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1. 发明授权

US5674229A Surgical suturing apparatus with loading mechanism 失效
标题翻译：手术缝合器具装载机构
公开(公告)号：US5674229A
公开(公告)日：1997-10-07
申请号：US503360
申请日：1995-07-17
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Richard N. Granger , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Richard N. Granger , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0401 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/06019 , A61B2017/06033 , A61B2017/06047 , A61B2017/06085 , A61B2017/0609 , A61B2017/2919 , A61B2017/292 , A61B2017/2936
摘要： The invention contemplates a surgical apparatus for manipulating a surgical incision member and an associated loading mechanism for replacing the surgical incision member. The surgical apparatus comprises an elongated body portion, first and second jaw elements extending from the body portion, securing a needle for securing the surgical incision member, releasing jaw cooperating with the securing a needle for releasing the surgical incision member and locking jaw cooperating with the securing a needle for preventing at least one of the jaw elements from moving.
摘要翻译：本发明设想一种用于操纵手术切口部件的外科手术装置和用于更换手术切口部件的相关联的装载机构。手术装置包括细长主体部分，从主体部分延伸的第一和第二钳口元件，固定用于固定外科切口构件的针，释放爪，其与固定针头相配合，用于释放外科切口构件并锁定与固定针以防止至少一个夹爪元件移动。

2. 发明授权

US5871488A Surgical suturing apparatus with locking mechanisms 失效
标题翻译：具有锁定机构的手术缝合装置
公开(公告)号：US5871488A
公开(公告)日：1999-02-16
申请号：US862055
申请日：1997-05-22
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译：公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收手术针的一部分。第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进另一个。还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动以及与另一个钳口间隔开的第二位置。

3. 发明授权

US5693071A Tapered surgical needles and surgical incision members 失效
标题翻译：锥形手术针和手术切口成员
公开(公告)号：US5693071A
公开(公告)日：1997-12-02
申请号：US590225
申请日：1996-01-23
申请人： Michael Gorecki , George R. Proto , Paul A. Scirica , Stephen W. Zlock
发明人： Michael Gorecki , George R. Proto , Paul A. Scirica , Stephen W. Zlock
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0483 , A61B17/0491 , A61B17/06004 , A61B2017/0609
摘要： A surgical needle is provided including a body portion defining first and second longitudinal ends, the body portion includes a central portion having a first cross-sectional area and end portions adjacent the central portion having a smaller second cross-sectional area. A tissue penetrating portion is provided adjacent at least one end portion. Transition portions are provided intermediate the central portion and the end portions and taper from the first cross-sectional area to the second cross-sectional area. Suture attachment structure is formed in the central portion and a suture is attached to the suture attachment structure. A method of suturing is also provided wherein the surgical needle may be passed through tough tissue while minimizing bending of the surgical needle.
摘要翻译：提供了一种手术针，其包括限定第一和第二纵向端部的主体部分，主体部分包括具有第一横截面积的中心部分和与中心部分相邻的端部具有较小的第二横截面积。组织穿透部分邻近至少一个端部设置。过渡部分设置在中心部分和端部部分之间，并且从第一横截面区域到第二横截面区域逐渐变细。缝合线附着结构形成在中心部分并且缝合线附接到缝合线附接结构。还提供了一种缝合方法，其中手术针可以穿过韧性组织，同时最小化手术针的弯曲。

4. 发明授权

US5674230A Surgical suturing apparatus with locking mechanisms 失效
标题翻译：具有锁定机构的手术缝合装置
公开(公告)号：US5674230A
公开(公告)日：1997-10-07
申请号：US527125
申请日：1995-09-12
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译：公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收手术针的一部分。第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进另一个。还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动以及与另一个钳口间隔开的第二位置。

5. 发明授权

US5478345A Mechanism for endoscopic suturing device 失效
标题翻译：内窥镜缝合装置机理
公开(公告)号：US5478345A
公开(公告)日：1995-12-26
申请号：US293234
申请日：1994-08-19
申请人： Corbett W. Stone , Stephen W. Zlock , David Farascioni
发明人： Corbett W. Stone , Stephen W. Zlock , David Farascioni
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/06123 , A61B2017/0609
摘要： A loading unit is disclosed for supplying multiple surgical needles or surgical incision members and associated lengths of suture material for positioning the needle or surgical incision member within the jaws of a surgical suturing apparatus. The loading unit generally includes a body portion having apparatus receiving structure for receipt of the surgical suturing apparatus and a carousel rotatably affixed to the body portion and containing a plurality of supply stations thereon. The supply stations generally include a support member for supporting a central portion of a surgical needle and a storage member for temporarily securing a length of suture material associated with the surgical needle. The apparatus receiving structure includes structure for aligning and maintaining the surgical suturing apparatus in position on the loading unit until such time as a surgical incision member has been inserted into jaws associated with the surgical suturing apparatus. Preferably, the apparatus receiving structure includes structure for gasping an elongate portion of the surgical suturing apparatus and structure for supporting jaw members associated with the surgical suturing apparatus. Additionally, in a preferred embodiment, the suture storage members consist of a suture reel which is positioned in a plane offset from the needle support members.
摘要翻译：公开了一种装载单元，用于提供多个外科手术针或外科切口部件和相关联的长度的缝合材料，用于将针或手术切口部件定位在手术缝合装置的钳口内。装载单元通常包括主体部分，其具有用于接收外科缝合装置的装置接收结构和可旋转地固定到主体部分并且在其上容纳多个供应站的圆盘传送带。供应站通常包括用于支撑外科用针的中心部分的支撑构件和用于临时固定与外科手术针相关联的一定长度的缝合材料的存储构件。装置接收结构包括用于将外科缝合装置对准和维持在装载单元上的位置的结构，直到手术切口构件已经插入到与外科缝合装置相关联的钳口中的时间为止。优选地，装置接收结构包括用于喘气外科缝合装置的细长部分的结构和用于支撑与手术缝合装置相关联的颚构件的结构。另外，在优选实施例中，缝合线存储部件由缝合线卷轴组成，缝线卷轴位于从针支撑部件偏移的平面中。

