公开(公告)号：WO2014137830A1

公开(公告)日：2014-09-12

申请号：PCT/US2014/019607

申请日：2014-02-28

Applicant: DICKINSON, Robert, Julian ,  FERRARESI, Roberto ,  KUM, Steven ,  LENIHAN, Timothy ,  PACEY, Andrew, Robert ,  ROTHMAN, Martin, Terry

Inventor： DICKINSON, Robert, Julian ,  FERRARESI, Roberto ,  KUM, Steven ,  LENIHAN, Timothy ,  PACEY, Andrew, Robert ,  ROTHMAN, Martin, Terry

IPC: A61F2/82

CPC classification number: A61B17/11 ,  A61B8/0841 ,  A61B8/12 ,  A61B17/22 ,  A61B17/3478 ,  A61B18/1492 ,  A61B18/245 ,  A61B2017/00252 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1139 ,  A61B2017/22095 ,  A61B2017/22097 ,  A61B2034/2063 ,  A61F2/064 ,  A61F2/07 ,  A61F2/844 ,  A61F2/90 ,  A61F2/915 ,  A61F2/95 ,  A61F2/958 ,  A61F2/962 ,  A61F2002/068 ,  A61F2230/0067 ,  A61F2230/0069 ,  A61F2250/001 ,  A61F2250/0017 ,  A61F2250/0029 ,  A61F2250/0031 ,  A61F2250/0039 ,  A61M27/002

Abstract: A device includes a first end portion, a second end portion, an intermediate portion, and a graft material. The first end portion has a first end diameter. The second end portion has a second end diameter smaller than the first end diameter. The first end portion comprises a first material. The second end portion comprises a second material different than the first material. The intermediate portion is between the first end portion and the second end portion. The intermediate portion tapers between the first end portion and the second end portion. The graft material is coupled to at least the intermediate portion.

Abstract translation: 一种装置包括第一端部，第二端部，中间部分和移植材料。 第一端部具有第一端部直径。 第二端部具有小于第一端部直径的第二端部直径。 第一端部包括第一材料。 第二端部包括与第一材料不同的第二材料。 中间部分在第一端部和第二端部之间。 中间部分在第一端部和第二端部之间变浅。 移植材料至少连接到中间部分。

公开(公告)号：WO2014092855A1

公开(公告)日：2014-06-19

申请号：PCT/US2013/064568

申请日：2013-10-11

Applicant: HOLT, Dolly Jeanne

Inventor： HOLT, Dolly Jeanne

IPC: A61B17/08 ,  A61B17/11 ,  A61L17/04 ,  A61F2/08

CPC classification number: A61F2/0811 ,  A61B17/064 ,  A61B17/083 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/1128 ,  A61B17/1146 ,  A61B17/1227 ,  A61B2017/00526 ,  A61B2017/0649 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1132

Abstract: Devices and methods for reconnecting or supporting torn, damaged or weak tissue are disclosed. The disclosed embodiments can be used on long slender tissue such as ligaments, tendons, nerves, vessels, intestines, muscles, bones, appendages and any other elongate tissue within the body, of both humans and other animals. The devices can wrap around elongate tissue and is capable of supporting the tissue or keeping two severed ends in close proximity to one another. The devices can be used in addition to or in lieu of sutures. The devices can function similar to a Chinese Finger Trap and are capable of decreasing in diameter upon extension, thus constricting upon the tissue. The multiple coils of the devices can make sufficient surface contact on the ligament or tendon, using friction to keep the device in place, while also allowing access for diffusion of oxygen and nutrients.

Abstract translation: 公开了用于重新连接或支撑撕裂，损坏或弱组织的装置和方法。 所公开的实施例可以用于人类和其他动物的长细长组织，例如韧带，腱，神经，血管，肠，肌肉，骨骼，附属物和身体内的任何其它细长组织。 装置可以包裹细长的组织并且能够支撑组织或保持彼此紧密相邻的两个切断的端部。 除了缝合线之外还可以使用这些装置。 这些装置的功能与中国手指陷阱相似，并且能够在延伸时直径减小，从而收缩在组织上。 装置的多个线圈可以在韧带或腱上形成足够的表面接触，使用摩擦力将装置保持在适当位置，同时还允许进入氧气和营养物质的扩散。

公开(公告)号：WO2014046596A1

公开(公告)日：2014-03-27

申请号：PCT/SE2013/051065

申请日：2013-09-12

Applicant: CARPONOVUM AB

Inventor： GRÖNLUND, Anders

IPC: A61B17/11

CPC classification number: A61B17/115 ,  A61B17/11 ,  A61B17/1114 ,  A61B2017/1103 ,  A61B2017/1132

Abstract: An anvil (300) for use in connection with a first member (10) of an anastomotic device (100) in the side wall of an intestine is provided. The anvil (300) comprises a distal head portion (301) and a connecting rod (302) extending proximally from the head portion (301). The distal head portion (301) has a first member retaining means (304), being displaceable laterally and centrally between a first member locking position and a first member releasing position. A tool (400) for use in connection with an anvil (300), according to above, is also provided, and a kit of parts comprising the two. The tool (400) comprises a receiving member (401) for receiving the connecting rod (302) of the anvil (300), and a seat (405) for a second member (20) of the anastomotic device (100), said seat (405) being arranged circumferentially of said receiving member (401), and said receiving member (401) being displaceable in relation to said seat (405).

