公开(公告)号：WO2016183495A2

公开(公告)日：2016-11-17

申请号：PCT/US2016/032487

申请日：2016-05-13

Applicant: W. L. GORE & ASSOCIATES, INC.

Inventor： CENTER, Charles J. ,  FOX, Aaron D. ,  KOREY, Nathan C. ,  SHAW, Edward E. ,  WEBSTER, Nicholas S. ,  WHAM, Bret J. ,  WOLFE, Roark N. ,  ZELLER, Peter J.

IPC: A61B17/12

CPC classification number: A61B17/12172 ,  A61B17/12031 ,  A61B17/12122 ,  A61B17/12177 ,  A61B2017/00575 ,  A61B2017/00579 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00632 ,  A61B2017/00867 ,  A61B2017/00986

Abstract: Various aspects of the present disclosure are directed toward apparatuses, methods, and systems as relating to occlusion. In certain instances, the apparatuses, methods, and systems may include a device for placement in vessels, appendages, and openings in a body. The device may include a unitary frame having a face portion that includes a center frame portion a plurality of elongate members.

Abstract translation: 本公开的各个方面涉及与闭塞相关的装置，方法和系统。 在某些情况下，装置，方法和系统可以包括用于放置在体内的容器，附属物和开口中的装置。 该装置可以包括具有面部分的整体框架，该面部部分包括多个细长构件的中心框架部分。

公开(公告)号：WO2016183178A1

公开(公告)日：2016-11-17

申请号：PCT/US2016/031822

申请日：2016-05-11

Applicant: DFINE, INC.

Inventor： PHAN, Christopher U.

IPC: A61B1/008 ,  A61B17/16 ,  A61B17/32 ,  A61B17/34 ,  A61B17/88 ,  A61F2/46

CPC classification number: A61B18/1477 ,  A61B17/1671 ,  A61B18/1442 ,  A61B18/148 ,  A61B2017/00309 ,  A61B2017/00323 ,  A61B2017/00986 ,  A61B2018/00202 ,  A61B2018/00565 ,  A61B2018/00577 ,  A61B2018/00589

Abstract: Devices having a shaft for creating cavities within tissue and articulating without twisting of the articulated shaft and methods for using such devices. Where such devices and methods include using of a device with keyed portions and key receiving portions that nest together upon articulation and optionally a torque limiter to allow for rotation of the shaft upon exceeding a torque limit. Method and devices also including such devices with energy application portions.

Abstract translation: 具有用于在组织内产生空腔并且没有铰接轴的扭转而铰接的轴的装置以及使用这种装置的方法的装置。 这种装置和方法包括使用具有键接部分的装置和在关节上嵌套在一起的钥匙接收部分以及可选的扭矩限制器，以允许在超过扭矩极限时使轴旋转。 还包括具有能量施加部分的这种装置的方法和装置。

公开(公告)号：WO2016182585A1

公开(公告)日：2016-11-17

申请号：PCT/US2015/040116

申请日：2015-07-13

Applicant: PHILLIPS MEDICAL, LLC

Inventor： PHILLIPS, Victor Matthew ,  REBH, JR., William Robert

IPC: A61B17/00

CPC classification number: A61B17/0057 ,  A61B2017/00371 ,  A61B2017/00654 ,  A61B2017/00672 ,  A61B2017/00884 ,  A61B2017/00986

Abstract: A hemostatic device for sealing a puncture of a vessel includes a first tube defining a first lumen, and a malecot coupled to the first tube. The malecot is selectively actuatable from a neutral configuration to a stopper configuration. The hemostatic device also includes a second tube circumscribing at least a portion of the first tube. The second tube at least partially defines a second lumen and a third lumen. The second tube includes a first opening in flow communication with the third lumen and positioned proximally relative to the malecot. The second tube is selectively orientable to at least partially expose a hemocoagulant agent retained in the second lumen.

