CN1856280A - 具有植入力分解的基于导管的紧固件植入装置和方法 - Google Patents
具有植入力分解的基于导管的紧固件植入装置和方法 Download PDFInfo
- Publication number
- CN1856280A CN1856280A CNA2004800276497A CN200480027649A CN1856280A CN 1856280 A CN1856280 A CN 1856280A CN A2004800276497 A CNA2004800276497 A CN A2004800276497A CN 200480027649 A CN200480027649 A CN 200480027649A CN 1856280 A CN1856280 A CN 1856280A
- Authority
- CN
- China
- Prior art keywords
- securing member
- fastening system
- guide member
- firmware
- applicator
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000002513 implantation Methods 0.000 title claims abstract description 37
- 238000000034 method Methods 0.000 title claims abstract description 27
- 239000007943 implant Substances 0.000 claims abstract description 9
- 230000008878 coupling Effects 0.000 claims description 26
- 238000010168 coupling process Methods 0.000 claims description 26
- 238000005859 coupling reaction Methods 0.000 claims description 26
- 210000000056 organ Anatomy 0.000 claims description 19
- 239000008280 blood Substances 0.000 claims description 14
- 210000004369 blood Anatomy 0.000 claims description 14
- 230000000712 assembly Effects 0.000 claims description 8
- 238000000429 assembly Methods 0.000 claims description 8
- 238000002955 isolation Methods 0.000 claims description 2
- 210000000746 body region Anatomy 0.000 abstract description 6
- 210000004204 blood vessel Anatomy 0.000 description 77
- 230000007246 mechanism Effects 0.000 description 23
- 239000000463 material Substances 0.000 description 15
- 206010002329 Aneurysm Diseases 0.000 description 11
- 210000003141 lower extremity Anatomy 0.000 description 11
- 230000000694 effects Effects 0.000 description 10
- 238000006073 displacement reaction Methods 0.000 description 9
- 230000003321 amplification Effects 0.000 description 8
- 208000007474 aortic aneurysm Diseases 0.000 description 8
- 238000003199 nucleic acid amplification method Methods 0.000 description 8
- 230000008569 process Effects 0.000 description 8
- 208000002223 abdominal aortic aneurysm Diseases 0.000 description 6
- 239000004744 fabric Substances 0.000 description 6
- 238000013461 design Methods 0.000 description 5
- 230000005611 electricity Effects 0.000 description 5
- 230000002792 vascular Effects 0.000 description 5
- 230000017531 blood circulation Effects 0.000 description 4
- 230000006870 function Effects 0.000 description 4
- 239000002184 metal Substances 0.000 description 4
- 230000008439 repair process Effects 0.000 description 4
- 230000001953 sensory effect Effects 0.000 description 4
- 230000008485 antagonism Effects 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 230000008961 swelling Effects 0.000 description 3
- 238000013519 translation Methods 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 238000004873 anchoring Methods 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 206010016766 flatulence Diseases 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 210000002254 renal artery Anatomy 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 239000004753 textile Substances 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 210000002376 aorta thoracic Anatomy 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 239000004621 biodegradable polymer Substances 0.000 description 1
- 229920002988 biodegradable polymer Polymers 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 229920000295 expanded polytetrafluoroethylene Polymers 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 230000003014 reinforcing effect Effects 0.000 description 1
- 230000002040 relaxant effect Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000002227 vasoactive effect Effects 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0644—Surgical staples, i.e. penetrating the tissue penetrating the tissue, deformable to closed position
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/064—Blood vessels with special features to facilitate anastomotic coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00734—Aspects not otherwise provided for battery operated
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
- A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0649—Coils or spirals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/848—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/065—Y-shaped blood vessels
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Transplantation (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Pulmonology (AREA)
- Gastroenterology & Hepatology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
本发明提供将紧固件植入目标身体区域如空心体腔或管腔内空间中的装置和方法。该装置和方法在目标身体区域中部署携带有致动件的紧固件连接组件。致动件可选择性地进行操作以产生植入力从而将紧固件植入到目标身体区域内的组织中。可植入紧固件用于例如固定假体如血管内移植物。该系统和装置在致动件上或其附近施加分解力,从而使得有可能得到稳定的和可靠的基于导管的紧固平台。
Description
相关申请
本申请要求2002年11月29日提交的待决的美国专利申请10/307,226的优先权。本申请还要求2002年10月5日提交的待决美国专利申请10/271,334的优先权。本申请还要求2002年3月15日提交的待决美国专利申请10/099,149的优先权,其为1999年9月17日提交的标题为“Endovascular Fastener Applicator”的美国申请09/787,135的分案申请,该分案申请要求了1998年9月18日提交的美国临时申请60/101,050的优先权,并且其还要求2000年8月18日提交的标题为“Endovascular Device for Application of Prosthesis with Sutures”(现在为美国专利6,336,933)的美国专利申请09/640,554的优先权,其为1999年3月10日提交的标题为“Endovascular Device for Application ofProsthesis with Sutures”(现在已被放弃)的美国专利申请09/266,200的继续,并且其还要求1998年3月13日提交的标题为“EndovascularDevice for Application of Prosthesis with Sutures”的阿根廷专利申请P19980101145的优先权。本申请还要求2001年11月28日提交的待决美国临时申请60/333,937的优先权。
技术领域
本发明总地涉及将假体递送到身体内的目标位置,如,用于空心体器官和/或血管的患病和/或损坏部分的修补。
背景技术
血管壁由于破坏或疾病而弱化可以导致血管膨胀和动脉瘤的形成。如果不经治疗,动脉瘤可增大并可能最终破裂。
例如,主动脉的动脉瘤通常主要发生在腹部,通常在肾动脉和大动脉分叉之间的肾下区域中。动脉瘤也可发生在主动脉弓和肾动脉之间的胸部。主动脉瘤的破裂引起大出血并且具有很高的死亡率。
血管患病或损坏部分的开腔式手术(open surgical)可以消除血管破裂的危险。在这种方法中,除去血管的患病或损坏部分并安装假体移植物(graft)(为直形或分叉结构),然后通过缝合使其永久地连接和密封于原有血管(native vessel)的端部。用于这些方法的假体移植物通常为无支撑的织物管,并且典型地由聚酯、ePTFE或其它适合的材料制成。移植物为纵向无支撑的,因此它们可以适应动脉瘤和原有血管形态的改变。然而,这些方法需要大的手术切口并且具有很高的发病率和死亡率。另外,许多患者由于其它共存疾病(co-morbidity)不适合这种类型的大手术。
已经引入了血管内动脉瘤修复术以克服与开腔式手术修复术有关的问题。将动脉瘤用管腔内放置的血管假体桥接。典型地,用于主动脉瘤的这些假体移植物在导管(catheter)上折叠递送通过股动脉。这些移植物通常设计为使用与膨胀的、或经膨胀以接触血管内径的金属架(-展伸架)结构连接的织物材料。与开腔式手术动脉瘤修复术不同,管腔内部署的移植物没有被缝合到原有血管,而是依靠在部署过程中刺入原有血管中的从展伸架伸出的倒钩、或使用展伸架(stent)自身的径向膨胀力,保持移植物在适当的位置。与缝合相比,这些移植物连接方法不能提供相同水平的连接,并且可能在部署时破坏原有的血管。
发明内容
本发明的一个方面提供将紧固件植入到目标身体区域中如空心体器官或管腔内空间中的装置和方法。该装置和方法在目标身体区域中部署包括致动件的紧固件连接组件。致动件可选择性地进行操作以产生植入力,从而将紧固件植入到目标身体区域内的组织中。可植入紧固件用于例如固定假体。假体可包括如血管内移植物,可对其进行部署而不破坏动脉或静脉系中原有的血管。血管内的移植物可以包括例如径向膨胀的血管展伸架和/或展伸架-移植物。移植物可以处于脉管系统中,如,用于排除或桥接动脉瘤,如腹主动脉瘤。移植物如所希望的那样适应动脉瘤形态的改变并修复血管内的动脉瘤。紧固装置和方法可以部署通过脉管系统并从体外进行控制,以递送紧固件从而将移植物与血管壁连接。
根据本发明的这一方面,该系统和装置施加分解力(resolutionforce),以抵消或对抗一些或全部或显著部分的植入力。期望在血管腔(或其它空心体器官)本身内分解一些或全部或显著部分的植入力,并且优选尽可能接近植入位置,从而使得有可能得到稳定的和可靠的基于导管的紧固平台。
在一个实施方案中,分解力包括作用于血管或空心体器官的壁上的通常期望与植入位置相对的位置的基本上相等和相反的反作用力。
在一个实施方案中,致动件包括驱动件,用于植入螺旋状紧固件。然而,致动件可以包括用于使用如超声波、激光、或撞击(impact)原理施加植入力的任何结构。
在一个实施方案中,该系统和方法包括引导部件和紧固件施用器(applier)部件。引导部件引导紧固件施用器部件和/或将其定位在所需的植入位置或其附近。在这种布置中,引导部件可以包括用于稳固引导部件的位置的装置(means),从而提供分解力;和/或引导部件可以使其本身的尺寸适合于并被构建为在有或者没有另外的稳固装置(稳固装置)的存在下提供充分的分解力。在另一个方案中,紧固件施用器部件可以使其本身的尺寸适合于并被构建为在有或者没有另外的稳固装置的存在下、和有或者没有由引导部件提供的分解力的存在下提供充分的分解力。
在一个实施方案中,稳固装置可以包括可膨胀的构件、膜、连接和/或其它机械系统,以将引导部件稳固在空心体器官或血管内。稳固装置也可包括用于在植入紧固件之前抓住和/或锚定到空心体器官、血管或假体的壁上的装置。抓住或锚定装置可以包括穿透针和/或钩或倒钩。
在一个实施方案中,稳固装置可以与紧固件施用器部件联接,或者为稳固装置与引导部件联接的组合。
在一个实施方案中,稳固装置可采取与引导部件和施用器部件分离的稳固装置的形式。在这种方案中,分离的稳固装置用于与引导部件和/或紧固件施用器部件协作。
附图说明
结合附图,可通过以下对优选实施方案的详细说明理解本发明,其中:
图1为表示为定位在腹主动脉瘤内部的血管内移植物递送装置的一个实施方案的透视图;
图2为图1的动脉瘤内的血管内移植物的部署的一个实施方案的透视图;
图3为完全部署的图2的直型血管内移植物的透视图;
图4为表示在一个端部上的锚定支架的被破坏的完全部署的分叉形血管内移植物的透视图;
图5为类似于图4以表示替代性的锚定支架结构的透视图;
图6为表示用于引导紧固件施用器的装置的一个实施方案的透视图;
图7为表示当图6装置插入图3中部署后的血管内移植物内时移植物和锚定支架都被破坏的图6装置的透视图;
图8为表示与引导部件连接的稳固装置的一个实施方案的致动的图6装置的透视图;
图9为铰接(articulating)图6的引导部件的图8中的控制组件的透视图;
图10为图8的稳固装置的替代性实施方案的透视图;
图11为表示图10的替代性稳固装置的致动的透视图;
图12为表示图8的稳固装置的另一个实施方案的透视图;
图13为表示图12的稳固装置的致动的透视图;
图14为紧固件施用器的一个实施方案;
图14A为图14中所示紧固件施用器的远端的放大图,表示紧固件驱动机构的细节;
图14B为图14中所示紧固件施用器的手柄的内部剖视图;
图15为置于图6的引导部件内的图14的紧固件施用器的透视图;
图16为图14的紧固件施用器的一个实施方案的放大剖视图;
图17为连接施用器的放大剖视图,表示螺旋状紧固件的近端和驱动机构的一个实施方案;
图18为图16的螺旋状紧固件的一个实施方案的放大透视图;
图19为连接施用器的放大图,表示致动紧固件施用器的控制组件的一个实施方案;
图20为紧固件植入到移植物和血管壁中的通过致动实施连接的放大图;
图21为用紧固件将图3的近端的移植物完全连接于血管壁的放大图;
图22为完全连接于血管的图4的移植物的透视图;
图23为图14中所示紧固件施用器的驱动机构的放大剖视图,表示在没有紧固件和目标组织区域之间的所需接触时,禁止施用器工作的接触/力传感组件;
图24为图14中所示紧固件施用器的驱动机构的放大剖视图,表示响应紧固件和目标组织区域之间的所需接触,使施用器工作的接触/力传感组件;
图25A和图25B为紧固件施用器的远端的放大图,表示紧固件驱动机构的替代性实施方案的细节;
图26A为图25A和图25B中所示紧固件施用器的驱动机构的放大剖视图,表示在没有紧固件于目标组织区域之间的所需接触时,禁止施用器工作的接触/力传感组件;
图26B和图26C为图25A和图25B中所示紧固件施用器的驱动机构的放大剖视图,表示响应紧固件和目标组织区域之间的所需接触,使施用器工作的接触/力传感组件;
图27为可用于与图14、图23、和图24中所示紧固件施用器联接的螺旋状紧固件的透视图;
图28A为可用于与图25A和图25B中所示紧固件施用器联接的螺旋状紧固件的透视图;
图28B为可用于与图26A到图26C中所示紧固件施用器联接的螺旋状紧固件的透视图;
图29为可用于不使用单独的引导部件而部署图27中所示螺旋状紧固件的具有倾斜的施用器端部的紧固件施用器的放大侧视图,部分为剖视图;
图30为可用于不使用单独的引导部件而部署图27中所示螺旋状紧固件的具有倾斜的紧固件施用器的替代性实施方案的放大侧视图,部分为剖视图;
图31为可用于不使用单独的引导部件而部署图27中所示螺旋状紧固件的具有倾斜的紧固件施用器的替代性实施方案的放大侧视图,部分为剖视图,紧固件施用器具有铰接的施用器端部;
图32为表示位于腹主动脉瘤内的血管内假体的透视图,假体包括一体化的紧固件组件;
图33为图32中所示的血管内假体的透视图,管腔内工具被部署以与一体化的紧固件组件操作性地相互作用,用于将假体暂时或永久地锚定于血管壁;
图34为形成图33中所示一体化的紧固件组件的一部分的紧固件的侧视图,紧固件具有茎,其表示为在将其与一体化的紧固件组件联接之前正常为舒展开的状态;
图35为图34中所示紧固件的侧视图,紧固件的茎目前表示为关闭状态并且被容纳索眼内,索眼构成了一体化的紧固件组件的一部分;
图36和37为表示使用图33中所示管腔内工具施加力以将紧固件从其图35中所示位置推动并穿过血管壁的侧视图;
图38为部署为将假体锚定于血管壁后的一体化的紧固件组件;
图39为表示使用追踪线(tracking wire)以引导管腔内工具与紧固件接触,从而可以施加力以推动紧固件穿过血管壁的侧视图;
图40为假体递送导管的实施方案,其用于其中展伸结构只覆盖假体的一部分的假体,导管包括稳固支柱的阵列以帮助假体保持在适当的位置,对抗血液的流动;
图41为假体递送导管的另一个实施方案,其用于其中展伸结构只覆盖假体的一部分的假体,导管包括翻转的稳固支柱阵列以帮助假体保持在适当的位置,对抗血液的流动;和
图42为假体递送导管的另一个实施方案,其用于其中展伸结构只覆盖的假体一部分的假体,导管包括稳固笼以帮助假体保持在适当的位置,对抗血液的流动。
图43为替代性的稳固装置的正视图,其包括组织抓紧件(tissuegripping element)。
图44A和44B为携带作为稳固装置的可膨胀笼状结构的紧固件施用器的正视图,图44A表示用于血管内部署的通常为折叠状态的笼状结构,图44B表示处于抵靠血管壁和移植物的膨胀状态的笼状结构,用于部署紧固件。
图45图解表示血管或空心体器官内的植入力与反作用力的分解。
发明详述
I.递送假体
图1描述在体腔中穿过引导线12定位的血管内移植物递送导管10。导管10携带假体14(参见图2),其通过例如假体14的径向膨胀(参见图3)定位在目标位置。在假体14部分或完全膨胀之后,通过紧固件连接组件(如随后更具体描述的)引入一个或多个紧固件28(参见图15和16)将假体14锚定在适当的位置。
为了说明,图1表示在腹主动脉瘤11内的目标位置。目标位置可以在身体内的别处。在说明性的方案中,假体14为血管内移植物的形式。
图2描述在目标位置部署移植物的初始阶段。虽然部署方法可以不同,在说明性的实施方案中,递送导管10具有覆盖移植物14的可移动的覆盖物13。当覆盖物13被向近端拉动时,移植物14自由地径向膨胀,从而扩大以接触血管的内壁。移植物14表示为自膨胀。或者,移植物14可以利用膨胀件,如气球或机械膨胀机。
继续移植物的部署过程,直到移植物14在血管内被完全部署或被部分地部署。移植物14的尺寸可适合于或被构建为直形或分叉形式。图3描述完全部署的直形移植物14。图4描述完全部署的分叉形移植物15。
A.假体
期望移植物14包括支撑框架或支架16。支架16可为弹性的,如,由形状记忆合金弹性不锈钢等制成。对于弹性支架,膨胀典型地包括在植入位置松脱支架使其解除约束,从而允许支架自膨胀。在说明性的方案中,覆盖物13起径向约束件的作用。或者,在支架16外面布置管状导管(递送鞘)等,可以用于维持支架处于径向缩小的构造。在这种布置中,支架16的自膨胀通过向后拉动径向约束件以允许支架16呈现其更大的直径构造而实现。
或者,可将支架16以轴向延长的构造被约束,例如通过将支架的任一端与内部的管、杆、导管等连接。这保持支架16处于延长的、直径缩小的构造。然后可将支架16从这种轴向约束构造中解除以允许其自膨胀。
或者,支架16可由有延展性的材料形成,如由延展性的不锈钢或其它金属形成。然后膨胀可包括在支架内施加径向膨胀的力以引起膨胀,如,使支架内的支架递送导管膨胀以实现膨胀。在这种布置中,内移植物(endograft)的定位和部署可通过使用单独的、或引入到部署导管中的膨胀装置而实现。这使得允许内移植物在血管内定位并进行部分部署,同时检查在血管内的相对位置。膨胀可以通过气球或机械膨胀装置实现。另外,这种膨胀通过抵抗血液对内移植物的力,使内移植物稳固在动脉内的位置,直到内移植物可以完全部署。
移植物14可具有多种常规的构造。其可以典型地包括由可采取展伸(stent)结构形式的支架16支撑的织物或一些其它血液半不透性的挠性屏障。展伸结构可具有任何常规的展伸结构,如锯齿形、蛇形、膨胀的菱形、或其组合。展伸结构可延伸到移植物的整个长度,并且在有些情况下可以比移植物的织物构件更长。或者,展伸结构可仅仅覆盖假体的一小部分,如,存在于端部。当其构建为用于治疗分叉血管区域(如,腹主动脉瘤的治疗)时,当将展伸移植物延伸到回肠动脉中时,展伸结构可具有三个或多个端部。在某些情况中,展伸结构可以沿着展伸结构-移植物的整个长度或至少整个长度的主要部分间隔布置,其中单独的展伸结构不是彼此直接连接,而是连接于移植物的织物或其它挠性部件。
移植物支架16或展伸结构的一个说明性的实施方案在图4中的被破坏的区域中进行说明。其中,展伸结构为简单的Z形图案形式,然而,考虑了展伸设计可如图5中所述的更复杂的图案17。虽然在图4和图5中只描述了移植物内的一种展伸结构,但是,如前所述,可以将多个独立的展伸结构并入到移植物中。
图40表示假体递送导管600的实施方案,涉及其中展伸结构16只覆盖假体的一部分(如只存在于端部)的假体14。如图40所示,假体递送导管600(其表示为穿过引导线610部署)包括稳固支柱612的阵列,其与假体14端部的展伸结构16以可松脱的方式结合,如,通过拉动穿过导管600中的腔的拉带(未表示)而松脱的接缝结合。稳固支柱612保持自膨胀的展伸结构16抵靠血管壁34的适当位置,假体14的其余部分正在部署(通过收回递送鞘614)。在假体部署过程中,支柱612支撑展伸结构16(因此支持整个假体14)对抗通过血管的血流的力。导管600也可在其远端包括头锥体618,以将血流朝向血管壁散布,帮助在部署过程中支撑假体14。在假体14部署之后,可以通过拉动拉带以松脱接缝,使支柱612从展伸结构14分离,并且导管600沿着引导线610被收回穿过递送鞘614(从展伸结构16松脱的支柱612在导管600穿过递送鞘614的过程中折起来)。
图41表示假体递送导管700的替代性实施方案,涉及其中展伸结构16只覆盖假体的一部分(如只存在于端部)的假体14。如图40所示,假体递送导管700(其也表示为穿过引导线710部署)包括翻转的稳固支柱阵列712,其在假体14的端部与展伸结构16以可松脱的方式结合,如,通过拉动穿过导管700中的腔的拉带(未表示)而松脱的接缝结合。翻转的稳固支柱712,和图40中所示的支柱612一样,保持自膨胀的展伸结构16抵靠血管壁34的适当位置,同时假体14的其余部分正在部署(通过收回递送鞘714)。与图40中的导管600一样,导管700也可包括在其远端的头锥体718,以使血流朝向血管壁散布。在假体14部署之后,可以通过拉动拉带(未表示)将支柱712从展伸结构16松脱,并且导管700沿着引导线710被收回通过递送鞘714(从展伸结构16松脱的支柱712在导管700穿过递送鞘714的过程中折起来)。
图42表示假体递送导管800的另一个替代性实施方案,涉及其中展伸结构16只覆盖假体的一部分(如只存在于端部)的假体14。如图42所示,假体递送导管800(其也表示为穿过引导线810部署)包括自膨胀的稳固笼812。稳固笼812保持自膨胀的展伸结构16抵靠血管壁的适当位置,而假体14的其余部分正在部署(通过收回递送鞘814)。与图40和图41中的导管600和700一样,导管800也可包括在其远端的头锥体818,以使血流朝向血管壁散布。在假体14完全部署之后,当导管800沿着引导线810被收回穿过递送鞘814时,稳固笼可处于折叠状态。
在所有刚才描述的实施方案中,如果在引入紧固件28之前假体14已经完全部署、和/或假体递送导管600、700、或800已经从目标位置收回,可随后使用引导线610、710、810,将用于假体14的紧固件连接组件部署到目标位置,如以下更详细描述的。或者,如果在施加紧固件28时假体14没有完全部署,或如果由于任何理由,不期望收回假体递送导管600、700、或800时,可将假体递送导管600、700、或800及其各自的引导线610、710、810保持在目标位置,同时将用于假体14的紧固件连接组件随来自另一个身体进口点的单独的引导线引入到目标位置。在这种方案中,假体14的部署和/或假体递送导管600、700、或800的收回可在已经施加紧固件28之后完成。
II.固定假体
在所需的实施方案中,提供紧固件连接组件,使得有可能进行管腔内的紧固件连接。连接组件可具有不同构造。
A.两部件的紧固件引导和连接组件
在一个方案中,紧固件连接组件包括紧固件引导部件18和紧固件施用器部件27。期望引导部件18具有穿过引导线12进行初始部署的可操纵的或可偏转的远端末梢。在说明性的实施方案中使用时,用于递送和定位假体14的引导线12保持在血管内,用于随后的紧固件引导部件18的部署。或者,可使用来自不同的身体进口点的另一个引导线,用于紧固件引导部件18的部署。在任一种布置中,期望在除去已经递送引导部件18的引导线之后,通过引导部件18部署紧固件施用器部件27。紧固件施用器27携带至少一个紧固件28和用于推进紧固件28的紧固件驱动机构100,使得其穿透假体14和下面的血管壁,从而将假体14稳固地锚定在适当的位置。
1.紧固件引导部件
图6描述了形成紧固件连接组件的一部分的引导部件18的一个实施方案。引导部件18包括适合密闭件(obturator)19通过的内腔。密闭件19具有用于允许随着引导线12递送引导部件18的腔,如图7所示。一旦在所需位置部署,则除去密闭件19和引导线12,使中央的腔空着,用于紧固件施用器部件27通过,这将在随后描述。
在说明性的实施方案中(参见图8),引导部件18包括控制组件21。在一个实施方案中,控制组件21的特征为可移动的轮或控制杆22,其以常规的方式操纵内部的操纵线,使得引导部件18的远端末梢23朝向所需位置偏转,如图9所示的。考虑了用于引导部件18的控制组件21可以机械、电力、液压、或气压的方式启动。控制组件21具有通道腔,以允许密闭件19穿过(如刚刚描述的)和紧固件施用器部件27穿过(如以下描述的)。
2.紧固件施用器部件
图14表示形成紧固件连接组件的一部分的紧固件施用器部件27的一个实施方案。如图15所述,紧固件施用器部件27通过引导部件18的中央腔部署到要安装紧固件28的位置。
位于紧固件施用器部件27远端(参见图14)的是紧固件驱动机构100。在说明性的实施方案中(参见图14A),驱动机构100包括与托架102结合的驱动器29。驱动器29和托架102之间的结合可采取不同的形式,如,磁体、抓紧器、或其它适合的机械连接。在图14A的说明性实施方案中,驱动器29和托架102连接为一体形成单个单元。
托架102尺寸适合于并构建为与所选的紧固件28接合。在图14A中,紧固件采取图18和图27中所示类型的螺旋状紧固件的形式。如图27中所最好表示的,和如随后更详细描述的,图26中的螺旋状紧固件28为具有尖锐的前导末梢142的开圈148。紧固件28的近端144包括L-形腿146。期望L-形腿146将开圈148的整个内径二等分;也就是说,L-形腿146完全延伸跨过开圈148的内径,如图27所示。L-形腿146用来与紧固件施用器27的托架102接合,托架102使螺旋状紧固件转动以实现植入。L-形腿146还起到阻止螺旋状紧固件穿透进入组织中太深的止动装置的作用。
图14A中的托架102包括狭缝180,其接受L-形腿146以与随托架102转动的紧固件28结合。开圈148的转动停止在围绕托架102的互补凹槽32中。凹槽32可以沿着紧固件28的整个长度定位,或在其长度的一部分内定位。
当然,驱动机构100的致动可以不同的方式实现,如,机械的(即,手动的或手工的)、电动的、液压的、或气动的方式。在说明性的实施方案中(参见图14B),驱动电缆30将紧固件驱动器29与施用器控制杆108中携带的马达106连接。期望驱动电缆30由允许弯曲和转动的适合的材料制成。在马达106(其又在马达控制器31的控制下,如随后描述的)的驱动下,驱动电缆30使驱动器29转动,随着驱动器29的转动,托架102转动。托架102赋予用于植入组织的螺旋状紧固件28以转动和扭矩。
图16为紧固件施用器27和引导部件18的放大剖视图。图17为紧固件施用器27的放大剖视图,其中紧固件驱动器29的剖面图描述了紧固件驱动器29和螺旋状紧固件28之间的接合。图19描述了在紧固件驱动机构100致动过程中的紧固件施用器27。驱动机构100的致动使作为单元的驱动轴30、驱动器29、托架102和螺旋状紧固件28转动。这种转动引起螺旋状紧固件28移动进入紧固件施用器的内部凹槽32并进入假体14和血管壁34(参见图20)。图21说明移植物14对血管壁34的完整的螺旋状紧固件28连接。
在使用中,施用器部件27前进通过引导部件18并与假体接触。操作者通过接触控制开关110启动控制器31(参见图14和图14B)。这一致动引起螺旋状紧固件28转动离开托架102并穿过假体14进入血管壁34。期望马达控制器31在每次开动命令时以特定的转数转动驱动电缆30。这可以通过引入机械的或电子的计数器而实现。
随着紧固件28的部署,将紧固件施用器部件27通过引导部件18收回,并将另一个紧固件28装载到托架102中。将引导部件18再定位,并再一次推进施用器部件27通过引导部件18并与假体14接触。操作者再一次通过接触控制开关110启动控制器31,以部署另一个紧固件28。在假体14的近端和/或远端重复该过程,直到假体14被适当地连接并密封到血管壁34。考虑可在假体14的每个端部使用约两个到约十二个紧固件28以实现锚定。紧固件28的施加可以单一的周向间隔开的一排、或以多于一排进行施加,其中单个的紧固件为轴向排列或周向地交错排列。
图22说明在近端和远端连接到血管壁的移植物假体的透视图。考虑了本发明可用于直形和分叉形移植物在主动脉和其它分支血管内的移植物连接。
驱动机构100的替代性实施方案如图25A和图25B中所示。在这个实施方案中,驱动器29与构成螺旋状紧固件28自身的一部分的托架150连接,还有如图28A中所示的。如图28A所示,与图27中所示的紧固件一样,螺旋状紧固件28为具有尖锐的前导末梢142的开圈148。紧固件28的近端144包括托架150。
托架150包括狭缝182。狭缝182与驱动器29上的驱动凸缘184接合(参见图25A),用于在植入步骤过程中转动驱动器29以使螺旋状紧固件28转动。与图27中所示的紧固件的L-形腿一样,托架150还起到阻止螺旋状紧固件穿透进入组织者太深的止动装置的作用。
托架150和驱动器29的连接接合可以多种方式实现,例如通过单独的抓紧器或抓爪、磁结合、或任何其它适合的机械连接方式。在说明性的实施方案中,驱动器29由磁化材料组成,托架150由被磁化材料磁吸引的材料组成。当然,可使用相反布置的磁化材料和被磁性吸引的材料。
在这个布置中,驱动电缆30和马达106之间的马达结合132适应驱动电缆30的轴向位移(在图25A和图25B中向左和向右)而不中断与马达106之间的驱动连接。当施用器装置27的远端末梢与假体14接触时(参见图25A),操作者通过接触控制开关110启动控制器31。控制器31命令马达106转动驱动电缆30,从而使驱动器29和磁连接的螺旋状紧固件28转动。这种致动引起磁连接的螺旋状紧固件28转动进假体14和血管壁34中(参见图25B)。由于磁连接,随着紧固件28部署到图25B中的左侧,驱动器29与托架150以合作的方式移动(也在图25B中的左侧)。由于托架150和驱动器29之间的磁连接,操作者必须施加故意的分离力以从驱动器29分离托架150(和,分离紧固件28)。这一布置防止紧固件28的意外松脱。
如前所述,随着紧固件28的部署,将施用器部件27收回通过引导部件18,并将另一个紧固件28与驱动器29磁连接。将引导部件18再定位,并再一次推进施用器部件27通过引导部件18并与假体14接触。操作者再一次通过接触控制开关110启动控制器31,以部署另一个紧固件28。在假体14的近端和/或远端重复该过程,直到假体14被适当地连接并密封到血管壁34。
如上述说明中所描述的,期望施用器部件27的外径尺寸适合于和构建为穿过引导部件18的采取适当的可操纵引导导管形式的腔,以引导施用器部件27到达所需位置。还如上所述,期望施用器部件27构建为每次插入一个紧固件28(所谓的“单击发射”方法)。这被认为是合乎需要的,因为其降低了设计的复杂性并且适合施用器部件27进入通过曲折的解剖体组织构造。携带单个紧固件的紧固件施用器部件27可比携带多个紧固件的紧固件施用器的型面高度低并且可能更有效和产生更小创伤。然而,在替代性的实施方案中,如果期望,施用器部件27可构建为携带多个紧固件。此外,紧固件施用器27可同时部署上述优选的周向间隔开的空间图案的多个紧固件。
3.力的分解
使用施用器部件27将紧固件28刺穿并植入到组织中需要施用器部件27在假体14和血管壁34上或其附近施加植入力。在说明性的实施方案中,施用器部件27包括用于植入螺旋状紧固件的驱动件。然而,施用器部件27可以包括使用如超声波、激光、或撞击原理的实际上任何的用于施加植入力的致动件。
无论是哪种产生植入力的具体方法,期望施用器部件27的植入力以某种方式被分解,以提供位置稳定性和抵抗施用器部件27相对于植入位置的意外运动。换句话说,期望施加分解力以抵消和/或对抗施用器部件27的植入力。在血管腔(或其它空心体器官)自身内分解一些或全部或显著部分的植入力是合乎需要的,并且优选尽可能接近植入位置。引导部件18的管状体和/或紧固件施用器部件27的心轴可为尺寸适合于并构建为具有足够的柱强度(column strength)以在血管腔或空心体器官内分解一些或全部或至少一部分植入力。另外或替代性的,引导部件18和/或紧固件施用器部件27可以包括稳固装置20,用于在植入紧固件的紧固件施用器部件27的驱动件上或其附近施加反作用力。
说明性的实施方案表示稳固装置20的多种替代性实施方案。如图8和图9中所示,稳固装置20为引导部件18上的用于接触组织的弹簧加压臂的形式。在这种布置中,当从引导部件18除去密闭件19和引导线12时,将弹簧加压的稳固装置20进行部署定位(参见图8)。在图10和图11中所示的替代性实施方案中,稳固装置20为引导部件18上的接触组织的可移动的支柱组件24的形式。在这种替代性的布置中,可移动的支柱组件24可以通过例如控制组件上的控制杆25开动(参见图11)。在两个实施方案(图7和图10)中,稳固装置20都位于引导部件18端部的远端。在图12中所示的替代性实施方案中,稳固装置20为与引导部件18的远端末梢相邻的可膨胀件26的形式。在这种替代性布置中(参见图13),可膨胀件26可以通过例如控制组件21上的控制杆25开动。然而,还考虑了这种类型的稳固装置20也为可充气的。在另一个替代性的实施方案(参见图43)中,稳固装置20包括由引导部件18和/或紧固件施用器部件27携带的装置200,用于在植入紧固件之前抓住和/或锚定于空心体器官、血管或假体的壁。抓住或锚定装置200可以包括在植入紧固件之前由控制组件等部署的穿透针和/或钩或倒钩。
在所有的实施方案中,稳固装置20可用于在血管内周向地或偏心地稳固引导部件18。
当然,稳固装置20的这些替代形式中的任一种与紧固件施用器27的联接方式类似于其与引导部件18的联接方式,或采取具有相等功能的稳固机构的一些其它形式。在另一个实施方案中,稳固装置20可为用于与引导部件18和/或紧固件施用器部件27合作的单独的稳固装置。在这种布置中,单独的稳固装置可以采取上述稳固装置的替代形式中的任一种、或为稳固机构的一些其它形式。
例如(参见图44A和图44B),紧固件施用器27可以在其远端携带可膨胀的笼202或笼状结构。笼结构202围绕紧固件驱动机构100,其已预先进行描述。笼结构202可在通常为折叠状态的型面高度不大的形态(如图44A中所示)和在紧固件驱动机构100周围的膨胀形态(如图44B中所示)之间操作。
在通常折叠的状态中,可以将紧固件施用器27部署通过血管进入移植物14的附近。图44A表示移植物14包括自膨胀的支架16。当处于通常折叠的状态时,紧固件施用器27可以其型面高度不大的形态独立地、或通过所联接的可操纵的或不可操纵的引导部件18或适当的引导鞘部署通过脉管系统,到达目标移植物位置。
当处于移植物位置(参见图44B)时,笼结构202可以膨胀(如,通过适当的推挽控制机构)接触移植物14。可以在膨胀的笼结构202内设法使紧固件施用器27接触移植物14并如前所述进行操作以部署紧固件28。笼结构202用于分解至少一些植入力,以提供位置稳定性和抵抗紧固件施用器27的意外移动。
在所有这些替代性的实施方案中,稳固装置20的作用为在血管内对血管壁上的位置处施加基本上相等但是相反的反作用分解力,期望所述位置通常与植入位置相对(参见图45)。如刚刚描述的,所联接的引导部件18和/或紧固件施用器27的柱强度也可用于与稳固装置20协作以分解植入位置处的管腔内植入力。
引导部件18和/或紧固件施用器部件27提供的力的分解作用用于平衡或对抗或分解施用器部件27的组织穿入和植入力。因此,力的分解作用还阻碍施用器部件27相对于植入位置的移动,从而使得有可能形成稳定的和可靠的管腔内(或器官内)的紧固平台。
4.假体/组织接触传感
期望紧固件施用器部件27具有当施用器部件27末梢以所需程度接触假体或组织表面前防止马达106致动的作用。这防止紧固件28的意外放出和/或紧固件28的分离。这种作用可以使用例如机械设计或电设计的接触传感器或力传感器而实现。
当紧固件施用器部件27为图14A、14B、和14C中所示类型(参见图23和24)时,接触或力传感作用可以例如利用托架102的远端末梢120以传输接触力。这种力可以被传输到位于例如紧固件施用器手柄108内部的力或接触传感开关122。在这种布置中,开关122可为致动器开关110和控制器31之间的电路的一部分。
在说明性的实施方案中,开关122包括固定的开关元件128(结合到手柄108的内部)和可移动的开关元件130(由驱动电缆31携带)。在这种布置中,驱动电缆30和马达106之间的马达连接132适应马达电缆30的轴向位移(在图23和24中为向左和向右)而不中断与马达106的驱动连接。驱动电缆30通过轴承134与可移动的开关元件130连接,使得开关元件130响应驱动电缆30的移动而移动。固定的开关元件128不与可滑动通过开关元件130的可移动的驱动电缆30连接。
