公开(公告)号：US07972357B2

公开(公告)日：2011-07-05

申请号：US12001625

申请日：2007-12-11

Applicant: Michael Bettuchi

Inventor： Michael Bettuchi

IPC: A61B17/08

CPC classification number: A61B17/00491 ,  A61B17/064 ,  A61B17/08 ,  A61B17/11 ,  A61B2017/1125

Abstract: An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.

Abstract translation: 提供了一种用于向外科手术部位的靶组织施加密封剂的装置。 该装置包括手柄，导管和端部执行器。 手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。 导管存储和/或携带密封剂朝向末端执行器。 端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。

公开(公告)号：US07857789B2

公开(公告)日：2010-12-28

申请号：US12697611

申请日：2010-02-01

Applicant: Michael Bettuchi ,  Gregory Fischvogt ,  Eric Taylor

Inventor： Michael Bettuchi ,  Gregory Fischvogt ,  Eric Taylor

IPC: A61M5/178

CPC classification number: A61B17/3421 ,  A61B2017/3484 ,  A61B2017/349

Abstract: The present disclosure describes a surgical access apparatus including an access member with a longitudinal opening defining an internal dimension suitable for removable receipt of a surgical instrument. The access member has a thread mounted thereon that is movable between a first condition and a second condition. When the thread is in the first condition, the access member defines a first outer dimension that allows for positioning of the access member within a tissue tract, and when the thread is in the second condition, the access member defines a second, larger outer dimension to facilitate anchoring of the access member within the tissue tract. As the thread moves between the first and second conditions, the internal dimension of the longitudinal opening extending through the access member remains substantially constant.

Abstract translation: 本公开描述了一种手术进入装置，其包括具有限定适合于可移除地接收外科器械的内部尺寸的纵向开口的进入构件。 进入构件具有安装在其上的螺纹，其可在第一状态和第二状态之间移动。 当螺纹处于第一状态时，进入构件限定允许将进入构件定位在组织管道内的第一外部尺寸，并且当螺纹处于第二状态时，进入构件限定第二较大的外部尺寸 以便于将进入构件锚定在组织道内。 当螺纹在第一和第二条件之间移动时，延伸穿过进入构件的纵向开口的内部尺寸保持基本恒定。

公开(公告)号：US20100234806A1

公开(公告)日：2010-09-16

申请号：US12697611

申请日：2010-02-01

Applicant: Michael Bettuchi ,  Gregory Fischvogt ,  Eric Taylor

Inventor： Michael Bettuchi ,  Gregory Fischvogt ,  Eric Taylor

IPC: A61B17/34

CPC classification number: A61B17/3421 ,  A61B2017/3484 ,  A61B2017/349

Abstract: The present disclosure describes a surgical access apparatus including an access member with a longitudinal opening defining an internal dimension suitable for removable receipt of a surgical instrument. The access member has a thread mounted thereon that is movable between a first condition and a second condition. When the thread is in the first condition, the access member defines a first outer dimension that allows for positioning of the access member within a tissue tract, and when the thread is in the second condition, the access member defines a second, larger outer dimension to facilitate anchoring of the access member within the tissue tract. As the thread moves between the first and second conditions, the internal dimension of the longitudinal opening extending through the access member remains substantially constant.

Abstract translation: 本公开描述了一种手术进入装置，其包括具有限定适合于可移除地接收外科器械的内部尺寸的纵向开口的进入构件。 进入构件具有安装在其上的螺纹，其可在第一状态和第二状态之间移动。 当螺纹处于第一状态时，进入构件限定允许将进入构件定位在组织管道内的第一外部尺寸，并且当螺纹处于第二状态时，进入构件限定第二较大的外部尺寸 以便于将进入构件锚定在组织道内。 当螺纹在第一和第二条件之间移动时，延伸穿过进入构件的纵向开口的内部尺寸保持基本恒定。

公开(公告)号：US20100204728A1

公开(公告)日：2010-08-12

申请号：US12765133

申请日：2010-04-22

Applicant: Michael Bettuchi

Inventor： Michael Bettuchi

IPC: A61B17/00

CPC classification number: A61B17/00491 ,  A61B17/064 ,  A61B17/08 ,  A61B17/11 ,  A61B2017/1125

Abstract: An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.

