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91. 发明授权

US08876841B2 Spinal disc anulus repair method and apparatus 有权
标题翻译：脊柱椎间盘修复方法及装置
公开(公告)号：US08876841B2
公开(公告)日：2014-11-04
申请号：US12505722
申请日：2009-07-20
申请人： Yang-Hwei Tsuang , Huang-Chien Liang , Chun-Hung Chen , Chun-Jen Liao , Chang-Jung Chiang , Chih-Hong Yang
发明人： Yang-Hwei Tsuang , Huang-Chien Liang , Chun-Hung Chen , Chun-Jen Liao , Chang-Jung Chiang , Chih-Hong Yang
IPC分类号： A61B17/04 , A61B17/06 , A61B17/29
CPC分类号： A61B17/0469 , A61B17/0482 , A61B2017/0472 , A61B2017/06042 , A61B2017/2943
摘要： An apparatus for anulus fibrosus repair includes a shaft, a pair of curved suturing needles mounted in parallel on the shaft, and a rotational driving mechanism connected to the shaft, which is configured to rotate the shaft and the pair of needles about a rotation axis of the shaft. Each needle includes a substantially semi-annular body having a proximal end, a distal end, an inner periphery, and an outer periphery, and an arm extending radially inward from the proximal end, in which a concavity is formed in the body proximate to the distal end extending in a direction away from it. Also disclosed is a suturing technique associated with use of the repair apparatus.
摘要翻译：用于纤维性纤维修复的装置包括轴，平行安装在轴上的一对弯曲缝合针和连接到所述轴的旋转驱动机构，所述旋转驱动机构被构造成使所述轴和所述一对针绕着轴。每个针包括具有近端，远端，内周边和外周边的基本上半环形的主体，以及从近端径向向内延伸的臂，其中凹部形成在主体中，靠近远端在远离其的方向延伸。还公开了与使用修复装置相关联的缝合技术。

92. 发明授权

US08864778B2 Apparatus and method for suturing body lumens 有权
标题翻译：用于缝合体腔的装置和方法
公开(公告)号：US08864778B2
公开(公告)日：2014-10-21
申请号：US13443659
申请日：2012-04-10
申请人： Aaron M. Fortson , Douglas H. Mehl , Dinorah Merrill , David J. Milazzo
发明人： Aaron M. Fortson , Douglas H. Mehl , Dinorah Merrill , David J. Milazzo
IPC分类号： A61B17/04
CPC分类号： A61B17/0057 , A61B2017/00663 , A61B2017/0406 , A61B2017/047 , A61B2017/0472 , A61B2017/0475
摘要： An apparatus for suturing body lumens is provided. The apparatus includes a flexible elongated member that has a proximal end, a distal end, a central passage and multiple needle lumens extending from the proximal end toward the distal end. The flexible elongated member further includes an elongated subsection spanning from the end of the needle lumens in the elongated member to a barrel portion that includes corresponding needle lumens on the proximal end of the elongated member. The elongated subsection provides sufficient space between the needles and the barrel portion to allow transapical insertion of the elongated member into a body lumen. The apparatus further includes needles disposed within and advanceable from the needle lumens. The apparatus also includes a handle disposed at the proximal end of the elongated member. The handle is operable to retract the needles through the needle lumens toward the handle at the proximal end.
摘要翻译：提供了一种用于缝合体腔的装置。该装置包括柔性细长构件，其具有从近端向远端延伸的近端，远端，中心通道和多个针腔。柔性细长构件还包括从细长构件中的针腔的端部到细长构件的近端上包括相应针腔的筒体部分的细长部分。细长部分在针和镜筒部分之间提供足够的空间，以允许细长构件经常插入体腔中。该设备还包括设置在针管内并可从针腔内推进的针。该装置还包括设置在细长构件的近端处的手柄。手柄可操作以使针通过针内腔在近端朝向手柄缩回。