由于这种布置,驱动电缆30的轴向位移使开关元件130相对于开关元件128移动。更具体地,驱动电缆30向图23中左侧的位移使开关元件130向左侧移动,远离开关元件128。相反,驱动电缆30向图23中右侧的位移使开关元件130向右朝向开关元件128移动。
通常由弹簧126将开关元件128和130偏置分开,形成电学上的断开状态。在这种状态中,启动开关110的操作不用于启动控制器31,因为电断开的开关122中断了致动信号到马达控制器31的传递。当开关元件128和130处于电断开状态时,驱动电缆30向左侧转移以将托架末梢120定位为超出紧固件施用器27的远端末梢124。因此,托架末梢120可在施用器末梢124之前与假体14或组织接触。
当托架末梢120以足够的力接触假体或组织表面以压缩弹簧126时,驱动电缆30对着弹簧的偏置力向图23中的右侧移动。这使得开关元件130向右移动。最终,发生开关元件128和130之间的接触,如图24所示。接触建立了电闭合的状态。在这种状态中,启动开关110的操作用于启动控制器31。如图23和24中所示,可以提供接触螺钉136,以调整将开关元件128和130闭合需要的位移量。
在除去接触力或没有足够的接触力时,弹簧126推动开关元件128和130到电断开的状态。托架102的远端末梢远远地超出施用器27的远端末梢。
应该理解,无需在驱动电缆30的整个长度上发生托架末梢120向开关122的平移。例如,开关122可以托架102和驱动器29之间的平移间隔定位。在这种布置中,与驱动电缆30连接的驱动器29无须适应轴向位移。反而,根据与假体14的接触,托架102朝向驱动器29的相对运动会将托架10与驱动器29机械结合(如,通过类似于图25A和图25B中所示的狭缝和凸缘连接),同时还闭合开关122,以开通致动器开关110和马达控制器31之间的电路。
当紧固件施用器部件27为图25A和图25B中所示类型(参见图26A、26B、和26C)时,接触或力传感作用可以利用例如以滑动方式通过托架150′(托架150′如图28B中所示)、驱动器29和驱动电缆30中的中心通道192的力传感杆190。杆190与可移动的开关元件130结合。在这种实施方案中,开关元件130在驱动电缆30上向左或向右平移,驱动电缆30在开关元件130内的轴承134上转动。
如前述实施方案中所述,弹簧126通常地将开关元件128和130偏置分开,形成电断开的状态。当开关元件128和130处于电断开状态时,力传感杆190向左侧移动超出紧固件施用器部件27的远端末梢124。因此,力传感杆190在施用器末梢124之前与假体14或支架结构16接触。
当杆190以足够的力接触假体或支架结构的表面以压缩弹簧126时,杆190对着弹簧126的偏置力向图26A中的右侧位移。这使得开关元件130向右移动。最终,发生开关元件128和130之间的接触,如图26B所示。接触建立了电闭合的状态。在这种状态中,启动开关110的致动用于启动控制器31。这种致动使得螺旋状紧固件28转动进入支架结构16中和血管壁34中(参见图26C)。由于驱动器29和托架150′之间的磁连接,随着紧固件28被部署,驱动器29与所连接的托架150′以合作的方式向图26B中的左侧移动。此外,由于托架150和驱动器29之间的磁连接,操作者必须施加分离力以从驱动器29分离托架150(并分离紧固件28)。如前所述,这种布置防止了紧固件28的意外松脱。可以提供接触螺钉136以调整闭合开关元件128和130所需的位移量。
在除去接触力或没有足够的接触力时,弹簧126推动开关元件128和130到电断开的状态,移动杆190的末梢移动超出施用器27的远端末梢124。
刚刚描述的接触或力传感布置也可产生对操作者的听觉和/或视觉输出,以表明在施用器装置27和假体或组织之间的足够的接触力的存在。
B.倾斜的组件紧固件引导和连接组件
在另一个布置(参见图29)中,紧固件连接组件包括单一的、倾斜的紧固件引导和施用器部件160。在这种布置中,部件160包括将容纳紧固件28的托架164置于相对于假体或组织为垂直或接近垂直的位置的紧固件驱动机构162。这种构造消除了对前述的用于紧固件组件27的单独的可操纵的引导部件18的需要。
驱动机构162可以不同。在说明性的实施方案中(如图29中所示),机构162包括与驱动电缆30连接的伞形驱动齿轮168。驱动齿轮168与连接于托架164的传动齿轮(transfer gear)或小齿轮170操作接合。驱动齿轮168和小齿轮170的转动轴以约九十度偏置,使得驱动电缆30沿血管轴的转动被转换为通常垂直于血管壁的托架164的转动。可以多种方式将紧固件引导和施用器部件160在血管内定位并稳定,如,通过使用外部的弹簧加压支柱等(如上述的与引导部件18结合的所示)、或通过利用可膨胀的元件166(如图29所示)。膨胀件166可以包括气球或机械臌胀装置。膨胀件166通过抵抗血液的力在血管内稳定假体和紧固件引导和施用器部件160的位置,直到假体可以被锚定。
如图30所示,如果期望,紧固件引导和施用器部件160可以提供驱动电缆30和托架164之间的略小于九十度的倾斜部署,以帮助托架对着血管壁进行垂直接触位置的管腔内操作。如图31所示,如果期望,紧固件引导和施用器部件160可以被铰接在驱动电缆30和托架164之间。在这种布置中,期望提供远程控制机构,以实现托架164从用于部署到目标位置的第一(通常为直形)位置(图31中幻线所示)到用于托架164对准抵靠血管壁的第二(铰接)位置(图31中实线所示)的移动。
III.紧固件
如前面已经说明和描述的,典型地,在假体14已被初始定位之后进行紧固件28的引入。也就是说,通过自膨胀或气球膨胀实现假体14的初始定位,然后,通过引入多个单独的紧固件将假体14固定或锚定在适当的位置上。紧固件28可只穿过假体14的织物定位,即,避开支架结构。或者,可以将紧固件28引入并穿过支架结构自身的多个部分。假体14可包括预先形成的特地构建为接受紧固件的插孔、孔、或索眼。紧固件28可穿过织物和穿过锚定支架结构被引入。紧固件可以沿假体14内壁周向地以间隔开的形式逐一地引入,即每次一个。
在示例性的实施方案中,紧固件28为螺旋状紧固件,使得它们可以转动并“旋进”假体14和血管壁中。所需的螺旋状紧固件28的形状(参见图27、28A和28B)为开圈148,很象螺旋弹簧。这种构造使得紧固件28可抓取较大面积的组织,产生比常规的U形钉显著更大的夹持力,而无需施加可能导致组织坏死的组织压缩。
如图27、28A、和28B所示,期望螺旋状紧固件28的前导末梢142为锋利的,使得其可穿透动脉壁和/或钙化组织。这种远端末梢142可为尖锐的,以切开穿过组织的螺旋状通路,或可为尖锐的,以穿透组织而没有切口。
紧固件的近端144具有两个设计功能。第一个功能是与植入过程中转动螺旋状紧固件的紧固件施用器27的托架102接合。第二个功能是起到防止螺旋状紧固件穿透进入组织中太深的止动装置的作用。
在一个实施方案(参见图27)中,螺旋状紧固件28的近端144包括将紧固件直径二等分的开圈148的L-形腿146。开圈148的腿146完全地跨过直径,用于防止紧固件为开圈的,并且用于控制刺入组织中的深度。另外,开圈148的腿146可以连接于先前的开圈以强化整个结构并且为紧固件施用器提供更稳定的驱动连接点。这种连接可以通过焊接、粘合剂、或任何其它合适的方式实现。
或者(如图28A和28B所示),紧固件28的近端144可以引入单独的帽或托架150或150′,其起到与图27中开圈148的腿146相同的作用。托架150或150′以几种用于连接于紧固件施用器驱动机构100的方法为特征。这些方法包括单独的抓紧器或抓爪、磁结合(如前所述)、或任何其它适当的机械连接装置。在图28A和图28B中,托架150和150′包括狭缝180和182′,以与驱动凸缘配合(如前所述的)。还如前所述,在托架150和150′与相应的驱动件之间实现磁结合,以防止使用过程中的意外分离。
在图28B中,托架150′还包括通道152,用于容纳图26A、26B、和26C中所示的接触/力传感杆190。
图27、28A、和28B中所示的紧固件28可由不锈钢或其它类型的可植入金属制成,然而,还设想上述说明中的紧固件可由可植入聚合物或由可生物降解的聚合物或其所有材料的组合制成。期望地,紧固件28具有2到10个圈,并且为1mm到10mm长。单个开圈间的间距为0.25mm到3mm。紧固件28的直径为1mm到6mm。
IV.具有一体化的紧固件组件的假体
图32表示包括至少一个一体化的紧固件组件502的假体500。图32表示在目标管腔内区域部署的假体500,特别地在腹主动脉瘤504内部署。假体可以在身体内的别处部署。
期望假体500包括由支撑框架或支架504携带的织物材料等,如前所述。支架504可由在从鞘部署过程中径向自膨胀的弹性材料制成,或由响应由气球或机械臌胀装置在支架内施加的径向膨胀力而径向膨胀的延展性材料制成。
假体500在目标区域中部署之后,操作假体500上的一体化的紧固件组件502以将假体500锚定到血管壁。在说明性的实施方案中,假体500携带两个一体化的紧固件组件502,在假体500的每个端部区域中有一个。
在说明性的实施方案中,每个紧固件组件502都在加固的凸缘区域506各自的端部区域中被嵌入。每个紧固件组件502包括围绕凸缘506周向地间隔开的紧固件阵列508。阵列中的紧固件508的数目可以不同,例如在每个凸缘区域506上具有约两个到约十二个紧固件。阵列的排列也可不同,例如为周向排列,紧固件508也可以轴向地间隔布置。
紧固件508可由金属或塑性材料形成,并且可具有不同构造。在说明性的实施方案中,每个紧固件508包括圆盘形的头512和分叉为两个翼516和518的茎514,两个翼通过塑料或记忆材料绞链区520连接。绞链区520的材料形成为具有将翼516和518偏置为舒部署状态(如图34所示)的回弹性记忆。
每个紧固件508都被携带在凸缘区域506上的索眼510内(参见图35)。当绞链区520被限制在索眼510内(如图35所示)时,翼516和518逆着回弹性记忆以相邻的闭合状态保持。根据在头512上施加的推力或穿刺力(参见图35),翼516和518以闭合状态被推进到索眼510的外侧,并且进入和穿过相邻的血管壁(参见图36)。随着继续的前进,绞链区520解除了索眼510的限制(参见图37)。结果,翼516和518回弹性地弹回到其正常的舒部署的状态。
在这种布置中,管腔内工具522(参见图33)部署到假体500中,用于对给定紧固件508的头512施加推力或穿刺力。在说明性的实施方案中,工具522包括在其远端携带冲压元件526的导管524。在所需的布置中,导管524的远端为可操纵的,以帮助建立冲压元件526与给定紧固件508的头512之间的点接触。头512可以包括凹口528,用于在使用过程中接受冲压元件526的末梢并使其相对于头512稳定(参见图34)。
在使用中,冲压元件526操作为用于对所选择的紧固件的头512施加推力或穿刺力。如图35和36所示,由冲压元件526施加的推力推动翼516和518对着血管壁34的内侧。翼516和518仍然处于其闭合状态,因为绞链区520仍然被限制在索眼510内。闭合的翼516和518在其前进到血管壁的远侧时形成穿透组织的密闭件。随着绞链区510脱离索眼510(图37),翼516和518抵靠血管壁的远侧回弹到其舒部署的状态。在除去冲压元件526时(参见图38),头512和舒部署的翼516和518保留为其在血管壁中互相相对的状态,以抵靠血管壁使假体500固定。在使用中,医生将冲压元件526连续地对着每个紧固件508定位并操作,以实现将假体500锚定到血管壁。
在一个实施方案中(参见图39),每个紧固件508可以包括以松脱方式连接于头512的追踪线530。追踪线530从头512伸出到身体外,用于从血管外部进入血管。在这种布置中,冲压元件526包括腔,以适应追踪线530的通过。追踪线530在管腔内通道中引导冲压元件到达各个紧固件508。在操作冲压元件526以驱动紧固件508进入血管壁之后,冲压元件526可以沿着追踪线530撤回。追踪线530可以通过例如对线530施加中等拉力而从目前已被固定的头512上松脱。然后可撤回追踪线530。顺序地沿着另一个追踪线530引导冲压元件526,用于与另一个紧固件508相互作用,直到实现所需的锚定程度。
在替代性的实施方案中,可使用假体50上的一体化的紧固件组件502,用于在实现永久性锚定技术时临时钉住假体500在适当的位置。例如,在这种布置中,在使用一体化的紧固件组件502以临时保持假体500在所需位置之后,以前述方式部署单独的螺旋状紧固件28,以永久地抵靠血管壁锚定假体500。
应该理解,本文中所述的优选实施方案的组成和/或特征可一起使用或分别地使用,而所述方法和装置可整个或部分地进行合并或改进。考虑了引导部件的部件、紧固件施用器、和螺旋状紧固件可替代性地相对于彼此进行取向,例如偏置、双轴等等。另外,应该理解,有多种实施方案可用于本文中没有描述的另外的过程中,如血管创伤、动脉切开、人造心脏瓣膜连接和血管系统和通常身体内的其它假体器官装置的连接。
上面详细地描述了本发明的优选实施方案,以提供完整的公开和用于解释和阐明目的。本领域的技术人员可在本发明公开的范围和精神实质内想象到其它改进。
Claims (39)
1.用于在空心体器官中植入紧固件的紧固系统,其包括:
紧固件连接组件,其尺寸适合于并构建为部署在空心体器官内,并且包括可选择性地进行操作以产生植入力从而将紧固件植入到空心体器官内组织中的致动件,和
与紧固件连接组件联接的用于在空心体器官内施加分解力以分解至少一部分植入力的装置。
2.用于在目标血管内区域中植入紧固件的紧固系统,其包括:
紧固件连接组件,其尺寸适合于并构建为部署在目标血管内区域中,并且包括可选择性地进行操作以产生植入力从而将紧固件植入到目标血管内区域中的组织中的致动件,和
与紧固件连接组件联接的用于在目标血管内区域中施加分解力以分解至少一部分植入力的装置。
3.权利要求1或2的紧固系统,其中装置包括稳固件。
4.权利要求3的紧固系统,其中稳固件包括支柱组件。
5.权利要求3的紧固系统,其中稳固件包括适于接触组织的弹簧加压臂。
6.权利要求3的紧固系统,其中稳固件包括适于接触组织的可膨胀件。
7.权利要求3的紧固系统,其中稳固件包括组织抓紧件。
8.权利要求1或2的紧固系统,其中紧固件连接组件包括:携带致动件的紧固件施用器部件,和具有适合紧固件施用器和致动件通过的腔的引导部件,并且
其中装置与引导部件联接。
9.权利要求8的紧固系统,其中装置包括由引导部件携带的稳固件。
10.权利要求9的紧固系统,其中稳固件包括引导部件上的支柱组件。
11.权利要求9的紧固系统,其中稳固件包括引导部件上的适于接触组织的弹簧加压臂。
12.权利要求9的紧固系统,其中稳固件包括引导部件上的适于接触组织的可膨胀件。
13.权利要求9的紧固系统,其中稳固件包括引导部件上的组织抓紧件。
14.权利要求8的紧固系统,其中引导部件包括可偏转的远端区域。
15.权利要求1或2的紧固系统,其中紧固件连接组件包括:携带致动件的紧固件施用器部件,和具有适合紧固件施用器和致动件通过的腔的引导部件,并且
其中装置与紧固件施用器部件联接。
16.权利要求15的紧固系统,其中装置包括由紧固件施用器部件携带的稳固件。
17.权利要求16的紧固系统,其中稳固件包括紧固件施用器部件上的支柱组件。
18.权利要求16的紧固系统,其中稳固件包括紧固件施用器部件上的适于接触组织的弹簧加压臂。
19.权利要求16的紧固系统,其中稳固件包括紧固件施用器部件上的适于接触组织的可膨胀件。
20.权利要求16的紧固系统,其中稳固件包括紧固件施用器部件上的组织抓紧件。
21.权利要求1或2的紧固系统,其中致动件包括用于植入螺旋状紧固件的驱动件。
22.权利要求1或2的紧固系统,其中紧固件连接组件包括携带致动件的紧固件施用器部件,和
其中装置与紧固件施用器部件联接。
23.权利要求22的紧固系统,其中紧固件施用器部件包括携带致动件的导管体,导管体具有柱强度,和
其中装置至少部分地包括导管体的柱强度。
24.权利要求22的紧固系统,其中紧固件施用器部件包括携带致动件的导管体,和
其中装置至少部分地包括由导管体携带的稳固件。
25.权利要求24的紧固系统,其中稳固件包括导管体上的支柱组件。
26.权利要求24的紧固系统,其中稳固件包括导管体上的适于接触组织的弹簧加压臂。
27.权利要求24的紧固系统,其中稳固件包括导管体上的适于接触组织的可膨胀件。
28.权利要求24的紧固系统,其中稳固件包括导管体上的组织抓紧件。
29.权利要求1或2的紧固系统,其中紧固件连接组件包括携带致动件的紧固件施用器部件,和
其中装置包括与紧固件施用器部件分离并与紧固件施用器部件协作的稳固装置。
30.权利要求1或2的紧固系统,其中紧固件连接组件包括用于致动件的引导部件,和
其中装置与引导部件联接。
31.权利要求30的紧固系统,其中引导部件具有柱强度,和
其中装置至少部分地包括引导部件的柱强度。
32.权利要求30的紧固系统,其中装置至少部分地包括由引导部件携带的稳固件。
33.权利要求32的紧固系统,其中稳固件包括引导部件上的支柱组件。
34.权利要求32的紧固系统,其中稳固件包括引导部件上的适于接触组织的弹簧加压臂。
35.权利要求32的紧固系统,其中稳固件包括引导部件上的适于接触组织的可膨胀件。
36.权利要求32的紧固系统,其中稳固件包括引导部件上的组织抓紧件。
37.权利要求1或2的紧固系统,其中紧固件连接组件包括用于致动件的引导部件,和
其中装置包括与引导部件分离并与引导部件协作的稳固装置。
38.用于在空心体腔中植入紧固件的方法,其包括下列步骤:
在空心体器官中部署紧固件连接组件,所述紧固件连接组件包括可选择性地进行操作以产生植入力从而将紧固件植入到空心体器官内的组织中的致动件,和
在空心体器官中在致动件上或其附近施加分解力以分解至少一部分植入力。
39.用于在目标血管内区域中植入紧固件的方法,其包括下列步骤:
通过管腔内通道在目标血管内区域中部署紧固件连接组件,所述紧固件连接组件包括可选择性地进行操作以产生植入力从而将紧固件植入到目标血管内区域中的组织中的致动件,和
在目标血管内区域中在致动件上或其附近施加分解力以分解至少一部分植入力。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/669,881 | 2003-09-24 | ||
US10/669,881 US7491232B2 (en) | 1998-09-18 | 2003-09-24 | Catheter-based fastener implantation apparatus and methods with implantation force resolution |
PCT/US2004/029402 WO2005032333A2 (en) | 2003-09-24 | 2004-09-10 | Catheter-based fastener implantation apparatus and methods with implantation force resolution |
Publications (2)
Publication Number | Publication Date |
---|---|
CN1856280A true CN1856280A (zh) | 2006-11-01 |
CN1856280B CN1856280B (zh) | 2013-01-02 |
Family
ID=34421985
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2004800276497A Expired - Lifetime CN1856280B (zh) | 2003-09-24 | 2004-09-10 | 具有植入力分解的基于导管的紧固件植入装置和方法 |
Country Status (7)
Country | Link |
---|---|
US (7) | US7491232B2 (zh) |
EP (1) | EP1675528B1 (zh) |
JP (3) | JP4465359B2 (zh) |
CN (1) | CN1856280B (zh) |
AU (1) | AU2004277897B2 (zh) |
CA (1) | CA2539585C (zh) |
WO (1) | WO2005032333A2 (zh) |
Cited By (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101754727A (zh) * | 2007-05-23 | 2010-06-23 | Xtent公司 | 用于在安置过程中控制可扩张假体的装置和方法 |
US8685044B2 (en) | 2001-11-28 | 2014-04-01 | Aptus Endosystems, Inc. | Systems and methods for attaching a prosthesis with a body lumen or hollow organ |
US8690897B2 (en) | 2001-11-28 | 2014-04-08 | Aptus Endosystems, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
US8956398B2 (en) | 2001-12-03 | 2015-02-17 | J.W. Medical Systems Ltd. | Custom length stent apparatus |
US8980297B2 (en) | 2007-02-20 | 2015-03-17 | J.W. Medical Systems Ltd. | Thermo-mechanically controlled implants and methods of use |
US8986362B2 (en) | 2004-06-28 | 2015-03-24 | J.W. Medical Systems Ltd. | Devices and methods for controlling expandable prostheses during deployment |
US9023065B2 (en) | 2001-11-28 | 2015-05-05 | Aptus Endosystems, Inc. | Devices, systems, and methods for supporting tissue and/or structures within a hollow body organ |
US9101503B2 (en) | 2008-03-06 | 2015-08-11 | J.W. Medical Systems Ltd. | Apparatus having variable strut length and methods of use |
US9320503B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US9320589B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Endovascular aneurysm repair system |
US9326876B2 (en) | 2001-12-03 | 2016-05-03 | J.W. Medical Systems Ltd. | Apparatus and methods for delivery of multiple distributed stents |
US9339404B2 (en) | 2007-03-22 | 2016-05-17 | J.W. Medical Systems Ltd. | Devices and methods for controlling expandable prostheses during deployment |
US9566179B2 (en) | 2003-12-23 | 2017-02-14 | J.W. Medical Systems Ltd. | Devices and methods for controlling and indicating the length of an interventional element |
CN106473786A (zh) * | 2010-07-08 | 2017-03-08 | 因特脉管有限公司 | 用于输送血管假体的系统 |
US9883957B2 (en) | 2006-03-20 | 2018-02-06 | J.W. Medical Systems Ltd. | Apparatus and methods for deployment of linked prosthetic segments |
US9968353B2 (en) | 2001-06-04 | 2018-05-15 | Medtronic Vascular, Inc. | Catheter based fastener implantation apparatus and methods |
US10098770B2 (en) | 2001-11-28 | 2018-10-16 | Medtronic Vascular, Inc. | Endovascular aneurysm devices, systems, and methods |
US10194905B2 (en) | 2001-11-28 | 2019-02-05 | Medtronic Vascular, Inc. | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
US10660771B2 (en) | 2007-12-12 | 2020-05-26 | Intact Vacsular, Inc. | Deployment device for placement of multiple intraluminal surgical staples |
US10779968B2 (en) | 2010-05-29 | 2020-09-22 | Intact Vascular, Inc. | Endoluminal device and method |
US10779969B2 (en) | 2011-06-03 | 2020-09-22 | Intact Vascular, Inc. | Endovascular implant and deployment devices |
US10779971B2 (en) | 2009-06-11 | 2020-09-22 | Intact Vascular, Inc. | Endovascular implant |
US10799374B2 (en) | 2007-12-12 | 2020-10-13 | Intact Vascular, Inc. | Device and method for tacking plaque to blood vessel wall |
US10898356B2 (en) | 2015-01-29 | 2021-01-26 | Intact Vascular, Inc. | Delivery device and method of delivery |
US10993824B2 (en) | 2016-01-01 | 2021-05-04 | Intact Vascular, Inc. | Delivery device and method of delivery |
US11304836B2 (en) | 2015-01-29 | 2022-04-19 | Intact Vascular, Inc. | Delivery device and method of delivery |
US11660218B2 (en) | 2017-07-26 | 2023-05-30 | Intact Vascular, Inc. | Delivery device and method of delivery |
Families Citing this family (575)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004506469A (ja) | 2000-08-18 | 2004-03-04 | アトリテック, インコーポレイテッド | 心耳からの血流をろ過するための拡張可能な埋め込みデバイス |
US20090112302A1 (en) * | 2001-11-28 | 2009-04-30 | Josh Stafford | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
US7823267B2 (en) * | 2001-11-28 | 2010-11-02 | Aptus Endosystems, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
US20110087320A1 (en) * | 2001-11-28 | 2011-04-14 | Aptus Endosystems, Inc. | Devices, Systems, and Methods for Prosthesis Delivery and Implantation, Including a Prosthesis Assembly |
US6700444B2 (en) * | 2002-01-28 | 2004-03-02 | Cree Microwave, Inc. | N-way RF power amplifier with increased backoff power and power added efficiency |
US7077850B2 (en) * | 2002-05-01 | 2006-07-18 | Scimed Life Systems, Inc. | Tissue fastening devices and related insertion tools and methods |
DE60336936D1 (de) | 2002-06-11 | 2011-06-09 | Tyco Healthcare | Netzklammern für Brüche |
US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
JP2007500583A (ja) | 2003-06-13 | 2007-01-18 | タイコ・ヘルスケア・グループ・リミテッド・パートナーシップ | 外科用器具のための複数部材相互接続および吸収性ねじファスナー |
US8926637B2 (en) | 2003-06-13 | 2015-01-06 | Covidien Lp | Multiple member interconnect for surgical instrument and absorbable screw fastener |
US7425219B2 (en) * | 2003-10-10 | 2008-09-16 | Arshad Quadri | System and method for endoluminal grafting of bifurcated and branched vessels |
US8840663B2 (en) * | 2003-12-23 | 2014-09-23 | Sadra Medical, Inc. | Repositionable heart valve method |
US20050137694A1 (en) | 2003-12-23 | 2005-06-23 | Haug Ulrich R. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US9005273B2 (en) | 2003-12-23 | 2015-04-14 | Sadra Medical, Inc. | Assessing the location and performance of replacement heart valves |
US7780725B2 (en) | 2004-06-16 | 2010-08-24 | Sadra Medical, Inc. | Everting heart valve |
US8828078B2 (en) | 2003-12-23 | 2014-09-09 | Sadra Medical, Inc. | Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements |
EP1547526A1 (en) * | 2003-12-23 | 2005-06-29 | UMC Utrecht Holding B.V. | Operation element, operation set and method for use thereof |
US20050137687A1 (en) | 2003-12-23 | 2005-06-23 | Sadra Medical | Heart valve anchor and method |
US7959666B2 (en) | 2003-12-23 | 2011-06-14 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a heart valve |
US8328868B2 (en) | 2004-11-05 | 2012-12-11 | Sadra Medical, Inc. | Medical devices and delivery systems for delivering medical devices |
US8182528B2 (en) | 2003-12-23 | 2012-05-22 | Sadra Medical, Inc. | Locking heart valve anchor |
US7381219B2 (en) | 2003-12-23 | 2008-06-03 | Sadra Medical, Inc. | Low profile heart valve and delivery system |
US8603160B2 (en) | 2003-12-23 | 2013-12-10 | Sadra Medical, Inc. | Method of using a retrievable heart valve anchor with a sheath |
US20120041550A1 (en) | 2003-12-23 | 2012-02-16 | Sadra Medical, Inc. | Methods and Apparatus for Endovascular Heart Valve Replacement Comprising Tissue Grasping Elements |
US9526609B2 (en) | 2003-12-23 | 2016-12-27 | Boston Scientific Scimed, Inc. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US7445631B2 (en) | 2003-12-23 | 2008-11-04 | Sadra Medical, Inc. | Methods and apparatus for endovascularly replacing a patient's heart valve |
US8579962B2 (en) | 2003-12-23 | 2013-11-12 | Sadra Medical, Inc. | Methods and apparatus for performing valvuloplasty |
US8343213B2 (en) | 2003-12-23 | 2013-01-01 | Sadra Medical, Inc. | Leaflet engagement elements and methods for use thereof |
US11278398B2 (en) | 2003-12-23 | 2022-03-22 | Boston Scientific Scimed, Inc. | Methods and apparatus for endovascular heart valve replacement comprising tissue grasping elements |
CN101627938B (zh) * | 2004-02-02 | 2011-12-21 | 孕体有限公司 | 带有可渗透和非渗透性组件的避孕用具 |
US10478179B2 (en) | 2004-04-27 | 2019-11-19 | Covidien Lp | Absorbable fastener for hernia mesh fixation |
US8114099B2 (en) * | 2004-04-27 | 2012-02-14 | Tyco Healthcare Group Lp | Absorbable anchor for hernia mesh fixation |
US11998198B2 (en) | 2004-07-28 | 2024-06-04 | Cilag Gmbh International | Surgical stapling instrument incorporating a two-piece E-beam firing mechanism |
US9072535B2 (en) | 2011-05-27 | 2015-07-07 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments with rotatable staple deployment arrangements |
US11896225B2 (en) | 2004-07-28 | 2024-02-13 | Cilag Gmbh International | Staple cartridge comprising a pan |
US8215531B2 (en) | 2004-07-28 | 2012-07-10 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument having a medical substance dispenser |
US7452325B2 (en) * | 2004-11-15 | 2008-11-18 | Benvenue Medical Inc. | Catheter-based tissue remodeling devices and methods |
DE102005003632A1 (de) | 2005-01-20 | 2006-08-17 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V. | Katheter für die transvaskuläre Implantation von Herzklappenprothesen |
US20060235386A1 (en) * | 2005-04-14 | 2006-10-19 | Sdgi Holdings, Inc. | Magnetic manipulation of a cable in blind approach |
US8333777B2 (en) | 2005-04-22 | 2012-12-18 | Benvenue Medical, Inc. | Catheter-based tissue remodeling devices and methods |
US7962208B2 (en) | 2005-04-25 | 2011-06-14 | Cardiac Pacemakers, Inc. | Method and apparatus for pacing during revascularization |
US7947047B2 (en) * | 2005-06-20 | 2011-05-24 | Ams Research Corporation | Medical screwdrivers and methods |
DE602005022122D1 (de) * | 2005-08-22 | 2010-08-12 | St Jude Medical | Werkzeug zur befestigung einer herzstimulatorleitung an einem gewünschten punkt im herz |
US11246590B2 (en) | 2005-08-31 | 2022-02-15 | Cilag Gmbh International | Staple cartridge including staple drivers having different unfired heights |
US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
US11484312B2 (en) | 2005-08-31 | 2022-11-01 | Cilag Gmbh International | Staple cartridge comprising a staple driver arrangement |
US7669746B2 (en) | 2005-08-31 | 2010-03-02 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US10159482B2 (en) | 2005-08-31 | 2018-12-25 | Ethicon Llc | Fastener cartridge assembly comprising a fixed anvil and different staple heights |
US7934630B2 (en) | 2005-08-31 | 2011-05-03 | Ethicon Endo-Surgery, Inc. | Staple cartridges for forming staples having differing formed staple heights |
US20070106317A1 (en) | 2005-11-09 | 2007-05-10 | Shelton Frederick E Iv | Hydraulically and electrically actuated articulation joints for surgical instruments |
