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41. 发明授权

US07735704B2 Surgical stapling instrument 有权
标题翻译：手术吻合器械
公开(公告)号：US07735704B2
公开(公告)日：2010-06-15
申请号：US11662033
申请日：2004-09-30
申请人： Federico Bilotti
发明人： Federico Bilotti
IPC分类号： A61B17/064 , A61B17/072
CPC分类号： A61B17/072 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725
摘要： A surgical stapling instrument having a staple fastening assembly including a curved cartridge device. The device has at least one curved open row of staples having a first and second ends and having a concave side and a convex side. Opposite to the cartridge device there is a curved anvil for forming the ends of the staples. The instrument also includes a moving device adapted to move the anvil with respect to the cartridge device in a parallel relationship. The instrument also includes a staple driving device adapted to drive the staples out of the cartridge device towards the anvil, and a knife. The knife has opposing first and second sides and is contained in the cartridge device. There is also a knife actuating device adapted to move the knife towards the anvil. The instrument includes staple fastening assembly having a retaining pin which moves between the cartridge device to align them. The retaining pin is located on the second side of the knife in an intermediate region between the first end and second ends of the curved row of staples.
摘要翻译：一种外科缝合器械，具有包括弯曲的药筒装置的钉紧固组件。该装置具有至少一个具有第一和第二端并具有凹面和凸面的开放的一排钉。与墨盒装置相对，具有用于形成钉的端部的弯曲砧座。仪器还包括适于相对于盒装置以平行关系移动砧座的移动装置。该仪器还包括一个装订驱动装置，适用于将钉从药筒装置朝向砧座驱动，还有一把刀。刀具具有相对的第一和第二面并且被容纳在盒装置中。还有一个适于将刀朝向砧移动的刀驱动装置。该仪器包括具有固定销的钉紧固组件，该固定销在盒装置之间移动以对准它们。保持销位于刀片的第二侧，位于弯曲的钉排钉的第一端和第二端之间的中间区域中。

42. 发明申请

US20100048988A1 A DEPLOYMENT SYSTEM FOR INTRODUCING A SURGICAL INSTRUMENT IN A PATIENTS BODY 审中-公开
标题翻译：用于引导患者身体的手术仪器的部署系统
公开(公告)号：US20100048988A1
公开(公告)日：2010-02-25
申请号：US12307750
申请日：2007-07-03
申请人： Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Drago Popovic
发明人： Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Drago Popovic
IPC分类号： A61B1/018 , A61B17/068 , A61B17/00
CPC分类号： A61B17/072 , A61B1/00087 , A61B2017/00292 , A61B2017/00296 , A61B2017/07221
摘要： A deployment system for introducing a surgical instrument (2) in a patients body by means of an elongate insertion device (8) which can be inserted in the patients body includes a coupling device (9, 15, 21) connectable with the surgical instrument (2) and shiftably connectable with the insertion device (8) such that the surgical instrument (2) can slide along the insertion device (8) in a guided manner, wherein the coupling device (9) includes one or more roller elements (10) configured to rollably contact the insertion device (8).
摘要翻译：用于通过可插入患者体内的细长插入装置（8）将外科器械（2）引入患者体内的展开系统包括可与手术器械连接的联接装置（9,15,21） 2）并且可移动地与插入装置（8）连接，使得外科器械（2）可以以引导方式沿着插入装置（8）滑动，其中联接装置（9）包括一个或多个滚子元件（10）被配置为可滚动地接触所述插入装置（8）。

43. 发明申请

US20090236399A1 Surigical stapling instrument 有权
标题翻译：吻合仪器
公开(公告)号：US20090236399A1
公开(公告)日：2009-09-24
申请号：US11662105
申请日：2004-10-09
申请人： Federico Bilotti
发明人： Federico Bilotti
IPC分类号： A61B17/068 , A61B1/005
CPC分类号： A61B17/072 , A61B1/0014 , A61B2017/00296 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725 , A61B2017/2905
摘要： A surgical stapling instrument (1) comprises a staple fastening assembly (2) including a curved cartridge device (10) and a curved anvil (12). The cartridge device (10) comprises at least one curved open row of staples which are formed by a staple forming face of the anvil (12). The anvil (12) can be moved relatively with respect to the cartridge device (10). A handle (4) in the proximal end region of the instrument is operatively connected to the staple fastening assembly (2). A flexible backbone, preferably an endoscope (6), is arranged between the handle (4) and the staple fastening assembly (2) and guides force transmitters (8, 9) of the moving device and the staple driving device.
摘要翻译：外科缝合器具（1）包括钉紧固组件（2），其包括弯曲的药筒装置（10）和弯曲的砧座（12）。盒装置（10）包括由砧座（12）的订书钉形成面形成的至少一个弯曲的开放排的钉。砧座（12）可以相对于盒装置（10）相对移动。在器械的近端区域中的手柄（4）可操作地连接到缝钉紧固组件（2）。柔性骨架，优选内窥镜（6），布置在手柄（4）和缝钉紧固组件（2）之间，并引导移动装置和缝钉驱动装置的力传递器（8,9）。

