公开(公告)号：US08740970B2

公开(公告)日：2014-06-03

申请号：US12629656

申请日：2009-12-02

申请人： Baron L. Hamman ,  William E. Cohn ,  Devin S. Dobie ,  Kirk S. Honour ,  Dana Ray Mester

发明人： Baron L. Hamman ,  William E. Cohn ,  Devin S. Dobie ,  Kirk S. Honour ,  Dana Ray Mester

IPC分类号： A61F2/06

CPC分类号： A61B17/0293 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135

摘要： An apparatus is provided in one example embodiment and includes a body section having an upper surface, a lower surface, and an inner edge circumferentially arranged around at least a portion of an open area. The apparatus also includes a tool extending from the body section into the open area for holding a graft vessel. The lower surface of the body section opposes a receiving vessel when the tool is positioned to transfer the graft vessel to the receiving vessel, such that the graft vessel is axially accessible through the open area to be attached to the receiving vessel. In more specific embodiments, the body section has first and second opposing ends defining a gap sized to permit the vessel to pass through.

摘要翻译： 在一个示例性实施例中提供了一种装置，并且包括具有上表面，下表面和围绕开口区域的至少一部分周向布置的内边缘的主体部分。 该装置还包括从身体部分延伸到用于保持移植血管的开放区域的工具。 当工具被定位成将移植物容器移动到接收容器时，主体部分的下表面与接收容器相对，使得移植容器可以通过待连接到接收容器的敞开区域轴向容纳。 在更具体的实施例中，主体部分具有第一和第二相对端部，其限定尺寸允许容器通过的间隙。

公开(公告)号：US20140067061A1

公开(公告)日：2014-03-06

申请号：US13953709

申请日：2013-07-29

申请人： CONEXTIONS, INC.

发明人： Erik N. Kubiak ,  Shawn P. Reese

IPC分类号： A61F2/08

CPC分类号： A61B17/1146 ,  A61B17/0487 ,  A61B17/064 ,  A61B17/08 ,  A61B17/115 ,  A61B2017/00867 ,  A61B2017/0496 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61F2/0811

摘要： Devices, systems and/or methods for repairing soft tissue, such as, a lacerated tendon. A repair device includes a frame having a tubular structure with a longitudinal length and struts at least partially defining the tubular structure. The frame includes a first portion and a second portion with an intermediate portion therebetween, each extending along the longitudinal length. The intermediate portion is configured to substantially maintain a fixed position and is configured to be positioned over first and second ends of the lacerated tendon to substantially maintain the first end abutted against the second end. The first portion and the second portion of the frame are configured to be positioned over separate portions of the tendon and configured to move and elongate along a length of the respective first portion and second portion of the frame as the portions of the tendon elongate.

摘要翻译： 用于修复软组织的装置，系统和/或方法，例如撕裂的腱。 修理装置包括具有纵向长度的管状结构的框架和至少部分地限定管状结构的支柱。 框架包括第一部分和第二部分，其间具有中间部分，每个部分沿纵向长度延伸。 中间部分构造成基本上保持固定位置，并且构造成定位在撕裂腱的第一和第二端上，以基本上保持第一端抵靠第二端。 框架的第一部分和第二部分构造成定位在腱的分离部分上，并且被配置成随着腱的部分伸长而沿框架的相应的第一部分和第二部分的长度移动和伸长。