US7815659B2 (en) | 2005-11-15 | 2010-10-19 | Ethicon Endo-Surgery, Inc. | Suture anchor applicator |
US20070213813A1 (en) | 2005-12-22 | 2007-09-13 | Symetis Sa | Stent-valves for valve replacement and associated methods and systems for surgery |
US8708213B2 (en) | 2006-01-31 | 2014-04-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a feedback system |
US11278279B2 (en) | 2006-01-31 | 2022-03-22 | Cilag Gmbh International | Surgical instrument assembly |
US11793518B2 (en) | 2006-01-31 | 2023-10-24 | Cilag Gmbh International | Powered surgical instruments with firing system lockout arrangements |
US20120292367A1 (en) | 2006-01-31 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Robotically-controlled end effector |
US20110024477A1 (en) | 2009-02-06 | 2011-02-03 | Hall Steven G | Driven Surgical Stapler Improvements |
US7753904B2 (en) | 2006-01-31 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Endoscopic surgical instrument with a handle that can articulate with respect to the shaft |
US20110295295A1 (en) | 2006-01-31 | 2011-12-01 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical instrument having recording capabilities |
US8186555B2 (en) | 2006-01-31 | 2012-05-29 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting and fastening instrument with mechanical closure system |
US11224427B2 (en) | 2006-01-31 | 2022-01-18 | Cilag Gmbh International | Surgical stapling system including a console and retraction assembly |
US7845537B2 (en) | 2006-01-31 | 2010-12-07 | Ethicon Endo-Surgery, Inc. | Surgical instrument having recording capabilities |
US8820603B2 (en) | 2006-01-31 | 2014-09-02 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
WO2007097983A2 (en) | 2006-02-14 | 2007-08-30 | Sadra Medical, Inc. | Systems and methods for delivering a medical implant |
US7749249B2 (en) | 2006-02-21 | 2010-07-06 | Kardium Inc. | Method and device for closing holes in tissue |
WO2007099448A2 (en) * | 2006-03-03 | 2007-09-07 | Vayro Ltd. | A fastening device |
CA2540218A1 (en) * | 2006-03-17 | 2007-09-17 | Hafedh Trigui | Asymmetric beams for spectrum efficiency |
US8992422B2 (en) | 2006-03-23 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Robotically-controlled endoscopic accessory channel |
US8322455B2 (en) | 2006-06-27 | 2012-12-04 | Ethicon Endo-Surgery, Inc. | Manually driven surgical cutting and fastening instrument |
US8449605B2 (en) | 2006-06-28 | 2013-05-28 | Kardium Inc. | Method for anchoring a mitral valve |
US7837610B2 (en) | 2006-08-02 | 2010-11-23 | Kardium Inc. | System for improving diastolic dysfunction |
US10568652B2 (en) | 2006-09-29 | 2020-02-25 | Ethicon Llc | Surgical staples having attached drivers of different heights and stapling instruments for deploying the same |
US20080078802A1 (en) | 2006-09-29 | 2008-04-03 | Hess Christopher J | Surgical staples and stapling instruments |
US11980366B2 (en) | 2006-10-03 | 2024-05-14 | Cilag Gmbh International | Surgical instrument |
FR2910269B1 (fr) | 2006-12-22 | 2009-02-27 | Corevalve Inc | Materiel de traitement d'une valve cardiaque,en particulier d'une valve mitrale |
US8840603B2 (en) | 2007-01-10 | 2014-09-23 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
US11291441B2 (en) | 2007-01-10 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with wireless communication between control unit and remote sensor |
US8652120B2 (en) | 2007-01-10 | 2014-02-18 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and sensor transponders |
US11039836B2 (en) | 2007-01-11 | 2021-06-22 | Cilag Gmbh International | Staple cartridge for use with a surgical stapling instrument |
US8827133B2 (en) | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
US8590762B2 (en) | 2007-03-15 | 2013-11-26 | Ethicon Endo-Surgery, Inc. | Staple cartridge cavity configurations |
US8893946B2 (en) | 2007-03-28 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Laparoscopic tissue thickness and clamp load measuring devices |
US7896915B2 (en) | 2007-04-13 | 2011-03-01 | Jenavalve Technology, Inc. | Medical device for treating a heart valve insufficiency |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
US11672531B2 (en) | 2007-06-04 | 2023-06-13 | Cilag Gmbh International | Rotary drive systems for surgical instruments |
US7753245B2 (en) | 2007-06-22 | 2010-07-13 | Ethicon Endo-Surgery, Inc. | Surgical stapling instruments |
US11849941B2 (en) | 2007-06-29 | 2023-12-26 | Cilag Gmbh International | Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis |
US20090125096A1 (en) * | 2007-11-12 | 2009-05-14 | Medtronic Vascular, Inc. | Stent Graft With Pins |
US7959640B2 (en) * | 2008-02-13 | 2011-06-14 | Apollo Endosurgery, Inc. | Method of performing transgastric ventral hernia repair and tissue anchors and deployment devices therefor |
RU2493788C2 (ru) | 2008-02-14 | 2013-09-27 | Этикон Эндо-Серджери, Инк. | Хирургический режущий и крепежный инструмент, имеющий радиочастотные электроды |
US8758391B2 (en) | 2008-02-14 | 2014-06-24 | Ethicon Endo-Surgery, Inc. | Interchangeable tools for surgical instruments |
US7866527B2 (en) | 2008-02-14 | 2011-01-11 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
US9179912B2 (en) | 2008-02-14 | 2015-11-10 | Ethicon Endo-Surgery, Inc. | Robotically-controlled motorized surgical cutting and fastening instrument |
US7819298B2 (en) | 2008-02-14 | 2010-10-26 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with control features operable with one hand |
US11986183B2 (en) | 2008-02-14 | 2024-05-21 | Cilag Gmbh International | Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter |
US8573465B2 (en) | 2008-02-14 | 2013-11-05 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical end effector system with rotary actuated closure systems |
US8636736B2 (en) | 2008-02-14 | 2014-01-28 | Ethicon Endo-Surgery, Inc. | Motorized surgical cutting and fastening instrument |
US11272927B2 (en) | 2008-02-15 | 2022-03-15 | Cilag Gmbh International | Layer arrangements for surgical staple cartridges |
US9585657B2 (en) | 2008-02-15 | 2017-03-07 | Ethicon Endo-Surgery, Llc | Actuator for releasing a layer of material from a surgical end effector |
EP2247245B1 (en) | 2008-02-18 | 2017-06-28 | Covidien LP | A device for deploying and attaching a patch to a biological tissue |
US8317808B2 (en) | 2008-02-18 | 2012-11-27 | Covidien Lp | Device and method for rolling and inserting a prosthetic patch into a body cavity |
US9044235B2 (en) | 2008-02-18 | 2015-06-02 | Covidien Lp | Magnetic clip for implant deployment device |
US9034002B2 (en) | 2008-02-18 | 2015-05-19 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8758373B2 (en) | 2008-02-18 | 2014-06-24 | Covidien Lp | Means and method for reversibly connecting a patch to a patch deployment device |
US9398944B2 (en) | 2008-02-18 | 2016-07-26 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9833240B2 (en) | 2008-02-18 | 2017-12-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US8808314B2 (en) | 2008-02-18 | 2014-08-19 | Covidien Lp | Device and method for deploying and attaching an implant to a biological tissue |
US9301826B2 (en) | 2008-02-18 | 2016-04-05 | Covidien Lp | Lock bar spring and clip for implant deployment device |
US9393002B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US9393093B2 (en) | 2008-02-18 | 2016-07-19 | Covidien Lp | Clip for implant deployment device |
US8221494B2 (en) | 2008-02-22 | 2012-07-17 | Endologix, Inc. | Apparatus and method of placement of a graft or graft system |
US9044318B2 (en) | 2008-02-26 | 2015-06-02 | Jenavalve Technology Gmbh | Stent for the positioning and anchoring of a valvular prosthesis |
ES2903231T3 (es) | 2008-02-26 | 2022-03-31 | Jenavalve Tech Inc | Stent para el posicionamiento y anclaje de una prótesis valvular en un sitio de implantación en el corazón de un paciente |
US20090287304A1 (en) | 2008-05-13 | 2009-11-19 | Kardium Inc. | Medical Device for Constricting Tissue or a Bodily Orifice, for example a mitral valve |
US20090287045A1 (en) | 2008-05-15 | 2009-11-19 | Vladimir Mitelberg | Access Systems and Methods of Intra-Abdominal Surgery |
US9386983B2 (en) | 2008-09-23 | 2016-07-12 | Ethicon Endo-Surgery, Llc | Robotically-controlled motorized surgical instrument |
US8210411B2 (en) | 2008-09-23 | 2012-07-03 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument |
US9005230B2 (en) | 2008-09-23 | 2015-04-14 | Ethicon Endo-Surgery, Inc. | Motorized surgical instrument |
US11648005B2 (en) | 2008-09-23 | 2023-05-16 | Cilag Gmbh International | Robotically-controlled motorized surgical instrument with an end effector |
US8608045B2 (en) | 2008-10-10 | 2013-12-17 | Ethicon Endo-Sugery, Inc. | Powered surgical cutting and stapling apparatus with manually retractable firing system |
CN102186426B (zh) * | 2008-10-13 | 2013-05-15 | 斯瑞克公司 | 血管闭塞线圈输送系统 |
EP2337502B1 (en) | 2008-10-20 | 2014-08-06 | Covidien LP | A device for attaching a patch to a biological tissue |
US8517239B2 (en) | 2009-02-05 | 2013-08-27 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument comprising a magnetic element driver |
JP2012517287A (ja) | 2009-02-06 | 2012-08-02 | エシコン・エンド−サージェリィ・インコーポレイテッド | 被駆動式手術用ステープラの改良 |
US8444036B2 (en) | 2009-02-06 | 2013-05-21 | Ethicon Endo-Surgery, Inc. | Motor driven surgical fastener device with mechanisms for adjusting a tissue gap within the end effector |
US20110054586A1 (en) | 2009-04-28 | 2011-03-03 | Endologix, Inc. | Apparatus and method of placement of a graft or graft system |
US8459524B2 (en) * | 2009-08-14 | 2013-06-11 | Covidien Lp | Tissue fastening system for a medical device |
WO2011021082A1 (en) | 2009-08-17 | 2011-02-24 | PolyTouch Medical, Inc. | Means and method for reversibly connecting an implant to a deployment device |
EP2467093B1 (en) | 2009-08-17 | 2019-08-28 | Covidien LP | Articulating patch deployment device |
WO2011041571A2 (en) | 2009-10-01 | 2011-04-07 | Kardium Inc. | Medical device, kit and method for constricting tissue or a bodily orifice, for example, a mitral valve |
US8220688B2 (en) | 2009-12-24 | 2012-07-17 | Ethicon Endo-Surgery, Inc. | Motor-driven surgical cutting instrument with electric actuator directional control assembly |
US8851354B2 (en) | 2009-12-24 | 2014-10-07 | Ethicon Endo-Surgery, Inc. | Surgical cutting instrument that analyzes tissue thickness |
JP2013526388A (ja) | 2010-05-25 | 2013-06-24 | イエナバルブ テクノロジー インク | 人工心臓弁、及び人工心臓弁とステントを備える経カテーテル搬送体内プロテーゼ |
US9050066B2 (en) | 2010-06-07 | 2015-06-09 | Kardium Inc. | Closing openings in anatomical tissue |
US8783543B2 (en) | 2010-07-30 | 2014-07-22 | Ethicon Endo-Surgery, Inc. | Tissue acquisition arrangements and methods for surgical stapling devices |
US8801734B2 (en) * | 2010-07-30 | 2014-08-12 | Ethicon Endo-Surgery, Inc. | Circular stapling instruments with secondary cutting arrangements and methods of using same |
US8360296B2 (en) | 2010-09-09 | 2013-01-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling head assembly with firing lockout for a surgical stapler |
CN106073946B (zh) | 2010-09-10 | 2022-01-04 | 西美蒂斯股份公司 | 瓣膜置换装置、用于瓣膜置换装置的递送装置以及瓣膜置换装置的生产方法 |
US10076327B2 (en) * | 2010-09-14 | 2018-09-18 | Evalve, Inc. | Flexible actuator mandrel for tissue apposition systems |
US9579193B2 (en) | 2010-09-23 | 2017-02-28 | Transmural Systems Llc | Methods and systems for delivering prostheses using rail techniques |
US10321998B2 (en) | 2010-09-23 | 2019-06-18 | Transmural Systems Llc | Methods and systems for delivering prostheses using rail techniques |
US8940002B2 (en) | 2010-09-30 | 2015-01-27 | Kardium Inc. | Tissue anchor system |
US11298125B2 (en) | 2010-09-30 | 2022-04-12 | Cilag Gmbh International | Tissue stapler having a thickness compensator |
US8740038B2 (en) | 2010-09-30 | 2014-06-03 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising a releasable portion |
US9241714B2 (en) | 2011-04-29 | 2016-01-26 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator and method for making the same |
US10945731B2 (en) | 2010-09-30 | 2021-03-16 | Ethicon Llc | Tissue thickness compensator comprising controlled release and expansion |
US9364233B2 (en) | 2010-09-30 | 2016-06-14 | Ethicon Endo-Surgery, Llc | Tissue thickness compensators for circular surgical staplers |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
US11812965B2 (en) | 2010-09-30 | 2023-11-14 | Cilag Gmbh International | Layer of material for a surgical end effector |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9788834B2 (en) | 2010-09-30 | 2017-10-17 | Ethicon Llc | Layer comprising deployable attachment members |
US11849952B2 (en) | 2010-09-30 | 2023-12-26 | Cilag Gmbh International | Staple cartridge comprising staples positioned within a compressible portion thereof |
US9629814B2 (en) | 2010-09-30 | 2017-04-25 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator configured to redistribute compressive forces |
US8695866B2 (en) | 2010-10-01 | 2014-04-15 | Ethicon Endo-Surgery, Inc. | Surgical instrument having a power control circuit |
US20120109279A1 (en) | 2010-11-02 | 2012-05-03 | Endologix, Inc. | Apparatus and method of placement of a graft or graft system |
US12070222B2 (en) | 2011-01-11 | 2024-08-27 | Amsel Medical Corporation | Apparatus and method for temporary occlusion of blood vessels |
US9113884B2 (en) | 2011-03-14 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Modular surgical tool systems |
US9072511B2 (en) | 2011-03-25 | 2015-07-07 | Kardium Inc. | Medical kit for constricting tissue or a bodily orifice, for example, a mitral valve |
CA2834649C (en) | 2011-04-29 | 2021-02-16 | Ethicon Endo-Surgery, Inc. | Staple cartridge comprising staples positioned within a compressible portion thereof |
EP2520251A1 (en) | 2011-05-05 | 2012-11-07 | Symetis SA | Method and Apparatus for Compressing Stent-Valves |
US11207064B2 (en) | 2011-05-27 | 2021-12-28 | Cilag Gmbh International | Automated end effector component reloading system for use with a robotic system |
JP2013013490A (ja) * | 2011-07-01 | 2013-01-24 | Olympus Corp | 組織固定デバイス |
WO2013009975A1 (en) | 2011-07-12 | 2013-01-17 | Boston Scientific Scimed, Inc. | Coupling system for medical devices |
US9549817B2 (en) | 2011-09-22 | 2017-01-24 | Transmural Systems Llc | Devices, systems and methods for repairing lumenal systems |
US8951243B2 (en) | 2011-12-03 | 2015-02-10 | Boston Scientific Scimed, Inc. | Medical device handle |
US9113879B2 (en) | 2011-12-15 | 2015-08-25 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US9119615B2 (en) | 2011-12-15 | 2015-09-01 | Ethicon Endo-Surgery, Inc. | Devices and methods for endoluminal plication |
US10172708B2 (en) | 2012-01-25 | 2019-01-08 | Boston Scientific Scimed, Inc. | Valve assembly with a bioabsorbable gasket and a replaceable valve implant |
US9044230B2 (en) | 2012-02-13 | 2015-06-02 | Ethicon Endo-Surgery, Inc. | Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status |
US8992547B2 (en) | 2012-03-21 | 2015-03-31 | Ethicon Endo-Surgery, Inc. | Methods and devices for creating tissue plications |
CN104334098B (zh) | 2012-03-28 | 2017-03-22 | 伊西康内外科公司 | 包括限定低压强环境的胶囊剂的组织厚度补偿件 |
RU2014143258A (ru) | 2012-03-28 | 2016-05-20 | Этикон Эндо-Серджери, Инк. | Компенсатор толщины ткани, содержащий множество слоев |
CN104379068B (zh) | 2012-03-28 | 2017-09-22 | 伊西康内外科公司 | 包括组织厚度补偿件的保持器组件 |
US20130334280A1 (en) * | 2012-06-14 | 2013-12-19 | Covidien Lp | Sliding Anvil/Retracting Cartridge Reload |
US9101358B2 (en) | 2012-06-15 | 2015-08-11 | Ethicon Endo-Surgery, Inc. | Articulatable surgical instrument comprising a firing drive |
US9883941B2 (en) | 2012-06-19 | 2018-02-06 | Boston Scientific Scimed, Inc. | Replacement heart valve |
US20140001231A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Firing system lockout arrangements for surgical instruments |
US9289256B2 (en) | 2012-06-28 | 2016-03-22 | Ethicon Endo-Surgery, Llc | Surgical end effectors having angled tissue-contacting surfaces |
US11197671B2 (en) | 2012-06-28 | 2021-12-14 | Cilag Gmbh International | Stapling assembly comprising a lockout |
US9282974B2 (en) | 2012-06-28 | 2016-03-15 | Ethicon Endo-Surgery, Llc | Empty clip cartridge lockout |
US9204879B2 (en) | 2012-06-28 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Flexible drive member |
BR112014032776B1 (pt) | 2012-06-28 | 2021-09-08 | Ethicon Endo-Surgery, Inc | Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico |
US20140001234A1 (en) | 2012-06-28 | 2014-01-02 | Ethicon Endo-Surgery, Inc. | Coupling arrangements for attaching surgical end effectors to drive systems therefor |
CN104487005B (zh) | 2012-06-28 | 2017-09-08 | 伊西康内外科公司 | 空夹仓闭锁件 |
US20140018818A1 (en) * | 2012-07-12 | 2014-01-16 | Pacesetter, Inc. | System and method of implanting a medical device |
US12053378B2 (en) | 2012-11-07 | 2024-08-06 | Transmural Systems Llc | Devices, systems and methods for repairing lumenal systems |
US9351733B2 (en) | 2013-01-18 | 2016-05-31 | Covidien Lp | Surgical fastener applier |
MX368026B (es) | 2013-03-01 | 2019-09-12 | Ethicon Endo Surgery Inc | Instrumento quirúrgico articulable con vías conductoras para la comunicación de la señal. |
BR112015021082B1 (pt) | 2013-03-01 | 2022-05-10 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US9358010B2 (en) * | 2013-03-12 | 2016-06-07 | Covidien Lp | Flex cable and spring-loaded tube for tacking device |
US9867620B2 (en) | 2013-03-14 | 2018-01-16 | Covidien Lp | Articulation joint for apparatus for endoscopic procedures |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9629629B2 (en) | 2013-03-14 | 2017-04-25 | Ethicon Endo-Surgey, LLC | Control systems for surgical instruments |
US9655621B2 (en) | 2013-03-15 | 2017-05-23 | Covidien Lp | Surgical instrument for dispensing tacks and solution |
BR112015026109B1 (pt) | 2013-04-16 | 2022-02-22 | Ethicon Endo-Surgery, Inc | Instrumento cirúrgico |
US10405857B2 (en) | 2013-04-16 | 2019-09-10 | Ethicon Llc | Powered linear surgical stapler |
US9668730B2 (en) | 2013-06-28 | 2017-06-06 | Covidien Lp | Articulating apparatus for endoscopic procedures with timing system |
US10085746B2 (en) | 2013-06-28 | 2018-10-02 | Covidien Lp | Surgical instrument including rotating end effector and rotation-limiting structure |
US9351728B2 (en) | 2013-06-28 | 2016-05-31 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US9358004B2 (en) | 2013-06-28 | 2016-06-07 | Covidien Lp | Articulating apparatus for endoscopic procedures |
