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1. 发明授权

US07947052B2 Suturing device with angled head 有权
标题翻译：带角度头的缝合装置
公开(公告)号：US07947052B2
公开(公告)日：2011-05-24
申请号：US11521580
申请日：2006-09-15
申请人： Chester O. Baxter, III , James J. Bedi , Lawrence Crainich , Robert C. Allman
发明人： Chester O. Baxter, III , James J. Bedi , Lawrence Crainich , Robert C. Allman
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B2017/00991 , A61B2017/2927
摘要： A suturing apparatus for the continuous application of a suture includes a suturing head shaped and dimensioned for attachment to a distal end of a support member. The suturing head includes a track shaped and dimensioned for receiving a needle for movement about the track. A support arm includes first and second lateral arms connected by a central connecting member supporting the track. The support arm includes a longitudinal axis and the track lies in a transverse plane. Angular orientation of the support arm relative to the track is achieved by positioning the transverse plane of the track at an oblique angle relative to the longitudinal axis of the support arm such that operators are provided with improved access to the surgical site. A drive assembly is coupled to the needle for controlled movement about the track.
摘要翻译：用于连续施加缝合线的缝合装置包括形状和尺寸用于附接到支撑构件的远端的缝合头。缝合头包括形状和尺寸用于接收围绕轨道运动的针的轨道。支撑臂包括通过支撑轨道的中心连接构件连接的第一和第二侧臂。支撑臂包括纵向轴线，轨道位于横向平面中。通过将轨道的横向平面相对于支撑臂的纵向轴线以倾斜角定位，使得操作者被提供到改善的手术部位的进入，实现支撑臂相对于轨道的角度取向。驱动组件联接到针上以便围绕轨道受控地移动。

2. 发明申请

US20080071295A1 Suturing device with angled head 有权
标题翻译：带角度头的缝合装置
公开(公告)号：US20080071295A1
公开(公告)日：2008-03-20
申请号：US11521580
申请日：2006-09-15
申请人： Chester O. Baxter , James J. Bedi , Lawrence Crainich , Robert C. Allman
发明人： Chester O. Baxter , James J. Bedi , Lawrence Crainich , Robert C. Allman
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B2017/00991 , A61B2017/2927
摘要： A suturing apparatus for the continuous application of a suture includes a suturing head shaped and dimensioned for attachment to a distal end of a support member. The suturing head includes a track shaped and dimensioned for receiving a needle for movement about the track. A support arm includes first and second lateral arms connected by a central connecting member supporting the track, wherein the support arm includes a longitudinal axis and the track lies in a transverse plane. Angular orientation of the support arm relative to the track is achieved by positioning the transverse plane of the track at an oblique angle relative to the longitudinal axis of the support arm such that operators are provided with improved access to the surgical site. A drive assembly is coupled to the needle for controlled movement about the track.
摘要翻译：用于连续施加缝合线的缝合装置包括形状和尺寸用于附接到支撑构件的远端的缝合头。缝合头包括形状和尺寸用于接收围绕轨道运动的针的轨道。支撑臂包括通过支撑轨道的中心连接构件连接的第一和第二侧臂，其中支撑臂包括纵向轴线，并且轨道位于横向平面中。通过将轨道的横向平面相对于支撑臂的纵向轴线以倾斜角定位，使得操作者被提供到改善的手术部位的进入，实现支撑臂相对于轨道的角度取向。驱动组件联接到针上以便围绕轨道受控地移动。