93. 发明申请

US20140243854A1 SIZING AND POSITIONING ADAPTER FOR MEDICAL INSTRUMENTS 有权
标题翻译：医用仪器的尺寸和定位适配器
公开(公告)号：US20140243854A1
公开(公告)日：2014-08-28
申请号：US14269792
申请日：2014-05-05
申请人： Abbott Laboratories
发明人： Laveille Kao Voss , Erik Kristian Walberg
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0482 , A61B17/062 , A61B17/10 , A61B17/3403 , A61B17/3421 , A61B2017/00296 , A61B2017/00469 , A61B2017/00473 , A61B2017/00477 , A61B2017/00641 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/3405 , A61B2017/3419 , A61B2017/3445 , A61B2017/3449 , A61M25/0111 , A61M25/09041 , A61M39/06
摘要： In accordance with the present invention there is provided apparatuses and methods for using a medical instrument including a sizing and positioning adapter. The apparatus comprises an adapter for a medical instrument, the adapt having a body having a shim portion and an instrument holding portion adjacent the shim portion, wherein the shim portion provides an enlarged peripheral surface adjacent the medical instrument such that when the medical instrument is held in the instrument holding portion and the medical instrument and body are inserted through an opening in a patient tissue, at least a portion of the enlarged peripheral surface is in contact with at least a portion of the periphery of the opening in the patient tissue.
摘要翻译：根据本发明，提供了一种用于使用包括尺寸和定位适配器的医疗器械的设备和方法。所述装置包括用于医疗器械的适配器，所述适配器具有具有垫片部分的主体和邻近所述垫片部分的器械保持部分，其中所述垫片部分邻近所述医疗器械提供扩大的周边表面，使得当所述医疗器械被保持时在仪器保持部分中，医疗器械和身体通过病人组织中的开口插入，所述扩大的周面的至少一部分与患者组织中的开口的周边的至少一部分接触。

94. 发明申请

US20140236193A1 Medical Fastening Device 有权
标题翻译：医疗紧固装置
公开(公告)号：US20140236193A1
公开(公告)日：2014-08-21
申请号：US14180884
申请日：2014-02-14
申请人： Surgimatix, Inc.
发明人： Wai N. Chin , Gary M. Kobylewski , Jafar S. Hasan
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0482 , A61B17/06004 , A61B17/06166 , A61B2017/00398 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/0472 , A61B2017/06042 , A61F2/0063 , A61F2002/0072
摘要： A medical fastening device is provided. The fastening device may include a first arcuate needle adapted to rotate about a first axis in a first direction, entering through a first section of one of a tissue and a prosthetic material, and exiting through a second section of one of the tissue and the prosthetic material; a second arcuate needle adapted to rotate about a second axis in a second direction, entering through the second section of one of the tissue and the prosthetic material, and exiting through the first section of one of the tissue and the prosthetic material; and a drive mechanism operatively coupled to each of the first and second arcuate needles and configured to engage each of the first and second arcuate needles between a retracted position and an extended position.
摘要翻译：提供医疗紧固装置。紧固装置可以包括第一弧形针，其适于在第一方向上围绕第一轴线旋转，穿过组织和假体材料之一的第一部分，并且通过组织和假体中的一个的第二部分离开材料; 第二弓形针，其适于在第二方向上围绕第二轴线旋转，通过组织和假体材料之一的第二部分进入，并通过组织和假体材料之一的第一部分离开; 以及驱动机构，其可操作地联接到所述第一和第二弓形针中的每一个并且构造成在缩回位置和延伸位置之间接合所述第一和第二弓形针中的每一个。

95. 发明申请

US20140236190A1 SUTURING INSTRUMENT 有权
标题翻译：仪器仪表
公开(公告)号：US20140236190A1
公开(公告)日：2014-08-21
申请号：US14262099
申请日：2014-04-25
申请人： Boston Scientific Scimed, Inc.
发明人： Michael S.H. Chu , Robert W. Bialobrzeski
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/1114 , A61B2017/047 , A61B2017/0472 , A61B2017/2905 , A61B2017/2927
摘要： A suturing instrument includes a suturing head that is coupled to the shaft of an elongate body member of the instrument by a connector member which may be biased in either a linear orientation along the longitudinal axis of the shaft or any one of a variety of non-linear orientations with respect to the shaft's longitudinal axis. The connector member can comprise a resilient material such that an external force may be applied to the suturing head and move the suturing head from a biased orientation (e.g., linear) to an unbiased orientation (e.g., non-linear). Once the external force is removed, the resiliency of the connector member allows the suturing head to return from the unbiased orientation to the biased orientation. Therefore, a user may adjust the shape of the instrument by applying or removing an external force on the suturing head.
摘要翻译：缝合器具包括缝合头，该缝合头通过连接器构件联接到器械的细长本体构件的轴上，该连接器构件可以沿着轴的纵向轴线的线性取向或各种非 - 相对于轴的纵向轴线的线性取向。连接器构件可以包括弹性材料，使得外力可以施加到缝合头并且将缝合头从偏置的取向（例如线性）移动到无偏向的方向（例如，非线性）。一旦去除了外力，连接器构件的弹性允许缝合头从无偏向的方向返回到偏置方向。因此，用户可以通过施加或去除缝合头上的外力来调节器械的形状。

