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31. 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。

32. 发明授权

US07678122B2 Method of performing a treatment for gastroesophagheal reflux disease (GERD) 失效
标题翻译：进行胃食管反流病（GERD）治疗的方法
公开(公告)号：US07678122B2
公开(公告)日：2010-03-16
申请号：US10252078
申请日：2002-09-20
申请人： Juergen A Kortenbach , Robert Sixto, Jr. , Kevin W. Smith
发明人： Juergen A Kortenbach , Robert Sixto, Jr. , Kevin W. Smith
IPC分类号： A61B17/10
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A method of performing a treatment for gastroesophagheal reflux disease (GERD) includes providing a distal end of a shaft of a medical instrument with a proximally facing end effector having a laterally offset clevis defining a shaft-clevis plane and opposing mutually rotatable jaws proximally directed and laterally displaced relative to a longitudinal axis of the shaft. The jaws hold parts of a two-part fastener, respectively, and are offset and separated from the shaft. Significantly, the jaws operate in a plane at an angle to the shaft-clevis plane. The shaft is inserted with the proximally facing end effector through the esophagus in a first direction. The shaft is retracted in a second direction substantially opposite the first. The end effector contacts a stomach wall at a location near the esophagus and the stomach wall is manipulated with the end effector.
摘要翻译：执行胃食管反流病（GERD）治疗的方法包括：向医疗器械的轴的远端提供面向近端的末端执行器，其具有侧向偏移的U形夹，所述侧向偏移的U形夹限定了一个轴U形夹平面和相对可相对旋转的夹爪，相对于轴的纵向轴线横向移位。夹爪分别固定两部分紧固件的部件，并与轴偏置并分离。值得注意的是，夹爪在与U形夹轴平面成一定角度的平面内工作。轴沿第一方向穿过食道插入面向近端的末端执行器。轴在与第一方向大致相反的第二方向缩回。末端执行器在靠近食道的位置处接触胃壁，并且用末端执行器操纵胃壁。

33. 发明授权

US07615058B2 Surgical clip applier having jaws adapted to guide and deform a clip 有权
公开(公告)号：US07615058B2
公开(公告)日：2009-11-10
申请号：US10992569
申请日：2004-11-18
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Kevin W. Smith
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Kevin W. Smith
IPC分类号： A61B17/10
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 deform a portion of the clip to enhance its retention on the clamped tissue.

34. 发明授权

US07223272B2 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
标题翻译：内窥镜夹钳与非共线夹钳安装在非共线轴上
公开(公告)号：US07223272B2
公开(公告)日：2007-05-29
申请号：US10867483
申请日：2004-06-14
申请人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
发明人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is adjacent to the jaw assembly and a clip pusher is adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存储器与钳口组件相邻，并且夹子推动器邻近夹子存储。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着一部分螺纹的第二控制构件。螺纹部分接合联接到推动器的螺纹构件，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

35. 发明授权

US07033378B2 Surgical fastener, particularly for the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：手术紧固件，特别适用于胃食管反流病（GERD）的腔内治疗
公开(公告)号：US07033378B2
公开(公告)日：2006-04-25
申请号：US10252079
申请日：2002-09-20
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/0682 , A61B2017/00827 , A61B2017/2926 , A61B2017/301
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。

