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81. 发明申请

US20150119906A1 APPARATUS AND METHODS FOR TISSUE CLOSURE 有权
标题翻译：用于组织闭合的装置和方法
公开(公告)号：US20150119906A1
公开(公告)日：2015-04-30
申请号：US14589647
申请日：2015-01-05
申请人： TELEFLEX MEDICAL INCORPORATED
发明人： Celso BAGAOISAN , Suresh PAI , James DREHER
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B17/0057 , A61B17/0469 , A61B17/0493 , A61B2017/00637 , A61B2017/00663 , A61B2017/00672 , A61B2017/00858 , A61B2017/0472 , A61B2017/06042 , A61B2017/2911 , A61B2017/2946
摘要： Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture the procedure. Introducers can be used having a suture holder, an alignment indicator and insertion limits.
摘要翻译：提供了用于治疗组织开口的装置和方法，例如用于微创外科手术的套管针开口。在组织闭合装置中，可以使用手指护罩或护罩，可以使用手柄或保持区域或区域，并且可以使用定位指示器。还可以使用弹性柔软的靶材料来可靠地保持缝线的过程。引导者可以使用缝合线夹，对准指示器和插入限制。

82. 发明授权

US09017376B2 Apparatus for sealing a puncture by causing a reduction in the circumference of the puncture 有权
标题翻译：用于通过引起穿刺周围的减少来密封穿刺的装置
公开(公告)号：US09017376B2
公开(公告)日：2015-04-28
申请号：US13174049
申请日：2011-06-30
申请人： Stevan Nielsen , Bodo Quint , Randolf Von Oepen , Kenneth J. Michlitsch , Gerd Seibold , Tommy Conzelmann , Ib Erling Joergensen
发明人： Stevan Nielsen , Bodo Quint , Randolf Von Oepen , Kenneth J. Michlitsch , Gerd Seibold , Tommy Conzelmann , Ib Erling Joergensen
IPC分类号： A61B17/08 , A61B17/00 , A61B17/04
CPC分类号： A61B17/00491 , A61B17/0057 , A61B2017/00654 , A61B2017/0472
摘要： Apparatus is provided for sealing a vascular puncture by causing a reduction in the circumference of the puncture tract through delivery of a closure agent into tissue surrounding the puncture tract. A resultant inflammatory response and volumetric increase cause the tissue to swell into the puncture tract, thereby sealing it.
摘要翻译：提供了用于通过将封闭剂递送到穿刺道周围的组织中引起穿刺道周围的减少来密封血管穿刺的装置。产生的炎症反应和体积增加导致组织溶胀到穿刺道中，从而将其密封。

83. 发明申请

US20150100085A1 SYSTEM FOR PROVIDING SURGICAL ACCESS 审中-公开
标题翻译：提供手术治疗的系统
公开(公告)号：US20150100085A1
公开(公告)日：2015-04-09
申请号：US14569408
申请日：2014-12-12
申请人： Entourage Medical Technologies, Inc.
发明人： John F. Shanley
IPC分类号： A61B17/062
CPC分类号： A61B17/0625 , A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/34 , A61B17/3403 , A61B90/06 , A61B90/08 , A61B90/37 , A61B2017/00044 , A61B2017/00243 , A61B2017/00575 , A61B2017/00628 , A61B2017/00663 , A61B2017/0414 , A61B2017/0417 , A61B2017/0443 , A61B2017/047 , A61B2017/0472 , A61B2017/0475 , A61B2017/0496 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06171 , A61B2017/06176 , A61B2017/3405 , A61B2017/3409 , A61B2017/3413 , A61B2090/062 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2090/3735
摘要： One embodiment is directed to a system for advancing a needle into a tissue structure, comprising: an elongate needle member having a tapered distal tip; an insertion member having proximal and distal ends, the distal end being coupled to the elongate needle member, and the proximal end being configured to be manipulated by an operator; and a tissue interface indentor member coupled to the insertion member and operatively coupled to the elongate needle member, the tissue interface indentor member comprising a distally protruding shape feature configured to contact one or more portions of the tissue structure adjacent to the distal tip of the elongate needle member and change an available angle of penetration between such portions and the distal tip of the elongate needle member as the distal tip is inserted into tissue structure.
摘要翻译：一个实施例涉及用于将针推进组织结构的系统，包括：具有锥形远端尖端的细长针构件; 具有近端和远端的插入构件，所述远端联接到所述细长针构件，并且所述近端构造成由操作者操纵; 以及组织接口压头构件，其联接到所述插入构件并且可操作地联接到所述细长针构件，所述组织界面压头构件包括远端突出形状特征，所述远端突出形状特征构造成接触所述组织结构的与所述细长的远侧末端相邻的一个或多个部分并且当远侧末端插入组织结构时，改变这些部分与细长针构件的远端之间的可穿透角度。

