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    HEART OCCLUSION DEVICES
    41.
    发明申请
    HEART OCCLUSION DEVICES 审中-公开
    心脏瓣膜装置

    公开(公告)号：WO2013025511A2

    公开(公告)日：2013-02-21

    申请号：PCT/US2012/050358

    申请日：2012-08-10

    Applicant: W. L. GORE & ASSOCIATES, INC. ,  AMIN, Zahid ,  CULLY, Edward H. ,  CUTRIGHT, Warren ,  LARSEN, Coby ,  MASTERS, Steven J. ,  SHAW, Edward Emil

    Inventor： AMIN, Zahid ,  CULLY, Edward H. ,  CUTRIGHT, Warren ,  LARSEN, Coby ,  MASTERS, Steven J. ,  SHAW, Edward Emil

    IPC: A61B17/03

    CPC classification number: A61B17/0057 ,  A61B17/12031 ,  A61B17/12145 ,  A61B2017/00597 ,  A61B2017/00606 ,  A61B2017/00867

    Abstract: Devices for occluding an aperture in tissue or a vessel comprise a first flexible wire and a second flexible wire. Each of the first and second wires is comprised of a shape memory material. Each of the first and second wires is shaped into first and second geometric forms such that the first geometric form of the first wire and the first geometric form of the second wire form a first plate in a first plane, and the second geometric form of the first wire and the second geometric form of the second wire form a second plate in a second plane that is parallel to and remote from the first plane. The first and second plates are separated by a waist formed from two portions of the first wire and two portions of the second wire. Methods for occluding an aperture in tissue or a vessel using such devices are also provided.

    Abstract translation: 用于封闭组织或血管中的孔的装置包括第一柔性线和第二柔性线。 第一和第二导线中的每一个都由形状记忆材料构成。 第一和第二线材中的每一个被成形为第一和第二几何形状，使得第一线材的第一几何形状和第二线材的第一几何形式在第一平面中形成第一板，并且第二线材的第二几何形状 第一导线和第二导线的第二几何形状在平行于并远离第一平面的第二平面中形成第二板。 第一和第二板由从第一线的两个部分和第二线的两个部分形成的腰部分开。 还提供了使用这样的装置阻塞组织或血管中的孔的方法。

    OCCLUSION DEVICE FOR CLOSING ANATOMICAL DEFECTS
    42.
    发明申请
    OCCLUSION DEVICE FOR CLOSING ANATOMICAL DEFECTS 审中-公开
    闭合解剖缺陷的闭塞装置

    公开(公告)号：WO2013012392A1

    公开(公告)日：2013-01-24

    申请号：PCT/SG2012/000252

    申请日：2012-07-16

    Applicant: NANYANG TECHNOLOGICAL UNIVERSITY ,  VENKATRAMAN, Subramanian ,  BOEY, Yin Chiang Freddy ,  KHANOLKAR, Laximikant ,  RAO, Prasada

    Inventor： VENKATRAMAN, Subramanian ,  BOEY, Yin Chiang Freddy ,  KHANOLKAR, Laximikant ,  RAO, Prasada

    IPC: A61B17/03 ,  A61B17/00

    CPC classification number: A61B17/0057 ,  A61B2017/00004 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00615 ,  A61B2017/00623 ,  A61L31/16

    Abstract: An occlusion device for closing an anatomical defect in tissue comprising a conduit connecting an opening on a first tissue and an opening on a second tissue is provided. The occlusion device comprises a scaffold comprising a) a proximal support structure comprising at least two arms; b) a distal support structure comprising at least two arms, wherein the arms are adapted to provide anchorage for the device in the tissue; and c) a waist portion adapted for extending through the opening on the first tissue and connecting the proximal support structure with the distal support structure, wherein the scaffold consists essentially of a biodegradable polymer, wherein the proximal support structure and the distal support structure comprise or consist of polycaprolactone (PCL), poly-(D,L-lactide-co-caprolactone) (PLC), or a mixture thereof. A method of closing an anatomical defect using the occlusion device is also provided.

