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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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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 14009. Отображено 100.
12-01-2012 дата публикации

Energy based devices and methods for treatment of patent foramen ovale

Номер: US20120010608A1
Автор: Dan Francis, Hanson S. Gifford, Iii, Jose Alejandro, Kenneth Horne, Mark E. Deem, William Malecki
Принадлежит: Terumo Corp

Methods and apparatus for treatment of patent foramen ovale (PFO) provide for applying energy to tissues adjacent the PFO with a catheter device to substantially close the PFO acutely. Apparatus generally includes a catheter device having at least one energy transmission member at or near its distal end configured to apply energy to PFO tissues to acutely, substantially close the PFO. Applied energy may be monopolar or bipolar radiofrequency energy or any other suitable energy, such as laser, microwave, ultrasound, resistive heating or the like. Some embodiments of a catheter device fuirther include one or more tissue apposition members near the distal end for helping bring PFO tissues together, such as a PFO covering member, a vacuum applying member and/or the like. PFO closure via energy-based approaches of the invention may help prevent stroke, treat migraine headache, and possibly treat or prevent other medical conditions.

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Номер записи: 1
19-01-2012 дата публикации

Flexible tissue rasp

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

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

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Номер записи: 2
02-02-2012 дата публикации

Fracture fixation systems

Номер: US20120029102A1
Автор: Charles C. Martin, John Rose
Принадлежит: Individual

Systems for bone fracture repair are disclosed. One system includes a biocompatible putty that may be packed about a bone fracture to provide full loadbearing capabilities within days. The disclosed putties create an osteoconductive scaffold for bone regeneration and degrade over time to harmless 5 resorbable byproducts. Fixation devices for contacting an endosteal wall of an intramedullary (IM) canal of a fractured bone are also disclosed. One such fixation device includes a woven elongated structure fabricated from resorbable polymer filaments. The woven elongated structure has resilient properties that allow the woven 10 structure to be radially compressed and delivered to the IM canal using an insertion tube. When the insertion tube is removed, the woven structure expands towards its relaxed cross-sectional width to engage the endosteal wall. The woven elongated structure is impregnated with a resorbable polymer resin that cures in situ, or in the IM canal.

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Номер записи: 3
02-02-2012 дата публикации

Surgical circular stapler with tissue retention arrangements

Номер: US20120029547A1
Автор: Frederick E. Shelton, IV, John W. Willis
Принадлежит: Ethicon Endo Surgery Inc

Surgical instruments and procedures for performing a circular anastomosis of a tubular organ. The surgical instruments may include selectively deployable tissue acquisition members configured to puncture through a portion of the tubular organ and position the portion of the organ adjacent to a fastener face of a staple cartridge supported in the instrument. At least one cutting member may be radially deployed and rotated to sever the positioned portion of organ from a distal portion of the organ. An anvil may be employed to draw another portion of the organ adjacent to the portion of organ positioned adjacent to the fastener face of the staple cartridge. The staples may then be deployed through the adjacent portions of organ and an annular knife may be advanced through the adjacent organ portions to complete the anastomosis.

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Номер записи: 4
09-02-2012 дата публикации

System and method for insertion of flexible spinal stabilization element

Номер: US20120035664A1
Автор: Emmanuel Zylber, Michael Filippi, Nimrod Meier, Thomas Egli
Принадлежит: ZIMMER GMBH

Insertion of a spinal stabilization element into a patient generally includes positioning a cord within a sheath and inserting the sheath and cord through the patient's body along a path generally toward an anchor member. An advancement member may be mounted on the leading end of the cord to further facilitate this insertion. The sheath is then retracted to expose a first portion of the cord within the patient's body, and the first portion of the cord is moved into a desired position relative to the anchor member. After advancing a spacer over the sheath and cord, the sheath is retracted to expose a second portion of the cord. The second portion of the cord is then moved into a desired position relative to another anchor member such that the spacer is positioned between the two anchor members.

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Номер записи: 5
09-02-2012 дата публикации

Stent Graft Having A Marker And A Reinforcing And Marker Ring

Номер: US20120035714A1
Автор: Chantelle King, David Ernest Hartley, Werner D. Ducke
Принадлежит: Cook Medical Technologies LLC, William A Cook Australia Pty Ltd

A reinforcing and marker ring for a stent graft is disclosed. The reinforcing and marker ring comprises a plurality of turns of a substantially inextensible resilient wire in a circular shape and terminal ends at each end of the wire. The terminal ends each comprise a loop, each loop attachable to a stent graft having an opening or a fenestration so as to substantially lock a peripheral length of the circular shape. A marker winding is wound helically around the reinforcing wire, the marker winding being viewable on an image display system employing electromagnetic radiation so as to indicate the location of a periphery of the fenestration. The circular shape of the resilient wire, with the marker winding wound around it, is collapsible under radial pressure to form a squashed circular shape for loading into a delivery device, the squashed circular shape self-expandable back to a substantially circular shape upon release from the delivery device. The marker winding defines a curved passageway around the resilient wire of the reinforcing ring, the curved passageway having an internal diameter D, wherein the marker winding is helically wound with a pitch providing at least one winding per length D along the reinforcing wire of the reinforcing ring. The marker winding may be a radiopaque gold wire wound around a nitinol reinforcing wire.

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Номер записи: 6
16-02-2012 дата публикации

Method and apparatus for increasing blood flow through an obstructed blood vessel

Номер: US20120041459A1
Автор: David Fiorella, Henry Woo
Принадлежит: CLEVELAND CLINIC FOUNDATION

A method of increasing blood flow through an obstructed blood vessel includes providing an expandable member substantially made of a mesh having a plurality of interstices. The expandable member is inserted into the blood vessel, positioned within the blood vessel with the proximal member end upstream of the distal member end and the member body located radially adjacent at least a portion of an obstruction, and expanded to bring at least a portion of the member body into contact with the obstruction. An outward radial force is exerted on the obstruction to dislodge at least one fragment from the obstruction and to enhance blood flow through the blood vessel past the obstruction. The at least one fragment is passed through at least one interstice of the member body in the radial direction, and is selectively retained within the expandable member.

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Номер записи: 7
08-03-2012 дата публикации

Occlusion devices and methods

Номер: US20120055492A1
Автор: Ashish Khera, Dai T. Ton, Donnell W. Gurskis, Julian N. Nikolchev, Steven Bacich
Принадлежит: Ashish Khera, Gurskis Donnell W, Nikolchev Julian N, Steven Bacich, Ton Dai T

The invention provides intrafallopian devices and non-surgical methods for their placement to prevent conception. The efficacy of the device is enhanced by forming the structure at least in part from copper or copper alloy. The device is anchored within the fallopian tube by a lumen-traversing region of the resilient structure which has helical outer surface, together with a portion of the resilient structure which is biased to form a bent secondary shape, the secondary shape having a larger cross-section than the fallopian tube. The resilient structure is restrained in a straight configuration and transcervically inserted within the fallopian tube, where it is released. Optionally, permanent sterilization s effected by passing a current through there resilisent structure to the tubal walls.

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Номер записи: 8
08-03-2012 дата публикации

Knotless suture anchor for securing soft tissue to bone

Номер: US20120059415A1
Автор: Joseph H. Sklar
Принадлежит: Individual

A suture anchor for anchoring a length of suture to bone, the suture anchor comprising: an elongated expandable body having a distal end surface, a proximal end surface, an exterior sidewall extending between the distal end surface and the proximal end surface, and an interior passageway extending between the distal end surface and the proximal end surface; and an actuator comprising a distal end, a proximal end and a shaft extending between the distal end and the proximal end, the distal end of the actuator comprising a suture capture mechanism movably disposed relative to the elongated body; wherein the suture capture mechanism comprises a diamond-shaped structure configured to provide an opening into the interior thereof.

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Номер записи: 9
08-03-2012 дата публикации

Device for the dynamic fixation of bones

Номер: US20120059427A1
Автор: Fridolin SCHLÄPFER
Принадлежит: Synthes USA LLC

An intermediate element for a detachable, lockable, ball joint-like connection in a device for the dynamic fixation of bones has a longitudinal axis, an outer wall concentric with the longitudinal axis, and an inner wall forming a coaxial cavity. Either the outer wall or the inner wall comprises one of two contact zones that form the ball joint-like connection. The intermediate element is at least partly made of a super-elastic or visco-elastic material.

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Номер записи: 10
15-03-2012 дата публикации

Device and method for delivering shape-memory staples

Номер: US20120061449A1
Автор: Artem Nicolaevich Chernov-Haraev, Mikhail Soutorine
Принадлежит: Endogene Ltd

Some embodiments relate to a device for delivering shape-memory staples. The device comprises a grippable portion comprising a first actuator; and a delivery portion coupled to the grippable portion. The delivery portion comprises retention walls for retaining the staples within the delivery portion in an elastically deformed configuration and release apertures for releasing the staples to adopt a deployed configuration based on their shape memory. The delivery portion is configured to cause one end of each staple to protrude from the delivery portion in response to actuation of the first actuator. In some embodiments a striking mechanism is coupled to the grippable portion and configured to communicate a striking blow to the delivery portion.