84. 发明申请

US20150088194A1 SYSTEM AND METHOD FOR TRANSAPICAL ACCESS AND CLOSURE 审中-公开
公开(公告)号：US20150088194A1
公开(公告)日：2015-03-26
申请号：US14558584
申请日：2014-12-02
申请人： Entourage Medical Technologies, Inc.
发明人： Frank Litvack , John F. Shanley , Alan E. Shluzas , Stephen H. Diaz , Gary Steese-Bradley
IPC分类号： A61B17/10
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/08 , A61B17/10 , A61B17/3468 , A61B90/30 , A61B90/361 , A61B2017/00243 , A61B2017/00247 , A61B2017/00349 , A61B2017/00579 , A61B2017/00592 , A61B2017/00601 , A61B2017/00606 , A61B2017/00615 , A61B2017/00619 , A61B2017/00623 , A61B2017/00637 , A61B2017/00654 , A61B2017/00668 , A61B2017/0237 , A61B2017/0414 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06009 , A61B2017/06023 , A61B2017/06042 , A61B2017/06076 , A61B2017/06176 , A61B2017/22067 , A61B2017/22069 , A61B2017/306 , A61B2017/3425 , A61B2017/3445 , A61B2017/3484 , A61B2017/3488 , A61B2090/036 , A61B2090/306 , A61B2090/3735
摘要： Embodiments are described for creating and closing tissue access ports, such as transapical access ports, which involve placement of an introducer across the subject tissue structure, and deployment of a controllable port closure device assembly configured to remain in place with a ratcheting mechanism, and to hold the tissue surrounding the previous access port location closed against a sealing disc with proximal and distal strut assemblies, after the introducer has been removed.

85. 发明授权

US08968341B2 Wound closure device 有权
标题翻译：伤口闭合装置
公开(公告)号：US08968341B2
公开(公告)日：2015-03-03
申请号：US13886715
申请日：2013-05-03
申请人： Covidien LP
发明人： Robert C. Smith
IPC分类号： A61B17/04 , A61B17/00 , A61B17/06
CPC分类号： A61B17/0482 , A61B17/0057 , A61B17/0483 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472 , A61B2017/06042
摘要： A suturing device includes a housing having an elongated tubular member extending from a distal end thereof. A head assembly is disposed at a distal end of the elongated tubular member and is configured to retain a portion of a suture therein. At least one arm member is positioned adjacent the elongated tubular member. Each arm members includes a ferrule assembly disposed at a distal end thereof. Each ferrule assembly is positioned within a recess defined within the elongated tubular member and is configured to releasably retain a ferrule therein. Each ferrule is configured to retain a portion of the suture therein. Each arm member is rotatable to rotate the ferrule assembly disposed thereon between a first position, wherein the ferrule assembly is disposed within the recess, and a second position, wherein the ferrule assembly extends at least partially radially outwardly from the recess.
摘要翻译：缝合装置包括具有从其远端延伸的细长管状构件的壳体。头组件设置在细长管状构件的远端处，并且构造成将缝合线的一部分保持在其中。至少一个臂构件邻近细长管状构件定位。每个臂构件包括设置在其远端处的套圈组件。每个套圈组件定位在限定在细长管状构件内的凹部内，并且构造成将套圈可释放地保持在其中。每个套圈构造成将缝合线的一部分保持在其中。每个臂构件可旋转以使设置在其上的套圈组件在其中套圈组件设置在凹部内的第一位置和第二位置之间旋转，其中套圈组件至少部分地从凹部径向向外延伸。