公开(公告)号：US20140012248A1

公开(公告)日：2014-01-09

申请号：US13858776

申请日：2013-04-08

申请人： Stefan Josef Matthias Kraemer ,  Robert L. Wilcox ,  Thomas James Clement

发明人： Stefan Josef Matthias Kraemer ,  Robert L. Wilcox ,  Thomas James Clement

IPC分类号： A61F5/00 ,  A61B18/18

CPC分类号： A61F5/0076 ,  A61B17/00234 ,  A61B17/00491 ,  A61B17/1114 ,  A61B18/1492 ,  A61B18/18 ,  A61B34/73 ,  A61B90/361 ,  A61B90/39 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00066 ,  A61B2017/003 ,  A61B2017/00504 ,  A61B2017/00818 ,  A61B2017/00876 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/22054 ,  A61B2018/00273 ,  A61B2018/00279 ,  A61B2018/00619 ,  A61B2034/2051 ,  A61B2090/061 ,  A61B2090/3954 ,  A61B2090/3987 ,  A61B2090/3991 ,  A61M25/0068 ,  A61M25/0082 ,  A61M25/0108 ,  A61M25/0662 ,  A61M29/02 ,  A61M2025/0086 ,  A61M2025/0092 ,  A61M2025/0681

摘要： A medical treatment device includes an elongate member having an internal volume, a proximal end, and a distal end, the internal volume extending from the proximal end to the distal end. The medical treatment device further includes a first coupler and a second coupler, the first coupler and the second coupler coupled to the internal volume of the elongate member; a first joining member and a second joining member, the first joining member coupled to the first coupler and the second joining member coupled to the second coupler. The first joining member is configured to attach to a first biological matter location, and the second joining member is configured to attach to a second biological matter location, the second location being distal to the first location. The second coupler is configured for manipulation to align relative the first coupler such that the second biological matter location relocates adjacent the first biological matter location. The first joining member and the second joining member are configured to join the first biological matter location to the second biological matter location.

摘要翻译： 医疗处理装置包括具有内部容积，近端和远端的细长构件，内部容积从近端延伸到远端。 医疗处理装置还包括第一联接器和第二联接器，第一联接器和第二联接器联接到细长构件的内部容积; 第一连接构件和第二接合构件，所述第一接合构件联接到第一联接器和联接到第二联接器的第二接合构件。 第一连接构件被配置成附接到第一生物物质位置，并且第二连接构件被配置为附接到第二生物物质位置，第二位置远离第一位置。 第二耦合器构造成用于操纵以相对于第一耦合器对准，使得第二生物物质位置重新定位在第一生物物质位置附近。 第一接合构件和第二接合构件被构造成将第一生物物质位置连接到第二生物物质位置。

公开(公告)号：US08574246B1

公开(公告)日：2013-11-05

申请号：US11004777

申请日：2004-12-03

申请人： Theodore M. Bender ,  Luke W. Clauson ,  Philipe R. Manoux ,  Zachary Warder-Gabaldon ,  Kathleen H. Davies ,  Bryan D. Knodel

发明人： Theodore M. Bender ,  Luke W. Clauson ,  Philipe R. Manoux ,  Zachary Warder-Gabaldon ,  Kathleen H. Davies ,  Bryan D. Knodel

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B17/0469 ,  A61B17/1152 ,  A61B17/1155 ,  A61B17/1285 ,  A61B17/32053 ,  A61B17/320758 ,  A61B2017/00349 ,  A61B2017/00685 ,  A61B2017/0472 ,  A61B2017/06009 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1132 ,  A61B2017/1135 ,  A61B2090/061

摘要： An integrated anastomosis tool may include an effector that both makes an opening in the wall of a target vessel and connects a graft vessel to the target vessel. The effector may include a cutter assembly and a connection module that are independently actuatable. The connection between the graft vessel and the target vessel may be compliant, and may be achieved by suturing an end of the graft vessel to the side of the target vessel with the connection module.

摘要翻译： 整合的吻合工具可以包括两个在目标血管的壁上形成开口并将移植血管连接到目标血管的效应器。 效应器可以包括可独立致动的切割器组件和连接模块。 移植脉管和目标血管之间的连接可以是顺从的，并且可以通过用连接模块将移植脉管的端部缝合到目标血管侧。

公开(公告)号：US20130204275A1

公开(公告)日：2013-08-08

申请号：US13640467

申请日：2011-04-15

申请人： Jayant P. Agarwal ,  Bruce K. Gale ,  Lam Nguyen ,  Cory Shorr ,  Brian Stauffer ,  Cody Lee Gehrke