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Номер записи: 11
15-03-2012 дата публикации

Expandable tip assembly for thrombus management

Номер: US20120065660A1
Автор: Andrew H. Cragg, David A. Ferrera, John Fulkerson
Принадлежит: Mindframe LLC

Systems, methods, and devices for the treatment of acute ischemic stroke that provide immediate blood flow restoration to a vessel occluded by a clot and, after reestablishing blood flow, address the clot itself. Immediate blood flow restoration advantageously can facilitate natural lysis of the clot and also can reduce or obviate the concern for distal embolization due to fragmentation of the clot. Several embodiments of the invention provide for progressive, or modular, treatment based upon the nature of the clot. For example, the progressive treatment can include immediate restoration of blood flow, in-situ clot management, and/or clot removal depending on the particular circumstances of the treatment. The in-situ clot management can include, for example, lysis, maceration, and/or removal.

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Номер записи: 12
15-03-2012 дата публикации

Septal defect closure device

Номер: US20120065673A1
Автор: James F. McGuckin, Jr.
Принадлежит: Individual

A device for closing a septal defect of a patient comprising a covering member and at least one retaining leg. The covering member has a first configuration for delivery and a second configuration for placement on the first side of the defect. The at least one retaining leg is configured to contact tissue on the second side of the defect to retain the covering member and has a first configuration for delivery and a second configuration for placement on the second side of the defect.

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Номер записи: 13
05-04-2012 дата публикации

Tissue thickness compensator comprising portions having different properties

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

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

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Номер записи: 14
05-04-2012 дата публикации

Compressible staple cartridge assembly

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

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

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Номер записи: 15
05-04-2012 дата публикации

Staple cartridge comprising a releasable portion

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

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

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Номер записи: 16
12-04-2012 дата публикации

Seal Assembly For A Cannula

Номер: US20120089160A1
Автор: David A. Paulk, Julie K. Tripodi, Richard M. Lunn
Принадлежит: Smith and Nephew Inc

The present disclosure relates to a seal assembly for a cannula. The cannula includes a housing having a proximal portion and a distal portion. The seal assembly is located in the proximal portion of the housing and includes a first seal including a first tri-slit, a second seal disposed co-axially and proximal to the first seal and including a second tri-slit, and a third seal disposed co-axially to the first seal and the second seal and including a central opening. A cap is coupled to the proximal portion of the housing and adjacent the third seal and includes a plurality of suture retaining features, such as tabs, for management of sutures during surgery. Fluid leakage out of the cannula, during surgery, is substantially reduced due to the leakage being limited to a channel defined by the first tri-slit, the second tri-slit, and the central opening.

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Номер записи: 17
12-04-2012 дата публикации

Medical implant, in particular a stent, for implantation in an animal body and/or human body

Номер: US20120089217A1
Автор: Frank Bakczewitz, Steffen Mews
Принадлежит: BIOTRONIK AG

A medical implant ( 10 a , 10 b ), in particular a stent ( 12 a , 12 b ), for implantation in an animal body and/or human body ( 14 a , 14 b ), comprising a base body ( 16 a , 16 b ) which includes at least two segments ( 18 a , 18 a′, 18 b , 18 b′; 20 a , 20 a′, 20 b , 20 b ′) having at least two deflection points ( 24 a , 24 b ; 26 a , 26 b ) that are diametrically opposed in the axial direction ( 22 a , 22 b ), and at least one adjusting means ( 28 a , 28 b ; 30 a , 30 b ) that acts on the deflection points ( 24 a , 24 b ; 26 a , 26 b ) to adjust an extension ( 32 a , 32 b ) of the base body ( 16 a , 16 b ) in the circumferential direction ( 34 a , 34 b ). It is provided that an axial distance ( 36 a , 36 b ) between the two deflection points ( 24 a , 24 b ; 26 a , 26 b ) can be shortened using the adjusting means ( 28 a , 28 b ; 30 a , 30 b ).

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Номер записи: 18
10-05-2012 дата публикации

In-plane dual loop fixed diameter electrophysiology catheters and methods of manufacturing therefor

Номер: US20120116199A1
Автор: Alan de la Rama, Jennifer Velasco, Kailing Chen
Принадлежит: de la Rama Alan, Jennifer Velasco, Kailing Chen

An EP catheter includes a tubular body having a proximal region, a neck region, and a distal portion predisposed into an in-plane dual loop (at least, approximately, more or less) configuration and including a plurality of diagnostic electrodes. In deflectable catheter forms, at least one activation wire extends through at least a portion of the proximal region of the catheter body and is adapted to deflect the distal portion up to approximately 180 degrees relative to the proximal region. The catheter can be operated manually by a clinician or via a clinician-surrogate such as a computer processor-controlled surgical system. In addition, a variety of localization, visualization, and/or orientation-specific elements can be incorporated into the devices described, depicted, and claimed herein (e.g., metallic coil members, active impedance emitting or receiving electrodes, fluoroscopically opaque materials, and the like).

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Номер записи: 19
10-05-2012 дата публикации

Fixed loop deflectable electrophysiology catheters having an extended braid primary shaft coupled to the periphery of the fixed loop and methods of manufacturing therefor

Номер: US20120116200A1
Автор: Alan de la Rama, Jennifer Velasco, Pianka Roy
Принадлежит: de la Rama Alan, Jennifer Velasco, Pianka Roy

An EP catheter includes a tubular body having a proximal region, a neck region, and a distal portion predisposed into a single shallow helical fixed-diameter loop configuration and including a plurality of diagnostic electrodes. In deflectable catheter forms, at least one activation wire extends through at least a portion of the proximal region of the catheter body and is adapted to deflect the up to approximately 180 degrees relative to the proximal region. The catheter can be operated manually by a clinician or via a clinician-surrogate such as a computer processor-controlled surgical system. In addition, a variety of localization, visualization, and/or orientation-specific elements can be incorporated into the devices described, depicted, and claimed herein (e.g., metallic coil members, active impedance emitting or receiving electrodes, fluoroscopically opaque materials, and the like).

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Номер записи: 20
24-05-2012 дата публикации

Device for the treatment of female urinary incontinence and vaginal flaccidity

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

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

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Номер записи: 21
07-06-2012 дата публикации

Dissection Tip and Introducer for Surgical Instrument

Номер: US20120138661A1
Автор: Frank C. Maffei, John W. Beardsley, Lee Ann Olson, Sachin Shah, Stanislaw Kostrzewski, William R. Mayfield
Принадлежит: TYCO HEALTHCARE GROUP LP

The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

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Номер записи: 22
14-06-2012 дата публикации

Apparatus and method for anchoring sutures

Номер: US20120150222A1
Автор: Edwin C. Bartlett
Принадлежит: Individual

A suture anchor having a conical surface and a bore in which an end of an insertion tool is inserted. The insertion end of the insertion tool is made of material having elastic properties. The bore and base of the suture anchor are angled with respect to the central axis of the suture anchor and preferably are parallel to each other. During insertion, the suture anchor is reoriented to fit into the hole, thereby bending the elastic end of the insertion tool. When the suture anchor is within cancellous bone tissue, the elastic properties of the insertion tool deploys the suture anchor to an orientation in which the suture anchor cannot fit through the bone hole, thereby firmly anchoring the suture anchor in the human bone.

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Номер записи: 23
21-06-2012 дата публикации

Devices, systems and methods for tissue repair

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

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

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Номер записи: 24
05-07-2012 дата публикации

Self-expanding occlusion device

Номер: US20120172973A1
Автор: James Ryan Randolph, James Taylor, Mark Magnuson, Michael Deckard
Принадлежит: Cook Medical Technologies LLC

An occlusion device for implantation within a body lumen includes a distal end, a proximal end, and an expandable member extending from the distal end to the proximal end. The expandable tubular member defines a passageway extending from the distal end to the proximal end. The expandable tubular member includes a plurality of struts that are joined to adjacent struts to form a plurality of closed shapes each defining a closed path. The plurality of struts are joined to form a plurality of fixed joints so that adjacent struts are pivotable around respective one of the fixed joints when an external force is applied to the expandable tubular member. The tubular member defines an ellipsoid shape.

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Номер записи: 25
19-07-2012 дата публикации

Surgical retrieval device radially deployable from a collapsed position to a snare or cauterization loop

Номер: US20120184957A1
Автор: Rafic Saleh
Принадлежит: Individual

A surgical instrument featuring a combination cauterizing and surgical capture component. The instrument is deployable from a distal end of a lumen to a first position partially exposing a cauterizing loop and having restrained radially deployable members wherein a plurality of cauterizations may be performed with said cauterizing loop in an unobstructed view of a camera or lens. The instrument is deployable to a second position fully translated from the lumen whereafter the plurality of radially positionable members may be released by activation of a release member allowing the biased members to deploy radially around an axis running through the loop.

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Номер записи: 26
19-07-2012 дата публикации

Anti-obesity devices

Номер: US20120184967A1
Автор: Andy H. Levine, David A. Melanson, John C. Meade
Принадлежит: GI Dynamics Inc

Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the pyloric portion of the gastrointestinal system and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device in the pyloric portion and a flexible sleeve that extents into the duodenum. The anchor is collapsible for endoscopic delivery and removal.

