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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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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

Fold-Resistant Pelvic Implant System and Method

Номер: US20120016182A1

Автор: Edouard A. Koullick, Guangjian Wang, Jose' W. Jimenez

Принадлежит: AMS Research LLC

A pelvic non-folding hammock implant is provided. Such an implant can be constructed of a polymer material to provide an implant portion, e.g., support portion, having one or more extending and independent teeth-like features defining a fold control portion in a generally comb-like construct. The individual teeth resist folding by providing independently reacting extensions along the fold control portion.

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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

21-06-2012 дата публикации

Implant for Treating Gastroesophagael Reflux Disease

Номер: US20120158024A1

Автор: Justin M. Crank

Принадлежит: AMS Research LLC

An implant wrapped around the gastroesophageal junction to treat gastroesophageal reflux disease is provided. The implant is positioned around the junction by navigating the implant partly around the junction by a first needle and pulling the remainder of the distance with a second needle. A suture connector can be affixed to the implant with a suture, which can be used to pull the implant into place around the gastroesophageal junction.

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Номер записи: 5

02-08-2012 дата публикации

Deflection member for delivering implants and methods of delivering implants

Номер: US20120197281A1

Автор: Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

In one general aspect, an apparatus can include an elongate member configured to be associated with an implant and having a piercing portion. The apparatus can include a deflection member having a fixed curvature disposed within a plane. The deflection member can have a distal end configured to be disposed within a body of a patient. The deflection member can define a groove extending along at least a portion of the deflection member. The groove of the deflection member can be configured to deflect the piercing portion of the elongate member.

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Номер записи: 6

23-08-2012 дата публикации

Systems and methods for delivering a medical implant to an anatomical location in a patient

Номер: US20120215059A1

Автор: Alfred P. Intoccia, Jr., Michael S. H. Chu, Tim Moore

Принадлежит: Boston Scientific Scimed Inc

Medical implant delivery devices and systems are disclosed. In general, an exemplary delivery device comprises a shaft and a handle. An exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in trans-obturator approaches are disclosed.

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Номер записи: 7

27-12-2012 дата публикации

Methods and devices for the treatment of urinary incontinence

Номер: US20120330094A1

Автор: Robert F. Rioux

Принадлежит: Boston Scientific Scimed Inc

Methods and devices for treating female stress urinary incontinence are disclosed. The methods include transvaginally accessing the pelvic cavity and introducing a suburethral sling into the retropubic space. In some embodiments the ends of the sling are attached to an anatomical support structure. In other embodiments, the ends of the suburethral sling are not attached to an anatomical support structure. The devices include a surgical instrument for blunt dissection of the pelvic cavity which includes a curved shaft and a blunt distal end. A hook deployment device may optionally be attached to the surgical instrument.

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Номер записи: 8

03-01-2013 дата публикации

Implantable Sling Systems and Methods

Номер: US20130006048A1

Автор: Brian G. Fisher

Принадлежит: AMS Research LLC

Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.

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Номер записи: 9

24-01-2013 дата публикации

Insertion needle

Номер: US20130023725A1

Автор: Kiyotaka Nagamine, Kiyotaka Nose, Masateru Nagata

Принадлежит: University of Miyazaki NUC

An insertion needle that is turnably mounted on a handle, which holds the insertion needle, wherein the insertion needle includes a turn arm that turns so as to face the tip of the insertion needle, and a target site that guides the insertion needle provided on the tip of the turn arm, and is further provided with: through-holes in two locations that are provided separated in the longitudinal direction of the tip of the insertion needle; an indentation formed between these through-holes; and a groove in the direction from the tip of the insertion needle toward the base of the insertion needle. Furthermore, the insertion needle is suitably used in urinary incontinence surgery, pelvic organ prolapse surgery or the like.

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Номер записи: 10

28-02-2013 дата публикации

Access and tissue modification systems and methods

Номер: US20130053851A1

Автор: Amie R. Borgstrom, Gregory B. Arcenio, Gregory P. Schmitz, Jefferey Bleam, Jeffery L. Bleich, Michael P. Wallace, Ronald Leguidleguid, Roy Leguidleguid, Winnie Chung

Принадлежит: Individual

Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.

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Номер записи: 11

21-03-2013 дата публикации

Suture passer device and suture needle

Номер: US20130072948A1

Автор: Benjamin T. KRUPP, Christoph L. Gillum, David A. Parrott, Kenneth E. Hogue, Robert G. States, III

Принадлежит: Cost Containment Inc

A suture passer device includes a shaft, a handle, an end effector, and a suture capturing member. The shaft has a shaft proximal end and a shaft distal end. The handle assembly is coupled to the shaft proximal end. The end effector is coupled to the shaft distal end. The suture capturing member is coaxial with and slideably coupled to the end effector, is coupled to the handle assembly, and is configured to capture a suture within the end effector. A suture needle includes a suture needle body and a suture needle tip, the suture needle body having a first portion and a second portion. The first portion is thicker than the second portion, and the first portion is configured to mate with a needle spacer that enables actuation of a suture needle passer device.

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Номер записи: 12

28-03-2013 дата публикации

Medical device for delivery of bodily implants

Номер: US20130079591A1

Автор: Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

A medical device and a method for delivering a bodily implant are disclosed. The medical device includes an insertion member, an adjustment member and a button. The insertion member further includes a tip. The insertion member has a curved portion proximate the tip and a straight portion distally located from the tip. The curved and straight portions are configured to be placed into a channel within a housing of the insertion member. The adjustment member is coupled to the insertion member distally and is configured to be advanced and retracted, thereby advancing and retracting the insertion member with respect to the housing. The button is moveable coupled to the housing of the insertion member.

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Номер записи: 13

15-08-2013 дата публикации

Apparatus for posterior pelvic floor repair

Номер: US20130211191A1

Автор: Roger D. Beyer

Принадлежит: Individual

Improved methods and apparatuses for treatment of posterior pelvic floor repair, including rectocele and related pelvic organ prolapse, are provided. A specialized mesh ( 3 ) having a shape for convenient placement to treat rectocele by providing both level 2 and level 3 support. Appropriate devices for introducing such a mesh implant are also disclosed.

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Номер записи: 14

05-09-2013 дата публикации

Devices and methods for treating pelvic floor dysfunctions

Номер: US20130231525A1

Автор: Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

In one embodiment, an apparatus includes a support portion disposable within a pelvic region and a strap extending from the support portion. The strap has a length and is configured to be disposed at least partially within a pelvic tissue. A sleeve is releasably disposed over at least a portion of the strap. The sleeve has a length that is longer than the length of the strap. In some embodiments, the length of the sleeve is at least twice as long as the length of the strap. In some embodiments, a suture couples the sleeve to the strap. The apparatus can also include a suture disposed at least partially within an interior of the sleeve and forming two strands of suture within the interior of the sleeve. The two strands are separated by a distance defined by a separator portion of the sleeve.

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Номер записи: 15

26-09-2013 дата публикации

Insertion device and method for delivery of a mesh carrier

Номер: US20130253259A1

Автор: Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

An insertion device includes an elongate member and a stylet. The elongate member has a proximal end portion, a distal end portion, and defines a lumen therethrough. The stylet has a proximal end portion, a distal end portion, and is slidably coupled to the elongate member. The stylet is configured to move from a first position to a second position with respect to the elongate member. The proximal end portion of the stylet is configured to removably couple a mesh carrier thereto. A portion of the proximal end portion of the stylet is disposed outside of the lumen of the elongate member when the stylet is in its first position and is disposed within the lumen when the stylet is in its second position.

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Номер записи: 16

24-10-2013 дата публикации

Implants And Procedures For Treatment Of Pelvic Floor Disorders

Номер: US20130281770A1

Автор: Bryon Merade, Francois Blaudeau, Red Alinsod, Sandra Muhlfeld, Ty Erickson, Wang Stephen

Принадлежит: Caldera Medical, Inc.

Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientation therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.

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Номер записи: 17

07-11-2013 дата публикации

Atraumatic medical device anchoring and delivery system with enhanced anchoring

Номер: US20130296640A1

Автор: Craig Ovans, Ian L. Goldman, Yani Deros

Принадлежит: Individual

Systems and methods are delineated for treating urinary incontinence (UI). And more generally, systems and methods are delineated for providing medical treatment, wherein such systems and methods include means for attaching a structure to a patient and removing the structure without damage to the structure or the patient. An exemplary system for providing medical treatment comprises a structure having a first end and a second end for attachment to a patient. A first fastener is coupled to the first end and includes at least one retractable barb for attachment to the patient. The retractable barb may include a member forming an internal aperture through which tissue growth may occur, thereby improving holding strength for the system. A second fastener is coupled to the second end and includes at least one retractable barb for attachment to the patient. Removable fasteners including retractable barbs or equivalents thereof permit removal of the structure from the patient without damage to the structure as well as limiting trauma to the patient.

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Номер записи: 18

28-11-2013 дата публикации

Implantable attachment device, implant for treating prolapse of the pelvic floor comprising such a device and kit comprising said device

Номер: US20130317287A1

Автор: Farid Kamche, Gilles Solecki, Stephane Noel

Принадлежит: Cousin Biotech SAS

The present invention relates to an implantable attachment device comprising an elongate element which is tubular flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the portion of said tubular element in said internal volume between intake and outlet openings distant by a length. The device comprises blocking means of said portion in the internal volume of said elongate element, which can be deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference.

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Номер записи: 19

05-12-2013 дата публикации

Implant insertion systems and methods of use

Номер: US20130324789A1

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

Принадлежит: Ethicon Inc

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

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Номер записи: 20

20-02-2014 дата публикации

Urinary incontinence treatment and devices

Номер: US20140051917A1

Автор: James Browning

Принадлежит: Coloplast AS

A surgical implant for treating urinary incontinence by providing support to a urethra of a patient includes a suburethral support and first and second soft tissue anchors. The suburethral support is formed of a mesh and includes a folded portion formed by a fold in the mesh material, the fold extending substantially perpendicular to the longitudinal axis of the suburethral support. The first and second soft tissue anchors are coupled to ends of the suburethral support.

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Номер записи: 21

27-03-2014 дата публикации

ADVANCE SUTURE PASSER

Номер: US20140088617A1

Автор: Fan Wei Li, NGUYEN Linh, Sullivan Jim

Принадлежит:

A suture passer including a tubular member having a proximal end and a distal end and a central axis defined therethrough, in which the tubular member includes at least one lumen formed therein, an eyelet configured to receive a suture, a movable jaw formed on the distal end of the tubular member configured to move between an open position and a closed position, in which the movable jaw includes a plurality of portions, and an actuator configured to be received within the at least one lumen of the tubular member, in which the actuator is configured to move along the central axis of the tubular member between a first position and a second position, in which, in the first position, the movable jaw is in the closed position, and in which, in the second position, the movable jaw is in the open position. 1. A suture passer , comprising: at least one lumen formed therein;', 'an eyelet configured to receive a suture;', 'a movable jaw formed on the distal end of the tubular member configured to move between an open position and a closed position,', 'wherein the movable jaw comprises a plurality of portions,', 'wherein the plurality of portions are biased to the closed position; and, 'a tubular member having a proximal end and a distal end and a central axis defined therethrough, wherein the tubular member comprisesan actuator configured to be received within the at least one lumen of the tubular member,wherein the actuator is configured to move along the central axis of the tubular member between a first position and a second position,wherein, in the first position, the movable jaw is in the closed position, andwherein, in the second position, the movable jaw is in the open position.2. The suture passer of claim 1 , wherein the plurality of portions comprise bifurcated portions.3. The suture passer of claim 2 , wherein the bifurcated portions form a conical shape when the movable jaw is in the closed position.4. The suture passer of claim 2 , wherein the bifurcated portions ...

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Номер записи: 22

03-01-2019 дата публикации

SUTURE PASSING INSTRUMENT WITH PUNCTURE SITE IDENTIFICATION FEATURE

Номер: US20190000444A1

Автор: Gettinger Rebecca J., Harris Jason L., IV Frederick E., Shelton

Принадлежит:

A surgical instrument and method for indicating a tissue penetration site includes an inner needle and a head. The inner needle has a driver configured to translate the inner needle form a first position to a second position. The head is securely attached to the inner needle at an end opposite the driver and is configured to expand from a contracted state to an expanded state and thereby indicate the tissue penetration site. 1. A surgical instrument comprising:(a) an outer sheath defining a lumen; and (i) a shaft,', '(ii) a driver configured to drive the shaft relative to the outer sheath from a first position to a second position,', '(iii) at least one suture capturing feature, wherein the at least one suture capturing feature is configured to cooperate with the outer sheath to thereby selectively capture and release a suture based on positioning of the shaft relative to the outer sheath, and', '(iv) a head secured to the shaft at an end opposite the driver, wherein the head is configured to transition between a contracted state and an expanded state., '(b) an inner needle slidably disposed in the outer sheath, wherein the inner needle comprises2. The surgical instrument of claim 1 , wherein the at least one suture capturing feature comprises at least one notch formed in the head.3. The surgical instrument of claim 1 , wherein the outer sheath comprises an outer needle having a distal tip.4. The surgical instrument of claim 3 , wherein the distal tip of the outer needle has a pointed end such that the distal tip is configured to penetrate tissue.5. The surgical instrument of claim 3 , wherein the distal tip of the outer needle has a sharpened edge such that the distal tip is configured to penetrate tissue.6. The surgical instrument of claim 3 , wherein the head is configured to be confined within the tip when the inner needle is in the first position claim 3 , wherein the head is configured to extend beyond the tip when the inner needle is translated to the second ...

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Номер записи: 23

14-01-2016 дата публикации

TUBE ASSEMBLY

Номер: US20160008119A1

Автор: Ariura Shigeki, KAWAURA Masakatsu, YOKOI Nao

Принадлежит: TERUMO KABUSHIKI KAISHA

A tube assembly is disclosed which includes an elongated medical tube and a medical elongated body insertable in the medical tube and higher than the medical tube in rigidity and which is used in an assembled state with the medical elongated body inserted in the medical tube to be assembled together. The tube assembly further includes a puncturing section adapted to puncture a living body; a dissecting section adapted to dissect the living body as the puncturing section punctures the living body; and a rotation restraining section adapted to restrain the medical tube from rotating about its axis in relation to the medical elongated body in the assembled state. 1. A tube assembly , which includes an elongated medical tube and a medical elongated body insertable in the medical tube and higher than the medical tube in rigidity and which is used in an assembled state with the medical elongated body inserted in the medical tube to be assembled together , comprising:a puncturing section adapted to puncture a living body;a dissecting section adapted to dissect the living body as the puncturing section punctures the living body; anda rotation restraining section adapted to restrain the medical tube from rotating about its axis in relation to the medical elongated body in the assembled state.2. The tube assembly according to claim 1 ,wherein the medical tube has a distal opening where a distal end of the medical tube opens; andthe medical elongated body has a sharp needle tip at a distal end of the medical elongated body, the needle tip protruding from the distal opening to function as the puncturing section.3. The tube assembly according to claim 2 ,wherein the medical elongated body has an elongated body side outside diameter gradually increasing section, wherein the outside diameter gradually increases along a proximal direction from the needle tip, and the elongated body side outside diameter gradually increasing section functions as the dissecting section.4. The tube ...

