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61. 发明授权

US08523040B2 Fastener and fastener applier having selective suture attachment 有权
标题翻译：紧固件和紧固件施加器具有选择性缝合附件
公开(公告)号：US08523040B2
公开(公告)日：2013-09-03
申请号：US12113644
申请日：2008-05-01
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0401 , A61B17/0644 , A61B2017/0409 , A61B2017/0488
摘要： A surgical stapling device for deploying staples connected with suture to tissue includes a handle having a staple actuator mechanism, a tubular support shaft having a longitudinal axis and extending from the handle, and a staple cartridge mounted on the support shaft and connected to the staple actuator mechanism for applying one or more staples to the tissue. The cartridge has a cartridge housing adapted to receive a plurality of staples in a row for longitudinal movement therethrough and an anvil mounted on the housing. The cartridge further includes a mechanism for advancing the forwardmost staple in the row into engagement with the anvil, and a suture guide supporting a length of suture that extends in a loop for attachment to the staples as they are secured to the tissue.
摘要翻译：一种用于将与缝合线连接的组织部署到外科缝合装置的手术装置包括具有缝钉致动器机构的手柄，具有纵向轴线并从手柄延伸的管状支撑轴，以及安装在支撑轴上并连接到钉子致动器用于将一个或多个钉钉施加到组织的机构。该盒具有一个盒壳体，其适于容纳一行中的多个钉，用于纵向运动，并且安装在壳体上的砧座。所述筒还包括用于将所述排中的最前面的钉向前推进与所述砧座接合的机构，以及缝合线引导件，所述缝合线引导件支撑一定长度的缝合线，所述缝线引导件在环路中延伸，以便在固定到所述组织上时与所述缝钉连接。

62. 发明授权

US08496684B2 Method for deploying a device for gastric volume reduction 有权
标题翻译：用于部署用于胃体积减少的装置的方法
公开(公告)号：US08496684B2
公开(公告)日：2013-07-30
申请号：US11930281
申请日：2007-10-31
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B2017/00278 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61F5/0086
摘要： A method for approximating tissue within a body including the step of providing a device having a handle, at least one actuator, an elongated hollow housing having a proximal end attached to the handle and a distal end extending therefrom, a first and second cartridge. Each the cartridge contains at least one fastener having at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge being releasably connected to the distal end of hollow housing. The method also includes the step of inserting the first cartridge into a body and deploying each anchor into tissue in a spaced apart position. The method also involves moving the anchors adjacent one another by moving the suture in a proximal direction, and removing the first cartridge from the body and from the housing. The method then involves placing the second cartridge onto the housing thereby replacing the first cartridge with the second cartridge.
摘要翻译：一种用于近似身体内的组织的方法，包括提供具有手柄的装置的步骤，至少一个致动器，具有附接到手柄的近端的细长中空壳体和从其延伸的远端，第一和第二药筒。每个盒包含至少一个具有至少两个锚固件的紧固件，该锚固件通过非弹性柔性缝合线连接在一起，该缝合线在可压缩载荷下不会抵抗变形。第一盒被可释放地连接到中空壳体的远端。该方法还包括将第一盒插入主体并将每个锚放置在间隔开位置的组织中的步骤。该方法还涉及通过沿近端方向移动缝合线而相邻地移动锚固件，以及从主体和壳体移除第一盒。该方法然后涉及将第二盒放置在外壳上，从而用第二盒更换第一盒。