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Номер записи: 27
26-07-2012 дата публикации

Surgical instrument with selectively rigidizable features

Номер: US20120191076A1
Автор: Aaron C. Voegele, James W. Voegele
Принадлежит: Ethicon Endo Surgery Inc

Mechanisms for altering the shape of a cell or chamber of a shaft or an actuation drive of an instrument are provided. The mechanisms may selectively rigidize the shaft of surgical or diagnostic instruments. The shaft assembly includes a shaft operatively connectable to a control member, at least one cell or a set of cells defined within the shaft, a shape altering material contained within the cell or cells, and, an activation link operatively connectable to a source of activation energy for delivering activation energy to each cell for activating the shape altering material to selectively rigidize or unrigidize the shaft. An actuator for producing work is also provided that includes an element within a housing that defines a cell or a set of cells. The shape altering material is contained within the cells, and a source of activation energy operatively connected to each cell for activating the shape altering material to expand or contract the cell. The element is operatively connectable to a driving member of an instrument such that the change in the cell is translated to the driving member to facilitate the production of work.

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Номер записи: 28
26-07-2012 дата публикации

Drilling device for forming a curved osseous channel within the body of a vertebra

Номер: US20120191094A1
Автор: BILLON Adrien, Leroy Jean-Yves, TORNIER Alain, VIART Guy
Принадлежит: Clariance SAS

The drilling device for forming an osseous channel ( 2 ) with a curved profile ( 2 b ) via a straight cannula ( 6 ) previously fixed in the body of a vertebra ( 3 ) with a cortical plateau ( 4 ) of a spinal segment (Sr) of a vertebral column (Cv) includes a guide pin ( 8 ) which is provided from a guide pin kit and has at one of its ends a curved profile ( 8 a ) of which the radius of curvature R is less than 20 millimetres, and a sharpened tip ( 8 b ) arranged in a direction defined by an angle Y which is less than 90 degrees to the longitudinal axis of said pin, the profile of said guide pin ( 8 ) making it possible to define, after insertion thereof into the body of the vertebra ( 3 ), two contact points a and b ensuring the guidance of the free end of an articulated drill bit ( 10 ) so as to position said free end in a direction substantially perpendicular to that of the cortical plateau ( 4 ) of the vertebra ( 3 ) to be drilled.

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Номер записи: 29
02-08-2012 дата публикации

Stretch resistant therapeutic device

Номер: US20120197286A1
Автор: Eric Leopold, Peter Wilson, Rupesh K. Desai
Принадлежит: Micrus Corp

A vasoocclusive coil is reinforced with a stretch resistant member to improve safety during retraction of the coil. The stretch resistant member is fixedly attached at one end to the vasoocclusive coil, and the other end of the stretch resistant member is detachably mounted to an elongated pusher member to allow for placement and release of the vasoocclusive coil within the patient's vasculature.

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Номер записи: 30
16-08-2012 дата публикации

Spinal Stabilization Device

Номер: US20120209330A1
Автор: Brian Scott Bowman, Jason Yim, Tae-Ahn Jahng
Принадлежит: Brian Scott Bowman, Jason Yim, Tae-Ahn Jahng

A flexible connection unit for use in a spinal fixation device, including: a longitudinal member having first end portion, a second end portion and a flexible member interposed between the first end portion and the second end portion, at least one of the first end portion and the second end portion configured to be coupled to a first bone securing member; and a spacer located between the first and second end portions, wherein at least a portion of the flexible member passes through an axial channel of the spacer and wherein the spacer comprises a resilient element configured to be coupled to a second bone securing member.

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Номер записи: 31
06-09-2012 дата публикации

Method and devices for the treatment of bone fractures

Номер: US20120226362A1
Автор: Hans A. Mische
Принадлежит: Individual

A system for treating bone fractures includes a tubular implant and a means for compressing the tubular implant. The tubular implant is configured to expand from a reduced configuration to an expanded configuration. The expanded configuration has a greater diameter than the reduced configuration. The means for compressing the tubular implant causes the tubular implant to expand from the reduced configuration to the expanded configuration thereby fixating a bone fracture.

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Номер записи: 32
20-09-2012 дата публикации

Integrated medical apparatus for non-traumatic grasping, manipulating and closure of tissue

Номер: US20120239081A1
Автор: Brian J. Fill, Mark J. Gartner
Принадлежит: Ension Inc

The integrated medical apparatus includes an operator handle end and a multi-prong grasping member positioned within and movable relative to a grasper lumen that extends from the handle end, wherein the grasping prongs are moved between an open and closed position by relative axial movement between the prongs of the grasping member and the grasper lumen. The medical apparatus includes a contractible snare and a plurality of axially moveable snare pushing arms. At least two of the snare pushing arms include a snare holding and release mechanism, wherein the snare pushing arms are configured to advance the snare in an open, encircling position to a final deployed position where the snare can be released through the activation of the holding and release mechanism of the pushing arms, and finally tightened in a conventional fashion, such as pulling on an end of the snare at the handle end.

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Номер записи: 33
27-09-2012 дата публикации

Tissue thickness compensator comprising structure to produce a resilient load

Номер: US20120241501A1
Автор: Charles J. Scheib, Christopher W. Widenhouse, Frederick E. Shelton, IV, Jeffrey S. Swayze, Tamara Widenhouse, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.

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Номер записи: 34
04-10-2012 дата публикации

Apical puncture access and closure system

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

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

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Номер записи: 35
11-10-2012 дата публикации

Apparatus and methods to create and maintain an intra-atrial pressure relief opening

Номер: US20120259263A1
Автор: David Celermajer, Edward McNamara, Hiroatsu Sugimoto, Michael W. Sutherland
Принадлежит: DC Devices Inc

The present disclosure relates to a method and a device for treating heart failure by normalizing elevated blood pressure in the left and right atria of a heart of a mammal The present disclosure includes methods for creating and maintaining an opening in the atrial septum. Tools for making an opening and enlarging the opening are also disclosed. Use of the techniques and tools described herein prolongs the patency of an intra-atrial pressure relief opening.

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Номер записи: 36
01-11-2012 дата публикации

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

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

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

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Номер записи: 37
15-11-2012 дата публикации

Intra-atrial implants made of non-braided material

Номер: US20120290062A1
Автор: David Celermajer, Edward McNamara, Hiroatsu Sugimoto, Stephen Forcucci
Принадлежит: Individual

Several unique intra-cardiac pressure devices, placement catheters, methods of placement and methods of treating heart failure are presented. The intra-cardiac pressure devices presented allow sufficient flow from the left atrium to the right atrium to enable the relief of elevated left atrial pressure and resulting patient symptoms. The intra-cardiac pressure devices are made of a non-braided material.

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Номер записи: 38
22-11-2012 дата публикации

Clip Apparatus for Closing Septal Defects and Methods of Use

Номер: US20120296346A1
Автор: Richard S. Ginn
Принадлежит: Individual

A device for closing a septal defect, such as a patent foramen ovale, includes a clip formed from a superelastic material that is inserted into a septum wall of a heart. The clip is advanced through a patient's vasculature, e.g., within a delivery apparatus, until the clip is disposed within a first chamber adjacent the septal defect. Tines of the clip are directed through a flap of tissue of the septal defect until the tines of the clip are disposed within a second opposing chamber. The clip then transforms into its relaxed state, wherein the tines of the clip engage with a surface of the second chamber, thereby substantially closing the septal opening.

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Номер записи: 39
27-12-2012 дата публикации

Vertebral bone navigation systems

Номер: US20120330301A1
Автор: Harold Carrison, Richard Pellegrino, Samit Patel
Принадлежит: Relievant Medsystems Inc

System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a radial opening at or near the distal end of the trocar. The system includes a curveable cannula sized to be received in the central channel, the curveable cannula comprising a curveable distal end configured to be extended laterally outward from the radial opening in a curved path extending away from the trocar. The curveable cannula has a central passageway having a diameter configured allow a probe to be delivered through the central passageway to a location beyond the curved path.

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Номер записи: 40
10-01-2013 дата публикации

System for heating a vertebral body to treat back pain

Номер: US20130012936A1
Автор: John S. Crombie, Paula Papineau, Richard Pellegrino, Samit Patel, Thomas Ryan
Принадлежит: Relievant Medsystems Inc

Methods and systems for modulating intraosseous nerves (e.g., nerves within bone) are provided. For example, the methods and systems described herein may be used to modulate (e.g., denervate, ablate) basivertebral nerves within vertebrae. The modulation of the basivertebral nerves may facilitate treatment of chronic back pain.

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Номер записи: 41
10-01-2013 дата публикации

Stent for connecting adjacent tissues of organs

Номер: US20130012969A1
Автор: Kyong-Min Shin
Принадлежит: Individual

Disclosed herein is a stent for connecting adjacent tissues of the organs of a patient. The stent includes a hollow cylindrical body which is formed by weaving a superelastic shape-memory alloy wire in an overlapping manner such that rhombic openings are formed, and wing parts which are provided by expanding respective opposite ends of the hollow cylindrical body outwards and turning the opposite ends inside out on bent portions. The wing parts face each other so that the wing parts are tensed in a longitudinal direction of the cylindrical body. Thereby, the wing parts can elastically move inwards or outwards with respect to the longitudinal direction to automatically adjust a distance between the wing parts in response to the distance between the adjacent tissues of the organs or thicknesses of walls of the organs, so that the wing parts are put into close contact with the adjacent tissues.

