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71. 发明申请

US20130060324A1 ENDOVASCULAR STAPLER 审中-公开
标题翻译：内分泌器
公开(公告)号：US20130060324A1
公开(公告)日：2013-03-07
申请号：US13562085
申请日：2012-07-30
申请人： John K. Edoga , Thierry Richard , Alan Bachman
发明人： John K. Edoga , Thierry Richard , Alan Bachman
IPC分类号： A61B17/115 , A61F2/06
CPC分类号： A61B17/10 , A61B17/0644 , A61B17/068 , A61B17/0684 , A61B17/115 , A61B90/39 , A61B2017/00557 , A61B2017/00867 , A61B2017/0649 , A61B2017/1157 , A61B2017/22051 , A61B2017/22052 , A61B2017/22069 , A61B2017/2905 , A61B2017/2933 , A61B2090/3925 , A61F2/07
摘要： An endovascular stapler for securing an endograft to a vessel is disclosed. The stapler includes a staple housing adapted for storing at least one staple therein, the staple housing having an exit area for discharge of the at least one staple therethrough, an actuating assembly adapted for discharging the at least one staple through the exit area, and a displacement mechanism in operative association with the staple housing near the exit area. The displacement member is operative for pushing the exit area against the endograft when discharging the at least one staple therethrough. The discharged staple forms a plurality of opposed loops connected by a central element upon discharge. Also disclosed are staples and displacement mechanisms adapted for use with surgical instruments such as the present endovascular staplers. The staples may be formed from memory metal or other metal. The displacement mechanisms disclosed include balloons and rigid offsetting devices.
摘要翻译：公开了一种用于将内移植物固定到血管的血管内吻合器。订书机包括适于在其中存储至少一个订书钉的订书钉壳体，订书钉机架具有用于通过其排出至少一个订书钉的出口区域，适于将至少一个订书钉排出通过出口区域的致动组件，以及位移机构与出口区域附近的钉仓有效关联。当排出至少一个订书钉通过其时，位移构件用于将出口区域推靠在内移器上。排出的订书钉在排出时形成由中心元件连接的多个相对环。还公开了适于与诸如本发明的血管内吻合器的外科器械一起使用的吻合钉和移位机构。订书钉可以由记忆金属或其他金属形成。所公开的位移机构包括气球和刚性偏移装置。

72. 发明申请

US20120211545A1 DEVICE AND METHOD FOR DELIVERING SHAPE-MEMORY STAPLES 有权
标题翻译：用于传送形状记忆体的装置和方法
公开(公告)号：US20120211545A1
公开(公告)日：2012-08-23
申请号：US13462394
申请日：2012-05-02
申请人： Mikhail SOUTORINE , Artem N. CHERNOV-HARAEV
发明人： Mikhail SOUTORINE , Artem N. CHERNOV-HARAEV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/00867 , A61B2017/0649 , A61B2017/1157 , A61B2017/2932 , A61B2017/2946
摘要： An apparatus comprising a plurality of chambers for receiving an associated plurality of staples, each formed with a shape memory that allows the staple to adopt a straightened configuration, when placed in a stapler, and a deployed configuration for suturing when released from the stapler; and a sleeve moveable relative to the chambers between a first position, in which the staples are trapped by the sleeve within the chambers in the straightened configuration, and a second position, whereby the staples are freed to adopt the deployed configuration, wherein the sleeve is adapted to move between the first and second positions by rotating relative to the chambers.
摘要翻译：一种装置，包括用于接收相关联的多个钉的多个腔室，每个缝钉形成有形状存储器，其允许缝合钉在放置在吻合器中时采用矫直构型;以及展开构造，用于在从缝合器释放时进行缝合; 以及套筒，其可在第一位置和第二位置之间相对于所述腔室移动，所述第一位置在所述第一位置和所述第二位置之间，所述缝钉被所述套筒在所述腔室内以矫直构造捕获，并且所述缝钉被释放以采用所述展开构造，适于通过相对于所述室旋转而在所述第一和第二位置之间移动。