US20150032130A1 (en) | 2013-07-24 | 2015-01-29 | Covidien Lp | Expanding absorbable tack |
US9675343B2 (en) * | 2013-08-12 | 2017-06-13 | Boston Scientific Scimed, Inc. | Wire coil tissue fixation device |
US20150053737A1 (en) | 2013-08-23 | 2015-02-26 | Ethicon Endo-Surgery, Inc. | End effector detection systems for surgical instruments |
CN106028966B (zh) | 2013-08-23 | 2018-06-22 | 伊西康内外科有限责任公司 | 用于动力外科器械的击发构件回缩装置 |
CN105491978A (zh) | 2013-08-30 | 2016-04-13 | 耶拿阀门科技股份有限公司 | 用于假体瓣膜的径向可折叠框架及其制造方法 |
US9526498B2 (en) | 2013-09-17 | 2016-12-27 | Covidien Lp | Surgical device with a trigger lockout mechanism device |
WO2015095806A2 (en) | 2013-12-20 | 2015-06-25 | Microvention, Inc. | Device delivery system |
US9962161B2 (en) | 2014-02-12 | 2018-05-08 | Ethicon Llc | Deliverable surgical instrument |
JP6462004B2 (ja) | 2014-02-24 | 2019-01-30 | エシコン エルエルシー | 発射部材ロックアウトを備える締結システム |
US10028761B2 (en) | 2014-03-26 | 2018-07-24 | Ethicon Llc | Feedback algorithms for manual bailout systems for surgical instruments |
US9820738B2 (en) | 2014-03-26 | 2017-11-21 | Ethicon Llc | Surgical instrument comprising interactive systems |
US10013049B2 (en) | 2014-03-26 | 2018-07-03 | Ethicon Llc | Power management through sleep options of segmented circuit and wake up control |
BR112016021943B1 (pt) | 2014-03-26 | 2022-06-14 | Ethicon Endo-Surgery, Llc | Instrumento cirúrgico para uso por um operador em um procedimento cirúrgico |
US10058315B2 (en) | 2014-03-27 | 2018-08-28 | Transmural Systems Llc | Devices and methods for closure of transvascular or transcameral access ports |
CN106455936B (zh) | 2014-04-02 | 2019-03-08 | 柯惠有限合伙公司 | 用于内窥镜手术的外科紧固件施加装置、套件和方法 |
US9844369B2 (en) | 2014-04-16 | 2017-12-19 | Ethicon Llc | Surgical end effectors with firing element monitoring arrangements |
BR112016023698B1 (pt) | 2014-04-16 | 2022-07-26 | Ethicon Endo-Surgery, Llc | Cartucho de prendedores para uso com um instrumento cirúrgico |
US20150297223A1 (en) | 2014-04-16 | 2015-10-22 | Ethicon Endo-Surgery, Inc. | Fastener cartridges including extensions having different configurations |
CN106456159B (zh) | 2014-04-16 | 2019-03-08 | 伊西康内外科有限责任公司 | 紧固件仓组件和钉保持器盖布置结构 |
CN106456158B (zh) | 2014-04-16 | 2019-02-05 | 伊西康内外科有限责任公司 | 包括非一致紧固件的紧固件仓 |
US10327764B2 (en) | 2014-09-26 | 2019-06-25 | Ethicon Llc | Method for creating a flexible staple line |
US11311294B2 (en) | 2014-09-05 | 2022-04-26 | Cilag Gmbh International | Powered medical device including measurement of closure state of jaws |
BR112017004361B1 (pt) | 2014-09-05 | 2023-04-11 | Ethicon Llc | Sistema eletrônico para um instrumento cirúrgico |
US9757128B2 (en) | 2014-09-05 | 2017-09-12 | Ethicon Llc | Multiple sensors with one sensor affecting a second sensor's output or interpretation |
US10105142B2 (en) | 2014-09-18 | 2018-10-23 | Ethicon Llc | Surgical stapler with plurality of cutting elements |
CN107427300B (zh) | 2014-09-26 | 2020-12-04 | 伊西康有限责任公司 | 外科缝合支撑物和辅助材料 |
US11523821B2 (en) | 2014-09-26 | 2022-12-13 | Cilag Gmbh International | Method for creating a flexible staple line |
US10076325B2 (en) | 2014-10-13 | 2018-09-18 | Ethicon Llc | Surgical stapling apparatus comprising a tissue stop |
US9924944B2 (en) | 2014-10-16 | 2018-03-27 | Ethicon Llc | Staple cartridge comprising an adjunct material |
US10517594B2 (en) | 2014-10-29 | 2019-12-31 | Ethicon Llc | Cartridge assemblies for surgical staplers |
US11141153B2 (en) | 2014-10-29 | 2021-10-12 | Cilag Gmbh International | Staple cartridges comprising driver arrangements |
US9844376B2 (en) | 2014-11-06 | 2017-12-19 | Ethicon Llc | Staple cartridge comprising a releasable adjunct material |
US9901445B2 (en) | 2014-11-21 | 2018-02-27 | Boston Scientific Scimed, Inc. | Valve locking mechanism |
US10736636B2 (en) | 2014-12-10 | 2020-08-11 | Ethicon Llc | Articulatable surgical instrument system |
US9987000B2 (en) | 2014-12-18 | 2018-06-05 | Ethicon Llc | Surgical instrument assembly comprising a flexible articulation system |
BR112017012996B1 (pt) | 2014-12-18 | 2022-11-08 | Ethicon Llc | Instrumento cirúrgico com uma bigorna que é seletivamente móvel sobre um eixo geométrico imóvel distinto em relação a um cartucho de grampos |
US9844375B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Drive arrangements for articulatable surgical instruments |
US9844374B2 (en) | 2014-12-18 | 2017-12-19 | Ethicon Llc | Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member |
US10188385B2 (en) | 2014-12-18 | 2019-01-29 | Ethicon Llc | Surgical instrument system comprising lockable systems |
US9943309B2 (en) | 2014-12-18 | 2018-04-17 | Ethicon Llc | Surgical instruments with articulatable end effectors and movable firing beam support arrangements |
US10085748B2 (en) | 2014-12-18 | 2018-10-02 | Ethicon Llc | Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors |
WO2016115375A1 (en) | 2015-01-16 | 2016-07-21 | Boston Scientific Scimed, Inc. | Displacement based lock and release mechanism |
US9861477B2 (en) | 2015-01-26 | 2018-01-09 | Boston Scientific Scimed Inc. | Prosthetic heart valve square leaflet-leaflet stitch |
US10201417B2 (en) | 2015-02-03 | 2019-02-12 | Boston Scientific Scimed Inc. | Prosthetic heart valve having tubular seal |
US9788942B2 (en) | 2015-02-03 | 2017-10-17 | Boston Scientific Scimed Inc. | Prosthetic heart valve having tubular seal |
US11154301B2 (en) | 2015-02-27 | 2021-10-26 | Cilag Gmbh International | Modular stapling assembly |
US10159483B2 (en) | 2015-02-27 | 2018-12-25 | Ethicon Llc | Surgical apparatus configured to track an end-of-life parameter |
US10180463B2 (en) | 2015-02-27 | 2019-01-15 | Ethicon Llc | Surgical apparatus configured to assess whether a performance parameter of the surgical apparatus is within an acceptable performance band |
US9808246B2 (en) | 2015-03-06 | 2017-11-07 | Ethicon Endo-Surgery, Llc | Method of operating a powered surgical instrument |
US10548504B2 (en) | 2015-03-06 | 2020-02-04 | Ethicon Llc | Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression |
US10426617B2 (en) | 2015-03-06 | 2019-10-01 | Boston Scientific Scimed, Inc. | Low profile valve locking mechanism and commissure assembly |
US9924961B2 (en) | 2015-03-06 | 2018-03-27 | Ethicon Endo-Surgery, Llc | Interactive feedback system for powered surgical instruments |
US9993248B2 (en) | 2015-03-06 | 2018-06-12 | Ethicon Endo-Surgery, Llc | Smart sensors with local signal processing |
US10285809B2 (en) | 2015-03-06 | 2019-05-14 | Boston Scientific Scimed Inc. | TAVI anchoring assist device |
US10245033B2 (en) | 2015-03-06 | 2019-04-02 | Ethicon Llc | Surgical instrument comprising a lockable battery housing |
US9901342B2 (en) | 2015-03-06 | 2018-02-27 | Ethicon Endo-Surgery, Llc | Signal and power communication system positioned on a rotatable shaft |
US10617412B2 (en) | 2015-03-06 | 2020-04-14 | Ethicon Llc | System for detecting the mis-insertion of a staple cartridge into a surgical stapler |
JP2020121162A (ja) | 2015-03-06 | 2020-08-13 | エシコン エルエルシーEthicon LLC | 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価 |
US10687806B2 (en) | 2015-03-06 | 2020-06-23 | Ethicon Llc | Adaptive tissue compression techniques to adjust closure rates for multiple tissue types |
US10441279B2 (en) | 2015-03-06 | 2019-10-15 | Ethicon Llc | Multiple level thresholds to modify operation of powered surgical instruments |
US10080652B2 (en) | 2015-03-13 | 2018-09-25 | Boston Scientific Scimed, Inc. | Prosthetic heart valve having an improved tubular seal |
US11090097B2 (en) | 2015-03-17 | 2021-08-17 | Covidien Lp | Connecting end effectors to surgical devices |
US10390825B2 (en) | 2015-03-31 | 2019-08-27 | Ethicon Llc | Surgical instrument with progressive rotary drive systems |
WO2016177562A1 (en) | 2015-05-01 | 2016-11-10 | Jenavalve Technology, Inc. | Device and method with reduced pacemaker rate in heart valve replacement |
US10092286B2 (en) | 2015-05-27 | 2018-10-09 | Covidien Lp | Suturing loading unit |
EP3139860B1 (en) | 2015-06-30 | 2024-06-12 | Endologix LLC | Locking assembly for coupling guidewire to delivery system |
US10195392B2 (en) | 2015-07-02 | 2019-02-05 | Boston Scientific Scimed, Inc. | Clip-on catheter |
US10335277B2 (en) | 2015-07-02 | 2019-07-02 | Boston Scientific Scimed Inc. | Adjustable nosecone |
US10136991B2 (en) | 2015-08-12 | 2018-11-27 | Boston Scientific Scimed Inc. | Replacement heart valve implant |
US10179041B2 (en) | 2015-08-12 | 2019-01-15 | Boston Scientific Scimed Icn. | Pinless release mechanism |
US10835249B2 (en) | 2015-08-17 | 2020-11-17 | Ethicon Llc | Implantable layers for a surgical instrument |
WO2017049003A1 (en) | 2015-09-15 | 2017-03-23 | Nasser Rafiee | Devices and methods for effectuating percutaneous glenn and fontan procedures |
US10105139B2 (en) | 2015-09-23 | 2018-10-23 | Ethicon Llc | Surgical stapler having downstream current-based motor control |
US10363036B2 (en) | 2015-09-23 | 2019-07-30 | Ethicon Llc | Surgical stapler having force-based motor control |
US10327769B2 (en) | 2015-09-23 | 2019-06-25 | Ethicon Llc | Surgical stapler having motor control based on a drive system component |
US10238386B2 (en) | 2015-09-23 | 2019-03-26 | Ethicon Llc | Surgical stapler having motor control based on an electrical parameter related to a motor current |
US10299878B2 (en) | 2015-09-25 | 2019-05-28 | Ethicon Llc | Implantable adjunct systems for determining adjunct skew |
US10433846B2 (en) | 2015-09-30 | 2019-10-08 | Ethicon Llc | Compressible adjunct with crossing spacer fibers |
US10980539B2 (en) | 2015-09-30 | 2021-04-20 | Ethicon Llc | Implantable adjunct comprising bonded layers |
US10478188B2 (en) | 2015-09-30 | 2019-11-19 | Ethicon Llc | Implantable layer comprising a constricted configuration |
US11890015B2 (en) | 2015-09-30 | 2024-02-06 | Cilag Gmbh International | Compressible adjunct with crossing spacer fibers |
US10368865B2 (en) | 2015-12-30 | 2019-08-06 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10292704B2 (en) | 2015-12-30 | 2019-05-21 | Ethicon Llc | Mechanisms for compensating for battery pack failure in powered surgical instruments |
US10265068B2 (en) | 2015-12-30 | 2019-04-23 | Ethicon Llc | Surgical instruments with separable motors and motor control circuits |
US10342660B2 (en) | 2016-02-02 | 2019-07-09 | Boston Scientific Inc. | Tensioned sheathing aids |
US11213293B2 (en) | 2016-02-09 | 2022-01-04 | Cilag Gmbh International | Articulatable surgical instruments with single articulation link arrangements |
US10245030B2 (en) | 2016-02-09 | 2019-04-02 | Ethicon Llc | Surgical instruments with tensioning arrangements for cable driven articulation systems |
BR112018016098B1 (pt) | 2016-02-09 | 2023-02-23 | Ethicon Llc | Instrumento cirúrgico |
US10448948B2 (en) | 2016-02-12 | 2019-10-22 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10258331B2 (en) | 2016-02-12 | 2019-04-16 | Ethicon Llc | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US11224426B2 (en) | 2016-02-12 | 2022-01-18 | Cilag Gmbh International | Mechanisms for compensating for drivetrain failure in powered surgical instruments |
US10456140B2 (en) | 2016-04-01 | 2019-10-29 | Ethicon Llc | Surgical stapling system comprising an unclamping lockout |
US10617413B2 (en) | 2016-04-01 | 2020-04-14 | Ethicon Llc | Closure system arrangements for surgical cutting and stapling devices with separate and distinct firing shafts |
US10314582B2 (en) | 2016-04-01 | 2019-06-11 | Ethicon Llc | Surgical instrument comprising a shifting mechanism |
US10357246B2 (en) | 2016-04-01 | 2019-07-23 | Ethicon Llc | Rotary powered surgical instrument with manually actuatable bailout system |
US11284890B2 (en) | 2016-04-01 | 2022-03-29 | Cilag Gmbh International | Circular stapling system comprising an incisable tissue support |
US10456137B2 (en) | 2016-04-15 | 2019-10-29 | Ethicon Llc | Staple formation detection mechanisms |
US10492783B2 (en) | 2016-04-15 | 2019-12-03 | Ethicon, Llc | Surgical instrument with improved stop/start control during a firing motion |
US10405859B2 (en) | 2016-04-15 | 2019-09-10 | Ethicon Llc | Surgical instrument with adjustable stop/start control during a firing motion |
US10426467B2 (en) | 2016-04-15 | 2019-10-01 | Ethicon Llc | Surgical instrument with detection sensors |
US10828028B2 (en) | 2016-04-15 | 2020-11-10 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US11179150B2 (en) | 2016-04-15 | 2021-11-23 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US10357247B2 (en) | 2016-04-15 | 2019-07-23 | Ethicon Llc | Surgical instrument with multiple program responses during a firing motion |
US10335145B2 (en) | 2016-04-15 | 2019-07-02 | Ethicon Llc | Modular surgical instrument with configurable operating mode |
US11607239B2 (en) | 2016-04-15 | 2023-03-21 | Cilag Gmbh International | Systems and methods for controlling a surgical stapling and cutting instrument |
US11317917B2 (en) | 2016-04-18 | 2022-05-03 | Cilag Gmbh International | Surgical stapling system comprising a lockable firing assembly |
US20170296173A1 (en) | 2016-04-18 | 2017-10-19 | Ethicon Endo-Surgery, Llc | Method for operating a surgical instrument |
US10478181B2 (en) | 2016-04-18 | 2019-11-19 | Ethicon Llc | Cartridge lockout arrangements for rotary powered surgical cutting and stapling instruments |
JP7081749B2 (ja) | 2016-05-13 | 2022-06-07 | イエナバルブ テクノロジー インク | 心臓弁プロテーゼ送達システム |
US10583005B2 (en) | 2016-05-13 | 2020-03-10 | Boston Scientific Scimed, Inc. | Medical device handle |
US10201416B2 (en) | 2016-05-16 | 2019-02-12 | Boston Scientific Scimed, Inc. | Replacement heart valve implant with invertible leaflets |
US10617409B2 (en) | 2016-10-21 | 2020-04-14 | Covidien Lp | Surgical end effectors |
US10743859B2 (en) | 2016-10-21 | 2020-08-18 | Covidien Lp | Surgical end effectors |
US11298123B2 (en) | 2016-10-21 | 2022-04-12 | Covidien Lp | Surgical end effectors |
US10588632B2 (en) | 2016-12-21 | 2020-03-17 | Ethicon Llc | Surgical end effectors and firing members thereof |
US11134942B2 (en) | 2016-12-21 | 2021-10-05 | Cilag Gmbh International | Surgical stapling instruments and staple-forming anvils |
US20180168618A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Surgical stapling systems |
US10736629B2 (en) | 2016-12-21 | 2020-08-11 | Ethicon Llc | Surgical tool assemblies with clutching arrangements for shifting between closure systems with closure stroke reduction features and articulation and firing systems |
US10758229B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument comprising improved jaw control |
US10568624B2 (en) | 2016-12-21 | 2020-02-25 | Ethicon Llc | Surgical instruments with jaws that are pivotable about a fixed axis and include separate and distinct closure and firing systems |
JP7010956B2 (ja) | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
BR112019011947A2 (pt) | 2016-12-21 | 2019-10-29 | Ethicon Llc | sistemas de grampeamento cirúrgico |
JP6983893B2 (ja) | 2016-12-21 | 2021-12-17 | エシコン エルエルシーEthicon LLC | 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成 |
US11419606B2 (en) | 2016-12-21 | 2022-08-23 | Cilag Gmbh International | Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems |
US20180168609A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Firing assembly comprising a fuse |
US10682138B2 (en) | 2016-12-21 | 2020-06-16 | Ethicon Llc | Bilaterally asymmetric staple forming pocket pairs |
US11191539B2 (en) | 2016-12-21 | 2021-12-07 | Cilag Gmbh International | Shaft assembly comprising a manually-operable retraction system for use with a motorized surgical instrument system |
MX2019007295A (es) | 2016-12-21 | 2019-10-15 | Ethicon Llc | Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo. |
US20180168615A1 (en) | 2016-12-21 | 2018-06-21 | Ethicon Endo-Surgery, Llc | Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument |
US10667811B2 (en) | 2016-12-21 | 2020-06-02 | Ethicon Llc | Surgical stapling instruments and staple-forming anvils |
US10758230B2 (en) | 2016-12-21 | 2020-09-01 | Ethicon Llc | Surgical instrument with primary and safety processors |
US10426471B2 (en) | 2016-12-21 | 2019-10-01 | Ethicon Llc | Surgical instrument with multiple failure response modes |
US11090048B2 (en) | 2016-12-21 | 2021-08-17 | Cilag Gmbh International | Method for resetting a fuse of a surgical instrument shaft |
US10485543B2 (en) | 2016-12-21 | 2019-11-26 | Ethicon Llc | Anvil having a knife slot width |
CN110392557A (zh) | 2017-01-27 | 2019-10-29 | 耶拿阀门科技股份有限公司 | 心脏瓣膜模拟 |
US10888309B2 (en) | 2017-01-31 | 2021-01-12 | Covidien Lp | Surgical fastener devices with geometric tubes |
US10456282B2 (en) * | 2017-04-06 | 2019-10-29 | Medtronic Vascular, Inc. | Delivery system for anchor and method |
US10828154B2 (en) | 2017-06-08 | 2020-11-10 | Boston Scientific Scimed, Inc. | Heart valve implant commissure support structure |
US10368864B2 (en) | 2017-06-20 | 2019-08-06 | Ethicon Llc | Systems and methods for controlling displaying motor velocity for a surgical instrument |
US10646220B2 (en) | 2017-06-20 | 2020-05-12 | Ethicon Llc | Systems and methods for controlling displacement member velocity for a surgical instrument |
US11090046B2 (en) | 2017-06-20 | 2021-08-17 | Cilag Gmbh International | Systems and methods for controlling displacement member motion of a surgical stapling and cutting instrument |
US11071554B2 (en) | 2017-06-20 | 2021-07-27 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on magnitude of velocity error measurements |
US11382638B2 (en) | 2017-06-20 | 2022-07-12 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance |
US10881396B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Surgical instrument with variable duration trigger arrangement |
US10779820B2 (en) | 2017-06-20 | 2020-09-22 | Ethicon Llc | Systems and methods for controlling motor speed according to user input for a surgical instrument |
US10881399B2 (en) | 2017-06-20 | 2021-01-05 | Ethicon Llc | Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument |
US11653914B2 (en) | 2017-06-20 | 2023-05-23 | Cilag Gmbh International | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector |
US10888321B2 (en) | 2017-06-20 | 2021-01-12 | Ethicon Llc | Systems and methods for controlling velocity of a displacement member of a surgical stapling and cutting instrument |
US11517325B2 (en) | 2017-06-20 | 2022-12-06 | Cilag Gmbh International | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval |
