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41. 发明专利

JP2007229449A Endoscopic surgical instrument with handle that can articulate with respect to shaft 有权
标题翻译：内窥镜手术仪器，可与手柄相关的手柄
公开(公告)号：JP2007229449A
公开(公告)日：2007-09-13
申请号：JP2007020044
申请日：2007-01-30
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , SWAYZE JEFFREY S , ORTIZ MARK S , FUGIKAWA LESLIE M
IPC分类号： A61B17/32 , A61B1/00 , A61B17/10 , A61B17/28
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/2812 , A61B2017/0069 , A61B2017/291 , A61B2017/2919
摘要： PROBLEM TO BE SOLVED: To provide an end cutter that has a handle portion that can be positioned to more ergonomically favorable positions relative to a portion that is extending through a trocar. SOLUTION: The surgical instrument particularly suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to the end effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of the elongated shaft assembly to enable a surgeon to move the handle portion to a more ergonomically comfortable position while carrying out an endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed as well. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种具有手柄部分的端部切割器，该手柄部分可以相对于延伸穿过套管针的部分定位成更符合人体工程学的有利位置。解决方案：公开了特别适用于内窥镜使用的手术器械。各种实施例包括尺寸适于插入穿过套管针的端部执行器。细长轴组件联接到末端执行器和控制手柄。细长轴组件具有与端部执行器相邻的远端部分，用于插入套管针。细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。控制手柄可铰接地联接到细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术的同时将手柄部分移动到更符合人体工程学的舒适位置。还公开了各种关节连接实施例和锁定装置。版权所有（C）2007，JPO＆INPIT

42. 发明专利

JP2007144169A Surgery clip and applier apparatus and method to use same 有权
标题翻译：手术夹具和装置设备及其使用方法
公开(公告)号：JP2007144169A
公开(公告)日：2007-06-14
申请号：JP2006315809
申请日：2006-11-22
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： BOUDREAUX CHAD P , ORTIZ MARK S
IPC分类号： A61B17/12
CPC分类号： A61B17/1285 , A61B17/064 , A61B17/072 , A61B17/1227 , A61B2017/00862 , A61B2017/07221 , A61B2090/037
摘要： PROBLEM TO BE SOLVED: To improve the method used for ligating and cutting tissues. SOLUTION: A surgical clip for ligating and cutting vascular channels and other tissues such as a tubular channel, and a surgical clip applier apparatus to deliver the surgical clip to the tissue to fix there are provided. The surgical clip 10 can include a backbone part 12 and arms 14 and 16 extending from the backbone part 12 and opposing each other, and the arms 14 and 16 can determine the length of clamping. In an idle state, the clip 10 can be energized at the closed position, where the opposing arm 14 and 16 are located near each of them. In this energized position, the clip 10, if it is fixed to the tissue using the surgical clip applier or the like, ensures to give pressure for clamping to the tissue along the length of clamping to seal the tissue and limit a fluid such as blood to flow through the tissue. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：改善用于结扎和切割组织的方法。解决方案：提供用于结扎和切割血管通道和其他组织（例如管状通道）的手术夹具和用于将手术夹子递送到组织以固定在那里的手术夹具装置装置。手术夹10可以包括骨架部分12和从主体部分12延伸并且彼此相对延伸的臂14和16，并且臂14和16可以确定夹紧的长度。在空闲状态下，夹子10能够在关闭位置通电，相对的臂14和16位于其中的每一个处。在该通电位置中，夹子10如果使用手术夹具等固定在组织上，则确保沿着夹紧长度向组织施加压力以密封组织并限制诸如血液的流体流过组织。版权所有（C）2007，JPO＆INPIT