96. 发明申请

US20140228865A1 Expandable Needle Suture Apparatus and Associated Handle Assembly With Rotational Suture Manipulation System 审中-公开
标题翻译：可扩展针缝合设备和相关手柄组件与旋转缝合操纵系统
公开(公告)号：US20140228865A1
公开(公告)日：2014-08-14
申请号：US14082738
申请日：2013-11-18
申请人： DePuy Mitek, LLC
发明人： Thomas Weisel , Martin Padget
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/0485 , A61B17/06004 , A61B17/06066 , A61B2017/0046 , A61B2017/0472 , A61B2017/06009 , A61B2017/06019 , A61B2017/06042 , A61B2017/2929
摘要： A surgical suturing device (10) having an axis extending between a proximal end and a distal end is operable to move a suture (32) through body tissue (34). A handle assembly (110) is coupled to an elongated shaft (14) having a hollow configuration. An actuating rod (16) is disposed to extend between the handle assembly (110) and the shaft (14). A thumb actuation assembly is coupled to a proximal end of the actuating rod (16) for moving the rod both axially and rotationally. A needle assembly (2) at the distal end of the actuating rod (16) is movable with the actuating rod (16) between an extended state and a retracted state and at various angular orientations.
摘要翻译：具有在近端和远端之间延伸的轴线的手术缝合装置（10）可操作以将缝合线（32）移动穿过身体组织（34）。手柄组件（110）联接到具有中空构型的细长轴（14）。致动杆（16）设置成在手柄组件（110）和轴（14）之间延伸。拇指致动组件联接到致动杆（16）的近端，用于轴向和旋转地移动杆。在致动杆（16）的远端处的针组件（2）可以通过致动杆（16）在延伸状态和缩回状态之间并且以各种角度方向移动。

97. 发明申请

US20140222035A1 PLACING MULTIPLE SUTURES 有权
标题翻译：放置多个衣服
公开(公告)号：US20140222035A1
公开(公告)日：2014-08-07
申请号：US14248999
申请日：2014-04-09
申请人： Boston Scientific Scimed, Inc.
发明人： Michael S.H. Chu
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/062 , A61B17/34 , A61B90/92 , A61B2017/00367 , A61B2017/00464 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0609 , A61B2017/2927
摘要： A suturing instrument for placing multiple sutures include an elongate body engaged to a handle. A suturing head extends from a distal end of the elongate body, and the suturing head is articulable relative to the elongate body. Both a first needle carrier and a second needle carrier are movable into and out of the suturing head. A first actuator allows controlled movement of the first needle carrier, and this first actuator extends from a proximal end of the handle. A second actuator allows controlled movement of the second needle carrier, and this second actuator also extends from the proximal end of the handle. The suturing head can be articulated within a range of about 0 degrees to about 30 degrees, as measured from a longitudinal axis running along the length of the elongate body, and this variable articulation angle of the head allows deployment of the first needle carrier and the second needle carrier at various orientations with respect to the longitudinal axis.
摘要翻译：用于放置多个缝线的缝合器具包括与手柄接合的细长主体。缝合头从细长体的远端延伸，并且缝合头相对于细长体可铰接。第一针架和第二针架都能够进出缝合头。第一致动器允许第一针架的受控运动，并且该第一致动器从手柄的近端延伸。第二致动器允许第二针架的受控运动，并且该第二致动器也从手柄的近端延伸。缝合头可以在从沿着细长主体的长度延伸的纵向轴线测量的约0度至约30度的范围内铰接，并且头部的该可变关节角度允许展开第一针架和第二针托架相对于纵向轴线以各种取向。

98. 发明授权

US08784439B1 Percutaneous medical procedures and devices for closing vessels using mechanical closures 失效
标题翻译：经皮医疗程序和关闭使用机械闭合的血管的装置
公开(公告)号：US08784439B1
公开(公告)日：2014-07-22
申请号：US13413156
申请日：2012-03-06
申请人： Stephen V. Ward , Kenneth Salce , Matt D. Pursley , Joe E. Brown
发明人： Stephen V. Ward , Kenneth Salce , Matt D. Pursley , Joe E. Brown
IPC分类号： A61B17/12 , A61B17/064 , A61B17/06 , A61B17/00 , A61B17/03
CPC分类号： A61B17/12172 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06066 , A61B17/06109 , A61B17/0644 , A61B17/068 , A61B17/12013 , A61B17/12031 , A61B17/12036 , A61B17/12109 , A61B17/12131 , A61B2017/00526 , A61B2017/00778 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0437 , A61B2017/0445 , A61B2017/0448 , A61B2017/0464 , A61B2017/0472 , A61B2017/06052 , A61B2017/0608 , A61B2017/06095 , A61B2017/061 , A61B2017/0641 , A61B2017/0645 , A61B2017/0649 , A61B2017/12054
摘要： Percutaneous medical procedures are provided, which use endovascular instruments to install mechanical closures for closing vessels, such as veins. The mechanical closures can be one or more sutures that are anchored to the vessel walls and then cinched to closed the vessel. The mechanical closures can also be resilient clips or stents that are expanded within the vessel to pierce the vessel walls, and are then contracted to pull the vessel closed. Various techniques for installing the mechanical closures are also described.
摘要翻译：提供经皮医学程序，其使用血管内仪器来安装用于封闭血管（如静脉）的机械闭合件。机械闭合件可以是一个或多个缝合线，其被锚定到血管壁上，然后固定以封闭血管。机械闭合件也可以是在容器内膨胀以刺穿血管壁的弹性夹子或支架，然后收缩以使容器闭合。还描述了用于安装机械闭合件的各种技术。

