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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 20356. Отображено 100.
05-01-2012 дата публикации

Systems, devices, and methods for sub-urethral support

Номер: US20120004500A1
Автор: Brett Nowlin, George Mamo, Michael F. Weiser, Michael S. H. Chu
Принадлежит: Boston Scientific Scimed Inc

Disclosed are single-incision surgical procedures for treatment of urinary incontinence and/or pelvic floor disorders and related uses, devices, kits, and methods. Implants are also disclosed for use in the exemplary procedures. In certain embodiments, soft tissue anchors are used to anchor the surgical implants to obturator membranes of a patient.

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Номер записи: 1
19-01-2012 дата публикации

Flexible tissue rasp

Номер: US20120016368A1
Автор: Edwin J. Hlavka, Jeffery L. Bleich
Принадлежит: Individual

Methods and devices are described for modifying tissue in a spine of a patient to treat or alleviate spinal stenosis. In one embodiment, a method may include: advancing at least a distal portion of an elongate tissue modification device into an epidural space and between target tissue and non-target tissue in the spine; positioning the tissue modification device so that at least one abrasive surface of the device faces target tissue and at least one non-abrasive surface faces non-target tissue; applying tensioning force at or near separate distal and proximal portions of the tissue modification device; and translating the tissue modification device back and forth while maintaining at least some tensioning force to abrade at least a portion of the target tissue with the at least one abrasive surface. Unwanted damage to the non-target tissue may be prevented via the at least one non-abrasive surface.

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Номер записи: 2
19-01-2012 дата публикации

Medical implant

Номер: US20120016370A1
Автор: Alfred Intoccia, Jozef Slanda, Michael G. Mcgrath, Michael S. H. Chu
Принадлежит: Boston Scientific Scimed Inc

A medical assembly includes an implant and an envelope at least partially enclosing a portion of the implant. The envelope may include a tongue to protect the implant, a scaffold to provide integrity to the envelope, a tab access to ease envelope withdrawal, and/or one or more discontinuities to ease envelope withdrawal.

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Номер записи: 3
26-01-2012 дата публикации

Implantable Article and Method

Номер: US20120022318A1
Автор: Christopher A. Thierfelder, John W. Westrum, Jr.
Принадлежит: AMS Research LLC

An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolapse. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described.

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Номер записи: 4
26-01-2012 дата публикации

Locatable Expandable Working Channel And Method

Номер: US20120022325A1
Автор: Paige B. Hastings
Принадлежит: SuperDimension Ltd

A method and device is provided for accessing a target location within a branched network. The device may be passed through the working channel of a standard endoscope and includes a three-dimensional location sensor at its distal tip and an expandable extended working channel. The device has a very thin body proximal of the distal sensor such that, once the sensor is extended outside of the working channel of the endoscope, nearly all of the working channel may be used to pass tools through the extended working channel of the device.

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Номер записи: 5
02-02-2012 дата публикации

Medical device and method for vascular access

Номер: US20120029525A1
Автор: J. Pedro FROMMER
Принадлежит: Individual

A medical device comprising a rod which includes an elongate rod body and a rod handle. The rod body is composed of a biocompatible semi-rigid material and is curved from between 75 to 105 degrees relative to the longitudinal axis of the rod body. The distal end of the rod body is beveled to a point so that it is capable of puncturing through human skin. The medical device also comprises a sheath which includes a hollow sheath body and a sheath handle. The sheath body is straight. The rod body is capable of being inserted into the sheath body and is able to slide along the sheath body's longitudinal axis.

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Номер записи: 6
29-03-2012 дата публикации

Attachment/detachment mechanism and operation tool system

Номер: US20120076577A1
Автор: Masaru YANAGIHARA
Принадлежит: Olympus Corp

According to one embodiment, an attachment/detachment mechanism detachably fixes an insertion member and an outer sheath member. The mechanism includes a removal preventing member and a rotation preventing member. The removal preventing member is configured to restrict movement of the insertion member inserted in the outer sheath member relative thereto in a removing direction. The rotation preventing member is configured to restrict movement of the insertion member inserted in the outer sheath member relative thereto in a rotating direction.

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Номер записи: 7
29-03-2012 дата публикации

Devices and Methods for Heart Valve Treatment

Номер: US20120078358A1
Автор: Cyril J. Schweich, Jr., David Kusz, Jason E. Kalgreen, Richard Schroeder, Robert M. Vidlund, Todd J. Mortier
Принадлежит: Edwards Lifesciences LLC

Devices and methods for treating heart valves include members that assist the valve in closing during at least a portion of the cardiac cycle. Such devices include members configured to alter the shape of a valve annulus, reposition at least one papillary muscle, and/or plug an orifice of the valve so as to provide a coaptation surface for the valve leaflets.

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Номер записи: 8
05-04-2012 дата публикации

Fastener system comprising a retention matrix

Номер: US20120080333A1
Автор: Chad P. Boudreaux, Charles J. Scheib, Christopher J. Schall, Dean B. Bruewer, Douglas J. Siebenaler, James A. Woodard, Jr., Jeffrey S. Swayze, Jerome R. Morgan, John N. Ouwerkerk, Richard F. Schwemberger, Robert J. Simms
Принадлежит: Ethicon Endo Surgery Inc

A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.

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Номер записи: 9
05-04-2012 дата публикации

Compressible fastener cartridge

Номер: US20120080335A1
Автор: Charles J. Scheib, Frederick E. Shelton, IV, Jeffrey S. Swayze, Jerome R. Morgan, Steven G. Hall
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of layers wherein at least one of the layers can be detached from the other layers and removed from the surgical site.

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Номер записи: 10
05-04-2012 дата публикации

Tissue thickness compensator comprising portions having different properties

Номер: US20120080337A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Sora Rhee, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 11
05-04-2012 дата публикации

Compressible staple cartridge assembly

Номер: US20120080338A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Joseph E. Young, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 12
05-04-2012 дата публикации

Implantable fastener cartridge having a non-uniform arrangement

Номер: US20120080481A1
Автор: Frederick E. Shelton, IV, Tamara Widenhouse
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a thickness which is not uniform thereacross. In at least one embodiment, the fasteners can comprise different unformed heights and/or different formed heights.

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Номер записи: 13
05-04-2012 дата публикации

Specimen retrieval apparatus

Номер: US20120083796A1
Автор: Alistair Ian Fleming, Charles Alan Seegert, Oliver Brian Godbold, Simon Roderick Grover
Принадлежит: TYCO HEALTHCARE GROUP LP

A specimen retrieval apparatus includes a housing having an elongated tubular member extending distally therefrom. The elongated tubular member defines a longitudinal axis. An end effector assembly is coupled to a distal end of the elongated tubular member. The end effector assembly is configured to retain a specimen retrieval bag thereon. An articulation mechanism is operatively coupled to the elongated tubular member and the end effector assembly. The articulation mechanism is configured for selectively articulating the end effector assembly with respect to the longitudinal axis of the elongated tubular member.

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Номер записи: 14
05-04-2012 дата публикации

Surgical device and methods

Номер: US20120083826A1
Автор: Bryan Duggan, Christopher Steven Pell, Greg Magee, John Avi Roop, Kevin Zi Jun Chao, Reuben Brewer, Ronald Jou, Thomas Ruby, Zhi Chen Dong
Принадлежит: Leland Stanford Junior University

A system and method for abdominal surgery is disclosed. The system can have one or more end effectors that can be attached to an introducer and/or tray and inserted into the abdomen through a large puncture through the patient's umbilicus. The end effector can have a surgical tool, such as a grasper. The system can have a manipulatable control arm that can be inserted into the abdomen through a small puncture through the patient's body wall. The end effector can be attached to the control arm and simultaneously or concurrently detached from the introducer or tray. The control arm can then manipulate the end effector to perform the surgery.

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Номер записи: 15
05-04-2012 дата публикации

Staple cartridge comprising a releasable portion

Номер: US20120083833A1
Автор: Chester O. Baxter, III, Frederick E. Shelton, IV, Jerome R. Morgan, Joseph E. Young, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

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Номер записи: 16
26-04-2012 дата публикации

Ergonomic handpiece for laparoscopic and open surgery

Номер: US20120101495A1
Автор: Christopher John Leaver, Michael John Radley Young, Nicholas Charles Wright, Peter James Manley
Принадлежит: SRA Developments Ltd

A surgical tool having an elongate shaft, with a directional operative element at its distal end, is provided with a mechanism to rotate the shaft and the operative element about a longitudinal axis shaft. This allows the operative element to be aligned with an element of tissue without excessive hand movement by the user. In a preferred version, the mechanism is electrically powered and is regulated to produce smooth, controlled, accurate motion between selected rotational positions. The mechanism may include a linear magnetic motor drive to move a drive element longitudinally along the tool. This drive element is engaged with a helical formation on a drive shaft, such that longitudinal motion of the drive element is converted to rotational motion of the drive shaft, and of the shaft and operative element, to which the shaft is mounted.

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Номер записи: 17
10-05-2012 дата публикации

Surgical instrument with modular end effector and detection feature

Номер: US20120116266A1
Автор: Gavin M. Monson, Kevin L. Houser
Принадлежит: Ethicon Endo Surgery Inc

An apparatus comprises a handle assembly, a first transmission assembly, and a second transmission assembly. The first transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The second transmission assembly is in selective communication with the handle assembly and is operable to deliver energy to a surgical site. The first transmission assembly and the second transmission assembly are operable in different modalities, such as ultrasonic and RF electrosurgical modalities, using the same handle assembly.

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Номер записи: 18
10-05-2012 дата публикации

Medical device usage data processing

Номер: US20120116367A1
Автор: Aron O. Zingman, Ashvani K. Madan, Donna L. Korvick, Foster B. Stulen, John W. Willis, Kevin L. Houser, Timothy G. Dietz
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument includes a handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.

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Номер записи: 19
10-05-2012 дата публикации

Surgical instrument including accessory powering feature

Номер: US20120116369A1
Автор: Frank J. Viola
Принадлежит: TYCO HEALTHCARE GROUP LP

A surgical instrument system includes a surgical instrument, an accessory, and an energy device. The surgical instrument has a housing, a shaft extending from the housing, and a tool assembly operably coupled to the shaft. The accessory is selectively couplable to the surgical instrument. An energy device is operably coupled to the accessory when the accessory is coupled to the surgical instrument such that the energy device powers the accessory.

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Номер записи: 20
10-05-2012 дата публикации

Surgical instrument with charging station and wireless communication

Номер: US20120116381A1
Автор: Daniel W. Price, Gavin M. Monson, Hitesh Jain, Kevin L. Houser
Принадлежит: Ethicon Endo Surgery Inc

An apparatus comprises an electrically power surgical instrument having a handle assembly. The apparatus also comprises a communication device positioned within the handle assembly. The communication device is operable to communicate with at least a portion of the electrically powered surgical instrument. The apparatus further comprises an external device in wireless communication with the communication device. The external device is operable to receive information from the communication device and the external device is operable to provide an output viewable to the user.

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Номер записи: 21
17-05-2012 дата публикации

Flexible surgical devices

Номер: US20120123395A1
Автор: Carolyn Fenech, Giuseppe Maria Prisco, Katherine D. Stoy, Samuel Kwok Wai Au
Принадлежит: Intuitive Surgical Operations Inc

A surgical device can include a tube comprising a wall having a plurality of slits oriented generally transverse to a longitudinal axis of the tube. Each of the slits may be defined by opposing surfaces. The surgical device can further include a force transmission element coupled to the tube. In a flexible state of the tube, at least some of the opposing surfaces defining respective slits are separated from one another, and in a stiffened state of the tube, a force exerted on the force transmission element causes the opposing surfaces of each slit to contact one another.

