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11. 发明申请

US20060217744A1 Vascular closure system 失效
标题翻译：血管闭合系统
公开(公告)号：US20060217744A1
公开(公告)日：2006-09-28
申请号：US11093003
申请日：2005-03-28
申请人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
发明人： Theodore Bender , Zachary Warder-Gabaldon , Matthew Newell , Bernard Hausen , Brian DuBois , Bryan Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： A system for closing an opening in tissue may include an end effector that holds a staple, where the staple is plastically deformed to a splayed configuration for engaging tissue, then plastically deformed to a closed condition for closing the opening. The system may include one or more butterfly members configured to register the opening to the end effector.
摘要翻译：用于封闭组织中的开口的系统可以包括保持订书钉的端部执行器，其中订书钉被塑性变形到用于接合组织的展开构型，然后塑性变形到关闭开口的关闭状态。该系统可以包括一个或多个蝶形构件，其构造成将开口对准到端部执行器。

12. 发明授权

US08864774B2 Tympanic membrane pressure equalization tube delivery system 有权
标题翻译：鼓膜均压管输送系统
公开(公告)号：US08864774B2
公开(公告)日：2014-10-21
申请号：US12836654
申请日：2010-07-15
申请人： Greg Liu , Rohit Girotra , John H. Morriss , Julie D. Vrany , Hung V. Ha , Bryan Knodel , Jeffrey A. Walker , Thomas Daniel Gross , Mathew D. Clopp , Bernard H. Andreas
发明人： Greg Liu , Rohit Girotra , John H. Morriss , Julie D. Vrany , Hung V. Ha , Bryan Knodel , Jeffrey A. Walker , Thomas Daniel Gross , Mathew D. Clopp , Bernard H. Andreas
IPC分类号： A61F11/00 , A61F2/18 , A61B17/34
CPC分类号： A61F11/002 , A61B17/3468
摘要： Systems and methods are provided for automatically forming an incision in a tympanic membrane of an ear and placing a tympanic membrane pressure equalization tube into the incision. The systems include a housing with a shaft extending therefrom. A mechanism is disposed within the housing. A distal end of the shaft is placed against a tympanic membrane, and the mechanism is triggered to causes the tympanic membrane to be automatically incised and dilated and a tympanic membrane pressure equalization tube to be placed in the dilated incision.
摘要翻译：提供了系统和方法，用于在耳朵的鼓膜中自动形成切口并将鼓膜压力平衡管放置在切口中。这些系统包括具有从其延伸的轴的壳体。机构设置在壳体内。将轴的远端放置在鼓膜上，并且触发该机构以使鼓膜自动切开和扩张，并将鼓膜压力平衡管置于扩张的切口中。

13. 发明申请

US20070073342A1 ANNULAR ACCESS DEVICE USING T-ANCHORS 审中-公开
标题翻译：使用T型锚杆的环形通道装置
公开(公告)号：US20070073342A1
公开(公告)日：2007-03-29
申请号：US11535383
申请日：2006-09-26
申请人： Corbett Stone , Jennifer Diederich , Bryan Knodel
发明人： Corbett Stone , Jennifer Diederich , Bryan Knodel
IPC分类号： A61B17/04
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/0487 , A61B2017/00004 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/06057 , A61F2002/444
摘要： Suture locking devices and methods. In one embodiment, the device includes a suture lock, a rotatable actuator adjacent to the lock, and a release mechanism. The lock defines a pair of suture holes which receive sutures attached to tissue (e.g. a spinal disc) of the surgical site. When the actuator rotates the sutures are wound together (preferably around a hub on the lock) thereby securing the plate to the tissue. Furthermore, the release mechanism is coupled to the lock in such a manner that when the release mechanism is actuated the device releases the lock. The release mechanism may include a push button that is biased away from the lock. Also, the actuator may include a thumbwheel and a gear. Further, the gear may also define suture holes. Additionally, a pull ring connected to a pair of loops for drawing the sutures through the instrument may be included.
摘要翻译：缝合锁定装置和方法。在一个实施例中，该装置包括缝合线锁，邻近锁的可旋转致动器以及释放机构。该锁限定了一对缝合孔，其接合附接到手术部位的组织（例如脊椎盘）的缝合线。当致动器旋转时，缝合线缠绕在一起（优选围绕锁定件上的轮毂），从而将板固定到组织上。此外，释放机构以这样的方式联接到锁定，即当释放机构被致动时，该装置释放锁定。释放机构可以包括偏压远离锁的按钮。此外，致动器可以包括指轮和齿轮。此外，齿轮还可以限定缝合孔。此外，可以包括连接到用于通过仪器绘制缝线的一对环的拉环。

