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    MENISCAL REPAIR SYSTEMS AND METHODS
    51.
    发明申请
    MENISCAL REPAIR SYSTEMS AND METHODS 审中-公开
    男士维修系统和方法

    公开(公告)号：WO2010048333A2

    公开(公告)日：2010-04-29

    申请号：PCT/US2009/061546

    申请日：2009-10-21

    Applicant: CAYENNE MEDICAL, INC. ,  NIESE, Brad, A. ,  DOMINGO, Nicanor, A. ,  NGUYEN, Hoang, P. ,  BAIRD, Kevin, N.

    Inventor： NIESE, Brad, A. ,  DOMINGO, Nicanor, A. ,  NGUYEN, Hoang, P. ,  BAIRD, Kevin, N.

    IPC: A61B17/04

    CPC classification number: A61B17/0482 ,  A61B17/0469 ,  A61B17/0491 ,  A61B17/0493 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/06042 ,  A61B2017/06052 ,  A61B2017/06095 ,  A61B2090/036 ,  A61B2090/064 ,  A61B2090/0811

    Abstract: A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site.

    Abstract translation: 用于修复组织部分中的撕裂的装置包括近侧致动器部分，从近侧致动器部分向远侧延伸的转移针和从近侧致动器部分向远侧延伸的止动针。 缝合针设置在转移针中，并且可以从转移针朝向捕捉针延伸并且可从捕捉针向输送针伸出。 一个可伸出的止动柱塞被设置在该捕捉针中，用于当其从该转移针转移时将其缝合在其中。 提供可收缩的插入鞘，用于在将装置插入程序现场时覆盖转移针和捕捉针。 深度限制装置将针的插入深度限制在程序现场。

    DEVICES, SYSTEMS, AND METHODS FOR CLOSING THE LEFT ATRIAL APPENDAGE
    54.
    发明申请
    DEVICES, SYSTEMS, AND METHODS FOR CLOSING THE LEFT ATRIAL APPENDAGE 审中-公开
    用于关闭左侧ATRIAL APPENDAGE的设备，系统和方法

    公开(公告)号：WO2008121278A2

    公开(公告)日：2008-10-09

    申请号：PCT/US2008/003938

    申请日：2008-03-25

    Applicant: SENTREHEART, INC. ,  MILLER, Gary, H. ,  SEIBER, Russell, A. ,  FUNG, Gregory, W.

    Inventor： MILLER, Gary, H. ,  SEIBER, Russell, A. ,  FUNG, Gregory, W.

    IPC: A61B17/12

    CPC classification number: A61B17/12013 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/12009 ,  A61B2017/00243 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2090/3966 ,  A61M25/10

    Abstract: Described here are devices, systems and methods for closing the left atrial appendage. Some of the methods described here utilize one or more guide members having alignment members to aid in positioning of a closure device. In general, these methods include advancing a first guide having a first alignment member into the left atrial appendage, advancing a second guide, having a second alignment member, into the pericardial space, aligning the first and second alignment members, advancing a left atrial appendage closure device into the pericardial space and adjacent to the left atrial appendage, and closing the left atrial appendage with the closure device. In these variations, the closure device typically has an elongate body having a proximal end and a distal end, and a closure element at least partially housed within the elongate body. The closure element comprises a loop defining a continuous aperture therethrough.

    Abstract translation: 这里描述的是关闭左心耳的装置，系统和方法。 这里描述的一些方法利用具有对准构件的一个或多个引导构件来帮助闭合装置的定位。 通常，这些方法包括将具有第一对准构件的第一引导件推进到左心耳中，将具有第二对准构件的第二引导件推进到心包空间中，使第一和第二对准构件对准，推进左心耳 闭合装置进入心包空间并邻近左心耳，并用闭合装置关闭左心耳。 在这些变型中，闭合装置通常具有细长体，其具有近端和远端，以及至少部分地容纳在细长体内的闭合元件。 闭合元件包括限定穿过其中的连续孔的环。

    METHOD AND APPARATUS FOR MENISCAL REPAIR
    55.
    发明申请
    METHOD AND APPARATUS FOR MENISCAL REPAIR 审中-公开
    男装修复方法与装置

    公开(公告)号：WO2007139785A2

    公开(公告)日：2007-12-06

    申请号：PCT/US2007012163

    申请日：2007-05-22

    Applicant: SCANDIUS BIOMEDICAL INC ,  MARSHALL PETER ,  HUBBARD DENNIS

    Inventor： MARSHALL PETER ,  HUBBARD DENNIS

    IPC: A61B17/04

    CPC classification number: A61B17/0469 ,  A61B17/0485 ,  A61B17/06061 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/0646