Abstract translation: 提供了用于与肠壁侧壁中的吻合装置（100）的第一部件（10）连接的砧座（300）。 砧座（300）包括远端头部（301）和从头部（301）向近侧延伸的连杆（302）。 远端头部（301）具有第一构件保持装置（304），其可在第一构件锁定位置和第一构件释放位置之间横向和中间移动。 还提供了根据上述用于与砧座（300）连接的工具（400），以及包括两者的一组零件。 工具（400）包括用于接收砧座（300）的连杆（302）的接收构件（401）和用于吻合装置（100）的第二构件（20）的座（405），所述座 （405）被布置在所述接收构件（401）的周向，并且所述接收构件（401）可相对于所述座（405）移位。

公开(公告)号：WO2011045790A1

公开(公告)日：2011-04-21

申请号：PCT/IL2010/000838

申请日：2010-10-14

Applicant: I.B.I ISRAEL BIOMEDICAL INNOVATIONS LTD. ,  BLEICHER, David ,  HOD, Eitan ,  LIVNEH, Meron

Inventor： BLEICHER, David ,  HOD, Eitan ,  LIVNEH, Meron

IPC: A61B17/11

CPC classification number: A61B17/11 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/22069 ,  A61M25/0017

Abstract: The invention provides a device for urethral anastomosis, for example, following prostatectomy. The device has a flexible slender shaft including a flexible outer sleeve and a flexible inner sleeve inside a lumen of the outer sleeve. A bladder anchoring system anchors the distal end of the inner sleeve inside a urinary bladder, and a urethral anchoring system anchors the outer sleeve in a urethral stump. A ratchet mechanism allows proximal movement of the inner sleeve inside the outer sleeve while preventing distal movement of the inner sleeve inside the outer sleeve. The device is used to urge the urinary bladder towards the internal termination of the urethra to allow anastomosis of the bladder neck to the urethral stump.

Abstract translation: 本发明提供了一种用于尿道吻合的装置，例如，在前列腺切除术之后。 该装置具有柔性细长轴，其包括柔性外套筒和位于外套筒内腔内的柔性内套筒。 膀胱锚定系统将内套筒的远端锚定在膀胱内，并且尿道锚定系统将外套管固定在尿道残端中。 棘轮机构允许内套筒在外套筒内部的近端运动，同时防止内套筒在外套筒内的远端运动。 该装置用于促使尿膀胱朝向尿道的内部终止，以允许膀胱颈部吻合到尿道残端。

公开(公告)号：WO2010035953A2

公开(公告)日：2010-04-01

申请号：PCT/KR2009/004334

申请日：2009-08-03

Applicant: (주)트리플씨메디칼 ,  김철웅 ,  이호상

Inventor： 김철웅 ,  이호상

IPC: A61B17/12 ,  A61B17/11

CPC classification number: A61B17/115 ,  A61B17/0643 ,  A61B17/11 ,  A61B2017/0641 ,  A61B2017/0688 ,  A61B2017/1103 ,  A61B2017/1132

Abstract: 본 발명에 의하면, 문합장치는 제1 및 제2 문합링이 각각 고정되는 제1 및 제2 홀더; 상기 제1 홀더에 연결되며, 제1 종동면을 구비하는 제1 종동체; 상기 제2 홀더에 연결되며, 제2 종동면을 구비하는 제2 종동체; 상기 제1 종동면을 따라 미끄럼이동하는 제1 구동면을 가지며, 일방향을 따라 이동하는 제1 구동체; 그리고 상기 제2 종동면을 따라 미끄럼이동하는 제2 구동면을 가지며, 상기 일방향을 따라 이동하는 제2 구동체를 포함하되, 상기 제1 및 제2 구동체의 이동에 의하여 상기 제1 종동체는 상기 제2 종동체를 향하여 이동하고 상기 제2 종동체는 상기 제1 종동체를 향하여 이동한다.