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Номер записи: 24

21-01-2016 дата публикации

PUNCTURE APPARATUS

Номер: US20160015385A1

Автор: KAWAURA Masakatsu, TAKAHASHI Yuusuke, YOKOI Nao

Принадлежит: TERUMO MEDICAL INNOVATIONS

A puncture assembly is disclosed, which includes a sheath and an insertion portion. The sheath includes a main body to guide a sling, and a puncture portion disposed at a distal end of the main body, the puncture portion including a position-control portion at the distal end of the main body and a dissecting portion, wherein the puncture portion is configured to rotate in an extended curved line of the main body together with the main body to create a through hole from an outside a living body through obturator foramens of the living body. The insertion portion is configured to be inserted into a hollow lumen of the sheath and has an arcuate shape corresponding to a shape of the sheath. 1. A puncture assembly comprising:a main body to guide a sling; anda puncture portion disposed at a distal end of the main body, the puncture portion including a position-control portion at the distal end of the main body and a dissecting portion.2. The puncture assembly of claim 1 , wherein the puncture portion is configured to rotate in an extended curved line of the main body together with the main body to create a through hole from an outside a living body through obturator foramens of the living body.3. The puncture assembly of claim 1 , wherein the main body is hollow and has a lumen; andthe sling is guided through the lumen to be delivered to a desired site.4. The puncture assembly of claim 1 , wherein a cross-section of the main body is a flattened circular shape having generally sharpened ends at both outer edges of the flattened circle claim 1 , and wherein the sharpened ends at the edges of the flattened circle continuously form longitudinal ridges along the longitudinal axis of the main body.5. The puncture assembly of claim 4 , wherein the longitudinal ridges comprise:a first inner ridge and a first outer ridge, wherein the first inner ridge is disposed at an inner circumference having a shorter length than the first outer ridge disposed at an outer circumference.6. The ...

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Номер записи: 25

21-01-2016 дата публикации

PUNCTURE NEEDLE ASSEMBLY

Номер: US20160015386A1

Автор: KAWAURA Masakatsu, YOKOI Nao

Принадлежит: TERUMO KABUSHIKI

A puncture needle assembly is disclosed, which includes a puncture needle adapted to puncture biological tissue; and a connector adapted to connect an elongated body insertable in a living body to a needle tip section of the puncture needle, the connector having a dissecting section adapted to dissect biological tissue by moving in a direction opposite to a direction in which the puncture needle punctures the biological tissue. The puncture needle assembly further includes a connection mechanism capable of connecting the puncture needle and the connector to each other; and a rotation restricting mechanism adapted to restrict rotation about an axis of the connector in relation to the puncture needle.

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Номер записи: 26

21-01-2016 дата публикации

INSERTION TOOL AND PUNCTURE APPARATUS

Номер: US20160015387A1

Автор: Ariura Shigeki, KAWAURA Masakatsu, YOKOI Nao

Принадлежит:

An insertion tool is disclosed, which includes an elongate vaginal insertion portion configured to be inserted into a vagina; an elongate urethral insertion portion configured to be inserted into a urethra; and a supporting portion configured to support the vaginal insertion portion and the urethral insertion portion thereon. In a mounted state of the insertion tool in which the vaginal insertion portion is inserted in the vagina and the urethral insertion portion is inserted in the urethra, a puncture needle can puncture a vaginal wall from an outside of a body through a space defined by the vaginal insertion portion, the urethral insertion portion and the supporting portion.

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Номер записи: 27

17-01-2019 дата публикации

IMPLANT ADAPTED TO TREAT URINARY INCONTINENCE

Номер: US20190015186A1

Автор: Deitch Sarah J., Gaynor Allen, Poucher Neal

Принадлежит:

An implant adapted to treat urinary incontinence includes a support material, a suture, and an anchor. The support material is provided to support the urethra when implanted in a patient. The suture is inserted through the support material and includes a first trailing end portion and a second trailing end portion. The anchor has a body, a fin extending from the body with an eyelet formed in the fin and the suture passed through the eyelet of the fin, and a gripping tab removably attached to the fin. The gripping tab is removable from the fin prior to insertion of the anchor into tissue. 1. An implant adapted to treat urinary incontinence , the implant comprising:a support material configured to support the urethra when implanted in a patient;a suture inserted through the support material and including a first trailing end portion and a second trailing end portion; andan anchor comprising a body, a fin extending from the body with an eyelet formed in the fin and the suture passed through the eyelet of the fin, and a gripping tab removably attached to the fin, where the gripping tab is adapted to be removed from the fin prior to insertion of the anchor into tissue.2. The implant of claim 1 , wherein the fin extends from the body of the anchor in a first direction claim 1 , and the anchor further comprises a pair of radial barrels extending from opposite sides of the body in a radial direction perpendicular to the first direction.3. The implant of claim 1 , wherein the support material has a base and arms extending from the base claim 1 , where the arms include a first arm separated from a second arm by a central portion of the support material.4. The implant of claim 1 , wherein the support material is a knitted mesh having open pores.5. The implant of claim 1 , wherein the support material is an autograft material.6. The implant of claim 1 , wherein the support material is an allograft material.7. The implant of claim 1 , wherein the support material is a xenograft ...

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Номер записи: 28

28-01-2016 дата публикации

Medical tube, medical tube assembly, and intrapelvic treatment kit

Номер: US20160022262A1

Автор: Masakatsu Kawaura, Nao Yokoi, Shigeki Ariura

Принадлежит: Terumo Corp

A medical tube is disclosed, which includes a tubular main body curved in a circular arc shape. The main body has a flat shape as a cross-sectional shape at a central portion in the longitudinal direction thereof. The main body has a flat shape including a minor axis and a major axis as a cross-sectional shape at the central portion in the longitudinal direction thereof. The angle formed between the minor axis and a plane containing both a center point of the circular arc in the central portion and a center point of the cross-sectional shape with respect to the longitudinal direction of the main body is an acute angle. The angle is preferably 20° to 60°. The medical tube thus configured is for use in treatment of a disorder in a pelvic organ, by indwelling an implant between a urethral lumen and a vaginal cavity.

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Номер записи: 29

28-01-2016 дата публикации

MEDICAL TUBE AND MEDICAL TUBE ASSEMBLY

Номер: US20160022265A1

Автор: Ariura Shigeki, KAWAURA Masakatsu, YOKOI Nao

Принадлежит: TERUMO KABUSHIKI KAISHA

A medical tube is disclosed, which can include a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; and a state maintaining mechanism for maintaining a connected state of the distal separable piece and the proximal separable piece. In addition, the main body is inserted into a body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end thereof are exposed outside of the body. In addition, the state maintaining mechanism can include a string which is disposed inside the main body and interlocks the distal separable piece and the proximal separable piece, and the connected state can be released by cutting the string. 1. A medical tube to be used in introducing into a living body a belt-shaped elongated article for treatment of a pelvic organ , the medical tube comprising:a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; anda state maintaining mechanism maintaining a connected state of the distal separable piece and the proximal separable piece,wherein the main body is inserted into the body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end of the main body are exposed outside of the body.2. The medical tube according to claim 1 , wherein the state maintaining mechanism has an interlock member claim 1 , which is disposed in the main body and interlocks the distal separable piece and the proximal separable piece.3. The medical tube according to claim 1 , wherein the main body has a section curved in a circular arc shape.4. The medical tube according to claim 1 , wherein the main body which is tubular in shape has an internal space so configured that the belt-shaped elongated article can be inserted ...

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Номер записи: 30

25-01-2018 дата публикации

Articulating needle

Номер: US20180021035A1

Автор: Bernard J. Bourque, David J. Callaghan

Принадлежит: Smith and Nephew Inc

An arthroscopic needle having partial cuts or serrations along one side of a circular, hollow needle shaft allows the needle to bend, or articulate, by drawing a pull strip bar, defined by a thin strip along the interior side closet to the serrations in the hollow shaft, for compressing along the cuts to draw uncut segments into closer arrangement for curving the needle in the direction of the compressed side. The selectively articulating, or “bendable” needle that curves in response to a rotating knob provides for insertion of surgical attachment anchors in difficult-to-reach areas of meniscal tissue. The disclosed articulating needle has the ability to bend and access more anterior and posterior zones of meniscal repairs than conventional rigid needle approaches.

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Номер записи: 31

24-01-2019 дата публикации

DEVICES AND METHODS FOR SUTURE PLACEMENT

Номер: US20190021726A1

Автор: Anderson David Greg, Buehlmann Eric, Johnson Jens, Kurd Mark F., Lee Ann R., Sarabia Jaime F., Tapper Jay P., Unruh Catherine Margaret

Принадлежит: Dura Tap LLC

A suturing device includes a needle, a suture, an elongate body, an actuator and a needle holder. The suture connects with the needle. The needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The needle holder includes a distal end section having a distal-most tip, and defines a needle passage for holding the needle and a distal opening. At least a portion of the suture extends through the distal opening when the needle is received in the needle passage and the actuator is in a first operating position. At least a portion of the suture extends along the needle passage toward the distal opening between the needle and an inner surface of the needle holder when the needle is received in the needle passage and the actuator is in the first operating position. 1. A suturing device comprising:a needle having first end, which is pointed, and a second end;a suture connected with the needle;an elongate body including a proximal end portion and a distal end portion;an actuator interacting with the elongate body and operable between a first operating position and a second operating position; anda needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the needle holder including a distal end section having a distal-most tip, the needle holder defining a needle passage for holding the needle and a distal opening,wherein movement of the actuator from the first operating position toward the second operating position moves the needle in an advance direction with respect to the needle holder toward a released condition in which the needle is released from the elongate body,wherein at least a portion of the suture extends through the distal opening when the needle is received in the needle passage and the actuator is in the first operating position, andwherein at least a portion of the suture extends along the needle passage toward the distal ...

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Номер записи: 32

17-04-2014 дата публикации

Access and tissue modification systems and methods

Номер: US20140107709A1

Автор: Amie R. Borgstrom, Gregory B. Arcenio, Gregory P. Schmitz, Jefferey Bleam, Jeffery L. Bleich, Michael P. Wallace, Ronald Leguidleguid, Roy Leguidleguid, Winnie Chung

Принадлежит: Individual

Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.

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Номер записи: 33

22-01-2015 дата публикации

Transperitoneal prolapse repair system and method

Номер: US20150025309A1

Автор: Mickey Karram

Принадлежит: AMS Research LLC

A prolapse repair system and procedure are provided. The system can include one or more anchor devices and one or more extending members, such as a suture. The system can further include a mesh or like support or suspension structure provided intermediate the one or more anchor devices and the one or more extending members. The anchors can be directed to the coccygeous sacrospinous ligament or complex via a transperitoneal approach, wherein the one or more anchor devices are engaged directly into the target ligament or tissue complex and the one or more sutures extend back through the thickness of the vaginal wall to provide vaginal wall support.

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Номер записи: 34

01-02-2018 дата публикации

APPARATUS AND METHODS FOR TISSUE CLOSURE

Номер: US20180028179A1

Автор: Bagaoisan Celso, Dreher James, PAI Suresh

Принадлежит:

Apparatus and methods are provided for treating a tissue opening, for example a trocar opening used in a minimally invasive surgical procedure. In a tissue closure device, a finger guard or shield can be used, handle or holding area or areas can be used, and positioning indicators can be used. A resiliently flexible target material can also be used for reliably holding a suture during the procedure. The resiliently flexible target material may be included as part of a removable mating component for use with a movable wing. Introducers can be used having a suture holder, an alignment indicator and insertion limits. 1. A device for use in suturing tissue , the device comprising:a proximal portion for being positioned on a first side of tissue and a distal portion for being positioned on a second side of tissue,wherein at least one of the proximal and distal portions of the device includes a first structure defining a first mating component, and a second mating component for the first mating component,wherein the second mating component includes first and second elements where the first and second elements have different characteristics, andwherein at least one of the first and second elements is configured to receive a suture.2. The device of claim 1 , wherein the first and second elements are different materials.3. The device of claim 1 , wherein the first and second elements have different hardnesses.4. The device of claim 1 , wherein the first element is a carrier and the second element is a suture receiving portion supported by the carrier.5. The device of claim 4 , wherein the suture receiving portion includes a receptacle configuration and the carrier has a configuration complementary to the receptacle configuration.6. The device of claim 5 , wherein the receptacle includes a cavity having an opening configuration complementary to a configuration of the carrier.7. The device of claim 5 , wherein the receptacle and the mating component have complementary keying ...

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Номер записи: 35

31-01-2019 дата публикации

DEVICES AND METHODS FOR SUTURE PLACEMENT

Номер: US20190029673A1

Автор: Anderson David Greg, Buehlmann Eric, Johnson Jens, Kurd Mark F., Lee Ann R., Sarabia Jaime F., Tapper Jay P., Unruh Catherine Margaret

Принадлежит:

A suturing device includes a curved needle, a suture, an elongate body, an actuator and a curved needle holder. The suture connects with the curved needle. The actuator interacts with the elongate body and is operable between a first operating position and a second operating position. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes a distal end section having a distal-most tip. The curved needle holder includes an inner surface defining a needle passage for holding the needle and a distal opening. The curved needle has a curved needle radius and the curved needle passage has a curved needle passage radius that is different than the curved needle radius and the curved needle frictionally engages the inner surface when the needle is in a retracted position. 1. A suturing device comprising:a curved needle having first end, which is pointed, and a second end;a suture connected with the curved needle;an elongate body including a proximal end portion and a distal end portion;an actuator interacting with the elongate body and operable between a first operating position and a second operating position; anda curved needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the curved needle holder including a distal end section having a distal-most tip, the curved needle holder including an inner surface defining a curved needle passage for holding the needle and a distal opening,wherein the curved needle has a curved needle radius and the curved needle passage has a curved needle passage radius that is different than the curved needle radius and the curved needle frictionally engages the inner surface when the needle is in a retracted position.2. The suturing device of claim 1 , wherein at least a portion of the suture extends through the distal opening when the curved needle is received in ...

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Номер записи: 36

11-02-2016 дата публикации

Reusable delivery devices

Номер: US20160038179A1

Автор: Doreen S. Rao, Gururaju Chikkaraju, James M. Goddard, Joshin Sahadevan, Kenneth W. Adams, Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

According to an aspect, a medical device may include a needle member, and a handle coupled to the needle member. The handle may define a track portion. The medical device may also include a pusher member having a sheath disposed around a portion of the needle member, and an extension member being movably coupled to the track portion of the handle such that the pusher member is configured to move from a first position to a second position during a surgical procedure. The pusher member may be removable from the handle. The sheath may define a slot, and the pusher member may be removable from the needle member through the slot.

