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91. 发明授权

US07553317B2 Instrument for effecting anastomosis of respective tissues defining two body lumens 有权
标题翻译：用于实现定义两个体腔的各组织吻合的仪器
公开(公告)号：US07553317B2
公开(公告)日：2009-06-30
申请号：US11093802
申请日：2005-03-30
申请人： William B. Weisenburgh, II , Robert P. Gill , Christopher J. Hess , James W. Voegele
发明人： William B. Weisenburgh, II , Robert P. Gill , Christopher J. Hess , James W. Voegele
IPC分类号： A61B17/08
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/11 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/0412 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/06176 , A61B2017/0647 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2017/22069 , A61B2017/2905 , A61B2017/2923
摘要： The instrument disclosed may comprise a tube assembly supporting an end effector that may be adapted for insertion into and through the urethra, and adapted for use in effecting the anastomosis of a patient's bladder and urethra following a prostatectomy. In one embodiment the end effector may comprise a positioner having a positioner arm that is extendable and retractable by rotation of a tube, and an anchor driver. In another embodiment the end effector may comprise a positioner and an anchor driver having a driver arm that is extendable and retractable by rotation of a tube.
摘要翻译：所公开的仪器可以包括支撑末端执行器的管组件，其可以适于插入和穿过尿道，并适于用于在前列腺切除术之后实现患者膀胱和尿道的吻合。在一个实施例中，末端执行器可以包括具有定位器臂的定位器，该定位器臂可以通过管的旋转而延伸和缩回，以及锚定器。在另一个实施例中，末端执行器可以包括定位器和锚定器驱动器，其具有通过管的旋转而可伸缩的驱动臂。

92. 发明申请

US20090118587A1 Manifold for laparoscopic seal assembly 有权
标题翻译：歧管用于腹腔镜密封组装
公开(公告)号：US20090118587A1
公开(公告)日：2009-05-07
申请号：US11979638
申请日：2007-11-06
申请人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
发明人： James W. Voegele , Christopher J. Hess , William B. Weisenburgh, II , Robert P. Gill , Daniel W. Drew , Frank L. Lyman , Michael D. Cronin
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3498 , A61B2017/00265 , A61B2017/00438 , A61B2090/308 , A61B2217/005
摘要： A laparoscopic seal assembly includes a seal cap having a seal with an access opening. The seal cap also includes a manifold connection for attachment of a functional apparatus. The seal assembly further includes a retractor.
摘要翻译：腹腔镜密封组件包括具有与入口的密封件的密封帽。密封盖还包括用于附接功能装置的歧管连接件。密封组件还包括牵开器。

93. 发明授权

US07500972B2 Device for alternately holding, or effecting relative longitudinal movement, of members of a medical instrument 有权
标题翻译：用于交替地保持或实现医疗器械的构件的相对纵向移动的装置
公开(公告)号：US07500972B2
公开(公告)日：2009-03-10
申请号：US11094119
申请日：2005-03-30
申请人： James W. Voegele , Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II
发明人： James W. Voegele , Robert P. Gill , Christopher J. Hess , William B. Weisenburgh, II
IPC分类号： A61M27/00
CPC分类号： A61B17/0401 , A61B17/0482 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/11 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/0412 , A61B2017/0417 , A61B2017/0419 , A61B2017/0427 , A61B2017/06176 , A61B2017/0647 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139 , A61B2017/22069 , A61B2017/2905 , A61B2017/2923
摘要： The disclosed device can hold, or effect relative longitudinal movement between, two members of a medical instrument, such as an instrument used for fastening two hollow organs together. The device may comprise a handle member having a longitudinal guide defining a line of travel and a longitudinal groove having a detent catch therein; a longitudinally spring-biased moving member slidable within the longitudinal guide and having pawl receiving slots along a line parallel with the line of travel; and a transversely and rotationally spring-biased driving trigger member comprising a pawl proximate to the moving member and adapted to engage the pawl receiving slots when aligned therewith, and a fulcrum member movable within the groove and adapted to be releasably captured by the detent, the driving trigger member being rotatable about the fulcrum member to cause the pawl to engage or disengage the pawl receiving slots.
摘要翻译：所公开的装置可以保持或影响医疗器具的两个构件之间的相对纵向运动，例如用于将两个中空器件紧固在一起的仪器。该装置可以包括具有限定行程线的纵向引导件和在其中具有止动钩的纵向凹槽的手柄构件; 纵向弹簧偏移的移动构件，其可在纵向引导件内滑动并且具有沿着与行程线平行的直线的棘爪接收槽; 以及横向和旋转的弹簧偏压的驱动触发器构件，其包括靠近所述移动构件的棘爪，并且适于在与所述棘爪接合槽对齐时接合所述棘爪接收槽;以及支撑构件，其可在所述凹槽内移动并且适于被所述棘爪可释放地捕获，驱动触发器构件可围绕支点构件旋转，以使棘爪接合或脱离棘爪接收槽。