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Номер записи: 22
24-05-2012 дата публикации

Device for the treatment of female urinary incontinence and vaginal flaccidity

Номер: US20120130155A1
Автор: José Bernardo Carvalho de Andrade
Принадлежит: Individual

A device for the treatment of female urinary incontinence and vaginal flaccidity including a silicon elastomer catheter of 10 cm in length×2.3 mm width and a rigid silicon connector in the shape of an hour glass that connects the extremities of the catheter to surgically treat female urinary incontinence and vaginal flaccidity.

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Номер записи: 23
24-05-2012 дата публикации

Method and apparatus for performing transesophageal cardiovascular procedures

Номер: US20120130169A1
Автор: Sameh Mesallum
Принадлежит: Microaccess Inc

An apparatus for performing a transesophageal cardiovascular procedure includes an elongated tubular main access device having a first lumen with an open proximal end and a distal side opening, and a second lumen with a rigid outer wall and a collapsible inner wall. The second lumen is adapted to receive an elongated probe or surgical device. The apparatus further includes an inflatable sealing means on the outside of the main access device above and below the side opening, and a first fluid conduit extending along the main access device for inflating the sealing means so that when the main access device is inserted into a patient's esophagus and the sealing means are inflated. The portion of the esophagus opposite the side opening is isolated from the remainder of the esophagus above and below the side opening.

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Номер записи: 24
31-05-2012 дата публикации

Multi-segment protective sheath for expandable medical devices

Номер: US20120136367A1
Автор: Binh T. Nguyen, Stephen Pacetti
Принадлежит: Abbott Cardiovascular Systems Inc

A protective sheath for covering an elongated medical device includes two or more sheath segments. Each sheath segment has a lumen extending the length of the segment with an inner diameter sufficient to receive the elongated medical device within the lumen. Each sheath segment also has a first end and a second end, with the first end of each sheath segment being configured to engage the second end of an adjacent sheath segment in an interlocking engagement. The first end of each sheath segment has a first coupling portion and the second end of each sheath segment has a second coupling portion, which are complementary of one another and configured to couple adjacent sheath segments to one another when the first end of one sheath segment is engaged with the second end of an adjacent sheath segment.

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Номер записи: 25
21-06-2012 дата публикации

Devices, systems and methods for tissue repair

Номер: US20120158020A1
Автор: Heber Crockett, James G. Whayne, John Wright, Kevin L. Ohashi, Sidney Fleischman
Принадлежит: Bay Innovation Group LLC

Devices, systems and methods are disclosed for repairing soft tissue. The surgical system allows for the creation of tissue repair by grasping, aligning and sewing or fixing tissue. For example, this system may be used for clipping together excessive capsular tissue and reducing the overall capsular volume. The deployment device includes a central grasping mechanism and an outer clip delivery system. The clip embodiments may be single or multi-component (penetration and locking base components) that penetrate tissue layers and deploy or lock to clip the tissue together. An example of the system is used to reduce the joint capsule tissue laxity and reduces the potential for subluxation or dislocation of the joint by either restricting inferior laxity (anterior or posterior) and resolving or eliminating pathologic anterior or posterior translation.

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Номер записи: 26
28-06-2012 дата публикации

Endoluminal fold creation

Номер: US20120165604A1
Автор: Gary L. Long, Jason L. Harris, Mark S. Zeiner, Michael J. Stokes
Принадлежит: Ethicon Endo Surgery Inc

Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety.

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Номер записи: 27
28-06-2012 дата публикации

Endoluminal fold creation

Номер: US20120165842A1
Автор: Jason L. Harris, Lawrence Crainich, Mark S. Zeiner, Michael J. Stokes, Ryan M. Asher
Принадлежит: Ethicon Endo Surgery Inc

Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety.

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Номер записи: 28
28-06-2012 дата публикации

Methods and devices for reducing gastric volume

Номер: US20120165845A1
Автор: Barry Hal Rabin, Peter S. HARRIS
Принадлежит: LONGEVITY SURGICAL Inc

The present invention involves new interventional methods for reducing gastric volume, and thereby treating obesity. The procedures are generally performed laparoscopically and may generally be described as laparoscopic plication gastroplasty (LPG) in which, after obtaining abdominal access, spaced apart sites on a gastric wall are engaged, approximated and fastened to create one or more tissue folds forming one or more plications projecting into the gastrointestinal space. The serosal tissue may optionally be treated during the procedure to promote the formation of a strong serosa-to-serosa bond that ensures the long-term stability of the tissue plication. These procedures are preferably carried out entirely extragastrically (i.e. without penetrating through the gastrointestinal wall), thereby minimizing the risks of serious complications.

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Номер записи: 29
05-07-2012 дата публикации

Embolization coil

Номер: US20120172921A1
Автор: Atsushi Ogawa, Yasushi Yamanaka
Принадлежит: Kaneka Corp

An embolic coil configured in such a manner that the risk that a stretch preventing wire breaks is very small even if the embolic coil is wound to a diameter smaller than the diameter of a secondary shape of the coil imparted thereto and also in such a manner that the embolic coil has excellent deliverability. An embolic coil is configured in such a manner that a stretch preventing wire and a coil, a part or the whole of said coil being coarsely wound, are affixed to each other at at least two different points. The portion of the stretch preventing wire which is located between the two different portions is provided with a portion to which a stretchable shape has been imparted.

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Номер записи: 30
12-07-2012 дата публикации

Ultrasonic curved blade

Номер: US20120179182A1
Автор: Corbett W. Stone, Dominick L. Mastri
Принадлежит: United States Surgical Corp

An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. A trocar assembly including a cannula may be provided to slidably receive the elongated portion of the ultrasonic instrument.

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Номер записи: 31
09-08-2012 дата публикации

Robotically-controlled surgical instrument with force-feedback capabilities

Номер: US20120199630A1
Автор: Frederick E. Shelton, IV
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument. Various embodiments of the surgical instrument include an end effector that has a moveable cutting implement. A main drive shaft assembly operably interfaces with the end effector for transmitting an actuation motion to the movable cutting implement therein. A gear drive train is connected to the main drive shaft assembly. The gear drive train is actuated by a motor that is configured to receive control signals from a robotic system. Various embodiments include a sensor arrangement that operably interfaces the end effector to communicate forces experienced by the end effector to the robotic system.

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Номер записи: 32
23-08-2012 дата публикации

Methods and apparatus for fixing sheet-like materials to a target tissue

Номер: US20120211543A1
Автор: Charles L. Euteneuer
Принадлежит: Individual

A device for attaching a sheet-like implant to a target tissue. The device includes a fastener push rod including a first portion, a second portion and a force limiting mechanism operably coupled between the first portion and the second portion. A fastener is carried by the second portion of the fastener push rod. The force limiting mechanism transmits longitudinal movement of the first portion to the second portion while the forces applied to the fastener by the fastener push rod are less than a predetermined value such that longitudinal movement of the first portion of the fastener push rod causes substantially equivalent longitudinal movement of the second portion. The force limiting mechanism allows relative longitudinal motion between the first and second portions while the forces applied to the fastener are equal to or greater than the predetermined value such that the application of undue forces to the fastener is prevented.

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Номер записи: 33
13-09-2012 дата публикации

Surgical device and accessories

Номер: US20120232339A1
Автор: Laszlo Csiky
Принадлежит: Individual

The present invention relates to a device developed for surgical interventions comprising (i) an inner end ( 1 ) guidable/steerable to the operation field, (ii) an outer end ( 3 ) operated by the user and (iii) a middle part ( 2 ) which connects both ends ( 1, 3 ) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer ( 3 ) and the inner ( 1 ) ends, and said force transmission units, the outer and the inner ends and the middle part ( 2 ) are designed to transfer the movements of the outer end ( 3 ) to the inner end ( 1 ) in an identical measure, as if the inner end ( 1 ) were the straight continuation of the outer end ( 3 ).

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Номер записи: 34
13-09-2012 дата публикации

Surgical instrument

Номер: US20120232530A1
Автор: David Main, Michael White
Принадлежит: Surgical Innovations Ltd

A surgical instrument including an elongate portion arranged, in use, to be inserted through a restricted opening into a body, the elongate portion being movable from a first configuration to a second, different configuration in which two parts of the instrument that are spaced from each other in the first configuration at least partially cross each other in the second configuration.

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Номер записи: 35
27-09-2012 дата публикации

Anchor delivery system with replaceable cartridge

Номер: US20120245600A1
Автор: Andrew L. Johnston, Floria Cheng, Joseph Catanese, III, Joshua Makower, Matthew Mclean, Michael Gearhart, Michael Wei, Mitchell C. Barham, Theodore C. Lamson
Принадлежит: Neotract Inc

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

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Номер записи: 36
04-10-2012 дата публикации

Apical puncture access and closure system

Номер: US20120253386A1
Автор: Ming Wu, Philip P. Corso, Jr., Ralph Schneider, Stanton J. Rowe
Принадлежит: Edwards Lifesciences Corp

A device, system, and method for providing access to, and sealing of, a body organ includes an implant device. An implant device has a main body having an internal access lumen, with a plurality of prongs extending from a distal end of the main body. The main body can include two lumens, one slidable within the other, to form a single continuous lumen with an adjustable length. The main body has an expanded configuration with an expanded diameter, and an unexpanded configuration with an unexpanded diameter. The prongs have a generally straight configuration where they extend distally of the distal end of the main body, and a bent configuration where the prongs bend around so that their tips extend proximally of the distal end of the main body. The device may include a hemostatic barrier to prevent fluid leakage therethrough when the main body is in the unexpanded configuration.

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Номер записи: 37
11-10-2012 дата публикации

Surgical staplers with tissue protection and related methods

Номер: US20120255986A1
Автор: John K. Petty, Lucas P. Neff
Принадлежит: Wake Forest University Health Sciences

Surgical staplers include: (a) a stapler head having opposed first and second elongate jaws with opposing proximal and distal end portions; (b) a staple cartridge held in at least one of the first and second jaws, the stapler cartridge configured to concurrently deliver a plurality of parallel rows of staples; and (c) a tissue protection segment held in a proximal portion of at least one of the first and second jaws. The jaws are configured to close against target tissue and, at stapler firing, staples are delivered to a subset of tissue held inside the jaws so that tissue held by the tissue protection segment adjacent the proximal end portion of the stapler is not stapled.

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Номер записи: 38
11-10-2012 дата публикации

Low cost low profile inflatable bone tamp

Номер: US20120259375A1
Автор: Bruce Chabansky, Calin Druma
Принадлежит: Kyphon SARL

An inflatable bone tamp for performing a minimally invasive surgical procedure includes a shaft having a primary region and a reduced diameter region, and an inflatable structure surrounding at least a portion of the reduced diameter region. The reduced diameter region of the shaft allows the deflated size of the inflatable structure to be minimized, while at the same time eliminating the need for the conventional dual lumen balloon catheter construction.

