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21. 发明授权

US08986199B2 Apparatus and methods for cleaning the lens of an endoscope 有权
标题翻译：用于清洁内窥镜的透镜的装置和方法
公开(公告)号：US08986199B2
公开(公告)日：2015-03-24
申请号：US13399358
申请日：2012-02-17
申请人： William B. Weisenburgh, II , Christopher J. Hess , Rudolph H. Nobis , David B. Griffith , Robert M. Trusty
发明人： William B. Weisenburgh, II , Christopher J. Hess , Rudolph H. Nobis , David B. Griffith , Robert M. Trusty
IPC分类号： A61B1/12 , A61B1/00
CPC分类号： A61B1/015 , A61B1/126
摘要： An apparatus for cleaning a lens, or one or more lenses, of an endoscopic camera while the endoscope is deployed in a patient during a medical procedure, such as a minimally invasive procedure, or a therapeutic or diagnostic procedure, is disclosed. The cleaning apparatus generally includes a conduit having a fluid delivery port, an alignment system, and a flexible supply tube to fluidly connect the conduit to one or both of a source of a fluid and a suction device.
摘要翻译：公开了一种用于在诸如微创程序或治疗或诊断过程之类的医疗过程中将内窥镜部署在患者体内时清洁内窥镜照相机的透镜或一个或多个透镜的装置。清洁设备通常包括具有流体输送端口，对准系统和柔性供应管的导管，以将导管流体地连接到流体源和抽吸装置的一个或两个。

22. 发明授权

US08328808B2 Minimally invasive orthopaedic apparatus and methods 有权
标题翻译：微创矫形器和方法
公开(公告)号：US08328808B2
公开(公告)日：2012-12-11
申请号：US10480053
申请日：2002-05-24
申请人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
发明人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
IPC分类号： A61B17/56
CPC分类号： A61B17/921 , A61B1/00154 , A61B1/0615 , A61B17/00234 , A61B17/0218 , A61B17/1604 , A61B17/1635 , A61B17/1655 , A61B17/1664 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1728 , A61B17/1735 , A61B17/1782 , A61B17/72 , A61B17/744 , A61B17/808 , A61B17/8685 , A61B17/8866 , A61B90/02 , A61B2090/08021 , A61F2/4644 , A61F2002/4635 , A61F2002/4649
摘要： Apparatus (20, 120, 300) and methods for use in the performance of minimally invasive orthopedic procedures, including apparatus and methods for use in the performance of such procedures under the visualization of an endoscope (22), are herein disclosed. Such procedures include a minimally invasive intramedullary nailing procedure, a minimally invasive bone graft harvesting procedure, a minimally invasive pelvic osteotomy procedure, an orthopedic implant revision procedure, and a minimally invasive percutaneous bone plating procedure.
摘要翻译：本文公开了用于执行微创骨科手术的装置（20,120,300）以及用于执行微创矫形手术的方法，包括用于在内窥镜（22）的可视化下执行这种程序的装置和方法。这样的程序包括微创髓内钉术，微创骨移植物收获程序，微创骨盆截骨术，矫形植入物修复程序和微创经皮骨移植程序。

23. 发明授权

US08062306B2 Manually articulating devices 有权
标题翻译：手动铰接装置
公开(公告)号：US08062306B2
公开(公告)日：2011-11-22
申请号：US11610803
申请日：2006-12-14
申请人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
发明人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
IPC分类号： A61B17/32
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

24. 发明授权

US08052702B2 Vessel harvesting retractor with bilateral electrosurgical ligation 有权
标题翻译：采用双侧电外科手术结扎的收缩收缩器
公开(公告)号：US08052702B2
公开(公告)日：2011-11-08
申请号：US10816024
申请日：2004-04-01
申请人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
发明人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
IPC分类号： A61B1/32 , A61B17/22
CPC分类号： A61B17/00008 , A61B17/32 , A61B18/1442 , A61B2017/1225 , A61B2018/0063
摘要： A method and device for endoscopic harvesting of blood vessels from a patient for use in subsequent procedures. The device having a two piece headpiece. A vessel to be removed is inserted into the headpiece and the top and bottom portions of the headpiece are alternatively extended in reciprocating fashion to dissect above and below the vessel. The headpiece having electrodes for ligation of any side branch vessels which are uncovered in the dissection process.
摘要翻译：用于从患者内窥镜收集血管以用于随后程序的方法和装置。该装置具有两件头盔。要移除的容器被插入到头盔中，头盔的顶部和底部交替地以往复方式延伸以在容器的上方和下方剖开。头部具有用于连接在解剖过程中未被覆盖的任何侧分支血管的电极。

