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1. 发明申请

US20050107816A1 Bladeless obturator 有权
标题翻译：无盖的闭孔器
公开(公告)号：US20050107816A1
公开(公告)日：2005-05-19
申请号：US10489403
申请日：2002-03-04
申请人： Edward Pingleton , Matthew Wixey , Henry Kahle
发明人： Edward Pingleton , Matthew Wixey , Henry Kahle
IPC分类号： A61B17/32 , A61B17/34
CPC分类号： A61B17/02 , A61B17/3417 , A61B17/3478 , A61B2017/320044 , A61B2017/3456 , A61B2017/346
摘要： The invention is directed towards a bladeless obturator (18) for wedging through muscle fiber layers (41, 43, 45) to safely cut through to the abdominal cavity (32) in order to apply a cannula (12). The invention comprises a bladeless obturator (18) having a rectangular tip (63) that is twisted radially.
摘要翻译：本发明涉及一种用于楔入通过肌肉纤维层（41,43,45）以安全地切入腹腔（32）以便施加套管（12）的无叶封孔器（18）。本发明包括具有径向扭转的矩形尖端（63）的无叶封孔（18）。

2. 发明申请

US20050004602A1 Interlocking suture clinch 审中-公开
标题翻译：联锁缝合钳
公开(公告)号：US20050004602A1
公开(公告)日：2005-01-06
申请号：US10612631
申请日：2003-07-02
申请人： Charles Hart , Matthew Wixey
发明人： Charles Hart , Matthew Wixey
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/0454 , A61B2017/0456 , A61B2017/0488
摘要： The invention is directed to a suture clinch that may be placed upon suture extensions of a placed suture to securely lock the extensions in a desired location. The clinch operates to replace a tied knot and retain the suture in a fixed relationship with little or no damage to the suture itself. The clinch comprises a mating pair of interlocking members that restrict movements of the suture. The interlocking members may be placed upon the suture extensions from alongside the suture extensions and compressed to a first condition where the interlocking members may be advanced, retracted or adjusted, and subsequently further compressed to a second condition where the interlocking members are fully engaged to fully restrict the movement of the suture. In another aspect, the clinch may be provided in a flat form comprising a first component and a second component. The first and second components fit together in a mating relationship that entraps at least a portion of the suture between tractive faces of the first and second components, respectively. Each end of the first and second components may have a recessed central portion that leaves two extensions along the sides of each end of the components. The extensions of the second component are subsequently folded over the first component to provide secure entrapment of the suture between the tractive faces of the first and second components. The tractive faces operate to engage the suture and hold it securely in place without damaging or challenging the suture. The clinch may comprise of plastic, metallic materials such as stainless steel or titanium, or a combination of both where the plastic is chosen for its value as an atraumatic interface and the metal for its radiopacity or durability.
摘要翻译：本发明涉及可以放置在放置的缝合线的缝线延伸部上以将延伸部牢固地锁定在期望位置的缝合线夹。该钳子用于替换结扎，并将缝合线保持固定的关系，对缝合线本身几乎没有或没有损坏。钳子包括限制缝合线运动的一对互锁构件。互锁构件可以从缝合线延伸部旁边放置在缝合线延伸部上并被压缩到第一状态，其中互锁构件可以前进，缩回或调节，并且随后被进一步压缩到第二状态，其中互锁构件完全接合到完全限制缝合线的运动。在另一方面，钳口可以以包括第一部件和第二部件的平坦形式提供。第一和第二部件以匹配关系装配在一起，分别在第一和第二部件的牵引面之间截留缝合线的至少一部分。第一和第二部件的每个端部可以具有凹入的中心部分，其沿着部件的每个端部的侧面留下两个延伸部。随后将第二部件的延伸部折叠在第一部件上，以提供在第一和第二部件的牵引面之间的缝合线的牢固的截留。牵引面用于接合缝合线并将其牢固地固定在适当的位置，而不会损伤或挑战缝合线。夹子可以包括塑料，诸如不锈钢或钛的金属材料，或两者的组合，其中选择塑料作为无创伤界面的价值，并且金属用于其不透射线性或耐久性。

