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1. 发明申请

WO2018190740A1 MEDICAL INSTRUMENTS AND KIT FOR USE IN UTERINE PATHOLOGY 审中-公开
公开(公告)号：WO2018190740A1
公开(公告)日：2018-10-18
申请号：PCT/RO2017/000001
申请日：2017-01-20
申请人： NAHEDD, Saba
发明人： NAHEDD, Saba
IPC分类号： A61B50/33 , A61B50/30
CPC分类号： A61B17/06109 , A61B17/02 , A61B17/0482 , A61B17/282 , A61B17/4241 , A61B50/30 , A61B2017/00805 , A61B2050/3008 , A61F2/0045 , A61F2250/0031
摘要： The invention relates to a medical instruments kit and to a method of surgical treatment of the moderate or advanced prolapse of the anterior vaginal wall, of the moderate or large cystocele, of the stages I, II or III uterine prolapse or of the rectocele combined or not with another uterine or ovarian pathology such as uterine fibroma or benign ovarian cysts. Medical instruments kit claimed by the invention, comprising a box provided with some compartments that are constructively adequate to accommodate a scalpel, 6 Pean clamps, 4 Kocher clamps, two surgical scissors (A), a clamp (B) for anchoring the uterine isthmus, a sling (C) for isthmus fixation, 2 Farabeuf retractors and some resorbable or non-resorbable suture threads, of which, the clamp (B) consists of a smooth rigid body (1) provided with two distal portions (a and b), that are inclined starting in front of a distal bridge (e) which joins them up to their joining by welding, thus forming a long rectilinear intermediary portion (c), with a decreasing width up to the proximal end (f), in front of which it is continued with a proximal portion (d), profiled in the shape of a semicircle, ending with a blunt tip (i), in whose proximity there is made an oval orifice (j), and in the immediate proximity of the bridge (e) some guiding rings (g and h) are integrally attached to the distal portions (a and.b), and the sling (C) for isthmus fixation consists of a body (2) consisting of a medically acceptable material, consisting of propylene in the shape of a network having some meshes (k), to whose end portions (I and m) there are tied, in turn, one of some non- resorbable threads (3 and 4) made of polypropylene, provided with two of some free ends (n, o, p and q), this last body (2) mentioned being provided with two small and large interior circular regions (r and s).

2. 发明申请

WO2017199152A1 DEVICE FOR USE IN THE SURGICAL TREATMENT OF UROGYNECOLOGICAL DYSFUNCTIONS 审中-公开
标题翻译：用于手术治疗泌尿生殖系疾病的装置
公开(公告)号：WO2017199152A1
公开(公告)日：2017-11-23
申请号：PCT/IB2017/052841
申请日：2017-05-15
申请人： HERNIAMESH S.R.L.
发明人： BERGAMINI, Valentino , CASALEGNO, Sergio , GARD, Marco , RAVIZZA, Alice
IPC分类号： A61B17/04 , A61F2/00
CPC分类号： A61B17/0401 , A61B2017/00805 , A61B2017/0409 , A61B2017/0414 , A61B2017/0427 , A61B2017/0453 , A61B2017/0464 , A61F2/0045 , A61F2/0063 , A61F2210/0004
摘要： The device, for use in the treatment of prolapses of the pelvic organs and/or urinary incontinence by single-incision surgery with implantation of a supporting mesh comprises: an anchoring element (16) extending along a longitudinal axis (22) and having a pointed distal portion (24) and a proximal portion (28) which has a wall defining internally an open cylindrical cavity extending along said longitudinal axis (22) and whose internal surface (30) is threaded, said wall being crossed by a through-hole (32); a member (18) for reversibly fixing the mesh within said through-hole (32), formed by a base (36) and a threaded stem (38) engaged with said threaded internal surface (30); and a handle (20) having an hollow body (42) extending along said longitudinal axis (22) and provided with means for controlling the rotation of said stem (38) around said longitudinal axis (22) and means for selectively blocking in the axial direction the anchoring element (16) and the fixing member (18) relative to the handle.
摘要翻译：用于通过植入支撑网的单切口手术来治疗骨盆器官脱垂和/或尿失禁的装置包括：锚定元件（16），其沿纵向（22）并具有一个尖头的远端部分（24）和一个近端部分（28），该远端部分具有一个壁，该壁在内部限定沿着所述纵向轴线（22）延伸并且其内表面（30）有螺纹的开放的圆柱形腔，所述壁被通孔（32）穿过; 一个用于可逆地将所述网眼固定在所述通孔内的构件，所述构件由基部和与所述螺纹内表面接合的螺纹杆形成; 和具有沿所述纵向轴线（22）延伸的中空主体（42）的手柄（20），所述中空主体设置有用于控制所述杆（38）围绕所述纵向轴线（22）旋转的装置和用于选择性地在轴向使锚固元件（16）和固定元件（18）相对于手柄方向。