14. 发明授权

US07942806B2 Stress urinary incontinence implant and device for deploying same 有权
标题翻译：压力性尿失禁植入物及其部署装置
公开(公告)号：US07942806B2
公开(公告)日：2011-05-17
申请号：US11321659
申请日：2005-12-29
申请人： Michael R. Tracey , Steve Bell , Bryan Knodel
发明人： Michael R. Tracey , Steve Bell , Bryan Knodel
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61B17/0625 , A61B2017/00805 , A61F2/0036
摘要： A suburethral implant for treating stress urinary incontinence (SUI) includes an elongated plate-like member which is slightly curved in transverse cross-section, and a pair of spaced apart arms having hooked ends or barbs which extend from the plate-like member. A device for deploying the suburethral implant for treating SUI includes a vaginal probe for insertion in the vaginal canal of a patient, and a urethra locator probe for the simultaneous insertion in the urethra of a patient. The urethra probe is spaced apart from and overlies the vaginal probe. The vaginal probe includes a wall in which is formed an exit port. A suburethral implant introducer assembly is extendable and retractable through the exit port on the vaginal probe. The introducer assembly has a distal end on which is removably mounted a suburethral implant. The introducer assembly is extendable through the exit port to pierce the vaginal canal wall of the patient in order to position the suburethral implant in proximity to the patient's urethra. The hooked ends or barbs on the arms of the suburethral implant engage the tissue surrounding the patient's urethra and are affixed thereto during deployment of the implant. The introducer assembly is then retracted into the vaginal probe, whereby the implant is released from the introducer assembly and remains affixed to tissue in proximity to the patient's urethra.
摘要翻译：用于治疗压力性尿失禁的尿道植入物（SUI）包括在横截面上略微弯曲的细长板状构件，以及一对间隔开的臂，其具有从板状构件延伸的钩端或倒钩。用于部署用于治疗SUI的尿道植入物的装置包括用于插入患者阴道内的阴道探针和用于同时插入患者尿道的尿道定位器探针。尿道探针与阴道探针间隔开并覆盖阴道探针。阴道探针包括形成有出口的壁。尿道植入物导引器组件可以通过阴道探针上的出口延伸和缩回。导引器组件具有远端，其上可移除地安装有尿道植入物。导引器组件可通过出口延伸以刺穿患者的阴道管壁，以将尿道植入物定位在患者的尿道附近。尿道植入物的手臂上的钩状端或倒钩与患者尿道周围的组织接合，并在植入物展开过程中固定在其上。导引器组件然后缩回到阴道探针中，由此植入物从导引器组件释放并且保持附着于患者尿道附近的组织。

15. 发明申请

US20090069757A1 ELASTOMERIC SEAL FOR USE WITHIN A CATHETER COMPONENT 审中-公开
标题翻译：弹药密封件用于电缆组件
公开(公告)号：US20090069757A1
公开(公告)日：2009-03-12
申请号：US12205888
申请日：2008-09-07
申请人： John I. Muri , Bryan Knodel , Gaylene Fisch
发明人： John I. Muri , Bryan Knodel , Gaylene Fisch
IPC分类号： A61M25/00 , B23P11/00
CPC分类号： A61M25/0606 , A61M25/0693 , Y10T29/49826
摘要： A sealing engagement between components in a catheter system is made using an elastomeric material. The sealing engagement is formed in a manner that allows a catheter needle to pass through a passageway in the center of the elastomeric material maintaining the sealing engagement between the components of the catheter system. The elastomeric material is shaped to fit circumferentially into one of the components and shaped to mechanically assist the passageway to close up after a needle passes through the passageway during retraction. The elastomeric material remains in a stationary position as the needle is retracted. One or more structures can be integrated within the elastomeric material to provide for compression and to prevent deformation of the passageway.
摘要翻译：使用弹性体材料制造导管系统中的部件之间的密封接合。密封接合形成为允许导管针穿过弹性体材料中心的通道，保持导管系统的部件之间的密封接合。弹性体材料成形为周向地配合到其中一个部件中并成形为在退回时针穿过通道之后机械地协助通道关闭。当针回缩时，弹性体材料保持在静止位置。一个或多个结构可以集成在弹性体材料内以提供压缩并防止通道的变形。