43. 发明专利

JP2007098132A Electroactive polymer-based articulation mechanism for linear surgical stapler 审中-公开
标题翻译：用于线性外科手术的基于聚合物的基于聚合物的制备机制
公开(公告)号：JP2007098132A
公开(公告)日：2007-04-19
申请号：JP2006267291
申请日：2006-09-29
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S , SHELTON FREDERICK E IV , SWAYZE JEFFREY S
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00398 , A61B2017/07278 , A61B2017/2927 , A61B2017/2946
摘要： PROBLEM TO BE SOLVED: To provide a method and a device for actuating and/or articulating a surgical stapler. SOLUTION: In one embodiment, the surgical stapler has a stapling mechanism or an end effector that is movably coupled to a distal end of an elongate shaft. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, is used to pivotally or angularly adjust a position of the stapling mechanism relative to the elongate shaft by delivering energy to the electroactive polymer actuator. In another embodiment, an electroactive polymer actuator is used to actuate a staple applying assembly to drive one or more staples, and preferably at least two linear rows of staples, into tissues. The actuator can alternatively or additionally drive a blade distally to cut the tissues being stapled. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供用于致动和/或铰接外科缝合器的方法和装置。解决方案：在一个实施例中，外科缝合器具有可移动地联接到细长轴的远端的吻合机构或端部执行器。使用诸如电活性聚合物致动器的电可膨胀和可收缩的致动器通过将能量递送到电活性聚合物致动器来枢转或角度地调节装订机构相对于细长轴的位置。在另一个实施方案中，使用电活性聚合物致动器来致动钉施加组件以将一个或多个钉，并且优选至少两个直线排的钉驱动到组织中。致动器可以替代地或另外驱动刀片向远侧切割被装订的组织。版权所有（C）2007，JPO＆INPIT

44. 发明专利

JP2007044515A Single-path type device for stomach constraint 有权
标题翻译：用于STOMACH约束的单路类型设备
公开(公告)号：JP2007044515A
公开(公告)日：2007-02-22
申请号：JP2006213564
申请日：2006-08-04
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S , GRIFFITH DAVID B , STOKES MICHAEL J
IPC分类号： A61B17/00 , A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B2017/1142 , A61B2017/306 , A61F5/0086
摘要： PROBLEM TO BE SOLVED: To provide a device for shrinking the stomach related to a method and a device for performing the stomach shrinking surgery with an endoscope.
SOLUTION: The device for shrinking the stomach for easily forming a linear peroral path passing through the stomach comprises a slender body comprising a proximal end part and a distal end part. The slender body is formed approximately in the shape of a sine curve with at least one tissue-engaged surface oriented so that a needle can pass. The slender body also comprises at least one needle path formed near the at least one tissue-engaged surface. The at least one needle path passes approximately the center of the sine-curve-shaped waveform demarcated by the at least one tissue-engaged surface so that the needle can completely pass the stomach tissue in contact with the tissue-engaged surface of the slender body. The slender body further comprises a suture path.
COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于与内窥镜执行胃缩缩手术的方法和装置相关的胃收缩装置。解决方案：用于收缩胃以容易地形成穿过胃的线性口腔路径的装置包括细长体，其包括近端部分和远端部分。细长主体形成为大致呈正弦曲线的形状，其中至少一个组织接合表面定向成使针能够通过。细长体还包括在至少一个组织接合表面附近形成的至少一个针通路。所述至少一个针通路近似地通过由所述至少一个组织接合表面划定的正弦曲线形波形的中心，使得所述针可以完全通过与所述细长体的组织接合表面接触的胃组织。细长的身体还包括缝线路径。版权所有（C）2007，JPO＆INPIT

45. 发明专利

JP2006312056A Spring-based firing mechanism for anastomotic ring applier device 有权
标题翻译：用于解锁环设备的弹簧式发火机构
公开(公告)号：JP2006312056A
公开(公告)日：2006-11-16
申请号：JP2006128542
申请日：2006-05-02
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S
IPC分类号： A61B17/11 , A61B17/00
CPC分类号： A61B17/1114 , A61B17/08 , A61B17/115 , A61B2017/00367 , A61B2017/00867 , A61B2017/0408
摘要： PROBLEM TO BE SOLVED: To provide an anastomotic ring applier device that is capable of deploying an anastomotic ring without requiring a large actuating force to be transmitted from the proximal portion of the device to the distal portion thereof. SOLUTION: The device is a surgical instrument for applying an anastomotic ring device, and comprises a handle 18 connected to an anastomotic ring deployment mechanism 2 by an elongate shaft 22. The instrument also comprises an actuation mechanism structured to apply an actuating force to the ring deployment mechanism. In one embodiment, the actuation mechanism applies the compressive force to deploy the anastomotic ring by drawing opposing ends of a ring deployment mechanism together. The actuation mechanism comprises a spring or other resilient member, movable from a first position to a second position in order to actuate the ring deployment mechanism. One mechanism can move the spring to the second position in response to the input by a user while retaining the spring at the first position, and one mechanism can dislodge the spring. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种能够展开吻合环而不需要大的致动力从装置的近端部分传递到其远端部分的吻合环施加器装置。解决方案：该装置是用于施加吻合环装置的手术器械，并且包括通过细长轴22连接到吻合环展开机构2的手柄18.该器械还包括构造成施加致动力的致动机构到环部署机制。在一个实施例中，致动机构通过将环展开机构的相对端拉在一起而施加压缩力来展开吻合环。致动机构包括弹簧或其他弹性构件，其可从第一位置移动到第二位置，以便致动环展开机构。响应于使用者的输入，一个机构可以将弹簧移动到第二位置，同时将弹簧保持在第一位置，并且一个机构可以移除弹簧。版权所有（C）2007，JPO＆INPIT