发明人： Jayant P. Agarwal ,  Bruce K. Gale ,  Lam Nguyen ,  Cory Shorr ,  Brian Stauffer ,  Cody Lee Gehrke

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B2017/00004 ,  A61B2017/00349 ,  A61B2017/00477 ,  A61B2017/00867 ,  A61B2017/00893 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1121 ,  A61B2017/1125 ,  A61B2017/1132

摘要： Methods, devices, apparatus, assemblies, and kits for performing a vascular anastomosis are disclosed. A device for a vascular anastomosis includes tissue engaging portions that can move between at least two configurations. In some embodiments, the tissue engaging portions move without the aid of moving parts, while in other embodiments the tissue engaging portions extend from one or more movable wings. The tissue engaging portions may be separated by a first distance when in a pre-deployment configuration and by a second distance when in a deployed configuration. A method includes engaging a plurality of tissue engaging members of a coupling device against first end tissue. After selectively engaging the tissue engaging members and first end tissue, the first end tissue is stretched by at least moving the tissue engaging members. The stretched first end tissue is coupled to the second end tissue by mating the coupling device to a mating anastomosis device.

摘要翻译： 公开了用于执行血管吻合的方法，装置，装置，组件和试剂盒。 用于血管吻合的装置包括可在至少两种构型之间移动的组织接合部分。 在一些实施例中，组织接合部分不借助移动部分移动，而在其它实施例中，组织接合部分从一个或多个活动翼部延伸。 当处于部署前配置时，组织接合部分可以分开第一距离，并且当处于展开配置时，组织接合部分可以分开第一距离。 一种方法包括将耦合装置的多个组织接合构件抵靠第一端组织接合。 在选择性地接合组织接合构件和第一端部组织之后，通过至少移动组织接合构件来拉伸第一端部组织。 拉伸的第一端组织通过将联接装置配合到配合的吻合装置而联接到第二端组织。

公开(公告)号：US08486095B2

公开(公告)日：2013-07-16

申请号：US13191536

申请日：2011-07-27

申请人： Scott E. Manzo

发明人： Scott E. Manzo

IPC分类号： A61B17/08 ,  A61M29/00

CPC分类号： A61B17/1114 ,  A61B17/11 ,  A61B2017/00526 ,  A61B2017/1103 ,  A61B2017/22054 ,  A61B2017/22069 ,  A61B2017/22072 ,  A61B2017/3486 ,  A61B2017/3488

摘要： Apparatus for performing a surgical anastomosis include a tubular body having an expandable anchor operatively coupled near a distal end thereof. The apparatus further includes a sleeve slidably received about the tubular body. The sleeve has an expandable anchor operatively coupled near a distal end thereof. The expandable anchor of the tubular body has an annular ring concentric with a longitudinal axis defined by the tubular body.

摘要翻译： 用于进行手术吻合的装置包括管状体，其具有在其远端附近可操作地连接的可扩张锚。 该装置还包括可围绕管状体可滑动地容纳的套筒。 套筒具有可操作地连接在其远端附近的可扩张锚。 管状体的可膨胀锚定件具有与由管状体限定的纵向轴线同心的环形环。

公开(公告)号：US08480694B2

公开(公告)日：2013-07-09

申请号：US12841523

申请日：2010-07-22

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/115 ,  A61B2017/00004 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22069 ,  A61F2/064

摘要： The present disclosure relates a device for joining a first body vessel to a second body vessel, including an inner member having a distal end portion and defining a longitudinal axis, an outer member defining a lumen dimensioned to receive the inner member therein, and a radially expandable anchor disposed at the distal end of the inner member, the expandable anchor having an initial condition wherein the expandable anchor is disposed between the outer member and the inner member and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition.