86. 发明授权

US08968270B2 Methods of replacing a gastrointestinal bypass sleeve for therapy adjustment 有权
标题翻译：更换胃肠旁路套管进行治疗调整的方法
公开(公告)号：US08968270B2
公开(公告)日：2015-03-03
申请号：US13373999
申请日：2011-12-05
申请人： Jonathan Kagan , Mitchell Dann , Lee Guterman , Joshua Butters , Paul Swain , T. Wade Fallin , Thomas Baldwin
发明人： Jonathan Kagan , Mitchell Dann , Lee Guterman , Joshua Butters , Paul Swain , T. Wade Fallin , Thomas Baldwin
IPC分类号： A61M31/00 , A61B17/064 , A61B17/00 , A61B17/04 , A61B17/11 , A61B17/12 , A61F2/04 , A61F5/00 , A61B17/29 , A61B17/06
CPC分类号： A61F5/0076 , A61B17/00234 , A61B17/0401 , A61B17/0482 , A61B17/0487 , A61B17/0643 , A61B17/0644 , A61B17/1114 , A61B17/12 , A61B17/29 , A61B2017/00349 , A61B2017/00827 , A61B2017/0404 , A61B2017/0406 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052 , A61B2017/0647 , A61B2017/0649 , A61F2/04 , A61F5/0036 , A61F5/0086 , A61F2002/044
摘要： Methods are disclosed for replaceable attachment of an endoluminal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity.
摘要翻译：公开了用于可替换地附接在患者消化道内用于治疗肥胖症的腔内胃肠装置（例如人工造口装置，胃肠旁路套管装置或附件袖带）的方法。

87. 发明申请

US20150038991A1 DEVICES, SYSTEMS, AND METHODS FOR WOUND CLOSURE 审中-公开
标题翻译：封闭装置，系统和方法
公开(公告)号：US20150038991A1
公开(公告)日：2015-02-05
申请号：US14337800
申请日：2014-07-22
申请人： COVIDIEN LP
发明人： SCOTT J. PRIOR , JAROSLAW T. MALKOWSKI , JUSTIN WILLIAMS
IPC分类号： A61B17/04 , A61B17/00
CPC分类号： A61B17/0057 , A61B17/0469 , A61B17/0482 , A61B17/06004 , A61B2017/00623 , A61B2017/00637 , A61B2017/0472 , A61B2017/06009
摘要： A system includes a wound closure device having a shaft, proximal and distal arms coupled to the shaft, and one or more linkages coupling the proximal and distal aims. The arms are pivotable relative to the shaft between a linear position, wherein the arms and shaft are linearly aligned, a first pivoted position, wherein the proximal arm is pivoted in a first direction to pivot the distal arm in a second, opposite direction, and a second pivoted position, wherein the proximal arm is pivoted in the second direction to pivot the distal arm in the first direction. A suture including a first portion disposed about a first surface of the distal arm and a second portion disposed about a second surface of the distal aim is also provided.
摘要翻译：系统包括具有轴的伤口闭合装置，其连接到所述轴的近端臂和远端臂以及联接近端和远端目标的一个或多个连杆。所述臂在所述臂和轴线性对准的线性位置之间可相对于所述轴线枢转，所述线性位置是第一枢转位置，其中所述近端臂在第一方向上枢转以使所述远端臂以第二相反方向枢转，以及第二枢转位置，其中所述近侧臂在所述第二方向上枢转以使所述远侧臂沿所述第一方向枢转。还提供了包括围绕远侧臂的第一表面设置的第一部分和围绕远端目标的第二表面设置的第二部分的缝合线。

88. 发明授权

US08926641B2 Methods and devices for reconfiguring a body organ 有权
标题翻译：用于重新配置身体器官的方法和装置
公开(公告)号：US08926641B2
公开(公告)日：2015-01-06
申请号：US11867577
申请日：2007-10-04
申请人： Michael Laufer , Thomas Bromander , Amos Cruz
发明人： Michael Laufer , Thomas Bromander , Amos Cruz
IPC分类号： A61B17/08 , A61N5/10 , A61B17/00 , A61F5/00 , A61B17/04
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B2017/00004 , A61B2017/00827 , A61B2017/00867 , A61B2017/0404 , A61B2017/0417 , A61B2017/0472 , A61B2017/0496 , A61F5/0083 , A61N5/1001
摘要： Endoluminal treatment devices and methods are provided. Generally, the device and methods can allow an endoluminal device to be introduced into a lumen of a patient and engage a wall of the lumen with an implant device, which can be a drug delivery device or medical device. In one embodiment, a medical implant apparatus is provided that includes an anchor object configured to couple with tissue, and an adjustable mechanism configured to interact with the anchor object such as to apply alternative forces upon the anchor object in response to a stimulus.
摘要翻译：提供腔内治疗装置和方法。通常，装置和方法可以允许腔内装置被引入到患者的内腔中，并与植入装置接合，所述植入装置可以是药物输送装置或医疗装置。在一个实施例中，提供了医疗植入装置，其包括被配置为与组织联接的锚定物体，以及被配置成与锚定物体相互作用的可调节机构，以便响应于刺激而将锚定物体施加替代力。

