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1. 发明申请

WO2021030591A1 DEVICE FOR VESSEL HARVESTING 审中-公开
公开(公告)号：WO2021030591A1
公开(公告)日：2021-02-18
申请号：PCT/US2020/046188
申请日：2020-08-13
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude S. , DECLERCK, Matthew David
IPC分类号： A61B1/00 , A61B1/12 , A61B17/00 , A61B17/32 , A61B18/14
摘要： A device for vessel harvesting is disclosed. The device for vessel harvesting includes a distal housing, a dissector coupled to the distal housing, a drive element coupled to the dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a rotatable dissector, a shaft coupled to the distal housing having a first articulation joint movable within a first plane, and a second articulation joint movable within a second plane, which is substantially perpendicular to the first plane, a barrel chain drive element coupled to the rotatable dissector, and an actuator coupled to the drive element. The device for vessel harvesting may also include a member slidably engaged to the distal tip.

2. 发明申请

WO2020251986A1 DEVICE FOR SUTURE TENSIONING AND METHODS THEREOF 审中-公开
公开(公告)号：WO2020251986A1
公开(公告)日：2020-12-17
申请号：PCT/US2020/036947
申请日：2020-06-10
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S. M.D.
IPC分类号： A61B17/04 , A61F2/08 , A61B17/58
摘要： A device for suture management and tensioning is disclosed. The device for suture tensioning may include a housing having multiple suture channels, a cleat array, several indicator biasing elements, and an actuator movable between an unlocked position, a tensioned position, and a locked position. The cleat array in the device for suture tensioning may also include at least one first cleat movable relative to the housing and colinear with a second cleat fixedly attached to the housing. The device for suture tensioning may also include an indicator biasing element which is colinear with each cleat pair.

3. 发明申请

WO2020186189A1 SURGICAL ACCESS SYSTEM 审中-公开
公开(公告)号：WO2020186189A1
公开(公告)日：2020-09-17
申请号：PCT/US2020/022700
申请日：2020-03-13
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude S.
IPC分类号： A61B17/04 , A61B17/00 , A61B17/34
摘要： A surgical access system is disclosed. The surgical access system having a cannula may include a distal tip having one or more longitudinal channels distributed around a circumference of the distal tip, and one or more circumferential channels around the distal tip. The surgical access system also includes an obturator coaxially insertable within the cannula which may include a distal tip and a retractable cutting element having an actuator. The surgical access system also includes an articulation interface. The surgical access system may also include a distal tip of the cannula that may further include one or more bridges distributed circumferentially along the one or more circumferential channels of the distal tip. The obturator further may include an elongated tube and a slidable plunger element configured to control fluid flow inside the elongated tube of the obturator.

4. 发明申请

WO2019152997A1 SUTURING DEVICE FOR MINIMALLY INVASIVE SURGERY 审中-公开
公开(公告)号：WO2019152997A1
公开(公告)日：2019-08-08
申请号：PCT/US2019/016665
申请日：2019-02-05
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S.
IPC分类号： A61B17/062
摘要： A suturing device for minimally invasive surgery is disclosed. The device has at least one ferrule holder. The device also has a latch spring comprising at least one latch biased to cover the at least one ferrule holder. The device further has a needle comprising one or more curved needle arms. The device also has a needle control wire coupled to the needle for moving the one or more curved needle arms on an arcuate path through a tissue gap. The device further has a cam coupled to the needle control wire for selective engagement with a follower region on the latch spring.