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Номер записи: 39
01-11-2012 дата публикации

Systems and methods for engaging heart tissue

Номер: US20120277725A1
Автор: Ghassan S. Kassab, Jose A. Navia, SR.
Принадлежит: CVDevices LLC

A system for engaging heart tissue includes an engagement catheter defining a first lumen therethrough and having a suction port at or near a distal end and a vacuum port at or near a proximal end, a delivery catheter defining a delivery catheter lumen therethrough and configured for slidable insertion into the first lumen of the engagement catheter, and an implantable device capable of insertion into the delivery catheter lumen such that at least part of the implantable device extends from a delivery catheter distal end upon implantation into a patient, where the suction port is operable to removably attach to a targeted tissue on an interior wall of a heart of the patient after the engagement catheter has been advanced through a blood vessel and into the heart, thereby forming a reversible seal with the targeted tissue when a vacuum source is operatively coupled to the vacuum port.

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Номер записи: 40
01-11-2012 дата публикации

Transoral endoscopic gastroesophageal flap valve restoration device, assembly, system and method

Номер: US20120277776A1
Автор: John M. Adams, Stefan J. M. Kraemer, Stephen T. Vincent
Принадлежит: Individual

The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device.

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Номер записи: 41
29-11-2012 дата публикации

Transapical valve replacement

Номер: US20120303048A1
Автор: Eric Manasse
Принадлежит: Sorin Biomedica Cardio SpA

Techniques for reaching the interior of the heart, such as for aortic valve replacement, can combine elements of percutaneous implantation methods and elements of surgical implantation methods. In some instances, aortic valve replacement may include a dual transapical approach in which a transfemoral approach is used to reach the apex of the patient's heart from inside the left ventricle while a minimally invasive surgical procedure provides access to the exterior of the apex via an intercostal approach.

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Номер записи: 42
06-12-2012 дата публикации

In-situ intervertebral fusion device and method

Номер: US20120310352A1
Автор: John D. Malone, Thomas M. DiMauro
Принадлежит: DePuy Spine LLC

An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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Номер записи: 43
13-12-2012 дата публикации

Surgical instrument

Номер: US20120316560A1
Автор: Basel Hassoun
Принадлежит: Basel Hassoun

A surgical apparatus for use in endoscopic surgery having a user interface operatively coupled to an articulating tool assembly via an elongate tubular member. Movement at the articulating tool mirrors movement at the user interface thereby providing intuitive operation of the surgical apparatus. The apparatus is configured such that the range of motion of the articulating tool assembly emulates the range of motion of the human wrist.

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Номер записи: 44
10-01-2013 дата публикации

Restrictive and/or obstructive implant system for inducing weight loss

Номер: US20130012863A1
Автор: Ashik Mohan, Daniel J. Balbierz, John Lunsford, Kevin Van Bladel, Richard S. Stack, Robert H. Hawes, Samuel T. Crews, Shuji Uemura, William L. Athas
Принадлежит: Barosense Inc

The present application describes an implant system useable for positioning an implant device such as a device useful for restricting passage of ingested food into the stomach. In one embodiment, the disclosed system includes a plurality of anchors that may be coupled to tissue within the stomach, or to a tissue tunnel formed by plicating stomach wall tissue. The anchor includes a loop. During use, the implant device is inserted through the loop and expanded such that it retains its position within the loop until removed. Instruments for implanting and explanting the implant device are also described.

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Номер записи: 45
17-01-2013 дата публикации

Foldable surgical retractor

Номер: US20130018229A1
Автор: Jacqueline A. Jaworek
Принадлежит: Cook Medical Technologies LLC

A foldable retractor is provided. The retractor includes an arcuate deformable frame that is defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm that defines a remaining portion of the outer circumference. The first and second arms each include opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together. The first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane.

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Номер записи: 46
17-01-2013 дата публикации

Introducer sheath with braided filament securement mechanism

Номер: US20130018318A1
Автор: Kurt J. Tekulve, Mahendran Ravichandran, Michael D. Deckard, Michelle Reynolds
Принадлежит: Cook Medical Technologies LLC

A tubular body for a medical device for insertion within a body passageway of a patient. The tubular body includes a tubular inner liner. A braided member is disposed along an outer surface of the liner. The braided member includes intersecting filaments and cells defined by the filaments. A securement mechanism, such as radiopaque solder, is disposed along a circumferential region of the braided member. The securement mechanism is attached to portions of the filaments and spans the cells that correspond to the circumferential region to inhibit relative movement of filament ends. An outer surface of the securement mechanism is sized to extend radially outward to a position up to an outer surface of the braided member to not add to the overall wall thickness of the tubular body. An outer jacket is positioned longitudinally around the braided member and connected to the inner liner.

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Номер записи: 47
17-01-2013 дата публикации

Assembly For Use With Surgery System

Номер: US20130018388A1
Автор: Jason K. Blake, Thomas P. Oko
Принадлежит: Hitachi Aloka Medical Ltd

The present disclosure provides systems, assemblies and methods for surgery (e.g., robotic surgery). More particularly, the present disclosure provides systems and methods for releasably securing or attaching an assembly for use in a surgical procedure with respect to a user-operable surgical device. In general, the present disclosure provides systems and methods for releasably securing or attaching an assembly with respect to and for use with a user-operable surgery system. Systems and methods for releasably securing or attaching an assembly (e.g., imaging/surgical assembly) having a receiver member with respect to a user-operable grasper member of a surgery system are provided. The receiver member may be releasably and/or detachably securable to the surgical/imaging assembly.

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Номер записи: 48
07-02-2013 дата публикации

Flexible forceps with improved torsional rigidity

Номер: US20130035718A1
Автор: James K. Brannon
Принадлежит: Individual

An improved medical transmission apparatus for transmitting a flexible forceps through one of a plurality of lumens associated with an elongated composite scope assembly towards a surgical site presenting an increased torsional rigidity region for increased deflectional resistance of the forceps and being defined by a junction between a sheath associated with the forceps and a lumen extending cylindrically along the elongated composite scope assembly; a portal entry associated with the elongated composite scope assembly having a diameter sized for receiving and transmitting a distal tip section associated with said forceps therethrough and a cylindrical clearance positioned between an outer sidewall associated with said sheath and an inner surface associated with said lumen, the cylindrical clearance directing said forceps towards the surgical site.

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Номер записи: 49
11-04-2013 дата публикации

Shape-transferring cannula system and method of use

Номер: US20130090598A1
Автор: Jaime S. Vargas
Принадлежит: Intuitive Surgical Inc

The present invention is directed to a novel shape-transferring cannula system, which provides access to tortuous and unsupported paths. The shape-transferring cannula system and method enables exploration of hollow body structures, and creates a custom-contoured access port for insertion and removal of, for example, diagnostic, surgical, or interventional instruments to and from a site within the body to which the physician does not have line-of-sight access.

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Номер записи: 50
11-04-2013 дата публикации

Trans-catheter ventricular reconstruction structures, methods, and systems for treatment of congestive heart failure and other conditions

Номер: US20130090684A1
Автор: Andrew Wechsler, Ernie Heflin, John Stiggelbout, Jonh Bower, Kevin Van Bladel, Lon Annest, Murray Sheldon, Rovil ARCIA
Принадлежит: Bioventrix Inc

Embodiments described herein include devices, systems, and methods for reducing the distance between two locations in tissue. In one embodiment, an anchor may reside within the right ventricle in engagement with the septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along a surface of the heart. Perforating the exterior wall and the septum from an epicardial approach can provide control over the reshaping of the ventricular chamber. Guiding deployment of the implant from along the epicardial access path and another access path into and through the right ventricle provides control over the movement of the anchor within the ventricle. The joined epicardial pathway and right atrial pathway allows the tension member to be advanced into the heart through the right atrium and pulled into engagement along the epicardial access path.

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Номер записи: 51
18-04-2013 дата публикации

TRAJECTORY GUIDE, ACCESS PORT, AND FIDUCIAL MARKER ALIGNMENT

Номер: US20130096570A1
Автор: Pagan Craig J., Perry Glenn D., Solar Matthew S., Wittfeldt Anthony Adam-Henry
Принадлежит:

A trajectory guide for introducing an instrument into a human or animal subject is described. A guide stem can be removed in sections without disturbing the aligned instrument. An access port portion of the trajectory guide can be left in place, without disturbing trajectory alignment, and can allow overlying skin to be sutured closed. The access port can provide infusate delivery, such as using an injection port, catheter or the like. A fiducial marker arrangement can provide easy and accurate trajectory alignment, for use with the present trajectory guide, another trajectory guide, or without any trajectory guide. 1. A trajectory guide apparatus , comprising:a base, configured to be able to be capable of being affixed substantially in a burr hole in a human or animal subject, the base including a socket configured to be located in the burr hole when the base is affixed to the subject;a spherical or other ball, configured to be located in and pivotable with respect to the socket and to be located substantially in the burr hole when the base is affixed to the subject, the ball including therethrough a pivotably adjustable instrument guide ball passage providing an adjustable instrument trajectory defined longitudinally by the ball passage; andan engageable ball retainer, configured to be located substantially within the burr hole when engageably coupled to the base that is located substantially within the burr hole, the retainer configured to secure the ball to inhibit pivoting of the ball to hold the instrument trajectory substantially constant.2. The apparatus of claim 1 , comprising:an elongate guide stem, including a proximal end and a distal end and a bore therebetween, wherein the distal end of the guide stem is configured to engageably concentrically align the bore with the ball passage, such that the guide stem extends longitudinally outward from and supported by the ball; andwherein the guide stem includes sections capable of being user-separated from each ...

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Номер записи: 52
18-04-2013 дата публикации

Over-the-wire cardiac implant delivery system for treatment of chf and other conditions

Номер: US20130096579A1
Автор: Andrew Wechsler, Ernie Heflin, John Bower, Kevin Van Bladel, Lon Annest, Murray Sheldon, Rovil ARCIA, William Butler
Принадлежит: Bioventrix Inc

Medical devices, systems, and methods reduce the distance between two locations in tissue in a minimally invasive manner, often for treatment of congestive heart failure. In one embodiment, an anchor of an implant system may, when the implant system is fully deployed, reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface of the heart. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a delivery catheter. Delivering the anchor over the guidewire may provide improved control in the delivery and placement of the anchor within the right ventricle.

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Номер записи: 53
25-04-2013 дата публикации

Method and apparatus for performing transesophageal cardiovascular procedures

Номер: US20130103018A1
Автор: Sameh Mesallum
Принадлежит: Microaccess Inc

An apparatus for performing a transesophageal cardiovascular procedure includes an elongated tubular main access device having a first lumen with an open proximal end and a distal side opening, and a second lumen with a rigid outer wall and a collapsible inner wall. The second lumen is adapted to receive an elongated probe or surgical device. The apparatus further includes an inflatable sealing means on the outside of the main access device above and below the side opening, and a first fluid conduit extending along the main access device for inflating the sealing means so that when the main access device is inserted into a patient's esophagus and the sealing means are inflated. The portion of the esophagus opposite the side opening is isolated from the remainder of the esophagus above and below the side opening.

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Номер записи: 54
02-05-2013 дата публикации

Surgical Instrument with Integral Knife Blade

Номер: US20130105545A1
Автор: William Burbank
Принадлежит: Intuitive Surgical Operations Inc

A cartridge of a surgical instrument includes a housing, a lead screw mounted for rotation in the housing, a drive member operatively coupled with the lead screw, and a knife member. The knife member is driven distally by the drive member and is configured to cut when moved distally. During an initial distal movement of the drive member, the knife member is coupled with the housing to restrain the knife member from moving distally. Subsequent to the initial distal movement of the drive member, the drive member drives the knife member toward the distal end.