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Номер записи: 37

07-02-2019 дата публикации

DEVICES AND METHODS FOR SUTURE PLACEMENT

Номер: US20190038278A1

Автор: Anderson David Greg, Buehlmann Eric, Johnson Jens, Kurd Mark F., Lee Ann R., Sarabia Jaime F., Tapper Jay P., Unruh Catherine Margaret

Принадлежит:

A suturing kit includes a double-armed suture, at least one suturing device and a suture holding structure. The double-armed suture has a first needle at a first end and a second needle at a second, opposite, end. The at least one suturing device includes a first needle holder configured to receive the first needle in a retracted position, a second needle holder configured to receive the second needle in a retracted position and at least one actuator configured to drive the first needle or the second needle in an advance direction toward a released condition. The suture holding structure holds at least a portion of the suture between the first end and the second end, and the suture holding structure is separate from the at least one suturing device so as not to be inserted into the patient during the surgical procedure. 1. A suturing kit comprising:a double-armed suture having a first needle at a first end and a second needle at a second, opposite, end;at least one suturing device having a portion configured to be inserted into a patient during a surgical procedure, the at least one suturing device including a first needle holder configured to receive the first needle in a retracted position, a second needle holder configured to receive the second needle in a retracted position and at least one actuator configured to drive the first needle or the second needle in an advance direction toward a released condition; anda suture holding structure holding at least a portion of the suture between the first end and the second end, wherein the suture holding structure is separate from the at least one suturing device so as not to be inserted into the patient during the surgical procedure.2. The suturing kit of claim 1 , wherein the at least one suturing device includes a first suturing device including the first needle holder and a second suturing device claim 1 , which is a separate instrument from the first suturing device claim 1 , including the second needle holder.3. ...

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Номер записи: 38

18-02-2021 дата публикации

THREAD INSERTION DEVICES

Номер: US20210045736A1

Автор: DUC Antoine, MANDAROUX Bastien

Принадлежит:

Devices and methods for inserting an implant into skin or other tissue of a patient can include a hyaluronic thread that is coupled at a distal portion with an insertion device. The insertion device can include a cover member and a piston that can collectively facilitate engagement with or disengagement of the distal portion of the thread with the device. For example, the piston can be positioned within an inner cavity of the cover member, and the distal portion of the thread can be engaged by and/or between the piston and the cover member. The thread can be released by movement of the piston relative to the cover member. Thus, some insertion devices can grasp or engage the distal portion of the thread and “push” the distal portion of the thread into and through into skin or other tissue of a patient. 1. A thread insertion assembly comprising:a first base and a second base, the second base comprising an inner cavity into which the first base can be positioned;a cover member comprising a proximal portion, a distal portion, an inner cavity extending from the proximal portion toward the distal portion of the cover member, and an aperture through the distal portion of the cover member, wherein the proximal portion of the cover member is coupled to the second base;a thread comprising a proximal portion and a distal portion, the distal portion of the thread positioned through the aperture; anda piston comprising a proximal portion and a distal portion, the proximal portion of the piston coupled to the first base, and the distal portion of the piston is positioned within the inner cavity, the distal portion of the thread engaged between the piston and the cover member, wherein the thread is released by movement of the first base relative to the second base such that the distal portion of the piston and the distal portion of the cover member are moved toward each other.2. The thread insertion assembly of claim 1 , wherein the thread is released by movement of the first base ...

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Номер записи: 39

18-02-2021 дата публикации

INSERTION DEVICE FOR DELIVERY OF A MESH CARRIER

Номер: US20210045861A1

Автор: Chu Michael S.H., Lavakumar Karthik, Olivieri Steven A.

Принадлежит:

An insertion device includes an elongate member and a stylet. The elongate member has a proximal end portion, a distal end portion, and defines a lumen therethrough. The stylet has a distal end portion, a proximal end portion, and is slidably coupled to the elongate member. The stylet is configured to move from a first position to a second position with respect to the elongate member. The distal end portion of the stylet is configured to removably couple a mesh carrier thereto. A portion of the distal end portion of the stylet is disposed outside of the lumen of the elongate member when the stylet is in its first position and is disposed within the lumen when the stylet is in its second position. 1. An insertion device , comprising:an elongate member having a proximal end portion, a distal end portion, and defining a lumen therethrough; anda stylet having a distal end portion, a proximal end portion, and being slidably coupled to the elongate member, the stylet being configured to move from a first position to a second position with respect to the elongate member, the distal end portion of the stylet being configured to removably couple a tissue anchor thereto, a portion of the distal end portion of the stylet being disposed outside of the lumen of the elongate member when the stylet is in its first position, the portion of the stylet being disposed within the lumen when the stylet is in its second position.2. The insertion device of claim 1 , wherein the stylet includes a curved portion.3. The insertion device of claim 1 , wherein the distal end portion of the stylet has a first diameter and the proximal end portion of the stylet has a second diameter claim 1 , wherein the second diameter is greater than the first diameter.4. The insertion device of claim 1 , wherein the distal end portion of the stylet defines a ridge claim 1 , a tip claim 1 , and a tapered portion extending between the ridge and the tip claim 1 , the ridge being configured to interact with the ...

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Номер записи: 40

16-02-2017 дата публикации

METHOD OF TREATING URINARY INCONTINENCE

Номер: US20170042650A1

Автор: Browning James

Принадлежит:

A method of treating urinary incontinence is disclosed. The method includes guiding a tip of an introducer tool through a length of a soft tissue anchor and out of an end of the soft tissue anchor. The method includes pushing the tip of the introducer tool and the soft tissue anchor into tissue on a side of a urethra, penetrating the tissue with the tip of the introducer tool, and delivering the soft tissue anchor into the tissue. The method includes removing the tip of the introducer tool from the soft tissue anchor and allowing a plurality of projections connected to the soft tissue anchor to expand thus anchoring the soft tissue anchor in the tissue. 1. A method of treating urinary incontinence , the method comprising:guiding a tip of an introducer tool through a length of a first soft tissue anchor and out of an end of the first soft tissue anchor;pushing the tip of the introducer tool and the first soft tissue anchor into first tissue on a first side of a urethra, penetrating the first tissue with the tip of the introducer tool, and delivering the first soft tissue anchor into the first tissue;removing the tip of the introducer tool from the first soft tissue anchor and allowing a first plurality of projections connected to the first soft tissue anchor to expand thus anchoring the first soft tissue anchor in the first tissue;guiding the tip of the introducer tool through a length of a second soft tissue anchor and out of an end of the second soft tissue anchor;pushing the tip of the introducer tool and the second soft tissue anchor into second tissue on a second side of a urethra, penetrating the second tissue with the tip of the introducer tool, and delivering the second soft tissue anchor into the second tissue;removing the tip of the introducer tool from the second soft tissue anchor and allowing a second plurality of projections connected to the second soft tissue anchor to expand thus anchoring the second soft tissue anchor in the second tissue; ...

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Номер записи: 41

13-02-2020 дата публикации

SURGICAL FIXATION SYSTEMS AND METHODS

Номер: US20200046338A1

Автор: Bachmaier Samuel, Jolly Jacob, Krupp Stefan, Smith Patrick, Wijdicks Coen, Wilson Adrian

Принадлежит:

This disclosure relates to surgical fixation systems and methods. A surgical fixation system can include a fixation device, a loop connected to the fixation device, a graft carried by the loop, and a reinforcement material. Surgical fixation systems can be used in various tissue reconstruction procedures, including but not limited to, ACL and PCL reconstructions. The graft and the reinforcement material may be tensioned independently of one another to avoid stress shielding the graft. 1. A surgical fixation system , comprising:a button;a loop passed through a first aperture and a second aperture of the button; anda reinforcement material passed through the first and second apertures of the button,wherein the reinforcement material is unattached to the loop and is tensionable separately from the loop.2. The system as recited in claim 1 , comprising a graft received over a portion of the loop.3. The system as recited in claim 2 , wherein the reinforcement material is unattached to the graft and is tensionable separately from the graft.4. The system as recited in claim 2 , wherein the graft is looped over a cradle of the loop.5. The system as recited in claim 1 , wherein the loop is an adjustable loop that includes at least one adjustable eyesplice.6. The system as recited in claim 5 , wherein the adjustable loop includes a first adjustable eyesplice and a second adjustable eyesplice interconnected with the first adjustable eyesplice.7. The system as recited in claim 1 , wherein the reinforcement material includes a suture tape claim 1 , a biological construct claim 1 , or a superelastic material.8. The system as recited in claim 1 , wherein the loop includes a free braid strand that is configured to reduce a size of the loop.9. The system as recited in claim 8 , wherein the free braid strand extends through at least one of the first aperture and the second aperture.10. The system as recited in claim 1 , comprising a second button and a second loop passed through a ...

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Номер записи: 42

13-02-2020 дата публикации

SURGICAL ARTICLES AND METHODS

Номер: US20200046481A1

Автор: Lieser Randall C., VanDeWeghe Andrew P., Wirbisky Alan G.

Принадлежит:

Described are devices, implants, kits, and related methods for treating pelvic conditions such as urinary in incontinence, in a male or a female patient. The invention includes, in one embodiment, a multi-piece implant, including a tissue support piece, extension portion, and one or more self-fixating tips. The device may be employed through a medial incision in the pelvic region of the patient. 1the support portion piece comprises a tissue support portion sized and shaped for placement to support a urethra, andthe extension portion piece comprises a proximal end, a distal end, and a tissue fastener, and is adjustably connected to the support portion piece at an adjusting engagement, and a surface capable of engaging the support portion piece, and', 'a moveable holder capable of holding the proximal end of the extension portion piece and moving the proximal end relative to the adjusting engagement., 'the adjusting tool comprises'}. A system for treating urinary incontinence, the system comprising a multi-piece implant comprising a support portion piece and an extension portion piece, and an adjusting tool, wherein This application is a continuation of, and claims priority to, U.S. patent application Ser. No. 15/200,236, filed on Jul. 1, 2016, entitled “SURGICAL ARTICLES AND METHODS”, which claims priority to U.S. patent application Ser. No. 13/579,811, filed on Aug. 17, 2012, entitled “SURGICAL ARTICLES AND METHODS”, now U.S. Pat. No. 9,381,076, which claims the benefit from International Patent Application No. PCT/US2011/025917, filed on Feb. 23, 2011, entitled “SURGICAL ARTICLES AND METHODS”, which claims priority under 35 USC § 119(e) from U.S. Provisional Patent Application No. 61/307,264, filed on Feb. 23, 2010, entitled “SINGLE INCISION SLING AND METHOD THEREFOR”, the disclosures of which are incorporated herein by reference in their entirety.The invention relates to apparatus and methods for treating urinary incontinence by use of an implant to support ...

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Номер записи: 43

08-05-2014 дата публикации

Suture snare with retractable sleeve

Номер: US20140128889A1

Автор: Amr W. ElMaraghy, Benjamin Wai-Man Chan, Derek C. Sullivan

Принадлежит: Arthrex Inc

A delivery device (suture passer or suture snare) that may be used in both open and endoscopic surgical procedures. The delivery device is designed with an internal member terminating in a snare and a retractable outer sheath (sleeve). The device is passed through tissue, and the outer sheath is retracted (moved back), allowing the snare to open. The suture is captured by the snare, and the outer sheath is then released so that it returns to its distal position, closing the snare and securing the captured suture. Since the snare is exposed by retracting the outer sheath (sleeve), rather than advancing the snare, the space requirement for the device is reduced, as is the possibility that the snare will undesirably contact sensitive tissue.

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Номер записи: 44

08-05-2014 дата публикации

Surgical system including an anchor insertable into a cannula of an introducer

Номер: US20140128913A1

Автор: Michael M. Witzmann, Sarah J. Deitch

Принадлежит: Coloplast AS

A surgical system includes an anchor and an introducer provided to deliver the anchor into tissue. The anchor includes a body having a pointed leading end that is configured to pierce the tissue, a spine projecting radially away from the body and having a width and a height configured to allow the spine to engage with the tissue, an eyelet attached to a trailing end of the body, and a length of suture attached to the eyelet. The introducer includes a cannula with a pointed distal end, an opening formed in the cannula that is sized to receive the body of the anchor, and a slot formed in a wall of the cannula at a distal end portion of the cannula and sized to receive the width of the spine.

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Номер записи: 45

01-03-2018 дата публикации

SURGICAL FIXATION SYSTEMS AND METHODS

Номер: US20180055507A1

Автор: Bachmaier Samuel, Jolly Jacob, Krupp Stefan, Smith Patrick, Wijdicks Coen, Wilson Adrian

Принадлежит:

This disclosure relates to surgical fixation systems and methods. A surgical fixation system can include a fixation device, a loop connected to the fixation device, a graft carried by the loop, and a reinforcement material. Surgical fixation systems can be used in various tissue reconstruction procedures, including but not limited to, ACL and PCL reconstructions. The graft and the reinforcement material may be tensioned independently of one another to avoid stress shielding the graft. 1. A surgical method , comprising:fixating a graft within a bone tunnel with a surgical fixation system; andindependently tensioning the graft and a reinforcement material of the surgical fixation system separately from one another.2. The method as recited in claim 1 , wherein the surgical fixation system includes a button claim 1 , a fixed or adjustable loop connected to the button claim 1 , and the reinforcement material connected to the button but unattached to the graft.3. The method as recited in claim 2 , wherein the fixed or adjustable loop is an adjustable loop including a first adjustable eyesplice and a second adjustable eyesplice interconnected with the first adjustable eyesplice.4. The method as recited in claim 2 , wherein the graft is connected to the fixed or adjustable loop.5. The method as recited in claim 2 , wherein the graft is looped over the fixed or adjustable loop and the reinforcement material is passed through apertures of the button.6. The method as recited in claim 1 , wherein the tensioning occurs after the fixating.7. The method as recited in claim 1 , comprising:reacting joint strain loads up to a predefined strain threshold with the graft; andreacting joint strain loads that exceed the predefined strain threshold with the reinforcement material.8. The method as recited in claim 1 , comprising:leaving a different amount of slack in the reinforcement material compared to the graft.9. The method as recited in claim 8 , wherein a greater amount of the slack ...

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Номер записи: 46

01-03-2018 дата публикации

TISSUE ANCHOR

Номер: US20180055508A1

Автор: Deitch Sarah J., Gaynor Allen, Poucher Neal

Принадлежит:

A tissue anchor has a body and an eyelet adapted to receive a length of suture, where the eyelet is formed through the tissue anchor off of a longitudinal axis and off of a vertical axis of the body. 1. A tissue anchor comprising:a body having a leading tip, a leading end portion extending from the leading tip, a trailing end portion connected to the leading end portion, with the trailing end portion terminating in a trailing tip that is located opposite of the leading tip;a longitudinal axis oriented from the leading tip to the trailing tip with a longitudinal mid-point of the body located equidistantly between the leading tip and the trailing tip, and a vertical axis perpendicular to the longitudinal axis and bisecting a length of the tissue anchor through the longitudinal mid-point of the body; andan eyelet adapted to receive a length of suture, where the eyelet is formed through the tissue anchor off of the longitudinal axis and off of the vertical axis.2. The tissue anchor of claim 1 , further comprising:a tissue engagement fin connected to the body, where an entirety of the tissue engagement fin is located on one side of the longitudinal axis.3. The tissue anchor of claim 2 , wherein the tissue engagement fin is located along the leading end portion vertically above the longitudinal mid-point of the body.4. The tissue anchor of claim 2 , wherein the eyelet is formed through the tissue engagement fin.5. The tissue anchor of claim 1 , further comprising:a barrel formed on the leading end portion of the body to provide the tissue anchor with an asymmetric mass distribution relative to the midpoint M.6. The tissue anchor of claim 1 , further comprising:a tissue engagement fin formed on the body between the leading tip and the longitudinal mid-point and vertically above the longitudinal mid-point; anda barrel formed on the body between the leading tip and the longitudinal mid-point and vertically below the longitudinal mid-point.7. The tissue anchor of claim 6 , ...