US10813639B2 (en) | 2017-06-20 | 2020-10-27 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on system conditions |
US10307170B2 (en) | 2017-06-20 | 2019-06-04 | Ethicon Llc | Method for closed loop control of motor velocity of a surgical stapling and cutting instrument |
US10327767B2 (en) | 2017-06-20 | 2019-06-25 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
USD879808S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with graphical user interface |
US10390841B2 (en) | 2017-06-20 | 2019-08-27 | Ethicon Llc | Control of motor velocity of a surgical stapling and cutting instrument based on angle of articulation |
US10624633B2 (en) | 2017-06-20 | 2020-04-21 | Ethicon Llc | Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument |
USD890784S1 (en) | 2017-06-20 | 2020-07-21 | Ethicon Llc | Display panel with changeable graphical user interface |
USD879809S1 (en) | 2017-06-20 | 2020-03-31 | Ethicon Llc | Display panel with changeable graphical user interface |
US10980537B2 (en) | 2017-06-20 | 2021-04-20 | Ethicon Llc | Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified number of shaft rotations |
US10993716B2 (en) | 2017-06-27 | 2021-05-04 | Ethicon Llc | Surgical anvil arrangements |
US10856869B2 (en) | 2017-06-27 | 2020-12-08 | Ethicon Llc | Surgical anvil arrangements |
US11266405B2 (en) | 2017-06-27 | 2022-03-08 | Cilag Gmbh International | Surgical anvil manufacturing methods |
US20180368844A1 (en) | 2017-06-27 | 2018-12-27 | Ethicon Llc | Staple forming pocket arrangements |
US10772629B2 (en) | 2017-06-27 | 2020-09-15 | Ethicon Llc | Surgical anvil arrangements |
US11324503B2 (en) | 2017-06-27 | 2022-05-10 | Cilag Gmbh International | Surgical firing member arrangements |
US11678880B2 (en) | 2017-06-28 | 2023-06-20 | Cilag Gmbh International | Surgical instrument comprising a shaft including a housing arrangement |
US10211586B2 (en) | 2017-06-28 | 2019-02-19 | Ethicon Llc | Surgical shaft assemblies with watertight housings |
US11020114B2 (en) | 2017-06-28 | 2021-06-01 | Cilag Gmbh International | Surgical instruments with articulatable end effector with axially shortened articulation joint configurations |
EP3420947B1 (en) | 2017-06-28 | 2022-05-25 | Cilag GmbH International | Surgical instrument comprising selectively actuatable rotatable couplers |
US10716614B2 (en) | 2017-06-28 | 2020-07-21 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies with increased contact pressure |
US11246592B2 (en) | 2017-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical instrument comprising an articulation system lockable to a frame |
US10903685B2 (en) | 2017-06-28 | 2021-01-26 | Ethicon Llc | Surgical shaft assemblies with slip ring assemblies forming capacitive channels |
USD869655S1 (en) | 2017-06-28 | 2019-12-10 | Ethicon Llc | Surgical fastener cartridge |
USD851762S1 (en) | 2017-06-28 | 2019-06-18 | Ethicon Llc | Anvil |
USD906355S1 (en) | 2017-06-28 | 2020-12-29 | Ethicon Llc | Display screen or portion thereof with a graphical user interface for a surgical instrument |
US11564686B2 (en) | 2017-06-28 | 2023-01-31 | Cilag Gmbh International | Surgical shaft assemblies with flexible interfaces |
USD854151S1 (en) | 2017-06-28 | 2019-07-16 | Ethicon Llc | Surgical instrument shaft |
US11259805B2 (en) | 2017-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical instrument comprising firing member supports |
US10765427B2 (en) | 2017-06-28 | 2020-09-08 | Ethicon Llc | Method for articulating a surgical instrument |
US10398434B2 (en) | 2017-06-29 | 2019-09-03 | Ethicon Llc | Closed loop velocity control of closure member for robotic surgical instrument |
US10932772B2 (en) | 2017-06-29 | 2021-03-02 | Ethicon Llc | Methods for closed loop velocity control for robotic surgical instrument |
US10258418B2 (en) | 2017-06-29 | 2019-04-16 | Ethicon Llc | System for controlling articulation forces |
US11007022B2 (en) | 2017-06-29 | 2021-05-18 | Ethicon Llc | Closed loop velocity control techniques based on sensed tissue parameters for robotic surgical instrument |
US10898183B2 (en) | 2017-06-29 | 2021-01-26 | Ethicon Llc | Robotic surgical instrument with closed loop feedback techniques for advancement of closure member during firing |
NL2019146B1 (en) * | 2017-06-29 | 2019-01-14 | Deam Holding B V | Medical device with flexible tip |
CN111163729B (zh) | 2017-08-01 | 2022-03-29 | 波士顿科学国际有限公司 | 医疗植入物锁定机构 |
US11304695B2 (en) | 2017-08-03 | 2022-04-19 | Cilag Gmbh International | Surgical system shaft interconnection |
US11471155B2 (en) | 2017-08-03 | 2022-10-18 | Cilag Gmbh International | Surgical system bailout |
US11974742B2 (en) | 2017-08-03 | 2024-05-07 | Cilag Gmbh International | Surgical system comprising an articulation bailout |
US11944300B2 (en) | 2017-08-03 | 2024-04-02 | Cilag Gmbh International | Method for operating a surgical system bailout |
CN111225633B (zh) | 2017-08-16 | 2022-05-31 | 波士顿科学国际有限公司 | 置换心脏瓣膜接合组件 |
US11399829B2 (en) | 2017-09-29 | 2022-08-02 | Cilag Gmbh International | Systems and methods of initiating a power shutdown mode for a surgical instrument |
US10796471B2 (en) | 2017-09-29 | 2020-10-06 | Ethicon Llc | Systems and methods of displaying a knife position for a surgical instrument |
USD917500S1 (en) | 2017-09-29 | 2021-04-27 | Ethicon Llc | Display screen or portion thereof with graphical user interface |
USD907647S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10743872B2 (en) | 2017-09-29 | 2020-08-18 | Ethicon Llc | System and methods for controlling a display of a surgical instrument |
US10765429B2 (en) | 2017-09-29 | 2020-09-08 | Ethicon Llc | Systems and methods for providing alerts according to the operational state of a surgical instrument |
USD907648S1 (en) | 2017-09-29 | 2021-01-12 | Ethicon Llc | Display screen or portion thereof with animated graphical user interface |
US10729501B2 (en) | 2017-09-29 | 2020-08-04 | Ethicon Llc | Systems and methods for language selection of a surgical instrument |
US11090075B2 (en) | 2017-10-30 | 2021-08-17 | Cilag Gmbh International | Articulation features for surgical end effector |
US11134944B2 (en) | 2017-10-30 | 2021-10-05 | Cilag Gmbh International | Surgical stapler knife motion controls |
US10842490B2 (en) | 2017-10-31 | 2020-11-24 | Ethicon Llc | Cartridge body design with force reduction based on firing completion |
US10779903B2 (en) | 2017-10-31 | 2020-09-22 | Ethicon Llc | Positive shaft rotation lock activated by jaw closure |
US11006955B2 (en) | 2017-12-15 | 2021-05-18 | Ethicon Llc | End effectors with positive jaw opening features for use with adapters for electromechanical surgical instruments |
US11033267B2 (en) | 2017-12-15 | 2021-06-15 | Ethicon Llc | Systems and methods of controlling a clamping member firing rate of a surgical instrument |
US10828033B2 (en) | 2017-12-15 | 2020-11-10 | Ethicon Llc | Handheld electromechanical surgical instruments with improved motor control arrangements for positioning components of an adapter coupled thereto |
US10779825B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Adapters with end effector position sensing and control arrangements for use in connection with electromechanical surgical instruments |
US10779826B2 (en) | 2017-12-15 | 2020-09-22 | Ethicon Llc | Methods of operating surgical end effectors |
US11197670B2 (en) | 2017-12-15 | 2021-12-14 | Cilag Gmbh International | Surgical end effectors with pivotal jaws configured to touch at their respective distal ends when fully closed |
US10869666B2 (en) | 2017-12-15 | 2020-12-22 | Ethicon Llc | Adapters with control systems for controlling multiple motors of an electromechanical surgical instrument |
US11071543B2 (en) | 2017-12-15 | 2021-07-27 | Cilag Gmbh International | Surgical end effectors with clamping assemblies configured to increase jaw aperture ranges |
US10743874B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Sealed adapters for use with electromechanical surgical instruments |
US10966718B2 (en) | 2017-12-15 | 2021-04-06 | Ethicon Llc | Dynamic clamping assemblies with improved wear characteristics for use in connection with electromechanical surgical instruments |
US10743875B2 (en) | 2017-12-15 | 2020-08-18 | Ethicon Llc | Surgical end effectors with jaw stiffener arrangements configured to permit monitoring of firing member |
US10687813B2 (en) | 2017-12-15 | 2020-06-23 | Ethicon Llc | Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments |
US10729509B2 (en) | 2017-12-19 | 2020-08-04 | Ethicon Llc | Surgical instrument comprising closure and firing locking mechanism |
USD910847S1 (en) | 2017-12-19 | 2021-02-16 | Ethicon Llc | Surgical instrument assembly |
US10835330B2 (en) | 2017-12-19 | 2020-11-17 | Ethicon Llc | Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly |
US11020112B2 (en) | 2017-12-19 | 2021-06-01 | Ethicon Llc | Surgical tools configured for interchangeable use with different controller interfaces |
US11045270B2 (en) | 2017-12-19 | 2021-06-29 | Cilag Gmbh International | Robotic attachment comprising exterior drive actuator |
US10716565B2 (en) | 2017-12-19 | 2020-07-21 | Ethicon Llc | Surgical instruments with dual articulation drivers |
US11129680B2 (en) | 2017-12-21 | 2021-09-28 | Cilag Gmbh International | Surgical instrument comprising a projector |
US11076853B2 (en) | 2017-12-21 | 2021-08-03 | Cilag Gmbh International | Systems and methods of displaying a knife position during transection for a surgical instrument |
US20190192147A1 (en) | 2017-12-21 | 2019-06-27 | Ethicon Llc | Surgical instrument comprising an articulatable distal head |
US11311290B2 (en) | 2017-12-21 | 2022-04-26 | Cilag Gmbh International | Surgical instrument comprising an end effector dampener |
US11246625B2 (en) | 2018-01-19 | 2022-02-15 | Boston Scientific Scimed, Inc. | Medical device delivery system with feedback loop |
EP3740160A2 (en) | 2018-01-19 | 2020-11-25 | Boston Scientific Scimed Inc. | Inductance mode deployment sensors for transcatheter valve system |
WO2019157156A1 (en) | 2018-02-07 | 2019-08-15 | Boston Scientific Scimed, Inc. | Medical device delivery system with alignment feature |
EP3758651B1 (en) | 2018-02-26 | 2022-12-07 | Boston Scientific Scimed, Inc. | Embedded radiopaque marker in adaptive seal |
US11298126B2 (en) | 2018-05-02 | 2022-04-12 | Covidien Lp | Shipping wedge for end effector installation onto surgical devices |
US11229517B2 (en) | 2018-05-15 | 2022-01-25 | Boston Scientific Scimed, Inc. | Replacement heart valve commissure assembly |
WO2019241477A1 (en) | 2018-06-13 | 2019-12-19 | Boston Scientific Scimed, Inc. | Replacement heart valve delivery device |
CA3099258A1 (en) | 2018-06-13 | 2019-12-19 | Endoron Medical Ltd | Graft securing system, applicator and method |
US11116500B2 (en) | 2018-06-28 | 2021-09-14 | Covidien Lp | Surgical fastener applying device, kits and methods for endoscopic procedures |
US11045192B2 (en) | 2018-08-20 | 2021-06-29 | Cilag Gmbh International | Fabricating techniques for surgical stapler anvils |
US10842492B2 (en) | 2018-08-20 | 2020-11-24 | Ethicon Llc | Powered articulatable surgical instruments with clutching and locking arrangements for linking an articulation drive system to a firing drive system |
US11324501B2 (en) | 2018-08-20 | 2022-05-10 | Cilag Gmbh International | Surgical stapling devices with improved closure members |
US10856870B2 (en) | 2018-08-20 | 2020-12-08 | Ethicon Llc | Switching arrangements for motor powered articulatable surgical instruments |
US10779821B2 (en) | 2018-08-20 | 2020-09-22 | Ethicon Llc | Surgical stapler anvils with tissue stop features configured to avoid tissue pinch |
US11083458B2 (en) | 2018-08-20 | 2021-08-10 | Cilag Gmbh International | Powered surgical instruments with clutching arrangements to convert linear drive motions to rotary drive motions |
US11253256B2 (en) | 2018-08-20 | 2022-02-22 | Cilag Gmbh International | Articulatable motor powered surgical instruments with dedicated articulation motor arrangements |
USD914878S1 (en) | 2018-08-20 | 2021-03-30 | Ethicon Llc | Surgical instrument anvil |
US11291440B2 (en) | 2018-08-20 | 2022-04-05 | Cilag Gmbh International | Method for operating a powered articulatable surgical instrument |
US10912559B2 (en) | 2018-08-20 | 2021-02-09 | Ethicon Llc | Reinforced deformable anvil tip for surgical stapler anvil |
US11039834B2 (en) | 2018-08-20 | 2021-06-22 | Cilag Gmbh International | Surgical stapler anvils with staple directing protrusions and tissue stability features |
US11207065B2 (en) | 2018-08-20 | 2021-12-28 | Cilag Gmbh International | Method for fabricating surgical stapler anvils |
WO2020123486A1 (en) | 2018-12-10 | 2020-06-18 | Boston Scientific Scimed, Inc. | Medical device delivery system including a resistance member |
CA3133857A1 (en) | 2019-03-20 | 2020-09-24 | inQB8 Medical Technologies, LLC | Aortic dissection implant |
US11696761B2 (en) | 2019-03-25 | 2023-07-11 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11147551B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11172929B2 (en) | 2019-03-25 | 2021-11-16 | Cilag Gmbh International | Articulation drive arrangements for surgical systems |
US11147553B2 (en) | 2019-03-25 | 2021-10-19 | Cilag Gmbh International | Firing drive arrangements for surgical systems |
US11432816B2 (en) | 2019-04-30 | 2022-09-06 | Cilag Gmbh International | Articulation pin for a surgical instrument |
US11648009B2 (en) | 2019-04-30 | 2023-05-16 | Cilag Gmbh International | Rotatable jaw tip for a surgical instrument |
US11253254B2 (en) | 2019-04-30 | 2022-02-22 | Cilag Gmbh International | Shaft rotation actuator on a surgical instrument |
US11452528B2 (en) | 2019-04-30 | 2022-09-27 | Cilag Gmbh International | Articulation actuators for a surgical instrument |
US11426251B2 (en) | 2019-04-30 | 2022-08-30 | Cilag Gmbh International | Articulation directional lights on a surgical instrument |
US11471157B2 (en) | 2019-04-30 | 2022-10-18 | Cilag Gmbh International | Articulation control mapping for a surgical instrument |
US11903581B2 (en) | 2019-04-30 | 2024-02-20 | Cilag Gmbh International | Methods for stapling tissue using a surgical instrument |
US11439504B2 (en) | 2019-05-10 | 2022-09-13 | Boston Scientific Scimed, Inc. | Replacement heart valve with improved cusp washout and reduced loading |
US11523817B2 (en) | 2019-06-27 | 2022-12-13 | Covidien Lp | Endoluminal pursestring device |
US11241235B2 (en) | 2019-06-28 | 2022-02-08 | Cilag Gmbh International | Method of using multiple RFID chips with a surgical assembly |
US11399837B2 (en) | 2019-06-28 | 2022-08-02 | Cilag Gmbh International | Mechanisms for motor control adjustments of a motorized surgical instrument |
US11478241B2 (en) | 2019-06-28 | 2022-10-25 | Cilag Gmbh International | Staple cartridge including projections |
US11051807B2 (en) | 2019-06-28 | 2021-07-06 | Cilag Gmbh International | Packaging assembly including a particulate trap |
US11771419B2 (en) | 2019-06-28 | 2023-10-03 | Cilag Gmbh International | Packaging for a replaceable component of a surgical stapling system |
US11464601B2 (en) | 2019-06-28 | 2022-10-11 | Cilag Gmbh International | Surgical instrument comprising an RFID system for tracking a movable component |
US11291451B2 (en) | 2019-06-28 | 2022-04-05 | Cilag Gmbh International | Surgical instrument with battery compatibility verification functionality |
US11638587B2 (en) | 2019-06-28 | 2023-05-02 | Cilag Gmbh International | RFID identification systems for surgical instruments |
US11684434B2 (en) | 2019-06-28 | 2023-06-27 | Cilag Gmbh International | Surgical RFID assemblies for instrument operational setting control |
US11298132B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Inlernational | Staple cartridge including a honeycomb extension |
US11426167B2 (en) | 2019-06-28 | 2022-08-30 | Cilag Gmbh International | Mechanisms for proper anvil attachment surgical stapling head assembly |
US11219455B2 (en) | 2019-06-28 | 2022-01-11 | Cilag Gmbh International | Surgical instrument including a lockout key |
US11497492B2 (en) | 2019-06-28 | 2022-11-15 | Cilag Gmbh International | Surgical instrument including an articulation lock |
US11376098B2 (en) | 2019-06-28 | 2022-07-05 | Cilag Gmbh International | Surgical instrument system comprising an RFID system |
US11523822B2 (en) | 2019-06-28 | 2022-12-13 | Cilag Gmbh International | Battery pack including a circuit interrupter |
US11246678B2 (en) | 2019-06-28 | 2022-02-15 | Cilag Gmbh International | Surgical stapling system having a frangible RFID tag |
US11224497B2 (en) | 2019-06-28 | 2022-01-18 | Cilag Gmbh International | Surgical systems with multiple RFID tags |
US11660163B2 (en) | 2019-06-28 | 2023-05-30 | Cilag Gmbh International | Surgical system with RFID tags for updating motor assembly parameters |
US12004740B2 (en) | 2019-06-28 | 2024-06-11 | Cilag Gmbh International | Surgical stapling system having an information decryption protocol |
US11298127B2 (en) | 2019-06-28 | 2022-04-12 | Cilag GmbH Interational | Surgical stapling system having a lockout mechanism for an incompatible cartridge |
US11259803B2 (en) | 2019-06-28 | 2022-03-01 | Cilag Gmbh International | Surgical stapling system having an information encryption protocol |
US11627959B2 (en) | 2019-06-28 | 2023-04-18 | Cilag Gmbh International | Surgical instruments including manual and powered system lockouts |
US11553971B2 (en) | 2019-06-28 | 2023-01-17 | Cilag Gmbh International | Surgical RFID assemblies for display and communication |
EP3998936A4 (en) | 2019-07-17 | 2022-08-31 | Nxgenport, L.L.C. | IMPLANTABLE CATHETER CHAMBER WITH REMOTE PHYSIOLOGICAL MONITORING CAPABILITIES |
US11911032B2 (en) | 2019-12-19 | 2024-02-27 | Cilag Gmbh International | Staple cartridge comprising a seating cam |
US11701111B2 (en) | 2019-12-19 | 2023-07-18 | Cilag Gmbh International | Method for operating a surgical stapling instrument |
US11464512B2 (en) | 2019-12-19 | 2022-10-11 | Cilag Gmbh International | Staple cartridge comprising a curved deck surface |
USD944985S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Positioning guide cuff |
US11844520B2 (en) | 2019-12-19 | 2023-12-19 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
US11576672B2 (en) | 2019-12-19 | 2023-02-14 | Cilag Gmbh International | Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw |