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Номер записи: 55
02-05-2013 дата публикации

Articulated Surgical Instrument for Performing Minimally Invasive Surgery With Enhanced Dexterity and Sensitivity

Номер: US20130110131A1
Автор: Madhani Akhil J., Salisbury J. Kenneth
Принадлежит: INTUITIVE SURGICAL OPERATIONS, INC.

An articulated surgical instrument for enhancing the performance of minimally invasive surgical procedures. The instrument has a high degree of dexterity, low friction, low inertia and good force reflection. A unique cable and pulley drive system operates to reduce friction and enhance force reflection. A unique wrist mechanism operates to enhance surgical dexterity compared to standard laparoscopic instruments. The system is optimized to reduce the number of actuators required and thus produce a fully functional articulated surgical instrument of minimum size. 1. (canceled)2. An apparatus comprising:an elongate support member having a proximal end and a distal end;a wrist member coupled to the distal end of the elongate support by a wrist joint;an end effector coupled to the wrist member by at least one joint, the end effector including at least one work member pivotally coupled to the wrist member, wherein the at least one work member can pivot relative to the wrist member, and wherein the at least one work member is removably fixed to the wrist member; anda drive system coupled to the proximal end of the elongate support member, the drive system comprising at least one actuator coupled to at least one drive element extending from the at least one actuator to the wrist joint.3. The apparatus of claim 2 , further comprising four pulleys rotatable about the wrist joint claim 2 , the end effector comprising first and second work members pivotally coupled to the wrist member claim 2 , the at least one actuator comprising four actuators claim 2 , the at least one drive element comprising four cables extending from the four actuators through the wrist joint to the two work members.4. The apparatus of claim 2 , further comprising a sliding bracket housing the drive system.5. The apparatus of claim 2 , the drive system further comprising an actuator configured to rotate the elongate support member about a longitudinal axis extending from the proximal end to the distal end ...

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Номер записи: 56
02-05-2013 дата публикации

Flexible surgical device for tissue removal

Номер: US20130110145A1
Автор: Yoseph Weitzman
Принадлежит: Carevature Medical Ltd

An elongate tool with a cutting end. In some embodiments the end is bendable. Optionally, the end is bendable between two cutting edges. Optionally or alternatively, the end includes both a forward cutting edge and a side cutting edge. The tool may be sized for hand-held use, with control from outside the body, for treating a spinal stenosis.

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Номер записи: 57
09-05-2013 дата публикации

ENDOSCOPIC TISSUE STABILIZATION DEVICE AND RELATED METHODS OF USE

Номер: US20130116504A1
Автор: Chin Yem, Scopton Paul
Принадлежит:

Embodiments of the invention include a sleeve for use in a body lumen defined by body tissue. The sleeve includes a collapsible wall defining a lumen and including an inflatable member configured to increase a volume of the lumen when the inflatable member is in an inflated state, a conduit configured to inflate the inflatable member, and a port defined by the collapsible wall and in flow communication with the lumen. 1. A method of performing an endoscopic procedure , comprising:introducing a sleeve through a channel of an endoscope into a body space;expanding the sleeve to at least partially engage a tissue wall, wherein the sleeve includes a wall defining a lumen and a port in flow communication with the lumen; andintroducing a tool through a channel of the endoscope into the lumen of the sleeve;accessing tissue at the port to perform a procedure.2. The method of claim 1 , further including collapsing the sleeve and withdrawing the sleeve through a channel of the endoscope.3. The method of claim 1 , wherein expanding the sleeve includes inflating the sleeve from a collapsed configuration to an expanded configuration.4. The method of claim 3 , further including deflating the sleeve from the expanded configuration to the collapsed configuration and withdrawing the sleeve through a channel of the endoscope.5. The method of claim 3 , wherein the sleeve includes a plurality of longitudinal non-inflatable members and plurality of longitudinal inflatable members claim 3 , wherein the plurality of longitudinal inflatable members alternate with the plurality of longitudinal non-inflatable members about a circumference of the wall of the sleeve.6. The method of claim 1 , further including partially collapsing the sleeve claim 1 , repositioning the sleeve with respect to the tissue wall claim 1 , and re-expanding the sleeve to contact the tissue wall.7. The method of claim 1 , further including drawing tissue through the port and into the lumen of the sleeve.8. The method ...

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Номер записи: 58
09-05-2013 дата публикации

Method and magnetic resonance device to assist a person conducting a minimally invasive procedure

Номер: US20130116546A1
Автор: Eva Rothgang, Martin Requardt
Принадлежит: SIEMENS AG

In a method and magnetic resonance apparatus to assist a person in the alignment of a medical instrument used by the person to conduct a minimally invasive procedure with the instrument introduced into a patient at an entrance point in a predetermined orientation, within the patient receptacle of a magnetic resonance device, measurement data are acquired with the magnetic resonance device to determine a current orientation of the instrument and/or an instrument guide, and the measurement data are evaluated to determine the current orientation. A deviation of the current orientation from the predetermined orientation is determined, and at least one acoustic signal is emitted depending on the deviation to assist the person in orienting the instrument.

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Номер записи: 59
09-05-2013 дата публикации

Surgical instrument having force feedback capabilities.

Номер: US20130116668A1
Автор: Frederick E. Shelton, IV, Jerome J. Morgan, Mark D. Overmyer, Richard L. Leimbach
Принадлежит: Ethicon Endo Surgery Inc

A surgical instrument. The surgical instrument has a force delivery system which communicates a changing force to a user of the surgical instrument when a limit of a surgical function is reached. A sensor senses position of a moving element to communicate a signal to the force delivery system. In various embodiments, the system generates a vibratory force to signal the user.

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Номер записи: 60
16-05-2013 дата публикации

Bond between components of a medical device

Номер: US20130123795A1
Автор: Benjamin Sutton, Brian D. Brandt, David S. Tung, Joshua Wallin, Randy S. Gamarra, Takashi Ino
Принадлежит: Boston Scientific Scimed Inc

An elongated member and a method of manufacturing an elongated member may include first, second, and third elongated rod mandrels. The first, second, and third elongated rod mandrels may be fixed together at predetermined proximal and distal locations and at a ball tip. The first, second, and third rod mandrels may be disposed within a tubular coupling element and fixed to the tubular coupling element at the ball tip. The tubular coupling element may be placed into abutment with and fixed to the distal end of an elongated shaft.

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Номер записи: 61
16-05-2013 дата публикации

Medical device with keyed locking structures

Номер: US20130123796A1
Автор: Benjamin Sutton, David J. Paul, Takashi Ino
Принадлежит: Boston Scientific Scimed Inc

Medical device delivery systems and methods for making and using medical device delivery systems are disclosed. An example medical device delivery system may include an outer sheath. An inner catheter may be disposed within the outer sheath. An implant may be releasably coupled to the inner catheter. The implant may be configured to shift between a first elongated configuration and a second expanded configuration. A push-pull rod for shifting the implant between the first configuration and the second configuration may be coupled to the inner catheter. A locking assembly may be disposed about the push-pull rod. At least a portion of an outer surface of the push-pull rod may have a non-circular cross-sectional shape. The locking assembly may have an interior passageway with a non-circular cross-sectional shape corresponding to the non-circular cross-sectional shape of the push-pull rod.

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Номер записи: 62
16-05-2013 дата публикации

Surgical Instrument

Номер: US20130123800A1
Автор: Leroy Joel Jules Louis, Rollet Benjamin, Wagner Sebastian
Принадлежит:

An endoscopic surgical instrument with an elongate shaft, a surgical tool arranged at a distal end of the shaft for conducting surgical manipulations and a handle arranged at a proximal end of the shaft for actuating the surgical tool. The shaft has an elongate shaft tube and an elongate actuation rod arranged movably within the shaft tube, the tool and the handle both being connected to the shaft tube and the actuating rod such that the tool can be actuated by the handle through a motion of the actuating rod relative to the shaft tube. 1. A surgical instrument comprising an elongate shaft , a surgical tool arranged at a distal end of the shaft for conducting surgical manipulations and a handle arranged at a proximal end of the shaft for actuating the surgical tool , the shaft comprising an elongate shaft tube and an elongate actuation rod arranged movably within the shaft tube , the tool and the handle both being connected to the shaft tube and the actuating rod such that the tool can be actuated by the handle through a motion of the actuating rod relative to the shaft tube , characterized in that the shaft tube comprises an elongate outer shaft tube and an elongate inner shaft tube that is at least partly arranged within the outer shaft tube , the outer shaft tube being displaceable in a longitudinal direction with respect to the inner shaft tube and being lockable with respect to the inner shaft tube in a multiplicity of longitudinal positions , and that the actuation rod comprises an elongate actuation rod tube and an elongate actuation rod core at least partly arranged within the actuation rod tube , the actuation rod tube being displaceable in a longitudinal direction relative to the actuation rod core and being lockable with respect to the actuation rod core in a multiplicity of longitudinal positions.2. The surgical instrument according to claim 1 , characterized in that the outer shaft tube is lockable with respect to the inner shaft tube by a bayonet-type ...

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Номер записи: 63
23-05-2013 дата публикации

Surgical method and apparatus

Номер: US20130131457A1
Автор: Tamer A. Seckin
Принадлежит: Individual

An apparatus for use in connection with an endoscopic surgery comprises an elongated body adapted to be placed at least partially in the vagina of a female patient partially passing through the wall of the vagina such that an end portion of said elongated element is introduced into rectouterine pouch; the elongated body comprises at least an attachment means for accommodating at least a part of at least a surgical instrument comprising an end portion adapted to be received inside the vagina, the surgical instrument and the apparatus are movable to each other. An endobag having an elongated port is provided through the vagina into the pelvis. A method for use in a pelvic or peritoneal surgery is provided wherein at least an elongated end portion of a surgical instrument is provided in the cavity of the uterus through the vagina of a female patient such that the uterus can be repositioned by manipulating the surgical instrument and an incision is performed on the vaginal wall for accessing to the rectouterine pouch, a flexible element is provided in pelvis wherein the flexible element is looped around the uterus such that the flexible element encircles the uterus.

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Номер записи: 64
23-05-2013 дата публикации

ELECTROSURGICAL INSTRUMENT

Номер: US20130131666A1
Автор: Atwell Anthony K., NAGTEGAAL Marno, Ooi Chun Keat
Принадлежит: GYRUS MEDICAL LIMITED

An endoscopic surgical instrument includes a stationary component, an elongate shaft extending from the stationary component, and an end effector located at the distal end of the shaft. The stationary component includes at least one contact portion adapted to be engaged by the fingers of a user, the instrument also including a movable component including a contact portion adapted to be engaged by the thumb of a user. Longitudinal movement between the contact portions of the movable component and the stationary component cause the movable component to move longitudinally with respect to the stationary component between a first proximal position, a second distal position, and a third position, the third position being distal of the second position by a relatively small distance. The movement of the movable component between the first and second positions causes a corresponding movement of the end effector between corresponding first and second positions. 1. An endoscopic surgical instrument including a stationary component , an elongate shaft extending from the stationary component , and an end effector located at the distal end of the shaft , the stationary component including at least one contact portion adapted to be engaged by the fingers of a user , the instrument also including a movable component including a contact portion adapted to be engaged by the thumb of a user , longitudinal movement between the contact portions of the movable component and the stationary component causing the movable component to move longitudinally with respect to the stationary component between a first proximal position , a second distal position , and a third position , the third position being distal of the second position by a relatively small distance , the movement of the movable component between the first and second positions causing a corresponding movement of the end effector between first and second end effector positions , the instrument further including a biasing ...