3. 发明申请

US20050096699A1 Suture securing device and method 有权
标题翻译：缝线固定装置及方法
公开(公告)号：US20050096699A1
公开(公告)日：2005-05-05
申请号：US10702871
申请日：2003-11-05
申请人： Matthew Wixey , Charles Hart , Payam Adlparvar
发明人： Matthew Wixey , Charles Hart , Payam Adlparvar
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B2017/045 , A61B2017/0488
摘要： The invention is directed to a device and method for securing a passed surgical suture in a manner similar to a tied knot. The suture securing device comprises a male piece having a top portion, a center shaft having one end connected to the top portion, and an end member having a capturing feature connected to another end of the center shaft; and a female piece having a top end and a bottom end comprising a column being generally cylindrical in shape and forming a hollow opening along its length, wherein the opening slidingly receives the center shaft and a suture to be captured and held by the capturing feature, the suture being secured in place between the column and the center shaft. The assembled male and female pieces are irreversibly interlocked and form a lightly compressed, convoluted or tortuous pathway. The capturing feature is formed to engage and obliquely capture the suture from different angles. The radii of the male and female pieces are preferably greater than the radius of the suture. The securing device may further comprise a link formed between the male and female pieces. The link may be a tether formed when the male and female pieces are formed. The link may be severed and removed after placement and assembling of the male and female pieces. In another aspect of the invention, a method for applying a suture securing device is disclosed comprising the steps of: (1) providing the suture securing device of the invention; (2) aligning the male piece and the female piece at a desired location for applying the suture securing device; and (3) pressing the center shaft of the male piece into the opening of the female piece. The method may further comprise the step of applying a compressive load on the male piece to dislodge an enlargement from an undercut of the female piece and to place the male piece and the female piece in a condition where they may be advanced to a desired position along the suture.
摘要翻译：本发明涉及一种用于以类似于束缚结的方式固定通过的手术缝合线的装置和方法。所述缝合线固定装置包括：阳件，其具有顶部，中心轴的一端连接到所述顶部;以及端部构件，其具有连接到所述中心轴的另一端的捕获特征; 以及具有顶端和底端的阴件，其包括通常为圆柱形的柱，并且沿着其长度形成中空的开口，其中所述开口滑动地容纳所述中心轴和缝合线以被所述捕获特征捕获和保持，缝合线被固定在柱和中心轴之间的适当位置。组合的阳性和阴性片段是不可逆地互锁的并且形成轻微压缩，褶皱或曲折的路径。捕获特征被形成为从不同的角度接合并倾斜地捕获缝合线。男性和女性片的半径优选大于缝合线的半径。固定装置还可以包括形成在阳件和阴件之间的连杆。连接件可以是当形成阳件和阴件时形成的系绳。在插入和组装男性和女性部件之后，链接可能被切断和移除。在本发明的另一方面，公开了一种施加缝合线固定装置的方法，包括以下步骤：（1）提供本发明的缝线固定装置; （2）将所述阳件和所述阴件对准在用于施加所述缝合线固定装置的期望位置处; 和（3）将阳件的中心轴压入阴件的开口中。该方法还可以包括以下步骤：将压缩载荷施加到阳片上以从阴片的底切移除放大图，并将阳片和阴片放置在可以前进到期望位置的状态缝合线