6. 发明授权

US08313515B2 Multi-level spinal stabilization system 有权
标题翻译：多级脊柱稳定系统
公开(公告)号：US08313515B2
公开(公告)日：2012-11-20
申请号：US11818720
申请日：2007-06-15
申请人： Terrence Brennan , George F. Malcolmson , Carmen Walters , Stephen W. Zlock , Jens Peter Timm
发明人： Terrence Brennan , George F. Malcolmson , Carmen Walters , Stephen W. Zlock , Jens Peter Timm
IPC分类号： A61B17/70
CPC分类号： A61B17/7005 , A61B17/7035 , A61B17/704 , A61B17/7041
摘要： Multi-level spinal stabilization devices, systems and methods are provided that include at least one multi-level connector, one elongated member with an enlarged head, at least one pedicle screw, and at least one mechanism that supports three degrees of rotational freedom relative to both the elongated member and the pedicle screw each. The mechanism may include universal joint mechanisms or ball and socket mechanisms. In the case of the ball and socket mechanisms, the enlarged head of the elongated member cooperates with a first socket member of the multi-level connector to define a dynamic junction that allows the socket member to move relative to the enlarged head of the elongated member while remaining engaged therewith.
摘要翻译：提供了多级脊柱稳定装置，系统和方法，其包括至少一个多级连接器，具有扩大头部的一个细长构件，至少一个椎弓根螺钉和至少一个支撑相对于细长构件和椎弓根螺钉各自。该机构可以包括万向节机构或球窝机构。在球窝机构的情况下，细长构件的扩大的头部与多级连接器的第一插座构件协作以限定动态接合部，其允许插座构件相对于细长构件的扩大的头部移动同时保持接合。

7. 发明授权

US08133231B2 Instrument kit and method for performing meniscal repair 失效
标题翻译：仪器套件和执行半月板修复的方法
公开(公告)号：US08133231B2
公开(公告)日：2012-03-13
申请号：US12613967
申请日：2009-11-06
申请人： Jonathan Martinek , Stephen W. Zlock
发明人： Jonathan Martinek , Stephen W. Zlock
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/1764 , A61B17/0682 , A61B17/3421 , A61B50/30 , A61B2017/00238 , A61B2017/00362 , A61B2017/0646 , A61B2017/320044
摘要： An instrument kit for performing a repair procedure on a meniscal tear in a knee for use in combination with a mechanical repair device is disclosed. The instrument kit includes at least one template including an elongate body defining X, Y and Z axes. The elongate body adapted for insertion in a knee of the patient to approximate a path to a meniscal tear within the knee. The elongate body has a length defining the X-axis. The instrument kit including a first template having a linear elongate body, a second template having a distal end portion which is offset in a direction of the Y-axis, and a third template having a distal end portion which is offset in a direction of the Z-axis.
摘要翻译：公开了一种用于对膝部半月板撕裂进行修复的仪器套件，用于与机械修复装置组合使用。仪器套件包括至少一个模板，其包括限定X，Y和Z轴的细长主体。细长主体适于插入患者的膝部以近似膝盖内半月板撕裂的路径。细长体具有限定X轴的长度。所述仪器套件包括具有线性细长体的第一模板，具有在Y轴方向偏移的前端部的第二模板，以及具有在所述Y轴方向上偏移的前端部的第三模板 Z轴。

