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81. 发明申请

WO2012065189A1 SUTURELESS VASCULAR ANASTOMOSIS 审中-公开
标题翻译：无力血管解剖
公开(公告)号：WO2012065189A1
公开(公告)日：2012-05-18
申请号：PCT/US2011/060664
申请日：2011-11-14
申请人： ASFORA, Wilson Theophilo , ROBERTS, Thomas Albert , MIDDLEBUSHER, Duane Lee , PHIPPS, Richard Dean , VILLALTA, Michael Edward , CARMACK, Lee James
发明人： ASFORA, Wilson Theophilo , ROBERTS, Thomas Albert , MIDDLEBUSHER, Duane Lee , PHIPPS, Richard Dean , VILLALTA, Michael Edward , CARMACK, Lee James
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/08 , A61B17/10 , A61B17/56 , A61B2017/00867 , A61B2017/00946 , A61B2017/1107 , A61B2017/1135 , A61B2090/0811 , A61F2/064 , A61F2220/0016
摘要： A system is described for performing vascular anastomosis without the use of sutures. The system includes a connector comprised of memory material and an incision seal. The connector has one end configured to securely engage a graft vessel and another end with wings and barbs. The wings are configured to securely engage an inner wall of a main vessel and the barbs are configured to lock with the incision seal. Once locked, the incision seal and the connector apply a clamping force that secures the graft vessel with the main vessel.
摘要翻译：描述了用于在不使用缝合线的情况下进行血管吻合的系统。该系统包括由记忆材料和切口密封件组成的连接器。连接器的一端构造成牢固地接合移植物容器，另一端具有翼和倒钩。翼部构造成牢固地接合主容器的内壁，并且倒钩构造成用切口密封件锁定。一旦锁定，切口密封和连接器施加夹紧力，其将移植物容器固定在主容器上。

82. 发明申请

WO2012057916A1 CATHETER WITH CORONARY SINUS OSTIUM ANCHOR 审中-公开
标题翻译：具有冠状动脉瘤锚杆的导管
公开(公告)号：WO2012057916A1
公开(公告)日：2012-05-03
申请号：PCT/US2011/049831
申请日：2011-08-31
申请人： MEDTRONIC ABLATION FRONTIERS LLC , MARKOWITZ, H. Toby , THOMPSON-NAUMAN, Amy E.
发明人： MARKOWITZ, H. Toby , THOMPSON-NAUMAN, Amy E.
IPC分类号： A61M25/01 , A61B18/14 , A61B18/00 , A61N1/362 , A61B19/00 , A61B18/02 , A61B5/042
CPC分类号： A61B18/02 , A61B5/042 , A61B18/1492 , A61B2018/00023 , A61B2018/00214 , A61B2018/00273 , A61B2018/00285 , A61B2018/00755 , A61B2018/00875 , A61B2018/00898 , A61B2090/0811 , A61M25/04
摘要： A method of treating cardiac tissue is provided, including positioning a first chamber of a medical device adjacent an atrial wall; directing a cryogenic coolant into the first chamber; anchoring the first chamber to the atrial wall through cryoadhesion; directing a distal portion of the medical device into the coronary sinus; and positioning a cardiac lead through at least a portion of the coronary sinus with the distal portion. The method may include measuring a temperature of the first chamber; removing the first chamber from the atrial wall once a predetermined threshold temperature of the first chamber is reached; anchoring a second chamber of the medical device to a portion of the coronary sinus; and/or perfusing blood flow through at least a portion of the second chamber.
摘要翻译：提供了一种治疗心脏组织的方法，包括将邻近心房壁的医疗装置的第一腔室定位; 将低温冷却剂引导到第一室中; 通过冷冻粘附将第一腔固定在心房壁上; 将医疗装置的远端部分引导到冠状窦中; 以及将心脏引线定位穿过冠状窦的至少一部分与远端部分。该方法可以包括测量第一室的温度; 一旦达到第一室的预定阈值温度，就将第一室从心房壁移除; 将医疗装置的第二腔室锚定到冠状窦的一部分; 和/或灌注血流通过第二腔室的至少一部分。

