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    • 3. 发明申请
    • INSTRUMENT FOR ASSISTING IN THE REMOTE PLACEMENT OF TIED SURGICAL KNOTS AND TRIMMING OF SUTURE AWAY FROM THE KNOT AND METHOD OF USE
    • 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
    • WO2004069291A2
    • 2004-08-19
    • PCT/US2004/003069
    • 2004-02-04
    • LSI SOLUTIONS, INC.SAUER, Jude, S.
    • SAUER, Jude, S.
    • A61L
    • A61B17/0485A61B17/0467A61B17/0483A61B2017/0474A61B2017/0475A61K9/1075A61K9/4858A61K31/122A61K31/355A61K31/56A61K45/06A61K2300/00
    • 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.
    • 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
    • DEVICE FOR CARDIAC SURGERY AND METHODS THEREOF
    • 用于心脏手术的装置及其方法
    • WO2017218504A1
    • 2017-12-21
    • PCT/US2017/037203
    • 2017-06-13
    • LSI SOLUTIONS, INC.
    • SAUER, Jude, S.
    • A61B17/04
    • 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.
    • 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。