Abstract translation:

根据本发明，门击中合掌所述第一和第二门的hapring第一和第二夹持器被固定，分别; 第一输送机，连接到所述第一支架并具有第一从动表面; 连接到所述第二支架并具有第二从动表面的第二传送器; 第一驱动体，具有沿着所述第一从动面滑动并沿一个方向移动的第一驱动面; 和具有表面的第二驱动器，第二驱动，包括：主体，其中所述第一和第二被第一类型移动体材料沿着移动的的移动，所述用于滑动运动的一个方向沿所述第二类型接触表面是从动 第二输送机向第二输送机移动，第二输送机向第一输送机移动。

公开(公告)号：WO2010024785A1

公开(公告)日：2010-03-04

申请号：PCT/SY2009/000002

申请日：2009-01-29

Applicant: AL DURRA, Mamoun

Inventor： AL DURRA, Mamoun

IPC: A61B17/02 ,  A61B17/11

CPC classification number: A61B17/02 ,  A61B2017/1103

Abstract: The vascular retractor is a vascular anastomosis aiding device. The small tool is composed of a plastic base with hooked legs made from flexible steel wire extending from it for safely engaging and pulling vessel wall. It produces optimal protection to vessel layers and provides a better exposure of anastomosis site during surgical procedure. It makes anastomosis easier, decreases the possibility of trauma to a patient, enables less experienced surgeons successfully performing vascular anastomosis and saves time.

Abstract translation: 血管牵开器是血管吻合装置。 小型工具由塑料底座组成，带有由可伸缩钢丝绳制成的钩状腿，用于安全地接合和拉动血管壁。 它可以对血管层产生最佳保护，并在手术过程中提供吻合部位的更好的暴露。 它使吻合更容易，减少对患者的创伤的可能性，使经验丰富的外科医生成功地执行血管吻合并节省时间。

公开(公告)号：WO2010014793A1

公开(公告)日：2010-02-04

申请号：PCT/US2009/052223

申请日：2009-07-30

Applicant: AMS RESEARCH CORPORATION ,  HAMEL, Kory, P.

Inventor： HAMEL, Kory, P.

IPC: A61B17/11 ,  A61B19/00 ,  A61M25/01 ,  A61M25/10

CPC classification number: A61B17/11 ,  A61B90/39 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2090/0811 ,  A61M25/0108

Abstract: An anastomosis device (10) in which radiographic band markers (26, 28) are used to determine fluoroscopically whether approximation structures (24) hav been deployed based upon the observed alignment of the radiographic band markers and the approximation structures. The radiographic band markers are positioned proximate a distal end (22) of the anastomosis device wherein a medical professional can fluoroscopically compare a position of crimp hubs (30) on the approximation structures with the radiographic band markers.

Abstract translation: 一种吻合装置（10），其中放射照相带标记物（26,28）用于根据观察到的放射照相带标记物和近似结构的比对来透视地确定近似结构（24）是否被部署。 射线照相带标记物位于吻合装置的远端（22）附近，其中医学专业人员可以透视地比较近似结构上的卷曲轮毂（30）的位置与射线照相带标记。

公开(公告)号：WO2009140212A1

公开(公告)日：2009-11-19

申请号：PCT/US2009/043496

申请日：2009-05-11

Applicant: XLUMENA, INC. ,  BINMOELLER, Kenneth, F. ,  SANDER, Fiona, M. ,  ALLEN, Michael, P.

Inventor： BINMOELLER, Kenneth, F. ,  SANDER, Fiona, M. ,  ALLEN, Michael, P.

IPC: A61B1/00

CPC classification number: A61B17/1114 ,  A61B17/11 ,  A61B17/12009 ,  A61B17/3468 ,  A61B17/3478 ,  A61B2017/00004 ,  A61B2017/00278 ,  A61B2017/0034 ,  A61B2017/00867 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/3486 ,  A61F2/82 ,  A61M25/1002 ,  A61M2025/0096 ,  A61M2025/09125 ,  A61M2025/1059

Abstract: A translumenal access system includes a translumenal access catheter, a trocar, and one or more guidewires. The trocar may be introduced through adjacent tissue layers, typically from an endoscope, and the translumenal access catheter introduced through the resulting penetration over the trocar. A balloon on the catheter may be used to dilate the penetration, and an enlarged distal portion of the balloon may be used to draw the tissue layers into apposition. The first stent may be exchanged for the trocar and a second stent may be introduced through a side port on the access catheter. The stents may be then used to introduced catheters or other interventional tools, optionally for delivering one or more stents to the enlarged tissue penetration.