36. 发明授权

US08613750B2 Method for fastening a hinged surgical fastener on tissue 有权
标题翻译：将铰接手术紧固件固定在组织上的方法
公开(公告)号：US08613750B2
公开(公告)日：2013-12-24
申请号：US13158771
申请日：2011-06-13
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B17/08
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A method for fastening a two-piece surgical fastener to bodily tissue whereby the surgical fastener has a safety position. The method comprises inserting first and second piercing posts through at least two layers of tissue and attaching a receiving portion to the coupling ends of the first and second piercing posts. Each of the first and second piercing posts have a fixed end and a coupling end, the first piercing post being fixedly-attached at its fixed end to a first base portion, the second piercing post being fixedly-attached at its fixed end to a second base portion, the first and second base portions being foldably coupled to one another by a hinge, where a bias device imparts a bias force on at least one of the first base portion and the second base portion in a direction toward the other and substantially perpendicular to a longitudinal axis of the hinge.
摘要翻译：一种用于将两件式手术紧固件紧固到身体组织的方法，由此手术紧固件具有安全位置。该方法包括将第一和第二刺穿柱穿过至少两层纸巾，并将接收部分附接到第一和第二穿刺柱的联接端。第一穿刺柱和第二穿刺柱中的每一个具有固定端和联接端，第一穿刺柱在其固定端处固定地附接到第一基部，第二穿刺柱在其固定端固定地附接到第二穿孔所述第一基部和第二基部通过铰链彼此可折叠地连接，偏置装置在朝向另一基部和第二基部的至少一个的方向上施加偏压力并且基本垂直到铰链的纵向轴线。

37. 发明授权

US08568462B2 Bone plate system with two different types of drill guides 有权
标题翻译：骨板系统有两种不同类型的钻孔导轨
公开(公告)号：US08568462B2
公开(公告)日：2013-10-29
申请号：US12261392
申请日：2008-10-30
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

38. 发明授权

US08454628B2 Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease 有权
标题翻译：外科紧固件矫正器具特别适用于胃食管反流病的经口治疗
公开(公告)号：US08454628B2
公开(公告)日：2013-06-04
申请号：US10846898
申请日：2004-05-13
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B17/10
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
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 an 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 tissue-piercing posts, and the second part includes a second base defining apertures receiving the posts and a portion movable relative thereto between first and second orientations. When the posts are inserted into the apertures, the movable portion can be moved from the first unlocked orientation into the second configuration to lock the fastener parts together in an implanting position determined by various alignment measures, including markings or flags on the jaws or at the housing. The instrument is adapted to move the second part into the second configuration.
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轴线向近端引导和横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有组织穿刺柱的基部，并且第二部分包括限定接收柱的孔的第二基部和在第一和第二取向之间相对于其移动的部分。当柱插入孔中时，可移动部分可以从第一解锁方向移动到第二构造中，以将紧固件部件锁定在由各种对准措施确定的植入位置中，包括在钳口上的标记或标记住房。该仪器适于将第二部分移动到第二配置中。

39. 发明授权

US08439955B2 Fracture fixation plates for the distal humerus 有权
标题翻译：用于远端肱骨的骨折固定板
公开(公告)号：US08439955B2
公开(公告)日：2013-05-14
申请号：US12261433
申请日：2008-10-30
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

40. 发明授权

US08021378B2 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US08021378B2
公开(公告)日：2011-09-20
申请号：US10730236
申请日：2003-12-08
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales
IPC分类号： A61B17/08
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip includes a U-shaped configuration with first and second arms, and a bridge portion therebetween. The first arm is provided with a tip preferably having a catch, and the second arm extends into a deformable retainer having a tissue-piercing end and preferably also a hook. During application, tissue is clamped, and the clip is forced over the clamped tissue and the retainer of the second arm is bent and may be pierced through the tissue. The retainer is toward and around or adjacent the tip of the first arm preferably until the hook is engaged about the catch to secure the clip to the tissue and prevent the clip and tissue from separating. The clip is provided with structure that facilitates the stacking of a plurality of clips in a clip chamber of a clip applier.
摘要翻译：手术夹具包括具有第一和第二臂的U形构造以及它们之间的桥接部分。第一臂设置有优选地具有卡扣的末端，并且第二臂延伸到具有组织穿刺端部并且优选地还有钩子的可变形保持器中。在施用期间，组织被夹紧，并且夹子被压在夹持的组织上，并且第二臂的保持器被弯曲并且可以穿透组织。保持器朝向并围绕或邻近第一臂的尖端，优选地直到钩与锁扣接合以将夹子固定到组织上并防止夹子和组织分离。该夹具设置有便于在施夹器的夹子室中堆叠多个夹子的结构。

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