US11931033B2 (en) | 2019-12-19 | 2024-03-19 | Cilag Gmbh International | Staple cartridge comprising a latch lockout |
US11304696B2 (en) | 2019-12-19 | 2022-04-19 | Cilag Gmbh International | Surgical instrument comprising a powered articulation system |
US11504122B2 (en) | 2019-12-19 | 2022-11-22 | Cilag Gmbh International | Surgical instrument comprising a nested firing member |
US11559304B2 (en) | 2019-12-19 | 2023-01-24 | Cilag Gmbh International | Surgical instrument comprising a rapid closure mechanism |
USD944984S1 (en) | 2019-12-19 | 2022-03-01 | Covidien Lp | Tubular positioning guide |
US11446029B2 (en) | 2019-12-19 | 2022-09-20 | Cilag Gmbh International | Staple cartridge comprising projections extending from a curved deck surface |
US11529139B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Motor driven surgical instrument |
US11234698B2 (en) | 2019-12-19 | 2022-02-01 | Cilag Gmbh International | Stapling system comprising a clamp lockout and a firing lockout |
US11607219B2 (en) | 2019-12-19 | 2023-03-21 | Cilag Gmbh International | Staple cartridge comprising a detachable tissue cutting knife |
US12035913B2 (en) | 2019-12-19 | 2024-07-16 | Cilag Gmbh International | Staple cartridge comprising a deployable knife |
US11197675B2 (en) | 2019-12-19 | 2021-12-14 | Covidien Lp | Positioning guide for surgical instruments and surgical instrument systems |
US11291447B2 (en) | 2019-12-19 | 2022-04-05 | Cilag Gmbh International | Stapling instrument comprising independent jaw closing and staple firing systems |
US11529137B2 (en) | 2019-12-19 | 2022-12-20 | Cilag Gmbh International | Staple cartridge comprising driver retention members |
USD975850S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD974560S1 (en) | 2020-06-02 | 2023-01-03 | Cilag Gmbh International | Staple cartridge |
USD975278S1 (en) | 2020-06-02 | 2023-01-10 | Cilag Gmbh International | Staple cartridge |
USD976401S1 (en) | 2020-06-02 | 2023-01-24 | Cilag Gmbh International | Staple cartridge |
USD975851S1 (en) | 2020-06-02 | 2023-01-17 | Cilag Gmbh International | Staple cartridge |
USD967421S1 (en) | 2020-06-02 | 2022-10-18 | Cilag Gmbh International | Staple cartridge |
USD966512S1 (en) | 2020-06-02 | 2022-10-11 | Cilag Gmbh International | Staple cartridge |
US20220031350A1 (en) | 2020-07-28 | 2022-02-03 | Cilag Gmbh International | Surgical instruments with double pivot articulation joint arrangements |
CN116322870A (zh) * | 2020-08-28 | 2023-06-23 | 波士顿科学国际有限公司 | 稳定和撬动装置、系统及方法 |
US11452526B2 (en) | 2020-10-29 | 2022-09-27 | Cilag Gmbh International | Surgical instrument comprising a staged voltage regulation start-up system |
US11844518B2 (en) | 2020-10-29 | 2023-12-19 | Cilag Gmbh International | Method for operating a surgical instrument |
US11779330B2 (en) | 2020-10-29 | 2023-10-10 | Cilag Gmbh International | Surgical instrument comprising a jaw alignment system |
US11617577B2 (en) | 2020-10-29 | 2023-04-04 | Cilag Gmbh International | Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable |
US12053175B2 (en) | 2020-10-29 | 2024-08-06 | Cilag Gmbh International | Surgical instrument comprising a stowed closure actuator stop |
USD1013170S1 (en) | 2020-10-29 | 2024-01-30 | Cilag Gmbh International | Surgical instrument assembly |
US11717289B2 (en) | 2020-10-29 | 2023-08-08 | Cilag Gmbh International | Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable |
US11896217B2 (en) | 2020-10-29 | 2024-02-13 | Cilag Gmbh International | Surgical instrument comprising an articulation lock |
USD980425S1 (en) | 2020-10-29 | 2023-03-07 | Cilag Gmbh International | Surgical instrument assembly |
US11931025B2 (en) | 2020-10-29 | 2024-03-19 | Cilag Gmbh International | Surgical instrument comprising a releasable closure drive lock |
US11517390B2 (en) | 2020-10-29 | 2022-12-06 | Cilag Gmbh International | Surgical instrument comprising a limited travel switch |
US11534259B2 (en) | 2020-10-29 | 2022-12-27 | Cilag Gmbh International | Surgical instrument comprising an articulation indicator |
US11627960B2 (en) | 2020-12-02 | 2023-04-18 | Cilag Gmbh International | Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections |
US11653915B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Surgical instruments with sled location detection and adjustment features |
US11890010B2 (en) | 2020-12-02 | 2024-02-06 | Cllag GmbH International | Dual-sided reinforced reload for surgical instruments |
US11678882B2 (en) | 2020-12-02 | 2023-06-20 | Cilag Gmbh International | Surgical instruments with interactive features to remedy incidental sled movements |
US11737751B2 (en) | 2020-12-02 | 2023-08-29 | Cilag Gmbh International | Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings |
US11744581B2 (en) | 2020-12-02 | 2023-09-05 | Cilag Gmbh International | Powered surgical instruments with multi-phase tissue treatment |
US11653920B2 (en) | 2020-12-02 | 2023-05-23 | Cilag Gmbh International | Powered surgical instruments with communication interfaces through sterile barrier |
US11944296B2 (en) | 2020-12-02 | 2024-04-02 | Cilag Gmbh International | Powered surgical instruments with external connectors |
US11849943B2 (en) | 2020-12-02 | 2023-12-26 | Cilag Gmbh International | Surgical instrument with cartridge release mechanisms |
US11925349B2 (en) | 2021-02-26 | 2024-03-12 | Cilag Gmbh International | Adjustment to transfer parameters to improve available power |
US11744583B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Distal communication array to tune frequency of RF systems |
US12108951B2 (en) | 2021-02-26 | 2024-10-08 | Cilag Gmbh International | Staple cartridge comprising a sensing array and a temperature control system |
US11723657B2 (en) | 2021-02-26 | 2023-08-15 | Cilag Gmbh International | Adjustable communication based on available bandwidth and power capacity |
US11701113B2 (en) | 2021-02-26 | 2023-07-18 | Cilag Gmbh International | Stapling instrument comprising a separate power antenna and a data transfer antenna |
US11793514B2 (en) | 2021-02-26 | 2023-10-24 | Cilag Gmbh International | Staple cartridge comprising sensor array which may be embedded in cartridge body |
US11812964B2 (en) | 2021-02-26 | 2023-11-14 | Cilag Gmbh International | Staple cartridge comprising a power management circuit |
US11751869B2 (en) | 2021-02-26 | 2023-09-12 | Cilag Gmbh International | Monitoring of multiple sensors over time to detect moving characteristics of tissue |
US11730473B2 (en) | 2021-02-26 | 2023-08-22 | Cilag Gmbh International | Monitoring of manufacturing life-cycle |
US11980362B2 (en) | 2021-02-26 | 2024-05-14 | Cilag Gmbh International | Surgical instrument system comprising a power transfer coil |
US11950779B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Method of powering and communicating with a staple cartridge |
US11696757B2 (en) | 2021-02-26 | 2023-07-11 | Cilag Gmbh International | Monitoring of internal systems to detect and track cartridge motion status |
US11950777B2 (en) | 2021-02-26 | 2024-04-09 | Cilag Gmbh International | Staple cartridge comprising an information access control system |
US11749877B2 (en) | 2021-02-26 | 2023-09-05 | Cilag Gmbh International | Stapling instrument comprising a signal antenna |
US11806011B2 (en) | 2021-03-22 | 2023-11-07 | Cilag Gmbh International | Stapling instrument comprising tissue compression systems |
US11826042B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Surgical instrument comprising a firing drive including a selectable leverage mechanism |
US11723658B2 (en) | 2021-03-22 | 2023-08-15 | Cilag Gmbh International | Staple cartridge comprising a firing lockout |
US11717291B2 (en) | 2021-03-22 | 2023-08-08 | Cilag Gmbh International | Staple cartridge comprising staples configured to apply different tissue compression |
US11737749B2 (en) | 2021-03-22 | 2023-08-29 | Cilag Gmbh International | Surgical stapling instrument comprising a retraction system |
US11826012B2 (en) | 2021-03-22 | 2023-11-28 | Cilag Gmbh International | Stapling instrument comprising a pulsed motor-driven firing rack |
US11759202B2 (en) | 2021-03-22 | 2023-09-19 | Cilag Gmbh International | Staple cartridge comprising an implantable layer |
US11857183B2 (en) | 2021-03-24 | 2024-01-02 | Cilag Gmbh International | Stapling assembly components having metal substrates and plastic bodies |
US12102323B2 (en) | 2021-03-24 | 2024-10-01 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising a floatable component |
US11849945B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Rotary-driven surgical stapling assembly comprising eccentrically driven firing member |
US11793516B2 (en) | 2021-03-24 | 2023-10-24 | Cilag Gmbh International | Surgical staple cartridge comprising longitudinal support beam |
US11849944B2 (en) | 2021-03-24 | 2023-12-26 | Cilag Gmbh International | Drivers for fastener cartridge assemblies having rotary drive screws |
US11744603B2 (en) | 2021-03-24 | 2023-09-05 | Cilag Gmbh International | Multi-axis pivot joints for surgical instruments and methods for manufacturing same |
US11944336B2 (en) | 2021-03-24 | 2024-04-02 | Cilag Gmbh International | Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments |
US11786239B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Surgical instrument articulation joint arrangements comprising multiple moving linkage features |
US11896218B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Method of using a powered stapling device |
US11896219B2 (en) | 2021-03-24 | 2024-02-13 | Cilag Gmbh International | Mating features between drivers and underside of a cartridge deck |
US11832816B2 (en) | 2021-03-24 | 2023-12-05 | Cilag Gmbh International | Surgical stapling assembly comprising nonplanar staples and planar staples |
US11903582B2 (en) | 2021-03-24 | 2024-02-20 | Cilag Gmbh International | Leveraging surfaces for cartridge installation |
US11786243B2 (en) | 2021-03-24 | 2023-10-17 | Cilag Gmbh International | Firing members having flexible portions for adapting to a load during a surgical firing stroke |
US11998201B2 (en) | 2021-05-28 | 2024-06-04 | Cilag CmbH International | Stapling instrument comprising a firing lockout |
US11957337B2 (en) | 2021-10-18 | 2024-04-16 | Cilag Gmbh International | Surgical stapling assembly with offset ramped drive surfaces |
US11877745B2 (en) | 2021-10-18 | 2024-01-23 | Cilag Gmbh International | Surgical stapling assembly having longitudinally-repeating staple leg clusters |
US11980363B2 (en) | 2021-10-18 | 2024-05-14 | Cilag Gmbh International | Row-to-row staple array variations |
US12089841B2 (en) | 2021-10-28 | 2024-09-17 | Cilag CmbH International | Staple cartridge identification systems |
US11937816B2 (en) | 2021-10-28 | 2024-03-26 | Cilag Gmbh International | Electrical lead arrangements for surgical instruments |
Family Cites Families (301)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US172543A (en) * | 1876-01-18 | Improvement in buttons | ||
US138299A (en) * | 1873-04-29 | Improvement in shirt-studs | ||
US2033039A (en) * | 1935-05-22 | 1936-03-03 | Arthur A Limpert | Double point rotary pin |
US3499222A (en) * | 1965-08-17 | 1970-03-10 | Leonard I Linkow | Intra-osseous pins and posts and their use and techniques thereof |
US3686740A (en) * | 1970-06-19 | 1972-08-29 | Donald P Shiley | Method of assemblying a sutureless heart valve |
US3799172A (en) * | 1972-09-25 | 1974-03-26 | R Szpur | Retention catheter |
FR2299548A1 (fr) | 1975-01-30 | 1976-08-27 | Melin Raymond | Agrafe, ainsi que le dispositif pour sa mise en place |
US4140126A (en) * | 1977-02-18 | 1979-02-20 | Choudhury M Hasan | Method for performing aneurysm repair |
US4255820A (en) * | 1979-07-24 | 1981-03-17 | Rothermel Joel E | Artificial ligaments |
US4307722A (en) * | 1979-08-14 | 1981-12-29 | Evans Joseph M | Dilators for arterial dilation |
US4899747A (en) * | 1981-12-10 | 1990-02-13 | Garren Lloyd R | Method and appartus for treating obesity |
DE3333427A1 (de) | 1983-09-16 | 1985-04-04 | Karl M. Reich Maschinenfabrik GmbH, 7440 Nürtingen | Einschraubgeraet |
US5669936A (en) * | 1983-12-09 | 1997-09-23 | Endovascular Technologies, Inc. | Endovascular grafting system and method for use therewith |
US5104399A (en) * | 1986-12-10 | 1992-04-14 | Endovascular Technologies, Inc. | Artificial graft and implantation method |
US5693083A (en) | 1983-12-09 | 1997-12-02 | Endovascular Technologies, Inc. | Thoracic graft and delivery catheter |
US4586923A (en) * | 1984-06-25 | 1986-05-06 | Cordis Corporation | Curving tip catheter |
US4580568A (en) * | 1984-10-01 | 1986-04-08 | Cook, Incorporated | Percutaneous endovascular stent and method for insertion thereof |
US4694827A (en) | 1986-01-14 | 1987-09-22 | Weiner Brian C | Inflatable gastric device for treating obesity and method of using the same |
US4822345A (en) * | 1986-08-14 | 1989-04-18 | Danforth John W | Controllable flexibility catheter |
US4781682A (en) * | 1987-08-13 | 1988-11-01 | Patel Piyush V | Catheter having support flaps and method of inserting catheter |
FR2624747A1 (fr) | 1987-12-18 | 1989-06-23 | Delsanti Gerard | Dispositifs endo-arteriels amovibles destines a reparer des decollements de parois des arteres |
US5466714A (en) * | 1987-12-31 | 1995-11-14 | Research Foundation For Mental Health Hygiene, Inc. | Spermicidal and cytocidal fatty acid compositions |
US4921484A (en) * | 1988-07-25 | 1990-05-01 | Cordis Corporation | Mesh balloon catheter device |
SE8803444D0 (sv) | 1988-09-28 | 1988-09-28 | Medinvent Sa | A device for transluminal implantation or extraction |
US5030204A (en) * | 1988-09-28 | 1991-07-09 | Advanced Cardiovascular Systems, Inc. | Guiding catheter with controllable distal tip |
US4898577A (en) * | 1988-09-28 | 1990-02-06 | Advanced Cardiovascular Systems, Inc. | Guiding cathether with controllable distal tip |
TW198705B (zh) | 1988-10-22 | 1993-01-21 | Aoyama Yoshiko Koko | |
US5480382A (en) * | 1989-01-09 | 1996-01-02 | Pilot Cardiovascular Systems, Inc. | Steerable medical device |
FR2645923B1 (fr) * | 1989-04-18 | 1991-07-26 | Facam Sa | Dispositif de fixation sur son support d'un element souple de revetement tel un morceau de moquette ou un tapis |
US5053047A (en) * | 1989-05-16 | 1991-10-01 | Inbae Yoon | Suture devices particularly useful in endoscopic surgery and methods of suturing |
US4994071A (en) | 1989-05-22 | 1991-02-19 | Cordis Corporation | Bifurcating stent apparatus and method |
US5207695A (en) * | 1989-06-19 | 1993-05-04 | Trout Iii Hugh H | Aortic graft, implantation device, and method for repairing aortic aneurysm |
US5254088A (en) | 1990-02-02 | 1993-10-19 | Ep Technologies, Inc. | Catheter steering mechanism |
US5195968A (en) | 1990-02-02 | 1993-03-23 | Ingemar Lundquist | Catheter steering mechanism |
US5071407A (en) * | 1990-04-12 | 1991-12-10 | Schneider (U.S.A.) Inc. | Radially expandable fixation member |
US5360443A (en) * | 1990-06-11 | 1994-11-01 | Barone Hector D | Aortic graft for repairing an abdominal aortic aneurysm |
US5578071A (en) * | 1990-06-11 | 1996-11-26 | Parodi; Juan C. | Aortic graft |
ES2085435T3 (es) | 1990-10-09 | 1996-06-01 | Cook Inc | Dispositivo dilatador percutaneo. |
US5042707A (en) * | 1990-10-16 | 1991-08-27 | Taheri Syde A | Intravascular stapler, and method of operating same |
DE59009302D1 (de) * | 1990-12-07 | 1995-07-27 | Ruesch Willy Ag | Medizinisches Instrument mit lenkbarer Spitze. |
CA2202800A1 (en) * | 1991-04-11 | 1992-10-12 | Alec A. Piplani | Endovascular graft having bifurcation and apparatus and method for deploying the same |
US6682557B1 (en) | 1991-04-11 | 2004-01-27 | Endovascular Technologies, Inc. | Bifurcated multicapsule intraluminal grafting system and method |
US5185004A (en) | 1991-06-03 | 1993-02-09 | Danforth Biomedical, Inc. | Turn-limiting proximal adaptor for steerable catheter systems |
JPH07500023A (ja) | 1991-07-04 | 1995-01-05 | オーエン、アール・ロナルド | 管状外科用インプラント |
US5766151A (en) * | 1991-07-16 | 1998-06-16 | Heartport, Inc. | Endovascular system for arresting the heart |
AU669338B2 (en) | 1991-10-25 | 1996-06-06 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm and method for implanting |
US5693084A (en) | 1991-10-25 | 1997-12-02 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm |
US5456713A (en) | 1991-10-25 | 1995-10-10 | Cook Incorporated | Expandable transluminal graft prosthesis for repairs of aneurysm and method for implanting |
US5387235A (en) | 1991-10-25 | 1995-02-07 | Cook Incorporated | Expandable transluminal graft prosthesis for repair of aneurysm |
US5192314A (en) | 1991-12-12 | 1993-03-09 | Daskalakis Michael K | Synthetic intraventricular implants and method of inserting |
US5383880A (en) | 1992-01-17 | 1995-01-24 | Ethicon, Inc. | Endoscopic surgical system with sensing means |
US5352197A (en) | 1992-03-18 | 1994-10-04 | The Spectranetics Corporation | Turn limiter for a catheter with twistable tip |
CA2075517C (en) * | 1992-04-01 | 1997-03-11 | John Wick | Transdermal patch incorporating a polymer film incorporated with an active agent |
US5318525A (en) | 1992-04-10 | 1994-06-07 | Medtronic Cardiorhythm | Steerable electrode catheter |
US5330490A (en) * | 1992-04-10 | 1994-07-19 | Wilk Peter J | Endoscopic device, prosthesis and method for use in endovascular repair |
US5407427A (en) * | 1992-06-16 | 1995-04-18 | Loma Linda University Medical Center | Trocar facilitator for endoscopic surgery |
US5290295A (en) * | 1992-07-15 | 1994-03-01 | Querals & Fine, Inc. | Insertion tool for an intraluminal graft procedure |
US5707376A (en) | 1992-08-06 | 1998-01-13 | William Cook Europe A/S | Stent introducer and method of use |
US5762458A (en) * | 1996-02-20 | 1998-06-09 | Computer Motion, Inc. | Method and apparatus for performing minimally invasive cardiac procedures |
US5702365A (en) * | 1992-09-08 | 1997-12-30 | King; Toby St. John | Daul-lumen catheter |
US5334196A (en) | 1992-10-05 | 1994-08-02 | United States Surgical Corporation | Endoscopic fastener remover |
US5409498A (en) | 1992-11-05 | 1995-04-25 | Ethicon, Inc. | Rotatable articulating endoscopic fastening instrument |
US5364351A (en) | 1992-11-13 | 1994-11-15 | Ep Technologies, Inc. | Catheter steering mechanism |
US5320630A (en) | 1993-02-23 | 1994-06-14 | Munir Ahmed | Endoscopic ligating instrument for applying elastic bands |
US5913894A (en) * | 1994-12-05 | 1999-06-22 | Meadox Medicals, Inc. | Solid woven tubular prosthesis |
US5480423A (en) | 1993-05-20 | 1996-01-02 | Boston Scientific Corporation | Prosthesis delivery |