3. 发明授权

US07329263B2 Method and device for securing body tissue 有权
标题翻译：用于固定身体组织的方法和装置
公开(公告)号：US07329263B2
公开(公告)日：2008-02-12
申请号：US10797685
申请日：2004-03-09
申请人： Peter M. Bonutti , Lawrence Crainich , Robert C. Allman , Kevin Allaire
发明人： Peter M. Bonutti , Lawrence Crainich , Robert C. Allman , Kevin Allaire
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/0487 , A61B17/320068 , A61B2017/0448 , A61B2017/0454 , A61B2017/0464 , A61B2017/0488 , A61B2017/0619
摘要： A suture and a suture retainer are positioned relative to body tissue. Ultrasonic vibratory energy is utilized to heat the suture retainer and effect a bonding of portions of the suture retainer to each other and/or to the suture. Portions of the body tissue may be pressed into linear apposition with each other and held in place by cooperation between the suture and the suture retainer. The suture retainer may include one or more portions between which the suture extends. The suture retainer may include sections which have surface areas which are bonded together. If desired, the suture may be wrapped around one of the sections of the suture retainer. The suture retainer may be formed with a recess in which the suture is received. If desired, the suture retainer may be omitted and the sections of the suture bonded to each other.
摘要翻译：缝合线和缝合线保持器相对于身体组织定位。使用超声波振动能量来加热缝合线保持器并且实现缝合线保持器的部分彼此和/或缝合线的结合。身体组织的部分可以彼此压制成线性组合，并且通过缝合线和缝线保持器之间的协作保持在适当位置。缝合线保持器可以包括缝合线延伸在其之间的一个或多个部分。缝合线保持器可以包括具有结合在一起的表面区域的部分。如果需要，缝合线可以缠绕在缝合线保持器的一个部分上。缝合线保持器可以形成有其中接收缝合线的凹部。如果需要，可以省略缝合线保持器并且将缝合线的部分彼此粘结。

4. 发明授权

US09113868B2 Devices and methods for endoluminal plication 有权
标题翻译：器官和方法用于腔内消融
公开(公告)号：US09113868B2
公开(公告)日：2015-08-25
申请号：US13326651
申请日：2011-12-15
申请人： Kevin D. Felder , Lawrence Crainich , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
发明人： Kevin D. Felder , Lawrence Crainich , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
IPC分类号： A61B17/068 , A61B17/072 , A61B17/00 , A61B19/00 , A61B17/064 , A61B17/29 , A61B17/30 , A61F5/00
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B90/361 , A61B2017/00278 , A61B2017/00314 , A61B2017/00327 , A61B2017/00349 , A61B2017/00353 , A61B2017/00818 , A61B2017/00862 , A61B2017/0647 , A61B2017/07271 , A61B2017/07278 , A61B2017/2926 , A61B2017/2936 , A61B2017/2941 , A61B2017/2943 , A61B2017/2944 , A61B2017/308 , A61F5/0083
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a tissue acquisition and fixation system is disclosed including a stapling member having first and second jaws that are effective to apply at least one staple to tissue engaged between the jaws, a tissue acquisition member coupled to at least one of the first and second jaws, and a secondary tissue acquirer coupled to the tissue acquisition member. The secondary tissue acquirer is configured to engage tissue and maintain the tissue in position relative to the tissue acquisition member.
摘要翻译：提供了用于形成和固定组织浸液的装置和方法。更具体地，本发明的装置和方法可用于在胃腔的前壁和后壁上产生多个组织折叠以减小其体积。在一个方面，公开了一种组织采集和固定系统，其包括具有第一和第二钳口的缝合构件，所述缝合构件有效地将至少一个钉施加到接合在钳口之间的组织，组织采集构件，其耦合到第一和第二钳口中的至少一个，第二钳口和耦合到组织获取构件的次级组织获取器。辅助组织采集器被配置为接合组织并且将组织保持在相对于组织采集构件的适当位置。

5. 发明授权

US09113866B2 Devices and methods for endoluminal plication 有权
标题翻译：器官和方法用于腔内消融
公开(公告)号：US09113866B2
公开(公告)日：2015-08-25
申请号：US13326634
申请日：2011-12-15
申请人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
发明人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B90/361 , A61B2017/00278 , A61B2017/00314 , A61B2017/00327 , A61B2017/00349 , A61B2017/00353 , A61B2017/00818 , A61B2017/00862 , A61B2017/0647 , A61B2017/07271 , A61B2017/07278 , A61B2017/2926 , A61B2017/2936 , A61B2017/2941 , A61B2017/2943 , A61B2017/2944 , A61B2017/308 , A61F5/0083
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of acquiring and fixating tissue is disclosed that includes inserting a surgical device having first and second jaws and a tissue acquisition member into a body lumen, positioning the device in a first position in which the jaws extend substantially parallel to a tissue surface, drawing tissue through the jaws by moving the tissue acquisition member away from the jaws, and driving at least one fastener through the tissue disposed between the jaws.
摘要翻译：提供了用于形成和固定组织浸液的装置和方法。更具体地，本发明的装置和方法可用于在胃腔的前壁和后壁上产生多个组织折叠以减小其体积。一方面，公开了一种获取和固定组织的方法，包括将具有第一和第二钳口的外科手术装置和组织采集构件插入体腔，将装置定位在第一位置，其中钳口基本上平行于组织表面，通过将组织采集构件移离爪而将组织穿过夹爪，并且通过设置在夹爪之间的组织驱动至少一个紧固件。

