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    METHODS FOR FORMING TRACTS IN TISSUE
    24.
    发明申请
    METHODS FOR FORMING TRACTS IN TISSUE 审中-公开
    在组织中形成牵引的方法

    公开(公告)号：US20120053609A1

    公开(公告)日：2012-03-01

    申请号：US13289997

    申请日：2011-11-04

    申请人： D. Bruce Modesitt ,  Dan J. Hammersmark ,  Joseph F. Paraschac

    发明人： D. Bruce Modesitt ,  Dan J. Hammersmark ,  Joseph F. Paraschac

    IPC分类号： A61B17/34

    CPC分类号： A61B17/0057 ,  A61B2017/00676 ,  A61B2017/3488

    摘要： Described here are methods for forming one or more tracts in tissue. The tracts may be formed in any suitable or desirable tissue, and may seal relatively quickly without the need for a supplemental closure device. In some variations, the methods comprise advancing a tissue-locating member adjacent to a tissue wall, deforming at least a portion of the tissue wall with the tissue-locating member, and advancing a tissue-piercing member through the deformed tissue to form the tract, where the tract provides access for one or more tools. Also described here are methods of forming tracts through rotated or tented tissue. Any of the methods described here may also be used with tissue having at least one irregular surface.

    摘要翻译： 这里描述了在组织中形成一个或多个束的方法。 这些束可以形成在任何合适的或期望的组织中，并且可以相对快速地密封，而不需要补充关闭装置。 在一些变型中，所述方法包括使组织定位构件前进到邻近组织壁，使组织壁的至少一部分与组织定位构件变形，以及使组织刺穿构件穿过变形的组织以形成道 ，其中该道提供对一个或多个工具的访问。 这里还描述了通过旋转或帐篷组织形成束的方法。 这里描述的任何方法也可以与具有至少一个不规则表面的组织一起使用。

    Articulating suturing device and method
    25.
    发明授权
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US08048092B2

    公开(公告)日：2011-11-01

    申请号：US12961239

    申请日：2010-12-06

    申请人： D. Bruce Modesitt ,  Amelia Lasser

    发明人： D. Bruce Modesitt ,  Amelia Lasser

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0625 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/06104 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot is inserted through a penetration and actuated extend the foot carrying suturing attachment cuffs. Needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cuffs lockingly engage the needles and can be withdrawn along the needle paths and through the tissue tract to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 细长的关节脚穿过穿透插入并且致动延伸足部承载缝合连接袖口。 针从轴穿过穿透外侧的血管壁前进，并且在足部被近端拉向血管的内皮表面之后与针箍接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管道被抽出，以形成穿过穿刺的缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    DEVICES, METHODS, AND KITS FOR FORMING TRACTS IN TISSUE
    27.
    发明申请
    DEVICES, METHODS, AND KITS FOR FORMING TRACTS IN TISSUE 审中-公开
    用于形成组织牵引的装置，方法和工具

    公开(公告)号：US20110208215A1

    公开(公告)日：2011-08-25

    申请号：US12888309

    申请日：2010-09-22

    申请人： D. Bruce Modesitt ,  Joseph F. Paraschac ,  Dan J. Hammersmark ,  David C. Auth ,  Brian Andrew Ellingwood

    发明人： D. Bruce Modesitt ,  Joseph F. Paraschac ,  Dan J. Hammersmark ,  David C. Auth ,  Brian Andrew Ellingwood

    IPC分类号： A61B17/00 ,  A61B17/34

    CPC分类号： A61B17/3415

    摘要： Tissue tract-forming devices, methods, and kits are disclosed. In some variations, a method for forming a tract in a tissue wall having an interior surface and an exterior surface may comprise advancing an anchor member through the tissue wall and into a lumen defined by the tissue wall, the anchor member comprising a proximal portion, a distal portion, and an intermediate portion therebetween, wherein the proximal and intermediate portions are angled with respect to each other and the intermediate and distal portions are angled with respect to each other, positioning the anchor member so that the intermediate portion contacts the interior surface of the tissue wall and the distal portion is angled toward the interior surface of the tissue wall, and advancing a tissue-piercing member into the tissue wall while the intermediate portion is in contact with the interior surface of the tissue wall, to form a tract in the tissue wall.