Abstract translation: 用于密封容器穿刺的止血装置包括限定第一内腔的第一管和耦合到第一管的马尾头。 麦克风可以从中性配置到止动器配置选择性地启动。 止血装置还包括限定第一管的至少一部分的第二管。 第二管至少部分地限定第二腔和第三腔。 所述第二管包括与所述第三腔流体连通并相对于所述马口径向近侧定位的第一开口。 第二管可选择性地定向以至少部分地暴露保留在第二管腔中的血液凝固剂。

公开(公告)号：WO2015186001A2

公开(公告)日：2015-12-10

申请号：PCT/IB2015001590

申请日：2015-06-01

Applicant: MEDEON BIODESIGN INC

Inventor： TANG HSIAO-WEI ,  WENG YU-SHIH ,  HAN SHIH-JUI ,  CHEN CHUNG-CHU ,  WANG SHIH-MING ,  JUAN CHUN-CHIA

CPC classification number: A61B17/0469 ,  A61B17/0057 ,  A61B17/0625 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/00858 ,  A61B2017/00986 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/06042 ,  A61B2017/22038 ,  A61B2017/22069 ,  A61B2017/2923 ,  A61B2090/0811 ,  A61B2218/00

Abstract: Systems and methods are provided for suturing tissue. An elongated deployment shaft carries a needle deployment assembly with needles carrying suture material and a stabilizer that is reconfigurable between an unexpanded insertion profile and an expanded profile. A catcher tube over the shaft having a catcher at a distal end may retain at least a portion of the needles carrying the suture material when the needles are passed through the tissue to be sutured into engagement with the catcher. A sheath over the catcher tube may sandwich tissue to be sutured against the stabilizer when expanded. A first actuator may move the catcher tube distally relative to the shaft to decrease a distance between the proximal end of the stabilizer and the distal end of the stabilizer to expand the stabilizer and may move the sheath distally relative to the shaft to sandwich the tissue. A second actuator may deflect the needles radially outward to move proximally to pass through the tissue to be sutured and engage the catcher and then return a portion of each not retained by the catcher to a distal position for withdrawal of the device.

Abstract translation: 提供用于缝合组织的系统和方法。 细长的展开轴承载着带有承载缝合材料的针的针展开组件和可在未膨胀的插入轮廓和扩展轮廓之间重构的稳定器。 当针穿过组织以被缝合以与捕获器接合时，位于轴上的捕集管在远端具有捕获器可以保持携带缝合材料的针的至少一部分。 捕获管上的护套可以在扩张时将组织夹在稳定器上。 第一致动器可以相对于轴向远侧移动捕获器管，以减小稳定器的近端和稳定器的远端之间的距离，以使稳定器膨胀，并且可以使护套相对于轴向远侧移动以夹持组织。 第二致动器可以径向向外偏转针以向近侧移动以穿过待缝合的组织并接合捕获器，然后将不被捕获器保持的每一个的一部分返回到用于取出装置的远侧位置。

公开(公告)号：WO2015034682A1

公开(公告)日：2015-03-12

申请号：PCT/US2014/052091

申请日：2014-08-21

Applicant: ETHICON ENDO-SURGERY, INC.

Inventor： DANNAHER, William D.

IPC: A61B17/10 ,  A61B17/128 ,  A61B17/29

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/10 ,  A61B17/122 ,  A61B2017/00309 ,  A61B2017/00986 ,  A61B2017/00991 ,  A61B2017/2902 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/2936

Abstract: An instrument (100) for clamping a surgical clip (10) has a handle assembly (170), a shaft assembly (140), and an end effector (110). The handle assembly has a trigger (174) and an articulation knob (172). The shaft assembly has an outer ground tube (160), a middle articulation tube (150), and a push/pull tube (142) disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces (152,162) sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws (120,130) configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws.

Abstract translation: 用于夹紧手术夹子（10）的器械（100）具有手柄组件（170），轴组件（140）和末端执行器（110）。 手柄组件具有触发器（174）和关节旋钮（172）。 轴组件具有外接地管（160），中间铰接管（150）和设置在中间铰接管内的推/拉管（142）。 触发器可操作以引起推/拉管的纵向平移。 外接地管和中间连接管呈现在相反方向上倾斜的配合的倾斜面（152,162）。 铰接旋钮的旋转引起中间铰接管的旋转。 中间铰接管的旋转改变了倾斜面的方向，从而引起了中间连接管和推/拉管的铰接。 末端执行器具有一对钳口（120,130），其构造成将外科夹子施加到血管。 推/拉管的纵向平移导致一对夹爪闭合。

公开(公告)号：WO2013176993A1

公开(公告)日：2013-11-28

申请号：PCT/US2013/041641

申请日：2013-05-17

Applicant: G. I. WINDOWS, INC.