63. 发明申请

US20120080495A1 RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE 审中-公开
标题翻译：可靠的LAPAROSCOPIC紧固件分配装置
公开(公告)号：US20120080495A1
公开(公告)日：2012-04-05
申请号：US13325536
申请日：2011-12-14
申请人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Mark S. Ortiz , Alexander P. Kondor , Lawrence Crainich , Eugene L. Timperman
发明人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Mark S. Ortiz , Alexander P. Kondor , Lawrence Crainich , Eugene L. Timperman
IPC分类号： A61B17/068
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/3498 , A61B90/92 , A61B90/94 , A61B2017/00477 , A61B2017/00526 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0496 , A61B2017/06052 , A61B2017/2916 , A61B2017/2917 , A61B2017/292 , A61B2017/2923 , A61B2017/2926
摘要： A device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The device also includes an elongated pusher movable through the hollow housing from the proximal to the distal end to deploy the fasteners. The device further includes a deforming member for deforming the pusher at a proximal end thereof while advancing the pusher to the distal end of the housing.
摘要翻译：一种用于展开紧固件的装置，包括手柄和至少一个致动器。手柄连接到具有远端和近端的细长的中空壳体。该装置具有容纳可释放地连接到手柄的至少一个紧固件的第一盒。该装置还包括细长的推动器，其可从近端到远端移动穿过中空壳体以展开紧固件。该装置还包括变形构件，用于使推动器在其近端处变形，同时将推动器推进到壳体的远端。

64. 发明申请

US20110130772A1 Device For Deploying A Fastener For Use In A Gastric Volume Reduction Prodecure 审中-公开
标题翻译：用于部署紧固件的装置用于胃体积减少产品
公开(公告)号：US20110130772A1
公开(公告)日：2011-06-02
申请号：US13021795
申请日：2011-02-07
申请人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
发明人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0483 , A61B17/0487 , A61B17/06114 , A61B17/06166 , A61B17/3462 , A61B17/3478 , A61B90/90 , A61B2017/00278 , A61B2017/00818 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/306 , A61F5/0079 , A61F5/0086 , A61M13/003
摘要： A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature.
摘要翻译：一种用于围绕较大曲率的胃操作胃组织的方法和装置。该方法包括以下步骤：产生至少一个切口以进入腹膜腔，以及解剖大网膜的至少一部分。然后，该方法包括通过切口进入胃组织的外部并折叠胃的较大曲率的至少一部分。折叠被构造成具有大致沿着其整个长度的浆膜到浆膜的接触。该方法还包括用柔性构件固定折叠物，其中柔性构件包括至少一个组织固定特征。

65. 发明申请

US20110060358A1 METHODS AND IMPLANTS FOR INDUCING SATIETY IN THE TREATMENT OF OBESITY 审中-公开
标题翻译：诱导治疗肥胖的方法和植入物
公开(公告)号：US20110060358A1
公开(公告)日：2011-03-10
申请号：US12554006
申请日：2009-09-04
申请人： Michael J. Stokes , Jason L. Harris , Mark S. Zeiner , Elliott J. Fegelman , William B. Weisenburgh, II , Christopher J. Hess
发明人： Michael J. Stokes , Jason L. Harris , Mark S. Zeiner , Elliott J. Fegelman , William B. Weisenburgh, II , Christopher J. Hess
IPC分类号： A61M29/00
CPC分类号： A61F5/0069 , A61B2017/00818 , A61B2017/00867 , A61F5/0013
摘要： A device for inducing satiety including an elongated device for insertion through a natural orifice and into a stomach of the patient. The distal end of the device includes a means for occupying space between the submucosal and muscularis layers adjacent a pyloric sphincter. The means has a collapsed state for delivery to a target site and an expanded state for implantation thereof.
摘要翻译：用于诱导饱腹感的装置，包括用于插入通过天然孔口并进入患者胃的细长装置。该装置的远端包括用于占据邻近幽门括约肌的粘膜下层和肌层之间的空间的装置。该装置具有用于递送到目标部位的折叠状态和用于植入其的扩张状态。

