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111. 发明授权

US5597107A Surgical stapler instrument 失效
标题翻译：手术吻合器仪器
公开(公告)号：US5597107A
公开(公告)日：1997-01-28
申请号：US457721
申请日：1995-06-01
申请人： Bryan D. Knodel , Bennie Thompson , Richard P. Nuchols
发明人： Bryan D. Knodel , Bennie Thompson , Richard P. Nuchols
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923
摘要： A surgical stapler instrument is provided for applying lateral lines of staples to tissue while cutting the tissue between those staple lines. The instrument includes a handle portion, an implement portion, a reciprocating section, a drive member and a movable actuator. The implement portion includes a staple cartridge and an anvil. The reciprocating section is adapted to move back and forth along an axis of the implement portion. The movable actuator is associated with the handle portion and is engaged with the drive member such that motion of the actuator causes the drive member to move back and forth between first and second drive positions separated by a first distance. Further structure is provided to position only a correct amount of tissue (a predetermined range) between the anvil and cartridge. A multiplier is further provided and is associated with the reciprocating section and the drive member for causing the reciprocating section to move back and forth between first and second reciprocating positions in response to movement of the drive member. The reciprocating section includes a work portion which, when moved distally, effects the firing of staples in the staple cartridge toward the anvil. The work portion is also provided with a reciprocating knife. The first and second reciprocating positions are separated by a second distance which differs from the first distance.
摘要翻译：提供了一种外科缝合器器械，用于在切割这些缝合线之间的组织的同时将组织的侧线施加到组织。仪器包括手柄部分，工具部分，往复运动部分，驱动部件和可移动致动器。工具部分包括钉仓和砧座。往复运动部分适于沿着工具部分的轴线前后移动。可移动致动器与手柄部分相关联并且与驱动构件接合，使得致动器的运动导致驱动构件在分开第一距离的第一和第二驱动位置之间来回移动。提供了进一步的结构以仅在砧座和盒之间仅定位正确量的组织（预定范围）。进一步提供乘法器，并且与往复运动部分和驱动部件相关联，用于使往复运动部分响应于驱动部件的移动在第一和第二往复运动位置之间往复运动。往复运动部分包括工作部分，当远端移动时，使订书钉钉钉上的订书钉朝向砧座的作用。工作部分还设置有往复刀。第一和第二往复运动位置与第一距离不同的第二距离分开。

112. 发明授权

US5553765A Surgical stapler with improved operating lever mounting arrangement 失效
标题翻译：具有改进的操作杆安装布置的手术吻合器
公开(公告)号：US5553765A
公开(公告)日：1996-09-10
申请号：US431105
申请日：1995-04-28
申请人： Bryan D. Knodel , Dale R. Schulze , Richard P. Nuchols
发明人： Bryan D. Knodel , Dale R. Schulze , Richard P. Nuchols
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2923
摘要： A surgical instrument, illustrated as an endoscopic surgical stapler, includes first and second operating linkages respectively operatively connected with first and second operating levers pivotally mounted on a frame of the instrument. An improved mounting arrangement is provided for the operating levers in the form of first and second mounting bosses. The mounting bosses are formed separately in order to isolate forces exerted thereon by the operating levers attendant to use of the instrument.
摘要翻译：示出为内窥镜外科缝合器的手术器械包括第一和第二操作连接件，其分别与枢转地安装在仪器的框架上的第一和第二操作杆可操作地连接。为第一和第二安装凸台形式的操作杆提供改进的安装布置。安装凸台分开形成，以隔离由于使用仪器而使用的操作杆施加在其上的力。

113. 发明授权

US09474527B1 Surgical instrument with discrete articulation 有权
标题翻译：具有离散关节的手术器械
公开(公告)号：US09474527B1
公开(公告)日：2016-10-25
申请号：US13094716
申请日：2011-04-26
申请人： Bryan D. Knodel , Philipe R. Manoux , Benjamin J. Matthias
发明人： Bryan D. Knodel , Philipe R. Manoux , Benjamin J. Matthias
IPC分类号： A61B17/00 , A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/2927
摘要： An exemplary surgical apparatus may include an end effector; a shaft extending proximally from the end effector, the shaft including an articulation region; and a handle including at least one button, where actuation of the button causes said the effector to articulate through a discrete increment relative to the shaft.
摘要翻译：示例性手术装置可以包括端部执行器; 从所述端部执行器向近侧延伸的轴，所述轴包括铰接区域; 以及包括至少一个按钮的把手，其中所述按钮的致动使所述效应器相对于所述轴以离散的增量来铰接。