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Номер записи: 65
30-05-2013 дата публикации

SURGICAL ENDOBAG AND METHOD OF APPLICATION THEREOF

Номер: US20130138115A1
Автор: Seckin Tamer A.
Принадлежит:

An apparatus for transporting body tissue during a pelvic or peritoneal surgery through transvaginal-transdouglas route comprises a bag portion to be placed inside the body of the patient and adapted to receive body tissue to be removed during the surgery, the bag portion has an opening for tissue removal. 110-. (canceled)11. An apparatus for transporting body tissue during a surgery , said apparatus comprising a bag portion adapted to be placed inside the body of a patient and adapted to receive body tissue to be removed during the surgery , said bag portion having an opening for body tissue removal , wherein said apparatus is configured such that said bag portion can be placed inside the body of a patient by applying pressure to said bag portion.12. The apparatus according to claim 11 , said apparatus further comprising an elongated port adapted to be placed through the vagina and the rectouterine pouch of a female patient and having a first end opening configured to be placed outside the body of the patient and a second end opening configured to be placed inside the body of the patient claim 11 , wherein said elongated port opens to said bag portion such that body tissue can be transported through said elongated port from said bag portion during the surgery; wherein said opening of said bag portion and/or said second end of said elongated port preferably comprise connection means for connecting said bag portion to said elongated port and vice versa.13. The apparatus according to claim 11 , wherein said bag portion is separated to at least two separate bag compartments14. The apparatus according to claim 12 , wherein said elongated port opens to one of said bag compartments.15. The apparatus according to claim 11 , wherein attachment means are provided at said bag portion and/or said elongated port for attachment to the body or to a surgical apparatus.16. The apparatus according to claim 11 , wherein said apparatus is an endobag preferably produced of plastic or ...

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Номер записи: 66
06-06-2013 дата публикации

Substaintially rigid and stable endoluminal surgical suite for treating a gastrointestinal lesion

Номер: US20130144118A1
Автор: Boaz Manash, Dan Rottenberg, Dima Pinhasov, Gregory Piskun
Принадлежит: Macroplata Inc

Exemplary embodiments of devices and method for affecting at least one anatomical tissue can be provided. A configuration can be provided that includes a structure which is expandable (i) having and/or (ii) forming at least one opening or a working space through which the anatomical tissue(s) is placed in the structure. For example, the structure, prior to being expanding, can have at least one partially rigid portion. In addition, or as an alternative, upon a partial or complete expansion thereof, the structure can be controllable to have a plurality of shapes. Further, the structure can be controllable to provide the working space with multiple shapes and/or multiple sizes.

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Номер записи: 67
06-06-2013 дата публикации

OCULAR INSERT APPARATUS AND METHODS

Номер: US20130144128A1
Автор: Alejandro Jose D., Alster Yair, Boyd Stephen, Chang Janelle, de Juan, JR. Eugene, MacFarlane K. Angela, Reich Cary J., Sierra David, Sutton Douglas
Принадлежит:

A comfortable insert comprises a retention structure sized for placement under the eyelids and along at least a portion of conjunctival sac of the upper and lower lids of the eye. The retention structure resists deflection when placed in the conjunctival sac of the eye and to guide the insert along the sac when the eye moves. The retention structure can be configured in many ways to provide the resistance to deflection and may comprise a hoop strength so as to urge the retention structure outward and inhibit movement of the retention structure toward the cornea. The insert may move rotationally with deflection along the conjunctival sac, and may comprise a retention structure having a cross sectional dimension sized to fit within folds of the conjunctiva. The insert may comprise a release mechanism and therapeutic agent to release therapeutic amounts of the therapeutic agent for an extended time. 1. An apparatus to treat an eye of a patient , the eye having a conjunctiva , the apparatus comprising:a first, substantially ring-like structure adapted to be positioned onto an anterior surface of, and outside an optical zone of, the eye at least partially underneath at least one of the upper and lower eyelids, anda second structure supported by, and disposed along at least a portion of, the first structure, the second structure presenting a softer, cushioning surface to the eye than the first structure, the second structure comprising the at least one therapeutic agent;wherein the apparatus comprises a first shape prior to placement in the eye and a second shape when placed and wherein the first structure is configured to retain substantially the second shape when placed for a time on the eye.2. The apparatus of claim 1 , wherein the resistance to deflection is configured to shape the conjunctiva with the insert so as to receive the insert.3. The apparatus of claim 1 , wherein the insert comprises an amount of resistance to form one or more of a fold claim 1 , a pocket ...

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Номер записи: 68
13-06-2013 дата публикации

APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY

Номер: US20130150832A1
Автор: Belson Amir, Leary James J.
Принадлежит: Modular Surgical, Inc.

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced. 1. A tool tip cassette comprising:a plurality of tool carriers flexibly connected along a line;a surgical working tip removably placed in each tool carrier;wherein the tool carriers may be arranged in a straight line when being inserted through an introducing tool and may be reconfigured to a curved line when placed in a body cavity.2. A tool tip cassette as in claim 1 , further comprising an overtube having a passage for delivering the tool carriers to a surgical site.3. A tool tip cassette as in claim 2 , further comprising an elongate tether member attached to the tool tip carriers claim 2 , wherein the elongate tether member can be used to draw the tool carriers back to the overtube after they are delivered to the surgical site.4. A tool tip cassette as in claim 1 , wherein adjacent tool carriers are connected by hinges so that the carriers can be delivered through curved or tortuous paths to a surgical site.5. A tool tip cassette as in claim 4 , wherein the tool carriers are spring-loaded to curved after passing through the introducing tool.6. A tool tip cassette as in claim 1 , wherein said tool carriers have openings on their upper surfaces that removably receive the surgical working tips and are attached by hinges on their sides so that the ...

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Номер записи: 69
13-06-2013 дата публикации

APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY

Номер: US20130150871A1
Автор: Belson Amir, Leary James J.
Принадлежит: Modular Surgical, Inc.

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced. 1. A surgical tool system comprising:a surgical tool shaft;a surgical tool tip detachably connectable to a distal end of the surgical tool shaft;an end effector in the surgical tool tip;a motor in the surgical tool tip coupled to drive the end effector; andmeans in the tool shaft for delivering energy and/or control signals to the motor.2. A surgical tool system as in claim 1 , further comprising a handle attached to a proximal end of the shaft claim 1 , wherein the handle provides a user interface for controlling the motor in the surgical tool tip.3. A surgical tool system as in claim 1 , wherein the motor is an electric motor claim 1 , said system further comprising a battery in the handle which is connectable to the motor through wires or a cable in the shaft.4. A surgical tool system as in claim 2 , wherein the motor is an electric motor claim 2 , said system further comprising a battery in the surgical tool tip which is connected to the motor.5. A surgical tool system as in claim 1 , wherein the motor is driven by electrical claim 1 , pneumatic claim 1 , or hydraulic energy.6. A surgical tool system as in claim 5 , wherein the motor is driven by electrical claim 5 , energy.7. A surgical tool system as in claim 1 , wherein the motor comprises a ...

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Номер записи: 70
20-06-2013 дата публикации

FLEXIBLE CHANNEL SURGICAL INSTRUMENTS

Номер: US20130158525A1
Автор: BLITZER Andrew, STROME Marshall
Принадлежит: ADN International, LLC

Embodiments described herein are directed to flexible channel instruments for minimally invasive aerodigestive surgical procedures. 1. A device , comprising:a handle having a control element, wherein a portion of the control element is exposed to an end of the handle; anda flexible channel tip, adapted for aerodigestive tract surgery, having at least one working channel for receiving at least one surgical instrument, wherein the flexible channel tip includes at least one guide element disposed therein, and wherein the flexible channel tip is detachably connected to the end of the handle such that the guide element interacts with the control element of the handle, and wherein a light source and camera are not attached to the flexible channel tip.2. The device of claim 1 , wherein the light source and the camera are not attached to the device.3. The device of claim 1 , wherein the handle is made of surgical grade metal claim 1 , plastic claim 1 , or a composite.4. The device of claim 1 , wherein the flexible channel tip is disposable.5. The device of claim 1 , wherein the flexible channel tip is made of surgical grade metal claim 1 , plastic claim 1 , or a composite.6. The device of claim 1 , wherein the flexible channel tip further comprises at least one spring mechanism.7. The device of claim 1 , wherein the at least one guide element guides the flexible channel tip in at least four directions.8. The device of claim 1 , wherein the at least one surgical instrument is selected from the group consisting of a laser fiber claim 1 , a cytology brush claim 1 , an applicator claim 1 , a needle claim 1 , forceps claim 1 , a blade claim 1 , and a lead.9. The device of claim 1 , wherein the at least one guide element is made of a flexible metal alloy claim 1 , flexible plastic claim 1 , silicone claim 1 , or a combination thereof.10. The device of claim 1 , wherein the flexible channel tip is adapted for surgery of the nasal cavity claim 1 , pharynx claim 1 , larynx claim 1 , ...

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Номер записи: 71
20-06-2013 дата публикации

ROTATIONAL MECHANISM FOR ENDOSCOPIC DEVICES

Номер: US20130158566A1
Автор: HARRIS Colby, JORDAN Gary
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

A medical device includes a flexible member extending from a handle at a proximal end to a distal end sized and shaped for insertion to a target position in a living body and having a first channel extending longitudinally therethrough in combination with an elongated rotation tube positioned in the first channel and being rotatable relative to the flexible member and a rotation drive device at a distal end of the rotation tube, a proximal end of the rotation drive device being permanently attached to the rotation tube, a distal end of the rotation drive device having a first protrusion extending distally therefrom and a drive element having a substantially cylindrical shape with a groove on an inner wall thereof mating with the first protrusion of the rotation drive device, the drive element configured to transmit rotational movement of the rotation tube to an end effector connected to a distal end thereof to rotate the rotation tube relative to the flexible member. 1. A medical device , comprising:a flexible member extending from a handle at a proximal end to a distal end sized and shaped for insertion to a target position in a living body and having a first channel extending longitudinally therethrough;an elongated rotation tube positioned in the first channel and being rotatable relative to the flexible member; anda rotation drive device at a distal end of the rotation tube, a proximal end of the rotation drive device being associated with the rotation tube, a distal end of the rotation drive device having a first protrusion extending distally therefrom and a drive element having a substantially cylindrical shape with a groove on an inner wall thereof mating with the first protrusion of the rotation drive device, the drive element configured to transmit rotational movement of the rotation tube to an end effector connected to a distal end thereof to rotate the end effector relative to the flexible member.2. The device of claim 1 , wherein the end effector ...

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Номер записи: 72
20-06-2013 дата публикации

Medical Devices, Apparatuses, Systems, and Methods with Magnetic Shielding

Номер: US20130158660A1
Автор: Daniel J. Scott, Heather E. Beardsley, Jeffrey A. Cadeddu, Raul Fernandez, Richard A. Bergs
Принадлежит: University of Texas System

Embodiments of apparatuses, and methods and systems including apparatuses, configured to be magnetically coupled to a medical device within a body cavity of a patient. Some embodiments include one or more elements comprising at least one of a magnetically-attractive and magnetically-chargeable material; and a bumper extending around the one or more elements and configured to reduce the strength of a magnetic field of the one or more elements.

