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1. 发明授权

US09924938B2 Instruments for delivering transfascial sutures and methods of transfascial suturing 有权
公开(公告)号：US09924938B2
公开(公告)日：2018-03-27
申请号：US13290236
申请日：2011-11-07
申请人： Donald E. Ziniti , Kevin J. Ranucci , Roger E. Darois
发明人： Donald E. Ziniti , Kevin J. Ranucci , Roger E. Darois
IPC分类号： A61B17/062 , A61B17/04 , A61B17/00 , A61B17/06 , A61B90/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B2017/00818 , A61B2017/0472 , A61B2017/06009 , A61B2017/06042 , A61B2017/06052 , A61B2017/061 , A61B2090/08021
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

2. 发明授权

US09788825B2 Suture anchor with relief mechanism 有权
公开(公告)号：US09788825B2
公开(公告)日：2017-10-17
申请号：US11462419
申请日：2006-08-04
申请人： Gregory R. Whittaker , Jose E. Lizardi , Donald Ziniti , Makoto Ohira , Kevin J. Ranucci
发明人： Gregory R. Whittaker , Jose E. Lizardi , Donald Ziniti , Makoto Ohira , Kevin J. Ranucci
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/0483 , A61B17/0487 , A61B2017/0409 , A61B2017/0414 , A61B2017/0424 , A61B2017/0445 , A61B2017/045 , A61B2017/0464 , A61B2017/0496
摘要： Methods and devices are provided for attaching soft tissue to bone. In general, a deployment device, insertion assembly, and suture anchor are provided. The insertion assembly is coupled between the deployment device and the suture anchor to allow the deployment device to deploy the suture anchor into bone. Each of the various components disclosed herein can be used alone, in combination with one another, or in combination with various other devices.

3. 发明授权

US09078648B2 Instruments for delivering transfascial sutures and methods of transfascial suturing 有权
公开(公告)号：US09078648B2
公开(公告)日：2015-07-14
申请号：US13290247
申请日：2011-11-07
申请人： Donald E. Ziniti , Roger E. Darois , Kevin J. Ranucci , Richard M. Braga
发明人： Donald E. Ziniti , Roger E. Darois , Kevin J. Ranucci , Richard M. Braga
IPC分类号： A61B17/04 , A61B17/068 , A61B17/00 , A61B17/06 , A61B19/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/068 , A61B2017/00818 , A61B2017/0472 , A61B2017/06009 , A61B2017/06042 , A61B2017/061 , A61B2090/08021
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.

4. 发明授权

US09439643B2 Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing 有权
标题翻译：用于输送经皮缝线，经皮缝合组件的仪器，以及经皮缝合的方法
公开(公告)号：US09439643B2
公开(公告)日：2016-09-13
申请号：US13157155
申请日：2011-06-09
申请人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
发明人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
IPC分类号： A61B17/04 , A61B17/00 , A61F2/00 , A61B17/06 , A61B17/29
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B17/0487 , A61B2017/00663 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0441 , A61B2017/0464 , A61B2017/0472 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06009 , A61B2017/06052 , A61B2017/2923 , A61F2/0063 , A61F2002/0072
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having a first segment, a second segment, and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may be moveable relative to the suture segment connected therewith. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.
摘要翻译：用于递送缝合线的仪器可以包括手柄，从手柄延伸的轴以及可以移动到超出轴的端部的延伸位置的一对针。一个或多个缝合线由仪器承载，并可以间接输送。转折缝合组件包括具有第一段，第二段和其间的中间段的缝合线。力分配构件可定位在中间段处。缝合线保持器可以设置在每个缝合线段的端部处，并且可以相对于与其连接的缝合线段可移动。递送经皮缝线的方法包括将装有一个或多个缝合线的双针器械插入腹腔中并从腹腔内部署穿过软组织修复贴片的缝合线，然后通过至少部分腹壁。

