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11. 发明申请

WO2005037055A3 IMPLANTABLE DEVICE FASTENING SYSTEM AND METHODS OF USE 审中-公开
标题翻译：可植入装置的紧固系统及其使用方法
公开(公告)号：WO2005037055A3
公开(公告)日：2006-03-30
申请号：PCT/US2004030053
申请日：2004-09-15
申请人： INAMED MEDICAL PRODUCTS CORP , BIRK JANEL , COE FREDERICK L , HOYT ROBERT E
发明人： BIRK JANEL , COE FREDERICK L , HOYT ROBERT E
IPC分类号： A61B20060101 , A61B17/064 , A61B17/068 , A61M39/02 , A61M39/04 , A61M5/32
CPC分类号： A61B17/064 , A61B17/0684 , A61B2017/0647 , A61B2017/0649 , A61F5/0056 , A61M39/0208 , A61M39/04 , A61M2039/0223
摘要： A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around it which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.
摘要翻译：公开了一种用于可植入装置的手术紧固系统。可植入装置可以包括预先展开位置中的多个紧固件，可以具有安装在其上或周围的壳体，其包含预先展开位置中的多个紧固件，或者可以是两部分系统的一部分，适合。因此，本发明还包括可选地定位可植入装置并使紧固件移动到展开后位置的展开系统或工具。紧固件可以是由生物相容性材料形成的订书针，金属环，线圈，弹簧或钩，包括诸如NiTi的形状记忆合金。

12. 发明申请

WO2005115251A1 SURGICAL STAPLER 审中-公开
标题翻译：外科手术
公开(公告)号：WO2005115251A1
公开(公告)日：2005-12-08
申请号：PCT/IE2005/000059
申请日：2005-05-25
申请人： CUMMINS, Christy , COLEMAN, James, E.
发明人： CUMMINS, Christy , COLEMAN, James, E.
IPC分类号： A61B17/00
CPC分类号： A61B17/0644 , A61B17/0057 , A61B17/0684 , A61B17/10 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672 , A61B2017/0641 , A61B2017/22065
摘要： Methods and devices for closing a puncture wound in a liquid carrying vessel are provided. In one exemplary embodiment, a surgical stapler is provided having a locator tube with an inflatable member formed thereon and adapted to be positioned within a liquid carrying vessel adjacent a puncture wound, and a staple applying apparatus that is slidably disposed on a portion of the locator tube and that is adapted to apply a surgical staple to seal a puncture wound in a liquid carrying vessel.
摘要翻译：提供了用于在液体携带容器中封闭穿刺伤口的方法和装置。在一个示例性实施例中，提供了一种手术吻合器，其具有定位管，定位管具有形成在其上的可充气构件，并且适于定位在邻近穿刺伤口的液体携带容器内;以及缝合钉施加装置，其可滑动地设置在定位器的一部分上并且适于施加外科手术钉以密封在液体携带容器中的穿刺伤口。

13. 发明申请

WO2005072627A1 IMPLANTABLE DEVICE FASTENING SYSTEM AND METHODS OF USE 审中-公开
标题翻译：可植入装置的紧固系统及其使用方法
公开(公告)号：WO2005072627A1
公开(公告)日：2005-08-11
申请号：PCT/US2005/001958
申请日：2005-01-21
申请人： INAMED MEDICAL PRODUCTS CORPORATION , BIRK, Janel , COE, Frederick, L. , HOYT, Robert, E., Jr.
发明人： BIRK, Janel , COE, Frederick, L. , HOYT, Robert, E., Jr.
IPC分类号： A61B17/04
CPC分类号： A61B17/064 , A61B17/068 , A61B17/0684 , A61B2017/00867 , A61B2017/0647 , A61B2017/0649 , A61M5/1415 , A61M39/0208 , A61M39/04 , A61M2039/0223 , A61M2039/0229
摘要： A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around fit which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it its. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.
摘要翻译：公开了一种用于可植入装置的手术紧固系统。可植入装置可以包括预先展开位置中的多个紧固件，可以具有装配在配件上或周围的壳体，该壳体包含预先展开位置中的多个紧固件，或者可以是两部分系统的一部分，它的。因此，本发明还包括可选地定位可植入装置并使紧固件移动到展开后位置的展开系统或工具。紧固件可以是由生物相容性材料形成的订书针，金属环，线圈，弹簧或钩，包括诸如NiTi的形状记忆合金。