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Номер записи: 42
07-02-2013 дата публикации

Surgical spreadable sheet delivery and positioning system and method

Номер: US20130035704A1
Автор: Moshe Dudai
Принадлежит: Individual

A prepackaged mesh unit which comprises a spreadable sheet, a guide rod configured for remotely positioning the spreadable sheet within a body cavity, and a plurality of self-extending elements collapsed with the spreadable sheet and held at one end by the guide rod, wherein the self-extending elements have an elastic property and store elastic energy while collapsed with the spreadable sheet, wherein the number and configuration of the self-extending elements is selected to match a size and shape of the spreadable sheet.

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Номер записи: 43
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: 44
28-03-2013 дата публикации

Patient temperature control catheter with helical heat exchange paths

Номер: US20130079855A1
Автор: Alex L. Lim, Jeremy T. Dabrowiak, Richard A. Helkowski, Venkata Vishnu Gurukula
Принадлежит: Zoll Circulation Inc

A catheter includes a working fluid supply path communicating with a source of working fluid. The catheter also includes a working fluid return path communicating with the working fluid supply path to return working fluid from the supply path to the source of working fluid. At least one of the paths is contained in a distal heat exchange region of the catheter, where the distal heat exchange region includes first and second helical paths and is made of a shape memory material.

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Номер записи: 45
04-04-2013 дата публикации

Multi-fiber shape memory device

Номер: US20130085518A1
Автор: Jeffrey P. Castleberry, Jim Fogelberg, Julie Trommeter, Mike Lyons, Robin Shandas, William Aldrich
Принадлежит: Endoshape Inc

A shape memory coiling device ( 5 ) for occluding a vessel or other vascular target includes a shape memory polymer material. The shape memory material is formed in a formation state as a plurality of coiled members ( 10 ) and then constrained in a pre-deployed state as a plurality of elongate members ( 10 ) configured for delivery through a delivery device wherein the plurality of elongate members ( 10 ) are aligned axially with respect to each other and the delivery device ( 20 ). The shape memory material may be formed in an intra-deployed state such that at least one of the plurality of elongate members ( 10 ) will anchor the device ( 5 ) before filling the vascular target and becoming a coiled member. The shape memory material is formed in a deployed state as a plurality of coiled members ( 10 ). In some embodiments, the vascular target is an aneurysm.

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Номер записи: 46
11-04-2013 дата публикации

Bioactive Substance in a Barbed Suture

Номер: US20130090686A1
Автор: Ahmad Robert Hadba, Gerald Hodgkinson, Joshua Stopek, Matthew D. Cohen
Принадлежит: COVIDIEN LP

Barbed surgical sutures are provided which include an elongated body and a plurality of barbs extending therefrom. A bioactive agent is disposed within barb angles formed between the barbs and the elongated body. The barbs may be made from a shape memory polymer having a permanent shape which may be deformed to a temporary shape, such that barbs of the suture extend at different barb angles in the different shape configurations. The barb angles of the permanent shape may be greater than the barb angles of the temporary shape, thereby exposing and/or releasing a bioactive agent after placement in tissue.

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Номер записи: 47
09-05-2013 дата публикации

Devices and methods for the treatment of vascular defects

Номер: US20130116722A1
Автор: Arturo S. Rosqueta, Maria Aboytes
Принадлежит: Medina Medical Inc

Devices and methods for treating vascular defects, such as, for example, balloon-type aneurysms, are described herein. In one embodiment, an apparatus includes an insertion portion and an expandable implant. The expandable implant is configured to be deployed in an aneurysm and is coupled to the insertion portion. The expandable implant has a first portion and a second portion coupled to the first portion. The expandable implant is movable between a first configuration in which the first portion and the second portion are substantially linearly aligned and a second configuration in which the second portion at least partially overlaps the first portion.

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Номер записи: 48
23-05-2013 дата публикации

Embolic Device With Shaped Wire

Номер: US20130131711A1
Автор: Heath Bowman
Принадлежит: MicroVention Inc

Devices for the occlusion of body cavities, such as the embolization of vascular aneurysms and the like, and methods for making and using such devices. The devices may be comprised of novel expansile materials, novel infrastructure design, or both. The devices provided are very flexible and enable deployment with reduced or no damage to bodily tissues, conduits, cavities, etceteras.

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Номер записи: 49
23-05-2013 дата публикации

Catheter-based annuloplasty using ventricularly positioned catheter

Номер: US20130131791A1
Автор: Edwin J. Hlavka, Jonathan L. Podmore, Paul A. Spence
Принадлежит: Mitralign Inc

The present invention relates to a minimally invasive method of performing annuloplasty. According to one aspect of the present invention, a method for performing annuloplasty includes accessing a left ventricle of a heart to provide a discrete plication element to the left ventricle, and engaging the plication element to tissue near a mitral valve of the heart. Engaging the plication element includes causing the plication element to gather a portion of the tissue to create a plication. In one embodiment, accessing the left ventricle of the heart to provide the plication element includes accessing the left ventricle of the heart using a catheter arrangement.

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Номер записи: 50
23-05-2013 дата публикации

Apparatus and method for treating bone

Номер: US20130131810A1
Автор: Laurent Schaller, Steve Golden
Принадлежит: Benvenue Medical Inc

A bone tamp for creating channels within bone tissue. The bone tamp includes an elongated member that is deformable from a first generally non-linear configuration to a second generally linear configuration for insertion into bone tissue. As the elongated member is deployed into bone tissue, it transitions from the linear configuration into the non-linear configuration within the bone tissue. The elongated member is capable of being deformed back into the generally linear configuration for withdrawal from the bone tissue.

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Номер записи: 51
30-05-2013 дата публикации

Compressible tissue anchor assemblies

Номер: US20130138151A1
Автор: Marvin C. ELMER, Richard C. Ewers, Tracy D. Maahs
Принадлежит: USGI Medical Inc

Apparatus and methods optimize anchoring force in securing tissue folds. Over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable designs configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue.

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Номер записи: 52
20-06-2013 дата публикации

Pre-formed curved ablation catheter

Номер: US20130158538A1
Автор: Assaf Govari
Принадлежит: Biosense Webster Israel Ltd

A medical device includes an insertion tube, having a longitudinal axis and having a distal end adapted for insertion through a body passage into a cavity within a body of a patient. An electrode is located on the distal end of the insertion tube and is configured to contact tissue in the cavity. A resilient member is contained within the distal end of the insertion tube and is configured, when unconstrained, to cause the distal end to bend away from the longitudinal axis in a curved shape and to straighten toward the longitudinal axis when subjected to a force.

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Номер записи: 53
27-06-2013 дата публикации

Systems and methods for making and using medical ablation systems having mapping catheters with improved anchoring ability

Номер: US20130165759A1
Автор: David McGee, Isaac Kim, Josef V. Koblish
Принадлежит: Boston Scientific Scimed Inc

A mapping catheter includes an elongated body for inserting into patient vasculature. A distal end of the elongated body includes a distal portion that includes a plurality of electrodes, a proximal portion disposed proximal to the distal portion, and a reduced-dimension portion disposed between the proximal and distal portions. The distal end is formed, at least in part, from a memory shape material that bends into a preformed shape upon release from a confined space. The preformed shape includes a first loop formed, at least in part, by the distal portion. The first loop is transverse to a longitudinal axis of the proximal portion. The reduced-dimension portion is configured and arranged to bend such that the reduced-dimension section advances distally through the first loop when the first loop is held in a fixed position and a force is applied distally along the longitudinal axis of the proximal portion.

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Номер записи: 54
04-07-2013 дата публикации

Fasteners, Deployment Systems, and Methods for Ophthalmic Tissue Closure and Fixation of Ophthalmic Prostheses and Other Uses

Номер: US20130168432A1
Автор: Aaron FEUSTEL, Kenneth A. Peartree, Steven D. VOLD, Timothy D. Buckley
Принадлежит: Iridex Corp

Improved tissue fasteners are disclosed that can be inserted into (and optionally through) tissue structures underlying a tissue surface, for affixing overlapping tissues and tissue planes together, and the like. In some embodiments, an elongate anvil body may protrude distally and/or laterally from a fastener support disposed along the base. The anvil body may have a sharpened end and be configured to penetrate into the tissue, with the elongate anvil body optionally having a bend from a more distal orientation adjacent the clip support to a more lateral orientation adjacent the sharpened end during at least a portion of the deployment. The first leg can be driven through a desired location on the surface of the first tissue and against a receptacle of the anvil body so as to deform the fastener and affix it to the first tissue.

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Номер записи: 55
04-07-2013 дата публикации

Wound protector with reinforced ring

Номер: US20130172681A1
Автор: Robert C. Smith
Принадлежит: COVIDIEN LP

A surgical sleeve is disclosed herein for insertion into an opening in tissue to minimize damage to the opening in tissue. The various embodiments of the surgical sleeve include a reinforcement member or a stiffening member for providing radial support to a proximal anchor member. In one embodiment, the surgical sleeve includes a proximal anchor member configured and dimensioned to contact an outer surface of the tissue to inhibit advancement of the surgical sleeve entirely through the opening, a distal anchor member configured and dimensioned to facilitate anchoring of the surgical sleeve within the opening in tissue, a sleeve member extending between the proximal anchor member and the distal anchor member, the sleeve member defining a passageway extending therethrough, and a reinforcement member positionable within the proximal anchor member to provide radial support to the proximal anchor member.