83. 发明申请

WO2012018816A2 TOOL EXCHANGE INTERFACE AND CONTROL ALGORITHM FOR COOPERATIVE SURGICAL ROBOTS 审中-公开
标题翻译：工具交换界面和合作手术机器人的控制算法
公开(公告)号：WO2012018816A2
公开(公告)日：2012-02-09
申请号：PCT/US2011/046268
申请日：2011-08-02
申请人： THE JOHNS HOPKINS UNIVERSITY , TAYLOR, Russell H. , BALICKI, Marcin Arkadiusz , HANDA, James Tahara
发明人： TAYLOR, Russell H. , BALICKI, Marcin Arkadiusz , HANDA, James Tahara
IPC分类号： A61B19/00 , B23Q3/155 , B25J15/04 , B25J19/02
CPC分类号： A61B34/32 , A61B34/30 , A61B90/06 , A61B2017/00477 , A61B2090/064 , A61B2090/065 , A61B2090/0811 , B25J15/0466
摘要： A system and method for tool exchange during surgery for cooperatively controlled robots comprises a tool holder for receiving a surgical tool adapted to be held by a robot and a surgeon, a tool holding element for constraining downward motion of the tool while allowing low force removal of the surgical tool from the holder, a first sensor for detecting if the surgical tool is docked within the tool holder, and a selector for automatically selecting different movements or actions of the tool holder to be performed based upon information detected by the first sensor. The system and method of the present invention provides an advantage to an often slow moving cooperative robot, by increasing the speed by which the tool holder may move in the direction away from the patient.
摘要翻译：用于协同控制的机器人的手术期间的用于工具交换的系统和方法包括用于接收适于由机器人和外科医生保持的外科手术工具的工具保持器，用于约束工具的向下运动的工具保持元件，同时允许小的力除去来自保持器的手术工具，用于检测外科手术工具是否对接在刀架内的第一传感器，以及选择器，用于根据第一传感器检测到的信息，自动选择待执行刀架的不同移动或动作。本发明的系统和方法通过提高刀具保持器可以在远离患者的方向移动的速度来提供经常缓慢移动的协作机器人的优点。

84. 发明申请

WO2011149585A1 SYSTEM AND METHOD FOR VISUALIZING CATHETER PLACEMENT IN A VASCULATURE 审中-公开
标题翻译：用于在血管中观察导管放置的系统和方法
公开(公告)号：WO2011149585A1
公开(公告)日：2011-12-01
申请号：PCT/US2011/030070
申请日：2011-03-25
申请人： DIB, Nabil
发明人： DIB, Nabil
IPC分类号： A61B18/18
CPC分类号： A61B19/5244 , A61B5/0066 , A61B5/065 , A61B8/0841 , A61B8/12 , A61B34/20 , A61B2034/2063 , A61B2090/0811 , A61M25/0108 , A61M25/0133 , A61M2025/0166
摘要： A system for advancing a needle through a vasculature to an injection site at the heart of a patient includes a guide catheter with a reflective distal tip. Also included is an imaging unit that is mounted on the catheter to radiate an energy field. Structurally, a distal portion of the catheter is biased to bend into a predetermined configuration that will position the distal end of the catheter for interception by the energy field. If necessary, coincidence of the reflective tip with the energy field is established by moving the energy field along the length of the guide catheter. With coincidence, the reflective tip reflects a signal that is useful for advancement of the needle from the guide catheter and into the injection site.
摘要翻译：用于将针通过脉管系统推进到患者心脏的注射部位的系统包括具有反射性远侧末端的引导导管。还包括安装在导管上以辐射能量场的成像单元。在结构上，导管的远端部分被偏压以弯曲成预定的构造，其将定位导管的远端以通过能量场拦截。如果需要，通过沿引导导管的长度移动能量场来建立反射尖端与能量场的一致性。巧合的是，反射尖端反映了一种信号，该信号可用于从引导导管进入针头并进入注射部位。

85. 发明申请

WO2011119416A1 METHOD AND APPARATUS FOR GUIDING AN EXTERNAL NEEDLE TO AN IMPLANTABLE DEVICE 审中-公开
标题翻译：用于将外部指针引导到可植入装置的方法和装置
公开(公告)号：WO2011119416A1
公开(公告)日：2011-09-29
申请号：PCT/US2011/028915
申请日：2011-03-18
申请人： MEDTRONIC, INC. , KALPIN, Scott L. , BZOSTEK, Andrew M. , HARTMANN, Steven L. , KOENIG, Matthew W. , JACOBSEN, Brad , SARKINEN, Scott A. , BOROWITZ, Peter J. , JASCOB, Bradley A.
发明人： KALPIN, Scott L. , BZOSTEK, Andrew M. , HARTMANN, Steven L. , KOENIG, Matthew W. , JACOBSEN, Brad , SARKINEN, Scott A. , BOROWITZ, Peter J. , JASCOB, Bradley A.
IPC分类号： A61B19/00 , A61M5/42 , A61M5/142
CPC分类号： A61M5/14276 , A61B34/20 , A61B34/25 , A61B90/11 , A61B2034/2051 , A61B2090/0811 , A61B2090/3958 , A61M5/427 , A61M2039/0081 , A61M2039/0238
摘要： A support tool or a supply assembly that delivers a functional fluid to a patient includes an antenna array for receiving or sensing a navigation field. The navigation field can be generated from a localizer. The localizer can be incorporated or included in an implanted device.
摘要翻译：将功能流体递送到患者的支撑工具或供应组件包括用于接收或感测导航区域的天线阵列。可以从定位器生成导航字段。定位器可以并入或包括在植入装置中。

