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    Device for applying adjunct in endoscopic procedure
    2.
    发明授权
    Device for applying adjunct in endoscopic procedure 有权
    内窥镜手术应用辅助装置

    公开(公告)号：US09492170B2

    公开(公告)日：2016-11-15

    申请号：US13206752

    申请日：2011-08-10

    申请人： Brian W. Bear ,  Thu Anh Le ,  Thomas W. Lytle, IV ,  Mark D. Overmyer ,  Michael Setser ,  Bret W. Smith ,  Joseph Zavatsky ,  Kreena Modi

    发明人： Brian W. Bear ,  Thu Anh Le ,  Thomas W. Lytle, IV ,  Mark D. Overmyer ,  Michael Setser ,  Bret W. Smith ,  Joseph Zavatsky ,  Kreena Modi

    IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29

    CPC分类号： A61B17/07207 ,  A61B17/07292 ,  A61B2017/00495 ,  A61B2017/00893 ,  A61B2017/07271 ,  A61B2017/2927

    摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.

    摘要翻译： 模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。 端部执行器可拆卸地连接到装置。 该装置对末端执行器的活塞施加力。 该力导致活塞沿着设置在末端执行器内的壁的远端移动。 活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。 将试剂在混合物空间中混合并通过尖端排出。 钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。 通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。 相互作用形成施加到组织上的组织恢复材料。

    DEVICE FOR APPLYING ADJUNCT IN ENDOSCOPIC PROCEDURE
    3.
    发明申请
    DEVICE FOR APPLYING ADJUNCT IN ENDOSCOPIC PROCEDURE 有权
    内镜手术治疗的手段

    公开(公告)号：US20130037596A1

    公开(公告)日：2013-02-14

    申请号：US13206752

    申请日：2011-08-10

    申请人： Brian W. Bear ,  Thu Anh Le ,  Thomas W. Lytle, IV ,  Mark D. Overmyer ,  Michael Setser ,  Bret W. Smith ,  Joseph Zavatsky ,  Kreena Modi

    发明人： Brian W. Bear ,  Thu Anh Le ,  Thomas W. Lytle, IV ,  Mark D. Overmyer ,  Michael Setser ,  Bret W. Smith ,  Joseph Zavatsky ,  Kreena Modi

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/07292 ,  A61B2017/00495 ,  A61B2017/00893 ,  A61B2017/07271 ,  A61B2017/2927

    摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.

    摘要翻译： 模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。 端部执行器可拆卸地连接到装置。 该装置对末端执行器的活塞施加力。 该力导致活塞沿着设置在末端执行器内的壁的远端移动。 活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。 将试剂在混合物空间中混合并通过尖端排出。 钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。 通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。 相互作用形成施加到组织上的组织恢复材料。

    Wedge shaped suture anchor and method of implementation
    6.
    发明授权
    Wedge shaped suture anchor and method of implementation 有权
    楔形缝线锚及其实施方法

    公开(公告)号：US06726707B2

    公开(公告)日：2004-04-27

    申请号：US09923996

    申请日：2001-08-07

    申请人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    发明人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    IPC分类号： A61B1704

    CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B90/92 ,  A61B2017/00424 ,  A61B2017/00455 ,  A61B2017/00862 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0458 ,  A61B2017/06057 ,  A61B2017/06142 ,  A61B2090/037 ,  A61B2090/3937 ,  Y10S606/916

    摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.

    摘要翻译： 描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。 在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。 还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。 在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。

    Wedge shaped suture anchor and method of implantation
    8.
    发明授权
    Wedge shaped suture anchor and method of implantation 有权
    楔形缝合锚和植入方法

    公开(公告)号：US07232455B2

    公开(公告)日：2007-06-19

    申请号：US10854016

    申请日：2004-05-26

    申请人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    发明人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B90/92 ,  A61B2017/00424 ,  A61B2017/00455 ,  A61B2017/00862 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0458 ,  A61B2017/06057 ,  A61B2017/06142 ,  A61B2090/037 ,  A61B2090/3937 ,  Y10S606/916

    摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.

    摘要翻译： 描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。 在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。 还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。 在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。

    Wedge shaped suture anchor and method of implantation
    9.
    发明授权
    Wedge shaped suture anchor and method of implantation 有权
    楔形缝合锚和植入方法

    公开(公告)号：US06270518B1

    公开(公告)日：2001-08-07

    申请号：US09412903

    申请日：1999-10-05

    申请人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    发明人： Jack S. Pedlick ,  Thu Anh Le ,  John DiGiovanni ,  Dennis D. Jamiolkowski ,  Mark J. Suseck

    IPC分类号： A61B1704

    CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B90/92 ,  A61B2017/00424 ,  A61B2017/00455 ,  A61B2017/00862 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0458 ,  A61B2017/06057 ,  A61B2017/06142 ,  A61B2090/037 ,  A61B2090/3937 ,  Y10S606/916

    摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.

    摘要翻译： 描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。 在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。 还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。 在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。