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1. 发明申请

WO2014210600A3 DEVICE, SYSTEM, AND METHOD TO SECURE AN ARTICLE TO A TISSUE 审中-公开
标题翻译：装置，系统和方法，以安全的方式组织
公开(公告)号：WO2014210600A3
公开(公告)日：2015-02-26
申请号：PCT/US2014044920
申请日：2014-06-30
申请人： VALCARE INC
发明人： FOERSTER SETH , YELLIN NADAV , SHAOLIAN SAMUEL M , DUMONTELLE JEFFREY P
IPC分类号： A61B17/064
CPC分类号： A61B17/0644 , A61B17/068 , A61B17/0684 , A61B2017/00867 , A61B2017/0412 , A61B2017/0645
摘要： A device for securing an article to a tissue may include a body, transitionable from a deployment state to a securing state, having a first portion, a second portion, and a medial portion therebetween. The first portion and the second portion may each have an end configured to pierce the tissue. The device in the deployment state may have a linearly extended or a U-shaped structure. In the securing state, the first portion may be embedded in the tissue and the medial portion may contact the article. A system for securing the article to the tissue may releasably engage the device while in the deployment state. A method for securing the article may include contacting the article with a tissue surface and releasing the device from the system so that the device, in the securing state, may anchor the article to the tissue.
摘要翻译：用于将物品固定到组织的装置可以包括从展开状态转换到固定状态的主体，其具有在其间的第一部分，第二部分和中间部分。第一部分和第二部分可以各自具有构造成刺穿组织的端部。处于展开状态的装置可以具有线性延伸或U形结构。在固定状态下，第一部分可以嵌入组织中，并且中间部分可以接触物品。用于将物品固定到组织的系统可在处于展开状态时可释放地接合该装置。用于固定物品的方法可以包括将物品与组织表面接触并将该装置从系统中释放出来，使得处于固定状态的装置可将物品固定在组织上。

2. 发明申请

WO2013148815A3 TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY OF CAPSULES 审中-公开
标题翻译：组合厚度补偿器包括多孔的胶囊
公开(公告)号：WO2013148815A3
公开(公告)日：2013-12-27
申请号：PCT/US2013034073
申请日：2013-03-27
申请人： ETHICON ENDO SURGERY INC
发明人： VASUDEVAN VENKATARAMANAN MANDAKOLATHUR , ARONHALT TAYLOR W , ALDRIDGE JEFFREY L , SCHEIB CHARLES J , YANG CHUNLIN , SCHALL CHRISTOPHER J , BAXTER CHESTER O III , CHUN IKSOO , BEZWADA RAO S , CONLON SEAN P , CROPPER MICHAEL S , UTH JOSHUA R , LEIMBACH RICHARD L , KORVICK DONNA L
IPC分类号： A61B17/072 , A61L31/04
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00938 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811 , A61L31/042 , A61L31/129 , A61L31/14 , A61L31/148 , A61L31/16 , C08L1/04
摘要： A tissue thickness compensator (21020) can comprise a plurality of layers. Various embodiments are disclosed herein for manufacturing a tissue thickness compensator. In certain embodiments, a tissue thickness compensator can comprise at least one medicament tube, capsule, and/or packet contained therein.
摘要翻译：组织厚度补偿器（21020）可以包括多个层。本文公开了用于制造组织厚度补偿器的各种实施例。在某些实施例中，组织厚度补偿器可以包括其中包含的至少一个药物管，胶囊和/或包装。

