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11. 发明授权

US5591202A Endoscopic instruments having low friction sheath 失效
标题翻译：内窥镜仪器具有低摩擦护套
公开(公告)号：US5591202A
公开(公告)日：1997-01-07
申请号：US234641
申请日：1994-04-28
申请人： Charles R. Slater , Kevin W. Smith , Matthew A. Palmer , Anthony I. Mazzeo , George Nunez
发明人： Charles R. Slater , Kevin W. Smith , Matthew A. Palmer , Anthony I. Mazzeo , George Nunez
IPC分类号： A61B17/00 , A61B17/28 , A61B10/00
CPC分类号： A61B17/29 , A61B2017/0084
摘要： A low friction sheath for endoscopic instruments is made from an extrusion grade of high density polyethylene (HDPE). The sheath is formed as an extruded polyethylene tube having an inner diameter slightly smaller than the outer diameter of the instrument it will cover. In order to place the sheath over the instrument, a containment sleeve is placed over the sheath and a source of pressurized gas is coupled to one end of the sheath. The endoscopic instrument tube is sealed and inserted into the other end of the sheath. The polyethylene sheath is filled with gas so that it expands against the containment sleeve and the endoscopic instrument tube is pushed into the expanded polyethylene sheath. The gas is released from the polyethylene sheath and it contracts against the outer surface of the endoscopic instrument tube. The sheath is preferably made from a HDPE having a microfractured surface with 10-20 micron fractures.
摘要翻译：用于内窥镜器械的低摩擦护套由挤出级别的高密度聚乙烯（HDPE）制成。护套形成为挤出的聚乙烯管，其内径略小于其将覆盖的器械的外径。为了将护套放置在仪器上方，将容纳套筒放置在护套上方，并且加压气体源联接到护套的一端。内窥镜器械管被密封并插入护套的另一端。聚乙烯护套充满气体，使其膨胀抵靠容纳套筒，内窥镜器械管被推入膨胀聚乙烯护套。气体从聚乙烯护套中释放出来并与内窥镜器械管的外表面收缩。护套优选由具有10-20微米骨折的微裂纹表面的HDPE制成。

12. 发明授权

US07232445B2 Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：胃食管反流病（GERD）腔内治疗仪
公开(公告)号：US07232445B2
公开(公告)日：2007-06-19
申请号：US10010247
申请日：2001-12-06
申请人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles R. Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

13. 发明授权

US07727246B2 Methods for endoluminal treatment 有权
标题翻译：腔内治疗方法
公开(公告)号：US07727246B2
公开(公告)日：2010-06-01
申请号：US10010244
申请日：2001-12-06
申请人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
发明人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： Methods of the invention include delivering a grasper, a clip applier, and an endoscope transorally to the site of fundoplication; grasping the fundus with the grasper (or similar device, e.g. corkscrew) and pulling it into the jaws of the clip applier; closing the jaws of the clip applier over the fundus and applying a clip to the fundus.
摘要翻译：本发明的方法包括将抓持器，夹具施加器和内窥镜经皮递送至基层应用部位; 用抓紧器（或类似的装置，例如开瓶器）抓住眼底并将其拉入夹具的钳口中; 将夹子的钳口夹在眼底上，并将夹子应用于眼底。

14. 发明授权

US06258064B1 Helically advanceable endoscopic needle device 有权
标题翻译：螺旋可推进内窥镜针装置
公开(公告)号：US06258064B1
公开(公告)日：2001-07-10
申请号：US09411856
申请日：1999-10-04
申请人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61M5178
CPC分类号： A61B17/3478 , A61B2017/00367 , A61B2090/034
摘要： An endoscopic needle device includes an outer sheath, an elongate shaft extending through the sheath, a needle rigidly attached to the distal end of the shaft, and a handle assembly having a housing coupled to the proximal end of the sheath and having a syringe port in fluid communication with the sheath and a knob rotatably coupled to the housing. Rotation of the knob relative to the housing causes rotation of the shaft relative to the sheath. The needle and the distal end of the sheath are mated by a threaded connection. As such, rotation of the knob relative to the housing causes precise longitudinal movement and extension of the needle relative to the distal end of the sheath. A set of intermeshing gears are provided between the knob and shaft which function to permit at most one rotation of the knob to cause complete extension and/or retraction of the needle. Furthermore, assemblies are provided with permit the shaft to accommodate movement of the needle relative to the sheath. Moreover, the position of the knob relative to the housing provides an indication of the extension of the needle. As such, the injection needle device of the invention permits controllable and calibrated rotation of the needle to within a few degrees, such that the needle device can be easily, reliably, and precisely operated to advance the needle.
摘要翻译：内窥镜针装置包括外护套，延伸穿过护套的细长轴，刚性地附接到轴的远端的针和手柄组件，其具有联接到护套的近端的壳体，并且具有注射器端口与护套的流体连通和可旋转地联接到壳体的旋钮。旋钮相对于壳体的旋转导致轴相对于护套的旋转。针和鞘的远端通过螺纹连接配合。因此，旋钮相对于壳体的旋转导致针相对于护套的远端的精确的纵向移动和延伸。一组相互啮合的齿轮设置在旋钮和轴之间，其功能是允许旋钮的至多一个旋转引起针的完全伸展和/或缩回。此外，组件被设置有允许轴以适应针相对于护套的运动。此外，旋钮相对于壳体的位置提供针的延伸的指示。因此，本发明的注射针装置允许可控和校准的针旋转到几度，使得针装置可以容易地，可靠地和精确地操作以推进针。

15. 发明授权

US06966919B2 Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：特别用于胃食管反流病（GERD）经口治疗的手术紧固器的仪器
公开(公告)号：US06966919B2
公开(公告)日：2005-11-22
申请号：US10252069
申请日：2002-09-20
申请人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
发明人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
IPC分类号： A61B17/064 , A61B17/28 , A61B17/08
CPC分类号： A61B17/0643 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

16. 发明授权

US07070602B2 Method of applying surgical clips to tissue 有权
公开(公告)号：US07070602B2
公开(公告)日：2006-07-04
申请号：US10010908
申请日：2001-12-06
申请人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61B17/04
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound outer tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A large pushing force to advance a clip is created by providing a compressive force to the outer tubular coil to increase its tensile limitation, and providing a force which is compressive to the clip-advancing wire and tensile to the tubular coil while maintaining the compressive force on the tubular coil.

