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1. 发明申请

US20130075447A1 ADJUNCT THERAPY DEVICE FOR APPLYING HEMOSTATIC AGENT 审中-公开
标题翻译：用于施用化学药剂的ADJUNCT治疗装置
公开(公告)号：US20130075447A1
公开(公告)日：2013-03-28
申请号：US13240141
申请日：2011-09-22
申请人： William B. Weisenburgh, II , Craig S. Smith , Gregory B. Blair , Zhifan F. Huang , Douglas B. Hoffman , Kristi S. Geier , Bret W. Smith , Thomas W. Lytle, IV , Mark D. Overmyer , Brian W. Bear , Michael E. Setser , Thu Anh Le , James A. Woodard, JR. , Kreena R. Modi , Joseph Zavatsky
发明人： William B. Weisenburgh, II , Craig S. Smith , Gregory B. Blair , Zhifan F. Huang , Douglas B. Hoffman , Kristi S. Geier , Bret W. Smith , Thomas W. Lytle, IV , Mark D. Overmyer , Brian W. Bear , Michael E. Setser , Thu Anh Le , James A. Woodard, JR. , Kreena R. Modi , Joseph Zavatsky
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/2927 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a buttress material stored in one or both of the anvil or cartridge. The material is releasable onto severed tissue via a firing bar severing the buttress material in response to the longitudinal closing motion.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还容纳存储在一个或两个砧座或盒中的支撑材料。该材料通过响应于纵向关闭运动切断支撑材料的击发杆而可拆卸到切断的组织上。

2. 发明授权

US09492170B2 Device for applying adjunct in endoscopic procedure 有权
标题翻译：内窥镜手术应用辅助装置
公开(公告)号：US09492170B2
公开(公告)日：2016-11-15
申请号：US13206752
申请日：2011-08-10
申请人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
发明人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07271 , A61B2017/2927
摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.
摘要翻译：模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。端部执行器可拆卸地连接到装置。该装置对末端执行器的活塞施加力。该力导致活塞沿着设置在末端执行器内的壁的远端移动。活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。将试剂在混合物空间中混合并通过尖端排出。钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。相互作用形成施加到组织上的组织恢复材料。

3. 发明申请

US20130037596A1 DEVICE FOR APPLYING ADJUNCT IN ENDOSCOPIC PROCEDURE 有权
标题翻译：内镜手术治疗的手段
公开(公告)号：US20130037596A1
公开(公告)日：2013-02-14
申请号：US13206752
申请日：2011-08-10
申请人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
发明人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07271 , A61B2017/2927
摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.
摘要翻译：模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。端部执行器可拆卸地连接到装置。该装置对末端执行器的活塞施加力。该力导致活塞沿着设置在末端执行器内的壁的远端移动。活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。将试剂在混合物空间中混合并通过尖端排出。钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。相互作用形成施加到组织上的组织恢复材料。

4. 发明申请

US20130041406A1 SURGICAL STAPLE WITH LOCALIZED ADJUNCT COATING 审中-公开
标题翻译：具有本地化ADJUNCT涂层的外科手术
公开(公告)号：US20130041406A1
公开(公告)日：2013-02-14
申请号：US13206725
申请日：2011-08-10
申请人： Brian W. Bear , Thu Anh Le , Mark D. Overmyer , Michael Setser , James A. Woodard, JR.
发明人： Brian W. Bear , Thu Anh Le , Mark D. Overmyer , Michael Setser , James A. Woodard, JR.
IPC分类号： A61B17/064 , A61B17/068 , B05D3/02
CPC分类号： A61L31/10 , A61B2017/00526 , A61B2017/00845 , A61B2017/00884 , A61B2017/00893 , A61B2017/00942 , A61B2017/00951 , A61B2017/2927 , A61L2400/04 , C08L89/00
摘要： A medical fastener has a first, pre-deployment shape for loading into a surgical instrument, and a second, post-deployment shape for connecting tissue together, and includes a crown and a pair of legs, each leg substantially transversely extending from a respective end of the crown in the first, pre-deployment shape. A coating, such as a hemostatic agent, is applied to a fastener interior surface defined by interior surfaces of the crown and the pair of legs.
摘要翻译：医疗紧固件具有用于装载到手术器械中的第一预先展开形状，以及用于将组织连接在一起的第二后部展开形状，并且包括冠部和一对腿部，每个腿部基本上从相应端部横向延伸的皇冠在第一，预部署形状。诸如止血剂的涂层施加到由表冠和一对腿的内表面限定的紧固件内表面。

