公开(公告)号：US07998149B2

公开(公告)日：2011-08-16

申请号：US11532032

申请日：2006-09-14

申请人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/2841 ,  A61B2017/00367

摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.

摘要翻译： 改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于 使用标准针夹。 将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针 例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。 相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

公开(公告)号：US20140288581A1

公开(公告)日：2014-09-25

申请号：US14085574

申请日：2013-11-20

申请人： SUTURENETICS, INC.

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/0625 ,  A61B90/90 ,  A61B90/94

摘要： Medical suturing devices, systems, and methods will be useful for endoscopic or open surgeries, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft. Portions of the devices may be disposable, replaceable, and/or reusable, with different needle-grasping jaws and/or different elongate extension bodies having different configurations optionally being selectably coupleably to an articulatable handle and housing so as to allow the user to configure the device for a particular procedure.

摘要翻译： 医疗缝合装置，系统和方法对于内窥镜或开放手术（包括耳朵，鼻子和喉部手术）将是有用的。 铰接运动可以使用轴的轴向运动从手柄转移到针抓持爪。 具有不同配置的不同的针把持爪和/或不同细长延伸体可以是一次性的，可更换的和/或可重复使用的，可选择地可选择地可耦合地连接到可铰接手柄和壳体上，以便允许使用者配置 特定程序的设备。

公开(公告)号：US20130060262A1

公开(公告)日：2013-03-07

申请号：US13601810

申请日：2012-08-31

申请人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/0625 ,  A61B90/90 ,  A61B90/94

摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.

摘要翻译： 医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。 铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。 手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。 设备的一部分可以是一次性的，可更换的和/或可重复使用的。 靠近夹具的弹簧可以打开夹具或施加夹紧力。

公开(公告)号：US20120316580A1

公开(公告)日：2012-12-13

申请号：US13491488

申请日：2012-06-07

申请人： Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B2017/0023 ,  A61B2017/00473 ,  A61B2017/00477

摘要： Improved medical suturing devices, systems, and methods for maintaining a position and orientation of a suture needle at a fixed location relative to a suturing device. An exemplary device include a clamp having opposing grasping surfaces for grasping the needle at a first location, and a needle contacting surface for contacting the needle at a second location, the second location a distance axially away from the first location so as to inhibit unintended movement of the needle relative to the device, which may include rotation of the needle about the first location and rotation of the needle about its axis. In many embodiments, the device includes a first and second clamp and a mechanism for alternating grasping of the needle between the first and second clamp. The device may also be incorporated into a single-clamp needle grasping device.

摘要翻译： 用于将缝合针的位置和取向保持在相对于缝合装置的固定位置的改进的医疗缝合装置，系统和方法。 示例性装置包括具有用于在第一位置处抓住针的相对的抓握表面的夹具以及用于在第二位置处接触针的针接触表面，第二位置与第一位置轴向地距离以防止意外移动 该针可以包括围绕第一位置的针​​的旋转以及针绕其轴的旋转。 在许多实施例中，该装置包括第一和第二夹具以及用于在第一和第二夹具之间交替地抓握针头的机构。 该装置还可以结合到单夹钳针夹持装置中。

公开(公告)号：US08317805B2

公开(公告)日：2012-11-27

申请号：US12535499

申请日：2009-08-04

申请人： Henry Hamilton ,  Yuri Belman

发明人： Henry Hamilton ,  Yuri Belman

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/2841 ,  A61B2017/00367

摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body.

摘要翻译： 改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于 使用标准针夹。 将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针 例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。

公开(公告)号：US20120165837A1

公开(公告)日：2012-06-28

申请号：US13168426

申请日：2011-06-24

申请人： Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/06 ,  A61B2017/06028 ,  A61B2017/2927

摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing a surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues. The exemplary device includes two needle grasping clamps extending from an elongate distal portion for endoscopic surgeries, including ear, nose and throat procedures. The two clamps alternate holding the suture needle, as the surgeon sutures the tissues, each clamp having a proximal and distal gripping jaw for grasping the needle. Preferably, the gripping surfaces of the proximal and distal gripping jaws are substantially parallel to the needle's plane of curvature and exert a holding force on the needle substantially along an axis of the device.