86. 发明申请

WO2011116208A1 A DEVICE FOR USE DURING LIGAMENT RECONSTRUCTION SURGERY 审中-公开
标题翻译：在大宗重建手术期间使用的装置
公开(公告)号：WO2011116208A1
公开(公告)日：2011-09-22
申请号：PCT/US2011/028844
申请日：2011-03-17
申请人： SMITH & NEPHEW, INC. , ELLIS, Daniel B. , FERRAGAMO, Michael Charles , BEDERKA, Bryce , PERRIELLO, Michael James
发明人： ELLIS, Daniel B. , FERRAGAMO, Michael Charles , BEDERKA, Bryce , PERRIELLO, Michael James
IPC分类号： A61B19/00 , A61F2/08 , A61B17/16 , A61B17/17
CPC分类号： A61B17/8897 , A61B5/1076 , A61B17/1675 , A61B17/1714 , A61B17/1764 , A61B17/8869 , A61B90/06 , A61B2090/062 , A61B2090/0811 , A61F2/0805 , A61F2002/0882 , A61F2250/0097
摘要： The present disclosure relates to a device for use during ligament reconstruction surgery. The device (10) includes a handle (11) and a shaft (11k) coupled to the handle, the handle including a first channel (11a) for housing of an insert (13), a second channel (11b), a third channel (11c) for housing of the shaft, a first window (11d), a second window (11e), and a groove (11f). A method for use of the device during ligament reconstruction surgery is also disclosed
摘要翻译：本公开涉及在韧带重建手术期间使用的装置。所述装置（10）包括手柄（11）和联接到所述手柄的轴（11k），所述手柄包括用于容纳插入件（13）的第一通道（11a），第二通道（11b），第三通道（11c），第一窗口（11d），第二窗口（11e）和凹槽（11f）。还公开了在韧带重建手术期间使用该装置的方法

87. 发明申请

WO2011044035A3 IMPROVED CLIP ADVANCER 审中-公开
标题翻译：改进的CLIP ADVANCER
公开(公告)号：WO2011044035A3
公开(公告)日：2011-06-30
申请号：PCT/US2010051305
申请日：2010-10-04
申请人： ETHICON ENDO SURGERY INC , NGUYEN ANTHONY T
发明人： NGUYEN ANTHONY T
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/2909 , A61B2090/0811
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a shaft having a proximal end and a distal end with opposed jaws thereon, a guide member disposed within the shaft and configured to guide a clip into the opposed jaws, the guide member having a channel formed in a surface thereof, and an advancer movably disposed within the shaft and configured to advance a clip over the guide member and into the opposed jaws, the advancer having a distal tip that slidably engages the channel for maintaining contact with a surgical clip as it is advanced into the opposed jaws. In other embodiments, the guide member can also include a proximal channel formed in a superior surface thereof. The advancer can be configured to deflect downward into the proximal channel to move proximally beneath an inferior surface of the apex of the clip to position itself proximally to the clip to advance the clip into the opposed jaws.
摘要翻译：提供了用于在外科手术过程中将外科夹子应用于脉管，导管，分流器等的手术施夹器和方法。在一个实施例中，提供了一种手术施夹器并且可以包括具有近端和远端的轴，其上具有相对的夹爪，引导构件设置在轴内并且构造成将夹子引导到相对的夹爪中，引导构件具有在其表面中形成的通道和推进器，所述推进器可移动地布置在所述轴内并且被构造成将夹子推进到所述引导构件上并且进入相对的夹爪中，所述推进器具有远侧末端，所述远侧末端与所述通道可滑动地接合以保持与手术夹子因为它被推进到相对的钳口中。在其他实施例中，引导构件还可以包括形成在其上表面中的近侧通道。推进器可以构造成向下偏转进入近端通道以向近侧移动到夹子的顶点的下表面下方，以将其自身定位在夹子的近侧以将夹子推进到相对的夹爪中。

