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31. 发明授权

US08147511B2 Fluid delivery system and related methods of use 失效
标题翻译：流体输送系统及相关使用方法
公开(公告)号：US08147511B2
公开(公告)日：2012-04-03
申请号：US12623055
申请日：2009-11-20
申请人： Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Janecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Donald C. Hovey , William Lucas Churchill , John B. Golden , Yem Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
发明人： Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Janecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Donald C. Hovey , William Lucas Churchill , John B. Golden , Yem Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
IPC分类号： A61M29/00 , A61F2/06
CPC分类号： A61M5/14566 , A61M5/16831 , A61M2205/3523 , A61M2205/43 , A61M2205/502 , A61M2205/8206
摘要： An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.
摘要翻译：一种用于从流体输送系统喷射流体的装置和方法。流体输送系统具有气动组件，当触发时将气体喷射到液压组件中，液压组件又通过外部界面喷射流体。电子接口显示各种测量，例如，已经排出了多少流体，以及如果液压系统关闭系统的压力。气动组件也可以被减压，使得流体可以通过外部接口重新进入液压组件。

32. 发明申请

US20110284613A1 True Multi-Fire Endocutter 有权
标题翻译：真正的多功能灭火器
公开(公告)号：US20110284613A1
公开(公告)日：2011-11-24
申请号：US13194098
申请日：2011-07-29
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 endocutter may include a staple holder; at least one feeder belt having two lateral edges, at least part of at least one feeder belt extending into the staple holder; and staples, wherein each said staple may include a first end frangibly affixed to a corresponding feeder belt, wherein each first end is affixed to the feeder belt at a location laterally spaced from the longitudinal centerline of the feeder belt, and a second free end; and wherein the staples form at least one row, each row including at least two said staples; wherein staples in least one row are staggered relative to said staples in at least one other row. Another exemplary surgical endocutter may include a feeder belt; staples frangibly connected to the feeder belt; and at least one wedge movable relative to the staples in a direction substantially longitudinal relative to the feeder belt; wherein at least one wedge both directly engages a plurality of staples and disconnects a plurality of staples from the feeder belt in a single continuous motion of the wedge.
摘要翻译：示例性的手术切割器可以包括钉保持器; 至少一个馈送带，其具有两个侧边缘，至少一个馈送带的至少一部分延伸到所述钉保持器中; 和订书钉，其中每个所述订书钉可以包括易碎地固定到相应馈送带上的第一端，其中每个第一端在与馈送带的纵向中心线横向间隔开的位置和第二自由端固定到馈送带上; 并且其中所述钉形成至少一排，每排包括至少两个所述钉; 其中至少一排中的钉相对于至少另一排中的所述钉交错。另一个示例性的手术切割器可以包括馈送带; 钉子易碎地连接到给料带; 以及至少一个可相对于缝钉移动的楔块，其相对于给料带基本纵向; 其中至少一个楔形件直接接合多个钉，并且在所述楔的单次连续运动中将所述多个钉与所述馈送带分离。

33. 发明授权

US08056789B1 Staple and feeder belt configurations for surgical stapler 有权
标题翻译：手术吻合器的装订和进给带配置
公开(公告)号：US08056789B1
公开(公告)日：2011-11-15
申请号：US12477834
申请日：2009-06-03
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要： One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected. Another exemplary surgical apparatus may include a staple holder, an anvil movably connected to the staple holder, a feeder belt, where at least part of the feeder belt extends into the staple holder, and staples fixed to and frangibly separable from the feeder belt; where the staples are organized into at least two groups spaced apart from one another; and where at least one staple is deployable to a different closed shape than at least one other staple. Another exemplary surgical apparatus may include a feeder belt, a first plurality of staples fixed directly to and frangibly separable from the feeder belt; a plurality of extension arms extending at least partially in the lateral direction away from the feeder belt; and a second plurality of staples each fixed to an extension arm at a location spaced laterally apart from the feeder belt.
摘要翻译：一个示例性手术装置可以包括至少一个载体，固定到相应的载体上的钉，以及至少一个载体被易碎地连接到的馈送带。另一种示例性的外科手术装置可以包括钉固定器，可移动地连接到钉固定器的砧座，给料带，其中进给带的至少一部分延伸到钉仓中，并且钉被固定到并可与进给带分离; 其中订书钉被组织成彼此间隔开的至少两个组; 并且其中至少一个订书钉可部署到与至少一个其他订书钉不同的封闭形状。另一个示例性的外科手术装置可以包括馈送带，第一组多个钉，其直接固定到并可与进给带分离; 多个延伸臂至少部分地沿横向方向延伸远离进料带; 以及第二多个钉，每个订书钉在与进给带横向间隔开的位置处固定到延伸臂。