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Номер записи: 47

21-02-2019 дата публикации

DEVICES AND METHODS FOR SUTURE PLACEMENT

Номер: US20190053798A1

Автор: Anderson David Greg, Buehlmann Eric, Johnson Jens, Kurd Mark F., Lee Ann R., Sarabia Jaime F., Tapper Jay P., Unruh Catherine Margaret

Принадлежит:

A suturing device includes a curved needle, a suture, an elongate body, an actuator and a curved needle holder. The suture connects with the curved needle. The actuator is operable between a first operating position and a second operating position. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes a distal end section having a distal-most tip. The curved needle holder defines a curved needle passage and a distal opening. Movement of the actuator from the first operating position toward the second operating position moves the curved needle with respect to the curved needle holder toward a released condition. The distal end section is configured to allow the curved needle to release from the curved needle holder at a location offset from the distal-most tip. 1. A suturing device comprising:a curved needle having first end, which is pointed, and a second end;a suture connected with the curved needle;an elongate body including a proximal end portion and a distal end portion;an actuator interacting with the elongate body and operable between a first operating position and a second operating position; anda curved needle holder extending away from the distal end portion or provided as part of the distal end portion of the elongate body, the curved needle holder including a distal end section having a distal-most tip, the curved needle holder defining a curved needle passage, which receives at least a portion of the curved needle when the actuator is in the first operating position, and a distal opening,wherein movement of the actuator from the first operating position toward the second operating position moves the curved needle in an advance direction with respect to the curved needle holder toward a released condition in which the curved needle is released from the needle holder, andwherein the distal end section is configured to allow the second end of ...

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Номер записи: 48

10-03-2016 дата публикации

INSERTION TOOL AND PUNCTURE APPARATUS

Номер: US20160066952A1

Автор: Ariura Shigeki, KAWAURA Masakatsu, YOKOI Nao

Принадлежит: TERUMO KABUSHIKI KAISHA

An insertion tool is disclosed, which includes a urethral insertion portion of a longitudinal shape configured to be inserted into a urethra, and a vaginal insertion portion of a longitudinal shape configured to be inserted into a vagina. A distal end portion of the vaginal insertion portion is inclined with respect to the urethral insertion portion in a direction in which the distal end portion of the vaginal insertion portion is spaced away from the urethral insertion portion. 1. An insertion tool , comprising:a urethral insertion portion of a longitudinal shape configured to be inserted into a urethra; anda vaginal insertion portion of a longitudinal shape configured to be inserted into a vagina,wherein a distal end portion of the vaginal insertion portion is inclined with respect to the urethral insertion portion in a direction in which the distal end portion of the vaginal insertion portion is spaced away from the urethral insertion portion.2. The insertion tool according to claim 1 , wherein an extension line of the distal end portion of the vaginal insertion portion and the urethra insertion portion cross with each other.3. The insertion tool according to claim 1 , wherein an extension line of the distal end portion of the vaginal insertion portion and the urethral insertion portion do not cross with each other.4. The insertion tool according to claim 1 , wherein the distal end portion of the vaginal insertion portion is inclined by 10 to 45 degrees with respect to the urethral insertion portion.5. The insertion tool according to claim 1 , wherein the distal end portion of the vaginal insertion portion is spaced away from the urethral insertion portion in an opposite direction in a direction perpendicular to a long axis of the urethral insertion portion.6. The insertion tool according to claim 1 , wherein the distal end portion of the vaginal insertion portion has a flattened shape crushed in an array direction of the urethral insertion portion and the ...

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Номер записи: 49

27-02-2020 дата публикации

LENGTH OF SELF-RETAINING SUTURE AND METHOD AND DEVICE FOR USING THE SAME

Номер: US20200060675A1

Автор: Megaro Anthony R., Megaro Matthew A.

Принадлежит:

A method and device for anchoring a length of self-retaining suture. The method of anchoring includes providing for an assembly having a length of self-retaining suture and a suture insertion device. The length of suture includes at least a portion of the length having a plurality of retainers thereon extending in a first direction. The insertion device has a length and a recess to receive a portion of the suture length. The method further includes placing a portion of the suture length in the recess and inserting the device into the body of a mammal until the recess reaches a predetermined location thereby forming an insertion pathway. The method further includes retrieving the insertion device from the body by moving the insertion device in a direction substantially opposed to the insertion pathway. 1164-. (canceled)165. A self-retaining suture comprising: (i) a first portion that includes a first plurality of retainers projecting peripherally from the first portion along at least a portion thereof in a first direction,', '(ii) a second portion that includes a second plurality of retainers projecting peripherally from the second portion along at least a portion thereof in a second direction opposite to the first direction, and', '(iii) a first intermediate portion disposed between the first and second portions, where the first and second pluralities of retainers face the first intermediate portion; and, '(a) a first body section comprising (i) a third portion that includes a third plurality of retainers projecting peripherally from the third portion along at least a portion thereof in the second direction,', '(ii) a fourth portion that includes a fourth plurality of retainers projecting peripherally from the fourth portion along at least a portion thereof in the first direction, and', '(iii) a second intermediate portion disposed between the third and fourth portions, wherein the third and fourth pluralities of retainers face the second intermediate portion., '(b) ...

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Номер записи: 50

08-03-2018 дата публикации

Patterned Sling Implant and Method

Номер: US20180064520A1

Автор: Grant Robert C., Jagger Karl A., Mujwid James R., Roll Jessica L.

Принадлежит:

Embodiments of elongate pelvic implants and methods for treating pelvic conditions, such as incontinence, are provided. The implants can include a tissue support portion, one or more extension portions and one or more anchors. The implant is constructed as a unitary sling implant. The implant can be constructed or formed in a generally elongate shape to provide a lattice support structure of repeated cells. 1. A unitary patterned implant for treating incontinence in a patient , comprising: a support portion including a plurality of strut members;', 'first and second extension portions;', 'at least one tissue anchor provided at a distal portion of one of the first and second extension portions and adapted for fixation to soft tissue of the patient; and', 'a transition strength zone including a plurality of members integrally formed with the at least one tissue anchor and extending from one of the first and second extension portions, to facilitate stress or tension distribution between the at least one tissue anchor and one of the first and second extension portions., 'a non-woven unitary elongate sling having2. The implant of claim 1 , wherein the at least one tissue anchor extends out generally transverse from the support portion.3. The implant of claim 1 , wherein the at least one anchor extends out generally in plane with the support portion.4. The implant of claim 1 , wherein the at least one anchor is substantially equal in thickness to at least one of the first and second extension portions.5. The implant of claim 1 , wherein the at least one anchor includes two opposing end anchors.6. The implant of claim 1 , wherein the at least one anchor includes one or more extending tines.7. The implant of claim 1 , wherein the plurality of strut members are sinusoidal shaped to define a plurality of pinwheel cell configurations.8. The implant of claim 1 , wherein the at least one anchor includes a body lumen adapted to receive the distal end of a needle tool.9. The ...

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Номер записи: 51

24-03-2022 дата публикации

Method of treating urinary incontinence in a patient by placing a sling in a single vaginal incision

Номер: US20220087807A1

Автор: Mark A. Moschel, Michael M. Witzmann, Randy Lee Morningstar

Принадлежит: Coloplast AS

A method of treating urinary incontinence in a patient includes providing a sling assembly comprising: a sling, an adjustable anchor, and a fixed anchor; making a vaginal incision in the patient; placing the fixed anchor and the adjustable anchor into obturator tissue of the patient; and adjusting the sling relative to a position under a urethra of the patient by sliding a first interconnecting member through the adjustable anchor.

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Номер записи: 52

05-03-2020 дата публикации

Suturing device and methods of use thereof

Номер: US20200069306A1

Автор: Dmitriy NIKOLAVSKY, Gennady Bratslavsky

Принадлежит: Research Foundation of State University of New York

A suturing device includes a hollow needle. The hollow needle has a length extending between a proximal end and a distal end and defining a lumen having an inner diameter. The suturing device further includes a length of surgical suture having a leading end and a trailing end and an outer diameter smaller than the inner diameter of the lumen. At least a portion of the surgical suture is located within the lumen of the hollow needle. A surgical kit including the suturing device and methods of using the suturing device of the present invention are also disclosed.

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Номер записи: 53

05-06-2014 дата публикации

Atraumatic medical device anchoring and delivery system with enhanced anchoring

Номер: US20140155687A1

Автор: Craig Ovans, Ian L. Goldman, Yani Deros

Принадлежит: Individual

Systems are delineated for treating urinary incontinence (UI). More generally, systems are delineated for providing medical treatment, wherein such systems include means for attaching a structure to a patient and removing the structure without damage to the structure or the patient. An exemplary system for providing medical treatment comprises a structure for attachment to a patient utilizing at least one retractable barb.

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Номер записи: 54

14-03-2019 дата публикации

Devices, Kits, and Methods for the Treatment of Obstructive Sleep Apnea

Номер: US20190076291A1

Автор: Dalenberg Dan, Melder Patrick, Mohan Arun, Nelson Christopher, Schaeffer Darin

Принадлежит:

Devices, kits, and methods useful in the treatment of Obstructive Sleep Apnea (OSA) are described. Example devices include a jig, a first needle, a second needle, and a third needle. An example jig comprises a drill guide and a tongue depressor. A first needle comprises an elongate shaft that defines a bend and a curve. A second needle comprises an elongate shaft that defines a curve. A third needle comprises an elongate shaft that defines a curve. 1. A jig for use on the mandible of a patient , the jig comprising:a drill guide having a proximal end, a distal end, and a body defining a first passageway, a second passageway, a third passageway, a fourth passageway, and a protuberance, the protuberance extending outward and away from the distal end of the drill guide; anda tongue depressor releasably attached to the drill guide, the tongue depressor having a proximal end, a distal end, and a body that defines a track and an elongate member, the track extending from the proximal end toward the distal end and having a first shaft and a second shaft, the first shaft adapted to be received by the first passageway of the drill guide, the second shaft adapted to be received by the second passageway of the drill guide, the elongate member extending from the track to the distal end of the tongue depressor and having a proximal end and a distal end, the body of the tongue depressor defining a curve between the proximal end and the distal end of the elongate member.2. The jig of claim 1 , wherein the first passageway defined by the drill guide has a first length;wherein the first shaft of the track has a second length; andwherein the first length is less than the second length.3. The jig of claim 1 , wherein the second passageway defined by the drill guide has a first length;wherein the second shaft of the track has a second length; andwherein the first length is less than the second length.4. The jig of claim 1 , wherein the first passageway defined by the drill guide has a ...

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Номер записи: 55

24-03-2016 дата публикации

SUTURE PASSING K-WIRE

Номер: US20160081689A1

Автор: Denove Peter A., DiNucci Kris A., Gallen Karen L.

Принадлежит:

A method for bunion repair using a suture passing K-wire configured to easily pass through bone tunnels with suture trailing. The suture passing K-wire includes a tapered guide pin with a multi-diameter shaft (i.e., comprising at least two regions or sections that have different diameters) and a loop which is securely attached to an end of the guide pin (i.e., to the smaller diameter section of the guide pin). The reconstruction system may be formed of a pair of buttons connected by a flexible strand. The procedure offers indirect placement of buttons and a minimally invasive approach. 1. A method of bone repair of a small joint , comprising:providing a suture passing K-wire in the vicinity of a first bone and of a second bone of a small joint, the suture passing K-wire comprising a tapered guide pin having a first region with a first diameter and terminating in a sharp tip, and a second region with a second diameter and terminating in an eyelet, the second diameter being smaller than the first diameter;passing a flexible strand through the eyelet of the K-wire;inserting the K-wire into the first bone and advancing the K-wire from the first bone to the second bone; andpassing the flexible strand through the first and second bones.2. The method of claim 1 , wherein the step of advancing the K-wire into the first and second bones is conducted simultaneously with the step of passing the flexible strand through the first and second bones.3. A method of bone repair claim 1 , comprising:inserting a suture passing K-wire from a second bone of a small joint to a first bone of the small joint, the suture passing K-wire comprising a tapered guide pin having a first region with a first diameter and terminating in a sharp tip, and a second region with a second diameter and terminating in an eyelet, the second diameter being smaller than the first diameter, the K-wire being inserted so that the distal end of the second region is adjacent a cortex of the first bone and the eyelet ...

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Номер записи: 56

12-03-2020 дата публикации

STERNAL CLOSURE METHOD AND SYSTEM

Номер: US20200078063A1

Автор: Garcia Saddy, Wilcox Bryan, Witten Benjamin

Принадлежит:

A system including a bone punch tool and a needle guide. The bone punch tool can include a support arm having a support arm proximal portion and a support arm distal portion, a pivot arm having a pivot arm proximal portion and a pivot arm distal portion, and an arcuate punch configured to punch through bone. The pivot arm distal portion can be pivotably coupled to the support arm distal portion, such that the pivot arm proximal portion is configured to be moved away from the support arm proximal portion to extend the arcuate punch into a punch position to punch an arcuate hole through bone. The needle guide can be configured to guide a needle through the arcuate hole. 1. A method of closing a severed sternum , the method comprising:providing or receiving a plate having plate apertures sized to receive a fastener;providing or receiving a guide unit having tubular-shaped fastener guides sized to releasably hold the fastener, each of the fastener guides having a proximal opening for loading the fastener and a distal opening for discharging the fastener;providing or receiving the fastener for each of the fastener guides;positioning the plate over a first sternal bone portion and a second sternal bone portion;positioning the guide unit over the plate such that the distal opening of each of the fastener guides is aligned with a corresponding one of the plate apertures;driving each fastener out of the guide unit and tubular-shaped fastener guides and into plate apertures and at least one of the first sternal bone portion and the second sternal bone portion; andwithdrawing the guide unit from the plate,wherein an outer peripheral shape of the guide unit corresponds to an outer peripheral shape of the plate.2. The method of claim 1 , further comprising moving the first sternal bone portion towards the second sternal bone portion so as to reapproximate sides of the severed sternum.3. The method of claim 1 , further comprising loading fasteners into the guide unit prior to ...

