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1. 发明申请

US20110092992A1 METHOD AND APPARATUS FOR SURGICAL FASTENING 有权
标题翻译：手术治疗方法与装置
公开(公告)号：US20110092992A1
公开(公告)日：2011-04-21
申请号：US12977706
申请日：2010-12-23
申请人： Roger E. Darois , Gus Felix , Alan Bachman , Ray Adams , Joe Paul , Ed Chester , Adam Lehman , Barry Smith , Jeffrey A. Stein
发明人： Roger E. Darois , Gus Felix , Alan Bachman , Ray Adams , Joe Paul , Ed Chester , Adam Lehman , Barry Smith , Jeffrey A. Stein
IPC分类号： A61B17/03
CPC分类号： A61B17/068 , A61B17/064 , A61B17/861 , A61B17/864 , A61B17/8875 , A61B2017/0648 , A61L31/148 , B25B17/00 , B25B23/065
摘要： A surgical fastener system includes a plurality of fasteners having a throughbore with an internally threaded portion. The fasteners may engage with a threaded mandrel that passes through the throughbore of the fasteners. A rotator may rotate the fasteners relative to the mandrel to move at least one of the fasteners along the mandrel, e.g., along the mandrel's longitudinal axis. A distal end of the mandrel may be inserted into a material, such as a tissue, prosthetic or other, and a fastener may be deployed from the distal end of the mandrel while the distal end is positioned in the material. The throughbore of the fasteners may include a threaded portion and an unthreaded portion, may include an angled face or other feature to aid in fastener deployment and/or have curved depressions in the head portion.
摘要翻译：外科紧固件系统包括具有带内螺纹部分的通孔的多个紧固件。紧固件可以与穿过紧固件的通孔的螺纹心轴接合。旋转器可以相对于心轴旋转紧固件，以沿着心轴移动至少一个紧固件，例如沿心轴的纵向轴线。心轴的远端可以插入诸如组织，假体或其他材料中的材料中，并且紧固件可以从心轴的远端展开，而远端位于材料中。紧固件的通孔可以包括螺纹部分和无螺纹部分，可以包括成角度的面部或其他特征以帮助紧固件展开和/或在头部部分具有弯曲的凹陷。

2. 发明授权

US07862573B2 Method and apparatus for surgical fastening 有权
标题翻译：手术紧固方法和装置
公开(公告)号：US07862573B2
公开(公告)日：2011-01-04
申请号：US11408399
申请日：2006-04-21
申请人： Roger E. Darois , Gus Felix , Alan Bachman , Ray Adams , Joe Paul , Ed Chester , Adam Lehman , Barry Smith , Jeffrey Stein
发明人： Roger E. Darois , Gus Felix , Alan Bachman , Ray Adams , Joe Paul , Ed Chester , Adam Lehman , Barry Smith , Jeffrey Stein
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/064 , A61B17/861 , A61B17/864 , A61B17/8875 , A61B2017/0648 , A61L31/148 , B25B17/00 , B25B23/065
摘要： A surgical fastener system includes a plurality of fasteners having a throughbore with an internally threaded portion. The fasteners may engage with a threaded mandrel that passes through the throughbore of the fasteners. A rotator may rotate the fasteners relative to the mandrel to move at least one of the fasteners along the mandrel, e.g., along the mandrel's longitudinal axis. A distal end of the mandrel may be inserted into a material, such as a tissue, prosthetic or other, and a fastener may be deployed from the distal end of the mandrel while the distal end is positioned in the material. The throughbore of the fasteners may include a threaded portion and an unthreaded portion, may include an angled face or other feature to aid in fastener deployment and/or have curved depressions in the head portion.
摘要翻译：外科紧固件系统包括多个具有带内螺纹部分的通孔的紧固件。紧固件可以与穿过紧固件的通孔的螺纹心轴接合。旋转器可以相对于心轴旋转紧固件，以沿着心轴移动至少一个紧固件，例如沿心轴的纵向轴线。心轴的远端可以插入诸如组织，假体或其他材料中的材料中，并且紧固件可以从心轴的远端展开，而远端位于材料中。紧固件的通孔可以包括螺纹部分和无螺纹部分，可以包括成角度的面部或其他特征以帮助紧固件展开和/或在头部部分具有弯曲的凹陷。