34. 发明授权

US07988026B2 Endocutter with staple feed 有权
标题翻译：内切割与订书钉
公开(公告)号：US07988026B2
公开(公告)日：2011-08-02
申请号：US11851379
申请日：2007-09-06
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： A61B17/064
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： A surgical endocutter may include an end effector, at least one feeder belt that extends at least partially into the end effector; and two or more staples, where each staple has a first end frangibly connected to a corresponding feeder belt and a second, free end, and where the staples form at least one row. The endocutter may be used to treat a patient by inserting the end effector into the body of a patient through an opening such as a trocar port, 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 holding, stapling and engaging on tissue at a different location within the body of the patient without removing the end effector from within the body of the patient.
摘要翻译：手术切割器可以包括端部执行器，至少一个馈送带，其至少部分地延伸到末端执行器中; 以及两个或更多个订书钉，其中每个订书钉具有易碎地连接到相应的馈送带和第二自由端的第一端，并且其中订书针形成至少一排。内切割器可以用于通过将端部执行器通过诸如套管针端口的开口插入到患者体内来治疗患者，与末端执行器接合组织，沿着两个缝合线与末端执行器装订组织; 在缝合线与末端执行器之间切割组织，从末端执行器释放组织，并且重复保持，缝合和接合在患者体内的不同位置处的组织上，而不从末端执行器的身体内移除末端执行器患者。

35. 发明授权

US07875053B2 Apparatus and method for closure of patent foramen ovale 有权
标题翻译：专利孔卵巢闭合的装置和方法
公开(公告)号：US07875053B2
公开(公告)日：2011-01-25
申请号：US11522217
申请日：2006-09-15
申请人： Theodore M. Bender , Bernard A. Hausen , Philipe R. Manoux , Bryan D. Knodel , Joshua M. O. Newth
发明人： Theodore M. Bender , Bernard A. Hausen , Philipe R. Manoux , Bryan D. Knodel , Joshua M. O. Newth
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/07207 , A61B2017/00575 , A61B2017/00623 , A61B2017/00663
摘要： A method for closing a patent foramen ovale in the heart tissue of a patient may include percutaneously advancing a connector applicator to the patent foramen ovale, registering the connector applicator with the patent foramen ovale, deploying connectors into heart tissue to close the patent foramen ovale; and percutaneously removing the connector applicator from the heart. One or more anchors may be used to register the connector applicator with the patent foramen ovale. The connector applicator may include a driver having a longitudinal passage therein, where at least part of at least one connector is positioned within the passage.
摘要翻译：用于在患者的心脏组织中闭合卵孔的专利的方法可以包括将连接器施用器经皮推进到卵孔的专利，将连接器施加器注册到卵孔的专利中，将连接器部署到心脏组织中以封闭卵孔的专利; 并从心脏经皮去除连接器敷贴器。可以使用一个或多个锚定器来将连接器施加器注册到卵孔的专利中。连接器施加器可以包括其中具有纵向通道的驱动器，其中至少一个连接器的至少一部分定位在通道内。

