公开(公告)号：US08025642B2

公开(公告)日：2011-09-27

申请号：US12715682

申请日：2010-03-02

Applicant: Kenneth Blier ,  Michael Bettuchi

Inventor： Kenneth Blier ,  Michael Bettuchi

IPC: A61M5/178

CPC classification number: A61B17/3462 ,  A61B17/3439

Abstract: An apparatus for sealing a passageway through an access assembly includes a variable seal member having an orifice for reception of an instrument therethrough. Each of a pair of compression members has a pressure face for contacting the variable seal member, each pressure face opposing the variable seal member from an opposite longitudinal side, and each compression member moveable with respect to the other compression member in a longitudinal direction transverse to the pressure faces. The compression members may be moved in the longitudinal direction to adjust the degree of compressive force exerted on the portal seal member and thus adjust a diameter of the orifice to effectively interface with the instrument to form a fluid tight relation therewith.

Abstract translation: 用于通过进入组件密封通道的装置包括可变密封构件，其具有用于接收仪器的孔口。 一对压缩构件中的每一个具有用于与可变密封构件接触的压力面，与可变密封构件相对的纵向侧相对的每个压力面，并且每个压缩构件在横向于纵向方向的纵向方向上相对于另一个压缩构件移动 压力面。 压缩构件可以在纵向方向上移动以调节施加在门静密封构件上的压缩力的程度，从而调整孔口的直径以有效地与仪器接触以形成与其的流体密封关系。

公开(公告)号：US08012129B2

公开(公告)日：2011-09-06

申请号：US12468133

申请日：2009-05-19

Applicant: Michael Bettuchi ,  Richard D. Gresham

Inventor： Michael Bettuchi ,  Richard D. Gresham

IPC: A61M5/178

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中悬挂的细长入口构件，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：US20110184444A1

公开(公告)日：2011-07-28

申请号：US13080966

申请日：2011-04-06

Applicant: William L. D'Agostino ,  Michael Bettuchi

Inventor： William L. D'Agostino ,  Michael Bettuchi

IPC: A61B17/11

CPC classification number: A61B17/115 ,  A61B17/00491 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/1155

Abstract: The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.

Abstract translation: 本公开提供了用于在吻合过程中在相邻肠段之间沉积的结构和/或垫圈。 该结构至少具有第一材料的内圈和第二材料的中间环。 第一材料和第二材料包括由粘合剂，密封剂和/或药物中的至少一种组成的伤口治疗材料。 第一种材料与第二种材料不同。

公开(公告)号：US20110152777A1

公开(公告)日：2011-06-23

申请号：US12957573

申请日：2010-12-01

Applicant: Michael Bettuchi

Inventor： Michael Bettuchi

IPC: A61B17/34

CPC classification number: A61B17/3462 ,  A61B2017/00398 ,  A61B2017/3464 ,  A61B2090/0805

Abstract: A surgical access apparatus includes an access member having a longitudinal passageway providing access to a tissue site. An elongated seal member mounted to the access member has an orifice with a variable inner dimension. The elongated seal member establishes a sealing relation about an instrument and is associated with a powered adjustment mechanism for adjusting the variable inner dimension of the orifice. The powered adjustment mechanism includes trailing and leading hubs longitudinally spaced and adapted for relative rotation about an axis defined by the access member. A plurality of spokes extends between the hubs and defines first and second minimum internal dimensions when in first and second conditions respectively upon relative rotation of the hubs. The spokes are arranged about the elongated seal member to adjust the variable inner dimension of the orifice upon relative rotation of the hubs. A powered motion generator effects relative rotation between the hubs.

Abstract translation: 外科进入装置包括具有提供对组织部位的通路的纵向通道的进入构件。 安装到进入构件的细长密封构件具有具有可变内部尺寸的孔口。 细长密封构件建立关于仪器的密封关系，并且与用于调节孔的可变内部尺寸的动力调节机构相关联。 动力调节机构包括纵向间隔开的并且适于围绕由接入构件限定的轴线的相对旋转的后缘和前导轮毂。 多个轮辐在轮毂之间延伸并且当在轮毂的相对旋转时分别在第一和第二条件下限定第一和第二最小内部尺寸。 轮辐围绕细长密封构件设置，以在毂的相对旋转时调节孔口的可变内部尺寸。 动力运动发生器影响轮毂之间的相对旋转。

公开(公告)号：US07942890B2

公开(公告)日：2011-05-17

申请号：US11080854

申请日：2005-03-15

Applicant: William L. D'Agostino ,  Michael Bettuchi

Inventor： William L. D'Agostino ,  Michael Bettuchi

IPC: A61B17/08

CPC classification number: A61B17/115 ,  A61B17/00491 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/1155

Abstract: The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.