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Номер записи: 57

31-03-2016 дата публикации

PUNCTURE DEVICE

Номер: US20160089140A1

Автор: Ariura Shigeki, KAWAURA Masakatsu, YOKOI Nao

Принадлежит: TERUMO KABUSHIKI KAISHA

A puncture device is disclosed, which can include a puncture needle curved in an arc, turnably supported around an axis (J) as a turning center, and having a needle tip which punctures a living body when the puncture needle is turned; a urethral insertion member having a urethral insertion portion of a linear shape which is inserted into the urethra; and a frame capable of connecting the puncture needle and the urethral insertion member to each other, the frame turnably supporting the puncture needle. When the puncture needle is turned, the needle tip of the puncture needle has a locus (plane f), which is inclined by an inclination angle (θ) of 20 to 60 degrees with respect to a plane (f) orthogonal to the urethral insertion portion. 1. A puncture device , comprising:a puncture needle curved in an arc and turnably supported around a turning center provided by the center of the arc, the puncture needle having a needle tip configured to puncture a living body when the puncture needle is turned; andan insertion member having a linear portion of a linear shape at least at part of the insertion member, the linear portion being configured to be inserted into the urethra or the vagina, whereinwhen the puncture needle is turned, the needle tip has a locus inclined with respect to a plane orthogonal to the linear portion.2. The puncture device according to claim 1 , wherein an inclination angle is about 20 to 60 degrees.3. The puncture device according to claim 1 , comprising:a supporting member configured to turnably support the puncture needle; andwherein the puncture needle and the insertion member are connectable to each other.4. The puncture device according to claim 3 , whereinthe insertion member is configured to be inserted into the urethra, andthe supporting member is configured to regulate a positional relationship between the puncture needle and the insertion member such that, when the puncture needle turns to puncture the living body, the needle tip passes a ...

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Номер записи: 58

31-03-2016 дата публикации

SURGICAL STABILIZER AND CLOSURE SYSTEM

Номер: US20160089182A1

Автор: Miraki Manouchehr A.

Принадлежит:

A system for stabilizing the heart via a helical needle, providing access to the interior of the heart via an introducer sheath, and forming a purse string suture using suture delivered by the helical needle. A helical needle projects distally from the device in a helical shape and terminates in a sharp distal tip. The helical needle is advanced into the heart wall, and is used to stabilize the heart and to pass a purse string suture through the heart tissue. An access port provides access to the interior of the heart via an opening passing through the heart wall in an area circumscribed by the helical needle. A length of suture may pass through the helical needle and exit at an opening at or near the needle distal tip. A free end of the length of suture may extend out of the distal tip and back into the hollow suture needle through the opening. The helical needle may have a deflection segment adjacent the distal tip that is more flexible than the rest of the helical distal portion of the helical needle. 1. A system for performing a procedure on a heart , comprising; a handle comprising a proximal end, a distal end, and a handle body, the handle further comprising a proximal opening, a distal opening, and an access lumen passing through the handle body and extending from the proximal opening to the distal opening;', 'a helical needle extending from a distal end of the handle, the helical needle comprising a helical distal portion and a distal end, wherein the helical needle extends from a side of the distal end of the handle, the helical distal portion circumscribing a longitudinal axis of the access lumen without obstructing the handle distal opening;', 'a length of suture along the helical distal portion of the helical needle;, 'a stabilizer, comprisinganda puncture implement comprising a proximal portion and a distal portion, wherein the distal portion comprises a sharp needle, wherein the puncture implement is positioned slidingly within the access lumen of the ...

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Номер записи: 59

12-05-2022 дата публикации

LENGTH OF SELF-RETAINING SUTURE AND METHOD AND DEVICE FOR USING THE SAME

Номер: US20220142640A1

Автор: Megaro Anthony R., Megaro Matthew A.

Принадлежит:

A method and device for anchoring a length of self-retaining suture. The method of anchoring includes providing for an assembly having a length of self-retaining suture and a suture insertion device. The length of suture includes at least a portion of the length having a plurality of retainers thereon extending in a first direction. The insertion device has a length and a recess to receive a portion of the suture length. The method further includes placing a portion of the suture length in the recess and inserting the device into the body of a mammal until the recess reaches a predetermined location thereby forming an insertion pathway. The method further includes retrieving the insertion device from the body by moving the insertion device in a direction substantially opposed to the insertion pathway. 1164.-. (canceled)165. An apparatus comprising: (i) a proximal end configured to be gripped,', '(ii) a distal end configured to penetrate through tissue, and', '(iii) a recessed portion disposed proximate to the distal end; and, '(a) a suture insertion device comprising (i) a first portion having no retainers that is sized and configured to be carried by the recessed portion of the suture insertion device as the suture insertion device is advanced distally and separated from the recessed portion as the suture insertion device is withdrawn proximally, and', '(ii) a second portion that includes a first set of retainers, wherein the first set of retainers face a first direction away from the first portion., '(b) a suture comprising166. The apparatus of claim 165 , further comprising an attachment feature coupled with a terminal end of the second portion.167. The apparatus of claim 166 , wherein the attachment feature includes an enclosed attachment loop.168. The apparatus of claim 166 , wherein the attachment feature includes at least one of a tack claim 166 , a marker claim 166 , a therapeutic agent claim 166 , or a chemotherapeutic agent.169. The apparatus of claim 165 ...

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Номер записи: 60

28-03-2019 дата публикации

Implants And Procedures For Supporting Anatomical Structures For Treating Conditions Such As Pelvic Organ Prolapse

Номер: US20190091004A1

Автор: Gobron Stephane, Vemuri Anand

Принадлежит: Caldera Medical, Inc.

Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientations therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions. 1(a) making an entry point in a body of a patient;(b) engaging a first anchor with a delivery system and inserting the first anchor through the entry point and into a target tissue of the body;(c) retracting the delivery system from the first anchor and out from the entry point;(d) reengaging the delivery system with the first anchor by passing a suture extending from the first anchor and out the entry point through a slot in the delivery system and advancing the delivery system towards the first anchor until the first anchor is received by the delivery system;(e) adjusting a position of the first anchor in the target tissue with the delivery system and retracting the delivery system from the first anchor and out from the entry point after said adjusting;(f) positioning a support member between the first anchor and a second anchor secured within said body;(g) locking said support member in position relative to the first and second anchors by passing a mesh portion of the support member through an aperture of one of the first and second anchors and engaging said mesh portion of said support member with projections extending from an interior of the aperture; and(h) closing said entry point.. A method for supporting an anatomical structure comprising: This application is a continuation of the U.S. patent application Ser. No. 15/136,616 filed Apr. 22, 2016 entitled Implants And Procedures For Supporting Anatomical Structures For Treating Conditions Such As Pelvic Organ Prolapse, which is a continuation of the U.S. patent application Ser. No. 14/286,953 filed ...

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Номер записи: 61

26-06-2014 дата публикации

Methods and systems for treatment of prolapse

Номер: US20140179990A1

Автор: Guillermo H. Davila, James E. Cox, Kimberly A. Anderson

Принадлежит: AMS Research LLC

Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.

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Номер записи: 62

26-06-2014 дата публикации

Kit for Placing Fixation Devices

Номер: US20140179991A1

Автор: Dennis Miller

Принадлежит: Boston Scientific Scimed Inc

The invention disclosed herein includes an apparatus for treatment of prolapse in a pelvic region of a patient, the apparatus comprising an implant member having anterior straps, mid-line straps, and posterior straps, sutures coupled to the implant to secure the implant to the pelvic region of the patient.

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Номер записи: 63

14-04-2016 дата публикации

Methods of making porous crystalline materials and their use in hydrocarbon sorption

Номер: US20160102590A1

Автор: Brian M. Weiss, Karl G. Strohmaier, Scott J. WEIGEL, William W. LONERGAN

Принадлежит: ExxonMobil Research and Engineering Co

The present invention relates to a hydrothermally stable form of a porous crystalline material useful in applications where sorbing hydrocarbons is desired. Among such applications is sorption of hydrocarbons from an exhaust stream from an engine in a cold-start condition. A hydrocarbon sorption apparatus including the hydrothermally stable porous crystalline material is provided. In either case, the hydrothermally stable porous crystalline material can contain both 10- and 12-membered ring pore channels, or alternately an 11-membered ring pore channel, as well as have one or more other properties.

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Номер записи: 64

12-04-2018 дата публикации

LIFTING SURGICAL INSTRUMENT HAVING BRANCH POINT

Номер: US20180098787A1

Автор: LEE Jun-Sung

Принадлежит:

Disclosed herein is a lifting surgical instrument having a branch point, which is used to insert a thread without a cog and a barb into the skin. The lifting surgical instrument includes a sheath, including: a probe part formed in the tubular shape in which a through hole penetrating in a longitudinal direction is formed, and configured such that the front end thereof may be inserted into the skin; and a body M configured to extend from the rear end of the probe part, to have a diameter larger than that of the through hole, to communicate with the through hole, and to include a sheath hole. In this case, a direction guidance portion is provided on the inner surface of the probe part, and the angle at which the needle travels is changed via the direction guidance portion when the needle passes through the through hole. 1. A lifting surgical instrument having a branch point , the lifting surgical instrument comprising a sheath;wherein the sheath comprises:a probe part formed in a tubular shape in which a through hole penetrating in a longitudinal direction is formed, and configured such that a front end thereof can be inserted into a skin; anda body configured to extend from a rear end of the probe part, to have a diameter larger than that of the through hole of the probe part, to communicate with an inside of the through hole, and to include a sheath hole into which a needle can be inserted; andwherein a direction guidance portion configured to protrude from an inner surface of the probe part to the through hole is provided on the inner surface of the probe part, and an angle at which the needle travels is changed via the direction guidance portion when the needle passes through the through hole of the probe part.2. The lifting surgical instrument of claim 1 , further comprising an indicator configured to extend an outer diameter of the probe part when the indicator is inserted over an outer surface of the probe part claim 1 , to slide in a longitudinal direction of ...

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Номер записи: 65

02-06-2022 дата публикации

DEVICES AND METHODS FOR SUTURE PLACEMENT

Номер: US20220167969A1

Автор: Anderson David Greg, Buehlmann Eric, Johnson Jens, Kurd Mark F., Lee Ann R., Sarabia Jaime F., Tapper Jay P., Unruh Catherine Margaret

Принадлежит:

A suturing device includes a curved needle, a suture, an elongate body, an actuator and a curved needle holder. The suture connects with the curved needle. The actuator interacts with the elongate body and is operable between a first operating position and a second operating position. The curved needle holder extends away from a distal end portion or is provided as part of the distal end portion of the elongate body. The curved needle holder includes a distal end section having a distal-most tip. The curved needle holder includes an inner surface defining a needle passage for holding the needle and a distal opening. The curved needle has a curved needle radius and the curved needle passage has a curved needle passage radius that is different than the curved needle radius and the curved needle frictionally engages the inner surface when the needle is in a retracted position. 1. A method of assembling a suturing device , comprising:inserting a needle having a suture attached thereto through a distal opening into a needle passage of a suturing device toward a retracted position in which the needle is retained in the suturing device, the suturing device including a needle holder having a distal-most tip adjacent the distal opening through which the needle passes when moving toward a released condition in which the needle is released from the suturing device and a first end of the needle is recessed inwardly from the distal-most tip within the needle passage when in the retracted position; andmaintaining a portion of the suture extending out of the distal opening and outside of the suturing device.2. The method of claim 1 , wherein the needle is a curved needle claim 1 , the needle passage is a curved needle passage and the needle holder is a curved needle holder claim 1 , the method further comprising:frictionally engaging an inner surface of the curved needle holder with the curved needle to retain a pointed end of the curved needle offset inwardly from the distal ...

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Номер записи: 66

21-04-2016 дата публикации

MEDICAL IMPLEMENT FOR MANIPULATING SUTURES PARTICULARLY USEFUL IN ARTHROSCOPIC SURGERY

Номер: US20160106416A1

Автор: Moor Dan, Oren Ran

Принадлежит: T.A.G. Medical Devices - Agriculture Cooperative Ltd.

A medical implement for transport of a suture shuttle, comprising a handle including a proximal portion configured for manual gripping by a user, a distal portion, an internal passageway for a suture shuttle, extending between a proximal end and a distal end of the handle; an intermediate portion formed with a thumb depression facing a first direction; the proximal portion comprising a slot extending from the internal passageway to a lateral face of the handle for enabling side-loading of a suture shuttle into a proximal portion of the internal passageway, the slot facing a second direction; the slot extending longitudinally from a proximal end of the handle to an intersection with the thumb depression, wherein at the intersection the slot is exposed in the first direction, and a roller rotatably mounted at the thumb depression. 1. A medical implement for transport of a suture shuttle , comprising: a proximal portion configured for manual gripping by a user,', 'a distal portion,', 'an internal passageway for a suture shuttle, extending between a proximal end and a distal end of said handle;', 'an intermediate portion formed with a thumb depression facing a first direction;', 'said proximal portion comprising a slot extending from said internal passageway to a lateral face of said handle for enabling side-loading of a suture shuttle into a proximal portion of said internal passageway, said slot facing a second direction; said slot extending longitudinally from a proximal end of said handle to an intersection with said thumb depression, wherein at said intersection said slot is exposed in said first direction;', 'a roller rotatably mounted at said thumb depression, the roller being mounted such that when a suture shuttle is loaded into said internal passageway, the thumb of a user gripping the handle at said depression may press an exposed portion of said suture shuttle against the roller., 'a handle comprising2. The medical implement according to claim 1 , wherein a ...

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Номер записи: 67

20-04-2017 дата публикации

Implantable Slings and Anchor Systems

Номер: US20170105828A1

Автор: Bertelson Kathryn A., Crank Justin M., Derus Patricia M., Knipfer Michael A., Rocheleau Gary A.

Принадлежит:

Various embodiments of a mesh or implant systems are provided. The implants can include one or more anchors, arms and the like. The anchors can include hingeable or patterned finger extension to facilitate tissue penetration and retention. Various tensioning and adjustment mechanisms, devices and methods are further provided for the implant systems. 1. An implant system for treating pelvic disorders , comprising:an implant having a support portion, at least one extension portion and at least one anchor device disposed at an end portion of the at least one extension portion, the at least one anchor device having a tapered tip portion and one or more extending barbs and adapted to extend through target tissue; anda spacer element including a tapered tip portion and one or more extending barbs extending out generally radially from opposing sides of a longitudinal axis of the spacer element, the spacer element adapted to slidably engage the at least one extension portion such that the spacer element is slidable along the at least one extension portion and through the target tissue for positioning between the at least one anchor device and the target tissue to provide tensioning adjustment for the elongate implant.2. The system of claim 1 , wherein the at least one extension portion includes two extension portions.3. The system of claim 2 , wherein the at least one anchor device includes two extending barbs.4. The system of claim 1 , wherein the at least one anchor device includes two extending barbs.5. The system of claim 1 , wherein the at least one anchor device is generally arrow-shaped.6. The system of claim 1 , further including a second spacer element.7. The system of claim 1 , wherein at least the support portion of the implant is constructed of a mesh material.8. The system of claim 1 , wherein the implant is constructed of a mesh material.9. The system of claim 1 , wherein the target tissue is the obturator internus muscle.10. The system of claim 1 , wherein ...

