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61. 发明申请

US20140222031A1 DIRECT AORTIC ACCESS SYSTEM FOR TRANSCATHETER AORTIC VALVE PROCEDURES 有权
标题翻译：用于运输机动力阀程序的直接导航系统
公开(公告)号：US20140222031A1
公开(公告)日：2014-08-07
申请号：US13975258
申请日：2013-08-23
申请人： Synecor LLC
发明人： Richard S. Stack , Richard A. Glenn , Michael S. Williams , William L. Athas
IPC分类号： A61F2/24 , A61F2/01 , A61B17/04
CPC分类号： A61F2/2427 , A61B17/0469 , A61B17/0483 , A61B17/062 , A61B17/3421 , A61B17/3423 , A61B90/361 , A61B2017/00243 , A61B2017/00252 , A61B2017/00278 , A61B2017/2927 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61F2/013 , A61F2/2433 , A61F2220/0075 , A61M25/0026 , A61M25/04 , A61M25/0668 , A61M39/0613 , A61M2039/0626 , A61M2039/0673
摘要： Disclosed are a system and method for performing a medical procedure using direct percutaneous access of an aorta. A main sheath is introduced through an incision formed in proximity to the sternum, and positioned along (and preferable against) a posterior portion of the sternum. Instruments passed through the main sheath are used to form a purse-string suture in an exterior wall of the aorta. An opening is formed in the wall of the aorta in a region encircled by the purse-string suture, and a distal end of an introducer sheath is advanced through the opening into the aorta. A medical procedure, which may be a transcatheter aortic valve replacement, is performed using instruments passed through the introducer sheath into the aorta. After the medical procedure, the introducer sheath is withdrawn from the aorta and, as the introducer sheath is withdrawn, the purse-string suture is tightened to close the opening.
摘要翻译：公开了一种使用直接经皮进入主动脉进行医疗程序的系统和方法。通过在胸骨附近形成的切口引入主鞘，并且沿着（并且优选地）与胸骨的后部定位。通过主护套的仪器用于在主动脉的外壁形成一个钱包缝合线。在由钱包缝合线包围的区域中的主动脉的壁上形成开口，并且导引鞘的远端通过开口前进到主动脉。可以是经导管主动脉瓣置换的医疗程序使用通过引导器套管进入主动脉的器械进行。在医疗程序之后，引导器护套从主动脉抽出，并且当引导器护套被抽出时，将该钱包缝合线紧固以闭合开口。

62. 发明授权

US08764796B2 Suture method 有权
标题翻译：缝合法
公开(公告)号：US08764796B2
公开(公告)日：2014-07-01
申请号：US11307520
申请日：2006-02-10
申请人： Andrew Kaplan , Gregory L Ruff , Jeffrey C. Leung , Matthew A. Megaro
发明人： Andrew Kaplan , Gregory L Ruff , Jeffrey C. Leung , Matthew A. Megaro
IPC分类号： A61B17/04
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/04 , A61B17/06061 , A61B17/06166 , A61B17/062 , A61B17/1114 , A61B17/1146 , A61B2017/00575 , A61B2017/0061 , A61B2017/00632 , A61B2017/00663 , A61B2017/00792 , A61B2017/06052 , A61B2017/06057 , A61B2017/06171 , A61B2017/06176 , A61B2017/1135
摘要： A method for joining and holding closed a wound in bodily tissue, fastening junctions of wounds, tying off wounds, joining a foreign element to tissue, and altering the position of tissue using a barbed suture including sharp pointed ends. Each end of the suture includes barbs on that permit movement in an opposing direction to the barbs on the other end of the suture. This two-way barbed suture is used by the method of the present invention in applications including abdominal surgeries such as a Nissen fundoplication, laparoscopic uses such as stabilizing a bowel structure and performing a closure of a cystostomy, liver to bowel anastomosis, closure of an orifice of a Zenker's Diverticulum, endoscopic uses such as closure of ulcerative lesions or and post-procedural tissue defects, bladder wound closure, valve replacement surgery, device attachment, cosmetic surgery, and blood vessel wound closure.
摘要翻译：用于接合和保持身体组织中的伤口闭合的方法，紧固伤口的连接点，将伤口束紧，将异物连接到组织，以及使用包括尖锐尖端的带刺的缝合线改变组织的位置。缝合线的每个端部都包括有倒钩，允许在与缝合线另一端上的倒钩相反的方向上移动。这种双向有倒刺的缝合线用于本发明的方法中，包括腹部手术如尼森基底层切开术，腹腔镜用途如稳定肠结构并执行闭合膀胱造口术，肝脏排便吻合，闭合 Zenker憩室的孔，内窥镜使用，例如关闭溃疡性病变或术后组织缺陷，膀胱伤口闭合，瓣膜置换手术，装置附着，整容手术和血管伤口闭合。