36. 发明申请

US20100230464A1 Driverless Surgical Stapler 有权
标题翻译：无手术外科订书机
公开(公告)号：US20100230464A1
公开(公告)日：2010-09-16
申请号：US12787708
申请日：2010-05-26
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 driverless surgical stapler may include a staple holder; staples positioned within that staple holder; and at least one wedge, where each wedge is slidable to directly contact at least one staple, where that contact causes deployment of each contacted staple. An exemplary surgical method may include providing a driverless surgical stapler that has a staple holder, staples positioned within the staple holder, and at least one wedge; and sliding at least one wedge relative to the staples to directly contact at least one staple.
摘要翻译：示例性的无驾驶者外科缝合器可以包括钉保持器; 订书钉定位在该订书钉保持架内; 以及至少一个楔子，其中每个楔块可滑动以直接接触至少一个订书钉，其中该接触件引起每个接触的订书钉的展开。一种示例性的手术方法可以包括：提供无驱动的外科缝合器，其具有缝合钉保持器，定位在钉保持器内的缝钉和至少一个楔形件; 并且相对于所述缝钉滑动至少一个楔形件以直接接触至少一个订书钉。

37. 发明授权

US07794471B1 Compliant anastomosis system 有权
标题翻译：吻合吻合系统
公开(公告)号：US07794471B1
公开(公告)日：2010-09-14
申请号：US10877971
申请日：2004-06-25
申请人： Theodore M. Bender , Luke W. Clauson , Philipe R. Manoux , Zachary Warder-Gabaldon , Tenny Chang , Kathleen H. Davies , Stephen A. Yencho , Brian R. DuBois , Bernard A. Hausen , Bryan D. Knodel
发明人： Theodore M. Bender , Luke W. Clauson , Philipe R. Manoux , Zachary Warder-Gabaldon , Tenny Chang , Kathleen H. Davies , Stephen A. Yencho , Brian R. DuBois , Bernard A. Hausen , Bryan D. Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/0491 , A61B17/11 , A61B17/1152 , A61B17/1155 , A61B17/1285 , A61B17/32053 , A61B17/320758 , A61B2017/00349 , A61B2017/00685 , 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 connection between the graft vessel and the target vessel may be compliant, and may be achieved by deploying a plurality of connectors such as staples into tissue. The effector may include a cutter assembly and a connection module that are independently actuatable. The cutter assembly and/or the connection module may be cable-actuated.
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。移植血管与目标血管之间的连接可以是顺应性的，并且可以通过将诸如钉的多个连接器部署到组织中来实现。效应器可以包括可独立致动的切割器组件和连接模块。切割器组件和/或连接模块可以是电缆致动的。

38. 发明授权

US07753250B2 Surgical stapler with splaying mechanism 有权
标题翻译：手术缝合器具有张开机构
公开(公告)号：US07753250B2
公开(公告)日：2010-07-13
申请号：US12323309
申请日：2008-11-25
申请人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
发明人： Luke W. Clauson , Bryan D. Knodel , Benjamin J. Matthias , Matthew B. Newell
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0644
摘要： One example of a surgical stapler may include a pusher, at least one generally planar staple, where the pusher holds at least one staple, and a splay arm that includes spaced-apart splay fingers extending generally distally, where at least one splay finger includes a splay tip extending therefrom, and where relative motion of said pusher and said splay fingers causes said at least one said splay tip to engage and then splay at least one said staple. Another example of a surgical stapler may include a plurality of staples positioned out of contact with one another; a pusher that engages each staple; and at least one splay tip, each splay tip configured to contact a distal surface of the distalmost staple. Another example of a surgical stapler may include a plurality of staples, a pusher that holds the staples, the pusher having a longitudinal axis and being slidable longitudinally both proximally and distally substantially along that longitudinal axis, where the pusher is substantially constrained against motion away from the longitudinal axis; and a splay arm movable in a direction away from the longitudinal axis, from a position in which the splay arm contacts one staple to a position in which the splay arm no longer contacts that staple.
摘要翻译：外科缝合器的一个例子可以包括推动器，至少一个普通平面的钉，其中推动器保持至少一个缝钉，以及包括间隔开的大致向远侧延伸的间隔开的伸展指状物的喷射臂，其中至少一个喷射指状物包括并且其中所述推动器和所述伸展手指的相对运动导致所述至少一个所述喷射尖端接合，然后展开至少一个所述订书钉。外科缝合器的另一示例可以包括彼此不接触地定位的多个钉; 一个与每个订书钉啮合的推动器; 和至少一个喷射尖端，每个喷射尖端构造成接触最远侧缝合钉的远端表面。手术吻合器的另一个例子可以包括多个钉，一个推动器，其保持钉，推动器具有纵向轴线，并且可沿着纵向轴线向近侧和远侧纵向地纵向滑动，其中推动器基本上被限制在远离纵轴; 以及可从远离所述纵向轴线的方向从所述喷射臂接触一个订书钉的位置移动到所述喷洒臂不再接触所述订书钉的位置的展开臂。

