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    • 12. 发明授权
    • Automatic suturing and ligating device
    • 自动缝合和结扎装置
    • US5417700A
    • 1995-05-23
    • US37021
    • 1993-03-25
    • Thomas D. Egan
    • Thomas D. Egan
    • A61B17/04A61B17/06A61B17/12A61B17/32
    • A61B17/12013A61B17/0469A61B17/0467A61B17/0482A61B17/06066A61B17/320068A61B2017/0472A61B2017/06052A61B2017/06185A61B2017/0619
    • A device and method of suturing closed an opening and ligating a vessel or duct comprising removable tissue puncturing means (22) or vessel surrounding means establishing a continuous channel (24) through said tissue or around said vessel from each side. A completed channel (24) is formed and suture material (26) is threaded through the channel making a complete loop. The thread is secured at an anvil (30) independent from said puncturing/surrounding means. The puncturing/surrounding means is retracted leaving the thread, which is then tensioned closing the opening or occluding the vessel. The suture thread is secured and cut, forming a closed loop with overlapping ends. An energy transmitting device (38) melts the suture thread ends together forming a weld. The anvil (30) is removed leaving a knot-free completed stitch or ligature.
    • 缝合的装置和方法封闭开口并且连接容器或管道,其包括可移除的组织穿刺装置(22)或血管周围装置,其通过所述组织或从每一侧围绕所述血管建立连续通道(24)。 形成完整的通道(24),缝合材料(26)穿过通道,形成完整的回路。 螺纹固定在独立于穿刺/周围装置的砧座(30)上。 穿刺/围绕装置缩回离开螺纹,然后将其张紧以封闭开口或闭塞容器。 缝合线被固定和切割,形成具有重叠端部的闭合回路。 能量传输装置(38)将缝合线端部熔化在一起形成焊缝。 砧座(30)被移除,留下无结的针迹或结扎线。
    • 13. 发明授权
    • Apparatus and method for suturing tissue
    • 用于缝合组织的装置和方法
    • US09125644B2
    • 2015-09-08
    • US13584536
    • 2012-08-13
    • Joseph P. LaneMichael W. SutherlandThomas D. EganJohn DePiano
    • Joseph P. LaneMichael W. SutherlandThomas D. EganJohn DePiano
    • A61B17/04A61B17/062A61B19/00
    • A61B17/0469A61B17/0467A61B17/0493A61B17/062A61B2017/0498A61B2090/0811
    • A suturing device of the present invention is in the form a compact, light-weight handheld device that includes a needle and suture assembly, a mechanism for gripping and releasing the needle/suture (a “needle transfer mechanism” or “needle shuttle mechanism”), safely capturing the needle/suture upon exit from the patient's tissue, and returning the needle to a position such that the process of delivering additional sutures to the patient can be repeated. A safety shield mechanism ensures the user is protected from the needle at all times. The device of the present invention accommodates the right or left-handed user, rests comfortably in the user's hand, allows sufficient visualization of the procedure site, and permits the user to either control penetration depth of the needle or default to a device-determined depth. The present device permits the user to utilize a wrist-rotation (pivoting) suture delivery technique.
    • 本发明的缝合装置形式为紧凑,重量轻的手持装置,其包括针和缝线组件,用于夹紧和释放针/缝合线的机构(“针传送机构”或“针穿机构” ),在从患者组织出来时安全地捕获针/缝合线,并且将针返回到一个位置,使得可以重复向患者输送附加缝合线的过程。 安全屏蔽机构始终保证使用者免受针刺伤。 本发明的装置容纳右手或左手的使用者舒适地放在使用者的手中,允许程序现场的足够可视化,并且允许用户控制针的穿透深度或默认为设备确定的深度 。 本装置允许使用者利用手腕旋转(枢转)缝线输送技术。
    • 14. 发明申请
    • APPARATUS AND METHOD FOR SUTURING TISSUE
    • 装置和方法用于组织组织
    • US20130041388A1
    • 2013-02-14
    • US13584536
    • 2012-08-13
    • Joseph P. LaneMichael W. SutherlandThomas D. EganJohn DePiano
    • Joseph P. LaneMichael W. SutherlandThomas D. EganJohn DePiano
    • A61B17/062
    • A61B17/0469A61B17/0467A61B17/0493A61B17/062A61B2017/0498A61B2090/0811
    • A suturing device of the present invention is in the form a compact, light-weight handheld device that includes a needle and suture assembly, a mechanism for gripping and releasing the needle/suture (a “needle transfer mechanism” or “needle shuttle mechanism”), safely capturing the needle/suture upon exit from the patient's tissue, and returning the needle to a position such that the process of delivering additional sutures to the patient can be repeated. A safety shield mechanism ensures the user is protected from the needle at all times. The device of the present invention accommodates the right or left-handed user, rests comfortably in the user's hand, allows sufficient visualization of the procedure site, and permits the user to either control penetration depth of the needle or default to a device-determined depth. The present device permits the user to utilize a wrist-rotation (pivoting) suture delivery technique.