3. 发明申请

WO2013086525A2 FASTENERS, DEPLOYMENT SYSTEMS, AND METHODS FOR OPHTHALMIC TISSUE CLOSURE AND FIXATION OF OPHTHALMIC PROSTHESIS AND OTHER USES 审中-公开
标题翻译：紧固件，部署系统以及眼科组织闭合的方法以及其他用途的固定
公开(公告)号：WO2013086525A2
公开(公告)日：2013-06-13
申请号：PCT/US2012/068812
申请日：2012-12-10
申请人： IRIDEX COPORATION
发明人： VOLD, Steven, D. , PEARTREE, Kenneth, A. , BUCKLEY, Timothy , FEUSTEL, Aaron
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B2017/00743 , A61B2017/00867 , A61B2017/0645 , A61B2017/2918 , A61F2/16 , A61F9/007
摘要： Improved tissue fasteners that can be inserted into (and optionally through) tissue structures underlying a tissue surface, often without having to access opposed surfaces behind the tissue structures such as for apposition and closure of tissue edges bordering incisions and other wounds of ophthalmic tissues, for affixing overlapping tissues and tissue planes together, and the like. First and second legs of the fastener may be configured to be advanced distally through a tissue surface and into the tissue. A base of the fastener may support the legs relative to each other. In some embodiments, an elongate anvil body may protrude distally and/or laterally from a fastener support disposed along the base. The anvil body may have a sharpened end and be configured to penetrate into the tissue, with the elongate anvil body optionally having a bend from a more distal orientation adjacent the clip support to a more lateral orientation adjacent the sharpened end during at least a portion of the deployment. The first leg can be driven through a desired location on the surface of the first tissue and against a receptacle of the anvil body so as to deform the fastener and affix it to the first tissue. The insertion of the anvil may be analogous to the insertion of a curved suture needle, and the anvil and a tissue-engaging surface may be movable relative to the fastener support, with the tissue-engaging surface helping to coordinate the distal movement of the fastener and positioning of the anvil within the tissue via an articulated linkage or the like so that a correlation is maintained between leg penetration depth (and/or separation between the base and the tissue surface) and deformation of the leg or legs. In the exemplary embodiment the coordination is maintained by a frangible linkage so that first and second curved anvils associated with the first and second legs are inserted along first and second curved insertion paths, and can be retracted from the tissue along first and second retraction paths that are different than the insertion paths. Optionally, the base may comprise an arc or other bend protruding laterally from the legs, with the bend generally being configured to reside along the tissue surface through which the legs are inserted.
摘要翻译：改进的组织紧固件可以插入组织表面下方的组织结构（并且任选地通过）组织结构，通常不需要接近组织结构后面的相对表面，例如用于与切口和眼组织的其他伤口接合的组织边缘的并置和闭合，将重叠的组织和组织平面固定在一起等。紧固件的第一和第二腿可被构造成向远侧推进穿过组织表面并进入组织。紧固件的基座可以相对于彼此支撑腿部。在一些实施例中，细长的砧体可以沿着基部设置的紧固件支撑件向远侧和/或横向突出。砧体可以具有尖锐的端部并且被构造成穿透到组织中，其中细长的砧座主体可选地具有从邻近夹子支撑件的更远侧定向到在至少一部分部署。第一腿可以被驱动通过第一组织的表面上的期望位置并且抵靠砧座主体的容器，从而使紧固件变形并将其固定到第一组织。砧座的插入可以类似于插入弯曲缝合针，并且砧座和组织接合表面可以相对于紧固件支撑件移动，组织接合表面有助于协调紧固件的远端运动以及通过铰接连杆等将砧座定位在组织内，使得腿部穿透深度（和/或基部和组织表面之间的分离）和腿或腿的变形之间保持相关性。在示例性实施例中，协调通过易断连接来维持，使得与第一和第二腿相关联的第一和第二弯曲砧座沿着第一和第二弯曲插入路径插入，并且可以沿着第一和第二回缩路径从组织缩回，与插入路径不同。可选地，基部可以包括从腿部横向突出的弧或其它弯曲部，其中弯曲部通常构造成沿着组织表面驻留，腿部被插入其中。

