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1. 发明申请

US20090039138A1 Vascular Closure System With Splayable Staple 审中-公开
标题翻译：血管闭合系统与可张开的订书钉
公开(公告)号：US20090039138A1
公开(公告)日：2009-02-12
申请号：US12254743
申请日：2008-10-20
申请人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bemard A. Hausen , Bryan D. Knodel
发明人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bemard A. Hausen , Bryan D. Knodel
IPC分类号： A61B17/068 , A61B17/064
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672
摘要： A medical device for closing an opening in tissue may include a staple with a plurality of tines, where the staple is deformable from an initial configuration to a splayed configuration and then to a closed configuration; a cradle that includes a distal stop and a proximal stop proximal to the distal stop extending therefrom, where the cradle holds a portion of the staple between the proximal stop and the distal stop, and where the proximal stop and distal stop are spaced apart from one another a fixed distance substantially equal to the thickness of the portion of the staple held therebetween, where that portion of the staple substantially contacts both stops in the initial configuration; and a housing, where the cradle is movable relative to that housing.
摘要翻译：用于封闭组织中的开口的医疗装置可以包括具有多个尖齿的钉，其中钉可以从初始构型变形到展开的构型，然后到闭合构型; 支架，其包括远端止动件和靠近从其延伸的远端止动件的近端止动件，其中托架将近端止动件和远端止动件之间的钉的一部分保持在其中，并且其中近端止动件和远端止动件与一个另一固定距离基本上等于保持在其间的钉的部分的厚度，其中订书钉的该部分在初始构型中基本上接触两个止挡件; 和一个壳体，其中支架相对于该壳体是可移动的。

2. 发明授权

US07458978B1 Vascular closure system utilizing a staple 失效
标题翻译：使用钉的血管闭合系统
公开(公告)号：US07458978B1
公开(公告)日：2008-12-02
申请号：US11282177
申请日：2005-11-18
申请人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Bryan D. Knodel
发明人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Bryan D. Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/0644 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672
摘要： A system for closing an opening in tissue may include an end effector that holds a staple, where the staple is deformed to a splayed configuration for engaging tissue, then deformed to a closed condition for closing the opening. The system may include one or more butterfly members configured to register the opening to the end effector.
摘要翻译：用于关闭组织中的开口的系统可以包括保持钉的末端执行器，其中钉被变形到用于接合组织的展开构型，然后变形到关闭开口的关闭状态。该系统可以包括一个或多个蝶形构件，其构造成将开口对准到端部执行器。

3. 发明授权

US07344544B2 Vascular closure system 失效
标题翻译：血管闭合系统
公开(公告)号：US07344544B2
公开(公告)日：2008-03-18
申请号：US11093003
申请日：2005-03-28
申请人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
发明人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： A system for closing an opening in tissue may include an end effector that holds a staple, where the staple is plastically deformed to a splayed configuration for engaging tissue, then plastically deformed to a closed condition for closing the opening. The system may include one or more butterfly members configured to register the opening to the end effector.
摘要翻译：用于封闭组织中的开口的系统可以包括保持订书钉的端部执行器，其中订书钉被塑性变形到用于接合组织的展开构型，然后塑性变形到关闭开口的关闭状态。该系统可以包括一个或多个蝶形构件，其构造成将开口对准到端部执行器。

4. 发明授权

US07320692B1 Tissue closure system 有权
标题翻译：组织闭合系统
公开(公告)号：US07320692B1
公开(公告)日：2008-01-22
申请号：US11158414
申请日：2005-06-22
申请人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
发明人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/10 , A61B2017/00243 , A61B2017/00637 , A61B2017/00668
摘要： A method for closing an opening in tissue, such as an opening in heart tissue, may include moving a housing to a location in proximity to the opening, registering the housing to the opening, and deploying a staple from the housing into tissue in proximity to the opening. The opening in heart tissue may be a patent foramen ovale, atrial septal defect, or other opening. The housing may be moved to the opening through the vasculature, utilizing a guidewire, steering catheter, or other mechanism.
摘要翻译：用于闭合组织中的开口（例如心脏组织中的开口）的方法可以包括将壳体移动到靠近开口的位置，将壳体对准开口，并将钉子从壳体部署到组织中开幕。心脏组织中的开口可能是卵圆孔，房间隔缺损或其他开口的专利。壳体可以通过脉管系统移动到开口，利用导丝，转向导管或其他机构。

