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91. 发明授权

US08480692B2 Device and method for tendon, ligament or soft tissue repair 有权
公开(公告)号：US08480692B2
公开(公告)日：2013-07-09
申请号：US13606688
申请日：2012-09-07
申请人： William T. McClellan
发明人： William T. McClellan
IPC分类号： A61B17/08 , A61B17/04
CPC分类号： A61B17/1146 , A61B17/00491 , A61B17/06166 , A61B17/0642 , A61B17/0643 , A61B2017/00477 , A61B2017/0647 , Y10T29/49826
摘要： Disclosed are medical devices and methods for tendon, ligament, and soft tissue repair. A method includes introducing a first segment having a delivery assembly into a first soft tissue, and removing the delivery assembly to expose an opening of a hollow body of the first segment. The method also includes introducing a second segment having a second delivery assembly and a second body into a second soft tissue, guiding the second delivery assembly through the opening, and advancing the second body into the hollow body, thereby joining the first soft tissue and the second soft tissue.

92. 发明申请

US20130172887A1 TREATMENT INSTRUMENT SYSTEM 有权
标题翻译：治疗仪器系统
公开(公告)号：US20130172887A1
公开(公告)日：2013-07-04
申请号：US13668861
申请日：2012-11-05
申请人： OLYMPUS MEDICAL SYSTEMS CORP.
发明人： Hiroaki ICHIKAWA , Hideyuki KASAHARA , Hiroshi KAKIDACHI , Masato TAMAI
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/064 , A61B17/0643 , A61B17/07207 , A61B17/08 , A61B17/083 , A61B18/085 , A61B2018/0063
摘要： A treatment system includes: an absorbent member which is arranged to be discharged into the biological tissues as the fusion targets from the first jaw, thermally deformed when the thermal energy is applied thereto; a first energy discharge portion which is configured to discharge the absorbent member toward the second holding surface, and which is configured to supply the high-frequency energy and the thermal energy to the biological tissues; a second energy discharge portion which is configured to come into contact with at least a part of the absorbent member when the absorbent member is discharged, and which is configured to supply the high-frequency energy and the thermal energy to the biological tissues; and a control unit which is configured to control the energy source to supply the thermal energy after discharging the absorbent member to the biological tissues.
摘要翻译：一种处理系统，包括：吸收体，被配置为作为来自第一夹爪的融合靶排出到生物组织中，当施加热能时热吸收构件热变形; 第一能量排出部，其被配置为朝向第二保持面排出吸收体，并且被配置为向生物体组织提供高频能量和热能; 第二能量排出部，其构造成当所述吸收体排出时与所述吸收体的至少一部分接触，并且被构造成将高频能量和热能供给到生物体组织; 以及控制单元，其被配置为在将吸收体排出到生物体组织之后，控制能量源供应热能。

93. 发明授权

US08460371B2 Method and apparatus for performing catheter-based annuloplasty using local plications 有权
标题翻译：使用局部麻醉进行基于导管的瓣膜成形术的方法和装置
公开(公告)号：US08460371B2
公开(公告)日：2013-06-11
申请号：US10689872
申请日：2003-10-21
申请人： Edwin J. Hlavka , Paul A. Spence
发明人： Edwin J. Hlavka , Paul A. Spence
IPC分类号： A61F2/24
CPC分类号： A61B17/00234 , A61B17/0469 , A61B17/0487 , A61B17/0643 , A61B17/0644 , A61B2017/00243 , A61B2017/00349 , A61B2017/00867 , A61B2017/0417 , A61B2017/0462 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/0649
摘要： The present invention relates to minimally invasive methods and apparatus for performing annuloplasty. According to one aspect of the present invention, a method for performing annuloplasty includes creating a first plication in the tissue near a mitral valve of a heart, using at least a first plication element, and creating a second plication in the tissue near the mitral valve such that the second plication is substantially coupled to the first plication. In another aspect, an apparatus for performing annuloplasty includes a distal catheter portion having a sidewall defining a lumen, anchor delivery structure disposed in the lumen, and al least one anchor supported on the anchor delivery structure. The anchor delivery structure is movable from a first position wherein the anchor is disposed within the lumen, to a second position wherein the anchor is moved through an opening.
摘要翻译：本发明涉及用于进行瓣环成形术的微创方法和装置。根据本发明的一个方面，一种用于进行瓣环成形术的方法包括：使用至少第一塌陷元件在心脏的二尖瓣附近的组织中产生第一塌陷，并在二尖瓣附近的组织中产生第二valve肿使得第二塌陷基本上与第一塌陷相耦合。在另一方面，一种用于执行瓣膜成形术的装置包括远侧导管部分，其具有限定内腔的侧壁，设置在内腔中的锚定器输送结构以及支撑在锚定器输送结构上的至少一个锚固件。锚定器传送结构可从第一位置移动，其中锚固件设置在内腔内，到第二位置，其中锚固件移动通过开口。

