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91. 发明授权

US08177795B2 Meniscal repair systems and methods 有权
标题翻译： Meniscal修复系统和方法
公开(公告)号：US08177795B2
公开(公告)日：2012-05-15
申请号：US12603232
申请日：2009-10-21
申请人： Brad A. Niese , Nicanor A. Domingo , Hoang P. Nguyen , Kevin N. Baird
发明人： Brad A. Niese , Nicanor A. Domingo , Hoang P. Nguyen , Kevin N. Baird
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B17/0469 , A61B17/0491 , A61B17/0493 , A61B2017/0472 , A61B2017/0477 , A61B2017/06042 , A61B2017/06052 , A61B2017/06095 , A61B2090/036 , A61B2090/064 , A61B2090/0811
摘要： A device for repairing a tear in a portion of tissue comprises a proximal actuator portion, a transfer needle extending distally from the proximal actuator portion and a catch needle extending distally from the proximal actuator portion. A suture needle is disposed in the transfer needle, and is extendable from the transfer needle toward the catch needle and retractable from the catch needle toward the transfer needle. An extendable catch plunger is disposed in the catch needle for capturing suture therein when it is transferred from the transfer needle. A retractable insertion sheath is provided for covering the transfer needle and the catch needle when the device is inserted into a procedural site. A depth limiting apparatus limits the depth of insertion of the needle into the procedural site.
摘要翻译：用于修复组织部分中的撕裂的装置包括近侧致动器部分，从近侧致动器部分向远侧延伸的转移针和从近侧致动器部分向远侧延伸的止动针。缝合针设置在转移针中，并且可以从转移针朝向捕捉针延伸并且可从捕捉针向输送针伸出。一个可伸出的止动柱塞被设置在该捕捉针中，用于当其从该转移针转移时将其缝合在其中。提供可收缩的插入鞘，用于在将装置插入程序现场时覆盖转移针和捕捉针。深度限制装置将针的插入深度限制在程序现场。

92. 发明授权

US08123764B2 Apparatus and method for minimally invasive suturing 有权
标题翻译：微创缝合的装置和方法
公开(公告)号：US08123764B2
公开(公告)日：2012-02-28
申请号：US12592174
申请日：2009-11-20
申请人： John C. Meade , Jerry R. Griffiths , Francis J. DiFrancesco , Richard Clark
发明人： John C. Meade , Jerry R. Griffiths , Francis J. DiFrancesco , Richard Clark
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/06066 , A61B17/0625 , A61B17/29 , A61B17/34 , A61B34/30 , A61B34/71 , A61B2017/0023 , A61B2017/00398 , A61B2017/00407 , A61B2017/00473 , A61B2017/047 , A61B2017/0474 , A61B2017/06028 , A61B2017/0608 , A61B2017/06085 , A61B2017/2923 , A61B2017/2927 , A61B2017/2943 , A61B2217/007
摘要： An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.
摘要翻译：公开了一种用于微创缝合的装置和方法。用于微创缝合的缝合装置包括具有近端，远端和其间的纵向轴线的近端部分; 缝合头组件，其从近端部分的远端延伸; 具有尖端和钝端的缝合针，所述缝合针能够围绕近似垂直于所述近端部分的纵向轴线的轴线旋转，其中所述缝合针的尖端位于所述缝合线头组件之前和缝合针旋转后; 以及从所述近端部分的近端延伸的致动器，以致动具有用于接合和旋转所述缝合针的针驱动器的驱动机构。