16. 发明授权

US08394102B2 Surgical tools for treatment of spinal stenosis 有权
标题翻译：用于治疗脊柱狭窄的手术工具
公开(公告)号：US08394102B2
公开(公告)日：2013-03-12
申请号：US12824043
申请日：2010-06-25
申请人： Robert Garabedian , Amie R. Borgstrom , Gregory B. Arcenio , Ronald Leguidleguid , Michael P. Wallace , Bryan Knodel
发明人： Robert Garabedian , Amie R. Borgstrom , Gregory B. Arcenio , Ronald Leguidleguid , Michael P. Wallace , Bryan Knodel
IPC分类号： A61B17/70
CPC分类号： A61B17/00234 , A61B17/1659 , A61B17/1671 , A61B2017/00469 , A61B2017/320044
摘要： Described herein are pullwire handle devices for securing to a tissue-penetrating pullwire. In some embodiments, the device includes a handle body, a pullwire lock configured to removably lock the pullwire handle device onto a pullwire within the handle body, and a tip containment element configured to retain the distal tip of the pullwire. In some embodiments, the handle body further comprises a storage chamber configured to store a distal portion of the pullwire. Also described herein are methods for capturing a pullwire using a pullwire handle device. In some embodiments, the method includes the steps of inserting the distal end of a pullwire into the pullwire handle device, advancing the pullwire further into the pullwire handle device while the distal portion of the pullwire is contained within the pullwire handle device, and locking the distal portion of the pullwire within the pullwire handle device.
摘要翻译：这里描述的是拉丝手柄装置，用于固定到组织穿透的拉丝。在一些实施例中，该装置包括手柄主体，拉线锁定，其被配置为将拉线手柄装置可移除地锁定到手柄主体内的拉线上，以及尖端容纳元件，其构造成保持拉线的远端。在一些实施例中，手柄主体还包括被配置为存储拉丝的远端部分的储存室。这里还描述了使用拉线手柄装置捕获拉线的方法。在一些实施例中，该方法包括以下步骤：将拉线的远端插入拉线手柄装置中，将拉线进一步推入拉线手柄装置，同时拉线的远端部分包含在拉丝手柄装置内，拉线手柄装置内的拉丝的远端部分。

17. 发明申请

US20110015645A1 TYMPANIC MEMBRANE PRESSURE EQUALIZATION TUBE DELIVERY SYSTEM 有权
标题翻译：典型膜压平衡管传送系统
公开(公告)号：US20110015645A1
公开(公告)日：2011-01-20
申请号：US12836654
申请日：2010-07-15
申请人： Greg Liu , Rohit Girotra , John H. Morriss , Julie D. Vrany , Hung V. Ha , Bryan Knodel , Jeffrey A. Walker , Thomas Daniel Gross , Mathew D. Clopp , Bernard H. Andreas
发明人： Greg Liu , Rohit Girotra , John H. Morriss , Julie D. Vrany , Hung V. Ha , Bryan Knodel , Jeffrey A. Walker , Thomas Daniel Gross , Mathew D. Clopp , Bernard H. Andreas
IPC分类号： A61F11/00
CPC分类号： A61F11/002 , A61B17/3468
摘要： Systems and methods are provided for automatically forming an incision in a tympanic membrane of an ear and placing a tympanic membrane pressure equalization tube into the incision. The systems include a housing with a shaft extending therefrom. A mechanism is disposed within the housing. A distal end of the shaft is placed against a tympanic membrane, and the mechanism is triggered to causes the tympanic membrane to be automatically incised and dilated and a tympanic membrane pressure equalization tube to be placed in the dilated incision.
摘要翻译：提供了系统和方法，用于在耳朵的鼓膜中自动形成切口并将鼓膜压力平衡管放置在切口中。这些系统包括具有从其延伸的轴的壳体。机构设置在壳体内。将轴的远端放置在鼓膜上，并且触发该机构以使鼓膜自动切开和扩张，并将鼓膜压力平衡管置于扩张的切口中。