US6572529B2 (en) | 1993-06-17 | 2003-06-03 | Wilk Patent Development Corporation | Intrapericardial assist method |
US6258021B1 (en) * | 1993-06-17 | 2001-07-10 | Peter J. Wilk | Intrapericardial assist method |
US5734373A (en) | 1993-07-16 | 1998-03-31 | Immersion Human Interface Corporation | Method and apparatus for controlling force feedback interface systems utilizing a host computer |
US5474568A (en) | 1993-10-08 | 1995-12-12 | United States Surgical Corporation | Instrument for closing trocar puncture wounds |
US5639278A (en) * | 1993-10-21 | 1997-06-17 | Corvita Corporation | Expandable supportive bifurcated endoluminal grafts |
US5855598A (en) | 1993-10-21 | 1999-01-05 | Corvita Corporation | Expandable supportive branched endoluminal grafts |
US5632772A (en) | 1993-10-21 | 1997-05-27 | Corvita Corporation | Expandable supportive branched endoluminal grafts |
DE69419877T2 (de) * | 1993-11-04 | 1999-12-16 | C.R. Bard, Inc. | Ortsfeste Gefässprothese |
AU1011595A (en) | 1994-01-13 | 1995-07-20 | Ethicon Inc. | Spiral surgical tack |
US5609627A (en) | 1994-02-09 | 1997-03-11 | Boston Scientific Technology, Inc. | Method for delivering a bifurcated endoluminal prosthesis |
US6039749A (en) | 1994-02-10 | 2000-03-21 | Endovascular Systems, Inc. | Method and apparatus for deploying non-circular stents and graftstent complexes |
US6165210A (en) | 1994-04-01 | 2000-12-26 | Gore Enterprise Holdings, Inc. | Self-expandable helical intravascular stent and stent-graft |
US5470337A (en) * | 1994-05-17 | 1995-11-28 | Moss; Gerald | Surgical fastener |
US5824041A (en) * | 1994-06-08 | 1998-10-20 | Medtronic, Inc. | Apparatus and methods for placement and repositioning of intraluminal prostheses |
US5683451A (en) | 1994-06-08 | 1997-11-04 | Cardiovascular Concepts, Inc. | Apparatus and methods for deployment release of intraluminal prostheses |
US5522881A (en) * | 1994-06-28 | 1996-06-04 | Meadox Medicals, Inc. | Implantable tubular prosthesis having integral cuffs |
DE4426225B4 (de) * | 1994-07-23 | 2005-08-04 | Robert Griebel | Vorrichtung zur Überprüfung der Porosität von dünnen Gummiprodukten |
US5582616A (en) * | 1994-08-05 | 1996-12-10 | Origin Medsystems, Inc. | Surgical helical fastener with applicator |
US5972023A (en) * | 1994-08-15 | 1999-10-26 | Eva Corporation | Implantation device for an aortic graft method of treating aortic aneurysm |
US5755770A (en) | 1995-01-31 | 1998-05-26 | Boston Scientific Corporatiion | Endovascular aortic graft |
US5634936A (en) * | 1995-02-06 | 1997-06-03 | Scimed Life Systems, Inc. | Device for closing a septal defect |
US5797933A (en) | 1996-07-16 | 1998-08-25 | Heartport, Inc. | Coronary shunt and method of use |
US5976159A (en) | 1995-02-24 | 1999-11-02 | Heartport, Inc. | Surgical clips and methods for tissue approximation |
US5662675A (en) | 1995-02-24 | 1997-09-02 | Intervascular, Inc. | Delivery catheter assembly |
US5683449A (en) | 1995-02-24 | 1997-11-04 | Marcade; Jean Paul | Modular bifurcated intraluminal grafts and methods for delivering and assembling same |
US5626613A (en) * | 1995-05-04 | 1997-05-06 | Arthrex, Inc. | Corkscrew suture anchor and driver |
US5534007A (en) | 1995-05-18 | 1996-07-09 | Scimed Life Systems, Inc. | Stent deployment catheter with collapsible sheath |
US5700269A (en) * | 1995-06-06 | 1997-12-23 | Corvita Corporation | Endoluminal prosthesis deployment device for use with prostheses of variable length and having retraction ability |
US6132438A (en) | 1995-06-07 | 2000-10-17 | Ep Technologies, Inc. | Devices for installing stasis reducing means in body tissue |
US5800528A (en) | 1995-06-13 | 1998-09-01 | Abiomed R & D, Inc. | Passive girdle for heart ventricle for therapeutic aid to patients having ventricular dilatation |
GR1002392B (el) | 1995-07-14 | 1996-07-05 | Αγγειοχειρουργικο μηχανημα και αγγειακο μοσχευμα και αγγειακος δακτυλιος, για συνδεση αγγειου-αγγειακου μοσχευματος με συνδετηρες αρσενικου-θηλυκου. | |
US5713907A (en) * | 1995-07-20 | 1998-02-03 | Endotex Interventional Systems, Inc. | Apparatus and method for dilating a lumen and for inserting an intraluminal graft |
US5662683A (en) * | 1995-08-22 | 1997-09-02 | Ortho Helix Limited | Open helical organic tissue anchor and method of facilitating healing |
US5824037A (en) | 1995-10-03 | 1998-10-20 | Medtronic, Inc. | Modular intraluminal prostheses construction and methods |
US6193745B1 (en) | 1995-10-03 | 2001-02-27 | Medtronic, Inc. | Modular intraluminal prosteheses construction and methods |
US6287315B1 (en) * | 1995-10-30 | 2001-09-11 | World Medical Manufacturing Corporation | Apparatus for delivering an endoluminal prosthesis |
US5591195A (en) * | 1995-10-30 | 1997-01-07 | Taheri; Syde | Apparatus and method for engrafting a blood vessel |
US5628788A (en) | 1995-11-07 | 1997-05-13 | Corvita Corporation | Self-expanding endoluminal stent-graft |
US6576009B2 (en) | 1995-12-01 | 2003-06-10 | Medtronic Ave, Inc. | Bifurcated intraluminal prostheses construction and methods |
WO1997023254A1 (fr) * | 1995-12-25 | 1997-07-03 | Matsushita Electric Works, Ltd. | Appareil favorisant la relaxation |
US5749921A (en) | 1996-02-20 | 1998-05-12 | Medtronic, Inc. | Apparatus and methods for compression of endoluminal prostheses |
US6402780B2 (en) * | 1996-02-23 | 2002-06-11 | Cardiovascular Technologies, L.L.C. | Means and method of replacing a heart valve in a minimally invasive manner |
US5782844A (en) * | 1996-03-05 | 1998-07-21 | Inbae Yoon | Suture spring device applicator |
US5843160A (en) | 1996-04-01 | 1998-12-01 | Rhodes; Valentine J. | Prostheses for aneurysmal and/or occlusive disease at a bifurcation in a vessel, duct, or lumen |
US5824042A (en) | 1996-04-05 | 1998-10-20 | Medtronic, Inc. | Endoluminal prostheses having position indicating markers |
US6949116B2 (en) | 1996-05-08 | 2005-09-27 | Carag Ag | Device for plugging an opening such as in a wall of a hollow or tubular organ including biodegradable elements |
US5769884A (en) * | 1996-06-27 | 1998-06-23 | Cordis Corporation | Controlled porosity endovascular implant |
US5928279A (en) * | 1996-07-03 | 1999-07-27 | Baxter International Inc. | Stented, radially expandable, tubular PTFE grafts |
US5702408A (en) | 1996-07-17 | 1997-12-30 | Ethicon Endo-Surgery, Inc. | Articulating surgical instrument |
US5676697A (en) * | 1996-07-29 | 1997-10-14 | Cardiovascular Dynamics, Inc. | Two-piece, bifurcated intraluminal graft for repair of aneurysm |
WO1998007375A1 (en) * | 1996-08-22 | 1998-02-26 | The Trustees Of Columbia University | Endovascular flexible stapling device |
US7611521B2 (en) * | 1996-09-13 | 2009-11-03 | Tendon Technology, Ltd. | Apparatus and methods for tendon or ligament repair |
US6984241B2 (en) * | 1996-09-13 | 2006-01-10 | Tendon Technology, Ltd. | Apparatus and methods for tendon or ligament repair |
ES2267152T3 (es) | 1996-09-20 | 2007-03-01 | United States Surgical Corporation | Aplicador de sujetadores helicoidales. |
US5830221A (en) * | 1996-09-20 | 1998-11-03 | United States Surgical Corporation | Coil fastener applier |
US5702343A (en) | 1996-10-02 | 1997-12-30 | Acorn Medical, Inc. | Cardiac reinforcement device |
US5968098A (en) * | 1996-10-22 | 1999-10-19 | Surgical Dynamics, Inc. | Apparatus for fusing adjacent bone structures |
US5861003A (en) * | 1996-10-23 | 1999-01-19 | The Cleveland Clinic Foundation | Apparatus and method for occluding a defect or aperture within body surface |
US6286514B1 (en) | 1996-11-05 | 2001-09-11 | Jerome Lemelson | System and method for treating select tissue in a living being |
US6258119B1 (en) * | 1996-11-07 | 2001-07-10 | Myocardial Stents, Inc. | Implant device for trans myocardial revascularization |
US5993466A (en) * | 1997-06-17 | 1999-11-30 | Yoon; Inbae | Suturing instrument with multiple rotatably mounted spreadable needle holders |
US6136024A (en) * | 1996-12-06 | 2000-10-24 | Yasuhiko Shimizu | Artificial blood vessel |
US5921979A (en) * | 1996-12-18 | 1999-07-13 | Guidant Corporation | Apparatus and method for tissue and organ stabilization |
US5776142A (en) | 1996-12-19 | 1998-07-07 | Medtronic, Inc. | Controllable stent delivery system and method |
US5779731A (en) | 1996-12-20 | 1998-07-14 | Cordis Corporation | Balloon catheter having dual markers and method |
US6352561B1 (en) * | 1996-12-23 | 2002-03-05 | W. L. Gore & Associates | Implant deployment apparatus |
US6050936A (en) | 1997-01-02 | 2000-04-18 | Myocor, Inc. | Heart wall tension reduction apparatus |
US6077214A (en) * | 1998-07-29 | 2000-06-20 | Myocor, Inc. | Stress reduction apparatus and method |
US6406420B1 (en) | 1997-01-02 | 2002-06-18 | Myocor, Inc. | Methods and devices for improving cardiac function in hearts |
US5968053A (en) * | 1997-01-31 | 1999-10-19 | Cardiac Assist Technologies, Inc. | Method and apparatus for implanting a graft in a vessel of a patient |
US5855565A (en) * | 1997-02-21 | 1999-01-05 | Bar-Cohen; Yaniv | Cardiovascular mechanically expanding catheter |
US5830229A (en) | 1997-03-07 | 1998-11-03 | Micro Therapeutics Inc. | Hoop stent |
US6086582A (en) * | 1997-03-13 | 2000-07-11 | Altman; Peter A. | Cardiac drug delivery system |
US6048360A (en) * | 1997-03-18 | 2000-04-11 | Endotex Interventional Systems, Inc. | Methods of making and using coiled sheet graft for single and bifurcated lumens |
US6024703A (en) | 1997-05-07 | 2000-02-15 | Eclipse Surgical Technologies, Inc. | Ultrasound device for axial ranging |
US5982548A (en) * | 1997-05-19 | 1999-11-09 | W. L. Gore & Associates, Inc. | Thin light reflectant surface and method for making and using same |
AUPO700897A0 (en) | 1997-05-26 | 1997-06-19 | William A Cook Australia Pty Ltd | A method and means of deploying a graft |
US5906641A (en) | 1997-05-27 | 1999-05-25 | Schneider (Usa) Inc | Bifurcated stent graft |
US5944750A (en) * | 1997-06-30 | 1999-08-31 | Eva Corporation | Method and apparatus for the surgical repair of aneurysms |
US6270516B1 (en) * | 1997-06-30 | 2001-08-07 | Eva Corporation | Repair apparatus for use in surgical procedures |
US5957940A (en) * | 1997-06-30 | 1999-09-28 | Eva Corporation | Fasteners for use in the surgical repair of aneurysms |
US6248118B1 (en) * | 1997-06-30 | 2001-06-19 | Eva Corporation | Heat activated surgical fastener |
US5997556A (en) | 1997-06-30 | 1999-12-07 | Eva Corporation | Surgical fastener |
US5904713A (en) | 1997-07-14 | 1999-05-18 | Datascope Investment Corp. | Invertible bifurcated stent/graft and method of deployment |
DE19731834A1 (de) * | 1997-07-24 | 1999-06-17 | Ernst Peter Prof Dr M Strecker | Implantationsvorrichtung |
US5906619A (en) | 1997-07-24 | 1999-05-25 | Medtronic, Inc. | Disposable delivery device for endoluminal prostheses |
US6070589A (en) * | 1997-08-01 | 2000-06-06 | Teramed, Inc. | Methods for deploying bypass graft stents |
AU9225598A (en) * | 1997-09-04 | 1999-03-22 | Endocore, Inc. | Artificial chordae replacement |
US6306164B1 (en) | 1997-09-05 | 2001-10-23 | C. R. Bard, Inc. | Short body endoprosthesis |
US5984955A (en) * | 1997-09-11 | 1999-11-16 | Wisselink; Willem | System and method for endoluminal grafting of bifurcated or branched vessels |
US6179809B1 (en) | 1997-09-24 | 2001-01-30 | Eclipse Surgical Technologies, Inc. | Drug delivery catheter with tip alignment |
US5972003A (en) | 1997-10-01 | 1999-10-26 | Sherwood Services Ag | Single-free ligation clip module |
US5980548A (en) | 1997-10-29 | 1999-11-09 | Kensey Nash Corporation | Transmyocardial revascularization system |
US6626919B1 (en) | 1997-12-29 | 2003-09-30 | Lee L. Swanstrom | Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall |
US6395019B2 (en) | 1998-02-09 | 2002-05-28 | Trivascular, Inc. | Endovascular graft |
US6083167A (en) | 1998-02-10 | 2000-07-04 | Emory University | Systems and methods for providing radiation therapy and catheter guides |
US20020095175A1 (en) * | 1998-02-24 | 2002-07-18 | Brock David L. | Flexible instrument |
US7491232B2 (en) | 1998-09-18 | 2009-02-17 | Aptus Endosystems, Inc. | Catheter-based fastener implantation apparatus and methods with implantation force resolution |
AR009682A1 (es) | 1998-03-13 | 2000-04-26 | Parodi Juan C | Protesis endovascular porta-suturas |
CA2265136C (en) * | 1998-03-13 | 2008-09-09 | Juan Carlos Parodi | Endovascular device for application of prostheses with sutures |
US7591842B2 (en) | 1998-03-13 | 2009-09-22 | Aptus Endosystems, Inc. | Endovascular prosthesis with suture holder |
US8075570B2 (en) * | 2001-11-28 | 2011-12-13 | Aptus Endosystems, Inc. | Intraluminal prosthesis attachment systems and methods |
US6074418A (en) | 1998-04-20 | 2000-06-13 | St. Jude Medical, Inc. | Driver tool for heart valve prosthesis fasteners |
US6309403B1 (en) * | 1998-06-01 | 2001-10-30 | Board Of Trustees Operating Michigan State University | Dexterous articulated linkage for surgical applications |
US6174323B1 (en) * | 1998-06-05 | 2001-01-16 | Broncus Technologies, Inc. | Method and assembly for lung volume reduction |
CA2272458C (en) * | 1998-06-25 | 2008-03-18 | Leslie Laszlo Kerek | Hoodless electrical socket connector |
US6547821B1 (en) * | 1998-07-16 | 2003-04-15 | Cardiothoracic Systems, Inc. | Surgical procedures and devices for increasing cardiac output of the heart |
US7060021B1 (en) * | 1998-07-23 | 2006-06-13 | Wilk Patent Development Corporation | Method and device for improving cardiac function |
US6544253B1 (en) * | 1998-07-24 | 2003-04-08 | Eva Corporation | Surgical support device and method of using the same |
US6217597B1 (en) * | 1998-07-24 | 2001-04-17 | Eva Corporation | Surgical cutting device and method of using the same |
US6145509A (en) * | 1998-07-24 | 2000-11-14 | Eva Corporation | Depth sensor device for use in a surgical procedure |
US6027462A (en) | 1998-07-30 | 2000-02-22 | Medtronic, Inc. | Method and apparatus for deflecting a screw-in-lead |
JP2002526193A (ja) * | 1998-09-18 | 2002-08-20 | ユナイテッド ステイツ サージカル コーポレーション | 脈管内ファスナーアプリケータ |
WO2000018330A1 (en) | 1998-09-30 | 2000-04-06 | Impra, Inc. | Delivery mechanism for implantable stent |
US6203550B1 (en) | 1998-09-30 | 2001-03-20 | Medtronic, Inc. | Disposable delivery device for endoluminal prostheses |
US6273909B1 (en) * | 1998-10-05 | 2001-08-14 | Teramed Inc. | Endovascular graft system |
US6152144A (en) | 1998-11-06 | 2000-11-28 | Appriva Medical, Inc. | Method and device for left atrial appendage occlusion |
JP2000164285A (ja) * | 1998-11-25 | 2000-06-16 | Yazaki Corp | フロントホルダを有するコネクタ |
US6197049B1 (en) * | 1999-02-17 | 2001-03-06 | Endologix, Inc. | Articulating bifurcation graft |
US6283999B1 (en) | 1999-01-29 | 2001-09-04 | Depuy Orthopaedics, Inc. | Shoulder prothesis with humeral fracture stem |
US6398803B1 (en) * | 1999-02-02 | 2002-06-04 | Impra, Inc., A Subsidiary Of C.R. Bard, Inc. | Partial encapsulation of stents |
WO2000060995A2 (en) * | 1999-04-09 | 2000-10-19 | Evalve, Inc. | Methods and apparatus for cardiac valve repair |
US7226467B2 (en) | 1999-04-09 | 2007-06-05 | Evalve, Inc. | Fixation device delivery catheter, systems and methods of use |
EP1179992A1 (en) | 1999-04-23 | 2002-02-20 | United States Surgical Corporation | Second generation coil fastener applier with memory ring |
US6287335B1 (en) | 1999-04-26 | 2001-09-11 | William J. Drasler | Intravascular folded tubular endoprosthesis |
US6468260B1 (en) | 1999-05-07 | 2002-10-22 | Biosense Webster, Inc. | Single gear drive bidirectional control handle for steerable catheter |
US6986784B1 (en) * | 1999-05-14 | 2006-01-17 | C. R. Bard, Inc. | Implant anchor systems |
US6146339A (en) * | 1999-05-24 | 2000-11-14 | Advanced Cardiovascular Systems | Guide wire with operator controllable tip stiffness |
US6398802B1 (en) | 1999-06-21 | 2002-06-04 | Scimed Life Systems, Inc. | Low profile delivery system for stent and graft deployment |
US6626899B2 (en) | 1999-06-25 | 2003-09-30 | Nidus Medical, Llc | Apparatus and methods for treating tissue |
EP1113764B1 (en) * | 1999-07-16 | 2003-11-05 | Med Institute, Inc. | Stent adapted for tangle-free deployment |
US20030109770A1 (en) | 1999-08-09 | 2003-06-12 | Sharkey Hugh R. | Device with a porous membrane for improving cardiac function |
US6409757B1 (en) * | 1999-09-15 | 2002-06-25 | Eva Corporation | Method and apparatus for supporting a graft assembly |
US6231561B1 (en) * | 1999-09-20 | 2001-05-15 | Appriva Medical, Inc. | Method and apparatus for closing a body lumen |
US6675037B1 (en) | 1999-09-29 | 2004-01-06 | Regents Of The University Of Minnesota | MRI-guided interventional mammary procedures |
US6689150B1 (en) * | 1999-10-27 | 2004-02-10 | Atritech, Inc. | Filter apparatus for ostium of left atrial appendage |
US6652555B1 (en) | 1999-10-27 | 2003-11-25 | Atritech, Inc. | Barrier device for covering the ostium of left atrial appendage |
US6423059B1 (en) | 1999-11-16 | 2002-07-23 | Sulzer Medica Usa Inc. | Radio frequency ablation apparatus with remotely articulating and self-locking electrode wand |
US8579966B2 (en) | 1999-11-17 | 2013-11-12 | Medtronic Corevalve Llc | Prosthetic valve for transluminal delivery |
US6293906B1 (en) | 2000-01-14 | 2001-09-25 | Acorn Cardiovascular, Inc. | Delivery of cardiac constraint jacket |
EP1253860A4 (en) * | 2000-02-09 | 2006-04-26 | Eva Corp | SURGICAL ATTACHMENT |
US6607555B2 (en) * | 2000-02-15 | 2003-08-19 | Eva Corporation | Delivery catheter assembly and method of securing a surgical component to a vessel during a surgical procedure |
US6319278B1 (en) | 2000-03-03 | 2001-11-20 | Stephen F. Quinn | Low profile device for the treatment of vascular abnormalities |
JP2003526448A (ja) | 2000-03-10 | 2003-09-09 | パラコー サージカル インコーポレイテッド | 鬱血性心不全を治療するための膨張可能な心臓ハーネス |
CA2400072C (en) | 2000-03-14 | 2010-01-19 | Cook Incorporated | Endovascular stent graft |
ITPC20000013A1 (it) | 2000-04-13 | 2000-07-13 | Paolo Ferrazzi | Dispositivo endoventricolare e metodo relativo per il trattamento e la correzione di miocardiopatie. |
US6454796B1 (en) | 2000-05-05 | 2002-09-24 | Endovascular Technologies, Inc. | Vascular graft |
US6425856B1 (en) * | 2000-05-10 | 2002-07-30 | Acorn Cardiovascular, Inc. | Cardiac disease treatment and device |
DE10034105C1 (de) | 2000-07-13 | 2002-04-04 | Karlsruhe Forschzent | Federzugeffektor für die minimalinvasive Chirurgie |
AT408949B (de) | 2000-07-25 | 2002-04-25 | Petrovic Dragan Dipl Ing | Vaskuläre verankerungseinrichtung |