14. 发明申请

WO2003005911A1 RIGHT ANGLE CLIP APPLIER APPARATUS AND METHOD 审中-公开
标题翻译：右角夹具设备和方法
公开(公告)号：WO2003005911A1
公开(公告)日：2003-01-23
申请号：PCT/US2002/021609
申请日：2002-07-08
申请人： TYCO HEALTHCARE GROUP LP , STELLON, Gene , LEHMAN, Adam , CABRERA, Ramiro , STEARNS, Ralph, A.
发明人： STELLON, Gene , LEHMAN, Adam , CABRERA, Ramiro , STEARNS, Ralph, A.
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/0684 , A61B17/122 , A61B2017/292 , A61B2017/2929 , A61B2090/0814
摘要： A right angle clip applier apparatus including distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.
摘要翻译：包括远端夹子施加机构和位于手柄组件中的近端推进机构的直角夹具装置。夹子施加机构包括与盒相接口的进给杆，用于在组织部分上推进和施加夹子。多个夹子被封装在设备中。推进机构由手柄组件中的杠杆致动，其产生重新定位进给杆和夹子的驱动力。杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。夹子施加机构可以以任何角度使用，并且可以在将把手保持在固定位置的同时旋转360度。提供空剪辑指示器。

15. 发明申请

WO02019915A1 DEVICE FOR LOCATING A PUNCTURE HOLE IN A LIQUID-CARRYING VESSEL 审中-公开
标题翻译：用于在液体运载船中定位一个钻孔的装置
公开(公告)号：WO02019915A1
公开(公告)日：2002-03-14
申请号：PCT/IE2001/000115
申请日：2001-09-07
IPC分类号： A61B17/10 , A61B17/00 , A61B17/064 , A61B17/068 , A61B17/08 , A61B17/128 , A61B19/00
CPC分类号： A61B17/0684 , A61B17/0057 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/1285 , A61B2017/00668 , A61B2017/00672 , A61B2090/062
摘要： A device for locating a puncture hole in a liquid-carrying vessel such as a blood vessel comprises a hollow tube (92) having front and rear openings respectively at opposite ends of the tube to allow the tube to slide along a guidewire passing through the tube. The front opening (96) comprises a first portion (96A) for slidably accommodating the guidewire and a second portion (96B) to allow liquid from the vessel to flow back through the tube. The device is configured, e.g. by a constriction 96C, such that a guidewire at least above a certain diameter in the first portion (96A) of the front opening is restrained against moving into the second portion (96B). Alternatively, the first and second portions (96A), (96B) of the front opening may be independent of one another.
摘要翻译：用于在诸如血管的液体携带容器中定位穿孔的装置包括：中空管（92），其分别在管的相对端处具有前开口和后开口，以允许管沿着穿过管的导丝滑动。前开口（96）包括用于可滑动地容纳导丝的第一部分（96A）和第二部分（96B），以允许来自容器的液体通过管流回。该设备被配置，例如。通过收缩部96C，使得至少在前开口的第一部分（96A）中的一定直径以上的导丝被阻止移动到第二部分（96B）中。或者，前开口的第一和第二部分（96A），（96B）可以彼此独立。

16. 发明申请

WO0002490A9 APPARATUS AND METHOD FOR SURGICAL FASTENING 审中-公开
标题翻译：装置和手术紧固方法
公开(公告)号：WO0002490A9
公开(公告)日：2000-06-02
申请号：PCT/US9914677
申请日：1999-06-29
申请人： GEN SURGICAL INNOVATIONS INC
发明人： KAYAN HELMUT L , JERVIS JAMES E
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. A third embodiment of the invention has a fastener applicator having only one actuated part in its application mechanism, and makes use of biased springs controlled by position of the actuated part for the remaining part of the mechanism. A fourth embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus application mechanism will not reverse in the middle of a triggered application stroke.
摘要翻译：在内窥镜手术过程中施加紧固件的装置和方法。该装置通常包括手柄部分，触发机构和紧固件施加器。本发明的一个实施例围绕砧座上的单个焦点形成紧固件。另一个实施例将紧固件垂直堆叠在紧固件施用器中，该紧固件施用器通过旋转锁定系统可容易地从手柄部分拆卸并且可以用具有垂直堆叠的紧固件的新鲜负载的新的紧固件施用器来替换。本发明的第三实施例具有紧固件施加器，其紧固件施加器在其施加机构中仅具有一个致动部件，并且利用由致动部件的位置控制的偏压弹簧用于机构的其余部分。本发明的第四实施例将柱塞/棘轮组件和棘爪部署在设备的手柄部分内，以确保设备应用机构在触发的施加行程的中间不会反转。

17. 发明申请

WO0002490A2 APPARATUS AND METHOD FOR SURGICAL FASTENING 审中-公开
标题翻译：装置和方法用于外科手术
公开(公告)号：WO0002490A2
公开(公告)日：2000-01-20
申请号：PCT/US9914677
申请日：1999-06-29
申请人： GEN SURGICAL INNOVATIONS INC
发明人： KAYAN HELMUT L , JERVIS JAMES E
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. A third embodiment of the invention has a fastener applicator having only one actuated part in its application mechanism, and makes use of biased springs controlled by position of the actuated part for the remaining part of the mechanism. A fourth embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus application mechanism will not reverse in the middle of a triggered application stroke.
摘要翻译：内窥镜手术中应用紧固件的装置和方法。该装置通常包括手柄部分，触发机构和紧固件施加器。本发明的一个实施例在砧座上形成围绕单个焦点的紧固件。另一个实施例垂直地将紧固件堆叠在紧固件施加器中，该紧固件施加器通过旋转锁定系统容易地从手柄部分拆卸，并且可以用新的紧固件施加器来代替，该紧固件施加器具有新的垂直堆叠的紧固件的负载。本发明的第三实施例具有紧固件施加器，其在其施加机构中仅具有一个致动部件，并且利用由该致动部件的位置控制的偏置弹簧用于机构的其余部分。本发明的第四实施例将柱塞/棘轮组件和棘爪部署在装置的手柄部分内，以确保装置施加机构在触发的施加冲程的中间不会反转。