3. 发明授权

US08979874B2 Method and apparatus for surgical fastening 有权
标题翻译：手术紧固方法和装置
公开(公告)号：US08979874B2
公开(公告)日：2015-03-17
申请号：US12977706
申请日：2010-12-23
申请人： Roger E. Darois , Augustus Felix , Alan Bachman , Ray Adams , Joseph Paul , Ed Chester , Adam Lehman , Barry Smith , Jeff Stein
发明人： Roger E. Darois , Augustus Felix , Alan Bachman , Ray Adams , Joseph Paul , Ed Chester , Adam Lehman , Barry Smith , Jeff Stein
IPC分类号： A61B17/08 , A61B17/068 , A61B17/064 , A61L31/14 , B25B17/00 , B25B23/06 , A61B17/86 , A61B17/88
CPC分类号： A61B17/068 , A61B17/064 , A61B17/861 , A61B17/864 , A61B17/8875 , A61B2017/0648 , A61L31/148 , B25B17/00 , B25B23/065
摘要： A surgical fastener system includes a plurality of fasteners having a throughbore with an internally threaded portion. The fasteners may engage with a threaded mandrel that passes through the throughbore of the fasteners. A rotator may rotate the fasteners relative to the mandrel to move at least one of the fasteners along the mandrel, e.g., along the mandrel's longitudinal axis. A distal end of the mandrel may be inserted into a material, such as a tissue, prosthetic or other, and a fastener may be deployed from the distal end of the mandrel while the distal end is positioned in the material. The throughbore of the fasteners may include a threaded portion and an unthreaded portion, may include an angled face or other feature to aid in fastener deployment and/or have curved depressions in the head portion.
摘要翻译：外科紧固件系统包括具有带内螺纹部分的通孔的多个紧固件。紧固件可以与穿过紧固件的通孔的螺纹心轴接合。旋转器可以相对于心轴旋转紧固件，以沿着心轴移动至少一个紧固件，例如沿心轴的纵向轴线。心轴的远端可以插入诸如组织，假体或其他材料中的材料中，并且紧固件可以从心轴的远端展开，而远端位于材料中。紧固件的通孔可以包括螺纹部分和无螺纹部分，可以包括成角度的面部或其他特征以帮助紧固件展开和/或在头部部分具有弯曲的凹陷。

4. 发明授权

US09924938B2 Instruments for delivering transfascial sutures and methods of transfascial suturing 有权
公开(公告)号：US09924938B2
公开(公告)日：2018-03-27
申请号：US13290236
申请日：2011-11-07
申请人： Donald E. Ziniti , Kevin J. Ranucci , Roger E. Darois
发明人： Donald E. Ziniti , Kevin J. Ranucci , Roger E. Darois
IPC分类号： A61B17/062 , A61B17/04 , A61B17/00 , A61B17/06 , A61B90/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B2017/00818 , A61B2017/0472 , A61B2017/06009 , A61B2017/06042 , A61B2017/06052 , A61B2017/061 , A61B2090/08021
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

5. 发明授权

US09078648B2 Instruments for delivering transfascial sutures and methods of transfascial suturing 有权
公开(公告)号：US09078648B2
公开(公告)日：2015-07-14
申请号：US13290247
申请日：2011-11-07
申请人： Donald E. Ziniti , Roger E. Darois , Kevin J. Ranucci , Richard M. Braga
发明人： Donald E. Ziniti , Roger E. Darois , Kevin J. Ranucci , Richard M. Braga
IPC分类号： A61B17/04 , A61B17/068 , A61B17/00 , A61B17/06 , A61B19/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/068 , A61B2017/00818 , A61B2017/0472 , A61B2017/06009 , A61B2017/06042 , A61B2017/061 , A61B2090/08021
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