46. 发明专利

JP2006312052A Sheath for enabling insertion and extraction of anastomotic ring supply device 审中-公开
标题翻译：用于启动插入和提取解耦电源的设备
公开(公告)号：JP2006312052A
公开(公告)日：2006-11-16
申请号：JP2006128518
申请日：2006-05-02
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S
IPC分类号： A61B17/115 , A61L31/00
CPC分类号： A61B17/1114 , A61B17/115 , A61B2017/00367 , A61B2017/00867 , A61B2017/0408 , A61B2017/2905
摘要： PROBLEM TO BE SOLVED: To provide a surgical instrument for implanting an anastomotic ring device. SOLUTION: A surgical tool or supply device 10 for deploying an anastomotic ring 14 comprises a handle 17 connected to an elongate shaft that terminates in an anastomotic ring deployment mechanism 24. The ring deployment mechanism 24 is movable from an unactuated position to an actuated position. In order to prevent tissue from becoming trapped in the ring deployment mechanism during insertion or extraction of the tool, sheaths 32, 34 are adapted to cover the ring deployment mechanism during the insertion and extraction. The sheaths are movable with the ring deployment mechanism from the unactuated position to the actuated position. Also, the sheaths may comprise an elastic material, a braided thread, or another material. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于植入吻合环装置的手术器械。解决方案：用于展开吻合环14的外科手术工具或供应装置10包括连接到细长轴的手柄17，该细长轴终止于吻合环展开机构24.环展开机构24可从未致动位置移动到启动位置。为了防止在插入或拔出工具期间组织被困在环展开机构中，护套32,34适于在插入和抽出期间覆盖环展开机构。护套可随着环形展开机构从未致动位置移动到致动位置。此外，护套可以包括弹性材料，编织线或另一种材料。版权所有（C）2007，JPO＆INPIT

47. 发明专利

JP2006312049A Joint-like actuating anastomotic ring supply device 有权
标题翻译：联动式激励环形电源设备
公开(公告)号：JP2006312049A
公开(公告)日：2006-11-16
申请号：JP2006128506
申请日：2006-05-02
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S
IPC分类号： A61B17/11
CPC分类号： A61B17/08 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/00309 , A61B2017/00367 , A61B2017/00867 , A61B2017/0408 , A61B2017/1157 , A61B2017/2905
摘要： PROBLEM TO BE SOLVED: To provide a joint-like actuating anastomotic ring supply device relating to surgery, in general.
SOLUTION: A surgical instrument for supplying an anastomotic ring device comprises a handle connected to an anastomotic ring deployment mechanism by a shaft. The shaft has at least one actuation joint that is capable of actuating like a joint in at least one direction to allow the surgeon to alter the angle of approach in order to compensate for disadvantageous placement of a trocar port through which the instrument is inserted. The actuation joint may comprise a ribbed member. Further, one or more cables may be used to effect movement of the actuation joint.
COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：一般来说，提供与手术相关的关节状致动吻合环供给装置。解决方案：用于供应吻合环装置的手术器械包括通过轴连接到吻合环展开机构的手柄。轴具有至少一个致动接头，其能够在至少一个方向上像接头一样致动，以允许外科医生改变接近的角度，以便补偿器械插入其中的套管针端口的不利位置。致动接头可以包括肋状构件。此外，可以使用一个或多个电缆来实现致动接头的移动。版权所有（C）2007，JPO＆INPIT