114. 发明授权

US09289208B1 Articulation insert for surgical instrument 有权
标题翻译：手术器械的关节插入物
公开(公告)号：US09289208B1
公开(公告)日：2016-03-22
申请号：US12436087
申请日：2009-05-05
申请人： Bryan D. Knodel , Philipe R. Manoux , Michael P. Schaller
发明人： Bryan D. Knodel , Philipe R. Manoux , Michael P. Schaller
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/07207 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327
摘要： An exemplary surgical apparatus may include a flexible articulation insert and at least one feeder belt extending through the articulation insert, where at least some of the staples are frangibly connected to the feeder belt. Another exemplary surgical apparatus may include at least one movable feeder belt; staples fixed to the feeder belt; and a flexible articulation insert having at least one feeder belt passage defined therein, the flexible articulation insert configured to bend through a range of motion; where each feeder belt extends through a corresponding feeder belt passage, and where each feeder belt passage is shaped such that the corresponding feeder belt and staples fixed thereto are slidable along the passage throughout the entire range of motion of the flexible articulation insert.
摘要翻译：示例性手术装置可以包括柔性关节运动插入件和延伸穿过关节运动插入件的至少一个进给器带，其中至少一些订书针被脆弱地连接到馈送带。另一示例性的手术装置可以包括至少一个可动进给带; 订书钉固定在给纸带上; 以及柔性铰接插入件，其具有限定在其中的至少一个馈送带通道，所述柔性关节运动插入件构造成弯曲穿过一定范围的运动; 其中每个进料带延伸通过相应的进料带通道，并且其中每个进料带通道成形为使得相应的进料带和固定在其上的订书钉可沿柔性铰接插入物的整个运动范围沿通道滑动。

115. 发明授权

US09084600B1 Anvil-side staple trap 有权
标题翻译：砧座侧钉锁
公开(公告)号：US09084600B1
公开(公告)日：2015-07-21
申请号：US13399881
申请日：2012-02-17
申请人： Bryan D. Knodel , Jared L. Van Cleave , Philipe R. Manoux
发明人： Bryan D. Knodel , Jared L. Van Cleave , Philipe R. Manoux
IPC分类号： A61B17/068 , A61B17/064 , A61B17/072
CPC分类号： A61B17/068 , A61B17/064 , A61B17/072 , A61B17/07207 , A61B2017/00398 , A61B2017/07228 , A61B2017/07235 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/2923 , A61B2090/037 , A61B2090/0811
摘要： An exemplary surgical stapler may include a staple holder; an anvil movably connected to the staple holder; staple forming pockets defined in a surface of the anvil; and a staple trap movable within the anvil relative to the staple forming pockets. Another exemplary surgical stapler for may include a feeder belt; staples frangibly affixed to said feeder belt; an anvil against which the staples are bent in a controlled manner by engagement with staple forming pockets defined in that anvil; and at least one finger that presses a corresponding staple within a corresponding staple forming pocket laterally with a force sufficient to hold the staple in the staple forming pocket where said staple does not engage tissue after that staple is bent.
摘要翻译：示例性外科缝合器可以包括钉保持器; 可移动地连接到订书钉保持器的砧座; 限定在砧座的表面中的缝钉形成袋; 以及在所述砧座内相对于所述缝合钉形成口袋移动的钉仓。另一示例性的外科缝合器可以包括给料带; 钉子易碎地固定在所述给料带上; 砧座，通过与在该砧座中限定的缝钉形成凹槽的接合以可控的方式使订书钉弯曲成砧座; 以及至少一个手指，其以相当于缝合钉形成口袋内的钉保持钉的方式横向地挤压在相应的缝合钉成形口袋内的相应的缝合钉，其中所述缝合钉在钉子被弯曲之后不接合组织。

116. 发明授权

US08679155B2 Surgical method utilizing a true multiple-fire surgical stapler 有权
标题翻译：采用真正多功能手术吻合器的手术方法
公开(公告)号：US08679155B2
公开(公告)日：2014-03-25
申请号：US13193398
申请日：2011-07-28
申请人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient. Another exemplary surgical method of treating a plurality of discrete tissue structures within the body of a patient in which an incision has been made may include having an endocutter that holds a plurality of staples; inserting the distal end of the endocutter through the incision in the patient; and transecting a plurality of the discrete tissue structures with the distal end of the endocutter, without withdrawing the distal end of the endocutter through the incision in the patient and without inserting additional staples into the endocutter.
摘要翻译：治疗患者体内的组织的示例性手术方法可包括具有末端执行器的内切割器; 通过开口将末端执行器插入患者体内; 使组织与末端执行器接合; 用两个缝合线与末端执行器装订组织; 在末端执行器之间切割缝合线之间的组织; 从末端执行器释放组织; 并且在患者身体内的不同位置的组织上重复在患者体内的接合，缝合，切割和释放，同时将末端执行器保持在患者体内。治疗其中已经进行切口的患者体内的多个离散组织结构的另一示例性手术方法可包括具有保持多个钉的内切割器; 将内切割器的远端插入患者的切口; 并且利用内切割器的远端横切多个离散的组织结构，而不通过患者的切口撤回内切割器的远端，并且不将额外的钉插入到内切割器中。

