公告)日:2003-09-23
申请号:US10081726
申请日:2002-02-21
申请人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
发明人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
IPC分类号: A61D1708
CPC分类号: A61B17/08 , A61B17/0057 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/083 , A61B90/39 , A61B2017/00004 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/00867 , A61B2017/0641 , A61B2017/081 , H03K3/356139 , H03K3/356156
摘要: A clip for engaging tissue includes a generally annular-shaped body defining a plane and disposed about a central axis extending normal to the plane. The body includes alternating inner and outer curved regions, defining a zigzag pattern about a periphery of the clip. The body is biased towards a planar configuration lying in the plane and deflectable towards a transverse configuration extending out of the plane. Tines extend from the inner curved regions, the tines being oriented towards the central axis in the planar configuration, and parallel to the central axis in the transverse configuration. The tines may include primary tines and secondary tines that are shorter than the primary tines. The primary tines may be disposed on opposing inner curved regions and oriented towards one another such that they overlap in the planar configuration.
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公开(公告)号:US09320522B2
公开(公告)日:2016-04-26
申请号:US13222899
申请日:2011-08-31
申请人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
发明人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
IPC分类号: A61B17/08 , A61B17/00 , A61B17/064 , A61B17/068 , H03K3/356 , A61B19/00
CPC分类号: A61B17/08 , A61B17/0057 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/083 , A61B90/39 , A61B2017/00004 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/00867 , A61B2017/0641 , A61B2017/081 , H03K3/356139 , H03K3/356156
摘要: A clip for engaging tissue includes a generally annular-shaped body defining a plane and disposed about a central axis extending normal to the plane. The body includes alternating inner and outer curved regions, defining a zigzag pattern about a periphery of the clip. The body is biased towards a planar configuration lying in the plane and deflectable towards a transverse configuration extending out of the plane. Tines extend from the inner curved regions, the tines being oriented towards the central axis in the planar configuration, and parallel to the central axis in the transverse configuration. The tines may include primary tines and secondary tines that are shorter than the primary tines. The primary tines may be disposed on opposing inner curved regions and oriented towards one another such that they overlap in the planar configuration.
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公开(公告)号:US08758400B2
公开(公告)日:2014-06-24
申请号:US12941809
申请日:2010-11-08
申请人: Richard S. Ginn , William N. Aldrich , William Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony J. Pantages , Francisco Javier Sagastegui
发明人: Richard S. Ginn , William N. Aldrich , William Martin Belef , Steven N. Roe , Michael T. Carley , Ronald J. Jabba , Stephen M. Salmon , Anthony J. Pantages , Francisco Javier Sagastegui
CPC分类号: A61B17/083 , A61B17/0057 , A61B17/064 , A61B17/0643 , A61B17/1285 , A61B18/148 , A61B2017/00623 , A61B2017/00654 , A61B2017/00668 , A61B2017/00672 , A61B2017/00862 , A61B2017/00986 , A61B2017/081 , A61B2018/00595 , A61B2018/0063
摘要: An apparatus for sealing a passage through tissue communicating with a body lumen is provided. The apparatus includes an elongate member having a proximal end a distal end and a lumen extending from the distal end toward the proximal end defining a longitudinal axis. A plug member is disposed on the distal end and extends distally from the elongate member in a pre-deployed and deployed configuration. The plug member includes a distal port therein in communication with the lumen and has a cross-sectional diameter at a plug proximal end and a plug distal end greater than a cross-sectional diameter of the distal end of the elongate member in the pre-deployed configuration. The apparatus also includes a member extendable distally from the distal port, the member including a proximal end and a distal end.
摘要翻译: 提供了一种用于密封通过与体腔连通的组织的通道的装置。 所述装置包括细长构件,所述细长构件具有近端,远端和从远端朝向限定纵向轴线的近端延伸的内腔。 插塞构件设置在远端上并且以预先展开和展开的构型从细长构件向远侧延伸。 插塞构件包括其中与内腔连通的远端端口,并且在插塞近端处具有截面直径,并且塞子远端大于预先部署的细长构件的远端的横截面直径 组态。 该装置还包括从远端端口向远端延伸的构件,该构件包括近端和远端。
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公开(公告)号:US08257390B2
公开(公告)日:2012-09-04
申请号:US11675462
申请日:2007-02-15
申请人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
发明人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
IPC分类号: A61B17/08
CPC分类号: A61B17/08 , A61B17/0057 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/083 , A61B90/39 , A61B2017/00004 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/00867 , A61B2017/0641 , A61B2017/081 , H03K3/356139 , H03K3/356156
摘要: A clip for engaging tissue includes a generally annular-shaped body defining a plane and disposed about a central axis extending normal to the plane. The body includes alternating inner and outer curved regions, defining a zigzag pattern about a periphery of the clip. The body is biased towards a planar configuration lying in the plane and deflectable towards a transverse configuration extending out of the plane. Tines extend from the inner curved regions, the tines being oriented towards the central axis in the planar configuration, and parallel to the central axis in the transverse configuration. The tines may include primary tines and secondary tines that are shorter than the primary tines. The primary tines may be disposed on opposing inner curved regions and oriented towards one another such that they overlap in the planar configuration.
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公开(公告)号:US20110144668A1
公开(公告)日:2011-06-16
申请号:US12897358
申请日:2010-10-04
申请人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Jana Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
发明人: Michael T. Carley , Richard S. Ginn , Javier Sagastegui , Jana Sagastegui , Ronald J. Jabba , William N. Aldrich , W. Martin Belef
IPC分类号: A61B17/122
CPC分类号: A61B17/064 , A61B17/0057 , A61B17/0644 , A61B17/068 , A61B90/39 , A61B2017/00004 , A61B2017/00668 , A61B2017/00867 , A61B2017/0641
摘要: A clip for engaging tissue includes a generally annular-shaped body defining a plane and disposed about a central axis extending normal to the plane. The body includes alternating inner and outer curved regions, defining a zigzag pattern about a periphery of the clip. The body is biased towards a planar configuration lying in the plane and deflectable towards a transverse configuration extending out of the plane. Tines extend from the inner curved regions, the tines being oriented towards the central axis in the planar configuration, and parallel to the central axis in the transverse configuration. The tines include primary tines and secondary tines that are shorter than the primary tines. The primary tines may be disposed on opposing inner curved regions and oriented towards one another. The primary tines are configured such that they are offset from the axes of symmetry of the curved regions from which they extend and are connected to the curved regions by curved or linear regions or are connected directly to the curved regions. The primary tines may overlap the body and may be of different lengths.
摘要翻译: 用于接合组织的夹具包括限定平面并围绕垂直于平面延伸的中心轴设置的大致环形的主体。 主体包括交替的内部和外部弯曲区域,围绕夹子的周边限定Z字形图案。 身体偏向平面构型,该平面构型位于平面内,并可朝向延伸出平面的横向构型偏转。 齿从内部弯曲区域延伸,尖齿在平面构型中朝向中心轴线定向,并且在横向构型中平行于中心轴线。 尖齿包括比主尖齿短的主要尖齿和次级齿。 主尖齿可以设置在相对的内弯曲区域上并且朝向彼此定向。 主尖齿被构造成使得它们偏离其延伸的弯曲区域的对称轴线,并且通过弯曲或线性区域连接到弯曲区域,或者直接连接到弯曲区域。 主尖齿可能与身体重叠,并且可能具有不同的长度。
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