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    • 1. 发明申请
    • Suture securing device and method
    • 缝线固定装置及方法
    • US20050096699A1
    • 2005-05-05
    • US10702871
    • 2003-11-05
    • Matthew WixeyCharles HartPayam Adlparvar
    • Matthew WixeyCharles HartPayam Adlparvar
    • A61B17/04
    • A61B17/0487A61B2017/045A61B2017/0488
    • The invention is directed to a device and method for securing a passed surgical suture in a manner similar to a tied knot. The suture securing device comprises a male piece having a top portion, a center shaft having one end connected to the top portion, and an end member having a capturing feature connected to another end of the center shaft; and a female piece having a top end and a bottom end comprising a column being generally cylindrical in shape and forming a hollow opening along its length, wherein the opening slidingly receives the center shaft and a suture to be captured and held by the capturing feature, the suture being secured in place between the column and the center shaft. The assembled male and female pieces are irreversibly interlocked and form a lightly compressed, convoluted or tortuous pathway. The capturing feature is formed to engage and obliquely capture the suture from different angles. The radii of the male and female pieces are preferably greater than the radius of the suture. The securing device may further comprise a link formed between the male and female pieces. The link may be a tether formed when the male and female pieces are formed. The link may be severed and removed after placement and assembling of the male and female pieces. In another aspect of the invention, a method for applying a suture securing device is disclosed comprising the steps of: (1) providing the suture securing device of the invention; (2) aligning the male piece and the female piece at a desired location for applying the suture securing device; and (3) pressing the center shaft of the male piece into the opening of the female piece. The method may further comprise the step of applying a compressive load on the male piece to dislodge an enlargement from an undercut of the female piece and to place the male piece and the female piece in a condition where they may be advanced to a desired position along the suture.
    • 本发明涉及一种用于以类似于束缚结的方式固定通过的手术缝合线的装置和方法。 所述缝合线固定装置包括:阳件,其具有顶部,中心轴的一端连接到所述顶部;以及端部构件,其具有连接到所述中心轴的另一端的捕获特征; 以及具有顶端和底端的阴件,其包括通常为圆柱形的柱,并且沿着其长度形成中空的开口,其中所述开口滑动地容纳所述中心轴和缝合线以被所述捕获特征捕获和保持, 缝合线被固定在柱和中心轴之间的适当位置。 组合的阳性和阴性片段是不可逆地互锁的并且形成轻微压缩,褶皱或曲折的路径。 捕获特征被形成为从不同的角度接合并倾斜地捕获缝合线。 男性和女性片的半径优选大于缝合线的半径。 固定装置还可以包括形成在阳件和阴件之间的连杆。 连接件可以是当形成阳件和阴件时形成的系绳。 在插入和组装男性和女性部件之后,链接可能被切断和移除。 在本发明的另一方面,公开了一种施加缝合线固定装置的方法,包括以下步骤:(1)提供本发明的缝线固定装置; (2)将所述阳件和所述阴件对准在用于施加所述缝合线固定装置的期望位置处; 和(3)将阳件的中心轴压入阴件的开口中。 该方法还可以包括以下步骤:将压缩载荷施加到阳片上以从阴片的底切移除放大图,并将阳片和阴片放置在可以前进到期望位置的状态 缝合线
    • 2. 发明申请
    • Surgical device with tack-free gel and method of manufacture
    • 具有无粘性凝胶的手术装置及其制造方法
    • US20050033246A1
    • 2005-02-10
    • US10913565
    • 2004-08-05
    • Russell AhlbergPayam AdlparvarScott TaylorMatthew WixeyDaniel MartinezJohn Brustad
    • Russell AhlbergPayam AdlparvarScott TaylorMatthew WixeyDaniel MartinezJohn Brustad
    • A61B17/00A61B17/22A61B17/34B29C39/00B29C39/12A61M25/00
    • A61M3/0279A61B17/3423A61B17/3462A61B17/3498A61B2017/00469A61B2017/22067B29C37/0067B29C39/006B29C39/025B29C39/123