Abstract translation: 本公开提供了用于在吻合过程中在相邻肠段之间沉积的结构和/或垫圈。 该结构至少具有第一材料的内圈和第二材料的中间环。 第一材料和第二材料包括由粘合剂，密封剂和/或药物中的至少一种组成的伤口治疗材料。 第一种材料与第二种材料不同。

公开(公告)号：US20110101070A1

公开(公告)日：2011-05-05

申请号：US12984891

申请日：2011-01-05

Applicant: Michael BETTUCHI ,  Brian NENTWICK

Inventor： Michael BETTUCHI ,  Brian NENTWICK

IPC: A61B17/068

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。 支撑材料包括圆周穿孔线，使得支撑材料的中心可以装订到组织，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：US20110087272A1

公开(公告)日：2011-04-14

申请号：US12897011

申请日：2010-10-04

Applicant: Timothy Sargeant ,  Joshua Stopek ,  Michael Bettuchi ,  Arpan Desai ,  Atu Agawu ,  Saumya Banerjee

Inventor： Timothy Sargeant ,  Joshua Stopek ,  Michael Bettuchi ,  Arpan Desai ,  Atu Agawu ,  Saumya Banerjee

IPC: A61B17/03

CPC classification number: A61B17/0057 ,  A61B2017/00588 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/0061 ,  A61B2017/00628 ,  A61B2017/00637 ,  A61B2017/00641 ,  A61B2017/0065 ,  A61L31/04 ,  A61L31/14

Abstract: Biocompatible wound closure devices including an elongate body and a plug member are useful for wound repair.

公开(公告)号：US20100324489A1

公开(公告)日：2010-12-23

申请号：US12774169

申请日：2010-05-05

Applicant: Russell Heinrich ,  Michael Bettuchi

Inventor： Russell Heinrich ,  Michael Bettuchi

IPC: A61B17/34

CPC classification number: A61B17/3462

Abstract: An access assembly includes a housing defining a longitudinal axis and having a longitudinal opening therethrough, a cannula extending distally from the housing and in fluid communication with the longitudinal opening and a seal member mounted within the longitudinal opening of the housing. The seal member is configured to receive an instrument therethrough in substantial sealed relation therewith. The housing is adapted to move in at least a radial direction with respect to the longitudinal axis whereby the seal member maintains the substantial sealed relation relative to the instrument as the instrument in manipulated. The housing may be flexible and capable of deflection relative to the longitudinal axis. The housing may comprise an elastomeric material in whole or in part. The seal member may be integrally formed with the housing. The housing may include at least one flexible ring portion and possibly a plurality of ring portions.

Abstract translation: 入口组件包括限定纵向轴线并具有穿过其中的纵向开口的壳体，从壳体向远侧延伸并与纵向开口流体连通的套管和安装在壳体的纵向开口内的密封构件。 密封构件被构造成以与其实质密封的关系接收穿过其中的器械。 壳体适于相对于纵向轴线至少沿径向方向移动，由此密封构件在操纵的仪器时保持相对于仪器的实质密封关系。 壳体可以是柔性的并且能够相对于纵向轴线偏转。 壳体可以全部或部分地包括弹性体材料。 密封构件可以与壳体一体形成。 壳体可以包括至少一个柔性环部分和可能的多个环部分。

公开(公告)号：US20100249517A1

公开(公告)日：2010-09-30

申请号：US12712229

申请日：2010-02-25

Applicant: Gregory Fischvogt ,  Michael Bettuchi ,  Peter Hathaway

Inventor： Gregory Fischvogt ,  Michael Bettuchi ,  Peter Hathaway

IPC: A61B1/32

CPC classification number: A61B17/3421 ,  A61B2017/00867 ,  A61B2017/3484

Abstract: A surgical portal device includes a body portion defining a longitudinal axis and having a proximal end, a distal end, and a lumen configured to allow a surgical instrument to pass therethrough. At least one securing member is disposed in mechanical cooperation with the body portion and is longitudinally translatable with respect to the body portion between a first, non-actuated position and a second, actuated position. The one securing mechanism has a fixation segment configured to grasp tissue when the one securing member is in the second, actuated position to facilitate fixation of the body portion within the tissue. The body portion may include a channel. The one securing member may be disposed at least partially within the channel and is longitudinally translatable with respect to the channel.

Abstract translation: 手术入口装置包括限定纵向轴线并具有近端，远端和构造成允许外科器械通过的内腔的主体部分。 至少一个固定构件与身体部分机械协作地设置并且可相对于主体部分在第一非致动位置和第二致动位置之间纵向平移。 一个固定机构具有固定部分，该固定部分被构造为当一个固定部件处于第二致动位置时抓住组织，以便于主体部分固定在组织内。 身体部分可以包括通道。 一个固定构件可以至少部分地设置在通道内并且可相对于通道纵向平移。

公开(公告)号：US07744624B2

公开(公告)日：2010-06-29

申请号：US11251118

申请日：2005-10-14

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。