4. 发明申请

WO2013022708A1 SURGICAL FASTENER APPLYING APPARATUS 审中-公开
标题翻译：手术紧固器应用装置
公开(公告)号：WO2013022708A1
公开(公告)日：2013-02-14
申请号：PCT/US2012/049353
申请日：2012-08-02
申请人： COVIDIEN LP , GUPTA, Arvind, Kumar , KATRE, Nikhil, R. , GARIKIPATI, Kiran , PERUMAL, Sekar , SHELKE, Rajesh, T. , VARGHESE, Cinish, P. , BUENO, Richard, Roland
发明人： GUPTA, Arvind, Kumar , KATRE, Nikhil, R. , GARIKIPATI, Kiran , PERUMAL, Sekar , SHELKE, Rajesh, T. , VARGHESE, Cinish, P. , BUENO, Richard, Roland
IPC分类号： A61B17/072
CPC分类号： A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B17/07207 , A61B2017/0023 , A61B2017/00464 , A61B2017/00473 , A61B2017/00619 , A61B2017/00659 , A61B2017/00668 , A61B2017/0688 , A61B2017/07257 , A61B2090/08021 , A61B2090/0814 , A61B2560/0285
摘要： A surgical fastener applying apparatus includes an anvil half-section and a cartridge- receiving half-section including an elongated channel member having a pair of opposed openings defined through sidewalls thereof. A clamping lever is secured to the cartridge receiving half- section. A disposable assembly including a single use loading unit and a single use firing unit is configured to be releasably supported within the cartridge-receiving half-section. The disposable assembly includes a stationary housing for supporting the firing unit. The stationary housing includes a distal extension for supporting the single use loading unit. The stationary housing includes a pair of flared tabs configured to be releasably received within the openings of the cartridge-receiving half-section to releasably engage the disposable assembly within the cartridge-receiving half-section. The clamping lever is movable from an undamped position to a clamped position to releasably secure the anvil portion of the anvil half-section in close approximation with the single use loading unit.
摘要翻译：外科紧固件施加装置包括砧座半部分和药筒接收半部分，其包括细长通道部件，该细长通道部件具有通过其侧壁限定的一对相对的开口。夹紧杆固定到盒接收半部。包括单次使用装载单元和单次使用的点火单元的一次性组件构造成可释放地支撑在盒接收半部分内。一次性组件包括用于支撑击发单元的固定壳体。固定壳体包括用于支撑单次使用的装载单元的远端延伸部。固定壳体包括一对张开的突出部，其构造成可释放地容纳在药筒接收半部分的开口内，以可释放地接合药筒接收半部分内的一次性组件。夹紧杆可以从无阻尼位置移动到夹紧位置，以可靠地将砧座半部的砧座部分与单次使用的装载单元近距离地固定。

5. 发明申请

WO2012154791A1 METHODS AND APPARATUS FOR SECURING A MEDICAL CLAMP TO A PATIENT 审中-公开
标题翻译：用于保护患者的医疗夹钳的方法和装置
公开(公告)号：WO2012154791A1
公开(公告)日：2012-11-15
申请号：PCT/US2012/037032
申请日：2012-05-09
申请人： LE, Minhhia, Ngan , LE, Duc, Hong
发明人： LE, Minhhia, Ngan , LE, Duc, Hong
IPC分类号： A61M25/02
CPC分类号： A61M25/02 , A61B17/0644 , A61B17/0682 , A61B17/0684 , A61M2025/024 , A61M2025/028 , A61M2025/0286
摘要： Methods and apparatus for actuating first and second fasteners to secure a medical clamp to a patient. An exemplary fastening device comprises a first rotatable member configured to rotate from an outward position to an inward position to engage the first fastener and a second rotatable member configured to rotate from an outward position to an inward position to engage the second fastener. The first and second rotatable members are mechanically coupled to enable concurrent engagement of the first and second fasteners.
摘要翻译：用于致动第一和第二紧固件以将医疗夹具固定到患者的方法和装置。示例性的紧固装置包括第一可旋转构件，其构造成从外部位置旋转到向内位置以接合第一紧固件和第二可旋转构件，其构造成从外部位置旋转到向内位置以接合第二紧固件。第一和第二可旋转构件机械地联接以使得能够同时接合第一和第二紧固件。