8. 发明申请

US20090177196A1 Medical Instrument For Rod Positioning 审中-公开
标题翻译：杆定位医疗器械
公开(公告)号：US20090177196A1
公开(公告)日：2009-07-09
申请号：US11971615
申请日：2008-01-09
申请人： Stephen W. Zlock , Carmen Walters
发明人： Stephen W. Zlock , Carmen Walters
IPC分类号： A61B17/56
CPC分类号： A61B17/7083 , A61B17/282
摘要： Apparatus, systems and methods relating to manipulation, e.g. pivoting, of a rod-shaped element using a rod positioning assembly are disclosed. A rod-shaped element is initially gripped axially (relative to and) by a rod positioning assembly and then pivoted into a transverse orientation without pivoting the rod positioning assembly and/or releasing the rod-shaped element. Rod positioning assemblies include a handle element and a pair of jaw elements in communication therewith. The jaw elements are positioned distally relative to the handle element and the handle element is adapted to effect relative motion between the first and second jaw elements. The abutment faces of the jaw elements define a pair of axially aligned notches at or near the distal ends of the first and second jaw elements, a pair of traversely aligned central wells that define a circular opening that extends transversely across the jaw elements, and a pair of grooves that open up to a single transverse side of the jaw elements.
摘要翻译：与操作有关的装置，系统和方法，例如。公开了使用杆定位组件的杆状元件的枢转。杆状元件最初被杆定位组件轴向（相对于和）夹紧，然后枢转到横向定向，而不使杆定位组件枢转和/或释放杆状元件。杆定位组件包括手柄元件和与其连通的一对钳口元件。钳口元件相对于把手元件位于远侧，并且手柄元件适于实现第一和第二钳口元件之间的相对运动。夹爪元件的邻接面在第一和第二钳口元件的远端处或附近限定一对轴向对齐的凹口，一对横向对准的中心阱，其限定横向延伸穿过钳口元件的圆形开口，以及一对开口到钳口元件的单个横向侧的凹槽。

9. 发明申请

US20080312692A1 Multi-level spinal stabilization system 有权
标题翻译：多级脊柱稳定系统
公开(公告)号：US20080312692A1
公开(公告)日：2008-12-18
申请号：US11818720
申请日：2007-06-15
申请人： Terrence Brennan , George F. Malcolmson , Carmen Walters , Stephen W. Zlock , Jens Peter Timm
发明人： Terrence Brennan , George F. Malcolmson , Carmen Walters , Stephen W. Zlock , Jens Peter Timm
IPC分类号： A61B17/70 , A61B17/56 , A61B17/04 , A61B17/58
CPC分类号： A61B17/7005 , A61B17/7035 , A61B17/704 , A61B17/7041
摘要： Multi-level spinal stabilization devices, systems and methods are provided that include at least one multi-level connector, one elongated member with an enlarged head, at least one pedicle screw, and at least one mechanism that supports three degrees of rotational freedom relative to both the elongated member and the pedicle screw each. The mechanism may include universal joint mechanisms or ball and socket mechanisms. In the case of the ball and socket mechanisms, the enlarged head of the elongated member cooperates with a first socket member of the multi-level connector to define a dynamic junction that allows the socket member to move relative to the enlarged head of the elongated member while remaining engaged therewith.
摘要翻译：提供了多级脊柱稳定装置，系统和方法，其包括至少一个多级连接器，具有扩大头部的一个细长构件，至少一个椎弓根螺钉和至少一个支撑相对于细长构件和椎弓根螺钉各自。该机构可以包括万向节机构或球窝机构。在球窝机构的情况下，细长构件的扩大的头部与多级连接器的第一插座构件协作以限定动态接合部，其允许插座构件相对于细长构件的扩大的头部移动同时保持接合。

10. 发明授权

US5908428A Stitching devices for heart valve replacement surgery 失效
标题翻译：用于心脏瓣膜置换手术的缝合装置
公开(公告)号：US5908428A
公开(公告)日：1999-06-01
申请号：US932569
申请日：1997-09-19
申请人： Paul A. Scirica , Stephen W. Zlock
发明人： Paul A. Scirica , Stephen W. Zlock
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0485 , A61B17/0491 , A61B2017/0404 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0479 , A61B2017/06009 , A61B2017/06047 , A61B2017/0609
摘要： There are provided surgical suturing apparatus or stitching devices particularly suited for use in suturing artificial heart valves to heart tissue during heart valve replacement surgery. The disclosed apparatus include a stationary jaw oriented at a predetermined angle relative to the apparatus to facilitate suturing through the artificial valve in a direction generally parallel to the axis of the valve. One embodiment of the stitching device utilizes a pair of surgical needles or incision members joined by a single length of suture material. There are also disclosed disposable loading units for providing suture - needle assemblies to the suturing apparatus. Also disclosed are methods of suturing an artificial heart valve to heart tissue using the disclosed apparatus.
摘要翻译：提供了特别适合用于在心脏瓣膜置换手术期间将人造心脏瓣膜缝合到心脏组织的外科缝合装置或缝合装置。所公开的装置包括相对于装置以预定角度定向的固定夹爪，以便于在大致平行于阀的轴线的方向上通过人造瓣膜缝合。缝合装置的一个实施例使用通过单个长度的缝合材料连接的一对外科用针或切口构件。还公开了一种用于将缝线 - 针组件提供给缝合装置的一次性装载单元。还公开了使用所公开的装置将人造心脏瓣膜缝合到心脏组织的方法。

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