5. 发明申请

WO2017218504A1 DEVICE FOR CARDIAC SURGERY AND METHODS THEREOF 审中-公开
标题翻译：用于心脏手术的装置及其方法
公开(公告)号：WO2017218504A1
公开(公告)日：2017-12-21
申请号：PCT/US2017/037203
申请日：2017-06-13
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S.
IPC分类号： A61B17/04
摘要： A device for cardiac surgery is disclosed, having a) a plurality of pairs of suture guides spaced about the frame; b) a plurality of suture tubes, with one suture tube corresponding to each pair of suture guides; c) a plurality of snares, each corresponding to and passed through one of the plurality of suture tubes so that a handle at one end of the snare protrudes from a proximal end of the corresponding suture tube and a snare loop at another end of the snare protrudes through a distal end of the corresponding suture tube, and wherein the snare loop further protrudes through one of the suture guides in the corresponding pair of suture guides; and d) a plurality of sutures, each corresponding to one of the pairs of suture guides and coupled to the suture guide in the corresponding pair of suture guides which does not have the snare loop passing through it.
摘要翻译：公开了一种用于心脏手术的装置，其具有：a）围绕框架间隔开的多对缝合线引导件; b）多个缝合管，其中一个缝合管对应于每一对缝合引导件; c）多个圈套器，每个圈套器对应于并穿过多个缝合管中的一个，使得圈套器的一端处的手柄从相应的缝合线管的近端突出，并且圈套器的另一端处的圈套器环穿过相应的缝合线管的远端伸出，并且其中所述圈套环进一步突出穿过相应的一对缝合线引导件中的缝合线引导件中的一个; 以及d）多根缝合线，每根缝合线对应于所述成对缝合线引导件中的一个，并且在相应的一对缝合线引导件中与缝合线引导件连接，所述一对缝合线引导线没有穿过其的圈套环。

6. 发明申请

WO2016187406A1 MINIMALLY INVASIVE SURGICAL SUTURING DEVICE FOR PAPILLARY MUSCLES AND METHODS THEREOF 审中-公开
标题翻译：用于毛细血管的微型外科手术装置及其方法
公开(公告)号：WO2016187406A1
公开(公告)日：2016-11-24
申请号：PCT/US2016/033234
申请日：2016-05-19
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S.
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06
CPC分类号： A61B17/0482 , A61B17/0469 , A61B2017/0406 , A61B2017/0472
摘要： A surgical suturing device is disclosed. The surgical suturing device has a forked guide tip having a plurality of legs, wherein each of the plurality of legs comprises a proximal end,an anatomical variation, and a distal end. A method of chord replacement for a heart valve is also disclosed. A suture is placed in a papillary muscle using a surgical suturing device having a forked guide tip and a papillary suture. A leaflet suture is placed in a leaflet. The papillary suture and the leaflet suture are loaded in a suture fastener from opposite directions in a coaxial fashion. The length of the papillary suture and/or the leaflet suture are adjusted relative to the suture fastener to achieve a desired replacement chord length. The suture fastener is attached to the papillary suture and the leaflet suture to lock the desired replacement chord length.
摘要翻译：公开了一种外科缝合装置。手术缝合装置具有具有多个腿的叉形引导尖端，其中多个腿中的每一个包括近端，解剖变异和远端。还公开了一种用于心脏瓣膜的和弦更换方法。使用具有分叉引导尖端和乳头缝合线的手术缝合装置将缝合线放置在乳头肌中。小叶缝合线放置在传单中。乳头状缝合线和小叶缝合线以同轴方式从相反方向装载在缝合线紧固件中。乳头缝合线和/或小叶缝合线的长度相对于缝合线紧固件进行调节，以实现期望的替换弦长度。缝合紧固件连接到乳头缝合线和小叶缝合线以锁定期望的替换弦长度。