    Abstract translation: 提供了用于封闭组织中的解剖缺陷的闭塞装置，其包括连接第一组织上的开口和连接在第二组织上的开口的导管。 闭塞装置包括支架，其包括a）包括至少两个臂的近端支撑结构; b）包括至少两个臂的远端支撑结构，其中所述臂适于为所述组织中的装置提供锚固; 以及c）适于延伸通过所述第一组织上的所述开口并且将所述近端支撑结构与所述远端支撑结构连接的腰部，其中所述支架基本上由可生物降解的聚合物组成，其中所述近端支撑结构和所述远侧支撑结构包括或 由聚己内酯（PCL），聚（D，L-丙交酯 - 共 - 己内酯）（PLC）或其混合物组成。 还提供了使用遮挡装置来闭合解剖缺陷的方法。

    DEVICES FOR SECURELY CLOSING TISSUE OPENINGS WITH MINIMIZED SCARRING
    43.
    发明申请
    DEVICES FOR SECURELY CLOSING TISSUE OPENINGS WITH MINIMIZED SCARRING 审中-公开
    用于以最小化的扫描方式安全关闭组织开口的装置

    公开(公告)号：WO2012151366A2

    公开(公告)日：2012-11-08

    申请号：PCT/US2012/036265

    申请日：2012-05-03

    Applicant: WADSWORTH MEDICAL TECHNOLOGIES, INC. ,  FOX, Andrew, D.

    Inventor： FOX, Andrew, D.

    IPC: A61B17/03 ,  A61B17/04 ,  A61B17/068 ,  A61L17/06

    CPC classification number: A61B17/085 ,  A61B17/08 ,  A61B2017/00004 ,  A61B2017/081 ,  A61B2017/086

    Abstract: Devices, tools, systems, kits and methods for closing a tissue opening non-invasively are presented. The devices include a tissue closure device that reliably induces eversion of tissue edges that define a tissue opening. The devices may be used in combination with an applicator tool to provide easy and uniform apposition of the tissue closure devices across the tissue opening. Further embodiments provide for releasable locking of the tissue closure devices, allowing for drainage of wound edema and/or treatment of infection, without removal and reapplication of the devices. Still further embodiments allow for the passing of moisture or other substances that may collect under a tissue closure device.

    Abstract translation: 提出了非侵入性关闭组织开口的装置，工具，系统，工具包和方法。 这些装置包括组织闭合装置，其可靠地诱导限定组织开口的组织边缘的外翻。 这些装置可以与施用工具组合使用，以便组织封闭装置跨组织开口的容易且均匀的配合。 另外的实施例提供组织闭合装置的可释放锁定，允许排出伤口水肿和/或治疗感染，而不需要移除和重新应用装置。 更进一步的实施方案允许通过在组织封闭装置下收集的水分或其它物质。

    SURGICAL STAPLING AND CUTTING SYSTEM
    44.
    发明申请
    SURGICAL STAPLING AND CUTTING SYSTEM 审中-公开
    手术缝合和切割系统

    公开(公告)号：WO2012019063A9

    公开(公告)日：2012-08-16

    申请号：PCT/US2011046679

    申请日：2011-08-05

    Applicant: BEAUMONT HOSPITAL WILLIAM ,  PIRAKA HADI A

    Inventor： PIRAKA HADI A

    IPC: A61B17/068 ,  A61B17/03 ,  A61B17/32 ,  A61B17/3201

    CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/105 ,  A61B17/2804 ,  A61B17/2833 ,  A61B34/76 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2944 ,  A61B2090/0801 ,  A61B2090/0811 ,  A61B2090/506

    Abstract: A stapling and cutting system for use by a physician in the cutting and stapling together of layers of body tissue. The system includes first and second handles that are pivotally coupled together at a pivot joint located between proximate and distal ends of each of handles. First and second jaws are coupled together and movable between an open and closed position. Mounted on a distal end of the first jaw for positioning on one side of the layers of tissue is a disposable staple cartridge, which includes a plurality of staples. An anvil, mounted on the distal end of the second jaw, is positioned on opposing side of the tissue to be stapled. To manipulate the jaws, a closure mechanism couples the first and second handles to the first and second jaws. The closure mechanism maintains the anvil and the staple cartridge substantially parallel to and opposite from one another when the first and second jaws are in the open position and moved to the closed position. When operated, the staples are discharged from the system and clinched when the first and second jaws are moved into the closed position.

