公开(公告)号：US10772653B2

公开(公告)日：2020-09-15

申请号：US13798664

申请日：2013-03-13

Applicant: Robert Nering ,  Elias N. Shalhoub

Inventor： Robert Nering ,  Elias N. Shalhoub

IPC: A61B17/32 ,  A61B17/34 ,  A61B90/00

Abstract: Disclosed is an infinitely adjustable depth stop for a laparascopic instrument having a shaft, the depth stop including a first component having a first annular space adapted to allow the shaft to be fitted therethrough. The first annular space has a reducible diameter and an interference surface against which the shaft may be fitted. Upon reduction of the reducible diameter, the interference surface frictionally engages the shaft to arrest relative movement of the depth stop along the shaft. The frictional engagement may be along a curve, a spiral curve, or an area. Means are also provided to reopen the reducible diameter to release the depth stop.

公开(公告)号：US09198648B2

公开(公告)日：2015-12-01

申请号：US13163798

申请日：2011-06-20

Applicant: John Stephen Crombie ,  James A. Fleming, III ,  Jessica Liberatore ,  Jie Jenny Yuan ,  Robert Nering

Inventor： John Stephen Crombie ,  James A. Fleming, III ,  Jessica Liberatore ,  Jie Jenny Yuan ,  Robert Nering

IPC: A61B17/04 ,  A61B17/06 ,  A61B17/062

CPC classification number: A61B17/0401 ,  A61B17/0483 ,  A61B17/06 ,  A61B17/06114 ,  A61B17/06138 ,  A61B17/062 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06142

Abstract: A wound closure assembly and method for its use. The wound closure assembly includes a curved inserter having a distal end and a proximal end, a filamentary element extending between a proximal end and a distal end, wherein the proximal end is coupled to the proximal end of the curved inserter, a first anchor coupled to the filamentary element between its first and second ends, and a second anchor positioned at the distal end of the filamentary element. The filamentary element is configured to form a slip knot between the first and second anchors so as to enable the distance between the first and second anchors to be decreased by pulling on the proximal end of the filamentary element. The distal end of the curved inserter is received within a channel in the first anchor that extends along its longitudinal length.

Abstract translation: 伤口闭合组件及其使用方法。 所述伤口闭合组件包括具有远端和近端的弯曲插入件，在近端和远端之间延伸的丝状元件，其中所述近端联接到所述弯曲插入器的近端，第一锚连接到 在其第一和第二端之间的丝状元件和位于丝状元件的远端的第二锚固件。 丝状元件构造成在第一和第二锚固件之间形成滑结，以便能够通过拉动丝状元件的近端来减小第一和第二锚固件之间的距离。 弯曲插入器的远端容纳在沿其纵向长度延伸的第一锚固件的通道内。

公开(公告)号：US07371244B2

公开(公告)日：2008-05-13

申请号：US10648494

申请日：2003-08-25

Applicant: Etan S. Chatlynne ,  John Collier ,  Robert Nering ,  John Crombie ,  Larry Crainich

Inventor： Etan S. Chatlynne ,  John Collier ,  Robert Nering ,  John Crombie ,  Larry Crainich

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B2017/00407 ,  A61B2017/0409 ,  A61B2017/0441 ,  A61B2017/0458

Abstract: A deployment device for anchoring a suture to a suture anchoring device, which is made from a helically coiled member, includes a winding tube for winding a suture around the coiled member in a helical path such that the suture is attached to at least one turn of the coiled member. A support mechanism is also provided for supporting the suture anchoring device during the winding of the suture around the coiled member. The deployment device can be used for anchoring a string and the like to any helically coiled member.

Abstract translation: 用于将缝合线锚定到由螺旋线圈构件制成的缝合线锚固装置的展开装置包括用于以螺旋路径将线圈缠绕在线圈构件上的缠绕管，使得缝合线附接到至少一圈 线圈构件。 还提供了一种支撑机构，用于在围绕线圈构件缠绕缝合线期间支撑缝合线锚定装置。 展开装置可以用于将绳子等固定到任何螺旋卷绕的构件上。

公开(公告)号：US06616661B2

公开(公告)日：2003-09-09

申请号：US09967204

申请日：2001-09-28

Applicant: Parris S. Wellman ,  Kevin S. Weadock ,  Robert Nering

Inventor： Parris S. Wellman ,  Kevin S. Weadock ,  Robert Nering

IPC: A61B1732

CPC classification number: A61B18/1482 ,  A61B17/00008 ,  A61B18/1442 ,  A61B2018/00404 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/1412 ,  A61B2018/1455

Abstract: A surgical device for severing tissue, the surgical device comprising; a first shaft having a first internal lumen and a first slot disposed at a distal end; a clamp slidingly disposed in the first slot between open and closed positions to capture tissue in the first slot, the clamp having a clamping surface disposed at a distal end; at least one electrode for applying RF energy to the tissue captured in the first slot; a cutting blade slidingly disposed in the first slot between open and closed positions, the cutting blade having a cutting edge to sever the tissue; first actuation means for actuating the clamp between the open and closed positions; and second actuation means for actuating the cutting blade between the open and closed positions.