5. 发明申请

US20120029519A1 ABRASIVE CUTTING SYSTEM AND METHOD 有权
标题翻译：磨料切割系统和方法
公开(公告)号：US20120029519A1
公开(公告)日：2012-02-02
申请号：US13188983
申请日：2011-07-22
申请人： Mehmet Z. Sengun , Elizabeth Heneberry , Ian D. McRury , Kevin J. Ranucci , Douglas W. Dunn
发明人： Mehmet Z. Sengun , Elizabeth Heneberry , Ian D. McRury , Kevin J. Ranucci , Douglas W. Dunn
IPC分类号： A61B17/3203 , A61B17/56
CPC分类号： A61B17/3203 , A61B17/1644 , A61B17/32037 , A61B2017/1648
摘要： A high pressure fluid jet system is provided, which is useful for cutting hard material during a surgical procedure. The cutting of hard material is more efficient as the system delivers abrasive solid particles with the high pressure fluid. A method of effecting cutting during a surgical procedure is also provided. In an exemplary embodiment, a surgical tool that is effective to deliver a pressurized stream of fluid through a nozzle is provided, and the pressurized stream of fluid is delivered through the surgical tool and out of the nozzle to hard material within a patient to effect cutting of the hard material within the patient in a desired pattern. The fluid that cuts the hard material can include a delivery liquid having a plurality of abrasive solid particles that are formed from an organic material. The abrasive solid particles can be entrained in the pressurized fluid stream or the pressurized fluid stream can erode a solid or suspension form of the abrasive particles.
摘要翻译：提供了一种高压流体喷射系统，可用于在外科手术过程中切割硬质材料。硬质材料的切割更有效，因为系统用高压流体输送磨料固体颗粒。还提供了一种在外科手术过程中进行切割的方法。在一个示例性实施例中，提供了有效地通过喷嘴输送加压流体流的手术工具，并且加压的流体流通过外科手术工具输送到患者体内的硬质材料以进行切割的患者内的硬质材料。切割硬质材料的流体可以包括具有由有机材料形成的多个磨料固体颗粒的输送液体。研磨的固体颗粒可以夹带在加压流体流中，或者加压的流体流可以侵蚀磨料颗粒的固体或悬浮液形式。

6. 发明申请

US20120203276A1 INSTRUMENTS FOR DELIVERING TRANSFASCIAL SUTURES, TRANSFASCIAL SUTURE ASSEMBLIES, AND METHODS OF TRANSFASCIAL SUTURING 有权
标题翻译：输送转运器具，输送装置及转运方法
公开(公告)号：US20120203276A1
公开(公告)日：2012-08-09
申请号：US13416740
申请日：2012-03-09
申请人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
发明人： Roger E. Darois , Donald E. Ziniti , Kevin J. Ranucci
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B17/0487 , A61B2017/00663 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0441 , A61B2017/0464 , A61B2017/0472 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06009 , A61B2017/06052 , A61B2017/2923 , A61F2/0063 , A61F2002/0072
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having first and second segments and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the suture segment. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.
摘要翻译：用于递送缝合线的仪器可以包括手柄，从手柄延伸的轴以及可以移动到超出轴的端部的延伸位置的一对针。一个或多个缝合线由仪器承载，并可以间接输送。转折缝合组件包括具有第一和第二段的缝合线和其间的中间段。力分配构件可定位在中间段处。缝合线保持器可以设置在每个缝合线段的端部，并且可以具有可相对于缝合线段移动的连接。递送经皮缝线的方法包括将装有一个或多个缝合线的双针器械插入腹腔中并从腹腔内部署穿过软组织修复贴片的缝合线，然后通过至少部分腹壁。

7. 发明申请

US20080033460A1 Suture Anchor System With Tension Relief Mechanism 有权
标题翻译：缝线锚固系统与张力救济机制
公开(公告)号：US20080033460A1
公开(公告)日：2008-02-07
申请号：US11462416
申请日：2006-08-04
申请人： Donald Ziniti , Kevin J. Ranucci , Armand A. Morin
发明人： Donald Ziniti , Kevin J. Ranucci , Armand A. Morin
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/0487 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/045 , A61B2017/0464 , A61B2017/0496
摘要： Methods and devices are provided for attaching soft tissue to bone. In general, a deployment device, insertion assembly, and suture anchor are provided. The insertion assembly is coupled between the deployment device and the suture anchor to allow the deployment device to deploy the suture anchor into bone. Each of the various components disclosed herein can be used alone, in combination with one another, or in combination with various other devices.
摘要翻译：提供了用于将软组织附着于骨骼的方法和装置。通常，提供了展开装置，插入组件和缝合锚。插入组件联接在展开装置和缝合线锚之间，以允许展开装置将缝线锚固件部署到骨中。本文公开的各种组件中的每一种可以单独使用，彼此组合使用，或与各种其它装置组合使用。

8. 发明授权

US09750492B2 Suture anchor system with tension relief mechanism 有权
公开(公告)号：US09750492B2
公开(公告)日：2017-09-05
申请号：US11462416
申请日：2006-08-04
申请人： Donald Ziniti , Kevin J. Ranucci , Armand A. Morin
发明人： Donald Ziniti , Kevin J. Ranucci , Armand A. Morin
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/0487 , A61B2017/0409 , A61B2017/0414 , A61B2017/0445 , A61B2017/045 , A61B2017/0464 , A61B2017/0496
摘要： Methods and devices are provided for attaching soft tissue to bone. In general, a deployment device, insertion assembly, and suture anchor are provided. The insertion assembly is coupled between the deployment device and the suture anchor to allow the deployment device to deploy the suture anchor into bone. Each of the various components disclosed herein can be used alone, in combination with one another, or in combination with various other devices.