5. 再颁专利

USRE36289E Umbrella shaped suture anchor device with actuating ring member 失效
标题翻译：具有致动环构件的伞形缝合锚固装置
公开(公告)号：USRE36289E
公开(公告)日：1999-08-31
申请号：US880133
申请日：1997-06-20
申请人： Thu Anh Le , Sung Sok Yi , William Zwaskis , Jack S. Pedlick , Brian H. Luscombe , Dennis D. Jamiolkowski , John Di Giovanni , Keith A. Seritella , Mark G. Steckel , Steven F. Harwin
发明人： Thu Anh Le , Sung Sok Yi , William Zwaskis , Jack S. Pedlick , Brian H. Luscombe , Dennis D. Jamiolkowski , John Di Giovanni , Keith A. Seritella , Mark G. Steckel , Steven F. Harwin
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/86 , A61B19/00 , A61F2/00 , A61F2/08 , A61L31/04 , A61L31/06 , A61L31/14
CPC分类号： A61L31/06 , A61B17/0401 , A61L31/048 , A61L31/148 , A61B17/86 , A61B2017/00004 , A61B2017/0409 , A61B2017/0414 , A61B2017/0424 , A61B2017/06019 , A61B2090/037 , A61F2/0811 , A61F2002/30299 , A61F2230/0093
摘要： A suture anchor device having an anchor member with outwardly extending wing members and an actuating wedge member. The suture anchor device is inserted into a bore hole in a bone as part of an orthopedic surgical procedure wherein soft tissue such as a tendon or ligament is attached to the surface of the bone. The wing members are spread outwardly by the wedge member to lock the suture anchor device in the bone. The suture anchor has similar utility in soft tissue applications.
摘要翻译：具有锚定构件的缝合锚固装置，其具有向外延伸的翼构件和致动楔构件。缝合锚固装置被插入到骨中的钻孔中，作为整形外科手术的一部分，其中软组织例如腱或韧带附着到骨的表面。翼构件通过楔构件向外展开，以将缝合锚固装置锁定在骨中。缝合锚具在软组织应用中具有相似的效用。

6. 发明授权

US06726707B2 Wedge shaped suture anchor and method of implementation 有权
标题翻译：楔形缝线锚及其实施方法
公开(公告)号：US06726707B2
公开(公告)日：2004-04-27
申请号：US09923996
申请日：2001-08-07
申请人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
发明人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B17/0482 , A61B90/92 , A61B2017/00424 , A61B2017/00455 , A61B2017/00862 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/06057 , A61B2017/06142 , A61B2090/037 , A61B2090/3937 , Y10S606/916
摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.
摘要翻译：描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。

7. 发明授权

US5894921A Package for suture anchor 失效
标题翻译：缝合锚的包装
公开(公告)号：US5894921A
公开(公告)日：1999-04-20
申请号：US946468
申请日：1997-10-07
申请人： Thu Anh Le , Robert J. Cerwin
发明人： Thu Anh Le , Robert J. Cerwin
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0401 , A61B17/06133 , A61B2017/0409 , A61B2017/0416 , A61B2017/06057 , A61B2017/06147
摘要： A package for a suture anchor and attached suture. The package has on a top side a suture channel covered by door members. The bottom side of the package has a suture anchor mounting chamber and channel as well as a needle park for surgical needles.
摘要翻译：用于缝合锚和连接缝线的包装。包装在顶部具有被门构件覆盖的缝合通道。包装的底部具有缝合锚固安装室和通道以及用于手术针的针园。