Inventor： BIESEL, Robert, F. ,  LUKIN, Peter ,  MCWEENEY, John ,  RYOU, Marvin ,  THOMPSON, Christopher ,  WINKLER, Josef, K.

IPC: A61B17/11

CPC classification number: A61B17/1114 ,  A61B2017/00876 ,  A61B2017/00986 ,  A61B2017/1117 ,  A61B2017/1139

Abstract: The invention is an implantable magnetic anastomosis device having an exoskeleton that directs self-assembly. The design allows the device to be delivered in a linear configuration using a minimally-invasive technique, such as endoscopy or laparoscopy, whereupon the device self-assembles into, e.g., a polygon. A coupled set of polygons define a circumscribed tissue that can be perforated, or the tissue can be allowed to naturally necrose and perforate. The device can be used to create anastomoses in a variety of tissues, such as tissues found in the gastrointestinal, renal/urinary, and reproductive tracts. New procedures for using anastomoses, e.g., surgical bypass are also disclosed.

Abstract translation: 本发明是具有引导自组装的外骨骼的可植入磁性吻合装置。 该设计允许使用微创技术（例如内窥镜检查或腹腔镜检查）以线性配置递送装置，于是该装置自组装成例如多边形。 耦合的一组多边形定义了可以穿孔的外接组织，或者组织可以被自然地成形和穿孔。 该装置可用于在各种组织中产生吻合，例如在胃肠，肾/尿和生殖道中发现的组织。 还公开了使用吻合术的新方法，例如手术旁路。

公开(公告)号：WO2013152283A1

公开(公告)日：2013-10-10

申请号：PCT/US2013/035435

申请日：2013-04-05

Applicant: AMSEL MEDICAL CORPORATION

Inventor： MILLER, Arnold ,  LORE, Avraham Rami

IPC: A61B17/08

CPC classification number: A61B17/064 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/12 ,  A61B17/122 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/00867 ,  A61B2017/00986 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61B2017/12004

Abstract: Apparatus for percutaneously occluding a hollow structure, said apparatus comprising: an occluder, said occluder comprising a first component and a second component, wherein said first component is configured so that it may assume (i) a diametrically-reduced configuration for disposition within the lumen of a hollow tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the hollow structure, whereby to occlude the hollow structure, and further wherein said second component percutaneously connects said first component to a site remote from said first component.

Abstract translation: 用于经皮闭塞中空结构的装置，所述装置包括：封堵器，所述封堵器包括第一部件和第二部件，其中所述第一部件构造成使得其可以假设（i）径向减小的构型用于配置在管腔内 的中空管，以及（ii）用于与所述中空结构相邻配置的径向扩张构型，由此封闭所述中空结构，并且其中所述第二部件经皮连接所述第一部件至远离所述第一部件的部位。

公开(公告)号：WO2012078430A1

公开(公告)日：2012-06-14

申请号：PCT/US2011/062686

申请日：2011-11-30

Applicant: BOSTON SCIENTIFIC SCIMED, INC. ,  RYAN, Shawn ,  LEVENDUSKY, Joseph A. ,  HOLLETT, Andrew

Inventor： RYAN, Shawn ,  LEVENDUSKY, Joseph A. ,  HOLLETT, Andrew

IPC: A61B10/02

CPC classification number: A61B10/0283 ,  A61B2010/045 ,  A61B2017/00986 ,  A61B2017/3413 ,  A61B2017/3486 ,  A61B2017/3488 ,  A61M25/04

Abstract: A device for performing multiple medical procedures comprises a needle extending from a proximal end which remains external to a body during use to a sharpened distal end configured for insertion to a target site within a body via a body lumen. A sheath is slidably receivable over the needle, the sheath extending from a proximal end which remains external to the body during use to a distal end. A stent is slidably received over the sheath, the stent including an anchoring mechanism configured for anchoring in a desired position within the body lumen.