9. 发明授权

US09039721B2 Instruments for delivering transfascial sutures and methods of transfascial suturing 有权
标题翻译：用于输送经皮缝线的仪器和经皮缝合的方法
公开(公告)号：US09039721B2
公开(公告)日：2015-05-26
申请号：US13290222
申请日：2011-11-07
申请人： Donald E. Ziniti , Kevin J. Ranucci , Nathan Stewart Cauldwell , William F. Sincavage, Jr. , Roger E. Darois
发明人： Donald E. Ziniti , Kevin J. Ranucci , Nathan Stewart Cauldwell , William F. Sincavage, Jr. , Roger E. Darois
IPC分类号： A61B17/062 , A61B17/04 , A61B17/29 , A61B19/00
CPC分类号： A61B17/0485 , A61B17/0482 , A61B2017/0472 , A61B2017/2913 , A61B2017/2923 , A61B2017/2925 , A61B2090/034 , A61B2090/0801
摘要： An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and at least one needle that is moveable to an extended position beyond the end of the shaft. A suture may be delivered transfascially with the instrument. The instrument may include a suture catch associated with each needle for retaining and releasing a suture segment. A shield may be provided to shield the sharp end of each needle when it is moved to the extended position. A method of delivering a transfascial suture may include inserting an instrument into an abdominal cavity and deploying, from within the abdominal cavity, each needle through a soft tissue repair patch and then through at least part of the abdominal wall. A suture or suture segment may be advanced across the fascia with the at least one needle.
摘要翻译：用于递送缝合线的仪器可以包括手柄，从手柄延伸的轴和至少一个可移动到超出轴的端部的延伸位置的针。缝合线可能会与仪器交错传递。仪器可以包括与每个针相关联的缝合线，用于保持和释放缝合线段。可以设置屏蔽物，以在每个针头的尖端移动到延伸位置时屏蔽其尖端。输送经皮缝合线的方法可以包括将器械插入腹腔并且从腹腔内部通过软组织修复贴片然后穿过至少部分腹壁展开每个针。缝合线或缝合线段可以与所述至少一个针穿过所述面板前进。

10. 发明申请

US20130296897A1 SELF ADHERING IMPLANTABLE MESH PROSTHESIS WITH REDUCED INSERTION PROFILE 审中-公开
标题翻译：自助式可插入网络具有减少的插入轮廓
公开(公告)号：US20130296897A1
公开(公告)日：2013-11-07
申请号：US13460938
申请日：2012-05-01
申请人： Anthony Trupiano , Stephen N. Eldridge , Donald Anthony Coelho, JR. , Kevin J. Ranucci , Roger E. Darois
发明人： Anthony Trupiano , Stephen N. Eldridge , Donald Anthony Coelho, JR. , Kevin J. Ranucci , Roger E. Darois
IPC分类号： A61B17/03
CPC分类号： A61F2/0063 , A61F2/0077 , A61F2002/0068 , A61F2230/0091
摘要： The present invention is an implantable adhesive mesh prosthesis for reinforcing and/or repairing a defect in tissue that is easy to roll into a small diameter cylinder or other low-profile shape for passing through a trocar, incision, or other surgical instrument. More specifically, the adhesive may be applied to the mesh material in a pattern that leaves a significant portion of the surface area of the mesh material free of adhesive. In one embodiment, the adhesive is applied only near the outer perimeter of the mesh product. In another embodiment, the adhesive is applied in spots over all or a portion the surface of the mesh product. In yet another embodiment, the adhesive is applied in parallel lines on the surface of the mesh product and the mesh may be rolled up around an axis parallel to the lines of adhesive.
摘要翻译：本发明是一种用于加强和/或修复组织中的缺陷的可植入粘合剂网络假体，该缺损易于卷入小直径的圆柱体或其它小轮廓形状以穿过套管针，切口或其它手术器械。更具体地，粘合剂可以以离开网状材料的表面积的大部分没有粘合剂的图案施加到网状材料。在一个实施例中，粘合剂仅施加在网状产品的外周附近。在另一个实施方案中，将粘合剂施加在网状产品的全部或部分表面上的斑点上。在另一个实施方案中，粘合剂以网格产品的表面上的平行线施加，并且网可以围绕平行于粘合剂线的轴卷起。

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