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1. 发明申请

US20060064115A1 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US20060064115A1
公开(公告)日：2006-03-23
申请号：US11273900
申请日：2005-11-15
申请人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
发明人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
IPC分类号： 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.

2. 发明申请

US20060064116A1 Minimally invasive mitral valve repair method and apparatus 有权
公开(公告)号：US20060064116A1
公开(公告)日：2006-03-23
申请号：US11274877
申请日：2005-11-15
申请人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
发明人： William Allen , Alan Bachman , Scott Reed , Leland Adams , Robert Steckel
IPC分类号： 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.

3. 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。

4. 发明申请

US20060116604A1 Medical instrument 有权
公开(公告)号：US20060116604A1
公开(公告)日：2006-06-01
申请号：US11325837
申请日：2006-01-04
申请人： Leland Adams , Frederick Karl , Hanspeter Bayer , Terence Johnson
发明人： Leland Adams , Frederick Karl , Hanspeter Bayer , Terence Johnson
IPC分类号： A61B10/00
CPC分类号： A61B10/0275 , A61B2010/0208
摘要： A medical instrument includes a housing, a stylet having a portion in the housing, a cannula coaxially receiving the stylet and having a portion in the housing, and a member slidably coupled to the housing. The stylet and the cannula are movable between an extended position and a retracted position. The member is configured with first and second bars to move the stylet and the cannula from their extended positions to their retracted positions.

5. 发明申请

US20060195044A1 Method of using a medical instrument 审中-公开
标题翻译：使用医疗器械的方法
公开(公告)号：US20060195044A1
公开(公告)日：2006-08-31
申请号：US11392088
申请日：2006-03-29
申请人： David Cooke , Michael Bettuchi , Leland Adams , Frederick Karl
发明人： David Cooke , Michael Bettuchi , Leland Adams , Frederick Karl
IPC分类号： A61B10/00
CPC分类号： A61B10/0275 , A61B2010/0208 , A61B2090/0811
摘要： A method includes actuating a lever to move a cannula of a medical instrument from a first extended position to second retracted position; and actuating the lever to move a stylet of the medical instrument from a third extended position to a fourth retracted position. Actuating the lever comprises moving the lever from a first lever position spaced apart from a housing of the medical instrument to a second lever position closer to the housing
摘要翻译：一种方法包括致动杠杆以将医疗器械的套管从第一延伸位置移动到第二缩回位置; 并且致动所述杆将所述医疗器械的探针从第三延伸位置移动到第四缩回位置。致动杆包括将杠杆从与医疗器械的壳体间隔开的第一杆位置移动到靠近壳体的第二杆位置

6. 发明申请

US20050085746A1 Retractable sheath introducer 审中-公开
标题翻译：伸缩式护套导引器
公开(公告)号：US20050085746A1
公开(公告)日：2005-04-21
申请号：US10688398
申请日：2003-10-16
申请人： Leland Adams , Michael Bettuchi , Vincent Testa
发明人： Leland Adams , Michael Bettuchi , Vincent Testa
IPC分类号： A61M25/06 , A61M25/00
CPC分类号： A61M25/0662
摘要： An introducer assembly for inserting a medical device into a body passage. The introducer assembly includes an elongate, tubular and retractable inner sheath formed of a deformable and flexible material. The introducer assembly further includes an inner core removably inserted through and secured to the inner sheath. A lumen within the inner core may serve as a channel for accommodating a guidewire. The introducer assembly is configured with a minimized outer diameter that avoids sheath kinking during insertion in the body passage while utilizing a thin flexible inner sheath capable of accommodating large-diameter catheters. A method for inserting a medical device through the introducer assembly is disclosed.
摘要翻译：一种用于将医疗装置插入身体通道的导引器组件。导引器组件包括由可变形和柔性材料形成的细长的管状和可缩回内护套。导引器组件还包括可拆卸地插入并固定到内护套的内芯。内芯内的内腔可以用作容纳导丝的通道。导引器组件被构造成具有最小化的外径，其在使用能够容纳大直径导管的薄柔性内护套的同时避免在插入身体通道期间的皮肤扭结。公开了一种通过导引器组件插入医疗装置的方法。

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