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Номер записи: 73
27-06-2013 дата публикации

Expandable retrograde drill

Номер: US20130165935A1
Автор: Jerry R. Griffiths, Jose Fernandez
Принадлежит: Individual

An orthopedic reamer, including a first shaft; a second shaft movably disposed within at least a portion of the first shaft; a handle movably coupled to at least one of the first or second shafts; a drilling element coupled to a distal portion of the second shaft; and a plurality of cutting elements, each cutting element having a first portion connected to the first shaft and a second portion connected to the second shaft. The plurality of cutting elements are controllably transitionable from i) a substantially linear configuration parallel to the first and second shafts to ii) an angled configuration with respect to the first and second shafts.

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Номер записи: 74
27-06-2013 дата публикации

Methods for less invasive glenoid replacement

Номер: US20130166033A1
Автор: Stephen B. Gunther
Принадлежит: Shoulder Innovations Inc

The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

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Номер записи: 75
04-07-2013 дата публикации

ENDOSCOPIC GUIDE WIRE TRACK

Номер: US20130172828A1
Автор: Cheng Ruth, Heller Gerald R., Kappel Gary S., Keene Kenneth R., Nguyen Man, Smith Paul, Stanton Larry
Принадлежит:

A medical device may include an end effector configured to perform a therapeutic procedure. The medical device may further include a guide having a modifiable shape. The guide may be adapted for insertion through a lumen of an access tube. Also, the end effector may be selectively attachable to the guide and configured to move along the guide. 1. A medical device , comprising:an end effector configured to perform a procedure; anda guide having a modifiable shape and adapted for insertion through a lumen of an access tube;wherein the end effector is selectively attachable to the guide and configured to move along the guide.2. The medical device of claim 1 , further comprising:an access tube configured to receive the guide therein.3. The medical device of claim 1 , wherein the guide includes a channel claim 1 , the medical device further comprising:a tool disposed within the channel, wherein the tool is moveable relative to and within the channel and includes the end effector thereon.4. The medical device of claim 1 , wherein the guide is configured to receive electric energy.5. The medical device of claim 1 , further comprising:a plurality of tools, each of the plurality of tools configured to move relative to the guide.6. The medical device of claim 1 , wherein the guide further includes at least one securing mechanism configured to retain the shape of the guide.7. The medical device of claim 1 , wherein the guide includes a first guide portion and a second guide portion claim 1 , the first guide portion and second guide portion having a first unconnected configuration and a second connected configuration.8. The medical device of claim 1 , wherein the end effector includes at least one of a retractable blade claim 1 , scissors claim 1 , a v-blade claim 1 , a straight blade claim 1 , a hooked blade claim 1 , an injection needle claim 1 , a grasping mechanism claim 1 , and an energy probe.9. The medical device of claim 1 , further comprising:a tool having the end ...

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Номер записи: 76
04-07-2013 дата публикации

Medical Instrument

Номер: US20130172859A1
Автор: Kaercher Daniel, Stefan Jochen
Принадлежит:

A transmission adapter for a medical instrument having a shaft, a transmission element that can move within the shaft and an operating device with a first part, which can be mechanically rigidly coupled with a proximal end of the shaft, and a second part, which can move with respect to the first part, includes a first coupling for releasable mechanical coupling with the second part of the operating device and a second coupling for releasable mechanical coupling with a proximal end of the transmission element. 1. A transmission adapter for a medical instrument , having a shaft , a transmission element , which can move within the shaft , and an operating device with a first part , which can be mechanically rigidly coupled with a proximal end of the shaft , and a second part , which can move with respect to the first part , wherein the transmission adapter comprises:a first coupling for releasable mechanical coupling with the second part of the operating device;a second coupling for releasable mechanical coupling with a proximal end of the transmission element.2. The transmission adapter according to claim 1 , wherein the second coupling includes a movable gripper jaw for positive-locking or friction-locked holding of the proximal end of the transmission element.3. The transmission adapter according to claim 2 , wherein the movable gripper jaw can pivot about a pivot axis.4. The transmission adapter according to claim 2 , wherein the movable gripper jaw can move along a predetermined path.5. The transmission adapter according to claim 2 , further comprising:an elastic element, which is foreseen and configured to mechanically pre-tense the movable gripper jaws to a position that grips the proximal end of the transmission element.6. The transmission adapter according to claim 1 , wherein the second coupling comprises a rotatable coupling member claim 1 , such that said rotatable coupling member can rotate between a first position claim 1 , in which a mechanical coupling ...

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Номер записи: 77
04-07-2013 дата публикации

OVER-THE-WIRE INTERLOCK ATTACHMENT/DETACHMENT MECHANISM

Номер: US20130172977A1
Автор: Forde Sean T., Opolski Steven W.
Принадлежит: W.L. Gore & Associates, Inc.

The over-the-wire interlock attachment/detachment mechanism includes a cylindrical lock receiving section of a small diameter attached to an implantable medical device such as a blood clot filter, a stent, or a septal occluder. This cylindrical lock receiving section has a plurality of spaced, curved cutouts to receive both the guide fingers and contoured locking fingers formed on a cylindrical locking section. The locking fingers are angled outwardly from the cylindrical body of the cylindrical locking section, and are moved inwardly into engagement with the curved cutouts of the cylindrical lock receiving section by a sheath which slides over the cylindrical locking section or other suitable operator. 1. A method for retrieving a medical implant comprising:accessing a medical implant using a locking mechanism comprising a locking arm, wherein the locking mechanism is enclosed in a sheath, and the implant comprises a cutout section;sliding the sheath away from the locking mechanism to allow the locking arm to angle outwardly from a longitudinal axis of the locking mechanism;positioning the locking arm over the cutout section of the implant;sliding the sheath back over the locking mechanism to lock the locking arm in the cutout section and thereby locking the implant; andretrieving the locking mechanism with the implant.2. The method of wherein the accessing step comprises accessing the implant with a guidewire and passing the locking mechanism over the guidewire.3. The method of wherein the implant is selected from the group consisting of an occluder claim 1 , a filter claim 1 , and a stent. This application is a divisional application of U.S. application Ser. No. 11/200,628 filed Aug. 9, 2005, now pending; which is a divisional application of U.S. application Ser. No. 09/977,971 filed Oct. 17, 2001, now issued as U.S. Pat. No. 6,936,058; which claims the benefit under 35 USC §119(e) to U.S. Application Ser. No. 60/241,005 filed Oct. 18, 2000, now expired. The ...

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Номер записи: 78
11-07-2013 дата публикации

Surgical Instrument with Articulating Assembly

Номер: US20130178837A1
Автор: Jaroslaw T. Malkowski
Принадлежит: COVIDIEN LP

A surgical instrument includes a housing having an elongated member assembly extending from the housing. The elongated member has a first portion and a second portion. The second portion is movably coupled to the first portion by a cable that facilitates the relative movement of the first portion and the second portion.

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Номер записи: 79
11-07-2013 дата публикации

INSERT AND INSERT SYSTEM FOR A LAPAROSCOPIC INSTRUMENT

Номер: US20130178865A1
Автор: Singh Jai, Singh Jiwan Steven
Принадлежит:

An insert comprises a rod having a proximal end and a distal end The insert also comprises a tool which is demountably coupled to the distal end Proximal end is formed with a ball which is configured to seat and engage in a socket of a handle of a laparoscopic instrument The rod fits within a sheath of the laparoscopic instrument The distal end of the rod is provided with an attachment head to facilitate the attachment of the tool A linkage mechanism in the attachment head converts the linear motion of the insert (and in particular rod ) relative to the outer sheath to a pivotal motion. 1. An insert for a laparoscopic instrument having a handle and an outer sheath coupled to the handle , the insert comprising:a rod configured to fit within the outer sheath and engage at its proximal end the handle; anda tool demountably coupled to a distal end of the rod.2. The insert according to comprising a linkage mechanism which converts linear motion of the rod relative to the outer sheath to a pivotal motion of claim 1 , or a component of claim 1 , the tool of up to at least 150°.3. The insert according to wherein the tool is provided with a suture aperture opening for receiving a suture.4. The insert according wherein the suture opening is either a suture hole or a suture slot wherein the suture slot extends along a length of the tool and is provided with an opening enabling a suture material to enter the suture slot.5. The insert according to wherein the tool comprises a suture needle.6. The insert according to wherein the needle comprises a straight shaft.7. The insert according to wherein the needle comprises a curved shaft.8. The insert according to wherein a distal end of the needle: (a) tapers conically to a point; (b) tapers linearly to a point to produce a cutting edge; or (c) is provided with a rounded end.9. The insert according to wherein the tool comprises a ureteric tunneller having either a straight shaft provided with one of a spherical tip or an ellipsoid tip ...

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Номер записи: 80
11-07-2013 дата публикации

Methods, Instruments and Devices for Extragastric Reduction of Stomach Volume

Номер: US20130178877A1
Автор: Brian K. Shiu, Ed Orbeta, II Earl A. Bright, Joshua Makower, Lisa Serventi, Pablo G. Acosta, Robert M. George, Scott Early, Theodore M. Bender, Timothy A. Limon
Принадлежит: Vibrynt Inc

Methods, instruments and systems are provided for separating opposite walls of the stomach by extragastric application of suction. Plication of the stomach can be performed between the separated walls after which the separate walls are brought back toward one another. In another aspect, methods, instruments, devices and systems are provided for reducing the effective volume of a stomach by performing one or more extragastric plications of the stomach.

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Номер записи: 81
18-07-2013 дата публикации

ADJUSTABLE DEVICE HANDLE AND RELATED METHODS OF USE

Номер: US20130184691A1
Автор: Asselin William M., Oskin Christopher L.
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC

An adjustable accessory for a medical device having an elongate tube and a lumen extending therein, the adjustable accessory including a handle adapted for connection to a proximal end of the elongate tube. The handle including a longitudinal axis and a slot on the handle transverse to the longitudinal axis. The slot includes multiple detent positions and a fitting movably disposed in the slot. The fitting is configured to be releasably secured within one of the detent positions, and the fitting includes a port in communication with the lumen of the elongate tube. 1. An adjustable accessory for a medical device having an elongate tube and a lumen extending therein , the adjustable accessory comprising:a handle adapted for connection to a proximal end of the elongate tube, wherein the handle includes a longitudinal axis, the handle including a slot defined by a portion of the handle, wherein the slot extends generally transversely to the longitudinal axis, and wherein the slot includes a plurality of detent positions formed therein; anda fitting movably disposed in the slot and configured to be releasably secured within one of the plurality of detent positions, wherein the fitting includes a port in communication with the lumen of the elongate tube.2. The accessory of claim 1 , wherein a portion of the slot is in communication with the lumen.3. The accessory of claim 1 , wherein an entirety of the slot is in communication with the lumen.4. The accessory of claim 1 , wherein a distal end of the handle includes geometric structures for attachment with the elongate tube.5. The accessory of claim 1 , wherein the fitting includes multiple ports converging at a single channel.6. The accessory of claim 1 , wherein the slot includes a sealing mechanism configured to prevent fluid ingress into the handle.7. The accessory of claim 1 , wherein the fitting includes a luer-lock connector.8. The accessory of claim 1 , wherein the fitting and the slot are detachably connected.9. ...