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Номер записи: 56
18-07-2013 дата публикации

End effector for use with a surgical fastening instrument

Номер: US20130181030A1
Автор: Christopher J. Hess, Frederick E. Shelton, IV, II William B. Weisenburgh, James W. Voegele, Jerome R. Morgan, Joshua R. Uth
Принадлежит: Ethicon Endo Surgery Inc

A surgical staple including a crown and a deformable member extending from the crown, the deformable member having a notch configured to cause the deformable member to bend at the notch when the staple is deformed from a first shape into a second shape. The crown of the surgical staple, in various embodiments, further includes a forming surface, or anvil, which is configured to deform the deformable member and/or guide a distal end of the deformable member when the distal end contacts the crown.

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Номер записи: 57
25-07-2013 дата публикации

Bent dip fusion screw

Номер: US20130190830A1
Автор: Jozef Zoldos, Lloyd P. Champagne
Принадлежит: Individual

Devices and methods are disclosed for the fusion of joints (particularly finger joints or toe joints) in a bent (or angled) position. In certain embodiments, the device is pre-bent and inserted into the joint in its pre-bent configuration. Alternatively, the device may be configured to have a first position wherein it is bent and a second position wherein it is straight. In that case, the device is preferably straightened by inserting a K-wire through a cannula in the device, and the device can be inserted into the joint in its straight position. Once inserted, the device is permitted to move to its bent position, which moves the joint to a bent position. In one embodiment the device moves to its bent position when the K-wire is removed.

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Номер записи: 58
01-08-2013 дата публикации

Spinal Anchoring Screw

Номер: US20130197583A1
Автор: Amie Borgstrom, Anwar M. Upal, Benjamin Arnold, Charles M. Bartish, Jr., Erasmo A. Lopez, John Riley Hawkins, Missoum Moumene, SeungKyu Daniel Kwak, William L. Dunbar, Jr.
Принадлежит: DePuy Spine LLC

A spine stabilization system includes at least one bone anchor assembly, the bone anchor assembly including a bone engaging member and a receiver member, wherein the receiver member includes a connecting member cavity, and an elongated connecting member inserted into the connecting member cavity and connected to the receiver member, wherein the connecting member comprises locking features configured to secure the connecting member to the receiver member without the use of a fixation screw extending through a top portion of the receiver member.

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Номер записи: 59
08-08-2013 дата публикации

Pelvic Implant System and Method

Номер: US20130204075A1
Автор: David J. Sogard, James R. Mujwid, Jessica E. Felton, John J. Allen, Kevin R. Arnal
Принадлежит: AMS Research LLC

Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition urethral support tissue, such as the portion of the perineal membrane above or below the urethra. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence.

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Номер записи: 60
22-08-2013 дата публикации

Actuator for releasing a tissue thickness compensator from a fastener cartridge

Номер: US20130214030A1
Автор: Brandon J. Lloyd, Frederick E. Shelton, IV, Lauren S. Weaner, Michael J. Vendely, Taylor W. Aronhalt
Принадлежит: Ethicon Endo Surgery Inc

A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

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Номер записи: 61
29-08-2013 дата публикации

Method and apparatus for occluding a blood vessel

Номер: US20130226201A1
Автор: Arnold Miller, Avraham Rami Lore
Принадлежит: Amsel Medical Corporation

Apparatus for percutaneously occluding a hollow structure, said apparatus comprising: an occluder, said occluder comprising a first component and a second component, wherein said first component is configured so that it may assume (i) a diametrically-reduced configuration for disposition within the lumen of a hollow tube, and (ii) a diametrically-expanded configuration for disposition adjacent to the hollow structure, whereby to occlude the hollow structure, and further wherein said second component percutaneously connects said first component to a site remote from said first component.

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Номер записи: 62
29-08-2013 дата публикации

Apparatus for performing an electrosurgical procedure

Номер: US20130226226A1
Автор: David M. Garrison, Glenn A. Horner
Принадлежит: COVIDIEN LP

A surgical instrument is provided and includes a housing having a shaft. An end effector assembly is operatively connected to a distal end of the shaft and has a pair of first and second jaw members one of which is movable with respect to the other. A heat activated drive assembly operably couples to an actuation mechanism that is operably associated with the forceps and configured to supply thermal energy to the heat activated drive assembly. The heat activated drive assembly operably coupled to movable jaw member and configured to impart movement of the movable jaw member when the actuation mechanism is activated.

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Номер записи: 63
05-09-2013 дата публикации

Luminal structure anchoring devices and methods

Номер: US20130231689A1
Автор: Corbett W. Stone, Kenneth F. Binmoeller
Принадлежит: XLumena Inc

The present invention relates to a device for endoscopy or endosonography-guided transluminal interventions whereby two luminal structures in the body may be drawn toward each other and a fluid conduit formed in between. The device may have a hollow central member to which is coupled a distal retention member and in one embodiment a proximal retention member. The retention members may each be positioned inside one of the luminal structures and expanded from a first condition to an expanded second condition having an increased radius. The length of the central member may be shortened and its diameter expanded to approximate the two retention members and thereby the luminal structures.

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Номер записи: 64
12-09-2013 дата публикации

Cryotreatment device and method

Номер: US20130238064A1
Автор: Daniel M. Lafontaine
Принадлежит: Boston Scientific Scimed Inc

Devices and methods for cooling vessel walls to inhibit restenosis in conjunction with medical procedures such as coronary artery angioplasty. One catheter device includes a distal tube region having coolant delivery holes radially and longitudinally distributed along the distal region. In some devices, holes spray coolant directly onto the vessel walls. In other embodiments, a balloon or envelope is interposed between the coolant and the vessel walls and the coolant returned out of the catheter through a coolant return lumen. Some direct spray devices include an occlusion device to restrict blood flow past the region being cooled. Pressure, temperature, and ultrasonic probes are included in some cooling catheters. Some cooling catheters are coiled perfusion catheters supporting longer cooling periods by allowing perfusing blood flow simultaneously with vessel wall cooling.

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Номер записи: 65
26-09-2013 дата публикации

Apex closure device

Номер: US20130253577A1
Автор: Zachary J. Tegels
Принадлежит: St Jude Medical LLC

Wound closure devices, systems, and methods may be used to close an opening, such as a puncture wound or incision, formed in tissue, such as heart tissue. A wound closure device may be configured and adapted to be placed within the puncture wound or incision to close and/or seal the puncture wound or incision. A bioadhesive may be used to strengthen the closure and/or seal of the puncture wound after placement of the wound closure device relative to the puncture wound.

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Номер записи: 66
26-09-2013 дата публикации

Heart valve chordae replacement methods and apparatus

Номер: US20130253639A1
Автор: Yousef F. Alkhatib
Принадлежит: St Jude Medical LLC

Apparatus for attaching a prosthetic tether between a leaflet of a patient's heart valve and another portion of the patient's heart to help prevent prolapse of the leaflet and/or to otherwise improve leaflet function. The apparatus can be used with relatively low invasiveness of the patient's body. The apparatus releasably clamps the leaflet during attachment of the tether to the leaflet. The apparatus may include an integrated display for indicating how extensively the leaflet is being clamped, as well as structure for stabilizing the leaflet for better clamping. The apparatus may enter the heart through an aperture in the wall of the heart, and may include structure for helping to reduce blood leakage from that aperture. The apparatus may be able to enter the heart by following a guide wire. The apparatus may include various means for attaching the tether to the leaflet.

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Номер записи: 67
03-10-2013 дата публикации

Tissue thickness compensator comprising a plurality of medicaments

Номер: US20130256367A1
Автор: Charles J. Scheib, Frederick E. Shelton, IV
Принадлежит: Ethicon Endo Surgery Inc

In various embodiments, a compensator can comprise a compensator body comprising a plurality of first packets and a plurality of second packets wherein, in at least one embodiment, each second packet is positioned intermediate two or more first packets. The compensator can further comprise a first medicament positioned within each first packet and a second medicament positioned within each second packet, wherein the first medicament is different than the second medicament.

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Номер записи: 68
10-10-2013 дата публикации

Device and method for reducing mitral valve regurgitation

Номер: US20130268069A1
Автор: Avraham Zakai, Dan Rottenberg, David Alon, David Mishaly
Принадлежит: Edwards Lifesciences AG

In one embodiment, the present invention provides a prosthesis that can be implanted within a heart to at least partially block gaps that may be present between the two mitral valve leaflets. In one preferred embodiment, the prosthesis includes an anchoring ring that expands within the left atrium to anchor the prosthesis and a pocket member fixed to the anchoring ring. When the mitral valve is open, blood flows past the pocket member, maintaining the pocket member in a collapsed state. When the mitral valve closes, the backpressure of the blood pushes into the pocket member, expanding the pocket member to an inflated shape. The mitral valve leaflets contact the expanded pocket member, allowing the prosthesis to block at least a portion of the openings between the leaflets, thereby minimizing regurgitated blood flow into the left atrium.

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Номер записи: 69
17-10-2013 дата публикации

Systems and methods for making a laminar ventricular partitioning device

Номер: US20130270735A1
Автор: Miles D. Alexander
Принадлежит: CardioKinetix Inc

Described herein are systems and methods for securing a polymeric sheet to rib components of a frame structure, wherein the rib components are jointed at a hub to form an expandable and collapsible implant. In general, the method may include the steps of decreasing a diameter of the frame structure; placing the frame structure into an assembly fixture, wherein the assembly fixture is configured to hold the frame structure in a loaded configuration with a decreased diameter; placing a polymeric sheet into the assembly fixture; and heating the assembly under pressure to fuse the sheet to the frame structure. In general, a fixture may include a first and second platen having a shaping portion and a rim portion positioned around the periphery of the platen, wherein the shaping portions are configured to hold the rib components of the frame structure in a loaded configuration with a decreased diameter.