Abstract translation: 提供了一种用于向外科手术部位的靶组织施加密封剂的装置。 该装置包括手柄，导管和端部执行器。 手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。 导管存储和/或携带密封剂朝向末端执行器。 端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。

公开(公告)号：US20090326467A1

公开(公告)日：2009-12-31

申请号：US12468133

申请日：2009-05-19

Applicant: Michael Bettuchi ,  Richard D. Gresham

Inventor： Michael Bettuchi ,  Richard D. Gresham

IPC: A61B17/34

CPC classification number: A61B17/3498 ,  A61B17/00234 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/00862

Abstract: A surgical portal apparatus includes a portal housing, an elongated portal member connected to the portal housing and depending therefrom, and a seal member comprising a resilient material and being mounted to the portal housing. The portal housing and the portal member have an axial bore for reception and passage of a surgical object. The seal member includes leading and trailing faces and has inner portions defining a passage to permit passage of a surgical object. One of the leading and trailing faces defines a plurality of recessed cells formed within interconnected struts. The interconnected struts are relatively flexible to flex upon radial offset manipulation of the object to permit corresponding movement of the passage while substantially maintaining a seal about the surgical object. At least some of the recessed cells define a generally rectangular arrangement. Preferably, the leading end face of the seal member has the recessed cells.

Abstract translation: 手术入口装置包括入口壳体，连接到入口壳体并从其离开的细长入口构件，以及密封构件，其包括弹性材料并且安装到入口壳体。 入口外壳和入口构件具有用于接收和通过手术物体的轴向孔。 密封构件包括前缘和后表面，并且具有限定通道以允许手术物体通过的内部部分。 前后面之一限定了形成在互连支柱内的多个凹槽。 相互连接的支柱相对柔性，以在对象的径向偏移操作时弯曲以允许通道的相应移动，同时基本上保持围绕手术对象的密封。 至少一些凹进的单元限定了大致矩形的布置。 优选地，密封构件的前端面具有凹槽。

公开(公告)号：US20090318869A1

公开(公告)日：2009-12-24

申请号：US12434864

申请日：2009-05-04

Applicant: Patrick D. Mozdzierz ,  Michael Bettuchi

Inventor： Patrick D. Mozdzierz ,  Michael Bettuchi

IPC: A61B17/34

CPC classification number: A61B17/3462 ,  A61B17/3423 ,  A61B17/3498

Abstract: The present disclosure relates to a valve or seal of the type adapted to allow the introduction of an instrument or object therethrough. In particular, the valve disclosed herein is adapted to maintain a substantially fluid-tight seal with a surgical instrument and is used during a minimally invasive surgical procedure. The valve disclosed herein incorporates one or more bladder members adapted to retain a fluid therein that are associated by one or more interstitial members.

Abstract translation: 本公开涉及适于允许通过其引入仪器或物体的类型的阀或密封件。 特别地，本文公开的阀适合于保持与外科器械的基本上不透液体的密封并且在微创手术过程中使用。 本文公开的阀结合了一个或多个适于在其中保持流体的气囊构件，其中一个或多个间隙构件相关联。

公开(公告)号：US20090118747A1

公开(公告)日：2009-05-07

申请号：US12258621

申请日：2008-10-27

Applicant: Michael Bettuchi ,  Russell Heinrich

Inventor： Michael Bettuchi ,  Russell Heinrich

IPC: A61B17/08

CPC classification number: A61B17/0644 ,  A61B17/00234 ,  A61B17/0057 ,  A61B2017/00871

Abstract: The present disclosure provides a surgical fastener for use in surgery. The surgical fastener may be made of a shape memory polymer which alters its shape in vivo to assist in securing tissue or devices, such as meshes used in hernia repair, to tissue.