6. 发明申请

WO2012135530A1 FASTENERS, DEPLOYMENT SYSTEMS, AND METHODS FOR OPHTHALMIC TISSUE CLOSURE AND FIXATION OF OPHTHALMIC PROSTHESES AND OTHER USES 审中-公开
标题翻译：紧固件，部署系统以及眼科组织闭合的方法和眼科前置和其他用途的固定
公开(公告)号：WO2012135530A1
公开(公告)日：2012-10-04
申请号：PCT/US2012/031270
申请日：2012-03-29
申请人： OCUNETICS, INC. , VOLD, Steven D. , PEARTREE, Kenneth A. , BUCKLEY, Timothy D. , FEUSTEL, Aaron
发明人： VOLD, Steven D. , PEARTREE, Kenneth A. , BUCKLEY, Timothy D. , FEUSTEL, Aaron
IPC分类号： A61F9/007
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0682 , A61B17/0684 , A61B2017/00004 , A61B2017/00867 , A61B2017/0649 , A61B2017/2918 , A61F9/007 , A61F2210/0004 , A61F2220/0016
摘要： Methods and devices for ophthalmic tissue closure and fixation of ophthalmic prostheses are provided. In accordance with some embodiments, devices for both grasping and clipping a plurality of ocular tissue and ocular prostheses are provided. Various device embodiments are provided for both malleable clips and delivery of normally closed clips ( i.e. shape memory). The device may accommodate a plurality of clips which include, but are not limited to: malleable metals, absorbable, shape memory, drug-eluting, and adhesive dispensing. The clips may be pigmented to match the colors of associated tissue (cornea, iris, conjunctiva, sclera, retina) to serve to camouflage fixation clips for healing duration or permanently. According to one aspect, shallow angle access to anatomy may be provided by specialized angulation of device shaft and closure jaws that are intended to access the eye through a small self-healing cornea incision and/or any ocular tissue.
摘要翻译：提供了用于眼科组织闭合和眼科假体固定的方法和装置。根据一些实施例，提供了用于抓握和夹紧多个眼组织和眼假体的装置。提供了用于可延展夹子和递送常闭夹子（即形状记忆体）的各种装置实施例。该装置可以容纳多个夹子，其包括但不限于：可延展的金属，可吸收的，形状记忆，药物洗脱和粘合剂分配。夹子可以着色以匹配相关组织（角膜，虹膜，结膜，巩膜，视网膜）的颜色以用于伪装固定夹，用于愈合持续时间或永久。根据一个方面，可以通过专门设计的装置轴和闭合钳口来提供对解剖结构的浅角度访问，所述设备轴和闭合钳口旨在通过小的自愈角膜切口和/或任何眼组织进入眼睛。

7. 发明申请

WO2010150178A3 SURGICAL STAPLER 审中-公开
标题翻译：外科手术
公开(公告)号：WO2010150178A3
公开(公告)日：2011-04-07
申请号：PCT/IB2010052804
申请日：2010-06-21
申请人： MILO SIMCHA
发明人： MILO SIMCHA
IPC分类号： A61B17/068 , A61B19/00
CPC分类号： A61B17/0684 , A61B17/0644 , A61B2017/0725 , A61B2090/0807
摘要： Surgical stapling methods and tools which allow a surgeon to create several different predetermined amounts of tissue constriction using the same staple (11) loaded in such a tool (31). An improved staple construction (61) of increased rigidity is also shown.
摘要翻译：外科缝合方法和工具，其允许外科医生使用装载在这种工具（31）中的同一钉（11）产生几个不同的预定量的组织收缩。还示出了改进的刚性增加的钉结构（61）。