63. 发明申请

US20140163327A1 METHOD AND SYSTEM FOR REMOTE THYROIDECTOMY AND PARATHYROIDECTOMY 审中-公开
标题翻译：远程甲状腺切除术和PARATHYROIDECTOMY的方法和系统
公开(公告)号：US20140163327A1
公开(公告)日：2014-06-12
申请号：US14103261
申请日：2013-12-11
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： Lee L. SWANSTROM
IPC分类号： A61B17/32 , A61B17/02
CPC分类号： A61B17/320016 , A61B1/00154 , A61B17/0218 , A61B17/062 , A61B17/29 , A61B34/70 , A61B90/50 , A61B2017/003 , A61B2017/2906 , A61B2017/320056 , A61B2018/1422 , A61B2090/571
摘要： Embodiments include a method of performing a medical procedure in a patient. The method includes creating an incision in the patient and inserting a flexible guide tube into the incision. The method also includes locating a flexible instrument and a flexible optical device within the guide tube, tunneling the distal tip of the guide tube through the incision to a sternal notch or a position proximate the sternal notch, and dissecting at least part of a thyroid using the instrument.
摘要翻译：实施例包括在患者体内执行医疗程序的方法。该方法包括在患者中创建切口并将柔性导管插入切口中。该方法还包括在引导管内定位柔性仪器和柔性光学装置，将引导管的远端通过切口隧穿到胸骨切口或靠近胸骨切口的位置，并使用以下方式解剖至少部分甲状腺仪器。

64. 发明授权

US08715303B2 Sizing and positioning adapter for medical instruments 有权
标题翻译：适用于医疗仪器的尺寸和定位适配器
公开(公告)号：US08715303B2
公开(公告)日：2014-05-06
申请号：US10861171
申请日：2004-06-04
申请人： Laveille Kao Voss , Erik Kristian Walberg
发明人： Laveille Kao Voss , Erik Kristian Walberg
IPC分类号： A61B17/08
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。

65. 发明授权

US08702729B2 Placing multiple sutures 有权
标题翻译：放置多条缝合线
公开(公告)号：US08702729B2
公开(公告)日：2014-04-22
申请号：US11869490
申请日：2007-10-09
申请人： Michael S. H. Chu
发明人： Michael S. H. Chu
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , 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。