6. 发明授权

US09089323B2 Device and method for securing body tissue 有权
标题翻译：用于固定身体组织的装置和方法
公开(公告)号：US09089323B2
公开(公告)日：2015-07-28
申请号：US11358399
申请日：2006-02-21
申请人： Peter M. Bonutti , Matthew J. Cremens , Lawrence Crainich
发明人： Peter M. Bonutti , Matthew J. Cremens , Lawrence Crainich
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/0414 , A61B2017/0445 , A61B2017/0456 , A61B2017/0488
摘要： The present invention provides a surgical system for securing a suture against relative movement with respect to a body tissue. The surgical system includes a fastener and medical device for positioning and securing a fastener onto a suture. The fastener includes inner and outer members that can slide together and rotate. The suture extends through the inner and outer members so that rotation of the inner member causes it to wrap the suture around it. As the suture is wound around the inner member, the fastener is drawn toward a position against the body tissue. Further rotation of the inner member allows tension to be applied to the suture. The fastener may be bonded to the suture in order to further secure the suture against relative movement with respect to the body tissue.
摘要翻译：本发明提供了一种用于固定缝合线以防止相对于身体组织的相对运动的外科系统。手术系统包括用于将紧固件定位并固定到缝合线上的紧固件和医疗装置。紧固件包括可以一起滑动并旋转的内部和外部构件。缝合线延伸通过内部和外部构件，使得内部构件的旋转使得其将缝线包裹在其周围。当缝合线围绕内部构件缠绕时，紧固件被拉向抵靠身体组织的位置。内部构件的进一步旋转允许将张力施加到缝合线。紧固件可以结合到缝合线上，以便进一步固定缝合线以抵抗相对于身体组织的相对运动。

7. 发明授权

US08801732B2 Surgical stapler to secure a tissue fold 有权
标题翻译：手术吻合器固定组织折叠
公开(公告)号：US08801732B2
公开(公告)日：2014-08-12
申请号：US12359357
申请日：2009-01-26
申请人： Jason L. Harris , Lawrence Crainich , Michael J. Stokes , Mark S. Zeiner , Daniel E. Alesi
发明人： Jason L. Harris , Lawrence Crainich , Michael J. Stokes , Mark S. Zeiner , Daniel E. Alesi
IPC分类号： A61B17/08
CPC分类号： A61B17/0644 , A61B17/0684 , A61B17/221 , A61B2017/2215
摘要： A method of deploying a surgical fastener using the steps of introducing a fastener into a body of a patient while the fastener is in a first shape forming a first loop. Moving end segments of the fastener away from each other substantially along an entire length thereof. And forming the fastener into a second loop having a width greater than a width of the first loop.
摘要翻译：一种使用以下步骤来部署手术紧固件的方法：当所述紧固件处于形成第一环的第一形状时，将紧固件引入患者体内。紧固件的端部段基本上沿着其整个长度彼此远离。以及将所述紧固件形成为具有大于所述第一回路的宽度的宽度的第二回路。