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Номер записи: 70
17-10-2013 дата публикации

Devices and methods for delivering an endocardial device

Номер: US20130274595A1
Автор: James R. Kermode, Matthew T. Davila, Miles D. Alexander
Принадлежит: CardioKinetix Inc

Described herein are devices, systems and methods for delivering an endocardial device. The systems for delivering the device transvascularly may generally include an elongate guide catheter having a proximal end and a distal end; a conical dilator at the distal end of the elongate guide catheter, the conical dilator being removable to enable delivery of the ventricular portioning device; a delivery catheter having a proximal and distal end; an expansion member near the distal end of the delivery catheter and configured to expand a plurality of struts of the partitioning device; and a coupling element configured to deployably secure to a hub of the partitioning device. The systems for delivering the device transapically may generally include an elongate access sheath; an elongate delivery catheter; an expansion member; and a coupling element proximal to the expansion member and configured to deployably secure to a hub of the partitioning device.

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Номер записи: 71
17-10-2013 дата публикации

Devices and methods for delivering implants for percutaneous perforation closure

Номер: US20130274795A1
Автор: Bartosz PAWLIKOWSKI, Christopher Martin, Damien Ryan, Des Regan, Ger Brett, Joseph DOLPHIN, Mark MCGOLDRICK, Matthew Murphy, Michael Dunning, Michael MCCARTIN, Micheál Hession, Peter Grant
Принадлежит: VIVASURE MEDICAL Ltd

A device for delivering an implant configured to seal an aperture in a tissue includes: a delivery shaft configured to engage the implant to allow the implant to be maneuvered into sealing engagement with a distal surface of the tissue, the delivery shaft comprising a retaining sleeve comprising a locking projection engagable with a locking recess of the implant to secure the implant to the delivery shaft, and a release sleeve axially slideable relative to the retaining sleeve between a first axial position in which the release sleeve is configured to maintain locking engagement between the locking recess and the locking projection, and a second axial position in which the release sleeve permits the locking projection to disengage the locking recess.

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Номер записи: 72
05-12-2013 дата публикации

Vertebral treatment

Номер: US20130324996A1
Автор: John S. Crombie, Paula Papineau, Richard Pellegrino, Samit Patel, Thomas Ryan
Принадлежит: Relievant Medsystems Inc

Methods and systems for modulating intraosseous nerves (e.g., nerves within bone) are provided. For example, the methods and systems described herein may be used to modulate (e.g., denervate, ablate) basivertebral nerves within vertebrae. The modulation of the basivertebral nerves may facilitate treatment of chronic back pain. The modulation may be performed by a neuromodulation device (e.g., an energy delivery device).

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Номер записи: 73
05-12-2013 дата публикации

Clot removal device with steerable element

Номер: US20130325056A1
Автор: Ronen Eckhouse, Shimon Eckhouse, Yuri Sudin
Принадлежит: RAPID MEDICAL LTD

A clot removal device and method for removing a clot from a blood vessel are provided, where the clot removal device includes a shaft and an elongate clot engagement element having one end connected to the shaft and a distal end remote from the end connected to the shaft, and where the shaft and elongate clot engagement element having a principal longitudinal axis. Further, the distal end can include an end formation forming a curved contact surface at the distal end, and the end formation can be displaced to one side of the principal longitudinal axis.

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Номер записи: 74
12-12-2013 дата публикации

Apparatus, systems and methods for medical device expansion

Номер: US20130327113A1
Автор: Michael Lee Green
Принадлежит: Abbott Cardiovascular Systems Inc

A system and method for manufacturing a medical device. The system can include a thermal chamber and an expander at least partially positioned within the thermal chamber. The expander can be configured to uniformly expand a medical device as the medical device is advanced over the heated expander and heat set the expanded medical device while the medical device is positioned on the heated expander. The method can include forming a medical device from a tube having a first diameter; uniformly expanding the medical device from the first diameter to a second diameter at which the medical device can be left within a body vessel, the medical device being expanded from the first diameter to the second diameter while being continuously positioned on an expander; and heat setting the expanded medical device at the second diameter while the medical device is positioned on the expander.

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Номер записи: 75
19-12-2013 дата публикации

Therapeutic methods and devices following myocardial infarction

Номер: US20130338695A1
Автор: Alexander Khairkhahan, Serjan D. Nikolic
Принадлежит: CardioKinetix Inc

Described herein are methods of treating a patient to prevent or correct cardiac remodeling following myocardial infarction. In general these methods may include inserting or implanting a device in a heart chamber to support the affected region within 72 hours after myocardial infarction. The device may be a support device (e.g., a resilient frame) and/or a partitioning device.

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Номер записи: 76
19-12-2013 дата публикации

Vasoocclusive coil with biplex windings to improve mechanical properties

Номер: US20130338702A1
Автор: Eric W. Leopold, Rupesh Desai
Принадлежит: DePuy Synthes Products Inc

The vasoocclusive device for use in interventional therapy and vascular surgery adapted to be inserted into a portion of a vasculature, includes a vasoocclusive coil disposed about an inner reinforcement coil wherein said vasoocclusive coil is helically wound and the inner reinforcement coil forms a reverse helical winding opposite the vasoocclusive coil winding, thereby forming a biplex wound coil. The vasoocclusive device biplex winding provides improved mechanical properties to the device. An inner reinforcement stretch resistant member attached within the biplex windings limits coil stretchability.

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Номер записи: 77
19-12-2013 дата публикации

Extra-Articular Implantable Mechanical Energy Absorbing Assemblies Having a Tension Member, and Methods

Номер: US20130338783A1
Автор: Alan C. Regala, Clinton N. Slone, Joseph Luttwak
Принадлежит: Moximed Inc

Implantable assemblies/devices and methods are provided for manipulating energy transferred by members defining an articulating anatomical joint, wherein the members collectively define a path of motion. Assemblies/devices are provided with a first component configured to be attached to a first anatomical member of the anatomical joint, a second component configured to be attached to a second anatomical member of the anatomical joint; and a tension member joining the first and second components. The tension member is placed under tension to absorb energy transferred by the anatomical members when the first component is attached to the first anatomical member and the second component is attached to the second anatomical member and a distance between locations of attachment of the first and second components becomes smaller then an implant-defined distance between the locations.

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Номер записи: 78
26-12-2013 дата публикации

Endovascular Closure Device

Номер: US20130345738A1
Автор: Joe Michael Eskridge
Принадлежит: Joe Michael Eskridge

An aneurysm closure device that includes a retention assembly, adapted to retain the closure device in place on an aneurysm neck. Also, a seal has a wire frame, defining a set of eyeholes and thread, threaded through the set of eyeholes, to form a lattice. Finally, an expanse of silicone, is cured onto the thread, to form a barrier.

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Номер записи: 79
02-01-2014 дата публикации

Micro laparoscopy devices and deployments thereof

Номер: US20140005474A1
Автор: Danny Farin, Ronny Winshtein, Yehuda Bachar
Принадлежит: Eon Surgical Ltd

An apparatus for reversely deactivating a port seal in a laparoscopic port and providing a continuous passage between the laparoscopic port and a remote location in a body cavity.

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Номер записи: 80
16-01-2014 дата публикации

Method and apparatus for an orthopedic fixation system

Номер: US20140014553A1
Автор: Adam T. Knight, Daniel F. Cheney, David J. Pancratz, Eric A. Marcano
Принадлежит: Individual

An orthopedic fixation system includes a sterile packaged implant kit and a sterile packaged instrument kit. The sterile packaged implant kit includes at least one surgical implant, an insertion device, and an implant package adapted to receive the at least one surgical implant and the insertion device therein. The implant package maintains the at least one surgical implant and the insertion device sterile after sterilization of the sterile packaged implant kit. The sterile packaged instrument kit includes one or more instruments necessary to use the sterile packaged implant kit and an instrument package adapted to receive the one or more instruments therein. The instrument package maintains the one or more instruments sterile after sterilization of the sterile packaged instrument kit.

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Номер записи: 81
16-01-2014 дата публикации

Blockstent device and methods of use

Номер: US20140018838A1
Автор: F. Nicholas Franano, Katherine J. Stephenson
Принадлежит: Novita Therapeutics LLC

What is disclosed is a medical device comprising a compressed, cylindrical or oblong, thin-walled, expandable metal structure (a “blockstent”) and a flexible, elongated device (a “delivery catheter”) to position the compressed blockstent into the lumen of a blood vessel segment to be treated, and methods of use for occlusion of treated blood vessel segments. A blockstent can be made with ductile metals such as gold, platinum, or silver such that the blockstent will conform to the shape of the lumen of the treated blood vessel segment during expansion and allow for the shape of the blockstent to be permanently changed by the application of an external force. The surface of the blockstent can be configured to promote local thrombus on the external surface of the blockstent and to promote the growth of tissue into the wall of the blockstent in order to occlude the treated blood vessel and fix the blockstent in place. The wall of the blockstent can also be configured to release drugs or pharmacologically active molecules such as those that promote thrombosis, cell proliferation, extracellular matrix deposition to promote this thrombus formation and tissue growth.

