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1. 发明申请

US20100331862A1 TISSUE COMPRESSION USING SURGICAL CLIPS 审中-公开
标题翻译：使用手术夹的组织压缩
公开(公告)号：US20100331862A1
公开(公告)日：2010-12-30
申请号：US12521597
申请日：2007-12-27
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A compression clip system where compression is used to close a tissue opening, reduce the volume of an organ, ligate dilated blood vessels or compress tissue adjacent to various other types of lesions to induce healing. Compression prevents bleeding and the leakage of body fluids into a body cavity. The opening may be surgery induced as in gastrectomies or formed naturally such as peptic ulcers and hemorrhoids. The system may include a compression clip, a suitable clip applier, a grasper assembly and an endoscope all brought to the compression site via a multi-lumen sleeve.
摘要翻译：压缩夹系统，其中压缩用于封闭组织开口，减少器官的体积，连接扩张的血管或压迫与各种其它类型的损伤相邻的组织以诱导愈合。压缩防止体液流入体腔的出血和泄漏。开口可以是胃切除手术或自然形成的手术，如消化性溃疡和痔疮。该系统可以包括压缩夹，合适的施夹器，抓紧器组件和内窥镜，其全部通过多腔套筒带到压缩部位。

2. 发明申请

US20070213585A1 Endoscopic full thickness resection using surgical compression clips 失效
标题翻译：内镜全切除术使用手术压缩夹
公开(公告)号：US20070213585A1
公开(公告)日：2007-09-13
申请号：US11647912
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B1/00
CPC分类号： A61B17/0643 , A61B1/00135 , A61B1/0014 , A61B1/018 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0641 , A61B2017/308
摘要： A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.
摘要翻译：描述了一种包括手术压缩夹的系统，用于内窥镜全厚度切除。类似地，还讨论了使用所述系统的内窥镜全厚度切除术的方法。讨论使用形状记忆元件的手术压缩夹。这些夹子可推进到可疑组织的位置，以通过包围内窥镜的多腔套筒的内腔切除。在组织的位置处，压缩夹被打开并操作以包围可疑组织。还描述了可通过内窥镜推进的抓斗组件。这些后者将把嫌疑组织带到打开的夹子上。然后关闭夹子并切除组织。夹子会影响切除部位的坏死和愈合。

3. 发明授权

US07635374B2 Endoscopic full thickness resection using surgical compression clips 失效
标题翻译：内镜全切除术使用手术压缩夹
公开(公告)号：US07635374B2
公开(公告)日：2009-12-22
申请号：US11647912
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/10 , A61B17/08 , A61B1/00
CPC分类号： A61B17/0643 , A61B1/00135 , A61B1/0014 , A61B1/018 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0641 , A61B2017/308
摘要： A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.
摘要翻译：描述了一种包括手术压缩夹的系统，用于内窥镜全厚度切除。类似地，还讨论了使用所述系统的内窥镜全厚度切除术的方法。讨论使用形状记忆元件的手术压缩夹。这些夹子可推进到可疑组织的位置，以通过包围内窥镜的多腔套筒的内腔切除。在组织的位置处，压缩夹被打开并操作以包围可疑组织。还描述了可通过内窥镜推进的抓斗组件。这些后者将把嫌疑组织带到打开的夹子上。然后关闭夹子并切除组织。夹子会影响切除部位的坏死和愈合。

4. 发明申请

US20070213747A1 Surgical compression clips 有权
标题翻译：手术压缩夹
公开(公告)号：US20070213747A1
公开(公告)日：2007-09-13
申请号：US11647913
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.
摘要翻译：一种外科夹子组件，其包括一对大致线性的压缩元件，用于将组织固定在它们之间并用于向固定的组织施加压缩力。夹子组件具有初始的打开位置，其中线性压缩元件可以围绕组织定位以固定在它们之间。组件还具有最终的闭合位置，其中压缩元件基本上彼此平行，向固定的组织施加压缩力。夹子组件还包括设置在该对压缩元件之间并且可操作地在它们之间传递操作力的力装置。

5. 发明授权

US07892244B2 Surgical compression clips 有权
标题翻译：手术压缩夹
公开(公告)号：US07892244B2
公开(公告)日：2011-02-22
申请号：US11647913
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.
摘要翻译：一种外科夹子组件，其包括一对大致线性的压缩元件，用于将组织固定在它们之间并用于向固定的组织施加压缩力。夹子组件具有初始的打开位置，其中线性压缩元件可以围绕组织定位以固定在它们之间。组件还具有最终的闭合位置，其中压缩元件基本上彼此平行，向固定的组织施加压缩力。夹子组件还包括设置在该对压缩元件之间并且可操作地在它们之间传递操作力的力装置。