    • A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
    • 公开了制造无粘性凝胶的方法,包括以下步骤:提供限定模腔的模具,所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。 形成步骤还包括将凝胶从熔融状态冷却至固化状态。 塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高,塑料材料的熔化越大,并且凝胶表面上的塑料材料层越厚。 模具可以由低密度聚乙烯(LDPE)形成。 通过本发明的方法,熔融凝胶在其成型温度下的热量转移到LDPE模具的表面,以熔化LDPE的薄层。 模具可以包括具有形成多个模具腔的多个模具孔的模具基座,每个模具孔包括轴向销,以模制通过凝胶的中心的轴向孔,提供预定内径的LDPE圆筒, 模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。 该方法还可以包括在诸如聚四氟乙烯(PTFE)和润滑剂的低摩擦粉末中浸渍凝胶的步骤。 模具还可包括设置在模具基座的轴向上的模具顶部,并且包括形成多个空腔的多个孔,每个模具顶部孔适于接纳LDPE圆筒,并且设置在第二LDPE圆盘的顶部 模具顶部的每个模腔。
    • 3. 发明申请
    • WOUND RETRACTION APPARATUS AND METHOD
    • 回绕装置和方法
    • US20070225569A1
    • 2007-09-27
    • US11755305
    • 2007-05-30
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • A61B1/32
    • A61B1/32A61B17/0293A61B17/3423A61B17/3431A61B2017/3484
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离,缩回元件是可伸长的和不可扩张的,在环处有合适的附接装置,以提供 收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成圆周保持器的步骤。
    • 5. 发明申请
    • Kink-resistant access sheath and method of making same
    • 抗折接线护套及其制作方法
    • US20060144501A1
    • 2006-07-06
    • US11319870
    • 2005-12-28
    • John BrustadPayam AdlparvarWassim AliahmadCanh TranNabil HilalBoun PravongRaffi PinedjianCharles Hart
    • John BrustadPayam AdlparvarWassim AliahmadCanh TranNabil HilalBoun PravongRaffi PinedjianCharles Hart
    • B65H81/00
    • A61M25/0012A61B17/3415A61B2017/00526A61M25/0045A61M25/005A61M25/0662B29C47/0023B29C47/004B29C47/0064B29C47/025B29C47/027B29C53/60B29C61/006B29L2023/00
    • A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.
    • 诸如盖的可释放机构适于与具有设置在管的近端处的细长管和手柄结构的进入护套一起使用。 所述可释放机构的尺寸和构造适合于将手柄结构(其形状像喇叭的钟形)配合,以进一步便于手术器械的使用。 可释放机构可以作为单独的盖子操作,该盖子卡扣在手柄结构上以提供到护套的通路。 可释放机构还可以设置在外科器械的近端处以被引入入口护套中,使得其可以与护套互锁。 在制造耐扭结护套的方法中,最初用塑料材料涂覆线,然后将涂覆的线缠绕在形成多个绕组的心轴上,并且加热伤口涂覆的线,直到塑料材料熔化并结合 绕组形成电线增强护套。 塑料材料优选为聚氨酯,但可以是热塑性塑料,热固性材料或具有硬和/或软硬度的任何塑料材料。 可以通过将收缩管内的绕组捕获或压缩模具中的绕组并加热绕组直到形成护套来加热伤口涂覆的线。 在本发明的另一方面,使用心轴作为挤出工艺的一部分。 在本发明的另一方面,可以通过浸渍在基于溶剂的溶液中在弹簧加强件上形成另一涂层或外层。 在本发明的另一个实施例中,可以使用诸如聚酯编织物的编织物代替螺旋弹簧或除了螺旋弹簧以外以形成扭结护套。
    • 6. 发明申请
    • Medical tubing having variable characteristics and method of making same
    • 具有可变特性的医用管及其制造方法
    • US20050165366A1
    • 2005-07-28
    • US10766138
    • 2004-01-28
    • John BrustadSaid HilalNabil HilalCharles HartGary JohnsonSerene HilalGhassan SakakineDonald GadberryEdward PingletonMatthew PetrimePayam AdlparvarCarl HadleyKenneth Vu
    • John BrustadSaid HilalNabil HilalCharles HartGary JohnsonSerene HilalGhassan SakakineDonald GadberryEdward PingletonMatthew PetrimePayam AdlparvarCarl HadleyKenneth Vu
    • A61B17/00A61B17/34A61M25/00A61M5/00
    • A61M25/0012A61B1/0011A61B1/0055A61B17/3421A61B2017/003A61M25/0043
    • The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.
    • 本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。 管道包括多个单独的离散的大体环形元件,其串联布置并且熔合或粘合在一起形成连续的管状结构。 环形元件可以由热塑性材料或热固性材料形成。 环形元件可以包括沿着管状结构的长度组装的塑料环,金属环,未增强塑料环和/或金属增强塑料环,以提供可变的柔性和抗扭结性。 管状结构可以具有任何几何形状的横截面,并且其可以弯曲,扭曲或弯曲而没有扭结。 环形元件可以具有不同的弯曲模量。 环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。 环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合,其中环形元件可以具有不同的长度,并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合 的管道。 在本发明的另一方面,医疗管道还可包括用于控制管状结构的次管腔和拉线。 环形元件可以被截断以提供弯曲偏压。 在本发明的另一方面,环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。 在本发明的另一方面,一些环形元件可以是不透射线的,或者环形元件可以包括不同颜色以作为沿着管状结构的指示器。