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Номер записи: 82
25-07-2013 дата публикации

GUIDE SLEEVE FOR SUPRAPATELLAR SURGERY

Номер: US20130190570A1
Автор: Graca Claudia, Hirsch Oliver, Prien Ole
Принадлежит: Stryker Trauma GmbH

A tissue protection sleeve for use in suprapatellar surgery is provided. The sleeve has a first end, a second end, an inner surface and an outer surface. The sleeve further comprises at least two open grooves that extend along the inner surface from the first end to the second end. The grooves are adapted to accommodate elongated fixation elements inserted into a tibia. A drill guide sleeve and a trocar for inserting a guide wire are also provided and can be accommodated by the tissue protection sleeve. 1. A sleeve having a longitudinal axis and comprising a first end , a second end , an inner surface and an outer surface ,wherein the sleeve further comprises at least two grooves extending along the inner surface from the first end to the second end, wherein the grooves are adapted to accommodate elongated fixation elements, the grooves open to the sleeve inner surface.2. The sleeve according to claim 1 , wherein the sleeve is made of a rigid material.3. The sleeve according to claim 1 , wherein the sleeve is made of an elastic material.4. The sleeve according to claim 1 , wherein the sleeve has a portion along the longitudinal axis where the outer surface adjacent to the at least two grooves projects radially outwardly of the adjacent outer surface.5. The sleeve according to claim 1 , wherein the grooves are substantially parallel with the longitudinal axis of the sleeve.6. The sleeve according to claim 1 , wherein the two grooves are located substantially at opposite sides along a circumference of the inner surface.7. The sleeve according to claim 1 , wherein the angular distance between the two grooves along a circumference of the inner surface is less than 180°.8. The sleeve according to claim 1 , wherein the sleeve further comprises a gripping flange portion radially and outwardly from the first end of the sleeve.9. The sleeve for suprapatellar surgery as set forth in claim 1 , wherein the sleeve is a tissue protection sleeve.10. A system comprising the tissue ...

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Номер записи: 83
25-07-2013 дата публикации

SURGICAL TISSUE PROTECTION SHEATH

Номер: US20130190571A1
Автор: Bly Randall A., Chen Eugene, Hannaford Blake, Kim Aylin, Lam Cang
Принадлежит: SPIWay, LLC

A surgical sheath for use in endoscopic trans-nasal or intra-ocular surgery has an angle section joined to a conical section, with the conical section having a central axis not parallel to a central axis of the angle section. A body section is joined to the angle section, with the body section having a length at least twice the length of the angle section. The conical section, the angle section and the body section may be a flexible or compliant material. The sheath reduces collateral trauma to the tissues in the surgical pathway. 1. A surgical sheath comprising:a conical section;an angle section joined to the conical section, with the conical section having a central axis AF not parallel to a central axis AN of the angle section;a body section joined to the angle section, with the body section having a length at least twice the length of the angle section, andthe conical section, the angle section and the body section comprising a flexible material.2. The sheath of further comprising two or more ridges on an outside surface of the body section.3. The sheath of further comprising a first set of ridges adjacent to a distal end of the sheath and a second set ridges between the angle section and the first set of ridges claim 2 , with all ridges in the first set parallel to each other claim 2 , and with all ridges in the second set parallel to each other claim 2 , and with the ridges in the second sot not parallel to the ridges in the first set.4. The sheath of with one or more of the ridges ex ending entirely around the outside surface of the body section to fort rings.5. The sheath of having a ridge on a distal end of the body section.6. The sheath of with the body section having a distal opening in a plane not perpendicular to the axis AN.7. The sheath of with the body section having an upper crease joined to a curved sidewall and a substantially flat sidewall joined to the curved sidewall.8. The sheath of with the conical section having are uneven oval-shaped ...

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Номер записи: 84
25-07-2013 дата публикации

Devices for thermally-induced hepatic neuromodulation

Номер: US20130190748A1
Автор: Bobak Robert Azamian, Jonathan Allen Coe, Scott Bradley Vafai
Принадлежит: Metavention Inc

According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery.

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Номер записи: 85
01-08-2013 дата публикации

FIDUCIAL PLACEMENT SYSTEM AND SPLAYED STYLET

Номер: US20130197356A1
Автор: CLANCY Michael S., Neilan John
Принадлежит: Cook Medical Technologies Inc

A fiducial deployment system may include one or more of a needle including a dimpled retention structure configured to releasably retain a plurality of fiducials, each of which includes a central aperture (which may be embodied as a groove or similar opening); a retention/deployment stylet that traverses through each fiducial's central aperture and releasably engages a distalmost fiducial of the plurality of fiducials with a splayed distal stylet end; a pusher cannula member; and echogenic dimpling and/or other echogenic-enhancing features on at least a distal portion of the needle. 1. A fiducial deployment system comprising: a generally tubular cannula body defining a needle lumen disposed through at least a lengthwise portion of the cannula body and', 'a distal needle end opening at a distal end of the needle lumen;', 'a distal needle end region, the distal end region comprising'}], 'a needle including'}at least one fiducial comprising a fiducial body slidably disposed in the needle lumen, which fiducial body includes a fiducial aperture extending longitudinally therethrough;a pusher slidably disposed longitudinally through the needle lumen proximal of and contacting the at least one fiducial, where the pusher is configured to advance the at least one fiducial out of the distal needle end opening; anda stylet extending longitudinally through a portion of the needle lumen and the aperture of the at least one fiducial,wherein the stylet includes at least one splayed distal end portion that is biased apart to engage a distal end surface of the at least one fiducial and that is sufficiently collapsible to pass through a cross-sectional area of the fiducial aperture, such that the stylet is configured to releasably retain the at least one fiducial.2. The fiducial deployment system of claim 1 , where the pusher is embodied as a pusher cannula including a pusher lumen longitudinally disposed therethrough claim 1 , through which a portion of the stylet slidably extends.3. ...

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Номер записи: 86
01-08-2013 дата публикации

Medical device having a tensionable coupling

Номер: US20130197490A1
Автор: Barry Weitzner, Bernadette DURR, Brandon ZALEWSKI, Gary Kappel, John Golden, Kenneth KEENE, Larry Stanton, Mark Wood
Принадлежит: Boston Scientific Scimed Inc

This invention is directed to a medical device having an elongate shaft having a distal end and a controller coupled to the shaft. A control member can extend through at least part of the elongate shaft and at least part of the controller, wherein the control member in a tensioned configuration can be moveable by the controller to control the distal end of the shaft and the control member can be slack in an untensioned configuration. A tensioning mechanism can be configured to move relative to at least one of the elongate shaft and the controller to tension the control member and automatically lock the control member in the tensioned configuration.

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Номер записи: 87
01-08-2013 дата публикации

MEDICAL DEVICE HAVING A MODULAR CONTROLLER

Номер: US20130197491A1
Автор: Dayton Peter, Durr Bernadette, Golden John, Keene Kenneth, Seddon Dane, Stanton Larry, Wood Mark, Zalewski Brandon
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

This invention is directed to a surgical instrument having an elongate shaft with a proximal and a distal end, and including a controller coupled to a proximal region of the elongate shaft. In a first configuration, the controller can control an end-effector coupled to the distal end of the elongate shaft via a control element moveably coupled to the controller. In a second configuration, the controller can move the distal end of the elongate shaft. The surgical instrument can also have an aperture configured to receive the control element in the first configuration and receive an insert element fixedly coupled to the controller and configured to cover the aperture in the second configuration. 1. A surgical instrument , comprising:an elongate shaft having a proximal end and a distal end;a controller coupled to a proximal region of the elongate shaft, wherein the controller in a first configuration controls an end-effector coupled to the distal end of the elongate shaft via a control element moveably coupled to the controller and the controller in a second configuration moves the distal end of the elongate shaft; andan aperture configured to receive the control element in the first configuration and receive an insert element fixedly coupled to the controller and configured to cover the aperture in the second configuration.2. The surgical instrument of claim 1 , wherein the controller in the first configuration includes a first set of control elements and the controller in the second configuration includes a second set of insert elements different to the first set of the control elements.3. The surgical instrument of claim 1 , wherein the control element is at least one of rotatably and slideably coupled to the controller.4. The surgical instrument of claim 1 , wherein the control element and insert element both have an outer surface configured to engage an inner surface of the opening.5. The surgical instrument of claim 1 , wherein the control element includes at ...

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Номер записи: 88
01-08-2013 дата публикации

Minimally invasive instrument

Номер: US20130197493A1
Автор: Florian Alexander Fröhlich, Michael Strohmayr, Sophie Lantermann
Принадлежит: Deutsches Zentrum fuer Luft und Raumfahrt eV

The invention relates to a minimally invasive instrument ( 1 ) comprising an enlargeable sensor head with a flat sensor element ( 7 ) that has resilient properties. In order to enable an improved minimally invasive instrument, the sensor element ( 7 ) comprises a film element ( 13 ) with a first layer ( 15 ) and with a second layer ( 17 ) distanced from the first layer ( 15 ) by means of spacers ( 19 ), wherein the sensor element ( 7 ) comprises, arranged between the layers ( 15, 17 ) of the film element ( 13 ), expansion-sensitive, polymer-based resistance elements ( 21 ) for picking up tactile stimuli.

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Номер записи: 89
01-08-2013 дата публикации

Robotic hand controller

Номер: US20130197538A1
Автор: Drazena Brocilo, John Harmen, Uwe Schaible
Принадлежит: Titan Medical Inc

A hand controller for enabling a user to perform an activity and method for controlling a robotic arm is provided. The hand controller includes a bar with a grip and a plurality of motors to provide a force feedback to the user in response to the movement of the plurality of mechanical arms. The method involves receiving input corresponding to the manipulation of a bar and providing a force feedback in response to the movement of the plurality of mechanical arms.

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Номер записи: 90
08-08-2013 дата публикации

Ergonomic Handle for Surgical Instrument

Номер: US20130204247A1
Автор: Triplett Daniel J.
Принадлежит: IMDS CORPORATION

A surgical instrument handle includes adaptations for improved ergonomics, such as broad, rounded hand-contacting surfaces and physiologic range of motion for instrument actuation. The handle may be mostly enclosed by the hand in use, and may be stabilized by the palm, ring finger, and little finger. One example includes a ratchet mechanism and release button. 1. A handle system comprising:a handle body comprising an output axis;a lever comprising a first portion hinged to the handle body at a main pivot joint and a second portion opposite the first portion, wherein the second portion is closer to the output axis than the main pivot joint;an output point; anda first link coupling the lever to the output point;wherein pivoting the lever relative to the handle body moves the output point along the output axis.2. The handle system of claim 1 , wherein the first link is hinged to the lever at a first joint and coupled to the output point.3. The handle system of claim 2 , wherein the first link is hinged to the second portion of the lever.4. The handle system of claim 2 , comprising:a second link hinged to the first link at a second joint, hinged to the handle body at a third joint, and coupled to the output point, wherein the first and second joints are separated by a first distance, wherein the second and third joints are separated by a second distance.5. The handle system of claim 4 , comprising:a third link hinged to the second link at a fourth joint and coupled to the output point, wherein the third and fourth joints are separated by a third distance, wherein the second, third, and fourth joints are in a triangular arrangement.6. The handle system of claim 5 , comprising:a fourth link hinged to the third link at a fifth joint and hinged to the handle body at a sixth joint, wherein the fourth joint comprises the output point, wherein the fourth and fifth joints are separated by a fourth distance, wherein the fifth and sixth joints are separated by a fifth distance.7. ...

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Номер записи: 91
15-08-2013 дата публикации

APPARATUS AND METHODS FOR HYBRID ENDOSCOPIC AND LAPAROSCOPIC SURGERY

Номер: US20130211196A1
Автор: Belson Amir, Leary James J.
Принадлежит: Modular Surgical, Inc.