Abstract translation: 椎间孔进入系统包括经腔进入导管，套管针和一根或多根导丝。 套管针可以通过相邻的组织层，通常从内窥镜引入，并且通过穿过穿过套管针的穿透导入的腹腔内导管。 导管上的气囊可以用于扩张穿透，并且球囊的扩大的远端部分可以用于将组织层拉伸成一体。 第一个支架可以更换套管针，第二个支架可以通过进入导管的侧面端口引入。 然后可以将支架用于引入导管或其它介入工具，任选地用于将一个或多个支架递送至扩大的组织穿透。

公开(公告)号：WO2009125926A2

公开(公告)日：2009-10-15

申请号：PCT/KR2009/001201

申请日：2009-03-11

Applicant: (주)트리플씨메디칼 ,  한기봉 ,  김철웅 ,  박종웅 ,  손대구 ,  이호상 ,  서영수 ,  신은지

Inventor： 한기봉 ,  김철웅 ,  박종웅 ,  손대구 ,  이호상 ,  서영수 ,  신은지

IPC: A61B17/04

CPC classification number: A61B17/11 ,  A61B2017/00407 ,  A61B2017/1103

Abstract: 본 발명에 의하면, 문합장치는 제1 및 제2 문합링을 각각 고정하는 제1 및 제2 핸드; 그리고 상기 제1 및 제2 핸드 중 어느 하나를 상기 제1 및 제2 핸드 중 다른 하나에 대하여 상대적으로 병진운동하여 상기 제1 및 제2 문합링을 체결하는 체결유닛을 포함한다. 상기 체결유닛은 상기 제1 및 제2 핸드의 운동방향에 대하여 대체로 수직한 방향으로 이동하는 구동체; 상기 제1 및 제2 핸드에 각각 연결되며, 일측에 제공된 가이드바를 따라 상기 제1 및 제2 핸드와 함께 이동하는 제1 및 제2 수평이동체; 그리고 상기 구동체에 연결되어 상기 구동체와 함께 이동하며, 상기 제1 및 제2 수평이동체에 각각 형성된 제1 및 제2 미끄럼홀을 따라 각각 미끄럼이동하여 상기 제1 및 제2 수평이동체를 이동시키는 제1 및 제2 구동바를 포함할 수 있다.

Abstract translation: 本发明的吻合装置包括：分别固定第一吻合环和第二吻合环的第一只手和第二只手，以及用于通过平行移动来联接第一吻合环和第二吻合环的联接单元 相对于第一和第二手中的另一只手的第一和第二只手。 联接单元包括：相对于第一和第二手的移动方向在大致垂直方向上移动的驱动体; 分别连接到第一只手和第二只手的第一水平移动体和第二水平移动体，并且与第一只手和第二只手一起沿着导杆移动; 以及第一驱动杆和第二驱动杆，其连接到驱动体以与驱动体一起移动，并且沿着分别形成在第一和第二水平移动体上的第一滑动孔和第二滑动孔滑动， 以移动第一和第二水平移动体。

公开(公告)号：WO2009028799A2

公开(公告)日：2009-03-05

申请号：PCT/KR2008004335

申请日：2008-07-24

Applicant: SON DAE GU

Inventor： SON DAE GU

IPC: A61B17/12

CPC classification number: A61B17/11 ,  A61B2017/00004 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1132 ,  A61F2/064 ,  A61F2210/0004

Abstract: Provided is an absorbable vascular anastomotic system including an insertion tube of which a front end has a plurality of hooks protruding outward and a rear end has ring-shaped protrusions, and an interlocking tube having grooves corresponding to the protrusions of the insertion tube such that two insertion tubes are inserted into the interlocking tube at both ends of the interlocking tube to be fixed. The insertion tube and the interlocking tube are formed of a material which is absorbed into a living body, and when two insertion tubes into which two blood vessels are respectively inserted to be fixed to the hooks are inserted into the interlocking tube at both ends of the interlocking tube, inner walls of both the blood vessels come into contact with each other in the center of the interlocking tube to be anastomosed. Since the absorbable vascular anastomotic system does not require an additional anastomotic device, it is possible to perform the anastomosis even in a narrow space. Further, since the absorbable vascular anastomotic system is completely absorbed into a living body, it is possible to avoid a risk of foreign body reaction. After the absorbable vascular anastomotic system is completely absorbed, the anastomosed vessels recover their own elasticity.

Abstract translation: 提供一种可吸收血管吻合系统，其包括插入管，其前端具有向外突出的多个钩和后端具有环形突起，以及互锁管，其具有与插入管的突起对应的槽，使得两个 将插入管插入互锁管的两端以固定。 插入管和互锁管由被吸收到生物体中的材料形成，并且当分别插入两个血管以固定到钩的两个插入管插入到互锁管的两端时 互锁管，两个血管的内壁在互锁管的中心彼此接触以吻合。 由于可吸收血管吻合系统不需要额外的吻合装置，所以即使在狭窄的空间也可以进行吻合。 此外，由于可吸收血管吻合系统被完全吸收到生物体内，因此可以避免异物反应的风险。 吸收性血管吻合系统完全吸收后，吻合血管恢复自身弹性。