8. 发明授权

US08709084B2 Devices for delivering spinal disc implants 有权
标题翻译：用于输送脊椎椎间盘植入物的装置
公开(公告)号：US08709084B2
公开(公告)日：2014-04-29
申请号：US12896011
申请日：2010-10-01
申请人： Paul A. Glazer , Lawrence Crainich
发明人： Paul A. Glazer , Lawrence Crainich
IPC分类号： A61F2/44 , A61B17/70
CPC分类号： A61B17/8808 , A61B2017/00557
摘要： A spinal disc implant delivery device includes a blocking component having opposed distal and proximal ends. The proximal end of the blocking component includes an anchor member configured and adapted for movement between an undeployed position in which the anchor member can pass into and out of an opening in a disc annulus, and a deployed position in which the anchor member anchors the blocking component to the opening of the disc annulus. In the deployed position, the anchor member is configured to prevent extrusion of implant material from the opening of the disc annuls. An implant delivery needle is located radially within the blocking component and has opposed proximal and distal ends. The needle is configured to deliver implant material from the distal end thereof to an interior of a disc annulus.
摘要翻译：椎间盘植入物输送装置包括具有相对的远端和近端的阻塞部件。阻挡部件的近端包括构造成适于在锚定构件能够进入和离开盘环中的开口的非展开位置之间运动的锚固构件，以及展开位置，其中锚定构件锚定阻挡组件到盘环的开口。在展开位置中，锚固构件被构造成防止植入材料从盘形环的开口挤压。植入物递送针径向位于阻挡部件内并且具有相对的近端和远端。针被构造成将植入材料从其远端递送到盘环的内部。

9. 发明授权

US08574271B2 Fixation plate screw retention 有权
标题翻译：固定板螺丝固定
公开(公告)号：US08574271B2
公开(公告)日：2013-11-05
申请号：US12846570
申请日：2010-07-29
申请人： Lawrence Crainich
发明人： Lawrence Crainich
IPC分类号： A61B17/80
CPC分类号： A61B17/8047 , A61B17/8052
摘要： A screw fixation system includes a plate having opposed first and second surfaces, and a hole defined in the plate which extends between the first and second surface. A screw is included having a head and a shaft extending from the head and defining a longitudinal axis for the screw, the shaft of the screw being configured and adapted to be inserted into the hole. A retainer is circumferentially positioned around the shaft of the screw and proximate to the screw head. The retainer is configured to engage with the plate proximate the hole when the shaft of the screw has been inserted into the hole so as to resist removal of the screw from the hole and to allow removal of the screw from the hole when a preset torque is applied to the screw.
摘要翻译：螺钉固定系统包括具有相对的第一和第二表面的板，以及限定在板中的在第一和第二表面之间延伸的孔。包括螺钉，其具有头部和从头部延伸并且限定用于螺钉的纵向轴线，螺钉的轴构造并适于插入孔中。保持器围绕螺钉的轴周向定位并且靠近螺钉头。当螺钉的轴已经插入孔中时，保持器构造成与靠近孔的板接合，以便防止螺钉从孔中移除，并且当预设扭矩为应用于螺丝。

10. 发明授权

US08523040B2 Fastener and fastener applier having selective suture attachment 有权
标题翻译：紧固件和紧固件施加器具有选择性缝合附件
公开(公告)号：US08523040B2
公开(公告)日：2013-09-03
申请号：US12113644
申请日：2008-05-01
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0401 , A61B17/0644 , A61B2017/0409 , A61B2017/0488
摘要： A surgical stapling device for deploying staples connected with suture to tissue includes a handle having a staple actuator mechanism, a tubular support shaft having a longitudinal axis and extending from the handle, and a staple cartridge mounted on the support shaft and connected to the staple actuator mechanism for applying one or more staples to the tissue. The cartridge has a cartridge housing adapted to receive a plurality of staples in a row for longitudinal movement therethrough and an anvil mounted on the housing. The cartridge further includes a mechanism for advancing the forwardmost staple in the row into engagement with the anvil, and a suture guide supporting a length of suture that extends in a loop for attachment to the staples as they are secured to the tissue.
摘要翻译：一种用于将与缝合线连接的组织部署到外科缝合装置的手术装置包括具有缝钉致动器机构的手柄，具有纵向轴线并从手柄延伸的管状支撑轴，以及安装在支撑轴上并连接到钉子致动器用于将一个或多个钉钉施加到组织的机构。该盒具有一个盒壳体，其适于容纳一行中的多个钉，用于纵向运动，并且安装在壳体上的砧座。所述筒还包括用于将所述排中的最前面的钉向前推进与所述砧座接合的机构，以及缝合线引导件，所述缝合线引导件支撑一定长度的缝合线，所述缝线引导件在环路中延伸，以便在固定到所述组织上时与所述缝钉连接。

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