39. 发明申请

US20090090766A1 Intravascular Stapling Tool 审中-公开
标题翻译：血管内装订工具
公开(公告)号：US20090090766A1
公开(公告)日：2009-04-09
申请号：US12267350
申请日：2008-11-07
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B2017/00238 , A61F2/07 , A61F2002/065
摘要： An intravascular stapler may include a handle; a catheter attached to the handle; a stapler head attached to the catheter; and a staples held by the stapler head, wherein the stapler head is configured to sequentially deploy staples. An intravascular stapler may include a reciprocating driver within the stapler head, wherein the driver reciprocates back and forth substantially along a first axis, and wherein the staples are advanceable substantially along a second axis that is substantially perpendicular to the first axis. An intravascular stapler may include internal anvils held by and movable within the stapler head, each internal anvil positioned in proximity to and movable in tandem with a corresponding staple.
摘要翻译：血管内吻合器可包括手柄; 连接到手柄的导管; 连接到导管的吻合器头部; 以及由订书机头保持的订书钉，其中订书机头被配置成顺序地布置订书钉。血管内吻合器可以包括在吻合器头部内的往复式驱动器，其中驱动器基本上沿着第一轴线来回往复运动，并且其中缝钉可基本上沿着基本上垂直于第一轴线的第二轴线前进。血管内吻合器可以包括由缝合器头部保持并且可在吻合器头部内移动的内部砧座，每个内部砧座定位成与相应的钉子相邻并且可与之相配合。

40. 发明申请

US20090088783A1 Non-snag polymer ligating clip 审中-公开
标题翻译：非阻塞聚合物结扎夹
公开(公告)号：US20090088783A1
公开(公告)日：2009-04-02
申请号：US12314159
申请日：2008-12-05
申请人： Daniel L. Kennedy , Donald F. Wilson, JR. , Bryan D. Knodel
发明人： Daniel L. Kennedy , Donald F. Wilson, JR. , Bryan D. Knodel
IPC分类号： A61B17/122
CPC分类号： A61B17/122 , A61B17/1227
摘要： A polymeric, surgical clip having first and second curved legs with each having a pair of opposing side surfaces joined at their proximal ends by a flexible hinge section and movable from an open position to a closed position for clamping a vessel between curved opposing inner surfaces. The first leg terminates at its distal end in a female locking member, and the second leg member terminates in a male locking member complimentary to the female locking member. The clip is provided with low profile boss-like elements on the legs thereof to reduce the risk of snagging a suture during coronary artery bypass graft surgery.
摘要翻译：一种具有第一和第二弯曲腿的聚合物手术夹具，每个具有一对相对的侧表面，所述相对的侧表面在其近端处由柔性铰链部分连接并且可以从打开位置移动到关闭位置，以将容器夹紧在弯曲的相对的内表面之间。第一腿在其远端终止于阴锁定构件中，并且第二腿构件终止于与阴锁定构件互补的阳锁定构件。夹子在其腿上设有薄型凸起状元件，以减少在冠状动脉旁路移植手术期间阻塞缝合线的风险。

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