-
公开(公告)号:US07112207B2
公开(公告)日:2006-09-26
申请号:US10423046
申请日:2003-04-24
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
-
公开(公告)号:US20100234813A1
公开(公告)日:2010-09-16
申请号:US12785963
申请日:2010-05-24
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译: 本发明涉及一种用于稳定和紧固两片组织的装置和方法。 可以使用单个装置来稳定和紧固两片组织,或者单独的稳定装置可以与紧固装置结合使用。 稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。 在组织片稳定后,使用缝合线或夹子将它们固定在一起。 基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置,其中针进入组织的前侧并离开盲侧。 在第二示例性实施例中,基于缝合线的紧固件包括连接到缝线的针。 针进入组织的盲侧并从前侧离开。 然后将缝合线绑在一起,以固定薄片。 基于夹子的紧固件的一个示例包括弹簧加载夹具,其具有带有锥形远端和倒钩的两个臂。 探针包括展开机构,其使得夹子刺穿并锁定地固定两片组织。
-
公开(公告)号:US07758595B2
公开(公告)日:2010-07-20
申请号:US11274877
申请日:2005-11-15
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译: 本发明涉及一种用于稳定和紧固两片组织的装置和方法。 可以使用单个装置来稳定和紧固两片组织,或者单独的稳定装置可以与紧固装置结合使用。 稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。 在组织片稳定后,使用缝合线或夹子将它们固定在一起。 基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置,其中针进入组织的前侧并离开盲侧。 在第二示例性实施例中,基于缝合线的紧固件包括连接到缝线的针。 针进入组织的盲侧并从前侧离开。 然后将缝合线绑在一起,以固定薄片。 基于夹子的紧固件的一个示例包括弹簧加载夹具,其具有带有锥形远端和倒钩的两个臂。 探针包括展开机构,其使得夹子刺穿并锁定地固定两片组织。
-
公开(公告)号:US08361086B2
公开(公告)日:2013-01-29
申请号:US12785963
申请日:2010-05-24
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
-
公开(公告)号:US07744609B2
公开(公告)日:2010-06-29
申请号:US11273900
申请日:2005-11-15
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
-
公开(公告)号:US06537290B2
公开(公告)日:2003-03-25
申请号:US09800390
申请日:2001-03-05
IPC分类号: A61B1732
CPC分类号: A61B17/12136 , A61B17/00234 , A61B17/0057 , A61B17/12109 , A61B17/32053 , A61B17/3417 , A61B17/3498 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/306 , A61B2017/3488 , A61B2018/00392
摘要: The present invention discloses a system and method for providing sealable access to a viscus region or hollow organ and performing surgical procedures therein. The present invention is particularly useful in providing access to a patients heart without arresting the heart. The access system comprises a tissue stabilizer to provide a stable work area in a dynamic environment. A puncture device is inserted into the tissue stabilizer, which forms a puncture hole within the heart tissue. Thereafter, a sealing device, for example a sealing balloon, is inserted through the puncture hole and engages the interior tissue. A sealing cannula may then be advanced into and sealably engages the tissue.
-
公开(公告)号:US06860890B2
公开(公告)日:2005-03-01
申请号:US09797964
申请日:2001-03-02
CPC分类号: A61B17/0469 , A61B90/39 , A61B2017/0474 , A61B2090/3925
摘要: A surgical knot pushing device is described which has a knot pushing interface mounted on the distal portion of an elongated body and an actuation handle located on the proximal portion of the elongated body. The knot pushing interface has a suture receiving recess formed thereon, and a knot positioning member which traverses the suture receiving interface. At least one extendable knot retaining member is further positioned on the pushing interface, the at least one extendable retaining member capable of engaging suture material. The knot pushing interface also comprises at least one suture cutting member which is in communication with the actuation handle. The present invention is particularly well suited for use in minimally invasive surgical procedures. The present invention also teaches a method of forming a knot in suture material, retaining a knot with a knot pushing device, advancing and applying a knot to an area of interest, and cutting excess suture material.