66. 发明授权

US08690908B2 Flexible wrist for surgical tool 有权
标题翻译：柔性手腕用于外科手术工具
公开(公告)号：US08690908B2
公开(公告)日：2014-04-08
申请号：US13692024
申请日：2012-12-03
申请人： Thomas G. Cooper , S. Christopher Anderson
发明人： Thomas G. Cooper , S. Christopher Anderson
IPC分类号： A61B17/28
CPC分类号： A61B34/30 , A61B1/00142 , A61B1/00149 , A61B1/0058 , A61B1/008 , A61B1/018 , A61B17/00 , A61B17/062 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B18/1442 , A61B34/71 , A61B2017/003 , A61B2017/00309 , A61B2017/2901 , A61B2034/305 , A61B2034/306
摘要： The present invention is directed to a tool having a wrist mechanism that provides pitch and yaw rotation in such a way that the tool has no singularity in roll, pitch, and yaw. In one embodiment, a minimally invasive surgical instrument includes an elongate shaft having a working end, a proximal end, and a shaft axis between the working end and the proximal end; and an end effector. A wrist member has a flexible tube including an axis extending through an interior surrounded by a wall. The wall of the flexible tube includes a plurality of lumens oriented generally parallel to the axis of the flexible tube. The wrist member has a proximal portion connected to the working end of the elongate shaft and a distal portion connected to the end effector.
摘要翻译：本发明涉及一种具有手腕机构的工具，其提供俯仰和偏转旋转，使得该工具在滚动，俯仰和偏转中没有奇异性。在一个实施例中，微创手术器械包括细长轴，其具有在工作端和近端之间的工作端，近端和轴线; 和末端执行器。手腕构件具有柔性管，其包括延伸穿过由壁围成的内部的轴线。柔性管的壁包括大致平行于柔性管的轴线定向的多个管腔。手腕构件具有连接到细长轴的工作端的近端部分和连接到端部执行器的远端部分。

67. 发明授权

US08663249B2 Automatic suturing apparatus and methods of use 有权
标题翻译：自动缝合装置及使用方法
公开(公告)号：US08663249B2
公开(公告)日：2014-03-04
申请号：US13096815
申请日：2011-04-28
申请人： Vinay Badhwar
发明人： Vinay Badhwar
IPC分类号： A61B17/04 , A61F2/24
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0491 , A61B17/062 , A61B2017/00783 , A61B2017/047 , A61B2017/0472 , A61B2017/0488 , A61F2/2409
摘要： An automatic suturing apparatus comprises triggers that activate suturing and securing of the tissue of a patient. An automatic suturing apparatus also comprises triggers that activate suturing and securing of a valve to tissue of a patient. The automatic suturing apparatus can be used in systems and kits. An automatic suturing apparatus can be used in methods of suturing a tissue or a valve to tissue.
摘要翻译：自动缝合装置包括激活缝合和固定患者组织的触发器。自动缝合装置还包括触发器，其启动缝合并将瓣膜固定到患者的组织。自动缝合装置可用于系统和套件。自动缝合装置可以用于将组织或瓣膜缝合到组织的方法。

68. 发明申请

US20140058415A1 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：US20140058415A1
公开(公告)日：2014-02-27
申请号：US14069108
申请日：2013-10-31
申请人： COVIDIEN LP
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。

69. 发明授权

US08617187B2 Replaceable tip suturing devices, system, and methods for use with differing needles 有权
标题翻译：可替换的尖端缝合装置，系统和使用不同针头的方法
公开(公告)号：US08617187B2
公开(公告)日：2013-12-31
申请号：US12049545
申请日：2008-03-17
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/0625 , A61B90/90 , A61B90/94
摘要： Medical suturing devices, systems, and methods will be useful for endoscopic or open surgeries, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft. Portions of the devices may be disposable, replaceable, and/or reusable, with different needle-grasping jaws and/or different elongate extension bodies having different configurations optionally being selectably coupleably to an articulatable handle and housing so as to allow the user to configure the device for a particular procedure.
摘要翻译：医疗缝合装置，系统和方法对于内窥镜或开放手术（包括耳朵，鼻子和喉部手术）将是有用的。铰接运动可以使用轴的轴向运动从手柄转移到针抓持爪。具有不同配置的不同的针把持爪和/或不同细长延伸体可以是一次性的，可更换的和/或可重复使用的，可选择地可选择地可耦合地连接到可铰接的手柄和壳体上，以便允许使用者配置特定程序的设备。

70. 发明授权

US08603113B2 Suturing device, system, and method 有权
标题翻译：缝合装置，系统和方法
公开(公告)号：US08603113B2
公开(公告)日：2013-12-10
申请号：US13167573
申请日：2011-06-23
申请人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
发明人： Henry H. Hamilton , Yuri Belman , Alexander Borisovich Zatyuryukin , Patricia A. Moore
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/2841 , A61B2017/00367
摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.
摘要翻译：改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于使用标准针夹。将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

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