117. 发明授权

US08574246B1 Compliant anastomosis system utilizing suture 有权
标题翻译：吻合吻合系统利用缝合
公开(公告)号：US08574246B1
公开(公告)日：2013-11-05
申请号：US11004777
申请日：2004-12-03
申请人： Theodore M. Bender , Luke W. Clauson , Philipe R. Manoux , Zachary Warder-Gabaldon , Kathleen H. Davies , Bryan D. Knodel
发明人： Theodore M. Bender , Luke W. Clauson , Philipe R. Manoux , Zachary Warder-Gabaldon , Kathleen H. Davies , Bryan D. Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/11 , A61B17/0469 , A61B17/1152 , A61B17/1155 , A61B17/1285 , A61B17/32053 , A61B17/320758 , A61B2017/00349 , A61B2017/00685 , A61B2017/0472 , A61B2017/06009 , A61B2017/1103 , A61B2017/1107 , A61B2017/1132 , A61B2017/1135 , A61B2090/061
摘要： An integrated anastomosis tool may include an effector that both makes an opening in the wall of a target vessel and connects a graft vessel to the target vessel. The effector may include a cutter assembly and a connection module that are independently actuatable. The connection between the graft vessel and the target vessel may be compliant, and may be achieved by suturing an end of the graft vessel to the side of the target vessel with the connection module.
摘要翻译：整合的吻合工具可以包括两个在目标血管的壁上形成开口并将移植血管连接到目标血管的效应器。效应器可以包括可独立致动的切割器组件和连接模块。移植脉管和目标血管之间的连接可以是顺从的，并且可以通过用连接模块将移植脉管的端部缝合到目标血管侧。

118. 发明授权

US08556935B1 Method of manufacturing surgical staples 有权
公开(公告)号：US08556935B1
公开(公告)日：2013-10-15
申请号：US13048778
申请日：2011-03-15
申请人： Bryan D. Knodel , Philipe R. Manoux
发明人： Bryan D. Knodel , Philipe R. Manoux
IPC分类号： A61B17/068
CPC分类号： B21G7/02 , A61B17/064 , A61B2017/00526
摘要： One exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting the strip to produce a feeder belt with at least one lateral edge, and staples affixed to the feeder belt in proximity to at least one lateral edge, where the staples and feeder belt are substantially aligned along a first plane; and bending at least one staple out of the first plane, while the feeder belt remains in the first plane. Another exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting that strip to produce a feeder belt with edges, and staples affixed to different edges of the feeder belt; and coining at least one staple after the cutting.

119. 发明授权

US08556153B1 Stapler cartridge with staples frangibly affixed thereto 失效
标题翻译：订书钉盒装有易碎的钉书钉
公开(公告)号：US08556153B1
公开(公告)日：2013-10-15
申请号：US13571319
申请日：2012-08-09
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/064
CPC分类号： A61B17/064 , A61B17/07207 , A61B2017/07271 , A61B2090/037 , Y10T29/49826
摘要： A surgical apparatus may include a cartridge, and surgical staples affixed to and frangibly separable from that cartridge. A method for surgical stapling utilizing that apparatus may include providing at least one wedge; and moving at least one wedge into the cartridge, where that moving deforms and then shears from the cartridge at least one staple. A method of manufacturing an apparatus for use with a surgical stapler may include fabricating a cartridge configured to be received by the surgical stapler; fabricating staples; and fixing the staples to the cartridge.
摘要翻译：外科手术器械可以包括药筒，以及固定在该药筒上且与该药筒可分离的手术钉。利用该装置的外科缝合方法可以包括提供至少一个楔形物; 并且将至少一个楔块移动到所述盒中，其中所述移动变形，然后从所述盒中剪切至少一个订书钉。一种制造与外科缝合器一起使用的装置的方法可包括制造构造成由外科缝合器接收的药筒; 制作订书钉并将订书钉固定到盒。

120. 发明申请

US20130006269A1 MEDICAL INSTRUMENT 有权
标题翻译：医用仪器
公开(公告)号：US20130006269A1
公开(公告)日：2013-01-03
申请号：US13612216
申请日：2012-09-12
申请人： Richard A. Hillstead , Bryan D. Knodel
发明人： Richard A. Hillstead , Bryan D. Knodel
IPC分类号： A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.
摘要翻译：液压致动的医疗器械包括具有近端和远端的细长轴，在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。端部执行器可以通过位于轴的近端处的手柄直接手动操作，或者远程例如通过机器人控制器手动操作。铰接接头可以沿着轴，在轴和端部执行器或手柄之间或其他地方设置。本发明的液压致动允许多轴仪器铰接，小型化和简化仪器制造。

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