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公开(公告)号：US09351723B2
公开(公告)日：2016-05-31
申请号：US13537612
申请日：2012-06-29
发明人： James A. Alexander , Chaouki A. Khamis , Justin H. Huelman , William S. Tremulis , Thomas O. Viker
IPC分类号： A61B17/04 , A61B17/12 , A61B17/062 , A61B17/00 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0625 , A61B2017/00539 , A61B2017/00544 , A61B2017/00805 , A61B2017/06042 , A61F2/0045 , A61F2002/0072
摘要： Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.
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公开(公告)号：US20160135804A1
公开(公告)日：2016-05-19
申请号：US15001776
申请日：2016-01-20
申请人： DePuy Mitek, LLC
发明人： John R. Cournoyer , Howard C. Tang
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0483 , A61B17/0485 , A61B17/0491 , A61B17/0625 , A61B17/29 , A61B2017/06042 , A61B2017/06095
摘要： Methods for passing multiple sutures through tissue are provided herein. In particular, the methods described herein allow multiple sutures to be passed through tissue without removing a suture passing instrument from a patient's body. In one embodiment, a method for passing a suture through tissue is provided that includes loading first and second suture limbs into a suture passing instrument, positioning the instrument within a patient's body, actuating the instrument to pass a portion of the first suture limb through the tissue, pulling the first suture limb through the tissue, pulling the second suture limb to reload the suture passing instrument without removing the instrument from the patient's body, actuating the instrument a second time to pass a portion of the second suture limb through the tissue, and pulling the second suture limb through the tissue.
摘要翻译： 本文提供了通过组织穿过多条缝线的方法。 特别地，本文所述的方法允许多条缝合线穿过组织而不从患者身体移除缝合线通过器械。 在一个实施例中，提供了一种用于使缝合线穿过组织的方法，其包括将第一和第二缝合肢体装载到缝合线通过器械中，将所述器械定位在患者体内，致动所述器械以使所述第一缝合线的一部分通过所述第一缝合线 组织，拉动第一缝合线穿过组织，拉动第二缝合线肢体以重新加载缝合线通过器械，而不从患者身体移除仪器，第二次致动器械以使第二缝合线的一部分通过组织， 并拉动第二缝合线通过组织。
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公开(公告)号：US20160106459A1
公开(公告)日：2016-04-21
申请号：US14955103
申请日：2015-12-01
CPC分类号： A61B17/3421 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/3468 , A61B2017/06052 , A61B2017/3433 , A61B2017/3454 , A61F2/0805
摘要： One aspect of the present disclosure relates to a cannula for passing a tissue graft through soft tissue. The cannula can comprise an elongated body including oppositely disposed first and second ends and an axis that extends between the first and second ends. The elongated body can further include a passage extending between the first and second ends. The second end can include a curved portion that terminates at a sharpened, pointed tip configured to pierce and/or cut soft tissue at the surgical repair site. The tip can be axially offset from the axis of the elongated body at an angle that is less than 180°.
摘要翻译： 本公开的一个方面涉及一种用于使组织移植物穿过软组织的套管。 套管可以包括细长体，其包括相对设置的第一和第二端以及在第一和第二端之间延伸的轴线。 细长主体还可以包括在第一和第二端之间延伸的通道。 第二端可以包括弯曲部分，该弯曲部分终止于被设计成在手术修复部位处刺穿和/或切割软组织的尖锐尖端。 尖端可以以小于180°的角度从细长体的轴线轴向偏移。
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公开(公告)号：US09289205B2
公开(公告)日：2016-03-22
申请号：US13936879
申请日：2013-07-08
发明人： James Rohl , Shannon M. Rush
CPC分类号： A61B17/0469 , A61B17/0218 , A61B17/0482 , A61B17/0483 , A61B17/1146 , A61B2017/0472 , A61B2017/06042 , A61B2017/0608 , A61B2017/1132 , A61B2017/2937 , A61B2017/2943
摘要： Systems for tissue repair are described where an elongate tissue repair device may be introduced into a single incision to access the damaged tissue. A suture delivery assembly may be sized for insertion through a single incision and positioned into proximity with a damaged or ruptured tissue region. A first portion of the damaged tissue region may be positioned within or along a channel defined along the suture delivery assembly and one or more lengths of suture may be secured to the first portion via the device. A second portion of the damaged tissue region may be similarly positioned within or along the channel and one or more additional lengths of suture may be secured to the second portion via the device. The first and second portions may then be approximated and secured to one another via the sutures to facilitate healing of the damaged tissue region.