94. 发明申请

US20090005808A1 Staple cartridge cavity configuration with cooperative surgical staple 有权
标题翻译：具有协作性手术缝钉的钉仓腔配置
公开(公告)号：US20090005808A1
公开(公告)日：2009-01-01
申请号：US11824275
申请日：2007-06-29
申请人： Christopher J. Hess , Douglas J. Siebenaler , Thomas W. Huitema , William B. Weisenburgh, II
发明人： Christopher J. Hess , Douglas J. Siebenaler , Thomas W. Huitema , William B. Weisenburgh, II
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B17/32 , A61B90/39 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： Surgical staples including features which can cooperate with staple cavities in a staple cartridge in order to reduce, or even prevent, the surgical staples from rocking, rotating or tilting, within the staple cavities while the staples are deployed by a staple driver, especially when the staples are oriented at different directions. In various embodiments, the surgical staples can include crowns having arcuate and/or cylindrical features which can cooperate with arcuate and/or cylindrical features of the staple cavities in order to reduce unwanted relative movement, or rotation, between the staples and the staple cavities.
摘要翻译：手术钉包括能够与钉仓中的缝合腔配合的特征，以便在订书钉腔中的缝合钉腔内减少或甚至防止手术吻合钉摆动，旋转或倾斜，特别是当钉钉书针不同方向。在各种实施例中，手术吻合钉可以包括具有弓形和/或圆柱形特征的冠部，其可以与缝合钉腔的弓形和/或圆柱形特征配合，以减少钉和钉腔之间的不必要的相对运动或旋转。

95. 发明申请

US20090001121A1 Surgical staple having an expandable portion 审中-公开
标题翻译：具有可扩张部分的手术钉
公开(公告)号：US20090001121A1
公开(公告)日：2009-01-01
申请号：US11824446
申请日：2007-06-29
申请人： Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , Jerome R. Morgan , Michael A. Murray , Thomas W. Huitema , Binoy K. Bordoloi
发明人： Christopher J. Hess , William B. Weisenburgh, II , James W. Voegele , Jerome R. Morgan , Michael A. Murray , Thomas W. Huitema , Binoy K. Bordoloi
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B90/39 , A61B2017/00004 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical staple including features which can reduce bleeding from soft tissue. In various embodiments, the surgical staple can include at least one deformable member which can puncture a hole in soft tissue as it is inserted therethrough. The deformable member can include a material thereon, or can be comprised of a material, which can expand and substantially fill the puncture hole in the soft tissue. In various embodiments, at least a portion of the deformable member can be coated with a hydrophilic material which can expand when exposed to water, or other bodily fluids, and apply a compression force to the perimeter of the puncture hole. Such a compression force can reduce bleeding from the puncture hole and thereby reduce any potential complications resulting therefrom.
摘要翻译：外科手术钉包括可以减少软组织出血的特征。在各种实施例中，外科缝合钉可以包括至少一个可变形构件，该可变形构件在插入其中时能刺穿软组织中的孔。可变形构件可以包括其上的材料，或者可以由可以膨胀并基本上填充软组织中的穿刺孔的材料构成。在各种实施例中，可变形构件的至少一部分可以涂覆有亲水材料，该亲水材料当暴露于水或其它体液时可以膨胀，并且对穿刺孔的周边施加压缩力。这样的压缩力可以减少穿刺孔的渗出，从而减少由此引起的任何潜在的并发症。

96. 发明授权

US09250172B2 Systems and methods for predicting metabolic and bariatric surgery outcomes 有权
标题翻译：用于预测代谢和减肥手术结果的系统和方法
公开(公告)号：US09250172B2
公开(公告)日：2016-02-02
申请号：US14429706
申请日：2013-09-20
申请人： Jason L. Harris , Christopher J. Hess , Nitin Kumar Jain , Diane M. Francis , Thomas E. Albrecht , Tina Denise Hunter
发明人： Jason L. Harris , Christopher J. Hess , Nitin Kumar Jain , Diane M. Francis , Thomas E. Albrecht , Tina Denise Hunter
IPC分类号： G06F19/00 , G01N5/04
CPC分类号： G01N5/04 , G06F19/00 , G06F19/3475 , G06F19/3481 , G06N5/04 , G16H50/70
摘要： Various systems and methods for predicting metabolic and bariatric surgery outcomes are provided. The systems and methods can also provide predictions for non-surgical metabolic and bariatric treatments. In general, a user can receive predictive outcomes of multiple bariatric procedures that could be performed on a patient. In one embodiment, a user can electronically access a metabolic and bariatric surgery outcome prediction system, e.g., using one or more web pages. The system can provide predictive outcomes of one or more different bariatric surgeries for the patient based on data gathered from the user and on historical data regarding outcomes of the different bariatric surgeries. The system can additionally provide predictive outcomes for not having any treatment and/or a comparison of the predictive outcomes of the one or more different bariatric surgeries to the predictive outcomes for not having any treatment.
摘要翻译：提供了用于预测代谢和减肥手术结果的各种系统和方法。系统和方法还可以为非手术代谢和减肥治疗提供预测。通常，用户可以接收可以对患者进行的多个减肥手术的预测结果。在一个实施例中，用户可以电子地访问代谢和减肥手术结果预测系统，例如使用一个或多个网页。该系统可以基于从用户收集的数据和关于不同肥胖症手术的结果的历史数据，为患者提供一个或多个不同的肥胖症手术的预测结果。该系统还可以提供不具有任何治疗和/或将一种或多种不同的肥胖症手术的预测结果与未进行任何治疗的预测结果进行比较的预测结果。