94. 发明授权

US08454654B2 Anchoring system 有权
标题翻译：锚定系统
公开(公告)号：US08454654B2
公开(公告)日：2013-06-04
申请号：US12333025
申请日：2008-12-11
申请人： Michael C. Ferragamo , Bernard J. Bourque , William R. Davis
发明人： Michael C. Ferragamo , Bernard J. Bourque , William R. Davis
IPC分类号： A61B17/04 , F16B35/02 , F16B13/12
CPC分类号： A61B17/0642 , A61B17/0401 , A61B17/0643 , A61B2017/0409 , A61B2017/0414 , A61B2017/0453
摘要： The present disclosure relates to an anchor assembly. The anchor assembly includes an anchor defining a cavity and an opening to the cavity and an insertion member including a body having a proximal end portion and a flat distal end portion, and a head coupled to the proximal end portion of the body. The insertion member is configured for arrangement within the anchor cavity. A method of tissue repair and other anchor assemblies are also disclosed.
摘要翻译：本公开涉及锚固组件。锚固组件包括限定空腔的锚固件和到空腔的开口，以及插入构件，其包括具有近端部分和平坦的远端部分的主体，以及联接到主体的近端部分的头部。插入构件构造成用于布置在锚定腔内。还公开了组织修复和其他锚固组件的方法。

95. 发明授权

US08439969B2 Pre-sized prosthetic chordae implantation system 有权
标题翻译：前大小假肢腱索植入系统
公开(公告)号：US08439969B2
公开(公告)日：2013-05-14
申请号：US12750800
申请日：2010-03-31
申请人： A. Marc Gillinov , Michael K. Banbury , Jeremy Hemingway , Craig B. Berky , Jonathan Bauer
发明人： A. Marc Gillinov , Michael K. Banbury , Jeremy Hemingway , Craig B. Berky , Jonathan Bauer
IPC分类号： A61F2/24
CPC分类号： A61F2/2427 , A61B17/0643 , A61F2/2457 , A61F2/2466
摘要： A pre-sized prosthetic chordae assembly includes a male attachment unit and a female securing member. The male attachment unit includes a plurality of pre-sized prosthetic chordae fixedly connected to at least one male attachment member and a papillary muscle penetration member that is connected to and extends substantially axial to the at least one male attachment member. The female securing member is for receiving the papillary penetration member.
摘要翻译：预定尺寸的假肢腱索组件包括阳连接单元和阴固定构件。阳性附接单元包括固定地连接到至少一个阳连接构件和乳头状肌穿透构件的多个预定尺寸的假肢腱索，其连接到并且基本上轴向延伸到至少一个阳连接构件。阴固定构件用于接收乳头穿透构件。

96. 发明授权

US08435231B2 Positioning device for deploying at least one locking portion of an anastomotic device and method for carrying out anastomosis in tracts of the digestive tube 有权
标题翻译：用于部署吻合装置的至少一个锁定部分的定位装置和用于在消化管的束中进行吻合的方法
公开(公告)号：US08435231B2
公开(公告)日：2013-05-07
申请号：US12159003
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/00
CPC分类号： A61B17/0643 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50). A head (52) of the positioning device is suitable to be interference-inserted on a distal end of the elongated structure (50). The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).
摘要翻译：一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