44. 发明申请

US20080302855A1 Device and Method for the Thereapy of Obesity 有权
标题翻译：肥胖治疗的装置和方法
公开(公告)号：US20080302855A1
公开(公告)日：2008-12-11
申请号：US11662029
申请日：2005-06-17
申请人： Federico Bilotti , Michele D'Arcangelo , Roberto Tacchino , Jesse J. Kuhns
发明人： Federico Bilotti , Michele D'Arcangelo , Roberto Tacchino , Jesse J. Kuhns
IPC分类号： A61B17/04 , A61B19/00
CPC分类号： A61B17/11 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/1103 , A61B2017/1135
摘要： An anastomotic device, particularly a circular stapler (10), comprises a handle (12) and a stem (14). A channel suitable to receive a guide wire at least partially develops along the length of the stapler. The stem (14) is made of a flexible material, such as to facilitate reaching the site requiring anastomosis. The circular stapler (10) comprises an anvil (16) suitable to be introduced on the free end of the stem (14). The anvil (16) comprises a channel (22) suitable to receive a guide wire (66) and extending along the anvil, and a portion (20) suitable to act as a striker against the wall of one of the portions (A; B) of the tissues to be joined.
摘要翻译：吻合装置，特别是圆形缝合器（10），包括手柄（12）和杆（14）。适于接收导丝的通道沿着缝合器的长度至少部分地形成。杆（14）由柔性材料制成，以便于到达需要吻合的部位。圆形订书机（10）包括适于引入杆（14）的自由端的砧座（16）。砧座（16）包括适于接收导丝（66）并沿着砧座延伸的通道（22），以及适于作为撞击器抵靠在其中一个部分（A; B）的壁上的部分）要接合的组织。

45. 发明授权

US07422138B2 Elliptical intraluminal surgical stapler for anastomosis 有权
标题翻译：用于吻合的椭圆形腔内手术吻合器
公开(公告)号：US07422138B2
公开(公告)日：2008-09-09
申请号：US11344542
申请日：2006-02-01
申请人： Federico Bilotti , George M. Pomeroy , Todd P. Omaits , Laszlo Csiky , Mark A. Neurohr , Alessandro Pastorelli
发明人： Federico Bilotti , George M. Pomeroy , Todd P. Omaits , Laszlo Csiky , Mark A. Neurohr , Alessandro Pastorelli
IPC分类号： A61B17/04
CPC分类号： A61B17/115 , A61B17/072 , A61B17/1155 , A61B2017/07214 , A61B2017/07221 , A61B2017/07257
摘要： A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed to the facing surface of the head for mating engagement therewith. The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler.
摘要翻译：手术吻合器包括其中存储有多个钉的头部。头部包括面向表面。订书机还包括砧座，砧座具有成形和尺寸的砧座表面，用于在手术吻合器致动时形成缝钉，砧座包括与头部的相对表面相对的对置表面，用于与其配合接合。头部的相对表面相对于头部的纵向轴线倾斜定向，当在外科缝合器的致动期间头部与砧座接触时，产生椭圆形缝合线。

46. 发明授权

US5205459A Surgical anastomosis stapling instrument 失效
标题翻译：手术吻合吻合器械
公开(公告)号：US5205459A
公开(公告)日：1993-04-27
申请号：US938982
申请日：1992-09-01
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The aotuator mechanism permits adjustment of the anvil gap to produce a desired staple heiqht and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
摘要翻译：提供了一种用于执行圆形吻合缝合操作的外科缝合器械。手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器头组件。缝合头组件包括可由一个或多个保持夹固定在砧座的空心轴上的可纵向移动的套管针。当套管针缩回时，砧座轴滑入中心支撑管，该中心支撑管使砧座轴向和周向与钉在钉头组件上的缝钉保持架对准。保持夹通过支撑管锁定在套针针上，并将张力从套管针传递到砧座，在砧座轴上没有张力负载。调节器机构允许调整砧座间隙以产生期望的缝合钉，并且如果砧座间隙设定在预定范围之外，则阻止钉头组件的致动。此外，致动器机构适于相对于缝合头组件中的缝钉保持器使订书钉驱动器前进和缩回。此外，提供了一种用于将支撑轴附接到装订头组件和致动器手柄组件的改进的布置。