66. 发明申请

US20100191255A1 Method for Applying A Surgical Staple 审中-公开
标题翻译：应用手术钉的方法
公开(公告)号：US20100191255A1
公开(公告)日：2010-07-29
申请号：US12609336
申请日：2009-10-30
申请人： Lawrence Crainich , Drew Pickering , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Matthew D. Holcomb , Darrel M. Powell
发明人： Lawrence Crainich , Drew Pickering , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Matthew D. Holcomb , Darrel M. Powell
IPC分类号： A61B17/10
CPC分类号： A61B17/0644 , A61B17/0682 , A61B2017/2925 , A61B2017/2946
摘要： A method of deploying a surgical fastener including the step of introducing the fastener into a body of a patient while the fastener is in a first shape having a first loop with a back span and an original size and shape. The method involves moving the end segments of the fastener in a first manner away from each other while maintaining the fastener in a closed loop. The method also involves moving the end segments of the fastener in a second manner away from each other to open the loop. The method further involves forming the fastener into a second loop having a width greater than the width of the first loop.
摘要翻译：一种部署手术紧固件的方法，包括以下步骤：当紧固件处于具有后跨距和原始尺寸和形状的第一环的第一形状时将紧固件引入患者体内。该方法包括将紧固件的端部段以彼此相离的方式移动，同时将紧固件保持在闭环状态。该方法还涉及将紧固件的端部段以彼此远离的第二方式移动以打开环路。该方法还包括将紧固件形成为具有大于第一回路宽度的宽度的第二回路。

67. 发明申请

US20100023026A1 RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE WITH DISPOSABLE CARTRIDGE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE 审中-公开
标题翻译：可放置的LAPAROSCOPIC紧固件，配有可拆卸的盒子用于减少气体减少程序
公开(公告)号：US20100023026A1
公开(公告)日：2010-01-28
申请号：US12179605
申请日：2008-07-25
申请人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Matthew D. Holcomb , Mark S. Ortiz , Lawrence Crainich , Alex P. Kondor
发明人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Matthew D. Holcomb , Mark S. Ortiz , Lawrence Crainich , Alex P. Kondor
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/0493 , A61B17/3498 , A61B90/92 , A61B90/94 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0475 , A61B2017/0477 , A61B2017/0496 , A61B2017/06052 , A61B2017/2916 , A61B2017/292 , A61B2017/2923
摘要： A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device includes a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The first cartridge is removable from the handle. The device includes a second cartridge having at least one fastener releasably connectable to the handle after removal of the first cartridge. The second cartridge being insertable into the device from a proximal end thereof.
摘要翻译：用于部署紧固件的可重装装置。该装置具有手柄和至少一个致动器。手柄连接到具有远端和近端的细长的中空壳体。该装置包括容纳可释放地连接到手柄的至少一个紧固件的第一盒。紧固件具有至少两个通过非弹性柔性缝合线连接在一起的锚固件，其在可压缩载荷下不会抵抗变形。第一个墨盒可从手柄上取下。该装置包括具有至少一个紧固件的第二盒，该至少一个紧固件在移除第一盒之后可释放地连接到手柄。第二盒可从其近端插入到装置中。

68. 发明申请

US20100023025A1 Reloadable laparoscopic fastener deploying device with disposable cartridge for use in a gastric volume reduction procedure 审中-公开
标题翻译：可重复使用的腹腔镜紧固件部署装置，其具有用于胃体积减小程序的一次性药筒
公开(公告)号：US20100023025A1
公开(公告)日：2010-01-28
申请号：US12179600
申请日：2008-07-25
申请人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Matthew D. Holcomb , Mark S. Ortiz , Eugene L. Timperman , Alex P. Kondor
发明人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Matthew D. Holcomb , Mark S. Ortiz , Eugene L. Timperman , Alex P. Kondor
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/0493 , A61B17/3498 , A61B90/92 , A61B90/94 , A61B2017/003 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0475 , A61B2017/0477 , A61B2017/0496 , A61B2017/06052 , A61B2017/2916 , A61B2017/292 , A61B2017/2923 , A61F5/0086
摘要： A method of deploying fasteners within a body by providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends, and a needle within the hollow housing. The device has a first cartridge containing at least one fastener releasably connectable to the distal end of the hollow housing. The fastener is at least partially housed within the needle and has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The method uses the steps of inserting the distal end of the hollow housing to a target site within a body, attaching tissue together within the body by deploying the fastener, and removing the first cartridge and replacing it with a second cartridge.
摘要翻译：一种通过提供具有手柄和至少一个致动器的装置在身体内部署紧固件的方法。手柄连接到具有远端和近端的细长的中空壳体，以及在中空壳体内的针。该装置具有第一盒，该第一盒包含至少一个可释放地连接到中空壳体的远端的紧固件。紧固件至少部分地容纳在针内，并且具有至少两个锚固件，其通过非弹性柔性缝合线连接在一起，其在可压缩载荷下不会抵抗变形。该方法使用以下步骤：将中空壳体的远端插入到体内的目标部位，通过展开紧固件将组织连接在体内，并且移除第一盒并用第二盒替换。