7. 发明申请

WO2016007973A2 CRIMPING INSTRUMENT WITH REDUCED DIMENSION, CONTINUED COMPATIBILITY, AND TISSUE PROTECTION FEATURES 审中-公开
标题翻译：具有减小尺寸，持续兼容性和组织保护功能的冲击仪
公开(公告)号：WO2016007973A2
公开(公告)日：2016-01-14
申请号：PCT/US2015/044329
申请日：2015-08-07
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B2017/00398 , A61B2017/0409 , A61B2017/042 , A61B2017/0445 , A61B2017/0454 , A61B2017/0488 , A61B2090/0811
摘要： An instrument for crimping a suture fastener to a surgical suture is disclosed. The instrument has a shaft and an expanded receiving face configured to receive the suture fastener and to provide a smoothing radius for a distal end of the shaft. The instrument also has an anvil in the distal end of the shaft. The instrument further has a hammer in the distal end of the shaft and moveable relative to the anvil for crimping the suture fastener therebetween and received in the expanded receiving face. The instrument also has a pusher moveable in a direction substantially parallel to a longitudinal axis of the shaft and configured to engage at least one of the hammer and the anvil for urging the hammer and the anvil together.
摘要翻译：公开了一种用于将缝合紧固件卷曲到外科缝合线的装置。仪器具有轴和扩大的接收面，构造成接收缝合线紧固件并且为轴的远端提供平滑半径。仪器还在轴的远端有一个砧座。仪器还在轴的远端具有锤，并相对于砧座可移动，用于将缝合线紧固件压接在其中并被接收在扩展的接收面中。仪器还具有可在基本上平行于轴的纵向轴线的方向上移动的推动器，并且构造成与锤和砧中的至少一个接合以将锤和砧一起推动。

8. 发明申请

WO2012177915A3 ERGONOMIC, LIGHTED, UTERINE MANIPULATOR WITH CAUTERY 审中-公开
标题翻译： ERGONOMIC，照明，子宫操纵器与CAUTERY
公开(公告)号：WO2012177915A3
公开(公告)日：2013-03-14
申请号：PCT/US2012043596
申请日：2012-06-21
申请人： LSI SOLUTIONS INC , SAUER JUDE S
发明人： SAUER JUDE S
IPC分类号： A61B17/42 , A61B1/303
CPC分类号： A61B17/4241 , A61B90/30 , A61B2017/00323 , A61B2017/00433 , A61B2017/00455 , A61B2018/1412 , A61B2090/306
摘要： A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.
摘要翻译：子宫操纵器包括声音和身体。声音具有靠近远端设置的可选择性致动的锚杆和与锚固件间隔开的操作机构，用于控制锚固件的致动。身体具有穿过其中的通道，其适于接收通过身体向近端传递的声音到其中操作机构可靠近身体的位置，并且锚向远侧延伸。

9. 发明申请

WO2004069291A2 INSTRUMENT FOR ASSISTING IN THE REMOTE PLACEMENT OF TIED SURGICAL KNOTS AND TRIMMING OF SUTURE AWAY FROM THE KNOT AND METHOD OF USE 审中-公开
标题翻译：用于辅助远程放置手术枪的仪器，以及从使用方法中切除的方法和方法
公开(公告)号：WO2004069291A2
公开(公告)日：2004-08-19
申请号：PCT/US2004/003069
申请日：2004-02-04
申请人： LSI SOLUTIONS, INC. , SAUER, Jude, S.
发明人： SAUER, Jude, S.
IPC分类号： A61L
CPC分类号： A61B17/0485 , A61B17/0467 , A61B17/0483 , A61B2017/0474 , A61B2017/0475 , A61K9/1075 , A61K9/4858 , A61K31/122 , A61K31/355 , A61K31/56 , A61K45/06 , A61K2300/00
摘要： An instrument (10) is provided having a shaft (12) extending to a distal end (16). The distal end (16) has a distal tip member (40) having a cavity (42, 83), and a passageway (44, 80) extending to the cavity through which a first suture end (48A) of a loop of suture (48) extends from a tissue site to facilitate a user looping a second suture end (48B) around the first suture end (48A) between the distal tip member (40) and the tissue site to form a knot (48C). Advancing of the distal tip member (40) while drawing the first suture end (48A) through the passageway (44, 80) pushes the knot (48C) for placement at the tissue site. The distal tip member (79) of another embodiment provides an additional open-sided passageway (81) through which the second suture end (48B) is passed to assist in forming and pushing a knot at to the tissue site. A more secure knot (50) may be formed by a double loop (49A) and then a single loop (49B) by the second suture end (48B) around the first suture end (48A) and appropriate tensioning of the first and second suture ends when the knot is pushed to the tissue site. The distal end (16) further has two openings (46, 47) through which the two suture ends (48A, 4813) are passed from the placed knot (48C, 50), and a blade (38) in the distal end (16) is positionable to cut the two suture ends near the tissue site to trim the suture away from such knot.
摘要翻译：提供了具有延伸到远端（16）的轴（12）的器械（10）。远端（16）具有远端尖端构件（40），其具有空腔（42,83）和延伸到空腔的通道（44,80），通过所述通道将缝合线环的第一缝合线端部（48A） 48）从组织部位延伸以便于使用者围绕远侧末端部件（40）和组织部位之间的第一缝合线端部（48A）环绕第二缝合线端部（48B）以形成结（48C）。当牵引第一缝合线端部（48A）穿过通道（44,80）时，推进远侧末端构件（40）推动结（48C）以放置在组织部位。另一个实施例的远侧末端构件（79）提供另外的开放侧通道（81），第二缝合线端部（48B）穿过该通道以帮助形成并将结推到组织部位。可以通过双环（49A）形成更安全的结（50），然后通过第二缝合线端部（48B）围绕第一缝合线端部（48A）形成单个环（49B），并且适当地张紧第一和第二缝合线当结被推到组织部位时结束。远端（16）还具有两个开口（46,47），两个缝合线端部（48A，4813）从放置的结（48C，50）穿过该开口（46,47）和远端（16）中的刀片（38））可以定位以切割组织部位附近的两个缝合线端部，以将缝合线修剪离开此结。