18. 发明申请

WO99026543A1 SURGICAL CLIP APPLYING INSTRUMENT 审中-公开
标题翻译：外科手术器械
公开(公告)号：WO99026543A1
公开(公告)日：1999-06-03
申请号：PCT/EP1998/007365
申请日：1998-11-17
IPC分类号： A61B17/068 , A61B17/072 , A61M39/02 , A61M37/00
CPC分类号： A61B17/0684 , A61B17/072 , A61B2017/07214 , A61M39/0208 , A61M2209/04
摘要： The invention relates to a surgical clip applying instrument (1), comprising a handle (4) with an operating device (6), a shaft tube (2) which is attached to said handle (4) and in which a slide rod (28) is located and a clip device (10) at the distal end of the slide rod (28). Said slide rod (28) can be axially displaced with the operating device (6). According to the invention, the clip device (10) has a holding device (14) for a fluid port (15).
摘要翻译：被安装在外科缝合器械（1）具有手柄（4）的致动器（6）连接至（4），所述轴管（2），其中所述致动装置中的一个（6）可轴向移动的推杆手柄中的一个（28）并且设置在所述推杆（28）的远端的夹紧装置（10），所述夹子装置（10）具有用于流体端口（15），一个接收装置（14）。

19. 发明申请

WO9739688A3 METHOD AND APPARATUS FOR DELIVERY OF AN APPLIANCE IN A VESSEL 审中-公开
标题翻译：用于在船舶中输送器具的方法和装置
公开(公告)号：WO9739688A3
公开(公告)日：1998-01-29
申请号：PCT/US9706597
申请日：1997-04-21
申请人： VNUS MED TECH INC
发明人： LAUFER MICHAEL D , MILLER GARY H , PARKER MARK P
IPC分类号： A61B17/00 , A61B17/068 , A61B19/00
CPC分类号： A61B17/0684 , A61B17/00234 , A61B90/39 , A61B2090/3925
摘要： A delivery device for intraluminally deploying a clip appliance (30) within a body lumen or cavity of a patient, for example a vein. The clip (30) is configured from a wire-like, bendable material, having a 'W'-like sinusoidal shape. The clip is constructed with sharpened slanted edges at the tips (31 and 32) which provide preferential bending and straightening when the clip is deployed into a venous valve. The delivery device comprises a catheter (50) and a structure (95) for bending and releasing the clip. The catheter is configured with an elongate flexible tubular member secured to a slotted housing (55) having a distal tapered tip. A handle (140) is secured to the proximal end of the flexible tubular member. A balloon (130) and actuator arm (100) combination forces a clip (30) against an anvil (95) to bend the clip from an open to a closed condition and for releasing the clip from a slot (58) in a side wall of the housing. The housing may be configured to retain and deploy a plurality of clip appliances. During clip deployment, the catheter housing is positioned within a vessel or viscus of a patient, and the slot in the side wall is precisely aligned and stabilized with a second inflatable member. A force is applied to bend and secure the clip to the desired location, and the clip is released from the delivery device through the slot in the housing.

20. 发明申请

WO1979000970A1 IMPROVED SURGICAL STAPLERS AND STAPLE 审中-公开
标题翻译：改进的外科手术和STAPLE
公开(公告)号：WO1979000970A1
公开(公告)日：1979-11-15
申请号：PCT/US1979000243
申请日：1979-04-17
申请人： SMITH L
发明人： SMITH L , MOSHOFSKY J
IPC分类号： B25C05/02
CPC分类号： A61B17/0684
摘要： The specification discloses a forming die movable along a track by a pair of toggle joint linkages (22) to move from a column of staples (12) a staple (12) having a downwardly bowed central portion (130) into engagement with an anvil (27), then bend outer portions (116) down over the anvil to drive pointed legs (28) into the flesh and bring the legs into alignment with each other. The column of staples is pressed by a spring arm (86) and a follower (88) toward the track (84) and is laterally supported in a staple magazine (26). Each toggle joint-linkage (22) is a one-piece member with two rigid arms (115) connected by an undulating spring portion (112). The magazine is detachably connected to the track by spring latches. Another stapler has hook-like anvil (227), and the bowed central portion of the staple as it is pressed against the anvil by a forming die or ram (310), is first straightened and then bent legs are bent from the central portion, thus giving a "soft" initial feel to the stapling.

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