摘要翻译： 描述了用于组织修复的系统，其中细长的组织修复装置可以被引入单个切口以进入受损组织。 缝线输送组件的尺寸可以通过单个切口插入并定位成与损伤或破裂的组织区域接近。 受损组织区域的第一部分可以定位在沿着缝合线输送组件限定的通道内或沿着缝合线输送组件限定的通道中，并且一个或多个长度的缝合线可以经由该装置固定到第一部分。 受损组织区域的第二部分可以类似地定位在通道内或沿着通道，并且一个或多个附加长度的缝合线可以经由该装置固定到第二部分。 然后可以经由缝合线近似和固定第一部分和第二部分，以便于损伤的组织区域的愈合。
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公开(公告)号：US20160058566A1
公开(公告)日：2016-03-03
申请号：US14756016
申请日：2015-07-21
申请人： Jeffrey E. Yeung , Teresa T. Yeung
发明人： Jeffrey E. Yeung , Teresa T. Yeung
CPC分类号： A61F2/442 , A61B17/0483 , A61B17/3468 , A61B17/7061 , A61B17/7094 , A61B17/8852 , A61B2017/00805 , A61B2017/00867 , A61F2/0036 , A61F2/4611 , A61F2002/30289 , A61F2002/30294 , A61F2002/30677 , A61F2002/444 , A61F2002/4495 , A61F2002/4635 , A61F2210/0061 , A61F2230/0091 , A61F2250/0067 , A61F2310/00598 , A61F2310/0061 , A61F2310/0097 , A61F2310/00976 , A61F2310/00982
摘要： A distal portion of a filament is extended beyond the distal end of a needle with a gripper. The needle with the extended filament is inserted into a cannula with snagging points at the distal opening of the cannula in tissue. The snagging points of the cannula hook and retain the distal portion of the filament. During partial withdrawal of the needle, a section of filament is deposited in the lumen of the cannula between the distal ends of the needle and cannula. When the needle is re-advanced, the section of filament is expelled or pushed out of the cannula into tissue. The needle is then rotated; the gripper engages and spirals the expelled filament, burrowing into tissue. The needle can further advanced to push and pack the spiral of filament deep into the tissue. The knot-like filament spiral is individually formed by rotation of the needle and friction between the extended filament and tissue. The process of needle partial withdrawal, re-advancement, rotation and pushing is repeated to pack and fill the tissue with interconnecting spirals of filament to prevent migration from tissue. Spiraling of the filament driven by the rotating needle is space seeking, filling, fitting or conforming to fortify, bulk, fill, cushion or repair the tissue. Bulking with filament spirals can repair degenerated disc, urinary incontinence, fecal incontinence or other defective tissue. The filament spirals can also be used as a suture anchor deep within tissue.