10. 发明申请

WO2003077770A1 TISSUE MANIPULATION APPARATUS AND METHOD OF USE 审中-公开
标题翻译：组织操作装置及其使用方法
公开(公告)号：WO2003077770A1
公开(公告)日：2003-09-25
申请号：PCT/US2003/007740
申请日：2003-03-12
申请人： LSI SOLUTIONS, INC.
发明人： SAUER, Jude, S. , BOVARD, Mark, A.
IPC分类号： A61B17/02
CPC分类号： A61B17/0218 , A61B2017/00274 , A61B2017/2905 , A61B2017/2948 , A61B2018/00547
摘要： A tissue manipulation apparatus (10) and method of use is provided to enable remote holding and multidirectional movement of tissue, such as the prostate gland to aid in its surgical removal during prostatectomy. The apparatus (10) has a housing (12) and a shaft (14) extending from the housing which curves to a distal end (16). The shaft (14) is insertable through a natural or surgical opening or channel in the body of a patient, such as the urethra (114) of a male patient to access the patient's prostate gland (116). Tissue engaging members (20) in the distal end (16) are actuated by a longitudinal drive mechanism through the shaft (14) from their retracted position at the distal end (16) to extend into the tissue. The distal end (16) is rotatable by a rotational drive mechanism extending through the shaft (14) to the distal end. The longitudinal and rotational drive mechanisms are independently operated at the housing (12). The tissue once held by the tissue engaging members (20) may be manipulated in its position under control of the operator of the apparatus (10), such as, raised or lowered by adjusting the tilt angle of the shaft (14), pulled or pushed by changing the extent of the shaft (14) passing through the opening or channel to access the tissue, and bi-directional rotated via the rotational drive mechanism.
摘要翻译：提供了组织操作装置（10）和使用方法，以便能够远程保持和多方向地移动诸如前列腺的组织以帮助其在前列腺切除术期间的手术切除。装置（10）具有壳体（12）和从外壳延伸到远端（16）的轴（14）。轴（14）可以通过患者体内的天然或手术开口或通道插入，例如男性患者的尿道（114）以进入患者的前列腺（116）。远端（16）中的组织接合构件（20）由纵向驱动机构通过轴（14）从其远端（16）处的缩回位置致动以延伸到组织中。远端（16）可通过延伸穿过轴（14）的旋转驱动机构转动到远端。纵向和旋转驱动机构在壳体（12）处独立地操作。由组织接合构件（20）固定的组织可以在设备（10）的操作者的控制下被操纵，例如通过调节轴（14）的倾斜角度来拉升或降低通过改变通过开口或通道的轴（14）的程度来进入组织来推动，并经由旋转驱动机构双向旋转。

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