Apparatus for fastening tissue and occluding tubular body structures

    公开(公告)号:US11622773B2

    公开(公告)日:2023-04-11

    申请号:US16382944

    申请日:2019-04-12

    摘要: Apparatus and methods for occluding hollow body structures, such as blood vessels, and for attaching tissue layers together by providing implantable elements on opposite sides of the structure or tissue layers and drawing the implants together to occlude the body structure and/or bring the tissue layers together. The implants are deliverable in a low-profile configuration and self-expand to an enlarged configuration. The implantable elements are delivered by transfixing the body structure, then releasing the implants on opposite sides of the body structure and drawing the implants together to effect an occlusion or attachment. The implants are configured to apply oppositely directed forces to opposite surfaces of the tissue layers at alternate, circumferentially spaced locations and may constrain the tissue in a serpentine pattern or in a direct clamping pattern. The implants grip the tissue in a manner that defines a pressure zone about the transfixion aperture that prevents leakage from the aperture. The implants have a low profile in that they have a relatively short axial dimension relative to their deployed diameter.

    TUBULAR STRUCTURE LIGATOR
    4.
    发明申请

    公开(公告)号:US20230070682A1

    公开(公告)日:2023-03-09

    申请号:US17760221

    申请日:2020-03-25

    申请人: Vivek Harihar

    发明人: Vivek Harihar

    IPC分类号: A61B17/128

    摘要: A surgical instrument is disclosed. The instrument includes a handle configured to move between an open position and a closed position; at least one clamping structure coupled to the handle. The at least one clamping structure includes a first set of pushing members operatively coupled to the handle. The movement of the handle from open position to the closed position facilitates the movement of pushing members into longitudinal direction. The at least one clamping structure includes a set of constrictors coupled to the set of the pushing members such that movement of the set of the pushing members enables movement of the set of constrictors from a designed position in which the set of constrictors are positioned away from each other and to a contracted position in which the set of constrictors are positioned closed to each other.

    Endoscopic clip apparatus and methods

    公开(公告)号:US11589875B1

    公开(公告)日:2023-02-28

    申请号:US17895727

    申请日:2022-08-25

    申请人: Gastrologic, LLC

    IPC分类号: A61B17/128

    摘要: An endoscopic clip apparatus includes a clip sleeve defining an interior passage along a longitudinal axis and having a distal end with a plurality of openings defined in the distal end. A clip including a plurality of arms is disposed in the clip sleeve, and each arm includes a distal tip extending from the clip sleeve through one of the plurality of openings. Each arm includes a convex curved section oriented away from the longitudinal axis. The clip sleeve and clip are axially moveable relative to each other such that when the clip sleeve travels over the convex curved section of each arm toward the distal tip of each arm, each arm is constrained by the clip sleeve and each distal tip advances toward the longitudinal axis to grasp tissue.

    OVER THE SCOPE CLIP WITH COMPLIANT MECHANISM

    公开(公告)号:US20230054185A1

    公开(公告)日:2023-02-23

    申请号:US17811704

    申请日:2022-07-11

    IPC分类号: A61B17/08 A61B17/128

    摘要: A clipping system includes an adapter and a clip. The adapter is mounted over a distal end of an insertion device to a distal end and has a first annular groove formed in a distal face of the adapter. The clip has a body; a central body having a coupling portion and a ring; and jaws having outer arms coupled to the body at an outer arm proximal end and inner arms disposed radially inward of the outer arms and coupled to the ring at an inner arm proximal end. The body includes an annular protrusion extending proximally from a proximal surface of the body. The protrusion is inserted into the first groove of the adapter to couple the clip to the adapter. Movement of the central body along an axis of the clip causes movement of the jaws between an insertion configuration and a deployment configuration.

    REPOSITIONABLE OVER THE SCOPE CLIP

    公开(公告)号:US20230036540A1

    公开(公告)日:2023-02-02

    申请号:US17805950

    申请日:2022-06-08

    IPC分类号: A61B17/128 A61B17/122

    摘要: A clipping system includes a pusher element, a holder mounted over an insertion device and clips stacked along a length of the holder. The holder includes a longitudinally channel.
    Each clip extends along a curvature defining a tissue-receiving space therewithin and extends about the holder with an exterior surface of the holder holding the clip open with the first and second ends of the clip separated from one another to receive a tissue therein. Each clip is independently deployable from the holder so that, upon release of the clip from the holder, the clip reverts to a closed configuration. In the closed configuration, the first and second ends are moved toward one another to reduce a size of the tissue-receiving space so that tissue is gripped therewithin. The element is mounted over the holder and moved distally along the holder to independently deploy each clips.

    Fastener applicator with interlock

    公开(公告)号:US11564689B2

    公开(公告)日:2023-01-31

    申请号:US16599779

    申请日:2019-10-11

    申请人: DATASCOPE CORP.

    摘要: The present disclosure relates to a fastener applicator including a handle, a first trigger coupled rotatably with respect to the handle, and a second trigger coupled rotatably with respect to the handle. An interlock is disposed with the second trigger and comprises a cam follower engaged in a cam channel that selectively prevents rotation of the second trigger relative to the first trigger depending on a location of the cam follower within the cam channel. The location of the cam follower in the cam channel is set by a position of the first trigger. Methods of operating the various embodiments disclosed are also provided.

    Reloadable clip with a flaring capsule deformation

    公开(公告)号:US11547422B2

    公开(公告)日:2023-01-10

    申请号:US16905308

    申请日:2020-06-18

    摘要: A clipping system includes a clip having a pair of clip arms, proximal ends of the clip arms slidably received within a channel of a capsule to be moved between an open configuration and a closed configuration. A proximal end of the capsule including connecting tabs extending proximally therefrom. An applicator includes an elongated flexible member and a control member extending therethrough. The control member includes a distal end connected to the clip arms to move the clip assembly between the open and closed configurations. A distal end of the elongated flexible member includes a bushing including a first ramped surface, along which the connecting tabs slide along to engage a corresponding engaging feature of the bushing, and a second ramped surface proximal of the first ramped surface, the connecting tabs slidable along the second ramped surface to plastically deform toward a deployed configuration.

    Surgical device
    10.
    发明授权

    公开(公告)号:US11547409B2

    公开(公告)日:2023-01-10

    申请号:US16554267

    申请日:2019-08-28

    申请人: AtriCure, Inc.

    摘要: A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.