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1. 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。

2. 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。

3. 发明申请

US20080114397A1 Method for Closing an Opening in Tissue With a Splayable Staple 有权
标题翻译：用可折叠钉子封闭组织开口的方法
公开(公告)号：US20080114397A1
公开(公告)日：2008-05-15
申请号：US12013334
申请日：2008-01-11
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： A61B17/064
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： One method for closing an opening in tissue may include providing a substantially continuous solid staple having a plurality of tines and a longitudinal centerline, plastically deforming the staple to a splayed configuration; penetrating at least one tine into tissue in proximity to the opening; and plastically deforming the staple to a closed configuration. Another method for closing an opening in tissue may include providing a staple having a plurality of tines; plastically deforming the staple to a splayed configuration by applying force in the distal direction against a proximal surface of the staple; penetrating at least one tine into tissue in proximity to the opening; and plastically deforming the staple from the splayed configuration to a closed configuration by applying force in the distal direction against a proximal surface of the staple.
摘要翻译：用于关闭组织中的开口的一种方法可以包括提供具有多个尖齿和纵向中心线的基本上连续的实心短纤维，使订书钉塑形地变形成张开的构型; 将至少一个刺入到靠近开口的组织中; 并将钉子塑形变形成闭合构型。关闭组织中的开口的另一种方法可以包括提供具有多个齿的钉; 通过在远侧方向上施加相对于钉的近端表面的力，将钉子塑性变形成张开的构型; 将至少一个刺入到靠近开口的组织中; 并且通过在远侧方向上施加相对于钉的近端表面的力，将钉从张开形状塑造变形为闭合构型。

4. 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。

5. 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。

6. 发明申请

US20080027472A1 Anastomosis System with Anvil Entry Hole Sealer 有权
标题翻译：砧孔入口封口机吻合系统
公开(公告)号：US20080027472A1
公开(公告)日：2008-01-31
申请号：US11865893
申请日：2007-10-02
申请人： James Nielsen , Nathan White , Theodore Bender , Philipe Manoux , David Bombard , Brendan Donohoe , Bryan Knodel
发明人： James Nielsen , Nathan White , Theodore Bender , Philipe Manoux , David Bombard , Brendan Donohoe , Bryan Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译：用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器，其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处，使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口，其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。

7. 发明申请

US20050154406A1 Method for anastomosing vessels 审中-公开
标题翻译：吻合血管的方法
公开(公告)号：US20050154406A1
公开(公告)日：2005-07-14
申请号：US10988326
申请日：2004-11-12
申请人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/00 , A61B17/04 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/122 , A61B19/00 , A61F2/06 , A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A method for connecting a graft vessel to a target vessel, each vessel having a wall surrounding a lumen, may include providing a connector holder, associating an end of the graft vessel with the connector holder, positioning the connector holder outside of the lumen of the target vessel, outside the lumen of the graft vessel, and in proximity to the outer surface of the wall of the target vessel, and actuating the connector holder to secure the end of the graft vessel to the side of the target vessel.
摘要翻译：一种用于将移植血管连接到靶容器的方法，每个容器具有围绕内腔的壁，可以包括提供连接器保持器，将移植物容器的端部与连接器保持器相关联，将连接器保持器定位在目标血管，在移植血管的腔内，并且靠近靶血管的壁的外表面，并且致动连接器保持器以将移植血管的端部固定到靶血管的侧面。

8. 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。

9. 发明申请

US20080093414A1 Heart defect closure apparatus 失效
标题翻译：心脏缺陷闭合装置
公开(公告)号：US20080093414A1
公开(公告)日：2008-04-24
申请号：US11953791
申请日：2007-12-10
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： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： An exemplary medical apparatus insertable into the vasculature of a patient at an insertion point for treating a defect in the heart, may include an elongated, flexible driver sufficient in length to extend from the insertion point to the defect in the heart; and a staple frangibly attached to the distal end of the driver. Another exemplary medical apparatus may include a catheter sufficient in length to extend from the insertion point to the patent foramen ovale; a housing attached to the distal end of the catheter; a driver extending into the housing; and a staple frangibly attached to the driver. Another exemplary medical apparatus may include a steering catheter sufficient in length to extend from the insertion point to the patent foramen ovale; an end effector attached to the distal end of the steering catheter, the end effector having a cross-section sufficiently small to allow it to be moved through the vasculature to the patent foramen ovale; and a staple held by the end effector, wherein the staple is frangibly separable from and deployable out of the end effector to close the patent foramen ovale.
摘要翻译：在插入点处可插入患者脉管系统中以治疗心脏缺陷的示例性医疗装置可以包括长度足以从插入点延伸到心脏缺陷的细长柔性驱动器; 以及可滑动地附接到驾驶员的远端的钉子。另一示例性医疗装置可以包括长度足以从插入点延伸到卵孔卵泡的专利的导管; 附接到所述导管的远端的壳体; 司机延伸到房屋内; 和一个易碎的司机的钥匙。另一个示例性的医疗设备可以包括足够长度的转导导管，以从插入点延伸到卵孔的专利; 附接到转向导管的远端的末端执行器，末端执行器具有足够小的横截面以允许其移动通过脉管系统到卵孔的专利; 以及由末端执行器保持的订书钉，其中所述订书钉从所述末端执行器可分离和可部署，以封闭所述卵孔的专利。

10. 发明申请

US20060241660A1 Anastomosis system with flexible shaft 有权
标题翻译：具有柔性轴的吻合系统
公开(公告)号：US20060241660A1
公开(公告)日：2006-10-26
申请号：US11378127
申请日：2006-03-17
申请人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
发明人： David Bombard , Jaime Vargas , James Nielsen , Philipe Manoux , Tenny Chang , Stephen Yencho , Bernard Hausen , Brendan Donohoe , Theodore Bender , Nathan White , Bryan Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A surgical tool for performing anastomosis may include a handle and a tissue effector connected by a shaft, at least party of which may be flexible. The tissue effector may include a staple holder connected to an anvil.
摘要翻译：用于进行吻合的手术工具可以包括手柄和由轴连接的组织效应器，其至少一方可以是柔性的。组织执行器可以包括连接到砧座的钉夹。

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