US6343605B1 (en) * | 2000-08-08 | 2002-02-05 | Scimed Life Systems, Inc. | Percutaneous transluminal myocardial implantation device and method |
US7762943B2 (en) | 2004-03-03 | 2010-07-27 | Cardiokinetix, Inc. | Inflatable ventricular partitioning device |
AU2001288599A1 (en) * | 2000-09-01 | 2002-03-13 | Advanced Vascular Technologies, Llc | Vascular bypass grafting instrument and method |
JP2002080903A (ja) * | 2000-09-08 | 2002-03-22 | Japan Science & Technology Corp | 分散安定化機能性金族微粒子及び半導体微粒子およびその製造方法 |
US6468309B1 (en) * | 2000-10-05 | 2002-10-22 | Cleveland Clinic Foundation | Method and apparatus for stabilizing adjacent bones |
US6616684B1 (en) | 2000-10-06 | 2003-09-09 | Myocor, Inc. | Endovascular splinting devices and methods |
US6730119B1 (en) * | 2000-10-06 | 2004-05-04 | Board Of Regents Of The University Of Texas System | Percutaneous implantation of partially covered stents in aneurysmally dilated arterial segments with subsequent embolization and obliteration of the aneurysm cavity |
US6663588B2 (en) | 2000-11-29 | 2003-12-16 | C.R. Bard, Inc. | Active counterforce handle for use in bidirectional deflectable tip instruments |
US6454772B1 (en) * | 2000-12-08 | 2002-09-24 | Roger P. Jackson | Set screw for medical implant with gripping side slots |
JP3506676B2 (ja) | 2001-01-25 | 2004-03-15 | Necエレクトロニクス株式会社 | 半導体装置 |
US6702763B2 (en) * | 2001-02-28 | 2004-03-09 | Chase Medical, L.P. | Sizing apparatus and method for use during ventricular restoration |
US20040138734A1 (en) | 2001-04-11 | 2004-07-15 | Trivascular, Inc. | Delivery system and method for bifurcated graft |
US6926732B2 (en) | 2001-06-01 | 2005-08-09 | Ams Research Corporation | Stent delivery device and method |
FR2826863B1 (fr) * | 2001-07-04 | 2003-09-26 | Jacques Seguin | Ensemble permettant la mise en place d'une valve prothetique dans un conduit corporel |
US6675809B2 (en) * | 2001-08-27 | 2004-01-13 | Richard S. Stack | Satiation devices and methods |
US20040243170A1 (en) | 2001-09-05 | 2004-12-02 | Mitta Suresh | Method and device for percutaneous surgical ventricular repair |
AU2002335745A1 (en) | 2001-09-10 | 2003-03-24 | Paracor Medical, Inc. | Cardiac harness |
US7060023B2 (en) * | 2001-09-25 | 2006-06-13 | The Foundry Inc. | Pericardium reinforcing devices and methods of using them |
US6685620B2 (en) * | 2001-09-25 | 2004-02-03 | The Foundry Inc. | Ventricular infarct assist device and methods for using it |
US7144363B2 (en) * | 2001-10-16 | 2006-12-05 | Extensia Medical, Inc. | Systems for heart treatment |
US20030074055A1 (en) | 2001-10-17 | 2003-04-17 | Haverkost Patrick A. | Method and system for fixation of endoluminal devices |
US20110087320A1 (en) * | 2001-11-28 | 2011-04-14 | Aptus Endosystems, Inc. | Devices, Systems, and Methods for Prosthesis Delivery and Implantation, Including a Prosthesis Assembly |
US7147657B2 (en) | 2003-10-23 | 2006-12-12 | Aptus Endosystems, Inc. | Prosthesis delivery systems and methods |
US8231639B2 (en) * | 2001-11-28 | 2012-07-31 | Aptus Endosystems, Inc. | Systems and methods for attaching a prosthesis within a body lumen or hollow organ |
US7128754B2 (en) | 2001-11-28 | 2006-10-31 | Aptus Endosystems, Inc. | Catheter-based fastener implantation apparatus and methods |
US20070073389A1 (en) * | 2001-11-28 | 2007-03-29 | Aptus Endosystems, Inc. | Endovascular aneurysm devices, systems, and methods |
US20090138072A1 (en) * | 2001-11-28 | 2009-05-28 | Michael William Gendreau | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
US20050177180A1 (en) | 2001-11-28 | 2005-08-11 | Aptus Endosystems, Inc. | Devices, systems, and methods for supporting tissue and/or structures within a hollow body organ |
US6929661B2 (en) | 2001-11-28 | 2005-08-16 | Aptus Endosystems, Inc. | Multi-lumen prosthesis systems and methods |
GB2417208B (en) | 2001-11-28 | 2006-06-28 | Aptus Endosystems Inc | Intraluminal prosthesis attachment systems |
US7823267B2 (en) | 2001-11-28 | 2010-11-02 | Aptus Endosystems, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
CN101352375A (zh) | 2001-11-28 | 2009-01-28 | 阿普特斯内系统公司 | 血管内动脉瘤修复系统 |
US20090112302A1 (en) * | 2001-11-28 | 2009-04-30 | Josh Stafford | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
CA2464048C (en) * | 2001-11-28 | 2010-06-15 | Lee Bolduc | Endovascular aneurysm repair system |
US9320503B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US20050070992A1 (en) | 2001-11-28 | 2005-03-31 | Aptus Endosystems, Inc. | Prosthesis systems and methods sized and configured for the receipt and retention of fasteners |
US6719174B1 (en) * | 2001-12-26 | 2004-04-13 | Anorad Corporation | Rotary and/or linear actuator system for controlling operation of an associated tool |
US6764510B2 (en) * | 2002-01-09 | 2004-07-20 | Myocor, Inc. | Devices and methods for heart valve treatment |
WO2003105670A2 (en) * | 2002-01-10 | 2003-12-24 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
EP1471844A2 (en) | 2002-01-16 | 2004-11-03 | Eva Corporation | Catheter hand-piece apparatus and method of using the same |
FR2835739B1 (fr) * | 2002-02-11 | 2004-05-14 | Spinevision | Systeme permettant de fixer une piece sur un corps osseux |
EP1494615A1 (en) | 2002-03-18 | 2005-01-12 | Eva Corporation | Method and apparatus to attach an unsupported surgical component |
US7077850B2 (en) | 2002-05-01 | 2006-07-18 | Scimed Life Systems, Inc. | Tissue fastening devices and related insertion tools and methods |
WO2003101518A1 (en) | 2002-05-29 | 2003-12-11 | William A. Cook Australia Pty. Ltd. | Trigger wire system for a prosthesis deployment device |
US7264632B2 (en) | 2002-06-07 | 2007-09-04 | Medtronic Vascular, Inc. | Controlled deployment delivery system |
US7753922B2 (en) | 2003-09-04 | 2010-07-13 | Guided Delivery Systems, Inc. | Devices and methods for cardiac annulus stabilization and treatment |
US7485122B2 (en) | 2002-06-27 | 2009-02-03 | Boston Scientific Scimed, Inc. | Integrated anchor coil in stretch-resistant vaso-occlusive coils |
JP4109030B2 (ja) | 2002-07-19 | 2008-06-25 | オリンパス株式会社 | 生体組織のクリップ装置 |
US6746460B2 (en) * | 2002-08-07 | 2004-06-08 | Satiety, Inc. | Intra-gastric fastening devices |
US20040044364A1 (en) | 2002-08-29 | 2004-03-04 | Devries Robert | Tissue fasteners and related deployment systems and methods |
US7033384B2 (en) * | 2002-08-30 | 2006-04-25 | Satiety, Inc. | Stented anchoring of gastric space-occupying devices |
IL151573A (en) * | 2002-09-02 | 2008-11-26 | Douglas York Malawsky | A device for transferring data from an external carrier to an electronic handheld device |
US20040138704A1 (en) | 2002-09-06 | 2004-07-15 | Gambale Richard A. | Tissue capturing devices |
US7070591B2 (en) | 2002-09-17 | 2006-07-04 | Transoma Medical, Inc. | Vascular access port with physiological sensor |
AU2003282886B2 (en) | 2002-09-30 | 2009-07-23 | Board Of Regents, The University Of Texas System | Stent delivery system and method of use |
CA2407969C (en) * | 2002-10-11 | 2007-07-03 | Salvatore J. Puleo, Sr. | Fiber optic based light ornament |
US7335213B1 (en) * | 2002-11-15 | 2008-02-26 | Abbott Cardiovascular Systems Inc. | Apparatus and methods for heart valve repair |
US7485143B2 (en) * | 2002-11-15 | 2009-02-03 | Abbott Cardiovascular Systems Inc. | Apparatuses and methods for heart valve repair |
US7404824B1 (en) | 2002-11-15 | 2008-07-29 | Advanced Cardiovascular Systems, Inc. | Valve aptation assist device |
US7037343B2 (en) * | 2002-12-23 | 2006-05-02 | Python, Inc. | Stomach prosthesis |
US7611528B2 (en) | 2003-01-24 | 2009-11-03 | Medtronic Vascular, Inc. | Stent-graft delivery system |
US20040254594A1 (en) | 2003-01-24 | 2004-12-16 | Arthur Alfaro | Cardiac defect occlusion device |
EP1608297A2 (en) | 2003-03-18 | 2005-12-28 | St. Jude Medical, Inc. | Body tissue remodeling apparatus |
US7159593B2 (en) | 2003-04-17 | 2007-01-09 | 3F Therapeutics, Inc. | Methods for reduction of pressure effects of cardiac tricuspid valve regurgitation |
US7537592B2 (en) | 2003-06-20 | 2009-05-26 | Plc Medical Systems, Inc. | Endovascular tissue removal device |
JP2005024385A (ja) | 2003-07-02 | 2005-01-27 | Matsushita Electric Ind Co Ltd | 感圧センサ |
ATE416678T1 (de) | 2003-08-26 | 2008-12-15 | Zimmer Spine Inc | Zugangssysteme für die minimal invasive chirurgie |
WO2005039445A2 (en) | 2003-10-23 | 2005-05-06 | Peacock James C Iii | Stent-graft assembly formed insitu |
US7155295B2 (en) | 2003-11-07 | 2006-12-26 | Paracor Medical, Inc. | Cardiac harness for treating congestive heart failure and for defibrillating and/or pacing/sensing |
US20050154401A1 (en) | 2004-01-08 | 2005-07-14 | Scimed Life Systems, Inc. | Suturing device for implantable device |
FR2865926B1 (fr) | 2004-02-11 | 2006-05-12 | Perouse Laboratoires | Prothese tubulaire. |
AU2011224089B2 (en) | 2004-02-25 | 2014-04-17 | Aptus Endosystems, Inc. | Systems and methods for attaching a prosthesis within a body lumen or hollow organ |
US7761138B2 (en) | 2004-03-12 | 2010-07-20 | Boston Scientific Scimed, Inc. | MRI and X-ray visualization |
AU2011253682B9 (en) | 2004-03-24 | 2014-06-05 | Aptus Endosystems, Inc. | Devices, systems, and methods for supporting tissue and/or structures within a hollow body organ |
US7306623B2 (en) | 2005-01-13 | 2007-12-11 | Medtronic Vascular, Inc. | Branch vessel graft design and deployment method |
US8702744B2 (en) | 2005-05-09 | 2014-04-22 | Nexeon Medsystems, Inc. | Apparatus and methods for renal stenting |
WO2007013227A1 (ja) | 2005-07-29 | 2007-02-01 | Kitz Sct Corporation | スライドバルブ |
CN102188296A (zh) | 2005-10-20 | 2011-09-21 | 阿普特斯内系统公司 | 用于假体递送和植入的装置、系统和方法 |
CN101466316B (zh) | 2005-10-20 | 2012-06-27 | 阿普特斯内系统公司 | 包括使用固定件工具的用于修复物递送和植入的装置、系统和方法 |
FR2907123B1 (fr) | 2006-10-11 | 2008-12-05 | Saint Gobain Isover Sa | Resine phenolique, procede de preparation, composition d'encollage pour fibres minerales et produits resultants |
WO2010004856A1 (ja) | 2008-07-08 | 2010-01-14 | 日本高純度化学株式会社 | パラジウムめっき用触媒付与液 |
WO2010044854A1 (en) | 2008-10-16 | 2010-04-22 | Aptus Endosystems, Inc. | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
CA2740867C (en) | 2008-10-16 | 2018-06-12 | Aptus Endosystems, Inc. | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
EP2349087A4 (en) | 2008-10-16 | 2016-09-14 | Medtronic Vascular Inc | DEVICES, SYSTEMS AND METHODS FOR PLACING AND IMPLANTATION OF ENDOVASCULAR CLIPS AND / OR PROSTHESES |
CN201360466Y (zh) | 2009-02-12 | 2009-12-16 | 李培彦 | 生态节能兔舍 |
-
2003
- 2003-09-24 US US10/669,881 patent/US7491232B2/en not_active Expired - Lifetime
-
2004
- 2004-09-10 JP JP2006528036A patent/JP4465359B2/ja not_active Expired - Fee Related
- 2004-09-10 AU AU2004277897A patent/AU2004277897B2/en not_active Ceased
- 2004-09-10 WO PCT/US2004/029402 patent/WO2005032333A2/en active Application Filing
- 2004-09-10 CA CA2539585A patent/CA2539585C/en not_active Expired - Fee Related
- 2004-09-10 EP EP04788653.6A patent/EP1675528B1/en not_active Expired - Lifetime
- 2004-09-10 CN CN2004800276497A patent/CN1856280B/zh not_active Expired - Lifetime
-
2006
- 2006-09-29 US US11/540,428 patent/US20070021753A1/en not_active Abandoned
-
2008
- 2008-11-26 US US12/315,015 patent/US20090082852A1/en not_active Abandoned
- 2008-12-19 JP JP2008323290A patent/JP2009112827A/ja not_active Withdrawn
-
2009
- 2009-05-20 JP JP2009122573A patent/JP2010051786A/ja active Pending
-
2015
- 2015-07-27 US US14/809,440 patent/US20150327859A1/en not_active Abandoned
- 2015-09-23 US US14/862,355 patent/US20160007991A1/en not_active Abandoned
- 2015-09-23 US US14/862,387 patent/US20160007996A1/en not_active Abandoned
- 2015-11-10 US US14/937,697 patent/US9968353B2/en not_active Expired - Lifetime
Cited By (38)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9968353B2 (en) | 2001-06-04 | 2018-05-15 | Medtronic Vascular, Inc. | Catheter based fastener implantation apparatus and methods |
US9744021B2 (en) | 2001-11-28 | 2017-08-29 | Medtronic Vascular, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
US10194905B2 (en) | 2001-11-28 | 2019-02-05 | Medtronic Vascular, Inc. | Devices, systems, and methods for endovascular staple and/or prosthesis delivery and implantation |
US8690897B2 (en) | 2001-11-28 | 2014-04-08 | Aptus Endosystems, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
US9808250B2 (en) | 2001-11-28 | 2017-11-07 | Medtronic Vascular, Inc. | Systems and methods for attaching a prosthesis within a body lumen or hollow organ |
US10595867B2 (en) | 2001-11-28 | 2020-03-24 | Medtronic Vascular, Inc. | Systems and methods for attaching a prosthesis within a body lumen or hollow organ |
US10357230B2 (en) | 2001-11-28 | 2019-07-23 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US9023065B2 (en) | 2001-11-28 | 2015-05-05 | Aptus Endosystems, Inc. | Devices, systems, and methods for supporting tissue and/or structures within a hollow body organ |
US10299791B2 (en) | 2001-11-28 | 2019-05-28 | Medtronic Vascular, Inc. | Endovascular aneurysm repair system |
US9320591B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Devices, systems, and methods for prosthesis delivery and implantation, including the use of a fastener tool |
US9320503B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Devices, system, and methods for guiding an operative tool into an interior body region |
US9320589B2 (en) | 2001-11-28 | 2016-04-26 | Medtronic Vascular, Inc. | Endovascular aneurysm repair system |
US8685044B2 (en) | 2001-11-28 | 2014-04-01 | Aptus Endosystems, Inc. | Systems and methods for attaching a prosthesis with a body lumen or hollow organ |
US10098770B2 (en) | 2001-11-28 | 2018-10-16 | Medtronic Vascular, Inc. | Endovascular aneurysm devices, systems, and methods |
US9326876B2 (en) | 2001-12-03 | 2016-05-03 | J.W. Medical Systems Ltd. | Apparatus and methods for delivery of multiple distributed stents |
US8956398B2 (en) | 2001-12-03 | 2015-02-17 | J.W. Medical Systems Ltd. | Custom length stent apparatus |
US9566179B2 (en) | 2003-12-23 | 2017-02-14 | J.W. Medical Systems Ltd. | Devices and methods for controlling and indicating the length of an interventional element |
US8986362B2 (en) | 2004-06-28 | 2015-03-24 | J.W. Medical Systems Ltd. | Devices and methods for controlling expandable prostheses during deployment |
US9700448B2 (en) | 2004-06-28 | 2017-07-11 | J.W. Medical Systems Ltd. | Devices and methods for controlling expandable prostheses during deployment |
US9883957B2 (en) | 2006-03-20 | 2018-02-06 | J.W. Medical Systems Ltd. | Apparatus and methods for deployment of linked prosthetic segments |
US8980297B2 (en) | 2007-02-20 | 2015-03-17 | J.W. Medical Systems Ltd. | Thermo-mechanically controlled implants and methods of use |
US9457133B2 (en) | 2007-02-20 | 2016-10-04 | J.W. Medical Systems Ltd. | Thermo-mechanically controlled implants and methods of use |
US9339404B2 (en) | 2007-03-22 | 2016-05-17 | J.W. Medical Systems Ltd. | Devices and methods for controlling expandable prostheses during deployment |
CN101754727A (zh) * | 2007-05-23 | 2010-06-23 | Xtent公司 | 用于在安置过程中控制可扩张假体的装置和方法 |
CN101754727B (zh) * | 2007-05-23 | 2014-04-02 | 山东吉威医疗制品有限公司 | 用于在安置过程中控制可扩张假体的装置 |
US10660771B2 (en) | 2007-12-12 | 2020-05-26 | Intact Vacsular, Inc. | Deployment device for placement of multiple intraluminal surgical staples |
US10799374B2 (en) | 2007-12-12 | 2020-10-13 | Intact Vascular, Inc. | Device and method for tacking plaque to blood vessel wall |
US10835395B2 (en) | 2007-12-12 | 2020-11-17 | Intact Vascular, Inc. | Method of treating atherosclerotic occlusive disease |
US9101503B2 (en) | 2008-03-06 | 2015-08-11 | J.W. Medical Systems Ltd. | Apparatus having variable strut length and methods of use |
US10888443B2 (en) | 2009-06-11 | 2021-01-12 | Intact Vascular, Inc. | Device for holding plaque to blood vessel wall |
US10779971B2 (en) | 2009-06-11 | 2020-09-22 | Intact Vascular, Inc. | Endovascular implant |
US10779968B2 (en) | 2010-05-29 | 2020-09-22 | Intact Vascular, Inc. | Endoluminal device and method |
CN106473786A (zh) * | 2010-07-08 | 2017-03-08 | 因特脉管有限公司 | 用于输送血管假体的系统 |
US10779969B2 (en) | 2011-06-03 | 2020-09-22 | Intact Vascular, Inc. | Endovascular implant and deployment devices |
US10898356B2 (en) | 2015-01-29 | 2021-01-26 | Intact Vascular, Inc. | Delivery device and method of delivery |
US11304836B2 (en) | 2015-01-29 | 2022-04-19 | Intact Vascular, Inc. | Delivery device and method of delivery |
US10993824B2 (en) | 2016-01-01 | 2021-05-04 | Intact Vascular, Inc. | Delivery device and method of delivery |
US11660218B2 (en) | 2017-07-26 | 2023-05-30 | Intact Vascular, Inc. | Delivery device and method of delivery |
Also Published As
Publication number | Publication date |
---|---|
US20160058438A1 (en) | 2016-03-03 |
US20090082852A1 (en) | 2009-03-26 |
US20160007996A1 (en) | 2016-01-14 |
US20050256531A9 (en) | 2005-11-17 |
JP4465359B2 (ja) | 2010-05-19 |
CA2539585C (en) | 2012-02-21 |
WO2005032333A2 (en) | 2005-04-14 |
EP1675528B1 (en) | 2016-11-09 |
JP2009112827A (ja) | 2009-05-28 |
AU2004277897A1 (en) | 2005-04-14 |
JP2010051786A (ja) | 2010-03-11 |
US20150327859A1 (en) | 2015-11-19 |
US20040127916A1 (en) | 2004-07-01 |
AU2004277897B2 (en) | 2011-07-07 |
WO2005032333A3 (en) | 2006-04-20 |
US9968353B2 (en) | 2018-05-15 |
US20070021753A1 (en) | 2007-01-25 |
US7491232B2 (en) | 2009-02-17 |
CA2539585A1 (en) | 2005-04-14 |
CN1856280B (zh) | 2013-01-02 |
EP1675528A4 (en) | 2014-09-03 |
US20160007991A1 (en) | 2016-01-14 |
EP1675528A2 (en) | 2006-07-05 |
JP2007506512A (ja) | 2007-03-22 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN1856280A (zh) | 具有植入力分解的基于导管的紧固件植入装置和方法 | |
CN1596087A (zh) | 腔内假体附着系统和方法 | |
CN1870949A (zh) | 基于导管的紧固件植入装置和方法 | |
JP4699445B2 (ja) | 体腔内または中空器官内にプロテーゼを取り付けるためのシステムおよび方法 | |
US6113612A (en) | Medical anastomosis apparatus | |
US8075570B2 (en) | Intraluminal prosthesis attachment systems and methods | |
ES2409693T3 (es) | Dispositivos médicos y sistemas de suministro para suministrar dispositivos médicos | |
JP4550111B2 (ja) | 複数部分の腔内人工器官 | |
US7694866B2 (en) | Method and apparatus for laparoscopic aortic repair by intravascular devices | |
CN1857168A (zh) | 具有双运动致动的吻合环施放器 | |
US10420661B2 (en) | Stents and stent deployment devices | |
US20050209685A1 (en) | Graft delivery and anchoring system | |
EP4331540A1 (en) | Systems for minimally invasive creation of anastomoses |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CX01 | Expiry of patent term | ||
CX01 | Expiry of patent term |
Granted publication date: 20130102 |