93. 发明申请

US20110270280A1 SUTURING AND REPAIRING TISSUE USING IN VIVO SUTURE LOADING 有权
标题翻译：使用生活方式加载的修复和修复组织
公开(公告)号：US20110270280A1
公开(公告)日：2011-11-03
申请号：US13114983
申请日：2011-05-24
申请人： Justin D. Saliman
发明人： Justin D. Saliman
IPC分类号： A61B17/06
CPC分类号： A61B17/0491 , A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/29 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/0437 , A61B2017/044 , A61B2017/0451 , A61B2017/0459 , A61B2017/0461 , A61B2017/0462 , A61B2017/06047 , A61B2017/06052 , A61B2017/0609 , A61B2017/06176 , A61B2017/2926
摘要： Described herein are methods of repairing tissue using a suture passer configured to relasably couple to a suturing element to pass the suturing element (and therefore a suture) through the tissue so that that the suture may be loaded and/or unloaded while the suture passer is positioned within the tissue. Thus, the methods described herein may allow the suture passer to be loaded without requiring that the suture passer be removed from within the patient or in some variations from off of the target tissue. The same suture or multiple sutures may thus be loaded and/or unloaded onto the suture passer, allowing the formation of complex suture patterns without requiring the extra steps of withdrawing the suture passer from the patient (or target tissue). Knotless suture anchors are also described.
摘要翻译：这里描述的是使用缝合线路器修复组织的方法，该缝合线路器被配置为可靠地耦合到缝合元件以使缝合元件（并且因此缝合线）通过组织，使得缝合线可以在缝合线路人员是缝合路线器时被加载和/或卸载定位在组织内。因此，本文所述的方法可以允许缝合通道器被加载，而不需要从患者体内移除缝线路径器，或者从靶组织脱离一些变化。因此，相同的缝合线或多个缝合线可以被装载和/或卸载到缝合线路传送器上，允许形成复杂的缝合线图案，而不需要从患者（或靶组织）取出缝合线路步骤的额外步骤。还描述了无缝缝合锚。

94. 发明申请

US20110112555A1 BI-DIRECTIONAL SUTURE PASSER 有权
标题翻译：双向通行证
公开(公告)号：US20110112555A1
公开(公告)日：2011-05-12
申请号：US12769234
申请日：2010-04-28
申请人： Tom Overes , Robert Frigg
发明人： Tom Overes , Robert Frigg
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0482 , A61B17/0493 , A61B17/06004 , A61B2017/06009 , A61B2017/06071 , A61B2017/0609 , A61B2017/06095
摘要： A bi-directional suture passing instrument is disclosed. The suture passing instrument may include a housing having a first cannulation and a second cannulation that is spaced from the first cannulation by a tissue receiving gap. The instrument may also include a shuttling element movable across the tissue receiving gap between the first and second cannulations. The shuttling element is configured to carry a strand of suture. A first pusher disposed in the first cannulation is configured to push the shuttling element from the first cannulation toward the second cannulation, and a second pusher disposed in the second cannulation is configured to push the shuttling element from the second cannulation toward the first cannulation.
摘要翻译：公开了一种双向缝合通过仪器。缝合线通过器械可以包括具有第一插管和第二插管的壳体，其与第一插管间隔开组织接收间隙。该仪器还可以包括穿过第一和第二插管之间的组织接收间隙的穿梭元件。穿梭元件构造成承载一股缝合线。设置在第一插管中的第一推动器构造成将穿梭元件从第一插管推向第二插管，并且设置在第二插管中的第二推动器构造成将穿梭元件从第二插管推向第一插管。

95. 发明申请

US20110082477A1 WOUND CLOSURE DEVICE INCLUDING DIRECT-DRIVEN NEEDLE 有权
标题翻译：封闭装置，包括直接驱动针
公开(公告)号：US20110082477A1
公开(公告)日：2011-04-07
申请号：US12887902
申请日：2010-09-22
申请人： Robert C. Smith
发明人： Robert C. Smith
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0469 , A61B17/0482 , A61B17/062 , A61B17/29 , A61B2017/06042 , A61B2017/2926
摘要： A suturing device includes a housing, a rod, a ferrule assembly, and a needle. The housing defines a guide lumen extending longitudinally therethrough. The rod is engaged with the housing and extends distally therefrom. The ferrule assembly is disposed at a distal end of the rod and is configured to releasably retain a ferrule therein. The ferrule is adapted to retain of a portion of a suture therein. The needle is configured for translation through the guide lumen defined within the housing. A distal end of the needle is configured to engage the ferrule within the ferrule assembly for removal of the ferrule from the ferrule assembly.
摘要翻译：缝合装置包括壳体，杆，套圈组件和针。壳体限定纵向延伸穿过其中的引导腔。杆与壳体接合并从其向远侧延伸。套圈组件设置在杆的远端，并且构造成将套圈可释放地保持在其中。套圈适于将缝合线的一部分保持在其中。针被构造成通过在壳体内限定的引导腔而平移。针的远端构造成接合套圈组件内的套圈以从套圈组件移除套圈。