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Номер записи: 82
16-01-2014 дата публикации

Percutaneous perforation closure systems, devices, and methods

Номер: US20140018847A1
Автор: Bartosz PAWLIKOWSKI, Christopher Martin, Damien Ryan, Des Regan, Ger Brett, Joseph DOLPHIN, Mark MCGOLDRICK, Matthew Murphy, Michael Dunning, Michael MCCARTIN, Micheál Hession, Peter Grant
Принадлежит: VIVASURE MEDICAL Ltd

A device for sealing an aperture in a tissue includes: an implant configured to seal the aperture when positioned adjacent to the aperture; and a delivery shaft configured to engage the implant to allow the implant to be maneuvered into sealing engagement with a distal surface of the tissue, the delivery shaft comprising a retaining sleeve comprising a locking projection engagable with the locking recess of the implant to secure the implant to the delivery shaft, and a release sleeve axially slideable relative to the retaining sleeve between a first axial position in which the release sleeve is configured to maintain locking engagement between the locking recess and the locking projection, and a second axial position in which the release sleeve permits the locking projection to disengage the locking recess.

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Номер записи: 83
23-01-2014 дата публикации

Ablation catheter with flexible tip

Номер: US20140025068A1
Автор: Alan de la Rama, Carlo Pappone, Cary Hata, Jared A. Shimizu, Peter Chen
Принадлежит: St Jude Medical Atrial Fibrillation Division Inc

A flexible tip electrode for an ablation catheter is disclosed. The catheter includes a catheter body and a hollow elongate tip electrode disposed at a distal end of the catheter body. The electrode includes a sidewall provided with one or more elongate gaps extending therethrough. The one or more elongate gaps providing flexibility in the sidewall for bending movement of the tip electrode relative to a longitudinal axis of the catheter body.

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Номер записи: 84
23-01-2014 дата публикации

Catheter having radially expandable shaft

Номер: US20140025085A1
Автор: Dongming Hou, Huisun Wang, James Q. Feng, Pu Zhou
Принадлежит: Boston Scientific Scimed Inc

A catheter is disclosed, which is capable of delivering embolization beads for treating uterine fibroids. The elongate catheter shaft includes a radially expandable portion at its distal end, which can expand radially locally when an embolization bead passes through it. In some cases, the catheter shaft includes a non-expandable portion, with an inner diameter comparable to the bead diameter, between the handle and the radially expandable portion. In some cases, the radially expandable portion is made from a tubular braid, stretched longitudinally over a mandrel, and encased in a lubricious soft polymer while still stretched. In other cases, the radially expandable portion is made from a slotted nitinol tube, encased in a lubricious soft polymer below the nitinol transition temperature. The polymer is thick enough to prevent the encased element from returning to its unstretched diameter or a larger size above the transition temperature.

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Номер записи: 85
06-02-2014 дата публикации

Staple for use in surgical procedures

Номер: US20140039550A1
Автор: Kenneth Blier, Richard D. Gresham, Robert J. DeSantis, Russell Heinrich
Принадлежит: COVIDIEN LP

A staple is provided having a backspan and a first and second legs extending distally from the backspan. Each of the first and second legs includes a bend dividing each leg into a traversing leg portion and a substantially linear clenching leg portion. A staple plate is positionable over the first and second legs between the backspan and the first and second clenching leg portions. An anvil assembly has first and second movable members which move toward to one another to engage outer surfaces of the first and second clenching leg portions. There is further disclosed a method of forming the staple through tissue.

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Номер записи: 86
13-02-2014 дата публикации

Method for balloon-aided vertebral augmentation

Номер: US20140046334A1
Автор: Erin L. Schaus, Evan D. Linderman, John A. Krueger
Принадлежит: Individual

An expandable member bone augmentation system and single-access-point methods for bone augmentation using same are provided. In certain embodiments, a pre-curved stylet with an overlying delivery tube may be used to target an approximately centered target site within a bone structure, facilitating direction thereto of an expandable member useful for creating a cavity that may receive curable material to restore bone height and/or to reinforce the bone structure. An expandable member such as, for example, a balloon can be used to create a plurality of voids by displacing bone material, where the voids can be filled with curable material to augment the bone.

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Номер записи: 87
27-02-2014 дата публикации

Hollow curved superelastic medical needle and method

Номер: US20140058355A1
Автор: James F. Mcguckin
Принадлежит: Rex Medical LP

A needle assembly 10 compromising an infusion needle 11 that includes a needle cannula 13 made of a superelastic material such as Nitinol. The needle cannula is cold-worked or heat annealed to produce a preformed bend 16 that can be straightened within passageway 21 of a coaxial outer cannula 12 for introduction into the body of a patient. Upon deployment from the outer cannula, the needle cannula substantially returns to the preformed configuration for the introduction or extraction of materials at areas lateral to the entry path of the needle assembly. The needle assembly can compromise a plurality of needle cannulae than can be variably arranged or configured for attaining a desired infusion pattern.

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Номер записи: 88
27-02-2014 дата публикации

Rotary-rigid orthopaedic rod

Номер: US20140058390A1
Автор: Kyle Taylor, Michael P. Brenzel, Paul Hindrichs
Принадлежит: Conventus Orthopaedics Inc

Apparatus and method for repairing a fractured bone. The apparatus and methods may involve an intramedullary rod. The rod may include a first elongated member and a second elongated member. Each of the first and second elongated members may be configured to bend in a first direction and to resist bending in a second direction. The first and second elongated members may be arranged such that: (1) the rod is bendable when the first direction of the first elongated member is aligned with the first direction of the second elongated member; and (2) the rod is rigid when the first direction of the first elongated member is aligned with the second direction of the second elongated member. Some embodiments may include rods that have sections that may be configured to be curved and rigid.

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Номер записи: 89
27-02-2014 дата публикации

Specimen Retrieval Device

Номер: US20140058403A1
Автор: Dmitri Menn, Gene A. Stellon
Принадлежит: COVIDIEN LP

A specimen retrieval device is provided. The specimen retrieval device includes an applicator. A specimen retrieval pouch operably is disposed within the applicator and deployable therefrom. The specimen retrieval pouch defines a longitudinal axis therethrough and includes a closed bottom portion and an open upper portion. The closed bottom portion includes a plurality of spikes configured to grasp a specimen positioned within the confines closed bottom portion. The upper closed portion includes one or more axial folds that are movable from a folded configuration to an unfolded configuration when a predetermined force is applied to a portion of the specimen retrieval pouch.

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Номер записи: 90
27-02-2014 дата публикации

Blood flow disruption devices and methods for the treatment of vascular defects

Номер: US20140058436A1
Автор: Brian J. Cox, Robert Rosenbluth
Принадлежит: Sequent Medical Inc

A blood flow disruption device for embolizing blood flowing into a vascular defect between a proximal vascular segment and a distal vascular segment, wherein the device includes a porous inner flow disruption element configured to extend through the defect between the proximal vascular segment and the distal vascular segment, whereby a first portion of the blood flowing into the inner flow disruption element from the proximal vascular segment is directed to flow into the defect and a second portion of the blood flowing into the inner flow disruption element is directed to flow into the distal vascular segment. A porous outer flow disruption element coaxially surrounds the inner flow disruption element and is radially expansible from a collapsed state to an expanded state. The outer flow disruption element, in its expanded state, promotes sufficient hemostasis of the first portion of the blood within the defect to embolize the defect.

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Номер записи: 91
06-01-2022 дата публикации

TISSUE RETRACTION DEVICE AND DELIVERY SYSTEM

Номер: US20220000466A1
Автор: Andersson Niklas, Hurley Gregory, Lee Danny Shu-Huan, PYATAEVA Irina, Smith Paul, Taylor Jon, Unger John, WALES Ryan V., WANG Jialiang
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

Medical devices and methods of using medical devices are disclosed. An example tissue retraction device includes a first engagement member having a first end and a second end, a second engagement member having a first end and a second end, a first elastic member attached to the second end of the first engagement member, and a first alignment member having a first end, a second end and a lumen extending therethrough. Further, the tissue retraction device has a first length, the first alignment member has a second length, the first elastic member extends within the lumen of the first alignment member and the second length of the first alignment member is less than or equal to the first length of the tissue retraction device. 1. A tissue retraction device , comprising:a first engagement member having a first end and a second end;a second engagement member having a first end and a second end;a first tether disposed between the first engagement member and the second engagement member; andan alignment member disposed over the first tether to prevent the first tether from bending or folding.2. The tissue retraction device of claim 1 , wherein the first tether is elongatable.3. The tissue retraction device of claim 2 , wherein the first tether includes a plurality of markers claim 2 , wherein the markers are designed to indicate the degree of elongation of the first tether.4. The tissue retraction device of claim 1 , further comprising a second tether disposed between the first engagement member and the second engagement member.5. The tissue retraction device of claim 4 , further comprising a second alignment member disposed over the second tether.6. The tissue retraction device of claim 5 , wherein the second alignment member is disposed over the second tether to prevent the second tether from bending or folding.7. The tissue retraction device of claim 4 , wherein the second tether is elongatable.8. The tissue retraction device of claim 1 , wherein the first tether is ...