88. 发明申请

WO2011075380A1 SYSTEM AND METHOD FOR FIDUCIAL DEPLOYMENT 审中-公开
标题翻译：系统和方法用于制造部署
公开(公告)号：WO2011075380A1
公开(公告)日：2011-06-23
申请号：PCT/US2010/059641
申请日：2010-12-09
申请人： WILSON-COOK MEDICAL INC. , COOK IRELAND LIMITED , DUCHARME, Richard, W. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , SKELTON, Eugene, E. , BRUGGEMAN, Martin, J.
发明人： DUCHARME, Richard, W. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , SKELTON, Eugene, E. , BRUGGEMAN, Martin, J.
IPC分类号： A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3468 , A61B17/3478 , A61B90/39 , A61B2017/0034 , A61B2090/062 , A61B2090/0811 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069
摘要： Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial (400) may include one or more protuberances configured to engage one or more slots in a needle (1614) of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages. The handle may include structures (1676) configured for incrementally or otherwise controlledly deploying one or more fiducials by advancing a stylet through and/or retracting the body of a needle in which fiducials are disposed.
摘要翻译：实施例包括具有被配置为用于致动其的手柄的基准部署系统。基准（400）可以包括被配置为接合系统的针（1614）中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施方案中，基准的回声放置可能具有某些优点。手柄可以包括构造成通过使探针穿过其中设置有基准的针的身体和/或缩回其中的基部的主体而逐渐地或以其他方式可控地展开一个或多个基准的结构（1676）。

89. 发明申请

WO2011044273A3 TARGETING ORTHOPAEDIC DEVICE LANDMARKS 审中-公开
标题翻译：瞄准正确的设备地标
公开(公告)号：WO2011044273A3
公开(公告)日：2011-06-16
申请号：PCT/US2010051678
申请日：2010-10-06
申请人： SMITH & NEPHEW INC , RITCHEY NICHOLAS S , AUSTIN GENE EDWARD , HEOTIS CHARLES C , KIRSCH STEFAN R
发明人： RITCHEY NICHOLAS S , AUSTIN GENE EDWARD , HEOTIS CHARLES C , KIRSCH STEFAN R
IPC分类号： A61B17/56 , A61B5/05 , A61B18/18 , A61B19/00
CPC分类号： A61B17/1725 , A61B17/1615 , A61B17/1707 , A61B17/72 , A61B34/20 , A61B2034/2051 , A61B2090/0811
摘要： Targeting sensors for use in targeting landmarks of orthopaedic devices. The sensors include a non-cylindrical mounting platform such as a printed circuit board and at least two mounted or printed sensor coils to provide a low profile sensor assembly which can be placed in a predetermined position and orientation on or in an orthopaedic device. The platform has a non-circular cross-section having an aspect ratio of greater than about 1.5:1. The non-circular cross-section of the platform enables the sensor to be placed in a known fixed position within the implant. The sensor coils may be partially or fully embedded in the platform.
摘要翻译：针对传感器，用于定位整形外科设备的界标。传感器包括诸如印刷电路板的非圆柱形安装平台和至少两个安装或印刷的传感器线圈，以提供可以放置在整形外科装置上或矫形装置中的预定位置和取向的低轮廓传感器组件。平台具有纵横比大于约1.5:1的非圆形横截面。平台的非圆形横截面使传感器能够置于植入物内的已知固定位置。传感器线圈可以部分地或完全地嵌入在平台中。

90. 发明申请

WO2011044273A2 TARGETING ORTHOPAEDIC DEVICE LANDMARKS 审中-公开
标题翻译：瞄准ORTHOPEDIC DEVICE LANDMARKS
公开(公告)号：WO2011044273A2
公开(公告)日：2011-04-14
申请号：PCT/US2010/051678
申请日：2010-10-06
申请人： SMITH & NEPHEW, INC. , RITCHEY, Nicholas, S. , AUSTIN, Gene, Edward , HEOTIS, Charles, C. , KIRSCH, Stefan, R.
发明人： RITCHEY, Nicholas, S. , AUSTIN, Gene, Edward , HEOTIS, Charles, C. , KIRSCH, Stefan, R.
IPC分类号： A61B17/56 , A61B5/05 , A61B18/18 , A61B19/00
CPC分类号： A61B17/1725 , A61B17/1615 , A61B17/1707 , A61B17/72 , A61B34/20 , A61B2034/2051 , A61B2090/0811
摘要： Targeting sensors for use in targeting landmarks of orthopaedic devices. The sensors include a non-cylindrical mounting platform such as a printed circuit board and at least two mounted or printed sensor coils to provide a low profile sensor assembly which can be placed in a predetermined position and orientation on or in an orthopaedic device. The platform has a non-circular cross-section having an aspect ratio of greater than about 1.5:1. The non-circular cross-section of the platform enables the sensor to be placed in a known fixed position within the implant. The sensor coils may be partially or fully embedded in the platform.
摘要翻译：
用于瞄准整形外科装置地标的瞄准传感器。传感器包括诸如印刷电路板的非圆柱形安装平台，以及至少两个安装或印刷的传感器线圈，以提供低轮廓传感器组件，该传感器组件可以放置在矫形外科装置上或内的预定位置和方位。该平台具有纵横比大于约1.5:1的非圆形横截面。平台的非圆形横截面使得传感器能够被置于植入物内的已知固定位置。传感器线圈可以部分或完全嵌入平台中。

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