96. 发明申请

US20110046643A1 SUTURING AND LIGATING METHOD 有权
标题翻译：包装和配线方法
公开(公告)号：US20110046643A1
公开(公告)日：2011-02-24
申请号：US12543102
申请日：2009-08-18
申请人： Magdy P. MILAD , Pari SHIMOYAMA , Shigeru OMORI , Deanna HIRZEL
发明人： Magdy P. MILAD , Pari SHIMOYAMA , Shigeru OMORI , Deanna HIRZEL
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062
摘要： A manipulator includes a distal-end working unit having a rolling mechanism and an opening and closing mechanism. A forceps includes a gripper on a distal end thereof. A curved needle of a suture-needle assembly is inserted through an incision in a body cavity within a living body, while leaving a portion of a suture strand of the suture-needle assembly uninserted in the tissue. The gripper grips the curved needle. The suture strand is wound around the gripper a predetermined number of times by turning a proximal end portion of the curved needle with the rolling mechanism. The gripper grips the portion of the suture strand, which has not been inserted into the tissue. The gripper is then withdrawn through loops of the suture strand, which are wound around the gripper. The distal-end working unit and the gripper are moved relatively to each other in order to form a knot across the incision.
摘要翻译：机械手包括具有滚动机构和开闭机构的前端工作单元。镊子在其远端包括夹持器。缝合针组件的弯曲针穿过活体内的体腔中的切口插入，同时使缝合针组合物的缝合线的一部分未插入组织中。夹具夹住弯曲的针头。通过用滚动机构转动弯曲针的近端部分，将缝合线缠绕在夹持器上预定次数。夹具夹住缝合线的未插入组织的部分。然后通过缠绕在夹持器上的缝合线的环将夹持器取出。远端工作单元和夹持器相对移动以便在切口上形成结。

97. 发明申请

US20110040308A1 Endoscopic Stitching Devices 审中-公开
标题翻译：内窥镜缝合装置
公开(公告)号：US20110040308A1
公开(公告)日：2011-02-17
申请号：US12896364
申请日：2010-10-01
申请人： Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard , Gene Stellon
发明人： Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard , Gene Stellon
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B1/0008 , A61B1/0055 , A61B17/00234 , A61B17/0491 , A61B17/06166 , A61B17/062 , A61B17/0625 , A61B34/71 , A61B2017/003 , A61B2017/00367 , A61B2017/06047 , A61B2017/0608 , A61B2017/0609 , A61B2017/06176 , A61B2017/2905 , A61B2017/2912 , A61B2017/2929
摘要： The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof.
摘要翻译：本公开涉及用于内窥镜缝合或通过接入管等缝合的装置，系统和方法。提供内窥镜缝合装置并且包括手柄组件; 由所述手柄组件支撑并从所述手柄组件延伸的细长轴; 以及支撑在细长轴的远端上的端部执行器。末端执行器包括颈部组件，颈部组件构造和适于在基本上线性构型和离轴构型之间的一个方向上铰接，以及一对枢转地相互联接的并置夹爪。每个钳口限定形成在其组织接触表面中的缝合针容纳凹部。

98. 发明申请

US20100312275A1 METHODS AND APPARATUS FOR FIXING SHEET-LIKE MATERIALS TO A TARGET TISSUE 有权
标题翻译：将样片材料固定到目标组织的方法和装置
公开(公告)号：US20100312275A1
公开(公告)日：2010-12-09
申请号：US12794540
申请日：2010-06-04
申请人： Charles L. Euteneuer , Rebecca McCarville , Duane Frion , Nathaniel Zenz-Olson , Diane M. Feehan
发明人： Charles L. Euteneuer , Rebecca McCarville , Duane Frion , Nathaniel Zenz-Olson , Diane M. Feehan
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/0491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B2017/00004 , A61B2017/0046 , A61B2017/00862 , A61B2017/0645 , A61F2/0063 , A61F2/08 , A61F2/30749 , A61F2220/0016
摘要： A staple for attaching a sheet-like implant to tissue or bone may, include first and second arms, and first and second flukes. In some embodiments, the first arm has a proximal end and a distal end, and the second arm has a proximal end and a distal end. A bridge extends from the proximal end of the first arm to the proximal end of the second arm. The first fluke has a proximal end abutting the distal end of the first arm, and the first fluke extends distally from the first arm. The first fluke has a lateral extent larger than a lateral extent of the first arm and is mounted eccentrically thereto. The first fluke includes a proximal surface projecting at an outward angle in a proximal direction away from the distal end of the first arm to engage the tissue or bone when inserted therein. The second fluke has similar features. This arrangement causes the first and second flukes to rotate in response to a pullout force on the bridge. Methods for attaching a sheet-like implant to a target tissue are also disclosed.
摘要翻译：用于将片状植入物附接到组织或骨的钉可包括第一和第二臂以及第一和第二吸虫。在一些实施例中，第一臂具有近端和远端，并且第二臂具有近端和远端。桥从第一臂的近端延伸到第二臂的近端。第一吸头具有邻近第一臂的远端的近端，并且第一吸头从第一臂向远侧延伸。所述第一吸头具有大于所述第一臂的横向延伸的横向范围，并且偏心地安装在所述横向范围上。第一吸头包括近端表面，该近端表面在远离第一臂的远端的近端方向上以向外的角度突出，以在插入其中时接合组织或骨骼。第二个吸虫具有相似的特征。这种布置使得第一和第二吸管响应于桥上的拉出力而旋转。还公开了将片状植入物附着到靶组织的方法。