97. 发明申请

US20130092718A1 SURGICAL STAPLE WITH AUGMENTED COMPRESSION AREA 有权
标题翻译：具有增强压缩面积的外科手术
公开(公告)号：US20130092718A1
公开(公告)日：2013-04-18
申请号：US13706613
申请日：2012-12-06
申请人： COVIDIEN LP
发明人： Michael Soltz , Kevin Sniffin , Jennifer Broom , Henry E. Holsten
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07292
摘要： A multi-part surgical staple assembly is provided to provide uniform compression across stapled tissues. The staple assembly generally includes a U-shaped staple, a staple plate positionable against a backspan of the staple for engagement with one side of a stapled tissue section and a platen for receipt of tissue penetrating tips of the staple and engageable with an opposite side of a stapled tissue section. The staple plate and platen are provided with holes to receive the legs of the staple. In one embodiment, the staple plate is provided with a biasing member to bias the staple plate away from the backspan of the staple and toward the stapled tissue.
摘要翻译：提供多部分手术缝合组件以提供穿过缝合组织的均匀压缩。钉组件通常包括U形订书钉，订书钉板可抵靠订书钉的后跨，以与订书钉组织部分的一侧接合，以及用于接收订书钉的组织穿透尖端的台板，装订的组织部分。钉板和压板设有孔，用于接收订书钉的腿部。在一个实施例中，订书钉板设置有偏置构件以将订书钉板偏离订书钉的后跨，并朝向装订的组织。

98. 发明授权

US08409220B2 Flexible endoscopic surgical instrument for invagination and fundoplication 有权
标题翻译：灵活的内窥镜手术器械用于内陷和眼底应用
公开(公告)号：US08409220B2
公开(公告)日：2013-04-02
申请号：US12706320
申请日：2010-02-16
申请人： Juergen Andrew Kortenbach
发明人： Juergen Andrew Kortenbach
IPC分类号： A61B17/10
CPC分类号： A61F5/0086 , A61B1/00087 , A61B1/00179 , A61B1/273 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2923
摘要： An endoscopic surgical instrument includes a flexible tube, a grasping and fastening end effector coupled to the distal end of the tube, and a manual actuator coupled to the proximal end of the tube. The manual actuator is coupled to the end effector by a plurality of flexible cables which extend through the tube. The tube contains a lumen for receiving a manipulable endoscope and the end effector includes a passage for the distal end of the endoscope. The end effector has a store for a plurality of male fastener parts, a store for a plurality of female fastener parts, a rotatable grasper, a rotatable fastener head for aligning a female fastener part and a male fastener part with tissues therebetween, and a firing member for pressing a male fastener part through tissues grasped by the grasper and into a female fastener part. According to a presently preferred embodiment, the overall diameters of the flexible tube and the end effector (when rotated to the open position) do not exceed approximately 20 mm so that the instrument may be delivered transorally to the fundus of the stomach. The manual actuator is provided with a lock-out feature which prevents firing male fastener parts before the fastener head is closed. The instrument is advantageously utilized in a fundoplication procedure.
摘要翻译：内窥镜手术器械包括柔性管，连接到管的远端的抓握和紧固端部执行器，以及联接到管的近端的手动致动器。手动致动器通过延伸穿过管的多根柔性电缆连接到端部执行器。管包含用于接收可操纵内窥镜的内腔，并且末端执行器包括用于内窥镜的远端的通道。端部执行器具有用于多个阳紧固件部件的储存器，用于多个阴紧固件部件的储存器，可旋转抓紧器，用于使阴紧固件部件与阳紧固件部件与其间的组织对准的可旋转紧固头部，用于通过由抓紧器抓握的组织将男性紧固件部件按压到阴扣件部件中。根据目前优选的实施例，柔性管和端部执行器（当旋转到打开位置时）的总直径不超过约20mm，使得器械可以经由胃输送到胃底。手动致动器设置有锁定特征，其在紧固件头部闭合之前防止击发阳性紧固件部件。该仪器有利地用于基底术过程。