99. 发明授权

US08771296B2 Suturing devices and methods for suturing an anatomic valve 有权
标题翻译：用于缝合解剖瓣膜的缝合装置和方法
公开(公告)号：US08771296B2
公开(公告)日：2014-07-08
申请号：US12463046
申请日：2009-05-08
申请人： Anthony A. Nobles , Benjamin G. Brosch , John R. Crew
发明人： Anthony A. Nobles , Benjamin G. Brosch , John R. Crew
IPC分类号： A61B17/04 , A61B17/12
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0482 , A61B2017/047 , A61B2017/0472 , A61B2017/0488 , A61B2017/06042 , A61B2017/06057
摘要： A device for suturing an anatomic valve has an elongate body, a suture catch mechanism and a suture clasp arm. The suture catch mechanism is operatively coupled to the elongate body for movement between a retracted position and an advanced position. The suture clasp arm is pivotally attached to the elongate body for movement between a retracted position and an extended position. The suture clasp arm has a suture clasp configured to releasably retain a suture portion. In some embodiments, the suture clasp is positioned on the suture clasp arm such that the suture catch mechanism retrieves the suture portion from the suture clasp arm while the arm is at least partially retracted. In some embodiments, the suture clasp arm can be closed about a tissue portion without damaging the tissue portion.
摘要翻译：用于缝合解剖瓣膜的装置具有细长主体，缝合线捕获机构和缝合线夹臂。缝合线捕获机构可操作地联接到细长主体，用于在缩回位置和前进位置之间移动。缝线夹臂枢转地附接到细长主体以在缩回位置和延伸位置之间移动。缝合线夹臂具有构造成可释放地保持缝线部分的缝线夹。在一些实施例中，缝合线扣被定位在缝合线钩臂上，使得缝合线抓住机构在臂至少部分缩回的同时从缝合线钩臂中取出缝线部分。在一些实施例中，缝合线夹臂可围绕组织部分封闭，而不损坏组织部分。

100. 发明申请

US20140155914A1 DEVICES AND METHODS FOR PASSING SUTURES THROUGH TISSUE 审中-公开
标题翻译：用于通过组织通过脐带的装置和方法
公开(公告)号：US20140155914A1
公开(公告)日：2014-06-05
申请号：US13958401
申请日：2013-08-02
申请人： David James Schneider
发明人： David James Schneider
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0483 , A61B17/0401 , A61B17/0482 , A61B17/06066 , A61B17/06166 , A61B2017/00867 , A61B2017/00893 , A61B2017/0403 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06042 , A61B2017/06052 , A61B2017/06176
摘要： A suture passer device is provided including a jaw configuration that grasps targeted tissue such as tendons or muscles in a similar manner as existing suture passer devices; however, the device introduces the needle and the attached suture along the axis of the shaft of the device. After grasping the targeted tissue, the needle is deployed by manipulating the handle of the device similar to conventional suture passers however, the needle is deployed in between the opposing jaws and the needle is advanced into tissue along the axis of the shaft as opposed to perpendicular to the shaft as in prior art devices. The invention further includes methods of deploying sutures and anchors. The invention also includes embodiments of jaw designs, and various embodiments of suture passing needles, sutures constructions, and anchor designs. Therefore, the invention also comprises the device in combination with the needles, sutures, and anchors, as well as the needles, sutures, and anchors in separate sub combinations.
摘要翻译：提供了一种缝线路径装置，其包括以与现有缝合路径装置相似的方式抓握诸如肌腱或肌肉的目标组织的钳夹构型; 然而，该装置沿着装置的轴的轴线引入针和附接的缝合线。在抓住目标组织之后，通过操纵类似于常规缝合路人的手柄的手来展开针，然而，针展开在相对的夹爪之间，并且针沿着轴的轴线前进到组织中，而不是垂直与现有技术的装置一样。本发明还包括部署缝合线和锚固件的方法。本发明还包括钳口设计的实施例以及缝合线通过针，缝线结构和锚定设计的各种实施例。因此，本发明还包括与针，缝线和锚的组合以及分开的子组合中的针，缝合线和锚固件的装置。

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