6. 发明授权

US08205782B2 Compression assemblies and applicators for use therewith 有权
标题翻译：用于其的压缩组件和涂敷器
公开(公告)号：US08205782B2
公开(公告)日：2012-06-26
申请号：US12373450
申请日：2007-07-12
申请人： Boaz Harari , Leonid Monassevitch , Michael Arad , Doron Kopelman , Amir Perle , Boaz Shenhav , Kobby Greenberg
发明人： Boaz Harari , Leonid Monassevitch , Michael Arad , Doron Kopelman , Amir Perle , Boaz Shenhav , Kobby Greenberg
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/115 , A61B17/32053 , A61B2017/0641
摘要： A compression assembly for use in compressing tissue comprising a first portion which includes a first compression element and a second portion which comprises a second compression element, at least one support element, and at least one spring element. Typically the spring element is formed of a shape-memory material. The at least one spring element is in compressive force contact with the second compression element and the tissue to be joined is positioned between the first and second compression elements. A plurality of needles on one of the support elements is operative to pierce the tissue and the first portion of the assembly, holding the first compression element to the second portion of the assembly. The invention is appropriate for joining severed tissue in anastomosis procedures or closing natural or surgically produced tissue perforations.
摘要翻译：一种用于压缩组织的压缩组件，包括包括第一压缩元件的第一部分和包括第二压缩元件，至少一个支撑元件和至少一个弹簧元件的第二部分。通常，弹簧元件由形状记忆材料形成。所述至少一个弹簧元件与第二压缩元件压缩力接触，并且待连接的组织定位在第一和第二压缩元件之间。一个支撑元件上的多个针可操作以刺穿组织和组件的第一部分，将第一压缩元件保持在组件的第二部分。本发明适用于在吻合过程中连接切断的组织或闭合天然或手术产生的组织穿孔。

7. 发明申请

US20090302089A1 COMPRESSION ASSEMBLIES AND APPLICATORS FOR USE THEREWITH 有权
标题翻译：压缩机组及其使用者
公开(公告)号：US20090302089A1
公开(公告)日：2009-12-10
申请号：US12373450
申请日：2007-07-12
申请人： Boaz Harari , Leonid Monassevitch , Michael Arad , Doron Kopelman , Amir Perle , Boaz Shenhav , Kobby Greenberg
发明人： Boaz Harari , Leonid Monassevitch , Michael Arad , Doron Kopelman , Amir Perle , Boaz Shenhav , Kobby Greenberg
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/115 , A61B17/32053 , A61B2017/0641
摘要： A compression assembly for use in compressing tissue comprising a first portion which includes a first compression element and a second portion which comprises a second compression element, at least one support element, and at least one spring element. Typically the spring element is formed of a shape-memory material. The at least one spring element is in compressive force contact with the second compression element and the tissue to be joined is positioned between the first and second compression elements. A plurality of needles on one of the support elements is operative to pierce the tissue and the first portion of the assembly, holding the first compression element to the second portion of the assembly. The invention is appropriate for joining severed tissue in anastomosis procedures or closing natural or surgically produced tissue perforations.
摘要翻译：一种用于压缩组织的压缩组件，包括包括第一压缩元件的第一部分和包括第二压缩元件，至少一个支撑元件和至少一个弹簧元件的第二部分。通常，弹簧元件由形状记忆材料形成。所述至少一个弹簧元件与第二压缩元件压缩力接触，并且待连接的组织定位在第一和第二压缩元件之间。一个支撑元件上的多个针可操作以刺穿组织和组件的第一部分，将第一压缩元件保持在组件的第二部分。本发明适用于在吻合过程中连接切断的组织或闭合天然或手术产生的组织穿孔。

8. 发明申请

US20110092766A1 TAPERED LUMENS FOR MULTI-LUMEN SLEEVES USED IN ENDOSCOPIC PROCEDURES 审中-公开
标题翻译：用于内窥镜手术的多发乳腺切开的白内障
公开(公告)号：US20110092766A1
公开(公告)日：2011-04-21
申请号：US12524044
申请日：2008-01-02
申请人： Leonid Monassevitch , Boaz Shenhav , Kobby Greenberg , Dror Rosner , Amol Bapaye
发明人： Leonid Monassevitch , Boaz Shenhav , Kobby Greenberg , Dror Rosner , Amol Bapaye
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0008 , A61B1/00094 , A61B1/00135
摘要： A multi-lumen sleeve for use with an endoscope shaft and at least one working surgical instrument. The shaft and surgical instruments have an end portion. The sleeve comprises a primary lumen having a free end and one or more secondary lumens which are joined to the primary lumen. Some or all of the lumens have free ends for connection to the end portion of a selected one of the shaft and the one or more working surgical instrument. Each of the free ends of the primary and secondary lumens is adapted to fit about and support the end portion of the shaft or the one or more working surgical instrument. This facilitates concerted motion and coupled articulation between the shaft and the one or more working surgical instrument. Systems employing this multi-lumen sleeve are described.
摘要翻译：一种用于内窥镜轴和至少一个工作手术器械的多腔套管。轴和外科器械具有端部。套筒包括具有自由端的主腔和连接到主腔的一个或多个次管腔。一些或所有管腔具有用于连接到所述轴和所述一个或多个工作外科器械中的所选择的一个的端部的自由端。主腔和次腔的每个自由端适于安装在轴的端部或一个或多个工作的外科器械上。这有助于轴和一个或多个工作的手术器械之间的协调运动和联接关节。描述了采用这种多腔套管的系统。