99. 发明授权

US08409090B2 Tissue retractor and method for using the retractor 有权
标题翻译：组织牵开器和使用牵开器的方法
公开(公告)号：US08409090B2
公开(公告)日：2013-04-02
申请号：US12767328
申请日：2010-04-26
申请人： Kevin W. Smith , Matthew A. Palmer , Juergen Kortenbach , Jose Francese
发明人： Kevin W. Smith , Matthew A. Palmer , Juergen Kortenbach , Jose Francese
IPC分类号： A61B1/32
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/0682 , A61B17/29 , A61B2017/00349 , A61B2017/00827 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/301
摘要： A retractor for manipulating an object includes a body having proximal and distal ends and a retraction device with a head connected to the distal end of the body, a connector movably disposed in the body, and flexible needles of a shape memory material having a memory shape. The needles are connected to the connector and each have a distal tip. The memory shape of the needles include a portion with an arcuate shape biasing the needles in a memory direction out and away from the head and toward the body to position the distal tip of each of the needles closer to the body when the needles are fully extended out of the head than when the needles are only partially extended out of the head. An actuation device is connected to the proximal end of the body and operatively connected to the connector through the body, the actuation device, upon actuation thereof, moves the connector to selectively extend the needles out of the head in different directions and withdraw the needles into the head.
摘要翻译：用于操纵物体的牵开器包括具有近端和远端的主体和具有连接到主体的远端的头部的缩回装置，可移动地设置在主体中的连接器以及具有记忆形状的形状记忆材料的柔性针。针连接到连接器，并且各自具有远端。针的记忆形状包括具有弓形形状的部分，这些部分将针沿记忆方向偏离和远离头部并朝向身体，以使针的远侧末端在针完全延伸时更靠近身体比起针头部分地伸出头部的头部。致动装置连接到主体的近端并通过主体可操作地连接到连接器，致动装置在其启动时使连接器移动以选择性地将针从不同方向延伸出头部并将针退出头部。

100. 发明申请

US20130037595A1 SURGICAL FASTENER APPLYING APPARATUS 有权
标题翻译：手术紧固器应用装置
公开(公告)号：US20130037595A1
公开(公告)日：2013-02-14
申请号：US13546974
申请日：2012-07-11
申请人： Arvind Kumar Gupta , Nikhil R. Katre , Kiran Garikipati , Sekar Perumal , Rajesh T. Shelke , Cinish P. Varghese , Richard Roland Bueno
发明人： Arvind Kumar Gupta , Nikhil R. Katre , Kiran Garikipati , Sekar Perumal , Rajesh T. Shelke , Cinish P. Varghese , Richard Roland Bueno
IPC分类号： A61B17/068
CPC分类号： A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B17/07207 , A61B2017/0023 , A61B2017/00464 , A61B2017/00473 , A61B2017/00619 , A61B2017/00659 , A61B2017/00668 , A61B2017/0688 , A61B2017/07257 , A61B2090/08021 , A61B2090/0814 , A61B2560/0285
摘要： A surgical fastener applying apparatus includes an anvil half-section and a cartridge-receiving half-section including an elongated channel member having a pair of opposed openings defined through sidewalls thereof. A disposable assembly including a single use loading unit and a single use firing unit is configured to be releasably supported within the cartridge-receiving half-section. The disposable assembly includes a stationary housing for supporting the firing unit which includes a distal extension for supporting the single use loading unit. The stationary housing includes a pair of flared tabs configured to be releasably received within the openings of the cartridge-receiving half-section to releasably engage the disposable assembly within the cartridge-receiving half-section.
摘要翻译：外科紧固件施加装置包括砧座半部分和药筒接收半部分，其包括细长通道部件，该细长通道部件具有通过其侧壁限定的一对相对的开口。包括单次使用装载单元和单次使用的点火单元的一次性组件构造成可释放地支撑在盒接收半部分内。一次性组件包括用于支撑击发单元的固定壳体，其包括用于支撑单用装载单元的远侧延伸部。固定壳体包括一对张开的突出部，其构造成可释放地容纳在药筒接收半部分的开口内，以可释放地接合药筒接收半部分内的一次性组件。

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