4. 发明申请

US20050065537A1 Surgicals metals with improved hardness and methods for making same 审中-公开
标题翻译：手术金属具有改善的硬度和制作方法
公开(公告)号：US20050065537A1
公开(公告)日：2005-03-24
申请号：US10479351
申请日：2002-05-30
申请人： Vincent Tangherlini , Russell Ahlberg , Arkadiusza Strokosz , Gary Johnson , Matthew Wixey , Linda Phinuwong
发明人： Vincent Tangherlini , Russell Ahlberg , Arkadiusza Strokosz , Gary Johnson , Matthew Wixey , Linda Phinuwong
IPC分类号： A61B17/12 , A61B17/06 , A61B17/064 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/82 , A61L31/00 , A61L31/02 , C23C8/10
CPC分类号： C23C8/10 , A61B17/06066 , A61B17/064 , A61B17/0644 , A61B17/083 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B17/82 , A61L31/022
摘要： A surgical device includes a structural portion which is formed of a first element, such as titanium, which has an outer surface and an inner core. A second element, such as oxygen, is combined with the first element without creating a shear plane, to create a concentration of the second element in the first element which varies from the outer surface to the inner core. In an associated method, the second element is driven into the first element under other than ambient conditions to develop a concentration gradient of the second element between the outer surface and the inner core of the first element.
摘要翻译：手术装置包括由诸如钛的第一元件形成的结构部分，其具有外表面和内核。诸如氧的第二元件与第一元件组合而不产生剪切平面，以产生第一元件中从外表面到内芯变化的浓度。在相关联的方法中，第二元件在环境条件之外被驱动到第一元件中，以在第一元件的外表面和内芯之间形成第二元件的浓度梯度。

5. 发明申请

US20080083257A1 METHOD FOR MANUFACTURING HIGH FLOW INSUFFLATION NEEDLE STYLET 有权
标题翻译：用于制造高流动消除针头的方法
公开(公告)号：US20080083257A1
公开(公告)日：2008-04-10
申请号：US11868901
申请日：2007-10-08
申请人： Scott Taylor , Paul Balschweit , Matthew Wixey
发明人： Scott Taylor , Paul Balschweit , Matthew Wixey
IPC分类号： B21C37/06 , B21D31/02
CPC分类号： B21G1/08 , A61B17/3474 , A61B17/3496 , A61B2017/00526 , B21D28/06 , B21D31/02 , Y10T29/49995
摘要： A method for forming a high flow insufflation needle stylet having distal, intermediate and proximal sections includes providing a flat sheet of metal and forming pilot holes in the sheet proximate opposed edges of the sheet. A profile of a flat pattern of the stylet is formed. The flat pattern has a proximal end, a distal end and a pair of substantially longitudinal edges. At least one support tab is positioned between the flat pattern and the sheet. The intermediate and the proximal sections of the stylet are progressively formed into a partial cylindrical shape with the proximal end being open and the longitudinal edges in the intermediate and proximal sections being positioned between about 90° and 180° apart. The distal section is progressively formed into a substantially cylindrical shape having a closed distal end. The stylet is trimmed from the sheet by cutting the at least one support tab.
摘要翻译：用于形成具有远端，中间和近端部分的高流量吹入针探针的方法包括提供平坦的金属片并且在片材的相对的边缘附近在片材中形成导向孔。形成通孔的扁平图案的轮廓。扁平图案具有近端，远端和一对基本上纵向的边缘。至少一个支撑片位于平面图案和片材之间。探针的中间部分和近侧部分逐渐形成为部分圆柱形形状，其中近端是开放的，并且中间部分和近侧部分中的纵向边缘位于约90°和180°之间。远侧部分逐渐形成为具有封闭的远端的大致圆柱形形状。通过切割至少一个支撑片来从片材修剪探针。

6. 发明申请

US20070278277A1 Surgical stapler 有权
标题翻译：手术吻合器
公开(公告)号：US20070278277A1
公开(公告)日：2007-12-06
申请号：US11805094
申请日：2007-05-21
申请人： Matthew Wixey , Gary Johnson
发明人： Matthew Wixey , Gary Johnson
IPC分类号： A61B17/04
CPC分类号： A61B17/0686 , A61B17/072 , A61B17/105 , A61B2090/0814
摘要： A surgical stapler is provided that maintains the jaws of the stapler in an open position and prevents firing of staples when a cartridge is not loaded in one of the jaws. Distinct positioning and sequencing of the jaws, capture pin and firing of the staples are provided by a latch mechanism. Such locking and latching mechanisms ensure proper operation of the stapler.
摘要翻译：提供了一种手术吻合器，其将缝合器的钳口保持在打开位置，并且当药筒没有装载在其中一个钳口中时防止订书钉发射。爪的独特定位和顺序，钉的捕获销和击发由闩锁机构提供。这种锁定和锁定机构确保吻合器的正确操作。