47. 发明授权

US4534351A Ligator 失效
公开(公告)号：US4534351A
公开(公告)日：1985-08-13
申请号：US435380
申请日：1982-10-20
申请人： Robert G. Rothfuss , David K. Kuhl , Federico Bilotti , Hugh Melling , Earl J. Mills
发明人： Robert G. Rothfuss , David K. Kuhl , Federico Bilotti , Hugh Melling , Earl J. Mills
IPC分类号： A61B17/12 , A61B17/128 , A61B17/04 , B31B1/00
CPC分类号： A61B17/128
摘要： A disposable ligator for applying clamping clips to veins, arteries and blood vessels. The ligator comprises a first handle terminating at its forward end in a first jaw and a second jaw and a second handle, both pivotally mounted on the first handle near the forward end thereof. The handles are shiftable between open and closed positions and shift the jaws between open and closed clip-clamping positions. A clip tube containing a plurality of clips and a spring biased feeder shoe to constantly urge the clips forwardly therein is mounted in the first handle. A pusher is mounted in the first handle parallel to the clip tube in a pusher track which extends to the forward ends of the jaws. The pusher is shiftable by the first and second handles between a retracted position when the handles are closed and an extended position to locate a clip in the pusher track at the forward ends of the jaws when the handles are open. The first handle provides a ramp structure leading to the pusher track at the forward end of the clip tube which is covered by the pusher when in its extended position and exposed by the pusher when in its retracted position, thus enabling the forwardmost clip to be transferred to the pusher track in front of the pusher due to the forward urging of the clips in the clip tube, and without the necessity of moving transfer parts.
摘要翻译：一种用于将夹紧夹施用于静脉，动脉和血管的一次性连接器。结扎器包括在其前端处终止于第一钳口的第一手柄和第二钳口以及第二手柄，两者在其前端附近枢转地安装在第一手柄上。手柄可在打开位置和关闭位置之间移动，并在打开和关闭夹紧位置之间移动夹爪。包含多个夹子的夹管和弹簧偏置的进料器靴，以在其中向前持续地向前推动夹子安装在第一手柄中。推动器安装在平行于夹管的第一把手中的推动器轨道中，该推动器轨道延伸到钳口的前端。当把手被关闭时，推动器可以在第一和第二把手之间移动，缩回位置和伸出位置，以便当把手打开时将夹子定位在夹爪的前端处的推动器轨道中。第一把手提供斜坡结构，导致在夹子管的前端处的推动器轨道，当推动器处于其延伸位置时被推动器覆盖并且在推动器处于其缩回位置时由推动器暴露，从而使最前面的夹子能够被转移由于夹子在夹管中的向前推动，而不需要移动转印部件，在推动器前方的推动器轨迹。

48. 发明授权

US08646673B2 Surgical stapling instrument 有权
标题翻译：手术吻合器械
公开(公告)号：US08646673B2
公开(公告)日：2014-02-11
申请号：US12830010
申请日：2010-07-02
申请人： Federico Bilotti , Antonio Longo
发明人： Federico Bilotti , Antonio Longo
IPC分类号： A61B17/072
CPC分类号： A61B17/1114 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07221
摘要： A surgical stapling instrument (1) comprises a body portion (2, 3), a handle (4) and a staple fastening assembly (8). The staple fastening assembly (8) includes a curved cartridge (10), which comprises at least one curved open row of staples, and a curved anvil (22), which is adapted to cooperate with the cartridge (10) for forming the ends of the staples exiting from the cartridge (10). The staple fastening assembly (8) is adapted to allow unobstructed access towards the concave inner faces of the cartridge (10) and the anvil (22). The cartridge (10) can be moved towards the anvil (22) from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue. Preferably, a knife is contained within the cartridge (10) and is positioned such that there is at least one row of staples on at least one side of the knife.
摘要翻译：外科缝合器械（1）包括主体部分（2,3），手柄（4）和钉紧固组件（8）。缝钉紧固组件（8）包括弯曲的盒（10），其包括至少一个弯曲的开放排的钉和弯曲的砧座（22），其适于与所述盒（10）协作以形成订书钉从盒（10）离开。缝合钉紧固组件（8）适于允许朝向盒（10）和砧座（22）的凹内表面畅通无阻。药筒（10）可以从间隔位置移动到砧座（22），用于将组织定位到用于夹紧组织的关闭位置。优选地，刀被容纳在盒（10）内并且被定位成使得在刀的至少一侧上存在至少一排钉。