99. 发明授权

US07833235B2 Placing sutures 有权
标题翻译：放置缝线
公开(公告)号：US07833235B2
公开(公告)日：2010-11-16
申请号：US11374691
申请日：2006-03-13
申请人： Michael S. H. Chu
发明人： Michael S. H. Chu
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0469 , A61B17/0482 , A61B2017/0472 , A61B2017/06028 , A61B2017/2927
摘要： A suturing instrument including multiple needle and suture assemblies that are at least partially disposed within the suturing instrument allows a surgeon to place multiple sutures intercorporally without having to remove the instrument from a surgical site and reload the instrument between placing each suture. The suturing instrument includes an elongate body member that includes a distal portion defining an opening. The suturing instrument further includes a first needle disposed within the opening, a second needle disposed within the opening, and a needle deployment mechanism disposed at least partially within the elongate body member and connectable sequentially to the first needle and the second needle.
摘要翻译：包括至少部分地设置在缝合器械内的多个针和缝合组件的缝合器械允许外科医生跨越地放置多个缝合线，而不必从手术部位移除器械，并在放置每个缝合线之间重新加载器械。缝合器具包括细长本体构件，其包括限定开口的远侧部分。所述缝合器具还包括设置在所述开口内的第一针，设置在所述开口内的第二针，以及至少部分地设置在所述细长本体构件内且能够依次连接到所述第一针和所述第二针的针展开机构。

100. 发明申请

US20100198234A1 SURGICAL INSTRUMENT FOR SUTURING THE SKELETAL MUSCLE SYSTEM AND SURGICAL TECHNIQUE USING SAME 有权
标题翻译：用于锻炼骨骼肌肉系统的手术仪器和使用其的外科手术技术
公开(公告)号：US20100198234A1
公开(公告)日：2010-08-05
申请号：US12524547
申请日：2008-01-16
申请人： Pedro Guillen Garcia , Tomas Ramos Marin
发明人： Pedro Guillen Garcia , Tomas Ramos Marin
IPC分类号： A61B17/10
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/062 , A61B2017/0472
摘要： Surgical suture instrument for the muscular-skeletal system and the surgical technique used by same. A surgical suture system includes an instrument providing for the suture of muscular-skeletal system tissues by the use of blades which go from a withdrawn position to a position for the incision of the tissue to be sutured. The blades carry the suture, which is attached to the tissue by the incision of the blades, in response to a drive force aimed longitudinally from back to front, towards the surgical field. The instrument and the surgical technique allow for single or continuous stitching of suture on all tissue types. Its use in bone suture is particularly surprising, making it possible to join bones, implants, grafts, chondrocyte membranes, flaps, tendons, cartilage, etc. The surgical technique for which the surgical suture instrument is used can be applied in open surgery and in arthroscopy.
摘要翻译：用于肌肉骨骼系统的手术缝合仪器及其使用的手术技术。外科缝合系统包括通过使用从撤回位置到用于切割要缝合的组织的位置的刀片来提供肌肉 - 骨骼系统组织的缝合的仪器。叶片携带缝合线，其响应于纵向从后向前朝向外科手术领域的驱动力而通过刀片的切口附接到组织。仪器和手术技术允许在所有组织类型上缝合单次或连续缝合。其在骨缝合中的用途特别令人惊讶，使骨骼，植入物，移植物，软骨细胞膜，襟翼，肌腱，软骨等能够接合。外科手术缝合器械的手术技术可以在开放式手术和关节镜检查。

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