3. 发明申请

WO2016004083A1 SACROCOLPOPEXY/SACROCERVICOPEXY VAGINAL POSITIONING AND MESH RETENTION SYSTEM 审中-公开
标题翻译： SACROCOLPOPEXY / SACROCERVICOPEXY VAGINAL POSITIONING和MESH保持系统
公开(公告)号：WO2016004083A1
公开(公告)日：2016-01-07
申请号：PCT/US2015/038621
申请日：2015-06-30
申请人： UNIVERSITY OF SOUTH FLORIDA , HART, Stuart Richard , SIMOES, Mario Alves , ARMSTRONG, Mark Evans , CARAMBOT, Omar
发明人： HART, Stuart Richard , SIMOES, Mario Alves , ARMSTRONG, Mark Evans , CARAMBOT, Omar
IPC分类号： A61B17/00 , A61B17/04 , A61F2/02
CPC分类号： A61F2/0045 , A61F2/0063 , A61M25/10
摘要： A vaginal support device, vaginal positioning system and associated method of treating pelvic prolapse is presented herein. Vaginal support device contains flat superior and inferior surfaces to facilitate affixing of mesh to vagina. Vaginal support device may be used as part of a system in conjunction with a manipulation device to support the vaginal walls. Mesh retention system may also include a holding device and retention mechanism such as a catheter or shaft and corresponding catheter balloon to hold mesh in place.
摘要翻译：本文提供了一种阴道支撑装置，阴道定位系统及其治疗盆腔脱垂的相关方法。阴道支撑装置包含平坦的上下表面，以便于将网眼固定到阴道。阴道支撑装置可以与系统的一部分一起用于操纵装置以支撑阴道壁。网眼保持系统还可以包括保持装置和诸如导管或轴的保持机构和相应的导管气囊以将网状物保持在适当位置。