49. 发明授权

US08617159B2 Surgical instrumentation for performing endoluminal and/or transluminal anastomosis 有权
标题翻译：用于进行腔内和/或腔内吻合的手术仪器
公开(公告)号：US08617159B2
公开(公告)日：2013-12-31
申请号：US12438783
申请日：2007-07-20
申请人： Tacchino Roberto , Federico Bilotti , Alessandro Pastorelli , Brian James Thompson , Michele D'Arcangelo
发明人： Tacchino Roberto , Federico Bilotti , Alessandro Pastorelli , Brian James Thompson , Michele D'Arcangelo
IPC分类号： A61B18/14
CPC分类号： A61B17/1114 , A61B17/115 , A61B2017/00278 , A61B2017/1139
摘要： An instrumentation for performing an endoluminal or transluminal anastomosis, comprises an anastomotic ring device including a proximal ring (5) having two guide wire seats (22) adapted to slidably receive two guide wires (1, 2) and a distal ring (6) having two guide wire seats (25) adapted to slidably receive the two guide wires (1, 2), the proximal ring 5 and the distal ring 6 being snap-connectable to each other, a surgical probe (7) comprising an elongate insertion shaft (30) and a probe head (32) adapted to be endoluminally advanced to a proximal tissue portion (3), the insertion shaft (30) defining guide wire canals (8, 9) extending into two guide wire exit openings (31) defined in the probe head (32) and adapted to deliver the distal ends (1″, 2″) of said guide wires (1, 2) to said proximal tissue portion (3). The distance between the two guide wire exit openings (31) of the probe (7) is substantially equal to the distance between the two guide wire seats (22) of the proximal ring (5) and to the distance between the two guide wire seats (25) of the distal ring (6).
摘要翻译：用于进行腔内或腔内吻合的仪器包括吻合环装置，其包括具有适于可滑动地容纳两根导丝（1,2）和两个远端环（6）的两个导线座（22）的近端环（5）两个引导线座（25），其适于可滑动地容纳所述两条导线（1,2），所述近端环5和所述远端环6彼此可卡扣连接;外科探针（7），包括细长插入轴 30）和适于被内向前推进到近侧组织部分（3）的探针头（32），所述插入轴（30）限定延伸到两个导丝出口（31）中的引导线通道（8,9），其限定在所述探针头（32）并且适于将所述导丝（1,2）的远端（1“，2”）输送到所述近侧组织部分（3）。探针（7）的两个引导线出口（31）之间的距离基本上等于近端环（5）的两个导丝座座（22）之间的距离以及两个导丝座之间的距离（6）的远端（25）。

50. 发明授权

US08425509B2 Surgical instrument for performing controlled myotomies 失效
标题翻译：用于进行受控肌肉切开术的手术器械
公开(公告)号：US08425509B2
公开(公告)日：2013-04-23
申请号：US12438748
申请日：2007-06-22
申请人： Antonio Longo , Michele D'Arcangelo , Alessandro Pastorelli , Federico Bilotti , Brian James Thompson
发明人： Antonio Longo , Michele D'Arcangelo , Alessandro Pastorelli , Federico Bilotti , Brian James Thompson
IPC分类号： A61B18/12
CPC分类号： A61B17/320016 , A61B17/320036 , A61B18/1402 , A61B18/1477 , A61B2017/00367 , A61B2017/0042 , A61B2017/00455 , A61B2018/00922 , A61B2018/00946 , A61B2018/1407 , A61B2018/1422 , A61B2018/1425 , A61B2018/143 , A61B2018/1475 , A61B2090/062
摘要： A surgical instrument (1) for performing controlled myotomies, particularly for performing internal anal sphincterotomies, comprises a proximal handle portion (2), an elongate insertion shaft (3) connected with the handle portion (2) and extending distally therefrom, a distal incision tip (4) arranged at a distal end of the insertion shaft (3) and adapted to incise tissue distally to the insertion shaft (3), a lateral incision member (5) arranged at the insertion shaft (3) and adapted to incise tissue laterally to the insertion shaft (3), wherein the lateral incision member (4) is movable from a rest position, in which it is retracted towards or inside the insertion shaft (3) and an operational position in which it protrudes laterally from the insertion shaft (3).
摘要翻译：用于执行受控肌内切断术的手术器械（1），特别是用于执行内部肛门括约肌切开术，包括近侧手柄部分（2），与手柄部分（2）连接并从其远端延伸的细长插入轴（3），远端切口末端（4），布置在所述插入轴（3）的远端并且适于将组织向远侧切开到所述插入轴（3）;横向切口构件（5），布置在所述插入轴（3）处并适于切开组织横向于所述插入轴（3），其中所述侧切口部件（4）可从静止位置移动，在所述静止位置，所述侧切口部件（4）向所述插入轴（3）内侧或内侧缩回，轴（3）。

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