17. 发明授权

US06824548B2 Flexible surgical clip applier 有权
标题翻译：灵活的手术夹具
公开(公告)号：US06824548B2
公开(公告)日：2004-11-30
申请号：US10010906
申请日：2001-12-06
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
IPC分类号： A61B1704
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. The device can push a clip with a force in excess of 1500 grams.
摘要翻译：柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。夹子室限定在线圈的远端。夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时将夹子推进到夹爪中。夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持在夹紧的组织上。该装置可以用超过1500克的力推动夹子。

18. 发明授权

US06264617B1 Radial jaw biopsy forceps 失效
标题翻译：径向钳活检钳
公开(公告)号：US06264617B1
公开(公告)日：2001-07-24
申请号：US09414366
申请日：1999-10-12
申请人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B1000
CPC分类号： A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098
摘要： A biological forceps device for the taking of tissue samples from a body, comprising a flexible main coil attached at its distal end to a pair of homologous cast jaws. The jaws have radially arranged teeth on their distalmost end. The jaws are opened and closed by attachment to a pair of pull wires which extend through the main coil, into a handle at its proximal end. the handle has a spool which slides about a central shaft attached to the main coil. The spool is attached to the pull wires, so that movement of the spool with respect to the central shaft, effectuates a force on the proximal ends of the levered jaws, to open and close them, appropriately.
摘要翻译：一种用于从身体采集组织样本的生物镊子装置，包括在其远端处附接到一对同源颚爪的柔性主线圈。钳口在其最远端具有径向排列的齿。夹爪通过连接到延伸穿过主线圈的一对拉线打开和关闭，在其近端处于手柄中。手柄具有绕附接到主线圈的中心轴滑动的线轴。线轴被连接到拉线，使得线轴相对于中心轴的运动在适当地对杠杆钳口的近端施加力以打开和闭合它们。

19. 发明授权

US5666965A Radial jaw biopsy forceps 失效
标题翻译：径向钳活检钳
公开(公告)号：US5666965A
公开(公告)日：1997-09-16
申请号：US458215
申请日：1995-06-02
申请人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , H01L21/67126 , A61B10/02 , A61B17/30 , A61B17/3201 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/6715 , Y10T403/32181 , Y10T403/32221 , Y10T74/18944 , Y10T74/20402
摘要： A biological forceps device for the taking of tissue samples from a body, comprising a flexible main coil attached at its distal end to a pair of homologous cast jaws. The jaws have radially arranged teeth on their distalmost end. The jaws are opened and closed by attachment to a pair of pull wires which extend through the main coil, into a handle at its proximal end. The handle has a spool which slides about a central shaft attached to the main coil. The spool is attached to the pull wires, so that movement of the spool with respect to the central shaft, effectuates a force on the proximal ends of the levered jaws, to open and close them, appropriately.
摘要翻译：一种用于从身体采集组织样本的生物镊子装置，包括在其远端处附接到一对同源颚爪的柔性主线圈。钳口在其最远端具有径向排列的齿。夹爪通过连接到延伸穿过主线圈的一对拉线打开和关闭，在其近端处于手柄中。手柄具有绕连接到主线圈的中心轴滑动的线轴。线轴被连接到拉线，使得线轴相对于中心轴的运动在适当地对杠杆钳口的近端施加力以打开和闭合它们。

20. 发明授权

US5429596A Endoscopic electrosurgical suction-irrigation instrument 失效
标题翻译：内窥镜电外科吸灌仪
公开(公告)号：US5429596A
公开(公告)日：1995-07-04
申请号：US247335
申请日：1994-05-23
申请人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
发明人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
IPC分类号： A61B17/32 , A61B18/00 , A61B18/14 , A61M1/00 , A61M3/02 , A61M5/14
CPC分类号： A61B17/3203 , A61B18/1442 , A61B18/1482 , A61M1/0043 , A61M1/0045 , A61M1/0064 , A61M3/0233 , A61M5/1418 , A61B10/02 , A61B18/148 , A61B2017/32113 , A61B2018/00958 , A61M1/0062 , A61M2205/6081
摘要： An endoscopic electrosurgical suction-irrigation instrument with insertable probes and attachments is disclosed. The instrument has a fluid chamber sealed at its proximal end with a slit valve for receiving the probes and connected at its distal end to a cannula through which the inserted probes extend. The fluid chamber is selectively provided with suction and/or irrigation and includes an electrical contact for supplying voltage to an inserted electrosurgical probe. Depending on the probe configuration suction and/or irrigation is provided in an annular space between the probe and the cannula or through the probe. Valves, connectors and switches for use with the instrument are also disclosed.
摘要翻译：公开了具有可插入探针和附件的内窥镜电外科吸入式灌洗仪。仪器具有在其近端处密封的流体室，其具有用于接收探针并且在其远端处连接到插入的探针延伸穿过的插管的狭缝阀。流体室选择性地具有抽吸和/或冲洗，并且包括用于向插入的电外科探针提供电压的电接触。根据探针结构，在探针和套管之间的环形空间中或通过探针提供吸力和/或冲洗。还公开了用于仪器的阀，连接器和开关。

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