Abstract translation: 本公开提供了一种用于手术的手术紧固件。 手术紧固件可以由形状记忆聚合物制成，其在体内改变其形状，以有助于将组织或装置（例如用于疝修补的网眼）固定到组织。

公开(公告)号：US20090105635A1

公开(公告)日：2009-04-23

申请号：US12247303

申请日：2008-10-08

Applicant: Michael Bettuchi ,  Stephen R. Paul ,  Russell Heinrich ,  Richard D. Gresham ,  Frank Richard Schiretz, JR. ,  Michael D. Switzer

Inventor： Michael Bettuchi ,  Stephen R. Paul ,  Russell Heinrich ,  Richard D. Gresham ,  Frank Richard Schiretz, JR. ,  Michael D. Switzer

IPC: A61M13/00 ,  A61B17/34

CPC classification number: A61B17/3498 ,  A61B17/3421 ,  A61B17/3462 ,  A61B2017/0084 ,  A61M39/06 ,  A61M39/0693 ,  A61M2039/0036 ,  A61M2039/0081 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0653 ,  A61M2039/068

Abstract: The present disclosure relates to surgical access assemblies and surgical valves or seals of the type adapted to allow the introduction of a surgical instrument or object therethrough. In particular, the surgical access assemblies and seals disclosed herein are adapted to facilitate the insertion, withdrawal, and manipulation of a surgical instrument through the incorporation of a lubricous substance or fluid.

Abstract translation: 本公开涉及适于允许通过其引入外科器械或物体的类型的外科进入组件和外科手术阀或密封件。 特别地，本文公开的手术进入组件和密封件适于通过并入润滑物质或流体来促进手术器械的插入，抽出和操纵。

公开(公告)号：US20080290134A1

公开(公告)日：2008-11-27

申请号：US11807144

申请日：2007-05-25

Applicant: Michael Bettuchi ,  Brian Nentwick

Inventor： Michael Bettuchi ,  Brian Nentwick

IPC: A61B17/064

CPC classification number: A61B17/1155 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271

Abstract: A surgical stapling instrument is provided having systems for securing buttress material to the anvil and staple containing cartridge associated with the surgical instrument. The system includes a retainer configured to engage the anvil or the staple containing cartridge and capture the buttress material between the retainer and the anvil or staple containing cartridge. The disclose retainer engages the anvil or staple containing cartridge in snap fit or friction fit fashion. The buttress material includes a circumferential perforation line enabling the center of the buttress material to be stapled to tissue while the remainder of the buttress material remains with the anvil or staple containing cartridge.

Abstract translation: 提供了一种外科缝合器具，其具有用于将支撑材料固定到砧座和与手术器械相关联的钉仓容纳盒的系统。 该系统包括保持器，该保持器被构造成接合砧座或订书钉容纳盒并且在保持器和砧座或订书钉容纳盒之间捕获支撑材料。 公开的保持器以卡扣配合或摩擦配合的方式接合砧座或订书钉容纳盒。 支撑材料包括周向穿孔线，使得支撑材料的中心能够被装订到组织，而支撑材料的其余部分保持在砧座或钉仓容纳盒中。

公开(公告)号：US20070203510A1

公开(公告)日：2007-08-30

申请号：US11365637

申请日：2006-02-28

Applicant: Michael Bettuchi

Inventor： Michael Bettuchi

IPC: A61B17/08

CPC classification number: A61B17/115 ,  A61B17/07292 ,  A61B17/1155

Abstract: An apparatus for forming an anastomosis between adjacent tissue sections is provided. The apparatus includes an anastomosis device including an anvil assembly having a shaft which is selectively attachable to a tubular body portion, wherein the tubular body portion includes at least one annular row of staples operatively disposed therein. The apparatus further includes a disk having an outer terminal portion and a substantially centrally located aperture. The disk includes an adhesive material at the outer terminal portion. Wherein the outer terminal portion of the disk extends radially outward beyond the outer-most row of the at least one annular row of staples to adhesively attach the tissue sections together radially outward of the at least one annular row of staples.

Abstract translation: 提供了一种用于在相邻组织切片之间形成吻合的装置。 该装置包括吻合装置，其包括具有可选择性地附接到管状主体部分的轴的砧座组件，其中管状主体部分包括可操作地设置在其中的至少一个环形排的钉。 该装置还包括具有外部端子部分和基本上位于中心的孔径的盘。 盘在外端子部分包括粘合剂材料。 其中，所述盘的外部末端部分径向向外延伸超过所述至少一个环形排订钉钉的最外排，以将所述组织部分粘合地附接到所述至少一个环形排钉钉的径向外侧。