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Номер записи: 68

20-04-2017 дата публикации

PELVIC IMPLANT AND TREATMENT METHOD

Номер: US20170105829A1

Автор: FELTON Jessica E., HACKER Dean W., Jagger Karl A., KELTO Seth C., WILKE Benjamin M.

Принадлежит:

A unitary or homogeneous patterned implant is provided. The implant is constructed of patterned cells formed by way of a molding, die casting, laser etching, laser cutting, extruding, and the like. Portions of the implant can be formed into sinusoid or other waveform strut members. One or more undulating anchor arms or rods extend out from the implant for tissue fixation, with the one or more undulating anchor arms including one or more arcuate bends. 1. An implant device for treating a pelvic disorder in a patient , comprising:a unitary support portion including a plurality of strut members; andfirst and second undulating rod members each including a plurality of arcuate bend portions defining a plurality of adjacent generally C-shaped bends, and a tissue anchor provided at a distal end of the undulating rod members.2. The implant device of claim 1 , further including first and second eyelets3. The implant device of claim 2 , further including a grommet having a plurality of extending teeth.4. The implant device of claim 3 , wherein the grommet is integrally formed with at least one of the first and second eyelets.5. The implant device of claim 1 , further including a central axis line defined in at least a portion of the support portion.6. The implant device of claim 1 , further including at least one transition zone extending out from the support portion to at least one of first and second undulating rod members.7. The implant device of claim 6 , wherein the at least one transition zone is integral with the support portion.8. The implant device of claim 1 , wherein the plurality of arcuate bend portions includes at least three arcuate bend portions.9. The implant device of claim 8 , wherein at least one of the three arcuate bend portions has a radius larger than the others.10. The implant device of claim 1 , wherein at least one of the plurality of arcuate bend portions has a radius larger than the others.11. An implant system for treating a pelvic disorder in a ...

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Номер записи: 69

03-05-2018 дата публикации

SUTURE THREAD

Номер: US20180116648A1

Автор: Kim Young Jae

Принадлежит: Y.JACOBS MEDICAL INC.

A suture thread is used to perform suturing without tying part of or the whole of knots that are supposed to be tied during suturing. A suture thread support body prevents an end of the suture thread from being pulled into a suturing site. A needle accommodation body has a shape of a tube having a through-hole through both ends. The suture thread has the suture thread support body and the needle accommodation body. 125-. (canceled)26. A suture device comprising a thread , a suture needle coupled to a first portion of the thread and a suture support body coupled to a second portion of the thread.27. A method of manufacturing a suture device , the method comprising:providing a thread;{'claim-ref': {'@idref': 'CLM-00026', 'claim 26'}, 'coupling a first portion of the thread to a suture thread support body, and coupling a second portion of the thread to the suture needle, thereby providing the suture device of .'}28. A method of suturing , the method comprising:providing a suture device comprising a thread, a suture needle coupled to a first portion of the thread and a suture support body coupled to a second portion of the thread; andsuturing skin or tissue of a patient using the suture device.29. A suturing kit comprising:a suture needle; anda suture device comprising a thread, a needle accommodation body and suture support body. The present invention relates to a suture thread used for a surgical operation and a suturing, method using the suture thread, and more particularly, to a suture thread that does not require a knotting procedure during a suture operation, a method of manufacturing the suture thread, and a suturing method using the suture thread.In a suturing process performed for various surgical operation such as suturing of damaged muscles, blood vessels, nerves, injuries, or surgical cuts, double eyelid surgery, wrinkles plastic surgery, etc. a time-consuming, annoying, and very important work greatly affecting a result of surgery is a process of tying a ...

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Номер записи: 70

03-05-2018 дата публикации

SUTURE PASSER AND GRASPER INSTRUMENT AND METHOD

Номер: US20180116652A1

Автор: Torrie Paul Alexander

Принадлежит:

Disclosed herein is a combination suture passer and grasper instrument having a needle which can deliver a suture to a repair site, and then use deformable wire arms to capture the suture and drag it into a hollow interior of the needle, thus eliminating the need for two separate instruments. 1. A suture passer and grasper instrument comprising:a hollow, elongate shaft having a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end, the proximal end of the shaft coupled to a handle, and the distal end of the shaft defining a tip configured to penetrate tissue; and an actuator accessible near the handle;', 'a connector coupled to the actuator;', 'first and second wire-like members coupled to the connector, at least one of the first and second wire-like members capable of engaging a suture;, 'an assembly disposed in part within the handle and in part within the hollow, elongate shaft, the assembly being axially and rotationally moveable independent of the handle and the hollow, elongate shaft, the assembly comprisingwherein movement of the actuator is capable of moving the first and second wire-like members from a retracted position, in which the wire-like members are proximal to the tip of the distal end, to an extended position, in which the wire-like members are distal to the tip of the distal end, and capable of rotating at least one of the first and second wire-like members relative to the hollow, elongate shaft.2. The instrument of claim 1 , wherein the distal end of the hollow claim 1 , elongate shaft is curved away from the longitudinal axis so that a distal opening in the hollow claim 1 , elongate shaft faces at least in part laterally and the tip projects longitudinally.3. The instrument of claim 2 , wherein the distal opening of the hollow claim 2 , elongate shaft includes a longitudinal slot extending proximally from the opening claim 2 , the slot having a length and a width selected to allow passage of a ...

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Номер записи: 71

04-05-2017 дата публикации

Endoscopic Suture Loop Anchors and Methods

Номер: US20170119371A1

Автор: Dean Charles, Gilkey Mitchell, Jones Donald K., Mims John, Mitelberg Vladimir, Pinto Nicole

Принадлежит: Apollo Endosurgery, Inc.

A suture needle system includes a first needle and at least one second needle. Each of the first and second needles preferably has a common needle body construct. The first needle includes an elongate suture having a length sufficient to extend at least the length of an instrument channel of an endoscope. The second needle includes an opening formed by a loop of suture at which the second needle can be advanced over the elongate suture. In use, the first needle is secured to a first tissue location using an endoscopic suturing system. A second needle is advanced at its opening over the elongate suture and secured to a second tissue location. Additional second needles may be advanced over the elongate suture to respective tissue locations. The elongate suture is pulled taut, drawing the second needles into proximity, and secured. 1. A needle assembly for use in association with a suturing device having a movable needle holder arm and a length of suture , comprising:a needle tip with a sharp end and a circumferential capture groove adjacent the sharp end, anda straight, tubular needle body having a first end adjacent the needle tip, a second end opposite the needle tip, a side wall extending between the first and second ends, and an axis extending between the first and second ends,the second end provided with retaining structure into which the needle holder arm is received so that the needle body can be removably retained on the needle holder arm, and a suture passage open to receive suture through the body of the needle, the passage extending through the side wall at a location between the first and second ends of the needle body and extending transverse to the needle axis when the needle tip is assembled at the first end of the needle body,wherein the needle assembly is adapted to be longitudinally displaced along a length of suture extending through the suture passage during use of the needle assembly.2. The needle assembly of claim 1 , wherein:the suture passage ...

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Номер записи: 72

25-08-2022 дата публикации

MENISCUS SUTURE DEVICE

Номер: US20220265265A1

Автор: DE FARIA José Leonardo Rocha, PEREIRA Cristiano Siqueira

Принадлежит:

The present invention refers to a meniscus suture device comprising a handle for handling the device which comprises a push button with axial displacement, a cannula extending from the handle and having a free extremity opposite the handle, a movable rod housed and axially displaceable inside the cannula, the movable rod comprising a first extremity which extends inside the handle and a second extremity, opposite the handle, which has an indenture for capturing a suture thread, wherein the first extremity of the rod comprises a driving mechanism connected to the push button of the handle, for activating the axial displacement of the movable rod inside the cannula, and whereby when the axial displacement of the movable rod inside the cannula is activated, the second extremity of the rod extends outside the orifice of the cannula. 1. A meniscus suture device , comprising:a handle for handling the device, whereby the handle comprises a push button with axial displacement;a cannula extending from the handle and having a free end opposite the handle;a movable rod housed and axially displaceable inside the cannula, the movable rod comprising a first extremity extending inside the handle and a second extremity, opposite to the handle, which has an indenture to capture a suture thread;wherein the first extremity of the rod comprises a driving mechanism connected to the push button of the handle for activating the axial displacement of the movable rod inside the cannula, andwherein, when the axial displacement of the movable rod inside the cannula is activated, the second extremity of the rod extends outside the orifice of the cannula.2. The device according to claim 1 , wherein the second extremity of the rod opposite the handle has a rounded shape.3. The device according to claim 1 , wherein the indenture in the second extremity of the rod is hook-shaped.4. The device according to claim 1 , wherein the free end of the cannula is beveled claim 1 , and the second extremity ...

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Номер записи: 73

25-04-2019 дата публикации

Devices and methods facilitating sleeve gastrectomy and other procedures

Номер: US20190117114A1

Автор: Andrew Miesse, Sachin Shah, Stanislaw Kostrzewski, Stanislaw Marczyk

Принадлежит: COVIDIEN LP

A device for use in bariatric surgery includes a flexible hollow tube extending from a proximal end to a distal end and defines a channel therebetween. A series of openings is defined in a distal portion of the tube allowing for fixation of tissue using suction. A flexible member has an initial position disposed alongside the tube and is deployable to a subsequent position in which the flexible member engages a greater curvature of a stomach. The flexible member is configured to be deployable to automatically assume a shape of a greater curvature of a stomach. The flexible member includes a bulging region and a tapering region when deployed. The flexible member is releasably attached to the distal end of the tube.

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Номер записи: 74

25-04-2019 дата публикации

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures

Номер: US20190117211A1

Автор: Amik Nagpurkar, Amrish Jayprakash Walke, Claude Vidal, Jacqueline Nerney Welch, Joseph Catanese, Joshua Makower, Michael Collinson, Russell J. Redmond, Theodore C. Lamson

Принадлежит: Exploramed Nc2 Inc, Neotract Inc

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.

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Номер записи: 75

25-04-2019 дата публикации

Arthroscopic surgical device

Номер: US20190117214A1

Автор: Boaz Harari, Dror Rosner, Paul Mraz, Ronen RAZ

Принадлежит: MININVASIVE Ltd

An arthroscopic bone channel forming and suturing system useful following formation of a first and a second generally straight channel in a bone, the second channel not intersecting the first channel, the system including a curved bone puncture needle configured to be insertable into the first channel, a curved needle driving assembly configured to manipulate the curved needle to form a curved junction between the first channel and the second channel, a suture snare wire assembly configured to insert a suture snare wire to a suture snare wire pick-up location via the second channel in the bone and a coordinated multi-function driving assembly operative to operate the curved needle driving assembly and the suture snare wire assembly in coordinated operation to cause the suture snare wire to be pulled from the suture pick up location and through the first channel via the junction.

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Номер записи: 76

16-04-2020 дата публикации

MINIMALLY INVASIVE IMPLANT AND METHOD

Номер: US20200113664A1

Автор: Dahdah Mona N., Fischer Brian G., Otte John Fritz, Roll Jessica L.

Принадлежит:

Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants can be configured as a sling device having at least one extension arm and a tissue support portion having an eyelet, wherein a portion of the at least one extension arm is adapted to slide through and adjustably attach with the eyelet. 1. An elongate implantable incontinence sling system , comprising:a tissue support portion having a first eyelet and a second eyelet;a first extension arm having a first anchor portion and a first extension member, with at least a length of the first extension arm adapted to slide through the first eyelet of the tissue support portion; anda second extension arm having a second anchor portion and a second extension member, with at least a length of the second extension arm adapted to slide through the second eyelet of the tissue support portion.2. The sling system of claim 1 , wherein at least a portion of the first extension arm is constructed of a mesh material.3. The sling system of claim 1 , wherein at least a portion of the second extension arm is constructed of a mesh material.4. The sling system of claim 1 , wherein the first extension member includes an extension rod.5. The sling system of claim 4 , wherein the extension rod is a polymer extension rod.6. The sling system of claim 1 , wherein the second extension member includes an extension rod.7. The sling system of claim 6 , wherein the extension rod is a polymer extension rod.8. The sling system of claim 1 , further including a grommet adapted to engage at least one of the first and second eyelets to facilitate attachment of the first extension arm or the second extension arm.9. The sling system of claim 1 , further including one or more alignment indicia provided along a portion of the tissue support portion.10. The ...

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Номер записи: 77

14-05-2015 дата публикации

Puncture apparatus

Номер: US20150133789A1

Автор: Masakatsu Kawaura, Shigeki Ariura

Принадлежит: Terumo Corp

A puncture apparatus is disclosed, which can include an elongated insertion portion configured to be inserted into a living body lumen, a puncture needle configured to puncture a living body tissue near the insertion portion from a part different from the living body lumen, with the insertion portion inserted in the living body lumen, a puncture needle guide portion, which movably supports the puncture needle and which determines a puncture path for a needle tip of the puncture needle when the puncture needle punctures the living body tissue, an ultrasonic transmission-reception section in the insertion portion or the puncture needle guide portion, for transmission and reception of an ultrasonic wave, and an image data production section for producing image data for displaying on a display section an image including the living body lumen and a predicted path of the puncture path, based on information acquired by the ultrasonic transmission-reception section.

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Номер записи: 78

11-05-2017 дата публикации

Instrument for Delivering a Surgical Thread

Номер: US20170128062A1

Автор: Susumu Eguchi, Syunji MOROMUGI, Taiichiro KOSAKA, Takakazu ISHIMATU, Tamotu KUROKI

Принадлежит: Nagasaki University NUC

[Problem] To reduce the risk of damaging organs in a body while delivering a thread during surgery. [Means for Solving Problem] An instrument for delivering a surgical thread has a grip 10, an outer cylinder 70 fixed the grip, a hollow needle 80 extending inside the outer cylinder 70 and being configured to be moved relative to the outer cylinder 70 in an axial direction and a loop 90 configured to be housed in the outer cylinder 70. An end of the outer cylinder 70 is bent in a state where force is not applied. The hollow needle 80 is exposed from the outer cylinder 70 when puncturing skin or etc., and the hollow needle 80 is housed in the outer cylinder 70 when it travels near organs which should not be damaged.

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Номер записи: 79

01-09-2022 дата публикации

SURGICAL NEEDLE DEVICE

Номер: US20220273296A9

Автор: Alexander James A., Buysman John J., Hamel Kory P., Mujwid James R., Ogdahl Jason W., Otte John F.

Принадлежит:

Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant. 1. A surgical needle device , comprising:a needle including a lumen, a proximal portion, and a wire disposed in and traversable along at least a portion of the lumen; anda handle assembly including at least one depressible actuator, and a body portion having a proximal portion and a distal portion, the distal portion of the body coupled to the proximal portion of the needle, and the at least one depressible actuator in operative communication with a portion of the wire and extending angularly from an outer surface of the body and generally toward the needle.2. The device of claim 1 , wherein a distal portion of the needle receives an anchor device.3. The device of claim 2 , wherein the anchor device includes one or more extending tines to facilitate soft tissue engagement.4. The device of claim 1 , wherein a distal portion of the needle includes a barb guard to abuttably receive an anchor device.5. The device of claim 1 , wherein the at least one depressible actuator includes first and second depressible actuators extending angularly from the outer surface of the body at an angle less than ninety degrees relative to a generally straight length of the needle.6. The device of claim 1 , wherein the distal portion of the needle includes a curved length.7. A surgical needle device claim 1 , comprising:a needle including a generally straight length, a generally curved length, a lumen, a distal portion, and a wire extending through ...

