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1. 发明授权

US06537290B2 Sealing access cannula system 有权
公开(公告)号：US06537290B2
公开(公告)日：2003-03-25
申请号：US09800390
申请日：2001-03-05
申请人： Leland R. Adams , Scott Reed , Alan B. Bachman , William J. Allen , Robert Chapolini
发明人： Leland R. Adams , Scott Reed , Alan B. Bachman , William J. Allen , Robert Chapolini
IPC分类号： A61B1732
CPC分类号： A61B17/12136 , A61B17/00234 , A61B17/0057 , A61B17/12109 , A61B17/32053 , A61B17/3417 , A61B17/3498 , A61B2017/00247 , A61B2017/00637 , A61B2017/00663 , A61B2017/0243 , A61B2017/306 , A61B2017/3488 , A61B2018/00392
摘要： The present invention discloses a system and method for providing sealable access to a viscus region or hollow organ and performing surgical procedures therein. The present invention is particularly useful in providing access to a patients heart without arresting the heart. The access system comprises a tissue stabilizer to provide a stable work area in a dynamic environment. A puncture device is inserted into the tissue stabilizer, which forms a puncture hole within the heart tissue. Thereafter, a sealing device, for example a sealing balloon, is inserted through the puncture hole and engages the interior tissue. A sealing cannula may then be advanced into and sealably engages the tissue.

2. 发明申请

US20100234813A1 MINIMALLY INVASIVE MITRAL VALVE REPAIR METHOD AND APPARATUS 有权
标题翻译：微型入侵阀门维修方法和设备
公开(公告)号：US20100234813A1
公开(公告)日：2010-09-16
申请号：US12785963
申请日：2010-05-24
申请人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
发明人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
IPC分类号： A61M25/00 , A61B17/10
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

3. 发明授权

US07758595B2 Minimally invasive mitral valve repair method and apparatus 有权
标题翻译：微创二尖瓣修复方法及装置
公开(公告)号：US07758595B2
公开(公告)日：2010-07-20
申请号：US11274877
申请日：2005-11-15
申请人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
发明人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

4. 发明授权

US07112207B2 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US07112207B2
公开(公告)日：2006-09-26
申请号：US10423046
申请日：2003-04-24
申请人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
发明人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
IPC分类号： A61B17/10 , A61B19/00 , A61B17/08
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.

5. 发明授权

US08361086B2 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US08361086B2
公开(公告)日：2013-01-29
申请号：US12785963
申请日：2010-05-24
申请人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
发明人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.

6. 发明授权

US07744609B2 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US07744609B2
公开(公告)日：2010-06-29
申请号：US11273900
申请日：2005-11-15
申请人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
发明人： William J. Allen , Alan B. Bachman , Scott Reed , Leland R. Adams , Robert R. Steckel
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.

7. 发明申请

US20050267493A1 Method and system for tissue repair using dual catheters 审中-公开
标题翻译：使用双导管进行组织修复的方法和系统
公开(公告)号：US20050267493A1
公开(公告)日：2005-12-01
申请号：US11186119
申请日：2005-07-20
申请人： Stefan Schreck , William Allen , Scott Reed , Alan Bachman , Robert Steckel , Frederick Karl , Leland Adams , Robert Chapolini
发明人： Stefan Schreck , William Allen , Scott Reed , Alan Bachman , Robert Steckel , Frederick Karl , Leland Adams , Robert Chapolini
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/30 , A61B17/10
CPC分类号： A61B17/068 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present system is directed to a method and system to stabilize and repair tissue. At least two opposing devices may be used to stabilize and repair the tissue, with the two devices cooperatively engaging the tissue interposed therebetween. Stabilization may be accomplished by opposing force, vacuum force, or mechanical devices disposed at the distal portion of one or both devices. After the tissue has been stabilized, fasteners may be deployed into the tissue. Fasteners include sutures, clips, and staples. Also disclosed is a minimally invasive method of accessing tissue located within a body and conducting a repair of the area using the system disclosed herein.
摘要翻译：本系统针对稳定和修复组织的方法和系统。可以使用至少两个相对的装置来稳定和修复组织，其中两个装置协同地将组织插入其间。稳定化可以通过设置在一个或两个装置的远端部分的相反的力，真空力或机械装置来实现。在组织稳定之后，紧固件可以部署到组织中。紧固件包括缝线，夹子和钉。还公开了一种使用本文公开的系统访问身体内的组织并进行该区域的修复的微创方法。

8. 发明授权

US5829589A Pen needle magazine dispenser 失效
标题翻译：笔针杂志机
公开(公告)号：US5829589A
公开(公告)日：1998-11-03
申请号：US928275
申请日：1997-09-12
申请人： Tuan V. Nguyen , Michael A. Dibiasi , Robert E. West , Matthew Murray , Scott Reed , William J. Allen , Jeffrey A. Stein
发明人： Tuan V. Nguyen , Michael A. Dibiasi , Robert E. West , Matthew Murray , Scott Reed , William J. Allen , Jeffrey A. Stein
IPC分类号： A61M5/178 , A61B17/06 , A61M5/00 , A61M5/31 , A61M5/32 , A61M5/34 , B65D83/02 , B65D85/24
CPC分类号： A61M5/002 , A61M5/008 , A61M5/3202 , A61M5/3205 , B65D83/02 , A61M2205/6045 , A61M5/2466 , A61M5/344
摘要： A pen needle magazine dispenser designed to be received and carried in a cap of a medication delivery pen. The dispenser having a cover rotatably mounted on a circular shaped container with a plurality of cavities, wherein each cavity is dimensioned to receive one pen needle. The pen needle being of a type that is forced fit into an adaptor on the pen using threads on the pen needle and corresponding threads in the cavity. The cover includes a slot that is rotated into alignment with one of the cavities in the container to provide the user with access to one unused pen needle and thereby permit the pen needle to be mounted on the pen. After use the used pen needle is returned to the cavity and the cover is rotated until the slot is aligned with another cavity containing the next unused pen needle to be used during the next injection.
摘要翻译：设计用于接收并携带在药物输送笔的帽中的笔针盒分配器。分配器具有可旋转地安装在具有多个空腔的圆形容器上的盖，其中每个空腔的尺寸被设计成接收一个笔针。笔针是强制装配在笔上的适配器上的笔，使用笔针上的螺纹和空腔中的相应螺纹。该盖包括与容器中的其中一个空腔旋转成对准的槽，以使使用者能够访问一个未使用的笔针，从而允许笔针安装在笔上。使用后，使用过的笔针返回到空腔，盖子旋转直到狭缝与下一次注射期间使用的下一个未使用的笔针的另一个空腔对齐。