25. 发明授权

US08021363B2 Dual-bend sphinctertome 有权
标题翻译：双弯括约肌切开术
公开(公告)号：US08021363B2
公开(公告)日：2011-09-20
申请号：US11741198
申请日：2007-04-27
申请人： Omar J. Vakharia , Rudolph H. Nobis , Christopher Paul Swain , Charles Alexander Mosse , Keiichi Ikeda
发明人： Omar J. Vakharia , Rudolph H. Nobis , Christopher Paul Swain , Charles Alexander Mosse , Keiichi Ikeda
IPC分类号： A61B18/14 , A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/32056 , A61B2017/00278 , A61B2017/003 , A61B2018/1407 , A61B2018/144 , A61B2018/1467 , A61B2018/1475
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first and second wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译：本文公开了用于在组织中形成多向切割的装置和方法。本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿构件的一部分的至少第一和第二导线。电线的远端部分锚定在细长构件的一部分上或内部。当例如通过设备近端的致动器将张力施加到一个电线上时，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假设组织 - 切割配置。

26. 发明授权

US07867228B2 Apparatus and method for performing an endoscopic mucosal resection 有权
标题翻译：用于进行内窥镜粘膜切除术的装置和方法
公开(公告)号：US07867228B2
公开(公告)日：2011-01-11
申请号：US11414619
申请日：2006-04-28
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B18/18
CPC分类号： A61B17/320016 , A61B18/1445 , A61B2017/00269 , A61B2017/00353 , A61B2017/2927 , A61B2017/2939 , A61B2017/2945 , A61B2017/32004 , A61B2017/320044 , A61B2018/00482 , A61B2018/1432 , A61B2018/144
摘要： A surgical device including an elongated shaft having a distal end and a proximal end, an arm pivotally connected to the distal end and moveable through a dissection plane, and a cutting element disposed on the arm and adapted to move from an un-deployed configuration to a deployed configuration, wherein the cutting element is generally aligned with the dissection plane when in the un-deployed configuration and at least partially transverse with respect to the dissection plane when in the deployed configuration.
摘要翻译：一种手术装置，包括具有远端和近端的细长轴，枢转地连接到远端并可移动穿过解剖平面的臂，以及设置在臂上的切割元件，并且适于从未展开的构型移动到部署构型，其中当处于展开构型时，切割元件大致与解剖平面对准，当处于未展开构型时，并且当处于展开构型时相对于解剖平面至少部分横向。

27. 发明申请

US20100280327A1 METHODS AND DEVICES FOR PROVIDING ACCESS THROUGH TISSUE TO A SURGICAL SITE 审中-公开
标题翻译：用于向外科手术组织提供通路的方法和装置
公开(公告)号：US20100280327A1
公开(公告)日：2010-11-04
申请号：US12435075
申请日：2009-05-04
申请人： Rudolph H. Nobis , Andrew M. Zwolinski
发明人： Rudolph H. Nobis , Andrew M. Zwolinski
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B1/32 , A61B17/0293 , A61B2017/3443 , A61B2017/3466
摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can be configured to move between a first, expanded configuration, and a second, compressed configuration. As the device moves from the first configuration to the second configuration, a longitudinal length of the device can decrease, thereby allowing the device to be securely positioned in tissue and reducing a distance that the device extends into a body cavity.
摘要翻译：提供了用于提供通过组织进入外科手术部位的方法和装置。在一个实施例中，手术进入装置可被配置成在第一扩张配置和第二压缩配置之间移动。当设备从第一配置移动到第二配置时，设备的纵向长度可以减小，从而允许设备被牢固地定位在组织中并且减小设备延伸到体腔中的距离。