73. 发明授权

US08231042B2 Surgical stapler 有权
标题翻译：手术吻合器
公开(公告)号：US08231042B2
公开(公告)日：2012-07-31
申请号：US12582064
申请日：2009-10-20
申请人： Thomas R. Hessler , Keith L. Milliman
发明人： Thomas R. Hessler , Keith L. Milliman
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B1/31 , A61B17/02 , A61B17/0469 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00818 , A61B2017/0725 , A61B2017/1142 , A61B2017/1157 , A61B2090/061
摘要： A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The anvil assembly has an anvil head and a plurality of projections extending proximally of the anvil head, the projections engageable with a portion of the shell assembly.
摘要翻译：一种手术吻合器，包括手柄组件，从手柄组件向远侧延伸的细长主体部分，以及靠近细长主体部分的远侧部分设置并包括砧座组件和壳体组件的头部。砧组件相对于外壳组件在间隔和近似位置之间是可移动的。砧座组件具有砧座头部和在砧座头部的近侧延伸的多个突出部，该突出部可与壳体组件的一部分接合。

74. 发明申请

US20120116427A1 Device and Method for Anastomosis 有权
标题翻译：吻合装置及方法
公开(公告)号：US20120116427A1
公开(公告)日：2012-05-10
申请号：US12940127
申请日：2010-11-05
申请人： Syed Tasnim Raza
发明人： Syed Tasnim Raza
IPC分类号： A61B17/11
CPC分类号： A61B17/1155 , A61B17/1152 , A61B2017/1107 , A61B2017/1132 , A61B2017/1157
摘要： Device and method for anastomosis may include a circular stapler with central anvil and multiple circumferentially disposed stapling limbs. A tubular graft may be sleeved on the anvil. The anvil with sleeved graft may be inserted into an end of a dissected aorta to form an overlap. Control actuation may cause the limbs to all substantially simultaneously close and then fire staples respectively into the overlap. The staples may form two generally parallel rows around the overlap with staples of each row being staggered relative to staples of the other row, thereby making a leak-free connection between the tubular graft and the end of the aorta. Control actuation may cause the limbs to open so the anvil may be removed from the end of the aorta, leaving the tubular graft in a leak-free connection with the aorta's end. Exemplary embodiments may allow for generally faster anastomosis than prior art.
摘要翻译：用于吻合的装置和方法可以包括具有中心砧的圆形缝合器和多个周向布置的缝合肢体。管状移植物可以套在砧座上。具有袖子移植物的砧可以插入解剖主动脉的末端以形成重叠。控制致动可能使肢体全部基本上同时关闭，然后分别将钉钉钉入重叠。订书钉可以围绕重叠形成两个大致平行的行，每排的缝钉相对于另一排的钉交错布置，从而在管状移植物和主动脉末端之间形成无泄漏的连接。控制致动可能导致四肢打开，因此砧座可以从主动脉末端移除，使管状移植物与主动脉末端无泄漏连接。示例性实施例可以允许比现有技术更快的吻合。

75. 发明申请

US20120067937A1 INTERNAL GASTRIC BANDER FOR OBESITY 有权
标题翻译：内部胃肠道肥胖
公开(公告)号：US20120067937A1
公开(公告)日：2012-03-22
申请号：US13234965
申请日：2011-09-16
申请人： Thomas E. Menzel
发明人： Thomas E. Menzel
IPC分类号： A61B17/068
CPC分类号： A61F5/0089 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61B2017/00314 , A61B2017/00323 , A61B2017/1157 , A61F5/0086
摘要： A non-surgical gastric bander device and process is described. The non-surgical gastric bander device includes a staple device, an elongated articulated shaft, an operations handle and a cable connecting the operations handle to the staple device. The staple device includes a housing having an interior housing channel for receiving a slidable tube. The slidable tube includes at least one suction port, a constriction band surrounding the exterior surface of the slidable tube and a plurality of staples removably positioned adjacent the exterior surface of the slidable tube and held in place by the constriction band. The gastric bander device further includes an elongated, articulated shaft connecting the staple device to an operations handle.
摘要翻译：描述了非手术胃束带装置和过程。非手术胃束带装置包括缝合装置，细长的关节轴，操作手柄和将操作手柄连接到缝合装置的电缆。订书钉装置包括具有用于接收可滑动管的内部壳体通道的壳体。可滑动管包括至少一个吸入口，围绕可滑动管的外表面的收缩带和可移除地定位成邻近可滑动管的外表面并由收缩带保持在适当位置的多个钉。胃束带器装置还包括将钉钉装置连接到操作手柄的细长的铰接轴。