9. 发明授权

US06626930B1 Minimally invasive mitral valve repair method and apparatus 有权
标题翻译：微创二尖瓣修复方法及装置
公开(公告)号：US06626930B1
公开(公告)日：2003-09-30
申请号：US09562406
申请日：2000-05-01
申请人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
发明人： William J. Allen , Alan Bachman , Scott Reed , Ray Adams , Robert R. Steckel
IPC分类号： A61B1708
CPC分类号： A61B17/062 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00783 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/0641 , A61B2017/306
摘要： The present invention is directed to an apparatus and method for the stabilization and fastening of two pieces of tissue. A single device may be used to both stabilize and fasten the two pieces of tissue, or a separate stabilizing device may be used in conjunction with a fastening device. The stabilizing device may comprise a probe with vacuum ports and/or mechanical clamps disposed at the distal end to approximate the two pieces of tissue. After the pieces of tissue are stabilized, they are fastened together using sutures or clips. One exemplary embodiment of a suture-based fastener comprises a toggle and suture arrangement deployed by a needle, wherein the needle enters the front side of the tissue and exits the blind side. In a second exemplary embodiment, the suture-based fastener comprises a needle connected to a suture. The needle enters the blind side of the tissue and exits the front side. The suture is then tied in a knot to secure the pieces of tissue. One example of a clip-based fastener comprises a spring-loaded clip having two arms with tapered distal ends and barbs. The probe includes a deployment mechanism which causes the clip to pierce and lockingly secure the two pieces of tissue.
摘要翻译：本发明涉及一种用于稳定和紧固两片组织的装置和方法。可以使用单个装置来稳定和紧固两片组织，或者单独的稳定装置可以与紧固装置结合使用。稳定装置可以包括具有真空端口的探针和/或设置在远端处的近似两个组织的机械夹具。在组织片稳定后，使用缝合线或夹子将它们固定在一起。基于缝合线的紧固件的一个示例性实施例包括由针部署的肘节和缝合线布置，其中针进入组织的前侧并离开盲侧。在第二示例性实施例中，基于缝合线的紧固件包括连接到缝线的针。针进入组织的盲侧并从前侧离开。然后将缝合线绑在一起，以固定薄片。基于夹子的紧固件的一个示例包括弹簧加载夹具，其具有带有锥形远端和倒钩的两个臂。探针包括展开机构，其使得夹子刺穿并锁定地固定两片组织。

10. 发明申请

US20070265493A1 ENDOSCOPIC BAND LIGATOR 审中-公开
标题翻译：内镜带引导器
公开(公告)号：US20070265493A1
公开(公告)日：2007-11-15
申请号：US11685145
申请日：2007-03-12
申请人： Christopher Zirps , Timothy Membrino , Scott Reed , Ernest Corrao , Stephen Maguire , Eric Mears , David Copeland , John Murphy , Joseph Logan , Sean Silva , Stephen Yardan
发明人： Christopher Zirps , Timothy Membrino , Scott Reed , Ernest Corrao , Stephen Maguire , Eric Mears , David Copeland , John Murphy , Joseph Logan , Sean Silva , Stephen Yardan
IPC分类号： A61B17/94
CPC分类号： A61B17/12013 , A61B1/00087 , A61B2017/00296 , A61B2017/12018
摘要： The present invention provides a ligating band dispenser that is mounted on the distal end of an endoscope. The ligator is configured to deliver multiple ligating bands to a plurality of internal sites in a patient. The ligating bands are carried on a tubular band carrier member that is retractable relative to the distal end of the endoscope in order to preserve visibility through the endoscope during navigation, then extendable to define a suction chamber for tissue aspiration during band delivery. A tubular band driver member is slidable over the band carrier member and engages bands individually to push them off the distal end of the band carrier and onto a selected treatment site. A single-hand operated control handle for selectively operating the extension of the band carrier and movement of the band driver to release a band is also provided and is slidably and removably mounted to the endoscope shaft.
摘要翻译：本发明提供一种安装在内窥镜的远端上的结扎带分配器。结扎器被配置为将多个结扎带递送到患者体内的多个内部部位。结扎带被携带在管状带状载体构件上，该管状带状载体构件相对于内窥镜的远端可缩回，以便在导航期间保持通过内窥镜的可视性，然后可延伸以在带传送期间限定用于组织抽吸的抽吸室。管状带驱动器构件可在带状载体构件上滑动，并且分别接合带以将其推出带状载体的远端并且移动到选定的处理位置。还提供了用于选择性地操作带载体的延伸部以及带驱动器的释放带的移动的单手操作控制手柄，并且可滑动地和可拆卸地安装到内窥镜轴。

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