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Номер записи: 80

02-05-2019 дата публикации

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Номер: US20190125516A1

Автор: Catanese, Cheng Floria, III Joseph, Lamson Theodore C.

Принадлежит:

Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra. 122-. (canceled)23. A system for implantation in a lumen of a urethra , comprising:a delivery device configured to carry and deliver an implant; andan implant having a non-circular cross-sectional shape such that the cross-sectional shape substantially conforms to the cross-sectional shape of the urethra.24. The system of wherein the non-circular cross-sectional shape of the implant is a triangular shape.25. The system of wherein the implant is configured to have a first configuration to a second configuration.26. The system of wherein the first configuration is a constrained configuration and the second configuration is an expanded configuration.27. The system of wherein the implant self-expands from the first configuration to the second configuration.28. The system of wherein the delivery device causes the implant to change from the first configuration to the second configuration.29. The system of wherein the implant is configured to provide an outward radial force on the urethra.30. The system of wherein the implant is configured to provide an outward radial force on the urethra in the second configuration.31. The system of wherein the implant is configured to provide an outward radial force on the urethra in the expanded configuration.32. An implant for treating a urethral lumen claim 26 , comprising a plurality of legs arranged in triangular shape claim 26 , wherein the implant has a delivery configuration and a deployed configuration.33. The implant of wherein the delivery configuration has a smaller cross-section than the deployed configuration.34. The implant of wherein the implant self-expands from the delivery configuration to the deployed configuration.35. The implant of wherein the implant is expanded from the delivery configuration to the deployed configuration using a delivery ...

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Номер записи: 81

21-05-2015 дата публикации

PUNCTURE APPARATUS

Номер: US20150142040A1

Автор: Ariura Shigeki, KAWAURA Masakatsu

Принадлежит: TERUMO KABUSHIKI KAISHA

A puncture apparatus is disclosed, which can include a first puncture needle having a first needle tip and configured to puncture a living body tissue, a shaft interlocked to the first puncture needle, a second puncture needle having a second needle tip and configured to puncture a living body tissue, the second needle tip being oriented in a direction different from a direction in which the first needle tip is oriented, the second puncture needle being disposed so as to be movable relative to the first puncture needle in a proximal direction of the first puncture needle, and a moving section moving the second puncture needle relative to the first puncture needle in the proximal direction of the first puncture needle. 1. A puncture apparatus comprising:a first puncture needle having a first needle tip and configured to puncture a living body tissue;a shaft interlocked to the first puncture needle;a second puncture needle having a second needle tip and configured to puncture the living body tissue, the second needle tip being oriented in a direction different from a direction in which the first needle tip is oriented, the second puncture needle being disposed so as to be movable relative to the first puncture needle in a proximal direction of the first puncture needle; anda moving section moving the second puncture needle relative to the first puncture needle in the proximal direction of the first puncture needle.2. The puncture apparatus according to claim 1 , wherein the moving section has a traction wire for pulling the second puncture needle toward the second needle tip.3. The puncture apparatus according to claim 1 , wherein the moving section has a pushing member which has an elongated shape and is configured to push the second puncture needle toward the second needle tip.4. The puncture apparatus according to claim 1 , wherein the first puncture needle has a hollow portion claim 1 , andthe second puncture needle is inserted in the hollow portion so that the ...

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Номер записи: 82

10-06-2021 дата публикации

Implants And Procedures For Supporting Anatomical Structures For Treating Conditions Such As Pelvic Organ Prolapse

Номер: US20210169627A1

Автор: Anand VEMURI, Stephane Gobron

Принадлежит: Caldera Medical Inc

Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientations therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.

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Номер записи: 83

14-08-2014 дата публикации

SURGICAL NEEDLE SYSTEM WITH ANCHOR RETENTION FEATURES

Номер: US20140228863A1

Автор: Alexander James A., Crank Justin M., Mujwid James R., Watschke Brian P.

Принадлежит: AMS Research Corporation

Various surgical tissue anchor retention mechanisms, systems and methods are provided. The mechanisms, systems and methods can include a delivery tool or needle having a flex joint, a snap-fit, a cam and follower, a rotating tip, an expandable lock, a coil, an inverted collet, a tab, a buckling tube, an inflation element or like anchor retention or securement features. 1. An implant introduction system , comprising:a needle device including a handle, a needle length, and a distal tip portion, the distal tip portion having an expansion feature in operative communication with the handle; andan implant including an anchor device having an aperture extending therethrough such that the expansion feature is adapted to traverse through the aperture of the anchor device and extend a distance outside the anchor device, whereby the expansion feature is selectively expandable to secure the anchor device to the distal tip portion.2. The system of claim 1 , wherein the handle further includes at least one actuator.3. The system of claim 2 , wherein the at least one actuator selectively expands the expansion feature.4. The system of claim 1 , wherein the implant is constructed at least in part of a mesh material.5. The system of claim 1 , wherein the anchor device includes one or more extending tines adapted to engage tissue.6. The system of claim 1 , wherein the expansion feature includes one or more pivoting arms.7. The system of claim 1 , wherein the expansion feature is a deformable member adapted to expand upon extending outside the anchor device.8. The system of claim 1 , wherein expansion feature includes a coil member.9. The system of claim 1 , wherein the expansion feature includes a selectively extendable tab member.10. An implant introduction system claim 1 , comprising:a needle device including a handle, a needle length, and a distal tip portion, the distal tip portion having a rotating member; andan anchor device having an aperture extending therethrough such that ...

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Номер записи: 84

15-09-2022 дата публикации

MINIMALLY INVASIVE IMPLANT AND METHOD

Номер: US20220287816A1

Автор: Dahdah Mona N., Fischer Brian G., Otte John Fritz, Roll Jessica L.

Принадлежит:

Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants can be configured as a sling device having at least one extension arm and a tissue support portion having an eyelet, wherein a portion of the at least one extension arm is adapted to slide through and adjustably attach with the eyelet. 1. An elongate implantable incontinence sling system , comprising:a first extension arm having a first end portion and a second end portion opposite the first end portion, the first extension arm having a first anchor coupled to the first end portion, the first extension arm having a single eyelet, the eyelet being disposed at the second end portion; anda second extension arm having a second anchor and an extension member, at least a length of the second extension arm being adapted to slide through the eyelet of the first extension arm.2. The sling system of claim 1 , wherein at least a portion of the first extension arm is constructed of a mesh material.3. The sling system of claim 1 , wherein at least a portion of the second extension arm is constructed of a mesh material.4. The sling system of claim 1 , wherein the first extension member includes an extension rod.5. The sling system of claim 4 , wherein the extension rod is a polymer extension rod.6. The sling system of claim 1 , wherein the second extension member includes an extension rod.7. The sling system of claim 6 , wherein the extension rod is a polymer extension rod.8. The sling system of claim 1 , further including a grommet adapted to engage the eyelet to facilitate attachment of the second extension arm.9. The sling system of claim 1 , further including one or more alignment indicia provided along a portion of the first extension arm.10. The sling system of claim 9 , wherein the one or more indicia includes three ...

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Номер записи: 85

07-06-2018 дата публикации

SYSTEMS AND METHODS FOR SUTURING TISSUE

Номер: US20180153540A1

Автор: Dolan David P., Lane Joseph P.

Принадлежит:

A device for suturing tissue includes a handle including a housing and a suturing needle for advancing a suture through the tissue. The device also includes a first needle gripper that is configured to both grasp and release the suturing needle. A second needle gripper is also configured to both grasp and release the suturing needle. An actuator is coupled to the housing and is operatively coupled to: (a) a first linkage that pivots the second gripping gripper between a fully extended position and a retracted position relative to the housing; and (b) a second linkage that is operatively coupled to the first and second needle grippers and configured to alter a state of each of the first and second needle grippers. The second linkage can include a one-way clutch. 1. A device for suturing tissue comprising:a handle including a housing having a distal end and an opposite proximal end;a suturing needle for advancing a suture through the tissue, the suturing needle having a first pointed end and an opposite second end;a first needle gripper coupled to the housing, the first needle gripper being configured to both grasp and release the suturing needle;a second needle gripper coupled to the housing, the second needle gripper being configured to both grasp and release the suturing needle; andan actuator that is pivotally coupled to the housing, the actuator being operatively coupled to the second needle gripper for moving the second needle gripper between a fully extended position and a retracted position relative to the housing;a one-way clutch that is operatively coupled to the actuator, the one-way clutch including an energy storage member and a pinion gear coupled to the energy storage member, the pinion gear selectively engaging a crankshaft ratchet that is coupled to a rotatable crankshaft that controllably rotates in defined increments to synchronously alter the states of the first needle gripper and the second needle gripper to permit each of the first needle gripper ...

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Номер записи: 86

23-05-2019 дата публикации

APPARATUS FOR TISSUE REPAIR

Номер: US20190150914A1

Автор: Bojarski Raymond A., Ek Steven W., Sikora George, Torrie Paul Alexander

Принадлежит: Smith & Nephew, Inc.

An apparatus includes first and second fixation members, a flexible member coupled to the first and second fixation members, and a limiting element coupled to the flexible member. The limiting element is movable relative to the second fixation member and acts to limit loosening of the flexible member relative to the second fixation member. The limiting element can be slidably received by the flexible member. The flexible member can be coupled to the fixation members such that pulling on a free end of the flexible member shortens a length of the flexible member between the fixation members. 120-. (canceled)21. A tissue repair device , comprising:first and second fasteners, the first and second fasteners having an elongated main body and a projection extending from the main body;a flexible member coupling the projections of the first and second fasteners, the flexible member including a limiting element between the first and second fasteners, such that tensioning an end of the flexible member shortens a length of the flexible member between the first and second fasteners; and a handle;', 'a cannula extending from the handle and including a longitudinal opening in the cannula along at least a portion of the length of the cannula; and', 'a pusher member slidably positioned within the cannula, the pusher member including a finger-engageable element for advancing the pusher member within the cannula;, 'a delivery device comprisingwherein the first and second fasteners are slidably disposed within the cannula such that, upon advancement of the pusher member, at least one of the first and second fasteners is deployed from the cannula; andwherein, after the at least one of the first and second fasteners is deployed from the cannula, the at least one of the first and second fasteners is configured to rotate in response to the tensioning of the end of the flexible member.22. The device of claim 21 , wherein the first and second fasteners have substantially the same shape.23. ...

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Номер записи: 87

23-05-2019 дата публикации

SYSTEMS, METHODS AND DEVICES RELATING TO IMPLANTABLE SUPPORTIVE SLINGS

Номер: US20190151064A1

Автор: Mamo George, Weiser Michael F.

Принадлежит:

The invention provides, in various embodiments, aspects of soft tissue anchors, adjustable length/tension slings, interconnects between slings and soft tissue anchors, delivery devices and systems for implanting supportive slings, and methods relating to anchoring, adjusting and implanting supportive slings. 1. An implantable sling for treating urinary incontinence comprising ,an elongated sling having first and second terminal ends,the first end having a first portion folded over onto a portion of a length of the sling to form a first pocket in the first end, andthe second end having a second portion folded over onto a portion of the length of the sling to form a pocket in the second end.2. The implantable sling of claim 1 , wherein the first and second pockets are sized and shaped for receiving a distal end of a delivery device shaft.3. The implantable sling of claim 1 , wherein the first portion has first and second long edges affixed to first portions of corresponding long edges of the sling claim 1 , and the second portion has first and second long edges affixed to second portions of the corresponding long edges to form the first and second pockets.4. A soft tissue anchor comprising an elongated body having an aperture in a proximal end and a passage extending axially in a distal direction at least part way to a distal end of the elongated body claim 1 , and a plurality of barbs projecting radially from an external surface of the elongated body claim 1 , wherein the elongated body is between about 2.5 and 3.5 cm long.5. The soft tissue anchor of claim 4 , wherein the barbs are between about 2 mm and about 5 mm in length.6. The soft tissue anchor of claim 4 , wherein the barbs are between about 1 mm and about 2 mm in width at a maximum width location.7. The soft tissue anchor of claim 4 , wherein the barbs have a maximum width of less than about 1 mm.8. The soft tissue anchor of claim 4 , wherein the barbs are arranged in one or more substantially radially ...

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Номер записи: 88

18-06-2015 дата публикации

PUNCTURE APPARATUS

Номер: US20150164544A1

Автор: Ariura Shigeki, KAWAURA Masakatsu

Принадлежит: TERUMO KABUSHIKI KAISHA

A puncture apparatus is disclosed, which includes puncture means which has a puncture needle for puncturing a biological tissue located in a vicinity of a mid-urethra; and biological tissue pushing-in means which has an elongated member to be inserted into one of a urethral lumen and a vaginal cavity, the elongated member being inserted into the one of the urethral lumen and the vaginal cavity and being pressed in the insertion direction thereof, whereby the biological tissue is pushed in the same direction as the pressing direction for the elongated member. The puncture apparatus is used by puncturing the biological tissue with the puncture needle in a state where the biological tissue has been pushed in by the biological tissue pushing-in means. 1. A puncture apparatus comprising:puncture means which has a puncture needle for puncturing a biological tissue located in a vicinity of a mid-urethra; andbiological tissue pushing-in means which has an elongated member having an elongated shape configured to be inserted into one of a urethral lumen and a vaginal cavity, the elongated member being inserted into the one of the urethral lumen and the vaginal cavity and being pressed in an insertion direction of the one of the urethral lumen and the vaginal cavity, whereby the biological tissue is pushed in in a same direction as a pressing direction for the elongated member, and wherein the puncture apparatus is used by puncturing the biological tissue with the puncture needle in a state where the biological tissue has been pushed in by the biological tissue pushing-in means.2. The puncture apparatus according to claim 1 , wherein the biological tissue pushing-in means has a fixing part which is provided on the elongated member and which fixes the biological tissue to the elongated member from a side of the one of the urethral lumen and the vaginal cavity.3. The puncture apparatus according to claim 2 , wherein the fixing part is a part for sucking the biological tissue to ...

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Номер записи: 89

18-06-2015 дата публикации

Medical tube and medical tube assembly

Номер: US20150164627A1

Автор: Masakatsu Kawaura, Nao Yokoi

Принадлежит: Terumo Corp

A medical tube and a medical tube assembly are disclosed which can enable an implant to be relatively easily and reliably inserted and placed to indwell in a living body. The medical tube can accept an elongated implant inserted in the medical tube. The medical tube can be composed of a tube which has a distal end opening where its distal end is open, and a proximal end opening where its proximal end is open. The tube has a curved section where an intermediate portion in the longitudinal direction of the medical tube is curved and where the curved state is maintained.