摘要翻译： 改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的把手保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针插入组织。 示例性装置包括从细长远端部分延伸的用于内窥镜手术的两个针抓取夹，包括耳朵，鼻子和喉部手术。 当外科医生缝合组织时，两个夹具交替地夹持缝合针，每个夹具具有用于抓住针的近端和远端夹持爪。 优选地，近侧和远端夹爪的抓握表面基本上平行于针的曲率平面，并且基本上沿着装置的轴线在针上施加保持力。

公开(公告)号：US20140222036A1

公开(公告)日：2014-08-07

申请号：US14094490

申请日：2013-12-02

申请人： Suturenetics, Inc.

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/2841 ,  A61B2017/00367

摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.

摘要翻译： 改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于 使用标准针夹。 将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针 例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。 相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。

公开(公告)号：US08685045B2

公开(公告)日：2014-04-01

申请号：US13601810

申请日：2012-08-31

申请人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/0625 ,  A61B90/90 ,  A61B90/94

摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.

摘要翻译： 医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。 铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。 手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。 设备的一部分可以是一次性的，可更换的和/或可重复使用的。 靠近夹具的弹簧可以打开夹具或施加夹紧力。

公开(公告)号：US08257371B2

公开(公告)日：2012-09-04

申请号：US12049552

申请日：2008-03-17

申请人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0491 ,  A61B17/062 ,  A61B17/0625 ,  A61B90/90 ,  A61B90/94

摘要： Medical suturing devices, systems, and methods will be useful for endoscopic (with or without access ports) or other surgeries in which access is limited, including ear, nose, and throat procedures. Articulation motions may be transferred from a handle to needle grasping jaws using an axial movement of a shaft that has axial stiffness (such as being stiff in compression) and lateral flexibility or an axial movement of a cable. An extension body (within which the shaft or cable moves) between the handle and jaws can be pre-bent or custom bent by the user. Portions of the devices may be disposable, replaceable, and/or reusable. A spring adjacent the clamp may open the clamp or impose a gripping force.

摘要翻译： 医疗缝合装置，系统和方法对于内窥镜（有或没有进入端口）或其他手术进行限制（包括耳朵，鼻子和喉部手术）将是有用的。 铰接运动可以使用具有轴向刚度（例如压缩刚性）和侧向柔性或电缆的轴向移动的轴的轴向运动从手柄转移到针抓持爪。 手柄和夹爪之间的延伸体（轴或缆线移动）可以由用户预弯曲或定制弯曲。 设备的一部分可以是一次性的，可更换的和/或可重复使用的。 靠近夹具的弹簧可以打开夹具或施加夹紧力。

公开(公告)号：US08252007B2

公开(公告)日：2012-08-28

申请号：US12829214

申请日：2010-07-01

申请人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

发明人： Henry H. Hamilton ,  Yuri Belman ,  Alexander Borisovich Zatyuryukin ,  Patricia A. Moore

IPC分类号： A61B17/04

CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/2841 ,  A61B2017/00367

摘要： Improved medical suturing devices, systems, and methods may hold a suture needle at a fixed location relative to a handle of the device, allowing the surgeon to grasp and manipulate the handle of the suturing device to insert the needle through tissues in a manner analogous to use of a standard needle gripper. Cycling the handle from a closed position to an open position and back to the closed position may alternate the device between gripping the needle with a first clamp (for example, along a proximal portion of the needle) to gripping the needle with a second clamp (for example, along a distal portion of the needle) and optionally back to gripping with the first clamp, with the needle often staying at a substantially fixed location relative to the suturing device body. Related single-clamp needle grasping devices can be bent plastically by a surgeon, and/or have bodies that are grasped by a hand while a portion of the hand actuates a handle.

摘要翻译： 改进的医疗缝合装置，系统和方法可以将缝合针相对于装置的手柄保持在固定位置，允许外科医生掌握和操纵缝合装置的手柄以将针穿过组织以类似于 使用标准针夹。 将手柄从关闭位置循环到打开位置并返回到关闭位置可以使装置在夹持针与第一夹具（例如沿着针的近端部分）之间交替，以用第二夹具夹紧针 例如沿着针的远端部分）并且可选地用第一夹具夹紧，针经常相对于缝合装置主体保持在基本上固定的位置。 相关的单夹针式抓取装置可以由外科医生塑造弯曲，和/或具有在手的一部分致动手柄时用手抓住的身体。