公开(公告)号：US5935138A

公开(公告)日：1999-08-10

申请号：US937655

申请日：1997-09-24

Applicant: William C. McJames, II ,  Donald G. Miller ,  Thomas Nering ,  Robert Nering ,  Joseph Rollero ,  Lester E. Schaible

Inventor： William C. McJames, II ,  Donald G. Miller ,  Thomas Nering ,  Robert Nering ,  Joseph Rollero ,  Lester E. Schaible

IPC: A61B17/00 ,  A61B17/06 ,  B21G1/08 ,  A61B17/10

CPC classification number: A61B17/06066 ,  B21G1/08 ,  A61B2017/00805 ,  A61B2017/06076

Abstract: A needle for endoscopic surgery is curved into an arc of more than 180.degree. and twisted, so that it forms a part of a spiral, with a lateral offset between the needle point and barrel. The needle is sized to fit through a 10 mm trocar and is also blackened, to improve its visibility in a bloody field. The needle curvature is preferably not constant over its entire length, so that different sections have different radii of curvature. The needle is particularly well adapted for performing laporascopically a procedure (Burch Colposuspension) that is used to treat female stress incontinence.

Abstract translation: 用于内窥镜手术的针弯曲成大于180度的弧并扭曲，使得其形成螺旋的一部分，在针尖和针筒之间具有横向偏移。 针的尺寸适合穿过10毫米套管针，并且还被黑化，以提高其在血腥领域的可视性。 针曲率优选在其整个长度上不恒定，使得不同部分具有不同的曲率半径。 针特别适用于进行气管镜下用于治疗女性压力性尿失禁的手术（Burch Colposuspension）。

公开(公告)号：US20140276907A1

公开(公告)日：2014-09-18

申请号：US13798664

申请日：2013-03-13

Applicant: ROBERT NERING ,  Elias N. Shalhoub

Inventor： ROBERT NERING ,  Elias N. Shalhoub

IPC: A61B17/32

Abstract: Disclosed is an infinitely adjustable depth stop for a laparoscopic instrument having a shaft, the depth stop including a first component having a first annular space adapted to allow the shaft to be fitted therethrough. The first annular space has a reducible diameter and an interference surface against which the shaft may be fitted. Upon reduction of the reducible diameter, the interference surface frictionally engages the shaft to arrest relative movement of the depth stop along the shaft. The frictional engagement may be along a curve, a spiral curve, or an area. Means are also provided to reopen the reducible diameter to release the depth stop.

Abstract translation: 公开了一种用于具有轴的腹腔镜器械的无限可调深度限位器，深度限位器包括具有适于允许轴穿过其中的第一环形空间的第一部件。 第一环形空间具有可还原的直径和干涉表面，轴可与该干涉面相配合。 一旦降低了可还原直径，干涉表面摩擦地接合轴，以阻止深度挡块沿着轴的相对运动。 摩擦接合可以沿着曲线，螺旋曲线或区域。 还提供了重新打开可还原直径以释放深度停止的装置。

公开(公告)号：US08728098B2

公开(公告)日：2014-05-20

申请号：US12464165

申请日：2009-05-12

Applicant: Matthew David Daniel ,  Simon Cohn ,  Anthony Miksza ,  Robert Nering ,  Michael Cardinale ,  Richard P. Fuchs ,  Jeremy David Jarrett

Inventor： Matthew David Daniel ,  Simon Cohn ,  Anthony Miksza ,  Robert Nering ,  Michael Cardinale ,  Richard P. Fuchs ,  Jeremy David Jarrett

IPC: A61B17/10

CPC classification number: A61B17/0682 ,  A61B17/0401 ,  A61B17/064 ,  A61B2017/0409 ,  A61B2017/0412 ,  A61B2017/0464 ,  A61B2090/0807 ,  A61F2002/0072

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft extending from the housing, the elongated shaft having a proximal end coupled with the housing and a distal end remote therefrom, and a firing system for dispensing surgical fasteners from the distal end of the elongated shaft. The firing system includes a firing rod disposed in the elongated shaft, the firing system having a firing cycle with a first stage for advancing the firing rod toward the distal end of the elongated shaft at a first rate of speed and a second stage for advancing the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed.