6. 发明授权

US08298290B2 Implantable prosthesis for soft tissue repair 有权
标题翻译：植入假体软组织修复
公开(公告)号：US08298290B2
公开(公告)日：2012-10-30
申请号：US10945532
申请日：2004-09-20
申请人： Edouard Pélissier , Valerie L. Vadurro , Stephen T. Clarke , Roger E. Darois , David W. Hass
发明人： Edouard Pélissier , Valerie L. Vadurro , Stephen T. Clarke , Roger E. Darois , David W. Hass
IPC分类号： A61F2/02
CPC分类号： A61F2/0063
摘要： An implantable prosthesis for repairing or augmenting anatomical defects, including an inguinal hernia. The prosthesis includes a repair fabric having a body portion and a support member that may be arranged in or on the repair fabric to help deploy the repair fabric at the surgical site and/or help inhibit folding or buckling of the repair fabric. The support member may substantially surround the body portion to help deploy and/or hold the body portion in a spread out configuration for covering the defect. The support member may include first and second ends that are spaced apart to form an interruption so that a slit or keyhole arrangement may be formed in the repair fabric through the interruption and into an interior region of the body portion to receive a body structure, including a cord structure such as the spermatic cord. A portion of the support member may deviate inwardly toward the body portion to form an indentation that is adapted to be positioned adjacent to a body structure, such as the femoral vessels during an inguinal hernia repair procedure. The indentation may be offset to one side of the prosthesis. The support member and/or the repair fabric may be configured so as to inhibit protrusion of the ends of the support member through the fabric in the vicinity of the interruption. The support member may be formed of a monofilament comprised of a non-resorbable or resorbable material.
摘要翻译：用于修复或增加解剖缺陷的植入式假体，包括腹股沟疝。假体包括具有主体部分和支撑构件的修复织物，其可布置在修复织物中或其上，以帮助将修复织物部署在手术部位和/或帮助抑制修复织物的折叠或弯曲。支撑构件可以基本上围绕身体部分以帮助将身体部分展开和/或保持在展开构型中以覆盖缺陷。支撑构件可以包括间隔开以形成中断的第一和第二端，使得狭缝或键孔装置可以通过中断形成在修复织物中，并进入主体部分的内部区域以接收主体结构，包括主体结构绳索结构如精索。支撑构件的一部分可以朝向主体部分向内偏离，以形成适于在腹股沟疝修复过程期间邻近身体结构（例如股骨血管）定位的凹陷。该凹痕可以偏移到假体的一侧。支撑构件和/或修复织物可以被配置为在中断附近阻止支撑构件的端部通过织物的突出。支撑构件可以由由不可再吸收或可再吸收的材料构成的单丝形成。

7. 发明授权

US08182545B2 Implantable prosthesis 有权
标题翻译：植入假体
公开(公告)号：US08182545B2
公开(公告)日：2012-05-22
申请号：US12171058
申请日：2008-07-10
申请人： Dennis Cherok , Roger E. Darois , Ronald L. Greene , Thomas J. Capuzziello , James D. Mello
发明人： Dennis Cherok , Roger E. Darois , Ronald L. Greene , Thomas J. Capuzziello , James D. Mello
IPC分类号： A61F2/02
CPC分类号： A61F2/02 , A61F2/0063 , A61F2002/009
摘要： An implantable prosthesis and a method of repairing an anatomical defect, such as a tissue or muscle wall defect, by promoting tissue growth thereto, while limiting the incidence of postoperative adhesions between a portion of the prosthesis and tissue or organs. The prosthesis is formed of a biologically compatible, flexible layer of repair fabric suitable for reinforcing tissue or muscle and closing anatomical defects, and a barrier layer for physically isolating at least a portion of one side of the fabric from areas likely to form adhesions. A peripheral barrier extends about at least a portion of the outer peripheral edge of the repair fabric to inhibit adhesions between the outer peripheral edge and adjacent tissue and organs. The repair fabric may include an outer margin that has been melted and resolidified to render the outer peripheral edge substantially impervious to tissue ingrowth. The barrier layer may be joined to the repair fabric with connecting stitches formed from PTFE to inhibit the formation of adhesions thereto.
摘要翻译：可植入假体和通过促进组织生长来修复诸如组织或肌肉壁缺陷的解剖缺陷的方法，同时限制假体的一部分与组织或器官之间的术后粘连的发生。假体由适于加强组织或肌肉并闭合解剖缺陷的生物相容性柔韧的修复织物层形成，以及用于物理隔离织物的一侧的至少一部分与可能形成粘连的区域的阻挡层。周边障碍物围绕修复织物的外围边缘的至少一部分延伸，以抑制外围边缘和相邻组织和器官之间的粘连。修复织物可以包括已经熔化并重新固化以使外周边缘基本上不可渗透组织向内生长的外边缘。阻挡层可以用由PTFE形成的连接针迹连接到修复织物，以抑制其粘附的形成。