    摘要翻译： 公开了组织束形成装置，方法和试剂盒。 在一些变型中，用于在具有内表面和外表面的组织壁中形成管道的方法可以包括使锚固构件前进穿过组织壁并进入由组织壁限定的内腔，锚定构件包括近端部分， 远端部分和其间的中间部分，其中近端部分和中间部分相对于彼此成角度，并且中间部分和远端部分相对于彼此成角度，定位锚固部件，使得中间部分接触内表面 组织壁和远端部分朝向组织壁的内表面成角度，并且当中间部分与组织壁的内表面接触时将组织刺穿构件推进到组织壁中，以形成管道 在组织壁。

    ARTICULATING SUTURING DEVICE AND METHOD
    28.
    发明申请
    ARTICULATING SUTURING DEVICE AND METHOD 有权
    描述设备和方法

    公开(公告)号：US20110077670A1

    公开(公告)日：2011-03-31

    申请号：US12961239

    申请日：2010-12-06

    申请人： D. Bruce Modesitt ,  Amelia Lasser

    发明人： D. Bruce Modesitt ,  Amelia Lasser

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B17/0625 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/06104 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot is inserted through a penetration and actuated extend the foot carrying suturing attachment cuffs. Needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cuffs lockingly engage the needles and can be withdrawn along the needle paths and through the tissue tract to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 细长的关节脚穿过穿透插入并且致动延伸足部承载缝合连接袖口。 针从轴穿过穿透外侧的血管壁前进，并且在足部被近端拉向血管的内皮表面之后与针箍接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管道被抽出，以形成穿过穿刺的缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。

    Articulating suturing device and method
    29.
    发明授权
    Articulating suturing device and method 有权
    铰接缝合装置及方法

    公开(公告)号：US07837696B2

    公开(公告)日：2010-11-23

    申请号：US10729541

    申请日：2003-12-05

    申请人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    发明人： D. Bruce Modesitt ,  Michael Zung ,  Michael Barrett ,  Bernard H. Andreas ,  Lewis Isbell

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0625 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0483 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/00663 ,  A61B2017/00672 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/2927

    摘要： Devices, systems, and methods for suturing of body lumens allow the suturing of vascular puncture sites located at the distal end of a percutaneous tissue tract. An elongated articulated foot near a distal end of a shaft is inserted through the penetration and actuated so that the foot extends along the lumenal axis. The foot carries suturing attachment cuffs, and needles are advanced from the shaft through the vessel wall outside of the penetration and into engagement with the needle cuffs after the foot has been drawn proximally up against the endothelial surface of the blood vessel. The cross-section of the shaft within the tissue tract can be minimized by laterally deflecting the needles as they leave the shaft, while tapered depressions within the foot can guide the advancing needles into engagement with the cuffs. The cuffs lockingly engage the needles and can be withdrawn proximally along the needle paths and through the tissue tract so as to form a loop of suture across the puncture. The articulating foot may be realigned with the shaft and withdrawn proximally through the tissue tract without dilating the tissue tract.

    摘要翻译： 用于缝合体腔的装置，系统和方法允许缝合位于经皮组织道远端的血管穿刺部位。 在轴的远端附近的细长的铰接脚插入穿过并被致动，使得脚沿着内腔轴线延伸。 脚承载缝合附着袖口，并且针从轴穿过穿透外部的血管壁前进，并且在足部被近端拉到血管的内皮表面之后与针箍接合。 当针在离开轴时横向偏转针，组织道内的轴的横截面可以被最小化，而脚内的锥形凹陷可以引导前进的针与袖口接合。 袖口锁定地接合针，并且可以沿着针路径并通过组织管向近端撤回，以便在穿刺部分上形成缝合线。 关节脚可以与轴重新对准并且在组织管道的近侧退回，而不会扩张组织管道。