    Abstract: In one form of the present invention, there is provided apparatus for suturing tissue, wherein the apparatus comprises: a housing; a first needle mounted to the housing; a second needle mounted to the housing; a suture having a leading portion and a trailing portion; a first structure associated with the first needle for passing the leading portion of the suture from a near side of the tissue to a far side of the tissue; and a second structure associated with the second needle for retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue. In another form of the present invention, there is provided apparatus for suturing tissue, wherein the apparatus comprises: a housing; a first needle mounted to the housing; a second needle mounted to the housing; a suture having a leading portion and a trailing portion; a first structure associated with the first needle for passing the leading portion of the suture from a near side of the tissue to a far side of the tissue; a second structure associated with the second needle for retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue; a pre-formed, uncinched knot formed in the trailing portion of the suture; and a support for releasably supporting the preformed, uncinched knot relative to the housing. In another form of the present invention, there is provided a method for suturing tissue, the method comprising the steps of: providing a suture having a leading portion and a trailing portion, wherein a pre-formed, uncinched knot is formed in the trailing portion of the suture; passing the leading portion of suture from a near side of the tissue to a far side of the tissue; retracting the leading portion of the suture from the far side of the tissue back to the near side of the tissue;. passing the retracted leading portion of the suture through the pre-formed, uncinched knot formed in the trailing portion of the suture; and cinching the knot so as to secure the suture in the tissue.

    Abstract translation: 在本发明的一种形式中，提供了用于缝合组织的装置，其中所述装置包括：壳体; 安装到壳体的第一针; 第二针安装到壳体; 具有引导部分和尾部的缝合线; 与第一针相关联的第一结构，用于将缝合线的前导部分从组织的近侧延伸到组织的远侧; 以及与第二针相关联的第二结构，用于将缝合线的前导部分从组织的远侧回缩到组织的近侧。 在本发明的另一形式中，提供了用于缝合组织的装置，其中所述装置包括：壳体; 安装到壳体的第一针; 第二针安装到壳体; 具有引导部分和尾部的缝合线; 与第一针相关联的第一结构，用于将缝合线的前导部分从组织的近侧延伸到组织的远侧; 与第二针相关联的第二结构，用于将缝合线的前导部分从组织的远侧回缩到组织的近侧; 形成在缝合线的尾部中的预成形的未接合的结; 以及用于可释放地支撑相对于壳体的预成形的未接合结的支撑件。 在本发明的另一形式中，提供了一种用于缝合组织的方法，所述方法包括以下步骤：提供具有前导部分和后部的缝线，其中在后部形成预成形的未接合的结 的缝合线 将缝合线的前导部分从组织的近侧通过到组织的远侧; 将缝合线的前导部分从组织的远侧缩回到组织的近侧; 将缝合线的缩回的前导部分穿过形成在缝合线的后部中的预先形成的未接合的结; 并结扎结，以便将缝合线固定在组织中。

    DEVICE AND METHOD FOR SUTURING OF INTERNAL PUNCTURE SITES
    57.
    发明申请
    DEVICE AND METHOD FOR SUTURING OF INTERNAL PUNCTURE SITES 审中-公开
    用于内部处理站点的装置和方法

    公开(公告)号：WO2005065549A1

    公开(公告)日：2005-07-21

    申请号：PCT/US2004/037355

    申请日：2004-11-09

    Applicant: ABBOTT LABORATORIES ,  MODESITT, D., Bruce

    Inventor： MODESITT, D., Bruce

    IPC: A61B17/00

    CPC classification number: A61B17/0469 ,  A61B17/0057 ,  A61B17/0482 ,  A61B17/06066 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/22038 ,  A61B2017/2927 ,  A61F2002/30093 ,  A61F2210/0019

    Abstract: A method of closing a puncture in a blood vessel wall (BV), including: positioning a suture placement device (10) in a tissue tract and into a puncture in the blood vessel wall, the placement device having a length of suture (502) with a first end (540), a second end (550) and a bight (504) between the first and second ends with the bight being prearranged on the device to define a pre-tied knot when the first end of the suture passes through the bight; advancing the first end of the length of suture in a distal direction from the device through a first penetration in the blood vessel wall adjacent to the puncture; guiding the suture length from the first penetration across a proximal side of the puncture to a second penetration adjacent to the puncture opposite the first penetration; and advancing the suture length in a proximal direction through the second penetration, through the device, and through the bight so that the two ends of the suture length are accessible external to the tissue tract for securing the suture across the puncture to close the puncture.