97. 发明申请

US20090192344A1 SURGICAL DEVICES FOR MANIPULATING TISSUE 审中-公开
标题翻译：用于手术组织的外科手术
公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
IPC分类号： A61N2/10 , A61N2/00
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译：手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。

98. 发明申请

US20080082124A1 Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same 有权
标题翻译：具有用于固定其中的组织的可压缩或可压碎构件的手术订书钉，以及用于展开其的装订工具
公开(公告)号：US20080082124A1
公开(公告)日：2008-04-03
申请号：US11541123
申请日：2006-09-29
申请人： Christopher J. Hess , Jerome R. Morgan , William B. Weisenburgh , James W. Voegele , Mark S. Ortiz , Michael J. Stokes , Carl Shurtleff , Frederick E. Shelton , Jeffrey S. Swayze
发明人： Christopher J. Hess , Jerome R. Morgan , William B. Weisenburgh , James W. Voegele , Mark S. Ortiz , Michael J. Stokes , Carl Shurtleff , Frederick E. Shelton , Jeffrey S. Swayze
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A staple having a crown, a deformable leg extending from the crown, and a spring extending from the crown configured to compress tissue between the spring and the deformable member. Owing to the flexibility of the spring, the staple can accommodate a wide range of tissue thicknesses while still compressing the tissue captured therein. As a result, a single staple design can be used in a wide variety of surgical procedures thereby reducing the amount of staple designs that must be provided to the surgeon. In at least one embodiment, the staple includes a crushable member. This crushable member can include a plastically deformable first portion and an elastically deformable second portion. The present invention can also include, in various embodiments, a crown, a first deformable member extending from the crown, and means for compressing the tissue against the first deformable member.
摘要翻译：具有冠部的钉，从冠部延伸的可变形腿部以及从冠部延伸的弹簧，其构造成在弹簧和可变形构件之间压缩组织。由于弹簧的灵活性，订书钉可以适应宽范围的组织厚度，同时仍然压缩其中捕获的组织。结果，单个钉设计可以用于各种各样的手术过程，从而减少必须提供给外科医生的钉设计的数量。在至少一个实施例中，订书钉包括可压碎构件。该可压碎构件可以包括可塑性变形的第一部分和可弹性变形的第二部分。在各种实施例中，本发明还可以包括冠部，从冠部延伸的第一可变形构件以及用于将组织压靠在第一可变形构件上的装置。

99. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

100. 发明授权

US07708756B2 Actuation mechanism for flexible endoscopic device 有权
标题翻译：柔性内窥镜装置的致动机构
公开(公告)号：US07708756B2
公开(公告)日：2010-05-04
申请号：US10674235
申请日：2003-09-29
申请人： Rudolph Nobis , Christopher J. Hess , Michael J. Stokes
发明人： Rudolph Nobis , Christopher J. Hess , Michael J. Stokes
IPC分类号： A61B17/28
CPC分类号： A61B10/06 , A61B17/2909 , A61B17/3201 , A61B17/32056 , A61B17/3478 , A61B2017/00292 , A61B2017/00367 , A61B2017/00477
摘要： An endoscopic accessory medical device is provided. The device can include a handle, a flexible shaft, and an end effector. The handle can include an actuator for operating the end effector through a wire or cable pulling member that extends through the flexible shaft. The handle and actuator can be operable with a single hand, such that the operation of the end effector can be accomplished with the same hand that is used to hold the handle and advance the end effector through an endoscope. The handle can include an actuation mechanism that is decoupled from operation of the end effector when the actuator is in a first open position, which becomes operatively coupled to the end effector when the actuator is moved to a second position, such as by squeezing the actuator, and which operates the end effector when the actuator is moved further to a third position.
摘要翻译：提供内窥镜附件医疗装置。该装置可以包括手柄，柔性轴和端部执行器。手柄可以包括致动器，用于通过延伸穿过柔性轴的电线或电缆牵引构件来操作端部执行器。手柄和致动器可以用单手操作，使得端部执行器的操作可以用用于保持手柄并使端部执行器通过内窥镜前进的相同的手来实现。手柄可以包括致动机构，当致动器处于第一打开位置时，致动机构与端部执行器的操作分离，当致动器移动到第二位置时，该致动机构可操作地联接到端部执行器，例如通过挤压致动器，并且当致动器进一步移动到第三位置时，其操作端部执行器。

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