69. 发明申请

US20090272786A1 SURGICAL STAPLING INSTRUMENT FOR APPLYING A LARGE STAPLE THROUGH A SMALL DELIVERY PORT AND A METHOD OF USING THE SURGICAL STAPLER TO SECURE A TISSUE FOLD 有权
标题翻译：通过小型输送口应用大口袋的外科手术器械以及使用外科手术刀来安全组织折叠的方法
公开(公告)号：US20090272786A1
公开(公告)日：2009-11-05
申请号：US12113829
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0684 , A61B17/6425 , A61B2017/0034 , A61B2017/00818 , A61B2017/2929
摘要： A low-profile surgical stapler enables a large-sized staple to be delivered into a body cavity through a small opening or port. The surgical stapler includes a handle having a trigger movably coupled to the handle. The surgical stapler also includes an elongated, tubular shaft extends distally from the handle. The tubular shaft includes a proximal end secured to the handle and a distal end in which a deployment opening is formed. A staple deploying assembly is disposed within an interior of the shaft for discharging staples from the deployment opening at the distal end of the shaft, the staple deploying assembly supporting a staple such that a longitudinal axis of the staple is aligned with a longitudinal axis of the shaft. The deployment opening is shaped and dimensioned to permit the deployment of the staples from within the shaft, out of the deployment opening and into adjacent tissue.
摘要翻译：低调外科缝合器使得大尺寸的钉可以通过小的开口或端口输送到体腔中。手术吻合器包括具有可移动地联接到手柄的触发器的手柄。手术吻合器还包括从手柄向远侧延伸的细长管状轴。管状轴包括固定到手柄的近端和形成有展开开口的远端。缝钉展开组件设置在轴的内部，用于在轴的远端处从排出口排出订书钉，所述订书钉展开组件支撑订书钉，使得订书钉的纵向轴线与轴。展开口的形状和尺寸被设计成允许订书针从轴内部伸出展开开口并进入邻近的组织。

70. 发明申请

US20090112234A1 RELOADABLE LAPAROSCOPIC FASTENER DEPLOYING DEVICE FOR USE IN A GASTRIC VOLUME REDUCTION PROCEDURE 审中-公开
标题翻译：可释放的LAPAROSCOPIC紧固件配置装置，用于减少气体减少程序
公开(公告)号：US20090112234A1
公开(公告)日：2009-04-30
申请号：US11930246
申请日：2007-10-31
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0401 , A61B17/0467 , A61B17/0487 , A61B2017/00278 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61F5/0086
摘要： A reloadable device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device also includes a first cartridge containing at least one fastener releasably connectable to the distal end of hollow housing. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The device also includes a means for facilitating removal the first cartridge and replacing it with a second cartridge.
摘要翻译：一种用于展开包括手柄和至少一个致动器的紧固件的可重新加载的装置。手柄连接到具有远端和近端的细长的中空壳体。该装置还包括容纳可释放地连接到中空壳体的远端的至少一个紧固件的第一盒。紧固件具有至少两个通过非弹性柔性缝合线连接在一起的锚固件，其在可压缩载荷下不会抵抗变形。该装置还包括便于移除第一盒并且用第二盒替换的装置。

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