    • 本发明的缝合装置形式为紧凑,重量轻的手持装置,其包括针和缝线组件,用于夹紧和释放针/缝线的机构(针传送机构或针穿机构),安全地捕获 在从患者组织出来时针/缝合线,并且将针返回到这样的位置,使得可以重复向患者输送附加缝合线的过程。 安全屏蔽机构始终保证使用者免受针刺伤。 本发明的装置容纳右手或左手的使用者舒适地放在使用者的手中,允许程序现场的足够的可视化,并允许使用者控制针的穿透深度或默认为设备确定的深度 。 本装置允许使用者利用手腕旋转(枢转)缝线输送技术。
    • 16. 发明授权
    • Gastric bypass prosthesis
    • 胃旁路假体
    • US07316716B2
    • 2008-01-08
    • US10511385
    • 2003-05-09
    • Thomas D. Egan
    • Thomas D. Egan
    • A61F2/04
    • A61F5/0076A61B17/00491A61B17/0469A61B17/068A61B17/115A61F2/04
    • A device (10) for treatment of obesity of a patient comprises an annular element (12) having a relatively large outer boundary and a relatively small inner boundary, and an elongated flexible tube (14) extending from the relatively small inner boundary of the annular element to a distal end. The relatively large outer boundary is adapted to be attached to an inner wall of a stomach (100) of a patient, such that the annular element divides the stomach (100) into two chambers, an esophagus-end chamber close to an esophagus of the patient, and a pylorus-end chamber close to a pylorus of the patient. The invention also provides a method for treatment of obesity of a patient which includes inserting an annular element having a relatively large outer boundary and a relatively small inner boundary into a stomach of the patient, and attaching the relatively large outer boundary of the annular element to an inner circumference of the stomach of the patient.
    • 用于治疗患者肥胖症的装置(10)包括具有相对大的外边界和相对较小的内边界的环形元件(12),以及细长柔性管(14),其从环形的较小内边界延伸 元件到远端。 相对较大的外边界适于附接到患者的胃(100)的内壁,使得环形元件将胃(100)分成两个腔室,靠近食道的食道的食道端腔 患者以及靠近幽门的幽门末端腔室。 本发明还提供了一种治疗患者肥胖症的方法,其包括将具有相对较大的外边界和相对较小的内边界的环形元件插入患者的胃中,并将环形元件的相对大的外边界附着到 患者胃的内周。
    • 18. 发明授权
    • Irrigation system with tubing cassette
    • 带油管的灌溉系统
    • US5628731A
    • 1997-05-13
    • US354500
    • 1994-12-12
    • Larry H. DodgeH. Aaron ChristmannUlf B. DunbergerThomas D. EganJames R. Watts
    • Larry H. DodgeH. Aaron ChristmannUlf B. DunbergerThomas D. EganJames R. Watts
    • A61M1/00A61M39/28F04B43/12
    • F04B43/1284A61M1/0058F04B43/1253A61M2205/12A61M2205/3344A61M39/28Y10S128/12
    • An irrigation system for use in endoscopic procedures for maintaining and controlling flow of irrigation fluid to an internal body irrigation site. The system includes a tubing set comprising inflow and outflow lines and a cassette, and an fluid control module comprising a race and a pumping mechanism that squeezes the inflow line of the tubing set against the race to pump fluid to the irrigation site. The cassette includes a through opening exposing a portion of the inflow line to the race and pumping mechanism so that the cassette merely holds the inflow line in alignment with the pumping mechanism but is not required to resist the compressive force of the pumping mechanism. The cassette may include a second through opening exposing a portion of the outflow line to a valve mechanism to regulate pressure independently of the pump mechanism, and rib-or-groove alignment mechanism to align the inflow line with the pumping mechanism and the outflow line with the valve mechanism.
    • 一种用于内窥镜程序的灌溉系统,用于维持和控制灌溉流体流入内部灌溉部位。 该系统包括一个包括流入和流出管线和一个盒子的管道组件,以及一个流体控制模块,它包括一个滚道和一个泵送机构,该机构挤压管道组件的流入管路抵抗该座圈,以将流体泵入灌溉部位。 所述盒包括将所述流入线的一部分暴露于所述座圈和泵送机构的通孔,使得所述盒仅保持所述流入线与所述泵送机构对准,但不需要抵抗所述泵送机构的压缩力。 盒可以包括第二通孔,其将流出管线的一部分暴露于阀机构以独立于泵机构调节压力,以及肋或槽对准机构,以将流入管线与泵送机构和流出管线对准, 阀门机构。
    • 19. 发明授权
    • Irrigation tubing set having compliant sections
    • 灌溉管套具有顺应部分
    • US5399160A
    • 1995-03-21
    • US233309
    • 1994-04-26
    • Ulf B. DunbergerThomas D. EganHarpreet Kaur
    • Ulf B. DunbergerThomas D. EganHarpreet Kaur
    • A61M3/02A61M1/00
    • A61M3/0283A61M3/0233A61M3/0258
    • An irrigation system including a pump that regulates the supply of fluid to an endoscopic surgical site, and a tubing set for supplying the fluid. The tubing set comprises an inflow line for supplying fluid to the surgical site, and an outflow line for draining fluid from the surgical site. At least one of the inflow and outflow lines includes an expandable compliant tubing segment that expands to accommodate changes in the rate of fluid flow through the surgical site to reduce variations in fluid pressure in the surgical site. The fluid volume within the compliant tubing segment increases in response to increasing fluid pressure within the compliant tubing segment. The system is particularly designed for use in small joint arthroscopy (e.g., of the wrist) where the fluid volume in the surgical site is relatively small.
    • 包括调节向内窥镜手术部位供应流体的泵的灌溉系统和用于供应流体的管道组件。 管组包括用于向手术部位供应流体的流入管线和用于从手术部位排出流体的流出管线。 流入和流出管线中的至少一个包括可膨胀的柔性管段,其膨胀以适应通过手术部位的流体流速的变化,以减少外科手术部位的流体压力的变化。 响应于柔性管段内的流体压力增加,柔性管段内的流体体积增加。 该系统特别设计用于手术部位中的流体体积相对较小的小关节关节镜(例如手腕)。