4. 发明申请

WO2015198355A2 DELIVERY AND FIXATION OF MEDICAL IMPLANTS 审中-公开
标题翻译：医用植绒的交付和固定
公开(公告)号：WO2015198355A2
公开(公告)日：2015-12-30
申请号：PCT/IN2015/050054
申请日：2015-06-25
申请人： IPENGINE MANAGEMENT (INDIA) PRIVATE LIMITED
发明人： SUFYAN, Mohammad , MALHOTRA, Rajeev , RICHSTONE, Lee , VIRA, Manish
CPC分类号： A61F2/0045 , A61F2220/0008 , A61F2220/0016 , A61F2230/006 , A61F2250/0003
摘要： The present invention provides an implant that includes inflatable anchors that are configured to assume an inflated state and a relaxed state. The implant includes a tubular member mechanically coupled to one or more anchors of the inflatable anchors. The tubular member includes a lumen that provides a passageway for circulating a fluid through the one or more of the plurality of inflatable anchors and allow them to protrude and pierce through bodily tissues. In an embodiment, the implant may include a plurality of bi-directional barbs instead of the inflatable anchors. The plurality of barbs may be activated by a flexible member such that the activation is configured to cause anchoring of the barbs into soft tissues during a surgical procedure. The present invention provides a method for placing an implant. The method includes delivering the implant inside a body along a pathway through an opening proximate sacrum and attaching a first portion of the implant to an anterior vaginal wall, attaching a second portion of the implant to a posterior vaginal wall and attaching a third portion of the implant to a tissue proximate the sacrum.
摘要翻译：本发明提供了一种植入物，其包括构造成呈现膨胀状态和松弛状态的充气锚。植入物包括机械地联接到可膨胀锚固件的一个或多个锚固件的管状构件。管状构件包括内腔，该内腔提供用于使流体循环通过所述多个可充气锚固件中的一个或多个并使其能够突出并穿过身体组织的通道。在一个实施例中，植入物可以包括多个双向倒钩而不是可充气锚。多个倒钩可以由柔性构件激活，使得激活被配置成在外科手术过程中将倒钩锚定到软组织中。本发明提供一种放置植入物的方法。该方法包括沿着通过邻近骶骨的开口的路径将植入体输送到体内，并将植入物的第一部分附着到前阴道壁，将植入物的第二部分附接到后阴道壁，并将第植入到靠近骶骨的组织。

5. 发明申请

WO2015195897A1 INSERTION DEVICES, ANCHORS, AND METHODS FOR SECURING AN IMPLANT 审中-公开
标题翻译：用于保护植入物的插入装置，锚固件和方法
公开(公告)号：WO2015195897A1
公开(公告)日：2015-12-23
申请号：PCT/US2015/036402
申请日：2015-06-18
申请人： BOSTON SCIENTIFIC SCIMED, INC. , PEREIRA, Peter J. , ZOLL, Jonathan , SLANDA, Jozef , CHU, Michael S.H.
发明人： PEREIRA, Peter J. , ZOLL, Jonathan , SLANDA, Jozef , CHU, Michael S.H.
IPC分类号： A61B17/062 , A61B17/064 , A61B17/068 , A61B17/00 , A61B17/04 , A61B17/072
CPC分类号： A61B17/0401 , A61B17/062 , A61B17/064 , A61B17/0643 , A61B17/068 , A61B2017/00805 , A61B2017/0409 , A61B2017/0427 , A61B2017/0464 , A61B2017/0472 , A61B2017/0647 , A61B2017/07271 , A61F2/0004 , A61F2/0045
摘要： In one embodiment, a medical device includes a delivery tool having a carrier member, and a cartridge. The cartridge is coupled to the delivery tool. The cartridge defines an opening. The cartridge is configured to retain an anchor defining a lumen. The carrier member has a retracted configuration and an extended configuration. The carrier member is configured to extend through the lumen defined by the anchor and through the opening defined by the cartridge when the cartridge is coupled to the delivery tool and the carrier member is in its extended configuration.
摘要翻译：在一个实施例中，医疗装置包括具有承载构件和药筒的输送工具。药筒联接到输送工具。墨盒限定开口。盒被配置为保持限定内腔的锚。承载构件具有缩回配置和扩展配置。承载构件被构造成当盒被联接到输送工具并且承载构件处于其延伸构造时，延伸穿过由锚定器限定的内腔和通过由盒限定的开口。

