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    • 8. 发明授权
    • Circular stapler buttress combination
    • 圆形订书机支撑组合
    • US07776060B2
    • 2010-08-17
    • US10509216
    • 2003-03-21
    • Daniel L. MooradianB. Nicholas OrayWilliam F. Kuester
    • Daniel L. MooradianB. Nicholas OrayWilliam F. Kuester
    • A61B17/08A61B17/10
    • A61B17/115A61B17/07292A61B17/1114A61B17/1155A61B2017/00725
    • A combination medical device comprising a circular stapler instrument (4) and one or more portions of preformed buttress material (16) adapted to be stably positioned upon the staple cartridge (12) and/or anvil (14) components of the stapler (4) prior or at the time of use. Positioned buttress material(s) (16) are delivered to a tissue site where the circular stapler (4) is actuated to connect previously severed tissue portions. An embodiment of the invention allows tissue portions to be joined without the use of sutures. The buttress material (16) is made up of two regions, one of which serves primarily to secure the buttress material (16) to the stapler (4) prior to actuation, and one of which serves primarily to form the improved seal. The former region is severed and discarded upon activation of the circular stapler (4) to form anastomoses, while the remaining material secures and seals the newly connected tissue. Methods of use and preparation of the buttress material (16) are also described.
    • 一种组合医疗装置,包括圆形缝合器械(4)和适于稳定地定位在钉仓(12)和/或砧座(14)上的吻合器(4)的部件的预成形支撑材料(16)的一个或多个部分, 在使用前或在使用时。 定位的支撑材料(16)被输送到组织部位,在那里圆形缝合器(4)被致动以连接先前切断的组织部分。 本发明的一个实施例允许组织部分在不使用缝线的情况下连接。 支撑材料(16)由两个区域组成,其中一个区域主要用于在推动之前将支撑材料(16)固定到订书机(4),并且其中一个主要用于形成改进的密封件。 在激活圆形订书机(4)时,前一个区域被切断并丢弃,以形成吻合,而剩余的材料固定和密封新连接的组织。 还描述了支撑材料(16)的使用和制备方法。
    • 9. 发明授权
    • Solid-phase method for attaching a biomolecule to a substrate surface
with a photoreactive crosslinking agent
    • 用光反应性交联剂将生物分子附着到基材表面的固相方法
    • US5853744A
    • 1998-12-29
    • US699965
    • 1996-08-20
    • Daniel L. MooradianGregg B. Fields
    • Daniel L. MooradianGregg B. Fields
    • A61L27/34A61L27/50C12N5/00A61F2/06C07K17/06C12N11/06
    • C12N5/0068A61L27/34A61L27/507C12N2533/30C12N2533/50Y10S530/81Y10S530/812Y10S530/815Y10S530/816
    • A method for making a medical device having a biomolecule immobilized on a substrate surface is provided. The method includes: providing an immobilized biomolecule comprising a biomolecule covalently attached to a support material; attaching a photoreactive crosslinking agent to the immobilized biomolecule to form a photoreactive analog of the biomolecule; and removing the photoreactive analog of the biomolecule from the support material. The photoreactive analog of the biomolecule can then be attached to a substrate surface, such as a biomaterial that forms part of a medical device. The immobilized biomolecule may contain a peptide having an N.sup..alpha. -terminus. The photoreactive crosslinking agent is attached to the peptide at the N.sup..alpha. -terminus to form the photoreactive analog of the biomolecule. The peptide can be an adhesion peptide containing the sequence Trp-Gln-Pro-Pro-Arg-Ala-Arg-Ile. Attachment of the peptide to a substrate surface promotes cell adhesion to the surface. The photoreactive crosslinking agent can be heterobifunctional or contain two photoreactive groups. The photoreactive analog of the biomolecule is attached to the substrate surface by activating a photoreactive group of the analog such as by exposing the analog to UV radiation.
    • 提供一种制造具有固定在基板表面上的生物分子的医疗装置的方法。 该方法包括:提供固定化的生物分子,其包含共价连接到载体材料上的生物分子; 将光反应性交联剂附着到固定化的生物分子上以形成生物分子的光反应性类似物; 并从载体材料中除去生物分子的光反应性类似物。 然后可以将生物分子的光反应性类似物连接到基底表面,例如形成医疗装置的一部分的生物材料。 固定化的生物分子可以含有具有Nα末端的肽。 光反应性交联剂以Nα末端连接到肽上以形成生物分子的光反应性类似物。 肽可以是含有序列Trp-Gln-Pro-Pro-Arg-Ala-Arg-Ile的粘附肽。 将肽附着到基底表面促进细胞对表面的粘附。 光反应性交联剂可以是异双官能的或含有两个光反应性基团。 生物分子的光反应性类似物通过激活类似物的光反应性基团(例如通过将类似物暴露于紫外线辐射)而附着到基底表面。