76. 发明授权

US08109427B2 End-to end anastomosis instrument and method for performing same 失效
标题翻译：端对端吻合器及其执行方法
公开(公告)号：US08109427B2
公开(公告)日：2012-02-07
申请号：US13087699
申请日：2011-04-15
申请人： Joseph P. Orban, III
发明人： Joseph P. Orban, III
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B17/1152 , A61B17/1155 , A61B2017/0641 , A61B2017/0647 , A61B2017/1107 , A61B2017/1157 , A61B2017/2916
摘要： A surgical instrument for performing an end-to-end anastomosis of first and second luminal structures includes a housing having an actuator attached thereto and a selectively removable loading unit attached to a distal end of the housing which supports any array of surgical fasteners at a distal end thereof. The surgical fasteners are simultaneously deformable upon activation of the actuator such that a distal end of each surgical fastener secures each end of each luminal structure to complete the end-to-end anastomosis wherein the resulting eversion is exterior to the luminal structures.
摘要翻译：用于执行第一和第二管腔结构的端到端吻合的外科器械包括具有附接到其上的致动器的壳体和附接到壳体的远端的选择性可移除的加载单元，其支撑远端的任何外科紧固件阵列结束。手术紧固件在激活致动器时可同时变形，使得每个手术紧固件的远端固定每个管腔结构的每个端部以完成端对端吻合，其中所得到的外翻在管腔结构外部。

77. 发明授权

US08034064B2 Methods for forming an anastomosis opening in a side of a blood vessel 失效
标题翻译：在血管侧形成吻合口的方法
公开(公告)号：US08034064B2
公开(公告)日：2011-10-11
申请号：US11375880
申请日：2006-03-15
申请人： Duane D. Blatter
发明人： Duane D. Blatter
IPC分类号： A61B17/08 , A61B17/32
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/11 , A61B17/115 , A61B17/1152 , A61B17/1155 , A61B17/320016 , A61B17/32053 , A61B17/3403 , A61B2017/00557 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/22068 , A61B2017/22069
摘要： The present invention relates to new and useful apparatus, systems and methods for providing an effective tool for intraluminally directed vascular anastomosis of a graft vessel to a receiving blood vessel that is performed according to a minimally invasive procedure. The intraluminally directed vascular anastomosis does not require the interruption of blood flow in the receiving blood vessel and it is versatile enough to suitably combine a variety of cutting, welding, soldering, sealing, and joining techniques. The intraluminally directed anvil apparatus comprises an anvil and a wire used for signaling the optimal anastomosis site; this signaling can be performed when the initial exploration is performed. An anastomosis device is used in conjunction with the intraluminally directed anvil apparatus for opening the anastomosis fenestra and joining the anastomosed structures.
摘要翻译：本发明涉及一种新的有用的装置，系统和方法，用于提供用于根据微创程序进行的接收血管的移植血管的腔内定向血管吻合的有效工具。腔内导管的血管吻合不需要中断接收血管中的血流，并且其通用性足以适当地组合各种切割，焊接，焊接，密封和接合技术。经内镜定向的砧设备包括用于发信号通知最佳吻合部位的砧和线; 当执行初始探查时，可以执行该信令。吻合装置与用于打开吻合口并连接吻合结构的经内镜定向的砧设备结合使用。

78. 发明申请

US20110220703A1 END-TO-END ANASTOMOSIS INSTRUMENT AND METHOD FOR PERFORMING SAME 失效
标题翻译：端到端分析仪器及其执行方法
公开(公告)号：US20110220703A1
公开(公告)日：2011-09-15
申请号：US13087699
申请日：2011-04-15
申请人： Joseph P. Orban, III
发明人： Joseph P. Orban, III
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B17/1152 , A61B17/1155 , A61B2017/0641 , A61B2017/0647 , A61B2017/1107 , A61B2017/1157 , A61B2017/2916
摘要： A surgical instrument for performing an end-to-end anastomosis of first and second luminal structures includes a housing having an actuator attached thereto and a selectively removable loading unit attached to a distal end of the housing which supports any array of surgical fasteners at a distal end thereof. The surgical fasteners are simultaneously deformable upon activation of the actuator such that a distal end of each surgical fastener secures each end of each luminal structure to complete the end-to-end anastomosis wherein the resulting eversion is exterior to the luminal structures.
摘要翻译：用于执行第一和第二管腔结构的端到端吻合的外科器械包括具有附接到其上的致动器的壳体和附接到壳体的远端的选择性可移除的加载单元，其支撑远端的任何外科紧固件阵列结束。手术紧固件在激活致动器时可同时变形，使得每个手术紧固件的远端固定每个管腔结构的每个端部以完成端对端吻合，其中所得到的外翻在管腔结构外部。