Apparatus and methods are described allow the techniques of endoscopic and laparoscopic surgery to be combined into a minimally invasive hybrid surgical technique called NOTES-assisted laparoscopic surgery. Manual and robotic-controlled versions of a modular laparoscopic tool are described having a small diameter shaft that is delivered laparoscopically to a surgical site. Larger diameter working tips are delivered through a NOTES delivery tube inserted to the surgical site through a natural orifice and joined to the shaft of the modular laparoscopic tool. Larger diameter working tips improve the effectiveness of the modular laparoscopic tools and the number and size of laparoscopic ports used can also be reduced.

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Номер записи: 92
15-08-2013 дата публикации

STEERABLE TISSUE MANIPULATION MEDICAL DEVICES AND RELATED METHODS OF USE

Номер: US20130211415A1
Автор: Keeler Jennifer, Zerfas Jeffrey
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

A medical device and related methods of use are disclosed. The medical device includes a tubular member having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end. The medical device further includes an elongate member having a proximal end and a distal end, such that at least a portion of the elongate member is movably disposed within the lumen of the tubular member. The distal end of the elongate member includes an end-effector, wherein a portion of the elongate member between the proximal end and the distal end transitions automatically from a first state to a second state when the portion is advanced out of the lumen of the tubular member, and wherein the portion is proximal of the end-effector. 1. A medical device comprising:a tubular member having a proximal end, a distal end, and a lumen extending between the proximal end and the distal end; andan elongate member having a proximal end and a distal end, wherein at least a portion of the elongate member is movably disposed within the lumen of the tubular member, wherein the distal end of the elongate member includes an end-effector, wherein a portion of the elongate member between the proximal end and the distal end is configured to transition from a first state to a second state when the portion is advanced out of the lumen of the tubular member, and wherein the portion is proximal of the end-effector.2. The medical device of claim 1 , wherein the portion includes a shape memory or super-elastic material.3. The medical device of claim 1 , wherein the end-effector is steerable.4. The medical device of claim 1 , wherein the portion is configured to transition from the first state to the second state without application of any additional forces.5. The medical device of claim 1 , wherein the first state is substantially straight.6. The medical device of claim 1 , wherein the second state includes a curved configuration.7. The medical device of claim 1 , wherein the ...

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Номер записи: 93
22-08-2013 дата публикации

Minimally Invasive Lung Volume Reduction Devices, Methods, and Systems

Номер: US20130217956A1
Автор: Aronson Nathan, Boutillette Michael, Lehrberg David, Mathis Mark L., Thompson David, Vasquez Jaime, Wu Patrick
Принадлежит: PneumRx, Inc.

A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway. 1. A lung volume reduction device comprising:an implant adapted for delivery into an airway of a lung, the airway extending along an elongate natural pathway, the implant including an elongate body extending between a proximal end and a distal end, the elongate body having an undelivered configuration and a delivered configuration in which at least a portion of the elongate body is altered from the undelivered configuration,wherein the elongate body of the implant is configured to deploy into the delivered configuration within the airway so as to move the elongate body and impart at least one bend in the airway such that the elongate natural pathway is directionally altered.2. The device of claim 1 , wherein distance between the proximal and distal ends of the elongate body is reduced in the delivered configuration as compared to the undelivered configuration.3. The device of claim 1 , wherein at least one curve is formed along the elongate body between the proximal and distal ends in the delivered configuration claim 1 , the at least one curve defining the at least one bend in the airway.4. The device of claim 3 , wherein the at least one curve comprises a complete loop of the elongate body.5. The device of claim 3 , wherein the at least one curve comprises a partial loop of the elongate body.6. The device of claim 1 , wherein a plurality of curves is formed along the elongate body between the proximal and distal ends in the delivered configuration such that a plurality of respective bends are formed in the airway.7 ...

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Номер записи: 94
22-08-2013 дата публикации

MINIMALLY INVASIVE NEUROSURGICAL INTRACRANIAL ROBOT SYSTEM AND METHOD

Номер: US20130218005A1
Автор: Desai Jaydev P., GULLAPALLI RAO, Ho Mingyen, Simard J. Marc
Принадлежит:

Minimally invasive neurosurgical intracranial robot system is introduced to the operative site by a neurosurgeon through a narrow surgical corridor. The robot is passed through a cannula and is attached to the cannula by a latching mechanism. The robot has several links interconnected via revolute joints which are tendon-driven by tendons routed through channels formed in the walls of the links. The robot is teleoperatively guided by the neurosurgeon based on real-time images of the intracranial operative site and tracking information of the robot position. The robot body is equipped with a tracking system, tissue liquefacting end-effector, at as well as irrigation and suction tubes. Actuators for the tendon-driven mechanism are positioned at a distance from the imaging system to minimize distortion to the images. The tendon-actuated navigation of the robot permits an independent control of the revolute joints in the robot body. 1. Minimally Invasive Neurosurgical Intracranial Robot (MINIR) system , comprising:a robot sub-system compatible with an imaging system and introduced in an intracranial area containing a target of interest;a tracking sub-system operatively coupled to said robot sub-system and generating tracking information corresponding to said robot sub-system position;an interface operatively coupled to said imaging system and said tracking sub-system to display substantially in real-time images of the intracranial area generated by said imaging system aligned with said tracking information, wherein said interface is further operatively interconnected between a user and said robot sub-system, and wherein the user applies commands to said interface to manipulate said robot sub-system based on said substantially in real-time images and said tracking information to reach said target of interest for an intended interaction therewith;wherein said robot sub-system includes:a robot body composed of a plurality of links and N revolute joints interconnecting ...

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Номер записи: 95
22-08-2013 дата публикации

Release device for releasing a medical implant from a catheter and catheter having a release device and method for clamping an implant therein

Номер: US20130218138A1
Автор: Amir Fargahi
Принадлежит: BIOTRONIK AG

An embodiment of the invention relates to a release device for releasing a medical implant from an insertion device, in the case of which the implant can be released by way of a relative motion between a first and a second insertion element, comprising a clamping element for clamping the implant in the insertion device, having a proximal end which is distant from a distal end of the insertion device in the state of use, and a distal end which faces the distal end of the insertion device in the state of use, wherein the clamping unit comprises a first component and at least one second component, which clamp the implant there between in the clamped state. The invention further relates to an insertion device comprising such a release device and a method for clamping an implant in an insertion device.

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Номер записи: 96
22-08-2013 дата публикации

Specimen retrieval apparatus

Номер: US20130218170A1
Автор: Anthony Ceniccola, Margaret Uznanski
Принадлежит: COVIDIEN LP

A specimen retrieval apparatus includes an elongated tubular member defining a lumen therethrough and having an end effector disposed at a distal end thereof. The end effector includes a shaft defining a longitudinal axis, the shaft including a lumen extending therethrough. The lumen of the shaft communicates with the lumen of the elongated tubular member. A suction member is disposed at a distal end of the shaft in communication with the lumen of the shaft. The suction member is configured to retain a tissue specimen thereon. A sleeve is disposed about the shaft and is movable with respect to the shaft from a proximal to a distal position. A specimen retrieval bag is coupled to the sleeve. The bag is deployable from an undeployed position wherein the bag is disposed about the sleeve to an extended position wherein the bag is deployed over the tissue specimen.

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Номер записи: 97
29-08-2013 дата публикации

DEVICE AND METHOD FOR OPTICAL IMAGE CORRECTION IN METROLOGY SYSTEMS

Номер: US20130226156A1
Автор: Sharonov Alexey
Принадлежит: COVIDIEN LP

An optical metrology and image correction device includes a point size light source adapted to emit a beam of light and a translucent mask that receive the beam of light. The translucent mask rotates from a first position wherein the beam of light is received by the translucent mask in a direction substantially orthogonal to the translucent mask to a second position wherein the beam of light is received by the translucent mask at an angle offset with respect to the translucent mask. A corresponding method of measuring and correcting an image from an optical metrology and image correction device includes emitting a beam of light from a point size light source, causing the beam of light to be received by a translucent mask in a first position substantially orthogonal to the mask and in a second position in a direction offset with respect to the translucent mask. 1. An optical metrology and image correction device comprising:a point size light source adapted to emit a beam of light; anda translucent mask configured and disposed to receive the beam of light emitted from the point size light source, the translucent mask rotatably disposed to rotate from a first position wherein the beam of light is received by the translucent mask in a direction substantially orthogonal to the translucent mask to a second position wherein the beam of light is received by the translucent mask at an angle offset with respect to the translucent mask.2. The device according to claim 1 ,wherein when the beam of light is received by the translucent mask in the first position, the beam of light creates a substantially undistorted image on a surface of a target object positioned distally from the point size light source and distally from the translucent mask, andwherein the translucent mask and the surface of the target object are substantially parallel to one another to define a first mask and target object position.3. The device according to claim 2 ,wherein when the beam of light is received ...

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Номер записи: 98
05-09-2013 дата публикации

Apparatus and Method for Resectioning Gastro-Esophageal Tissue

Номер: US20130228610A1
Автор: James F. McGuckin, Jr., Peter W.J. Hinchliffe
Принадлежит: Rex Medical LP

A system for stapling tissue comprises a flexible endoscope and an operative head including a pair of opposed, curved tissue clamping jaws sized to pass through an esophagus, the jaws being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws including a stapling mechanism and a second one of the jaws including a staple forming anvil surface, the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator for moving the jaws relative to one another and a second actuator for operating the stapling mechanism.

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Номер записи: 99
05-09-2013 дата публикации

SOFT TISSUE REPAIR PROSTHESIS AND EXPANDABLE DEVICE

Номер: US20130231526A1
Автор: Felix Augustus, Jacene Michael F.
Принадлежит: C.R. BARD, INC.

A hernia repair device is provided which may include a soft tissue repair prosthesis and an expandable device configured to be removably connected with the soft tissue repair prosthesis. Attachment components may be used to removably connect the soft tissue repair prosthesis with the expandable device. The hernia repair device may be manipulated into a reduced configuration for insertion into the body. When expanded, the expandable device may be configured to position the soft tissue repair prosthesis adjacent a hernia defect. The expandable device and/or the attachment components may be shaped and/or configured to minimize the maximum dimension of the hernia repair device in its reduced configuration. 160.-. (canceled)61. A hernia repair device , comprising:an inflatable device configured to be removably connected with a soft tissue repair prosthesis, the inflatable device having a first axis wherein, when deflated, the inflatable device is configured to be manipulated about the first axis into a reduced configuration for insertion into a body; andwherein the inflatable device includes a plurality of reliefs spaced around the perimeter of the inflatable device configured to minimize bending of the inflatable device when inflated.62. The hernia repair device of claim 61 , wherein at least one of the plurality of reliefs is a notch.63. The hernia repair device of claim 62 , wherein at least one of the plurality of reliefs is a substantially V-shaped notch.64. The hernia repair device of claim 62 , wherein at least one of the plurality of reliefs is a substantially U-shaped notch.65. The hernia repair device of claim 61 , wherein at least one of the plurality of reliefs is a slit.66. The hernia repair device of claim 61 , wherein the plurality of reliefs are configured such that the inflatable device is substantially planar when inflated.67. (canceled)68. (canceled)69. (canceled)70. (canceled)71. The hernia repair device of claim 61 , wherein the inflatable device has ...

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Номер записи: 100