摘要翻译： 本公开涉及一种用于将第一身体容器连接到第二身体容器的装置，包括具有远端部分并限定纵向轴线的内部构件，限定尺寸设置成容纳内部构件的内腔的外部构件， 可膨胀锚固件设置在内部构件的远端处，可膨胀锚固件具有初始状态，其中可膨胀锚固件设置在外部构件和内部构件之间，并且膨胀状态，其中可膨胀锚固件在径向上大于可伸缩锚固件 初始条件。

公开(公告)号：US08480687B2

公开(公告)日：2013-07-09

申请号：US12914081

申请日：2010-10-28

申请人： Richard W. Ducharme ,  Rob Faulkner

发明人： Richard W. Ducharme ,  Rob Faulkner

IPC分类号： A61B17/10

CPC分类号： A61B17/0057 ,  A61B17/1114 ,  A61B17/12013 ,  A61B90/39 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00349 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61B2017/00592 ,  A61B2017/0061 ,  A61B2017/00623 ,  A61B2017/00818 ,  A61B2017/1103 ,  A61B2017/12018 ,  A61B2017/22059 ,  A61B2017/22069 ,  A61B2017/306

摘要： The present embodiments provide apparatus and methods for facilitating closure of a bodily opening. In one embodiment, a tissue retraction member and a closure member are provided. The tissue retraction member is advanced in a distal direction through the bodily opening in a contracted state, and then expanded at a location distal to the opening. The tissue retraction member then is proximally retracted to engage first and second serosal tissue regions at least partially surrounding the opening, thereby causing the first and second serosal regions to be disposed in an adjacent relationship. The closure member then is deployed around first and second mucosal tissue regions, such that when deployed, the closure member imposes a compressive force to hold the first serosal tissue region in a sealing relationship against the second serosal tissue region to facilitate sealing of the opening.

摘要翻译： 本实施例提供了便于关闭身体开口的装置和方法。 在一个实施例中，提供了组织缩回构件和闭合构件。 组织缩回构件在收缩状态下沿远端方向前进穿过身体开口，然后在远离开口的位置膨胀。 然后将组织缩回构件向近端缩回以接合至少部分围绕开口的第一和第二浆膜组织区域，从而使第一和第二浆膜区域以相邻关系布置。 闭合构件随后被布置在第一和第二粘膜组织区域周围，使得当展开时，封闭构件施加压缩力以将第一浆膜组织区域保持在与第二浆膜组织区域的密封关系中，以便于密封开口。

公开(公告)号：US20130158463A1

公开(公告)日：2013-06-20

申请号：US13769338

申请日：2013-02-17

申请人： Cologuard Ltd.

发明人： Boaz ASSAF ,  Eyal TEICHMAN

IPC分类号： A61M27/00

CPC分类号： A61M27/002 ,  A61B17/1114 ,  A61B17/1155 ,  A61B2017/00473 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/1142 ,  A61B2017/22054 ,  A61B2017/306 ,  A61F2/04 ,  A61F2002/045

摘要： A system for bypassing an anastomosis site in a hollow organ is provided. The system includes a sleeve configured for spanning the anastomosis site at an internal surface of the hollow organ and a band configured for attachment to an external surface of the hollow organ and limiting migration of the sleeve beyond the anastomosis site.

公开(公告)号：US20130023908A1

公开(公告)日：2013-01-24

申请号：US13627618

申请日：2012-09-26

申请人： AMS Research Corporation

发明人： Kory P. Hamel ,  Vincent G. Copa

IPC分类号： A61B17/11

CPC分类号： A61B17/11 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2017/22051 ,  A61B2017/22055

摘要： An apparatus and method for using an anastomosis device to repair severed tissues resulting from a surgical medical procedure such as a radical prostatectomy, ilio-orthotopic neobladder construction, cystoprostatectomy, cystectomy, urethral anastomosis, or ureteral anastomosis.

摘要翻译： 一种使用吻合装置来修复由诸如根治性前列腺切除术，髂外形新膀胱结构，膀胱前列腺切除术，膀胱切除术，尿道吻合术或输尿管吻合术的手术医疗程序产生的切断的组织的装置和方法。