9. 发明申请

US20110054498A1 ENDOSCOPIC COMPRESSION CLIP AND SYSTEM AND METHOD FOR USE THEREOF 审中-公开
标题翻译：内窥镜压缩夹和系统及其使用方法
公开(公告)号：US20110054498A1
公开(公告)日：2011-03-03
申请号：US12990823
申请日：2009-05-05
申请人： Leonid Monassevitch , Boaz Shenhav , Shahar Millis , Kobby Greenberg
发明人： Leonid Monassevitch , Boaz Shenhav , Shahar Millis , Kobby Greenberg
IPC分类号： A61B17/122 , A61B17/128
CPC分类号： A61B17/1285 , A61B17/122
摘要： A compression clip assembly for compressing tissue and operable by means of a user-operated applier. The assembly comprises a compression clip and a lock element. The clip includes a pair of normally spaced apart elongate members each having an outward-facing surface, and having respective inward-facing opposing surfaces for compressing tissue; a hinge formed at least partly of a superelastic material and in operative mechanical connection with the elongate members; and a lock region formed on the outer surface of each of the elongate members adjacent to the hinge, each lock region being delimited by a first stop element proximal to the hinge and a second stop element distal from the hinge. The lock element is constructed for lockably engaging the lock regions so as to lock the clip in its closed position. The invention also encompasses a system and method for using the compression clip assembly.
摘要翻译：一种用于压缩组织并通过用户操作的施加器可操作的压缩夹组件。组件包括压缩夹和锁定元件。夹子包括一对常规分开的细长构件，每个细长构件具有面向外的表面，并且具有用于压缩组织的相应的向内相对的表面; 铰链至少部分地由超弹性材料形成并且与细长构件具有可操作的机械连接; 以及形成在与铰链相邻的每个细长构件的外表面上的锁定区域，每个锁定区域由靠近铰链的第一止动元件和远离铰链的第二止动元件界定。锁定元件被构造成可锁定地接合锁定区域，以便将夹子锁定在其关闭位置。本发明还包括用于使用压缩夹组件的系统和方法。

10. 发明授权

US08764773B2 Surgical port for notes procedures 失效
标题翻译：手术口岸笔记程序
公开(公告)号：US08764773B2
公开(公告)日：2014-07-01
申请号：US12937285
申请日：2009-04-07
申请人： Boaz Harari , Leonid Monassevitch , Kobby Greenberg
发明人： Boaz Harari , Leonid Monassevitch , Kobby Greenberg
IPC分类号： A61B17/03
CPC分类号： A61B17/122 , A61B17/072 , A61B17/3423 , A61B2017/00278 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/3425
摘要： A dual use compression clip and surgical port device where the device serves as a surgical compression clip and surgical port in surgical procedures. The device comprises two compression elements each constructed having a bounding surface which when taken together form the boundary of a surgical port and one or more hinge elements in mechanical communication with the compression elements allowing the compression elements and the device to move from an open arrangement to a closed arrangement. The device also includes one or more apertures on each of the compression elements sized and configured to receive the insertion elements of an applicator instrument so that a force applied by the applicator instrument brings the device and compression elements from their open arrangement to their closed arrangement. A system and method for use of the device is also discussed.
摘要翻译：双用途压缩夹和手术口装置，其中该装置用作外科手术中的手术压缩夹和手术端口。该装置包括两个压缩元件，每个压缩元件构造成具有边界表面，该边界面一起形成外科口的边界，以及与压缩元件机械连通的一个或多个铰链元件，允许压缩元件和装置从开放布置移动到封闭的安排。该装置还包括在每个压缩元件上的一个或多个孔，其大小和构造成容纳施用器械的插入元件，使得由施用器械施加的力将装置和压缩元件从其打开的布置带到其封闭的布置。还讨论了使用该装置的系统和方法。

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