8. 发明授权

US06790213B2 Implantable prosthesis 有权
标题翻译：植入假体
公开(公告)号：US06790213B2
公开(公告)日：2004-09-14
申请号：US10040936
申请日：2002-01-07
申请人： Dennis Cherok , Stephen N. Eldridge , Roger E. Darois , Patrick J. Devlin , Matthew R. Fenton , Steven Palmer Ford , Philip A. Tessier
发明人： Dennis Cherok , Stephen N. Eldridge , Roger E. Darois , Patrick J. Devlin , Matthew R. Fenton , Steven Palmer Ford , Philip A. Tessier
IPC分类号： A61B1708
CPC分类号： A61F2/0063
摘要： An implantable prosthesis for an anatomical defect, such as a tissue or muscle defect, that promotes tissue or muscle growth into the prosthesis and subsequently strengthens the area of the defect. At least one pocket and preferably two concentric pockets may be provided to aid with manipulating the prosthesis. Where two pockets are used, a barrier or partition exists between the pockets and the outer pocket allows manipulation of the outer periphery. The incidence of postoperative adhesions between a portion of the prosthesis and tissue, muscle or organs may be minimized with the use of a barrier layer. Reinforcing members may be attached to portions of the prosthesis to aid in positioning and deployment in the area of desired coverage without rendering the prosthesis unduly difficult to implant or uncomfortable for the patient. Typically, two concentric members are employed. Further, the prosthesis is constructed to allow it to be provisionally held in place at desired locations by openings in the pockets that allow access for a stapler or sewing device.
摘要翻译：用于解剖缺损的可植入假体，例如组织或肌肉缺损，其促进组织或肌肉生长进入假体并随后加强缺损区域。可以提供至少一个口袋并且优选地两个同心的口袋来帮助操作假体。在使用两个口袋的情况下，在凹穴之间存在隔离物或分隔件，并且外口袋允许操纵外周边。可以使用阻挡层将假体和组织，肌肉或器官的一部分之间的术后粘连的发生率最小化。加强构件可以附接到假体的部分，以帮助定位和展开在期望的覆盖区域，而不会使假体过度难以植入或不适合患者。通常使用两个同心的构件。此外，假体构造成允许其通过允许缝合器或缝合装置进入的口袋中的开口临时保持在所需位置。

9. 发明申请

US20120203276A1 INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING 有权
标题翻译：输送转运器具，输送装置及转运方法
公开(公告)号：US20120203276A1
公开(公告)日：2012-08-09
申请号：US13416740
申请日：2012-03-09
申请人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
发明人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B17/0487 , A61B2017/00663 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0441 , A61B2017/0464 , A61B2017/0472 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06009 , A61B2017/06052 , A61B2017/2923 , A61F2/0063 , A61F2002/0072
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having first and second segments and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the suture segment. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.
摘要翻译：用于递送缝合线的仪器可以包括手柄，从手柄延伸的轴以及可以移动到超出轴的端部的延伸位置的一对针。一个或多个缝合线由仪器承载，并可以间接输送。转折缝合组件包括具有第一和第二段的缝合线和其间的中间段。力分配构件可定位在中间段处。缝合线保持器可以设置在每个缝合线段的端部，并且可以具有可相对于缝合线段移动的连接。递送经皮缝线的方法包括将装有一个或多个缝合线的双针器械插入腹腔中并从腹腔内部署穿过软组织修复贴片的缝合线，然后通过至少部分腹壁。

10. 发明授权

US07879108B2 Prosthetic repair fabric with erosion resistant edge 有权
标题翻译：假面修补面料具有抗侵蚀边缘
公开(公告)号：US07879108B2
公开(公告)日：2011-02-01
申请号：US10933080
申请日：2004-09-02
申请人： Valerie Vadurro , Stephen N. Eldridge , Michael J. Lee , Roger E. Darois
发明人： Valerie Vadurro , Stephen N. Eldridge , Michael J. Lee , Roger E. Darois
IPC分类号： A61F2/02
CPC分类号： A61F2/0063 , A61F2/0077
摘要： An implantable prosthesis is provided for repairing or augmenting anatomical weaknesses or defects, and is particularly suitable for the repair of soft tissue and muscle wall openings. The prosthesis may include a repair fabric that is constructed and arranged to allow tissue ingrowth and is susceptible to erosion into and the formation of adhesions with tissue and organs. One or more regions of the prosthesis may be configured to inhibit erosion into and/or the formation of adhesions with tissue and organs. The prosthesis may include an erosion resistant edge to buffer an edge of the fabric from the adjacent tissue or organs. The erosion resistant edge may be provided along an opening that is adapted to receive a tube-like structure, such as the esophagus.
摘要翻译：为可修复或增加解剖缺陷或缺陷提供可植入假体，并且特别适用于修复软组织和肌肉壁开口。假体可以包括构造和布置成允许组织向内生长并且易于侵蚀和与组织和器官形成粘连的修复织物。假体的一个或多个区域可以被配置为抑制对组织和器官的粘连的侵蚀和/或形成粘连。假体可以包括抗侵蚀边缘以从邻近的组织或器官缓冲织物的边缘。抗侵蚀边缘可以沿着适于接收管状结构（例如食道）的开口设置。

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