28. 发明申请

US20090299143A1 ACTUATING AND ARTICULATING SURGICAL DEVICE 有权
标题翻译：执行和治疗手术设备
公开(公告)号：US20090299143A1
公开(公告)日：2009-12-03
申请号：US12129880
申请日：2008-05-30
申请人： Sean P. Conlon , Rudolph H. Nobis , Frederick Q. Johnson , Steven P. Woodard , Ruth E. Costa
发明人： Sean P. Conlon , Rudolph H. Nobis , Frederick Q. Johnson , Steven P. Woodard , Ruth E. Costa
IPC分类号： A61B1/00
CPC分类号： A61B17/29 , A61B10/04 , A61B10/06 , A61B18/14 , A61B18/1482 , A61B2017/003 , A61B2017/00424 , A61B2017/00433 , A61B2017/00477 , A61B2017/2905 , A61B2017/2911 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2018/1407 , A61B2018/141 , A61B2034/305
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. A decoupling member can isolate the actuation of the end effector from the articulation of the end effector. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。解耦构件可以将端部执行器的致动与末端执行器的铰接隔离。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

29. 发明授权

US07618427B2 Device and method for intralumenal anastomosis 有权
标题翻译：管腔内吻合装置及方法
公开(公告)号：US07618427B2
公开(公告)日：2009-11-17
申请号：US10947567
申请日：2004-09-22
申请人： Mark S. Ortiz , Rudolph H. Nobis
发明人： Mark S. Ortiz , Rudolph H. Nobis
IPC分类号： A61B17/10
CPC分类号： A61B17/1114 , A61B17/0644 , A61B17/068 , A61B2017/00867 , A61B2017/0649 , A61B2017/1125 , A61B2017/1139
摘要： An anastomosis device formed from a Shape Memory Alloy (SME) wire that is annealed into a tight coil (e.g., flat coil, helical coil, cylindrical coil) that is subsequently substantially straightened (e.g., straight, longitudinally stretched spring-like shape) for being constrained within an elongate member of an anastomosis introducer instrument. After positioning and holding two tissue walls of adjacent lumens into apposition with a distally presented grasper of the instrument, a piercing tip of the anastomosis device is dispensed and inserted through the tissue walls before being allowed to relax to its tight coil shape, thereby forming the anastomosis attachment. The anastomosis device is released from the anastomosis introducer instrument, such as by fully dispensing its proximal end. Thereby, efficient single lumen anastomosis of gastrointestinal, bilatory, or other vessels may be achieved with a minimum of laparoscopic punctures, or perhaps performed fully as an endoscopic procedure.
摘要翻译：由形状记忆合金（SME）线形成的吻合装置，其被退火成紧密线圈（例如，扁平线圈，螺旋线圈，圆柱形线圈），其随后基本上被拉直（例如，直的，纵向拉伸的弹簧状形状），用于被约束在吻合导引器仪器的细长构件内。在将相邻内腔的两个组织壁定位并保持与仪器的远侧提取的抓紧器相配合之后，将吻合装置的穿刺尖端分配并插入穿过组织壁，然后使其松弛至其紧密的线圈形状，从而形成吻合附件。吻合装置从吻合导引器仪器释放，例如通过完全分配其近端。因此，可以用最小的腹腔镜穿刺来实现胃肠道，双相或其他血管的有效单腔吻合，或者可以完全作为内窥镜手术完成。

30. 发明申请

US20080188879A1 Tri-Bending Sphinctertome 有权
标题翻译：三弯矫形手术
公开(公告)号：US20080188879A1
公开(公告)日：2008-08-07
申请号：US11381006
申请日：2006-05-01
申请人： Omar Vakharia , Ifung Lu , Rudolph H. Nobis , Christopher Paul Swain
发明人： Omar Vakharia , Ifung Lu , Rudolph H. Nobis , Christopher Paul Swain
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B2017/003 , A61B2018/00553 , A61B2018/00601 , A61B2018/144 , A61B2018/1467
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译：本文公开了用于在组织中形成多向切割的装置和方法。本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿着构件的一部分的至少第一，第二和第三导线。电线的远端部分锚定在细长构件的一部分上或内部。当张紧被施加到至少一根电线时，例如通过设备近端处的致动器，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假定组织切割配置。

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