48. 发明专利

JP2005209187A Graphical representation, storage and dissemination of displayed thinking 审中-公开
标题翻译：显示思维的图形表示，存储和显示
公开(公告)号：JP2005209187A
公开(公告)日：2005-08-04
申请号：JP2004380760
申请日：2004-12-28
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S , WARE PATRICK W
IPC分类号： G06Q10/00 , G06F3/00 , G06F3/033 , G06F3/048 , G06F3/14 , G06F17/00 , G06F19/00 , G06K11/00 , G09B19/00 , G09G5/00 , G09G5/14 , G06F17/60
CPC分类号： G06Q10/101
摘要： PROBLEM TO BE SOLVED: To provide a method for graphical representation, storage and dissemination of displayed thinking. SOLUTION: Creative thinking techniques for individual or collaborative problem solving and innovation are facilitated by an automated approach to representing displayed thinking, that is to say, a category note taking method built upon card story boarding. Efficient card creation, placement, annotation, and presentation upon a virtual board assists a facilitator in a displayed thinking session, as well as enabling participation by remote participants and capturing session results for later reference or revision. COPYRIGHT: (C)2005,JPO&NCIPI
摘要翻译：要解决的问题：提供显示思维的图形表示，存储和传播的方法。
解决方案：通过自动化方法来表示显示的思维，即一种基于卡片故事登记建立的类别记录方法，有助于个人或协作性问题解决和创新的创意思维技术。虚拟板上的高效卡片创建，放置，注释和演示可以帮助协助者进行显示的思维会话，并使远程参与者能够参与并捕获会话结果以供以后参考或修订。版权所有（C）2005，JPO＆NCIPI

49. 发明专利

JP2010207579A Surgical access devices and methods providing seal movement in predefined movement regions 审中-公开
标题翻译：预防运动区域的密封运动的外科手术设备和方法
公开(公告)号：JP2010207579A
公开(公告)日：2010-09-24
申请号：JP2010048830
申请日：2010-03-05
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： ORTIZ MARK S , MARTIN DAVID T , MILLER MATTHEW C , REESE MARK J , HABERSTICH WELLS D , SHURTLEFF CARL , SCHEIB CHARLES J , SHELTON FREDERICK E IV , MORGAN JEROME R , DUKE DANIEL H , MUMAW DANIEL J , JOHNSON GREGORY , HOUSER KEVIN L
IPC分类号： A61B17/02
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： PROBLEM TO BE SOLVED: To provide various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. SOLUTION: The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation. COPYRIGHT: (C)2010,JPO&INPIT

50. 发明专利

JP2009207893A Physiological parameter analysis for implantable restriction device and data logger 有权
标题翻译：可植入限制装置和数据记录器的生理参数分析
公开(公告)号：JP2009207893A
公开(公告)日：2009-09-17
申请号：JP2009045310
申请日：2009-02-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： DLUGOS DANIEL F JR , BROCKMEIER PETER , BERGER MATTHEW A , BYRUM RANDAL T , DOLL KEVIN R , GAYOSO GASPAR M , JENSEN DUSTIN R , KRUMANAKER DAVID T , MARCOTTE AMY L , ORTIZ MARK S , PLESCIA DAVID N , YATES DAVID C
IPC分类号： A61B17/00 , A61B5/00 , A61B5/0245 , A61B5/08
CPC分类号： A61F5/0056 , A61B5/0008 , A61B5/03 , A61B5/076 , A61B5/4205 , A61B5/743 , A61B5/7435 , A61B2560/0252 , A61B2560/0257 , A61F5/0059
摘要： PROBLEM TO BE SOLVED: To provide a communication system for monitoring physiological parameters related to an implanted food intake restriction device. SOLUTION: An implantable restriction device can be configured to provide a restriction in a patient, for example as a correlation with the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于监测与植入食物摄取限制装置相关的生理参数的通信系统。解决方案：可植入的限制装置可被配置成在患者体内提供限制，例如作为与流体压力的相关性。可植入限制装置可以包括一个或多个传感器，其构造成感测各种参数，例如可植入限制装置内的流体的压力，脉冲宽度，脉冲幅度，脉冲计数，脉冲持续时间或频率，电特性或其他参数。可以使用遥测线圈或其他通信器将由一个或多个传感器获得的数据（例如，表示压力，脉冲特性等的数据）传送到位于病人外部的设备，例如数据记录器。数据记录器可以存储数据，并且可以经由诸如因特网的网络将数据传送到远程位置。版权所有（C）2009，JPO＆INPIT

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