6. 发明申请

WO2015189843A1 TISSUE REPAIR DEVICE AND METHOD 审中-公开
标题翻译：组织修复装置和方法
公开(公告)号：WO2015189843A1
公开(公告)日：2015-12-17
申请号：PCT/IL2015/050585
申请日：2015-06-10
申请人： POP MEDICAL SOLUTIONS LTD.
发明人： HARARI, Boaz , OHAD, Guy
IPC分类号： A61B17/03 , A61F2/02 , A61F6/06
CPC分类号： A61F2/0045 , A61B8/12 , A61B17/0401 , A61B17/06109 , A61B17/06166 , A61B17/3403 , A61B2017/00438 , A61B2017/00805 , A61B2017/0409 , A61B2017/0464 , A61B2017/3413 , A61F2/0063 , A61F6/12 , A61F2002/0072
摘要： A surgical device is provided. The surgical device includes a housing adapted for mounting on a finger of a user; and at least one guide tube attached along a length of the housing. The guide tube is configured for guiding a tissue repair implant from a proximal opening to a distal opening thereof.
摘要翻译：提供外科装置。手术装置包括适于安装在使用者手指上的壳体; 以及沿着壳体的长度附接的至少一个引导管。引导管构造成用于将组织修复植入物从近端开口引导到其远端开口。

7. 发明申请

WO2015137115A1 穿刺部材审中-公开
标题翻译：培训会员
公开(公告)号：WO2015137115A1
公开(公告)日：2015-09-17
申请号：PCT/JP2015/055353
申请日：2015-02-25
申请人：テルモ株式会社
发明人：高橋　侑右 , 川浦　政克 , 横井　奈央
IPC分类号： A61B17/02 , A61B17/00
CPC分类号： A61F2/0045 , A61B17/0625 , A61B17/3403 , A61B17/3468 , A61B2017/00805 , A61B2017/0608 , A61B2017/3405 , A61B2017/3413 , A61B2017/347
摘要：　穿刺部材３は、生体を穿刺する針体３９と、針体３９の基端側に位置し、針体３９と共に生体内へ挿入されるスタイレット３２１を有する軸部３００と、スタイレット３２１の先端部に設けられ、スタイレット３２１と針体３９とを離脱可能に連結する先端チップ３４とを有する。また、針体３９が生体内に位置している状態でスタイレット３２１を基端側へ移動させると、スタイレット３２１と連結した状態を維持したまま針体３９がスタイレット３２１と共に基端側へ移動する。
摘要翻译：穿刺构件（3）配备有：能够刺入生物体的针单元（39）; 轴部（300），其位于针单元（39）的基端侧，并且具有可与针单元（39）一起插入到生物体中的探针（321）; 以及设置在探针（321）的前端部的前端芯片（34），能够以可拆卸的方式将探针（321）与针单元（39）连接。当探针（321）在将针单元（39）保持在生物体的同时向基端侧移动时，针单元（39）与探针（321）一起朝向基端侧移动，同时保持针单元（39）连接到探针（321）。

8. 发明申请

WO2015077310A1 APPARATUS FOR TREATING VAGINAL PROLAPSE 审中-公开
标题翻译：用于治疗VAGINAL PROLAPSE的装置
公开(公告)号：WO2015077310A1
公开(公告)日：2015-05-28
申请号：PCT/US2014/066362
申请日：2014-11-19
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： MILLER, Dennis
IPC分类号： A61F2/00 , A61F6/08
CPC分类号： A61F2/0045 , A61F2/004 , A61F2/005 , A61F6/08
摘要： The invention disclosed herein includes an apparatus for the treatment of prolapse in a pelvic region of a patient. The apparatus is a graft having a central body portion and at least one wing extending from it. A needle is attached to the end of the wing opposite the central body, and the needle in configured to engage the patient's soft tissue positioned near the pelvic region.
摘要翻译：本文公开的发明包括用于治疗患者的盆腔区域脱垂的装置。该装置是具有中心主体部分和从其延伸的至少一个翼片的移植物。针连接到与中心体相对的翼的端部，并且针被构造成接合位于骨盆区域附近的患者的软组织。