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Номер записи: 90

14-06-2018 дата публикации

Surgical Systems and Methods Thereof

Номер: US20180161033A1

Автор: Filiciotto Sam

Принадлежит:

A system for introducing a surgical instrument through a tissue lumen having: a surgical instrument; a sheath for preventing contamination of the tissue lumen; a dilator for dilating bodily tissue having an elongated body for positioning the dilator and a tapered section for facilitating dilation of the tissue lumen; and a cone having conical body that tapers from the proximal end to the distal end and facilitates insertion of the cone and the surgical instrument through the tissue lumen, an axial bore that extends longitudinally through the cone and receives an anvil retainer, a collar that engages the distal end of the surgical device and prevents lateral movement of the cone, grooves that engage the surface of the tapered section and reduce the friction between the cone and the tissue lumen, a securing device for securing the cone to the surgical instrument, and a retrieval device for retrieving the cone from a bodily cavity. 1. A surgical system for closing a wound , the device comprising a closure system comprising:a cone having a conical body, the cone comprising a needle guidance bore, a distal hole, and a proximate hole, anda stabilization tool,wherein the device is configured to be releaseably fixed to the distal end of a surgical instrument, said device is capable of navigating the surgical instrument through a tissue lumen, andwherein the needle guidance bore, a distal hole, and a proximate hole are configured to receive a suture.2. The surgical device of wherein the stabilization tool is configured to be releaseably fixed to the cone and configured to position the orientation of the cone.3. The surgical device of wherein the cone further comprises holes configured to receive the stabilization tool.4. The surgical device of wherein the cone further comprises a collar and the holes are positioned on the collar.5. The surgical device of wherein the stabilization tool is a clamp.6. A system for introducing a surgical instrument through a tissue lumen claim 1 ...

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Номер записи: 91

14-06-2018 дата публикации

REMOVAL OF OCCLUDED ALKALI METAL CATIONS FROM MSE-FRAMEWORK TYPE MOLECULAR SIEVES

Номер: US20180161139A1

Автор: Burton Allen W., Strohmaier Karl G., Weigel Scott J.

Принадлежит:

A method for reducing the level of occluded alkali metal cations from an MSE-framework type molecular sieve comprises either (a) contacting the molecular sieve with a solution containing ammonium ions at a temperature of at least about 50° C. to ammonium-exchange at least part of the occluded potassium ions or (b) contacting the molecular sieve with steam at a temperature of at least about 300° C. and then subjecting the steamed molecular sieve to ammonium exchange. 1. A method for reducing a level of occluded alkali metal cations from an MSE-framework type molecular sieve , the method comprising:(a1) contacting an MSE framework-type molecular sieve containing a first amount of occluded potassium ions with a solution containing ammonium ions at a temperature of at least about 50° C. to ammonium-exchange at least part of the occluded potassium ions and produce a treated molecular sieve containing a second amount of occluded potassium ions, wherein the second amount is less than the first amount; andexchanging the treated molecular sieve with cations of a rare earth element.2. The method of claim 1 , wherein the MSE framework-type molecular sieve comprises MCM-68.3. The method of claim 1 , wherein the MSE framework-type molecular sieve comprises an aluminosilicate.4. The method of claim 3 , wherein the MSE framework-type molecular sieve has a silicon to aluminum atomic ratio in the range of from about 21 to about 1000.5. The method of claim 1 , wherein the first amount of occluded potassium ions is at least about 0.25 wt % potassium by weight of the molecular sieve.6. The method of claim 1 , wherein the second amount of occluded potassium ions in the treated molecular sieve is no more than about 0.10 wt % potassium.7. The method of claim 1 , further comprising:(b1) crystallizing a reaction mixture comprising a source of water, a source of an oxide of a tetravalent element, Y, a source of a trivalent element, X, a source of potassium and a source of organic structure ...

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Номер записи: 92

15-06-2017 дата публикации

SURGICAL ARTICLES AND METHODS

Номер: US20170165044A1

Автор: Anderson Kimberly A., BOUCHIER Mark S., Lund Robert E., MOORE Terrence M., Morningstar Randy L., Neisz Johann J., Rocheleau Gary A., VANDERSLOOT Vicki R.

Принадлежит:

Surgical instruments, implantable articles and surgical procedures disclosed for treating medical disorders, particularly incontinence. Improved surgical sling procedures are disclosed. Novel surgical instruments and kits for use in sling procedures are also disclosed. The present invention affords options for surgeons with concomitant advantages to the patient and the healthcare provider. 1. An implant system for treating a pelvic condition in a patient , comprising:an implant including a support portion and one or more extension portions, with an end device provided with the one or more extension portions;a needle device including a needle having an interior lumen and a movable member, wherein the movable member includes a snap engagement feature to selectively engage the end device; anda handle having an actuator, with the actuator in operable communication with the movable member, wherein the movable member is biased in an extended position and the actuator is adapted to retract the movable member within the needle.2. The implant system of claim 1 , further including visual indicia to facilitate centering a portion of the implant relative to target support tissue.3. The implant system of claim 1 , further including a sheath having first and second portions adapted to overlap proximate the support portion of the implant.4. The implant system of claim 3 , wherein the sheath is made at least in part of a polymer material.5. The implant system of claim 1 , wherein a portion of the needle device is curved.6. The implant system of claim 1 , wherein the implant is made of a porous polymer mesh material.7. The implant system of claim 1 , wherein the implant is an elongate implant.8. The implant system of claim 7 , wherein the implant is an elongate mesh implant.9. The implant system of claim 1 , wherein the implant further includes a tensioning member.10. The implant system of claim 9 , wherein the tensioning member is a tensioning filament.11. The implant system of ...

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Номер записи: 93

11-09-2014 дата публикации

Medical devices and implant assemblies for implant capture

Номер: US20140257023A1

Автор: Isaac Ostrovsky, Mark W. Boden

Принадлежит: Boston Scientific Scimed Inc

This invention generally relates to devices and methods that allow an operator to position an implant into the body of a patient without the need for direct-vision of the operator or the need to hand-guide a needle in order to capture an implant. In one aspect, a multi-arm delivery device includes a receiving arm that releasably holds an implant in place for capture and a clamping arm that includes a needle deployment mechanism for advancing a needle directly to the implant for capture and for retracting the needle with the implant attached to deliver the implant into the desired location. In one embodiment, the needle includes a plurality of retaining slots. In another embodiment, an end portion of the implant is configured to receive a needle into the end portion and at least some of the end portion of the implant is configured to be retained into one or more retaining slots of the needle.

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Номер записи: 94

13-06-2019 дата публикации

SURGICAL INSTRUMENT FOR MANIPULATING AND PASSING SUTURE

Номер: US20190175166A1

Автор: Foerster Seth A., Pisarnwongs Roger, Weisel Thomas

Принадлежит:

A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle. In embodiments the inner member is further retracted within the needle lumen, drawing a length of suture into the needle lumen. The suture is subsequently ejected from the needle lumen to form a suture loop. 1. An instrument for manipulating and passing suture through a tissue , said instrument comprising:a handle end and a needle defining a distal endthe needle comprising a lumen extending therethrough, the needle terminating with a distal beveled end, and a second beveled portion on an outer surface of the needle configured to form a point on a distal most edge of the needle, and wherein the needle further comprises a cutoff extending proximally from the distal beveled end and along the needle, the cutoff terminating with a shoulder; i) a retracted configuration in which the entire inner member is spaced proximally from the cutoff to clamp the suture therebetween;', 'ii) an open configuration in which a distal portion of the of the inner member extends from the cutoff of the needle to capture the suture; and', 'iii) an intermediate configuration in which the inner member and the needle encircle a section of suture such that the suture is slidably held therebetween., 'an elongate inner member axially moveable within said lumen and relative to said cutoff, said inner member and needle cooperating together to move ...

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Номер записи: 95

29-06-2017 дата публикации

METHOD AND APPARATUS FOR PASSING SUTURE THROUGH TISSUE

Номер: US20170181737A1

Автор: Harper Keith J., Sanders Brett

Принадлежит: TENSOR SURGICAL, INC.

A suture grasping and passing device having a handle with an elongate tubular needle defining a lumen therein and extending from the distal end of the handle and having a pointed forward distal tip for puncturing soft tissue. A lateral radially open suture capture notch is provided in the tubular needle adjacent the pointed distal tip and defines a mouth open to the needle lumen. The notch mouth is contoured to receive a suture therein transversely across the mouth and an elongate gate member is slidably received for axial movement within the lumen whereby the gate member may be advanced in a forward direction to entirely close off an outer radial apex portion of the suture capture mouth to capture a suture under the gate member within the mouth of the notch. 1. A suture grasping and passing device comprising:a handle;an elongate tubular needle defining a lumen therein and extending from a distal end of the handle and having a pointed forward distal tip for puncturing soft tissue;a radially open suture capture notch in said tubular needle adjacent said pointed distal tip and defining a mouth open to the lumen of said tubular needle and contoured to receive a suture therein transversely across said mouth; andan elongate gate member slidably received for axial movement within said lumen of said needle whereby said gate member may be advanced in a forward direction for thereby closing off an outer radial apex portion of said mouth to capture a suture thereunder in said mouth.2. The suture grasping and passing device of claim 1 , wherein said elongate gate member is a flexible wire.3. The suture grasping and passing device of claim 2 , wherein the forward distal end of said tubular needle is curved.4. The suture grasping and passing device of claim 1 , wherein said mouth of said notch is contoured to have a rearward facing reverse curvature providing a recessed curvature in the forward edge of said mouth for hooking and retaining a suture therein as said needle is ...

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Номер записи: 96

07-07-2016 дата публикации

Insertion device and method for delivery of a mesh carrier

Номер: US20160193025A1

Автор: Michael S.H. Chu

Принадлежит: Boston Scientific Scimed Inc

An insertion device includes an elongate member and a stylet. The elongate member has a proximal end portion, a distal end portion, and defines a lumen therethrough. The stylet has a proximal end portion, a distal end portion, and is slidably coupled to the elongate member. The stylet is configured to move from a first position to a second position with respect to the elongate member. The proximal end portion of the stylet is configured to removably couple a mesh carrier thereto. A portion of the proximal end portion of the stylet is disposed outside of the lumen of the elongate member when the stylet is in its first position and is disposed within the lumen when the stylet is in its second position.

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Номер записи: 97

06-07-2017 дата публикации

SURGICAL CLOSURE CONFIGURATIONS

Номер: US20170189006A1

Автор: SHANLEY John F., Shluzas Alan E.

Принадлежит: Entourage Medical Technologies, Inc.

One embodiment is directed to a system for closing a wound created across a portion of a tissue structure, comprising a suture member having proximal and distal ends; an anchor member coupled to the distal end of the suture member; a tension retainer assembly releasably coupleable to the suture member; and a suture buttress movably intercoupled to the suture member between the anchor member and the tension retainer and configured to minimize direct sliding contact between the suture member and the tissue structure portion around the location of the suture buttress. Other configurations are disclosed for utilizing suture buttress material, also termed tubular braided pledgets, for various suturing, closure, and stabilization configurations. 1. A system for providing surgical access across a wall of a tissue structure , comprising:a. a delivery member having proximal and distal ends;b. a first helical member having proximal and distal ends and a helical shape, the proximal end coupled to the delivery member distal end, the distal end extending distally of the delivery member distal end;c. an anchor member removably coupled to the helical member distal end;d. a suture member coupled distally to a portion of the anchor member and extending proximally to a position wherein at least a portion of it may be freely manipulated by an operator; ande. a tubular suture buttress having proximal and distal ends and defining a lumen therethrough, through which at least a portion of the suture member is movably coupled, the tubular suture buttress being axially compressible and configured to provide a relative motion barrier between portions of the suture member threaded therethrough and adjacent portions of the tissue structure;wherein upon rotation of the delivery member in a first direction, the first helical member and coupled anchor member and tubular suture buttress are advanced across at least a portion of the wall of the tissue structure, pulling along the distal portion of ...

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Номер записи: 98

22-07-2021 дата публикации

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Номер: US20210220111A1

Автор: Catanese, Cheng Floria, III Joseph, Lamson Theodore C.

Принадлежит: NEOTRACT, INC.

Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra. 1. A method for treatment of a lumen of a urethra , comprising:accessing the lumen of the urethra with a delivery device configured to carry and deliver an implant, wherein the implant comprises two rings connected by a single flexible spine oriented in a longitudinal direction of the urethra, each of the rings having a non-circular cross-sectional shape, and wherein the delivery device comprises a lock mechanism connecting a distal end portion of the delivery device and a proximal end portion of the implant;placing the implant at a desired location within the lumen of the urethra; andreleasing the implant from the delivery device via the lock mechanism, which comprises at least two opposing surfaces configured to hold a longitudinally oriented portion of the implant between the surfaces.2. The method of claim 1 , wherein the delivery device further comprises a pusher configured to deliver the implant from the delivery device to the location within the lumen of the urethra.3. The method of claim 1 , wherein the implant is configured to have a first configuration and a second configuration.4. The method of claim 3 , wherein the first configuration is a constrained configuration and the second configuration is an expanded configuration.5. The method of claim 3 , wherein the implant self-expands from the first configuration to the second configuration.6. The method of claim 3 , wherein the delivery device causes the implant to change from the first configuration to the second configuration as the implant is placed at the desired location within the lumen of the urethra.7. The method of claim 1 , wherein the implant is configured to provide an outward radial force on the urethra.8. The method of claim 3 , wherein the implant is configured to provide an outward radial force on the urethra in the ...

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Номер записи: 99

12-07-2018 дата публикации

ATRAUMATIC MEDICAL DEVICE ANCHORING AND DELIVERY SYSTEM WITH ENHANCED ANCHORING

Номер: US20180193124A1

Автор: Deros Yani, Goldman Ian L., Ovans Craig

Принадлежит:

Systems are delineated for treating urinary incontinence (UI). More generally, systems are delineated for providing medical treatment, wherein such systems include means for attaching a structure to a patient and removing the structure without damage to the structure or the patient. An exemplary system for providing medical treatment comprises a structure for attachment to a patient utilizing at least one retractable barb. 1. A system for providing medical treatment to a patient , the system comprising:a structure for attachment to the patient, the structure having a first end and a second, opposing end;a first aperture located near the first end of the structure, the first aperture including a first key for accepting the insertion of a first retractable barb and for establishing a desired alignment of the structure with respect to the first retractable barb; anda second aperture located near the second end of the structure, the second aperture including a second key for accepting the insertion of a second retractable barb and for establishing a desired alignment of the structure with respect to the second retractable barb.2. The system of wherein the structure comprises a mesh material.3. The system of wherein the structure comprises one or more regions including a biocompatible elastomeric material.4. The system of wherein one of the one or more regions comprises a region centered along a longitudinal axis of the structure.5. The system of wherein one of the one or more regions comprises a region near the first end of the structure.6. The system of wherein another of the one or more regions comprises a region near the second end of the structure.7. The system of wherein another of the one or more regions comprises a region near the first end of the structure and yet another of the one or more regions comprises a region near the second end of the structure.8. The system of wherein the biocompatible elastomeric material comprises one or more of a silicon-based ...

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Номер записи: 100