摘要翻译： 长丝的远端部分用夹具延伸超过针的远端。 将具有延伸细丝的针插入具有在组织中插管的远端开口处的阻塞点的插管中。 插管钩的阻塞点并保持丝的远端部分。 在针的部分抽出期间，在针和插管的远端之间的一段细丝沉积在套管的内腔中。 当针被重新推进时，细丝的部分被排出或从套管推出到组织中。 然后将针旋转; 夹具接合并螺旋排出的细丝，挖入组织。 针可以进一步推进以将丝的螺旋深入推入并包装到组织中。 结状丝状螺旋通过针的旋转和延长的丝和组织之间的摩擦分别形成。 针头部分抽出，再推进，旋转和推动的过程重复，用纤维互连的螺旋填充和填充组织以防止从组织迁移。 由旋转针驱动的丝的螺旋形是空间寻找，填充，配合或符合以强化，散装，填充，缓冲或修复组织。 用丝状螺旋填充可以修复退化的椎间盘，尿失禁，大便失禁或其他有缺陷的组织。 长丝螺旋也可以用作组织内深层的缝合锚。
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公开(公告)号：US09271722B2
公开(公告)日：2016-03-01
申请号：US13731323
申请日：2012-12-31
申请人： DePuy Mitek, LLC
发明人： John R. Cournoyer , Howard Tang
IPC分类号： A61B17/04 , A61B17/062 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0483 , A61B17/0485 , A61B17/0491 , A61B17/0625 , A61B17/29 , A61B2017/06042 , A61B2017/06095
摘要： Methods for passing multiple sutures through tissue are provided herein. In particular, the methods described herein allow multiple sutures to be passed through tissue without removing a suture passing instrument from a patient's body. In one embodiment, a method for passing a suture through tissue is provided that includes loading first and second suture limbs into a suture passing instrument, positioning the instrument within a patient's body, actuating the instrument to pass a portion of the first suture limb through the tissue, pulling the first suture limb through the tissue, pulling the second suture limb to reload the suture passing instrument without removing the instrument from the patient's body, actuating the instrument a second time to pass a portion of the second suture limb through the tissue, and pulling the second suture limb through the tissue.
摘要翻译： 本文提供了通过组织穿过多条缝线的方法。 特别地，本文所述的方法允许多条缝合线穿过组织而不从患者身体移除缝合线通过器械。 在一个实施例中，提供了一种用于使缝合线穿过组织的方法，其包括将第一和第二缝合肢体装载到缝合线通过器械中，将所述器械定位在患者体内，致动所述器械以使所述第一缝合线的一部分通过所述第一缝合线 组织，拉动第一缝合线穿过组织，拉动第二缝合线肢体以重新加载缝合线通过器械，而不从患者身体移除仪器，第二次致动器械以使第二缝合线的一部分通过组织， 并拉动第二缝合线通过组织。
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公开(公告)号：US09271713B2
公开(公告)日：2016-03-01
申请号：US13295126
申请日：2011-11-14
IPC分类号： A61B17/04 , A61B17/82 , A61B17/84 , A61B17/88 , A61B17/68 , A61B17/80 , A61B17/00 , A61B17/06
CPC分类号： A61B17/04 , A61B17/0401 , A61B17/0483 , A61B17/0487 , A61B17/683 , A61B17/8076 , A61B17/809 , A61B17/823 , A61B17/842 , A61B17/8869 , A61B2017/00858 , A61B2017/0404 , A61B2017/0417 , A61B2017/0496 , A61B2017/06185
摘要： An apparatus can include a tensioning member having a body defining a first bone engaging surface, a second opposite suture receiving surface, and an outer perimeter. First and second suture attachment members can be positioned relative to the second surface and spaced apart from each other, and can be configured to be coupled to a suture. First and second suture engaging members can extend from the second surface and can be positioned in spaced relation to the first and second suture attachment members. Rotation of the tensioning member in a first direction can selectively engage the first and second suture receiving members with the suture, thereby forming a non-linear path of travel of the suture relative to the first and second suture attachment members and suture engaging members and increasing the tension in the suture.