9. 发明申请

WO2015041172A1 穿刺装置および穿刺方法审中-公开
标题翻译：打孔装置和打孔方法
公开(公告)号：WO2015041172A1
公开(公告)日：2015-03-26
申请号：PCT/JP2014/074259
申请日：2014-09-12
申请人：テルモ株式会社
发明人：高橋　侑右 , 川浦　政克
IPC分类号： A61B17/34 , A61B17/42
CPC分类号： A61B17/3468 , A61B17/0625 , A61B17/3403 , A61B17/42 , A61B2017/00805 , A61B2017/06023 , A61B2017/06052 , A61B2017/06104 , A61B2017/22069 , A61B2017/3492 , A61B2090/0807 , A61B2217/007 , A61F2/0045 , A61F2002/0072
摘要：穿刺装置(1)は、円弧状に湾曲した一対の穿刺針(71、81)と、尿道挿入部(41)と、膣挿入部(51)を有する。穿刺針(71、81)、尿道挿入部(41)及び膣挿入部(51)の間の位置関係は、フレーム(2)によって定められている。まず、尿道挿入部(41)が患者の尿道(1300)内に挿入され、膣挿入部(51)が患者の膣(1400)内に挿入される。次に、穿刺針(71、81)が回転されると、穿刺針(71、81)は患者の右側及び左側の鼠蹊部を穿刺し、尿道(1300)と膣(1400)との間で、穿刺針(71、81)の先端部同士が係合する。こうして、穿刺針(71、81)がインプラント(9)の留置に適する通路を患者の体に形成する。
摘要翻译：该穿刺装置（1）具有弯曲成圆弧状的一对穿刺针（71,81），尿道插入部（41）和阴道插入部（51）。通过框架（2）确定尿道插入部（41）与阴道插入部（51）之间的穿刺针（71,81）的位置关系。首先，将尿道插入部（41）插入到患者的尿道（1300）中，将阴道插入部（51）插入患者的阴道（1400）。接下来，穿刺针（71,81）旋转，穿刺针（71,81）刺穿患者左侧和右侧的腹股沟区域，穿刺针（71,81）的前端部）在尿道（1300）和阴道（1400）之间彼此接合。以这种方式，穿刺针（71,81）在患者体内形成适于拘留植入物（9）的通道。

10. 发明申请

WO2015031131A1 IMPLANT FOR TREATING PELVIC FLOOR DISORDER 审中-公开
标题翻译：用于治疗皮肤病房的植入物
公开(公告)号：WO2015031131A1
公开(公告)日：2015-03-05
申请号：PCT/US2014/051897
申请日：2014-08-20
申请人： BOSTON SCIENTIFIC SCIMED, INC. , GODDARD, James , PEREIRA, Peter J. , CHU, Michael S.H.
发明人： GODDARD, James , PEREIRA, Peter J. , CHU, Michael S.H.
IPC分类号： A61F2/00
CPC分类号： A61F2/0022 , A61F2/0045 , A61F2/0063 , A61F2220/0008 , A61F2230/006 , A61F2250/0029 , A61F2250/0037
摘要： The invention discloses an implant (100). The implant may include a first flap (102) and a second flap. The first flap may further include a first portion (104), a second portion (106) and a transition region (108). The first portion may be configured to be attached proximate a sacrum. The second portion may be configured to be attached to an anterior vaginal wall. The transition region lies between the first portion and the second portion. The second flap may be fabricated such that a portion of the second flap is configured to be attached to a posterior vaginal wall. The implant may be configured such that a biomechanical attribute of the portion of the first flap attaching to the anterior wall is different from a biomechanical attribute of the portion of the second flap attaching to the posterior wall.
摘要翻译：本发明公开了一种植入物（100）。植入物可以包括第一瓣（102）和第二瓣。第一翼片还可以包括第一部分（104），第二部分（106）和过渡区域（108）。第一部分可被配置成靠近骶骨附接。第二部分可以构造成附接到前阴道壁。过渡区域位于第一部分和第二部分之间。第二瓣可以被制造成使得第二瓣的一部分被配置为附接到后阴道壁。植入物可以被配置为使得附接到前壁的第一瓣的部分的生物力学属性不同于附接到后壁的第二瓣的部分的生物力学属性。

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