5. 发明授权

US07727245B2 Method for closing an opening in tissue with a splayable staple 有权
标题翻译：用可张开的钉子封闭组织中的开口的方法
公开(公告)号：US07727245B2
公开(公告)日：2010-06-01
申请号：US12013334
申请日：2008-01-11
申请人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
发明人： Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Bernard A. Hausen , Brian R. DuBois , Bryan D. Knodel
IPC分类号： A61B17/10
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。

6. 发明授权

US07670348B2 Heart defect closure apparatus 失效
标题翻译：心脏缺陷闭合装置
公开(公告)号：US07670348B2
公开(公告)日：2010-03-02
申请号：US11953791
申请日：2007-12-10
申请人： Bernard A. Hausen , Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Brian R. DuBois , Bryan D. Knodel
发明人： Bernard A. Hausen , Theodore M. Bender , Zachary Warder-Gabaldon , Matthew B. Newell , Brian R. DuBois , Bryan D. Knodel
IPC分类号： A61B17/10
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。

7. 发明申请

US20080217376A1 Surgical Stapler 有权
标题翻译：手术订书机
公开(公告)号：US20080217376A1
公开(公告)日：2008-09-11
申请号：US11672858
申请日：2007-03-08
申请人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
发明人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
IPC分类号： A61B17/04
CPC分类号： A61B17/0684 , A61B17/0644
摘要： A method for surgically stapling tissue may include providing staples in a first configuration, plastically deforming at least one staple to a second configuration different from the first configuration; and then plastically deforming at least one staple to a third configuration different from the first configuration and the second configuration. The deformation of a staple from the first configuration to the second configuration may be performed by splaying the staple. The staple may be splayed by a splay arm or other suitable structure or mechanism.
摘要翻译：用于手术缝合组织的方法可以包括以第一构造提供订书钉，使至少一个订书钉塑形变形成不同于第一配置的第二配置; 然后将至少一个订书钉塑形变形成不同于第一配置和第二配置的第三配置。订书钉从第一配置到第二配置的变形可以通过展开订书钉进行。订书钉可以由展示臂或其他合适的结构或机构展开。

8. 发明授权

US07753250B2 Surgical stapler with splaying mechanism 有权
标题翻译：手术缝合器具有张开机构
公开(公告)号：US07753250B2
公开(公告)日：2010-07-13
申请号：US12323309
申请日：2008-11-25
申请人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
发明人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0644
摘要： One example of a surgical stapler may include a pusher, at least one generally planar staple, where the pusher holds at least one staple, and a splay arm that includes spaced-apart splay fingers extending generally distally, where at least one splay finger includes a splay tip extending therefrom, and where relative motion of said pusher and said splay fingers causes said at least one said splay tip to engage and then splay at least one said staple. Another example of a surgical stapler may include a plurality of staples positioned out of contact with one another; a pusher that engages each staple; and at least one splay tip, each splay tip configured to contact a distal surface of the distalmost staple. Another example of a surgical stapler may include a plurality of staples, a pusher that holds the staples, the pusher having a longitudinal axis and being slidable longitudinally both proximally and distally substantially along that longitudinal axis, where the pusher is substantially constrained against motion away from the longitudinal axis; and a splay arm movable in a direction away from the longitudinal axis, from a position in which the splay arm contacts one staple to a position in which the splay arm no longer contacts that staple.
摘要翻译：外科缝合器的一个例子可以包括推动器，至少一个普通平面的钉，其中推动器保持至少一个缝钉，以及包括间隔开的大致向远侧延伸的间隔开的伸展指状物的喷射臂，其中至少一个喷射指状物包括并且其中所述推动器和所述伸展手指的相对运动导致所述至少一个所述喷射尖端接合，然后展开至少一个所述订书钉。外科缝合器的另一示例可以包括彼此不接触地定位的多个钉; 一个与每个订书钉啮合的推动器; 和至少一个喷射尖端，每个喷射尖端构造成接触最远侧缝合钉的远端表面。手术吻合器的另一个例子可以包括多个钉，一个推动器，其保持钉，推动器具有纵向轴线，并且可沿着纵向轴线向近侧和远侧纵向地纵向滑动，其中推动器基本上被限制在远离纵轴; 以及可从远离所述纵向轴线的方向从所述喷射臂接触一个订书钉的位置移动到所述喷洒臂不再接触所述订书钉的位置的展开臂。