摘要翻译： 一种装置可以包括具有限定第一骨接合表面的主体，第二相对缝合线接收表面和外周边的张紧构件。 第一和第二缝合线附接构件可以相对于第二表面定位并且彼此间隔开，并且可以被配置为联接到缝合线。 第一和第二缝合线接合构件可以从第二表面延伸并且可以以与第一和第二缝线附接构件隔开的关系定位。 张紧构件沿第一方向的旋转可以选择性地与缝合线接合第一和第二缝合线接收构件，由此形成缝合线相对于第一和第二缝合线附接构件和缝合线接合构件的非线性行进路径，并且增加 缝合处的紧张。
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公开(公告)号：US20160038140A1
公开(公告)日：2016-02-11
申请号：US14918897
申请日：2015-10-21
申请人： OLYMPUS CORPORATION
IPC分类号： A61B17/04 , A61B17/062
CPC分类号： A61B17/0483 , A61B17/0469 , A61B17/0625 , A61B2017/0034 , A61B2017/0417 , A61B2017/0474 , A61B2017/06033
摘要： A suture device includes: a longitudinal member extended along a longitudinal axis; a first grasping member and a second grasping member provided at a distal portion of the longitudinal member and configured to enable opening-closing movement; an opening-closing mechanism configured to open and close the first grasping member and the second grasping member; a delivery mechanism configured to deliver a distal member between the first grasping member and the second grasping member, the distal member to which a suture thread is fixed; and an engage portion supported by one of the first grasping member and the second grasping member so as to protrude from a distal end of at least one of the first grasping member and the second grasping member and having an engaging-surface capable of engaging the suture thread.
摘要翻译： 缝合装置包括：沿着纵向轴线延伸的纵向构件; 第一抓持构件和第二抓握构件，其设置在所述纵向构件的远侧部分并且构造成能够进行打开 - 关闭运动; 开闭机构，其构造为打开和关闭所述第一抓取构件和所述第二抓握构件; 输送机构，其构造成在所述第一抓握构件和所述第二抓握构件之间输送远端构件，所述远端构件，缝合线被固定到所述远端构件; 以及由所述第一把持构件和所述第二把持构件中的一个支撑的接合部，以从所述第一把持构件和所述第二把持构件中的至少一个的远端突出，并且具有能够接合所述缝合线的接合表面 线。
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公开(公告)号：US20160030033A1
公开(公告)日：2016-02-04
申请号：US14817267
申请日：2015-08-04
申请人： Redyns Medical LLC
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0483 , A61B2017/0409
摘要： A method for attaching an elongated object to bone, the method comprising: forming a hole in the bone; positioning a loop of the elongated object in the hole; advancing a surgical wire into the bone so that the surgical wire is directed toward a location within the interior of the loop; and severing the surgical wire intermediate its length so as to create a distal portion and a remainder portion and, if the distal portion of the surgical wire does not extend through the loop, further advancing the distal portion of the surgical wire so that it extends through the loop.
摘要翻译： 一种用于将细长物体附接到骨头的方法，所述方法包括：在骨中形成孔; 将细长物体的环定位在孔中; 将手术线推进到骨中，使得手术线指向环内的位置; 并且在其长度上切断手术线，以便产生远侧部分和剩余部分，并且如果手术线的远端部分不延伸穿过环路，则进一步推进外科手术线的远端部分，使其延伸通过 循环。
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公开(公告)号：US09247934B2
公开(公告)日：2016-02-02
申请号：US13893154
申请日：2013-05-13
发明人： Michael Murillo , Christopher P. Bender , Mark Y. Hirotsuka , Michael J. Hendricksen , Justin D. Saliman , John G. McCutcheon
IPC分类号： A61B17/04 , A61B17/10 , A61B17/062 , A61B17/00 , A61B17/06 , A61B17/064
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0625 , A61B2017/00371 , A61B2017/047 , A61B2017/0475 , A61B2017/06042 , A61B2017/06047 , A61B2017/0646
摘要： Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is moveable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.
摘要翻译： 用于通过缝线的装置，系统和方法。 通常，这里描述的是缝合装置，例如缝合路人，以及缝合组织的方法。 这些缝合线通过装置可以包括双重部署缝合路径，其中第一远端钳口构件可以相对于装置的细长主体的纵向轴线以一定角度运动，并且第二远端钳口构件可向近端缩回到远端区域 细长体和/或第一钳口构件。 这里还描述了缝合路径，其中通过缝合线的组织穿透器行进在大致S形路径中，组织穿透器的远端从装置的一个钳口向远侧延伸。
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