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公开(公告)号：US08066725B2
公开(公告)日：2011-11-29
申请号：US11873888
申请日：2007-10-17
申请人： Vincent G. Copa , Sidney F. Hauschild , Suranjan Roychowdhury , Kory P. Hamel , Robert L. Rykhus , Jay Soderberg
发明人： Vincent G. Copa , Sidney F. Hauschild , Suranjan Roychowdhury , Kory P. Hamel , Robert L. Rykhus , Jay Soderberg
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B2017/1103 , A61B2017/1139 , A61B2017/22069
摘要： An anastomosis device providing increased functionality, reliability and safety through the use of designs addressing potential puncture of an inflation balloon being used to hold and approximate tissue. The anastomosis device can include bladder retention structures configured to engage and retain tissue without pointed or sharpened surfaces that can rupture the inflation balloon. The anastomosis device can include a reinforced or otherwise protected inflation balloon to resist puncturing by a bladder retention structure. The anastomosis device can include a catheter wall profile selected to physically prevent bladder retention structures from being forcibly bent back so as to avoid potential contact with and puncture of the inflation balloon. The anastomosis device can include a catheter funnel with an internal spring for preventing kinking of the catheter lumen while providing for flexibility and stretch of the funnel to absorb pulling or shock force which can rupture the inflation balloon.
摘要翻译： 一种吻合装置，通过使用针对用于保持和近似组织的充气球囊的潜在穿刺的设计来提供增强的功能性，可靠性和安全性。 吻合装置可以包括构造成接合和保持组织的膀胱保持结构，而没有可以破裂充气气球的尖锐或锐化的表面。 吻合装置可以包括加强的或以其他方式保护的充气气囊以抵抗由膀胱保持结构引起的穿刺。 吻合装置可以包括选择用于物理地防止膀胱保持结构被强制弯曲的导管壁轮廓，以避免膨胀球囊的潜在接触和穿刺。 吻合装置可以包括具有用于防止导管内腔扭结的内部弹簧的导管漏斗，同时提供漏斗的柔性和拉伸以吸收可以破坏充气气囊的拉力或冲击力。
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公开(公告)号：US08636756B2
公开(公告)日：2014-01-28
申请号：US11356556
申请日：2006-02-17
IPC分类号： A61B17/08
CPC分类号： A61B17/06066 , A61B17/06 , A61B2017/06028
摘要： The tissue approximating structures for the anastomosis devices of the invention preferably include two sets of approximating structures or tines spaced from each other along the length of a catheter body that can be extended and retracted from the catheter body. Each of the sets of tissue approximating structures is preferably sequentially deployable in such a way that the surgeon can activate a first set of tines to engage a first tissue structure, verify that an adjacent second tissue structure is properly positioned relative to the first tissue structure, then activate a second set of tines to engage that adjacent second tissue structure. Each of the sets of tines is preferably controlled by a single actuation mechanism that is attached to the anastomosis device and is positioned outside the patient's body.
摘要翻译： 本发明的吻合装置的组织近似结构优选地包括沿导管主体的长度彼此间隔开的两组近似结构或尖齿，其可以从导管主体伸出和缩回。 组织近似结构中的每一组优选地以使得外科医生可以激活第一组尖齿以接合第一组织结构的方式来顺序地展开，从而验证邻近的第二组织结构相对于第一组织结构适当定位， 然后激活第二组尖齿以接合该相邻的第二组织结构。 这些齿组中的每一个优选地由附接到吻合装置并位于患者身体外部的单个致动机构控制。
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公开(公告)号：US08551126B2
公开(公告)日：2013-10-08
申请号：US10646383
申请日：2003-08-21
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B2017/1139
摘要： Described are methods and devices relating to reconnecting tissue of the urethra, e.g., connecting the urethra and bladder after a radical prostatectomy, wherein the devices incorporate tissue approximating structure such as tines to maintain contact between severed tissue, such as a severed bladder neck tissue and a severed urethral stump tissue, preferably without the use of sutures.
摘要翻译： 描述了与重新连接尿道的组织有关的方法和装置，例如，在根治性前列腺切除术之后连接尿道和膀胱，其中装置包括组织近似结构，例如尖齿，以保持切断的组织（例如切除的膀胱颈部组织）和 切断的尿道残端组织，优选不使用缝线。
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公开(公告)号：US08277467B2
公开(公告)日：2012-10-02
申请号：US12721722
申请日：2010-03-11
申请人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
发明人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/320016 , A61B2017/00274 , A61B2017/1103 , A61B2017/1135 , A61B2018/00547
摘要： A surgical tool which comprises an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end, a main balloon adjacent to the distal end of the elongated body, and a strap connector extending from the elongated body that is connectable with a stabilization strap.
摘要翻译： 一种手术工具，其包括具有近端和远端的细长主体，具有相对于细长主体展开和缩回位置的第一组和第二组组织近似结构，从细长体的近端延伸的致动机构，用于独立地 展开和缩回第一组和第二组组织近似结构中的每一个，从细长体的远端处的引流孔延伸到近端的排水腔，与细长体的远端相邻的主球，以及 带状连接器，其从细长主体延伸，其可与稳定带连接。
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公开(公告)号：US08080024B2
公开(公告)日：2011-12-20
申请号：US11116505
申请日：2005-04-28
CPC分类号： A61B46/10 , A61B17/11 , A61B2017/00367
摘要： An anastomosis surgical device comprising an elongate body having a drainage aperture at a distal end for communication with a proximal end of the elongate body, tissue approximating structure extendable from the elongate body and spaced proximally from the drainage aperture along the length of the elongate body. The device further includes an actuating mechanism extending from the proximal end of the elongate body and comprising at least one tissue approximating structure control mechanism, and a protective enclosure surrounding at least a portion of the actuating mechanism.