    Abstract translation: 一种闭合血管壁（BV）中的穿刺的方法，包括：将缝线放置装置（10）定位在组织道中并进入血管壁中的穿刺，所述放置装置具有一定长度的缝合线（502） 在第一端和第二端之间具有第一端（540），第二端（550）和弯头（504），当缝合线的第一端通过时，将弯曲部预先布置在设备上以限定预先绑扎的结 ; 通过在与穿刺相邻的血管壁中的第一次穿透使装置的远端方向上的缝线长度的第一端推进; 将缝合线长度从穿刺穿过穿刺的近端侧引导到邻近于与第一穿透相反的穿刺处的第二穿刺; 并且通过第二穿透，穿过装置并通过弯曲部使近端方向上的缝合线长度前进，使得缝合线长度的两端可在组织道外部访问，以将缝合线固定穿过穿刺以封闭穿刺。

    IMPROVED SUTURING APPARATUS AND METHOD
    59.
    发明申请
    IMPROVED SUTURING APPARATUS AND METHOD 审中-公开
    改进的装置和方法

    公开(公告)号：WO02022026A1

    公开(公告)日：2002-03-21

    申请号：PCT/US2001/025295

    申请日：2001-08-13

    IPC: A61B1/00 ,  A61B17/04 ,  A61B17/06

    CPC classification number: A61B17/0469 ,  A61B17/0467 ,  A61B17/06066 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496

    Abstract: An improved suturing apparatus (10) includes a needle member (20), which is provided with a suture material (70) having a pre-tied knot disposed about a distal end of the needle member (20). The suturing apparatus (10) further includes a first outer member (32), wherein the first outer member (32) and needle member (24) are disposed to permit selective relative movement therebetween. Upon such movement, the first outer member (32) is positionable to engage and position the pre-tied knot beyond the distal end of the needle member (24). A grasping member (50) may be advantageously included in the suturing apparatus (10) for selectively retaining/releasing an end of the suture material (70). The grasping member (50) is defined by a spring-loaded hoop member (52) that may be selectively deployed out of a hollowpiercing tip (22) comprising the needle member (20). In the deployed state, the grasping member (50) may be positioned about the end of the suture material (70). Thereafter, retraction of the hoop member (52) to collapse and grasp the end of the suture material (70) for subsequent suturing steps.

    Abstract translation: 一种改进的缝合装置（10）包括针构件（20），该针构件设置有缝合材料（70），该缝合材料具有围绕针构件（20）的远端设置的预先绑扎结。 缝合装置（10）还包括第一外部构件（32），其中第一外部构件（32）和针构件（24）设置成允许其间的选择性相对移动。 在这种移动时，第一外部构件（32）可定位成使预先束缚的结超过针构件（24）的远端。 缝合构件（50）可以有利地包括在缝合装置（10）中，用于选择性地保持/释放缝合材料（70）的端部。 抓持构件（50）由弹簧加载的箍构件（52）限定，弹簧加载的箍构件可以选择性地从包括针构件（20）的中空尖端（22）展开。 在展开状态下，抓持构件（50）可以围绕缝合材料（70）的端部定位。 此后，环箍构件（52）的缩回以塌缩并且抓住缝线材料（70）的端部用于随后的缝合步骤。

    SURGICAL KNOT PUSHER
    60.
    发明申请
    SURGICAL KNOT PUSHER 审中-公开
    手术推杆

    公开(公告)号：WO0069342A3

    公开(公告)日：2001-04-19

    申请号：PCT/US0013254

    申请日：2000-05-15

    Applicant: SUTURA INC

    Inventor： NOBLES ANTHONY R ,  CREW JOHN R

    IPC: A61B17/04

    CPC classification number: A61B17/0469 ,  A61B17/0485 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477

    Abstract: A knot pusher for pushing suture knots (200) towards an incision in a vessel or an organ of a patient includes an elongate member (124) which engages the knots. One segments (194) of the suture is attached to a suture leader (100) which pulls the segment (194) through a lumen in the elongate member (124). Consecutive knots are advanced towards the incision by pushing the knots with the elongate member (124), while holding one or both ends of the suture.

    Abstract translation: 用于将缝合线（200）推向容器或患者器官中的切口的结推动器包括接合结的细长构件（124）。 缝合线的一个部分（194）附接到缝合线引导件（100），缝合线引导件（194）将细长部件（124）中的内腔拉动。 在保持缝合线的一端或两端的同时，通过用细长构件（124）推动结，使连续的结点朝向切口前进。

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