Abstract translation: 用于分配外科紧固件的施用器具包括壳体，从壳体延伸的细长轴，细长轴具有与壳体耦合的近端和远离其的远端，以及用于从远端远端分配外科紧固件的击发系统 细长的轴。 射击系统包括设置在细长轴中的发射杆，该射击系统具有击发循环，其具有第一阶段，用于以第一速度将击发杆朝向细长轴的远端推进，第二阶段用于推进 发射杆以大于第一速度速率的第二速度速度朝向细长轴的远端。

公开(公告)号：US20130324789A1

公开(公告)日：2013-12-05

申请号：US13488664

申请日：2012-06-05

Applicant: Daniel Joseph Smith ,  Robert Nering ,  Michael Nordmeyer ,  Jessica Liberatore ,  Trevor Brian Akehurst

Inventor： Daniel Joseph Smith ,  Robert Nering ,  Michael Nordmeyer ,  Jessica Liberatore ,  Trevor Brian Akehurst

IPC: A61F2/04

CPC classification number: A61B17/06109 ,  A61B17/3468 ,  A61B2017/00367 ,  A61B2017/00477 ,  A61B2017/00805 ,  A61B2017/0409 ,  A61B2090/033 ,  A61F2/0045 ,  Y10S128/25

Abstract: An implant insertion system includes an implant, such as a surgical mesh, having at least one insertion tip secured to the implant. Each insertion tip has a tapered distal end, a proximal end, a base extending proximally from the tapered distal end, and a central lumen formed in the base having an opening facing the proximal end of the insertion tip. The system includes an insertion device having an outer shaft and a latching assembly provided at a distal end of the outer shaft that is insertable into the opening of the central lumen for selectively locking the insertion tip to the latching assembly. The latching assembly has an outer dimension that is changeable from expanded state for locking the insertion tip to the latching assembly to a non-expanded state for unlocking the insertion tip from the latching assembly.

Abstract translation: 植入物插入系统包括植入物，例如手术网，其具有固定到植入物的至少一个插入末端。 每个插入尖端具有锥形远端，近端，从锥形远端向近侧延伸的基部，以及形成在基部中的具有面向插入尖端的近端的开口的中心腔。 该系统包括插入装置，其具有外轴和设置在外轴远端的闩锁组件，其可插入中央腔的开口中，用于将插入尖端选择性地锁定到闩锁组件。 闩锁组件具有可从膨胀状态改变的外部尺寸，用于将插入尖端锁定到闩锁组件到非扩张状态，以将插入尖端从闩锁组件解锁。

公开(公告)号：US20120323275A1

公开(公告)日：2012-12-20

申请号：US13163798

申请日：2011-06-20

Applicant: John Stephen Crombie ,  James A. Fleming, III ,  Jessica Liberatore ,  Jie Jenny Yuan ,  Robert Nering

Inventor： John Stephen Crombie ,  James A. Fleming, III ,  Jessica Liberatore ,  Jie Jenny Yuan ,  Robert Nering

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0483 ,  A61B17/06 ,  A61B17/06114 ,  A61B17/06138 ,  A61B17/062 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61B2017/0496 ,  A61B2017/06142

Abstract: A wound closure assembly and method for its use. The wound closure assembly includes a curved inserter having a distal end and a proximal end, a filamentary element extending between a proximal end and a distal end, wherein the proximal end is coupled to the proximal end of the curved inserter, a first anchor coupled to the filamentary element between its first and second ends, and a second anchor positioned at the distal end of the filamentary element. The filamentary element is configured to form a slip knot between the first and second anchors so as to enable the distance between the first and second anchors to be decreased by pulling on the proximal end of the filamentary element. The distal end of the curved inserter is received within a channel in the first anchor that extends along its longitudinal length.

Abstract translation: 伤口闭合组件及其使用方法。 伤口闭合组件包括具有远端和近端的弯曲插入件，在近端和远端之间延伸的丝状元件，其中近端连接到弯曲插入器的近端，第一锚固件 在其第一和第二端之间的丝状元件和位于丝状元件的远端的第二锚固件。 丝状元件构造成在第一和第二锚固件之间形成滑结，以便能够通过拉动丝状元件的近端来减小第一和第二锚固件之间的距离。 弯曲插入器的远端容纳在沿其纵向长度延伸的第一锚固件的通道内。

公开(公告)号：US20090088797A1

公开(公告)日：2009-04-02

申请号：US11864722

申请日：2007-09-28

Applicant: John Crombie ,  Jessica Liberatore ,  Robert Nering ,  Gabriel Jacinto ,  Simon Cohn

Inventor： John Crombie ,  Jessica Liberatore ,  Robert Nering ,  Gabriel Jacinto ,  Simon Cohn

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B2017/0417 ,  A61B2017/0445

Abstract: A tissue anchor comprising a body having a longitudinal axis, a proximal end with one set of dimensions and a projected surface area, a distal end with a second set of dimensions and a projected surface area where the respective dimensions of the first and second ends are not identical and the projected areas are substantially the same. The tissue anchor may further have a fixing member to attach the anchor and one or more tissues together or to attach the other structures to tissue.

Abstract translation: 一种组织锚，其包括具有纵向轴线的主体，具有一组尺寸的近端和投影表面区域，具有第二组尺寸的远端和投影表面积，其中第一和第二端的相应尺寸为 投影面积基本相同。 组织锚固件还可以具有固定构件以将锚固件和一个或多个组织附接在一起或将其它结构附接到组织。