    Abstract translation: 一种装订和切割系统，供医生在切割和缝合身体组织层时使用。 该系统包括第一和第二手柄，第一和第二手柄在位于每个手柄的近端和远端之间的枢轴接头处枢转地联接在一起。 第一和第二钳口连接在一起并可在打开和关闭位置之间移动。 安装在第一钳口的远端上用于定位在组织层的一侧上的是一次性钉仓，其包括多个钉。 安装在第二钳夹的远端上的砧座定位在待缝合的组织的相对侧上。 为了操纵钳口，闭合机构将第一和第二手柄连接到第一和第二钳口。 当第一钳口和第二钳口处于打开位置并移动到闭合位置时，闭合机构将砧座和钉仓基本平行且彼此相对地保持。 在操作时，当第一和第二钳口移动到闭合位置时，钉从系统中排出并紧固。

    VASCULAR WOUND CLOSING APPARATUS AND METHOD
    45.
    发明申请
    VASCULAR WOUND CLOSING APPARATUS AND METHOD 审中-公开

    公开(公告)号：WO2012103172A3

    公开(公告)日：2012-08-02

    申请号：PCT/US2012/022486

    申请日：2012-01-25

    Applicant: WOUND CARE 360, LLC ,  TEESLINK, Charles Rex ,  BETTLE, Griscom

    Inventor： TEESLINK, Charles Rex ,  BETTLE, Griscom

    IPC: A61B17/03 ,  A61B17/04 ,  A61B17/34 ,  A61B17/12

    Abstract: Wound closure apparatus (30) is provided including a body (32) having an elongated, lowermost force-transmitting surface (72) operable to be placed in a proximal, external, wound-closing position on a patient, together with a force-exerting assembly (34) coupled with the body (32) and operable to exert a downwardly directed force serving to generate wound-closing pressure against the patient's tissue. The force-transmitting surface (72) is preferably three-dimensionally asymmetric so that forces of different magnitude are exerted at different locations along the length of the surface (72). The apparatus (30) is especially designed for the closure of wounds attendant to endovascular interventions, e.g., a femoral artery puncture wound (138) incident to percutaneous cardiac intervention (PCI), wherein the wound (138) has an insertion site (142), an oblique tract (144) within the patient's tissue (140), and an arteriotomy (146). In such uses, the apparatus (30) is positioned and operated so as to partially close the patient's artery (148) upstream of the arteriotomy (146), thereby lessening the patient's blood flow at the arteriotomy (146). The apparatus (30) is capable of quickly effecting wound closure with a time-to-ambulation (TTA) of approximately 60 minutes, and a very low complication rate. The apparatus and methods hereof may also be used for the closure of wounds created during venous intervention procedures.

    LAPAROSCOPIC ANASTOMOSIS TOOLS AND TECHNIQUE
    47.
    发明申请
    LAPAROSCOPIC ANASTOMOSIS TOOLS AND TECHNIQUE 审中-公开
    LAPAROSCOPIC ANASTOMOSIS工具和技术

    公开(公告)号：WO2012074866A2

    公开(公告)日：2012-06-07

    申请号：PCT/US2011/062005

    申请日：2011-11-23

    Applicant: B & A SALKY LLC ,  SALKY, Barry, A. ,  GUTELIUS, Patrick ,  WILSON, Peter ,  DEBISSCHOP, Mark ,  MINDICK, Leo, R.

    Inventor： SALKY, Barry, A. ,  GUTELIUS, Patrick ,  WILSON, Peter ,  DEBISSCHOP, Mark ,  MINDICK, Leo, R.

    IPC: A61B17/11 ,  A61B17/03

    CPC classification number: A61B17/0482 ,  A61B17/11 ,  A61B17/1114 ,  A61B2017/1139

    Abstract: An anastomosis normally closed clip comprising a first side including at least one first suture guide, the first suture guide being disposed on a top of the clip, the first end portion and the first suture guide defining a first suture space open toward the top of the clip, the first side further including a first carrier slot on the bottom of the clip; and a second side which is the mirror image of the first side. An introducer device is used to open the clip and introduce it into a patient over two organ segments to be sutured together and allow the clip to close. The suture spaces allow for continuous suturing of the organ segments. The introducer device is used to remove the clip from the patient after the suture procedure.

    Abstract translation: 一种吻合常闭夹子，包括包括至少一个第一缝合线引导件的第一侧面，所述第一缝合线引导件设置在所述夹子的顶部上，所述第一端部部分和所述第一缝合线引导件限定朝向所述第一缝合线的顶部开口的第一缝合线 夹子，第一侧还包括夹子底部上的第一承载槽; 第二面是第一面的镜像。 导引器装置用于打开夹子并将其引入到两个器官区段上的患者中以将其缝合在一起并允许夹子闭合。 缝合空间允许器官段的连续缝合。 导引器装置用于在缝合过程之后从患者身上取下夹子。

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