摘要翻译： 一种吻合手术装置，其包括细长体，所述细长体具有在远端处的排水孔，用于与细长体的近端连通，组织近似结构可从细长体延伸并且沿着细长体的长度与排水孔向近侧间隔开。 该装置还包括从细长主体的近端延伸并包括至少一个组织近似结构控制机构的致动机构，以及围绕致动机构的至少一部分的保护外壳。
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公开(公告)号：US20100168772A1
公开(公告)日：2010-07-01
申请号：US12721722
申请日：2010-03-11
申请人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
发明人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/320016 , A61B2017/00274 , A61B2017/1103 , A61B2017/1135 , A61B2018/00547
摘要： A surgical tool which comprises an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end, a main balloon adjacent to the distal end of the elongated body, and a strap connector extending from the elongated body that is connectable with a stabilization strap.
摘要翻译： 一种手术工具，其包括具有近端和远端的细长主体，具有相对于所述细长主体展开和缩回位置的第一组和第二组组织近似结构;从所述细长主体的近端延伸的致动机构，用于独立地 展开和缩回第一组和第二组组织近似结构中的每一个，从细长体的远端处的排水孔延伸到近端的排水腔，与细长体的远端相邻的主球，以及 带状连接器，其从细长主体延伸，其可与稳定带连接。
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公开(公告)号：US07717928B2
公开(公告)日：2010-05-18
申请号：US11437963
申请日：2006-05-19
申请人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
发明人： Vincent G. Copa , Kory P. Hamel , Sidney F. Hauschild , Suranjan Roychowdhury , Robert L. Rykhus
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/320016 , A61B2017/00274 , A61B2017/1103 , A61B2017/1135 , A61B2018/00547
摘要： A surgical tool which comprises an elongated body having a proximal end and a distal end, first and second sets of tissue approximating structures having deployed and retracted positions relative to the elongated body, an actuating mechanism extending from the proximal end of the elongated body for independently deploying and retracting each of the first and second sets of tissue approximating structures, a drainage lumen extending from a drainage aperture at the distal end of the elongated body to the proximal end, a main balloon adjacent to the distal end of the elongated body, and a strap connector extending from the elongated body that is connectable with a stabilization strap.
摘要翻译： 一种手术工具，其包括具有近端和远端的细长主体，具有相对于所述细长主体展开和缩回位置的第一组和第二组组织近似结构;从所述细长主体的近端延伸的致动机构，用于独立地 展开和缩回第一组和第二组组织近似结构中的每一个，从细长体的远端处的排水孔延伸到近端的排水腔，与细长体的远端相邻的主球，以及 带状连接器，其从细长主体延伸，其可与稳定带连接。
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公开(公告)号：US08529590B2
公开(公告)日：2013-09-10
申请号：US11804114
申请日：2007-05-17
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B2017/1139
摘要： Described are methods and devices relating to reconnecting the urethra and bladder after a radical prostatectomy, wherein the devices incorporate tissue approximating structure to maintain contact between a severed bladder neck tissue and a severed urethral stump tissue, preferably without the use of sutures.
摘要翻译： 描述了在根治性前列腺切除术之后重新连接尿道和膀胱的方法和装置，其中装置包括组织近似结构以保持切除的膀胱颈部组织和切断的尿道残端组织之间的接触，优选不使用缝合线。
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公开(公告)号：US07544062B1
公开(公告)日：2009-06-09
申请号：US11461988
申请日：2006-08-02
IPC分类号： G09B23/28
CPC分类号： G09B23/30 , G09B23/285
摘要： Anatomic models of the abdominopelvic region of a male human patient's body to assist in demonstrating or in training medical personnel in microsurgical techniques are disclosed. The anatomic models preferably demonstrate the passage of elongated medical instruments through the perineum to or into the prostate. The anatomic models preferably comprise a substantially transparent elastomer body mass encasing a relatively rigid skeletal frame and at least a prostate model. The elastomer mass is shaped to simulate the perineum overlying the prostate between a penis model and an anal opening.
摘要翻译： 公开了一种男性人体病人身体的腹部区域的解剖模型，以协助显微外科技术中的医疗人员展示或培训。 解剖模型优选证明细长的医疗器械通过会阴通过或进入前列腺。 解剖模型优选地包括包围相对刚性的骨骼框架和至少前列腺模型的基本透明的弹性体体块。 弹性体质量被成形为模拟在阴茎模型和肛门开口之间覆盖前列腺的会阴。
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公开(公告)号：US08764775B2
公开(公告)日：2014-07-01
申请号：US10919775
申请日：2004-08-16
申请人： Vincent G. Copa , Kory P. Hamel , Hans A. Mische
发明人： Vincent G. Copa , Kory P. Hamel , Hans A. Mische
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/068 , A61B17/1114 , A61B2017/00557 , A61B2017/1103 , A61B2017/1139
摘要： Described are methods and devices relating to reconnecting the urethra and bladder after a radical prostatectomy, wherein the devices incorporate tissue approximating structure to maintain contact between a severed bladder neck tissue and a severed urethral stump tissue, preferably without the use of sutures.
摘要翻译： 描述了在根治性前列腺切除术之后重新连接尿道和膀胱的方法和装置，其中装置包括组织近似结构以保持切除的膀胱颈部组织和切断的尿道残端组织之间的接触，优选不使用缝合线。
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