89. 发明授权

US08926640B2 Method and apparatus for closing an opening in thick, moving tissue 有权
标题翻译：用于在厚的移动组织中封闭开口的方法和装置
公开(公告)号：US08926640B2
公开(公告)日：2015-01-06
申请号：US12835464
申请日：2010-07-13
申请人： Jude S. Sauer , Mark A. Bovard , John F. Hammond
发明人： Jude S. Sauer , Mark A. Bovard , John F. Hammond
IPC分类号： A61B17/04 , A61B17/00 , A61B17/02
CPC分类号： A61B17/0483 , A61B17/0057 , A61B17/0469 , A61B2017/00557 , A61B2017/00663 , A61B2017/00986 , A61B2017/0243 , A61B2017/0404 , A61B2017/0472
摘要： A device for placing sutures through thick and/or moving tissue such as the wall of a beating heart. The device includes a tissue welting tip having a trough for forming a welt in a tissue section, an alignment guide having an opening receiving a guide wire and pivotally mounted in the distal end adjacent to the trough, and an elongated sleeve slidably engagable with the guide wire. The device also includes one or more expandable tissue engaging member(s) on the sleeve expandable from a collapsed configuration having a diameter small enough to pass through the opening in the tip to an expanded configuration having a diameter large enough to engage a tissue section and urge it into the trough to form a welt in the tissue section and a retractable needle extendable through at least two portions of a tissue section while the tissue section is engaged with the trough.
摘要翻译：用于通过厚的和/或移动的组织（例如跳动的心脏的壁）放置缝合线的装置。该装置包括具有用于在组织部分中形成边缘的槽的组织焊接尖端，对准引导件，其具有接收导丝并且可枢转地安装在与槽相邻的远端中的开口，以及可滑动地与引导件接合的细长套筒线。该装置还包括套筒上的一个或多个可膨胀的组织接合构件，该可膨胀组织接合构件可从具有足够小的直径的收缩构型展开，以将其穿过尖端中的开口至具有足够大的直径以接合组织区段的扩张构型，将其推入槽中以在组织部分中形成边缘，并且可缩回的针可以在组织部分与槽接合的同时通过组织部分的至少两个部分延伸。

90. 发明授权

US08882789B2 Methods and systems for tissue manipulation 有权
标题翻译：组织操作的方法和系统
公开(公告)号：US08882789B2
公开(公告)日：2014-11-11
申请号：US11867574
申请日：2007-10-04
申请人： Michael Laufer , Thomas Bromander , Amos Cruz
发明人： Michael Laufer , Thomas Bromander , Amos Cruz
IPC分类号： A61B17/08 , A61B17/04 , A61N5/10 , A61B17/00 , A61F5/00
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B2017/00004 , A61B2017/00827 , A61B2017/00867 , A61B2017/0404 , A61B2017/0417 , A61B2017/0472 , A61B2017/0496 , A61F5/0083 , A61N5/1001
摘要： Endoscopic treatment methods and systems for endoscopic treatment are provided. An endoluminal treatment device and method in an exemplary embodiment includes introducing an endoluminal device into a lumen of a patient and engaging a wall of the lumen with an implant device without creating an incision in the patient. The implant device can be a drug delivery device or medical device.
摘要翻译：提供内镜治疗方法和内镜治疗系统。在示例性实施例中的腔内处理装置和方法包括将腔内装置引入患者的内腔并且使其与植入装置的内壁接合而不在患者体内产生切口。植入装置可以是药物递送装置或医疗装置。

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