9. 发明申请

US20090072006A1 Surgical Stapler With Splaying Mechanism 有权
标题翻译：手术订书机具有放映机制
公开(公告)号：US20090072006A1
公开(公告)日：2009-03-19
申请号：US12323309
申请日：2008-11-25
申请人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
发明人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0644
摘要： One example of a surgical stapler may include a pusher, at least one generally planar staple, where the pusher holds at least one staple, and a splay arm that includes spaced-apart splay fingers extending generally distally, where at least one splay finger includes a splay tip extending therefrom, and where relative motion of said pusher and said splay fingers causes said at least one said splay tip to engage and then splay at least one said staple. Another example of a surgical stapler may include a plurality of staples positioned out of contact with one another; a pusher that engages each staple; and at least one splay tip, each splay tip configured to contact a distal surface of the distalmost staple. Another example of a surgical stapler may include a plurality of staples, a pusher that holds the staples, the pusher having a longitudinal axis and being slidable longitudinally both proximally and distally substantially along that longitudinal axis, where the pusher is substantially constrained against motion away from the longitudinal axis; and a splay arm movable in a direction away from the longitudinal axis, from a position in which the splay arm contacts one staple to a position in which the splay arm no longer contacts that staple.
摘要翻译：外科缝合器的一个例子可以包括推动器，至少一个普通平面的钉，其中推动器保持至少一个缝钉，以及包括间隔开的大致向远侧延伸的间隔开的伸展指状物的喷射臂，其中至少一个喷射指状物包括并且其中所述推动器和所述伸展手指的相对运动导致所述至少一个所述喷射尖端接合，然后展开至少一个所述订书钉。外科缝合器的另一示例可以包括彼此不接触地定位的多个钉; 一个与每个订书钉啮合的推动器; 和至少一个喷射尖端，每个喷射尖端构造成接触最远侧缝合钉的远端表面。手术吻合器的另一个例子可以包括多个钉，一个推动器，其保持钉，推动器具有纵向轴线，并且可沿着纵向轴线向近侧和远侧纵向地纵向滑动，其中推动器基本上被限制在远离纵轴; 以及可从远离所述纵向轴线的方向从所述喷射臂接触一个订书钉的位置移动到所述喷洒臂不再接触所述订书钉的位置的展开臂。

10. 发明授权

US07473258B2 Surgical stapler 有权
标题翻译：手术吻合器
公开(公告)号：US07473258B2
公开(公告)日：2009-01-06
申请号：US11672858
申请日：2007-03-08
申请人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
发明人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
IPC分类号： A61B17/072
CPC分类号： A61B17/0684 , A61B17/0644
摘要： A method for surgically stapling tissue may include providing staples in a first configuration, plastically deforming at least one staple to a second configuration different from the first configuration; and then plastically deforming at least one staple to a third configuration different from the first configuration and the second configuration. The deformation of a staple from the first configuration to the second configuration may be performed by splaying the staple. The staple may be splayed by a splay arm or other suitable structure or mechanism.
摘要翻译：用于手术缝合组织的方法可以包括以第一构造提供订书钉，使至少一个订书钉塑形变形成不同于第一配置的第二配置; 然后将至少一个订书钉塑形变形成不同于第一配置和第二配置的第三配置。订书钉从第一配置到第二配置的变形可以通过展开订书钉进行。订书钉可以由展示臂或其他合适的结构或机构展开。

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