8. 发明申请

WO2010150178A2 SURGICAL STAPLER AND METHOD OF SURGICAL STAPLING 审中-公开
标题翻译：外科手术和手术切除方法
公开(公告)号：WO2010150178A2
公开(公告)日：2010-12-29
申请号：PCT/IB2010/052804
申请日：2010-06-21
申请人： MILO, Simcha
发明人： MILO, Simcha
IPC分类号： A61B17/068 , A61B19/00
CPC分类号： A61B17/0684 , A61B17/0644 , A61B2017/0725 , A61B2090/0807
摘要： Surgical stapling methods and tools which allow a surgeon to create several different predetermined amounts of tissue constriction using the same staple (11) loaded in such a tool (31). An improved staple construction (61) of increased rigidity is also shown.
摘要翻译：外科缝合方法和工具，其允许外科医生使用装载在这种工具（31）中的同一钉（11）产生几个不同的预定量的组织收缩。还示出了改进的刚性增加的钉结构（61）。

9. 发明申请

WO2005107610A3 ENDOVASCULAR STAPLER 审中-公开
标题翻译：内分泌器
公开(公告)号：WO2005107610A3
公开(公告)日：2007-07-05
申请号：PCT/US2005014788
申请日：2005-04-28
申请人： EDRICH VASCULAR DEVICES INC , EDOGA JOHN K , RICHARD THIERRY
发明人： EDOGA JOHN K , RICHARD THIERRY
IPC分类号： A61B17/10 , A61B17/00 , A61B17/064 , A61B17/068 , A61B17/115 , A61B17/22 , A61B17/28 , A61B19/00
CPC分类号： A61B17/10 , A61B17/0644 , A61B17/068 , A61B17/0684 , A61B17/115 , A61B90/39 , A61B2017/00557 , A61B2017/00867 , A61B2017/0649 , A61B2017/1157 , A61B2017/22051 , A61B2017/22052 , A61B2017/22069 , A61B2017/2905 , A61B2017/2933 , A61B2090/3925 , A61F2/07
摘要： An endovascular stapler (100) for securing an endograft (164) to a vessel is disclosed The stapler (100) includes a staple housing (114) adapted for storing at least one staple (1400) therein, the staple housing (114) having an exit area (158) for discharging of the at least one staple (1400) therethrough an actuating assembly adapted for discharging the at least one staple (1400) through the exit area and a displacement mechanism in operative association with the satple housing (114) near the exit area (158) The displacement member is operatn e ior pushing the exit area (158) against the endograft (164) whtn discharging the at least one staple (1400) forms a plurality of opposed loops (1403, 1405) connected bv a central element (1406) upon discharge.
摘要翻译：公开了一种用于将内移植物（164）固定到血管的血管内吻合器（100）。吻合器（100）包括适于在其中容纳至少一个钉（1400）的钉仓（114），钉仓（114）出口区域（158），用于通过用于通过出口区域排放至少一个订书钉（1400）的致动组件排出所述至少一个订书钉（1400），以及与所述接收器壳体（114）可操作关联的位移机构出口区域（158）位移构件在将排出区域（158）压靠在内部移植物（164）上时操作，排出至少一个钉仓（1400）形成多个相对的环（1403,1405），其连接在一个中心元件（1406）。

10. 发明申请

WO2006104577A2 VASCULAR CLOSURE SYSTEM 审中-公开
标题翻译：血管闭合系统
公开(公告)号：WO2006104577A2
公开(公告)日：2006-10-05
申请号：PCT/US2006/004763
申请日：2006-02-10
申请人： CARDICA, INC.
发明人： BENDER, Theodore, M. , WARDER-GABALDON, Zachary , NEWELL, Matthew, B. , HAUSEN, Bernard, A. , DUBOIS, Brian, R. , KNODEL, Bryan, D.
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。

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