摘要翻译: 描述了外科结推动装置,其具有安装在细长主体的远侧部分上的结推动界面和位于细长主体的近端部分上的致动手柄。 结推动接口具有形成在其上的缝合线接收凹部和穿过缝合线接收界面的结定位构件。 至少一个可延伸的结保持构件进一步定位在推动界面上,所述至少一个可延伸保持构件能够接合缝合材料。 结推动界面还包括与致动手柄连通的至少一个缝合线切割构件。 本发明特别适用于微创外科手术。 本发明还教导了一种在缝合材料中形成结的方法,用结推动装置保持结,推进并施加结到感兴趣的区域,以及切割多余的缝合材料。
-
公开(公告)号:US06626930B1
公开(公告)日:2003-09-30
申请号:US09562406
申请日:2000-05-01
申请人: William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
发明人: William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
IPC分类号: A61B1708
CPC分类号: A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要: The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译: 本发明涉及一种用于稳定和紧固两片组织的装置和方法。 可以使用单个装置来稳定和紧固两片组织,或者单独的稳定装置可以与紧固装置结合使用。 稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。 在组织片稳定后,使用缝合线或夹子将它们固定在一起。 基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置,其中针进入组织的前侧并离开盲侧。 在第二示例性实施例中,基于缝合线的紧固件包括连接到缝线的针。 针进入组织的盲侧并从前侧离开。 然后将缝合线绑在一起,以固定薄片。 基于夹子的紧固件的一个示例包括弹簧加载夹具,其具有带有锥形远端和倒钩的两个臂。 探针包括展开机构,其使得夹子刺穿并锁定地固定两片组织。
-
公开(公告)号:US08006700B2
公开(公告)日:2011-08-30
申请号:US10114709
申请日:2002-04-02
申请人: Gregory A. Demopulos , Scott W. Reed , Alan B. Bachman , Frederick T. Karl , William J. Allen , Leland Ray Adams , G. Lawrence Thatcher
发明人: Gregory A. Demopulos , Scott W. Reed , Alan B. Bachman , Frederick T. Karl , William J. Allen , Leland Ray Adams , G. Lawrence Thatcher
IPC分类号: A61B19/00
CPC分类号: A61B17/064 , A61B17/00491 , A61B2017/00004 , A61B2017/0646 , A61B2017/0647
摘要: A medical fastener (18), preferably bioabsorbable, is used for repairing torn soft tissue, particularly meniscal tissue (16). The fastener (18) can have an enlarged head (22) at the proximate end to engage meniscal tissue (16) adjacent to a tear (14), and a pointed distal tip (21) at the other end to ease insertion of the fastener (18) into the meniscus (16). The shank (20) of the fastener (18) bridges across the tear (14). Opposite ends of the shank (20) are secured in the meniscal tissue (16) by a medical adhesive, preferably bioabsorbable, and preferably at locations remote from the tear (14) so as not to interfere with healing of the tear (14). The fastener (18) can have a blind bore (24) opening through the head (22) of the fastener (18) and extending through the shank (20) to a location close to the tip (21) and generally radial holes (26) communicating between the bore (24) and the exterior of the shank (20). The medical adhesive can be injected through the bore (24) for passage outward through the holes (26).
摘要翻译: 医疗紧固件(18),优选地是生物可吸收的,用于修复被撕毁的软组织,特别是半月板组织(16)。 紧固件(18)可以在近端处具有扩大的头部(22),以与邻近泪液(14)的半月板组织(16)接合,并且在另一端处具有尖锐的远端尖端(21),以便于紧固件 (18)进入弯月面(16)。 紧固件(18)的柄(20)穿过泪液(14)。 柄(20)的相对端通过医疗粘合剂固定在半月板组织(16)中,优选地是生物可吸收的,优选在远离泪液(14)的位置处,以便不干扰泪液(14)的愈合。 紧固件(18)可以具有穿过紧固件(18)的头部(22)的盲孔(24),并且通过柄部(20)延伸到靠近尖端(21)的位置,并且大致为径向孔 )连通孔(24)和柄(20)的外部。 医用粘合剂可以通过孔(24)注入,以通过孔(26)向外通过。
-
公开(公告)号:US06740100B2
公开(公告)日:2004-05-25
申请号:US10112597
申请日:2002-03-28
申请人: Gregory A. Demopulos , Scott W. Reed , Alan B. Bachman , Frederick T. Karl , William J. Allen , Leland Ray Adams , G. Lawrence Thatcher
发明人: Gregory A. Demopulos , Scott W. Reed , Alan B. Bachman , Frederick T. Karl , William J. Allen , Leland Ray Adams , G. Lawrence Thatcher
IPC分类号: A61B1704
CPC分类号: A61B17/1146 , A61B17/00491 , A61B17/064 , A61B2017/00004 , A61B2017/0609 , A61B2017/0647
摘要: A reinforcing member or stent (7) is inserted into opposite end portions (1, 1′) of a lacerated tendon and secured within the tendon by adhesive so that tension applied to the tendon is transmitted across the laceration by way of the reinforcing member (7).
摘要翻译: 将加强构件或支架(7)插入到撕裂的腱的相对端部(1,1')中并通过粘合剂固定在腱内,使得施加到腱上的张力通过加强构件 7)。
-
-
-
-
-
-
-
-
-