8. 发明授权

US07232455B2 Wedge shaped suture anchor and method of implantation 有权
标题翻译：楔形缝合锚和植入方法
公开(公告)号：US07232455B2
公开(公告)日：2007-06-19
申请号：US10854016
申请日：2004-05-26
申请人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
发明人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0482 , A61B90/92 , A61B2017/00424 , A61B2017/00455 , A61B2017/00862 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/06057 , A61B2017/06142 , A61B2090/037 , A61B2090/3937 , Y10S606/916
摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.
摘要翻译：描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。

9. 发明授权

US06270518B1 Wedge shaped suture anchor and method of implantation 有权
标题翻译：楔形缝合锚和植入方法
公开(公告)号：US06270518B1
公开(公告)日：2001-08-07
申请号：US09412903
申请日：1999-10-05
申请人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
发明人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B17/0482 , A61B90/92 , A61B2017/00424 , A61B2017/00455 , A61B2017/00862 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/06057 , A61B2017/06142 , A61B2090/037 , A61B2090/3937 , Y10S606/916
摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.
摘要翻译：描述了一种缝合锚，其以一种形式可以通过角切口和钻孔轻松地由挤压材料制造，所述角切口和钻孔向缝合线提供偏移拉力。在替代和优选实施例中，缝合锚固件被注塑成型，其具有环形移位的角部和邻接壁，其用于将缝合锚固件牢固地安置在钻孔内。还公开了新颖的施加装置，其将缝合锚定件保持在易断裂的轴上用于插入，并且在完成易碎部分的插入允许断裂和器械的移除之后。在本发明的另一形式中，缝合锚固件包括具有较小远端和较大近端的基本楔形体，用于保持缝合线的装置及其上的装置用于可释放地连接到插入器轴; 主体的边界表面和犁面相交，以在主体的近端形成咬合边缘; 并且所述主体的边界表面和邻接表面相交以在所述主体的近端处形成凸轮表面; 并且所述咬合边缘适于与骨中的孔的第一壁部分接合，并且所述凸轮表面适于与所述孔的与所述第一壁部相对的第二壁部分接合; 其中所述插入器轴上的张力可操作以沿着所述孔第二壁部分移动所述凸轮部分并且使所述主体在所述孔中旋转，使得所述咬合边缘咬入所述孔第一壁部分中以将所述主体锁定在所述孔中。

10. 发明授权

US5961538A Wedge shaped suture anchor and method of implantation 失效
公开(公告)号：US5961538A
公开(公告)日：1999-10-05
申请号：US630389
申请日：1996-04-10
申请人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
发明人： Jack S. Pedlick , Thu Anh Le , John DiGiovanni , Dennis D. Jamiolkowski , Mark J. Suseck
IPC分类号： A61B17/56 , A61B17/00 , A61B17/04 , A61B17/06 , A61B19/00
CPC分类号： A61B17/0401 , A61B90/92 , A61B17/0482 , A61B2017/00424 , A61B2017/00455 , A61B2017/00862 , A61B2017/0409 , A61B2017/0414 , A61B2017/0458 , A61B2017/06057 , A61B2017/06142 , A61B2090/037 , A61B2090/3937 , Y10S606/916
摘要： A suture anchor is described which in one form may be easily fabricated from extruded material by angular cuts and bore holes which provide an offset pulling force to the suture. In an alternate and preferred embodiment the suture anchor is injection molded having an annular displaced corner and abutment wall which act to seat the suture anchor firmly within a bore hole. Novel application means are also disclosed which hold the suture anchor on a frangible shaft for insertion and upon completion of the insertion permit fracture of the frangible portion and removal of the instrument. In another form of the invention, the suture anchor comprises a substantially wedge-shaped body having a smaller distal end and a larger proximal end, means thereon for retaining a suture, and means thereon for releasable connection to an inserter shaft; a boundary surface and a plow surface of the body intersecting to form a biting edge at the proximal end of the body; and the boundary surface and an abutment surface of the body intersecting to form a cam surface at the proximal end of the body; and the biting edge being adapted to be in engagement with a first wall portion of a bore in a bone and the cam surface being adapted to be in engagement with a second wall portion of the bore opposed to the first wall portion; wherein tension on the inserter shaft is operable to move the cam portion along the bore second wall portion and rotate the body in the bore such that the biting edge bites into the bore first wall portion to lock the body in the bore.

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