7. 发明申请

US20050033246A1 Surgical device with tack-free gel and method of manufacture 审中-公开
标题翻译：具有无粘性凝胶的手术装置及其制造方法
公开(公告)号：US20050033246A1
公开(公告)日：2005-02-10
申请号：US10913565
申请日：2004-08-05
申请人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
发明人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
IPC分类号： A61B17/00 , A61B17/22 , A61B17/34 , B29C39/00 , B29C39/12 , A61M25/00
CPC分类号： A61M3/0279 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , B29C37/0067 , B29C39/006 , B29C39/025 , B29C39/123
摘要： A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
摘要翻译：公开了制造无粘性凝胶的方法，包括以下步骤：提供限定模腔的模具，所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。形成步骤还包括将凝胶从熔融状态冷却至固化状态。塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高，塑料材料的熔化越大，并且凝胶表面上的塑料材料层越厚。模具可以由低密度聚乙烯（LDPE）形成。通过本发明的方法，熔融凝胶在其成型温度下的热量转移到LDPE模具的表面，以熔化LDPE的薄层。模具可以包括具有形成多个模具腔的多个模具孔的模具基座，每个模具孔包括轴向销，以模制通过凝胶的中心的轴向孔，提供预定内径的LDPE圆筒，模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。该方法还可以包括在诸如聚四氟乙烯（PTFE）和润滑剂的低摩擦粉末中浸渍凝胶的步骤。模具还可包括设置在模具基座的轴向上的模具顶部，并且包括形成多个空腔的多个孔，每个模具顶部孔适于接纳LDPE圆筒，并且设置在第二LDPE圆盘的顶部模具顶部的每个模腔。

8. 发明申请

US20050234478A1 Multi-fire surgical clip applier 有权
标题翻译：多功能手术夹具
公开(公告)号：US20050234478A1
公开(公告)日：2005-10-20
申请号：US10962093
申请日：2004-10-07
申请人： Matthew Wixey , Thomas Wachli
发明人： Matthew Wixey , Thomas Wachli
IPC分类号： A61B17/00 , A61B17/12 , A61B17/128 , A61B17/10
CPC分类号： A61B17/1285 , A61B17/12 , A61B17/128 , A61B2017/00407 , A61B2017/0046
摘要： Clip appliers to apply a surgical clip and methods concerning the same are provided. One provided applier has a cartridge and an actuator. The rack mechanism causes a feeder to move proximally as a closure member moves distally, such that jaw members move together to crimp a clip there between. The rack mechanism also causes the feeder to move distally as the closure member moves proximally, such that a crimped clip is released and another clip is fed into the jaw members. The rack mechanism further includes a rack connected to the closure member in which the closure member and the rack are arranged to move synchronously throughout the releasing of a crimped clip and feeding of another clip, e.g., an opening stroke.
摘要翻译：提供夹子施放器以应用手术夹子及其相关方法。一个提供的应用器具有一个墨盒和一个致动器。当封闭构件向远侧移动时，齿条机构使馈送器向近侧移动，使得钳口构件一起移动以在其间夹住夹子。当闭合构件向近侧移动时，齿条机构还使给料器向远侧移动，使得压接的夹子被释放并且另一个夹子被馈送到钳口构件中。齿条机构还包括连接到闭合构件的齿条，其中闭合构件和齿条被布置成在卷曲夹子的释放期间同步地移动，并且进给另一个夹子，例如打开行程。

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