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Номер записи: 92
07-01-2021 дата публикации

Embolus material

Номер: US20210000480A1
Автор: Eri IKUNO, Yohichi SAKAGAWA, Yuki Itoh
Принадлежит: Terumo Corp

An embolus material for inhibiting the inflow of blood into an aortic aneurysm from a branched blood vessel by filling, via a catheter, the inside of the aortic aneurysm joined to the branched blood vessel includes: an elongated filling body that is formed to be narrower than the inside diameter of the catheter; and a shaping section that is provided at a portion of the filling body and that forms a structure larger than the width of the branched blood vessel after exiting from the catheter.

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Номер записи: 93
07-01-2016 дата публикации

VESSEL CLOSURE DEVICES, SYSTEMS, AND METHODS

Номер: US20160000417A1
Автор: Voss Laveille K.
Принадлежит:

A vessel closure system is provided that can include a plurality of shape memory anchors configured to close a puncture in a vessel wall. The shape memory anchors can be at least partially disposed within a guide member and can be comprised of materials having shape memory properties. The shape memory anchors can be configured to change from a first configuration suitable for deployment from the guide member and through the vessel wall to a second configuration adapted to resist proximal movement against a distal surface of the vessel wall. The shape memory anchors can be coupled to at least one suture. The vessel closure system can also include a plurality of carriers having a distal end and a proximal end. The carriers can be disposed at least partially within the guide member. Each of the carrier members can be configured to deploy at least one of the shape memory anchors from the guide member. 1. A vessel closure system , comprising:a guide member having a proximal end, a distal end, a plurality of openings through a wall of the guide member adjacent the distal end of the guide member, and a plurality of carrier lumens extending between the proximal end and the distal end of the guide member to connect to the openings adjacent the distal end of the guide member, the carrier lumens including axially aligned portions and curved portions extending between the axially aligned portions and the openings;a plurality of shape memory anchors, each having a sharpened distal end and each being at least partially disposed within one of the plurality of carrier lumens of the guide member, the shape memory anchors comprising shape memory material having a shape memory effect and being configured to move between a first configuration, wherein the shape memory anchors are adapted to pierce a vessel wall with the sharpened distal end, and a second configuration, wherein the shape memory anchors include a plurality of multi-directional folds that are adapted to resist proximal ...

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Номер записи: 94
03-01-2019 дата публикации

DEVICE AND METHOD FOR DETERMINING PROPER SCREW OR IMPLANT SIZE DURING ORTHOPEDIC SURGERY

Номер: US20190000405A1
Автор: Biro Sean, Biro Walter, Greenhalgh Travis, Shoup Andrew
Принадлежит: Surgentec LLC

The devices and methods described herein refer to a guidewire, sometimes referred to as a K-wire, for use during varying orthopedic surgeries. The guidewire allows for the measurement of objects and distances inside the patient's body when used in tandem with x-ray or fluoroscopy imaging. Also, the devices and methods described herein act as a guide to accurately insert an instrument or implant, in the correct orientation, to the surgical site. The guidewire comprises a measurement segment that comprises one or more markers placed at known distances from the distal end of the guidewire. The markers, when used in tandem with fluoroscopy and/or x-ray imaging, provide users with a reference for measuring objects and distances inside the body. The markers can have many possible designs or configurations such as, but not limited to, visualization windows, grooves, notches, and/or material inserts. 1. A guidewire for orthopedic surgery comprising:a wire body comprising a proximal end and a distal end wherein the wire body is configured to fit inside a lumen of a separately provided orthopedic implant or instrument so the implant or instrument may be guided along the guidewire into the surgical site;a tip located on the distal end of the wire body; andone or more measurement segments located on the wire body, the one or more measurement segments comprising one or more markers configured to be visualized under fluoroscopy or x-ray imaging.2. The guidewire of claim 1 , wherein the wire body is circular in shape.3. The guidewire of claim 1 , wherein the tip is rounded.4. The guidewire of claim 1 , wherein the measurement segment is configured to measure objects and/or distances inside a patient's body when used in tandem with fluoroscopy or x-ray imaging.5. The guidewire of claim 1 , wherein the one or more measurement segments extend along a portion of a length of the wire body.6. The guidewire of claim 1 , wherein the one or more measurement segments extend along an entire ...

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Номер записи: 95
02-01-2020 дата публикации

SUPERELASTIC BONE COMPRESSION STAPLE IN STAPLE SYSTEM

Номер: US20200000465A1
Автор: DUCHARME Dustin, Maclure Alister, Stamp Kevin
Принадлежит:

The invention is a staple system comprising a primary staple having a bridge member including an opening and an offset and a first and second set of one or two joined to the bridge member and a secondary staple having a pair of legs and a bridge member received in the opening in the bridge member of the primary staple. In a second embodiment, the staple system includes a primary staple that receives a secondary staple having differing leg lengths and including a detent that inhibits the secondary staple from backing out and the shoulders of the staples are reinforced to account for compressive and torsional loads. 1. A staple system , comprising:a primary staple having a bridge member having a top surface and an opposing bottom surface defining a thickness between and the bridge member and including an opening that is configured to accommodate a secondary staple, and at least one leg extending away from and joined to the bridge member; anda secondary staple having at least a pair of legs and a bridge received within the opening of the primary staple.2. A staple as set forth in claim 1 , wherein the bridge member includes an offset having a first bend and a second bend.3. A staple as set forth in claim 1 , wherein the primary staple has between two and six legs.4. A staple as set forth in claim 1 , wherein the primary staple has a first set of legs which extend from one end of the bridge member and a second set of legs that extend from the second end of the bridge member.5. A staple as set forth in claim 4 , wherein one of the first or second set of legs includes three legs.6. A staple as set forth in claim 1 , wherein the staple is a superelastic material.7. A staple as set forth in claim 6 , wherein the superelastic material is Nitinol.8. A staple has set forth in claim 1 , wherein the pair of legs join the bridge of the primary staple at a pair of shoulder portions and the material volume of the staple member is increased at the shoulder members.9. A staple as set ...

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Номер записи: 96
03-01-2019 дата публикации

METHOD FOR FORMING A STAPLE

Номер: US20190000452A1
Автор: Bedi James J., Dunki-Jacobs Adam R., Hess Christopher J., II William B., IV Frederick E., Morgan Jerome R., Ortiz Mark S., Shelton, Shurtleff Carl J., Stokes Michael J., Swayze Jeffrey S., Voegele James W., Weisenburgh
Принадлежит:

A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg. 1. A method of forming a surgical staple comprising a base , a first staple leg , and a second staple leg , wherein the base , the first staple leg , and the second staple leg are positioned within a common plane prior to being deformed by an anvil , said method comprisingsupporting the base of the staple;positioning a staple pocket of the anvil in opposition to the staple, wherein the staple pocket comprises a longitudinal axis;positioning the first staple leg within a first cup of the staple pocket, wherein the first cup comprises a first inner surface at least partially positioned on a first side of the longitudinal axis;positioning the second staple leg within a second cup of the staple pocket, wherein the second cup comprises a second inner surface at least partially positioned on a second side of the longitudinal axis;applying a first compressive force to an end of the first staple leg to bend the first staple leg toward the base and toward the second staple leg;applying a second compressive force to an end of the second staple leg to bend the second staple leg toward the base and toward the first staple leg;contacting the first inner surface with the end of ...

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Номер записи: 97
03-01-2019 дата публикации

Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw

Номер: US20190000462A1
Автор: Frederick E. Shelton, IV, Jason L. Harris, Mark S. Zeiner, Morgan R. Hunter, Taylor W. Aronhalt
Принадлежит: Ethicon LLC

A surgical instrument that includes a first jaw that has a pair of laterally aligned vertical slots formed in a proximal end portion thereof. Each vertical slot includes an open upper end. A second jaw is movably supported for selective pivotal travel relative to the first jaw between a fully open and a fully closed position. Pivot members protrude laterally from the second jaw and are each received in a corresponding one of the vertical slots in the first jaw such that the pivot members may pivot therein. A retainer member is configured to operably engage the proximal end portion of the first jaw and retain the pivot members in the corresponding vertical slots as the second jaw moves between the fully open and the fully closed positions.

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Номер записи: 98
03-01-2019 дата публикации

Surgical instrument with positive jaw opening features

Номер: US20190000463A1
Автор: Frederick E. Shelton, IV, Jason L. Harris, Jordan B. Wong, Michael W. Goldenbogen, Taylor W. Aronhalt
Принадлежит: Ethicon LLC

A surgical instrument that includes a first jaw and a second jaw that is coupled to the first jaw for selective pivotal travel relative thereto between a fully open position and a fully closed position. An axially movable closure member is selectively axially movable in a closure direction to move the second jaw from the fully open position to the fully closed position and in an axial opening direction to move the second jaw from the fully closed position to the fully open position. The axially movable closure member includes a first jaw opening feature that is configured to apply a first jaw opening motion to the second jaw and a second jaw opening feature is axially spaced from the first jaw opening feature and is configured to apply a second jaw opening motion to the second jaw.

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Номер записи: 99
03-01-2019 дата публикации

Surgical instrument comprising an articulation system ratio

Номер: US20190000467A1
Автор: Frederick E. Shelton, IV, Gregory J. Bakos, Jason L. Harris
Принадлежит: Ethicon LLC

A surgical instrument is disclosed comprising a shaft, an end effector, and an articulation system which are configured to provide various mechanical advantages.

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Номер записи: 100