18. 发明申请

US20070055379A1 ANNULAR ACCESS DEVICES 审中-公开
公开(公告)号：US20070055379A1
公开(公告)日：2007-03-08
申请号：US11462319
申请日：2006-08-03
申请人： Corbett Stone , Jennifer Diederich , Bryan Knodel
发明人： Corbett Stone , Jennifer Diederich , Bryan Knodel
IPC分类号： A61F2/44
CPC分类号： A61B17/0401 , A61B17/0057 , A61B17/0642 , A61B17/068 , A61B2017/0412 , A61B2017/0427 , A61B2017/0437 , A61B2017/0438 , A61B2017/0496 , A61B2017/06057 , A61B2017/0641 , A61B2017/0647 , A61F2002/444
摘要： An annular access device provides minimally invasive access to the interior of an intervertebral disc, a stable working platform for treatment, and closure of an annulotomy. A method of performing a surgical operation on an intervertebral disc provides for inserting an obturator into an annulotomy, and actuating an operable member to secure the obturator to an annulus of an intervertebral disc.
摘要翻译：环形进入装置提供对椎间盘内部的微创入路，用于治疗的稳定的工作平台以及闭锁术。在椎间盘上执行外科手术的方法提供将闭塞器插入瓣膜切开术中，以及致动可操作构件以将闭塞件固定到椎间盘的环状物。

19. 发明申请

US20050288689A1 Applicator and method for deploying a surgical fastener 审中-公开
标题翻译：用于部署手术紧固件的敷贴器和方法
公开(公告)号：US20050288689A1
公开(公告)日：2005-12-29
申请号：US10877669
申请日：2004-06-25
申请人： Gene Kammerer , Mark Howansky , Bryan Knodel
发明人： Gene Kammerer , Mark Howansky , Bryan Knodel
IPC分类号： A61B17/04 , A61B17/06 , A61B17/064 , A61B17/068 , A61B17/10
CPC分类号： A61B17/0682 , A61B17/0469 , A61B17/0482 , A61B17/0642 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0472 , A61B2017/06052
摘要： An applicator for deploying a fastener having two legs into tissue. The applicator has two elongated hollow needle members, slotted portions at the distal ends of the hollow needle members for releasably retaining the legs of the fastener, two push rods adapted to move lengthwise in the two needle members, and an actuator for moving the two push rods in the needle members so as to eject the leg portions of the fastener from the slotted portion of the two needle members. A method for deploying the fastener in tissue is also disclosed.
摘要翻译：一种用于将具有两条腿的紧固件部署到组织中的施加器。涂抹器具有两个细长的中空针构件，中空针构件的远端处的开槽部分用于可释放地保持紧固件的腿，两个推杆适于在两个针构件中纵向移动，以及用于移动两个推动件的致动器杆部件中的杆，以便从两个针构件的开槽部分弹出紧固件的腿部。还公开了一种在组织中展开紧固件的方法。

20. 发明授权

US5897563A Method for using a needle holder to assist in suturing 失效
标题翻译：使用针架来辅助缝合的方法
公开(公告)号：US5897563A
公开(公告)日：1999-04-27
申请号：US947115
申请日：1997-10-08
申请人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
发明人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0491
摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.
摘要翻译：根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。该装置还具有从手柄向远侧延伸的右臂和左臂。装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。右夹具保持具有附着于其上的缝合线的针。该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。然后，该方法包括使臂的远端彼此远离地移动。最后，该方法包括从组织中去除针。

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