Abstract translation: 用于执行多个医疗程序的装置包括从使用过程中保持在身体外部的近端延伸到被构造成通过体腔插入身体内的目标部位的锋利远端的针。 护套可滑动地接收在针上方，护套从使用期间保持在身体外部的近端延伸到远端。 支架可滑动地容纳在护套上，支架包括被配置用于锚定在体腔内的期望位置的锚定机构。

公开(公告)号：WO2012012565A2

公开(公告)日：2012-01-26

申请号：PCT/US2011/044724

申请日：2011-07-20

Applicant: THE JOHNS HOPKINS UNIVERSITY ,  TAYLOR, Russell H. ,  IORDACHITA, Iulian ,  KANG, Jin ,  LIN, Xuan

Inventor： TAYLOR, Russell H. ,  IORDACHITA, Iulian ,  KANG, Jin ,  LIN, Xuan

IPC: A61F9/007 ,  A61B3/10 ,  A61B19/00 ,  A61B17/00

CPC classification number: A61B19/46 ,  A61B17/00 ,  A61B17/3478 ,  A61B19/5244 ,  A61B90/06 ,  A61B2017/00084 ,  A61B2017/00986 ,  A61B2017/305 ,  A61B2019/465 ,  A61B2019/466 ,  A61B2019/5261 ,  A61B2034/2061 ,  A61B2090/064 ,  A61B2090/066 ,  A61F9/007 ,  G01J3/26

Abstract: A surgical tool system according to an embodiment of the current invention includes a surgical tool, and an interferometry system optically coupled to the surgical tool. The surgical tool includes a body section, a sensor section at least one of attached to or integral with the body section, and a surgical section at least one of attached to or integral with the sensor section at an opposing end of the sensor section from the body section. The sensor section comprises an interferometric optical sensor defining a reference distance that changes in response to at least one of a force or a torque when applied to the surgical section of the surgical tool.

Abstract translation: 根据本发明实施例的手术工具系统包括手术工具和光学地耦合到手术工具的干涉测量系统。 手术工具包括主体部分，至少一个连接到主体部分或与主体部分成一体的传感器部分，以及至少一个连接到传感器部分或与传感器部分成一体的外科部分，传感器部分的相对端与 身体部分。 传感器部分包括限定参考距离的干涉光学传感器，所述参考距离响应于施加到手术工具的手术部分时的力或扭矩中的至少一个而改变。

公开(公告)号：WO2012009069A2

公开(公告)日：2012-01-19

申请号：PCT/US2011/039710

申请日：2011-06-09

Applicant: LSI SOLUTIONS, INC. ,  SAUER, Jude S. ,  BOVARD, Mark A. ,  HAMMOND, John F.

Inventor： SAUER, Jude S. ,  BOVARD, Mark A. ,  HAMMOND, John F.

IPC: A61B17/04 ,  A61B17/03 ,  A61B17/062 ,  A61M29/02

CPC classification number: A61B17/0483 ,  A61B17/0057 ,  A61B17/0469 ,  A61B2017/00557 ,  A61B2017/00663 ,  A61B2017/00986 ,  A61B2017/0243 ,  A61B2017/0404 ,  A61B2017/0472

Abstract: A device for placing sutures through a section of tissue, especially a section of thick and/or moving tissue. A tissue welting tip has a trough for forming a welt in a tissue section. An alignment guide is pivotally mounted in the distal end adjacent to the trough. The device has an opening receiving a guide wire and an elongated sleeveslidably engagable with the guide wire there through. An expandable tissue engaging member on the sleeve expands from a collapsed configuration having a diameter small enough to pass through the opening in the tip to an expanded configuration having a diameter large enough to engage a tissue section and urge it into the trough to form a welt in the tissue section and a retractable needle extendable through at least two portions of a tissue section while the tissue section is engaged with the trough.

Abstract translation: 用于将缝合线穿过一段组织，尤其是一段厚的和/或移动的组织的装置。 组织焊接尖端具有用于在组织切片中形成贴边的槽。 对准引导件枢转地安装在邻近槽的远端中。 该装置具有开口，该开口容纳导丝并且细长的套筒可滑动地与导丝穿过。 套筒上的可扩张的组织接合构件从具有足够小的直径的收缩构型扩张到足以扩张构型，该扩张构型具有足够大的直径以接合组织段并将其推入槽内以形成贴边 在组织部分和可伸缩针头可伸缩地穿过组织部分的至少两个部分，同时组织部分与槽接合。