79. 发明授权

US07955380B2 Prosthesis fixation apparatus and methods 有权
标题翻译：假体固定装置及方法
公开(公告)号：US07955380B2
公开(公告)日：2011-06-07
申请号：US11276877
申请日：2006-03-17
申请人： Jack Chu , Jonathan Morris , James Machek
发明人： Jack Chu , Jonathan Morris , James Machek
IPC分类号： A61F2/06
CPC分类号： A61B17/064 , A61B17/0401 , A61B17/068 , A61B2017/0412 , A61B2017/0427 , A61B2017/0464 , A61B2017/1157 , A61F2/848
摘要： A method of securing a prosthesis placed at a desired site in a passageway of a human body comprises delivering a fastener having a proximal piercing end portion and a distal piercing end portion to a site where a prosthesis having a tubular wall has been placed in the passageway, which has a wall, advancing the proximal piercing end portion beyond the prosthesis, penetrating the proximal piercing end portion into the wall of the passageway without passing the proximal piercing end portion through the tubular wall of the prosthesis, and passing the distal piercing end portion through the tubular wall of the prosthesis and into the wall of the passageway. One surgical fastener delivery apparatus for delivering a surgical fastener to a target site comprises a support having a first end, a second end, and a longitudinal axis and being adapted for placement in a passageway in a human body. A surgical fastener having a first piercing end portion, a second piercing end portion and a central portion extending therebetween and having a longitudinal axis is releasably mounted to the support with the central portion longitudinal axis generally parallel to the support longitudinal axis.
摘要翻译：将放置在人体通道中的期望位置处的假体固定的方法包括将具有近端刺穿端部和远端穿刺端部的紧固件递送到具有管状壁的假体已被放置在通道中的位置，其具有壁，使近端刺穿端部部分超过假体，将近端穿刺端部穿透到通道的壁中，而不使近端刺穿端部穿过假体的管状壁，并且使远端穿刺端部通过假体的管状壁并进入通道的壁。用于将手术紧固件递送到目标部位的一个手术紧固件输送装置包括具有第一端，第二端和纵向轴线并且适于放置在人体内的通道中的支撑件。具有第一穿刺端部，第二刺穿端部和在其间延伸并且具有纵向轴线的中心部分的手术紧固件可释放地安装到支撑件，中心部分纵向轴线大致平行于支撑纵向轴线。

80. 发明授权

US07938307B2 Support structures and methods of using the same 有权
标题翻译：支持结构和使用方法
公开(公告)号：US07938307B2
公开(公告)日：2011-05-10
申请号：US11241267
申请日：2005-09-30
申请人： Michael J. Bettuchi
发明人： Michael J. Bettuchi
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1152 , A61B2017/00004 , A61B2017/00557 , A61B2017/00853 , A61B2017/00893 , A61B2017/00898 , A61B2017/1157
摘要： According to an aspect of the present disclosure, an apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes an anastomosis device having an anvil and a tubular body portion, wherein the anvil is selectively attachable to the tubular body portion by a shaft; and a support structure for deposition between the intestinal sections of tissue. The support structure includes a body defining an aperture therein for receiving the shaft. The body has an outer terminal edge. The support structure includes at least one layer of expandable material disposed at the outer terminal edge of the body.
摘要翻译：根据本公开的一个方面，提供了一种用于在组织的相邻肠段之间形成吻合的装置。所述装置包括具有砧座和管状主体部分的吻合装置，其中所述砧座通过轴选择性地附接到所述管状主体部分; 以及用于在组织的肠段之间沉积的支撑结构。支撑结构包括在其中限定其中用于接收轴的孔的主体。身体有一个外边缘。支撑结构包括设置在身体的外部末端边缘处的至少一层可膨胀材料。

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