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71. 发明申请

US20080147116A1 Surgical Fastener 有权
标题翻译：手术紧固件
公开(公告)号：US20080147116A1
公开(公告)日：2008-06-19
申请号：US11931351
申请日：2007-10-31
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical fastener with a safety position includes a lower base having piercing posts each having fixed and coupling ends, first and second base portions respectively attached to the posts, a hinge coupling the base portions, and a bias device imparting force on at least one base portion toward the other and at an angle to the hinge axis. Also provided is an upper fastening portion receiving and selectively coupling the posts. The lower base has a piercing position for coupling with the upper fastener portion where the posts are substantially parallel and a folded position where a distance between a coupling end of the first piercing post and the coupling end of the second piercing post is less than a distance between the fixed end of the first piercing post and the fixed end of the second piercing post.
摘要翻译：具有安全位置的外科紧固件包括具有穿刺柱的下基部，每个具有固定和联接端，分别附接到柱的第一和第二基部，联接基部的铰链和在至少一个基部上施加力的偏置装置部分朝向另一个并且与铰链轴线成一定角度。还提供了接收并选择性地联接柱的上紧固部分。下基座具有穿刺位置，用于与上部紧固件部分联接，其中柱基本上平行，并且折叠位置，其中第一穿刺柱的联接端和第二穿刺柱的联接端之间的距离小于距离在第一穿刺柱的固定端和第二穿孔柱的固定端之间。

72. 发明授权

US07077850B2 Tissue fastening devices and related insertion tools and methods 失效
公开(公告)号：US07077850B2
公开(公告)日：2006-07-18
申请号：US10138028
申请日：2002-05-01
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00827 , A61B2017/0649
摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophogeal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.

73. 发明授权

US06585694B1 Knob-controlled endoscopic needle device 失效
标题翻译：旋钮控制内窥镜针装置
公开(公告)号：US06585694B1
公开(公告)日：2003-07-01
申请号：US09656599
申请日：2000-09-07
申请人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
发明人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
IPC分类号： A61M500
CPC分类号： A61M25/0084 , A61B2090/062 , A61M5/46 , A61M2025/0089
摘要： An endoscopic needle device includes an inner fluid conduit, an outer sheath extending over the length of the conduit, a longitudinally stiff wire extending through the conduit, and a needle fixedly attached to the distal end of the conduit. The distal end of the wire is coupled to one or both of the needle and the distal end of the conduit. The needle includes a proximal opening such that the hollow of the needle is in fluid communication with a lumen of conduit. A proximal handle includes a stationary member and a movable member longitudinally movable relative to the stationary member. The proximal end of the outer sheath is coupled to the stationary member, and the stationary member includes structure to mount the handle to a port of an endoscope. The movable member includes a passageway, and the proximal end of the conduit is coupled to the distal end of the movable member, and a port is provided at the proximal end of the movable member. A syringe may be coupled to the port and operated to inject a fluid which travels through the passageway, the lumen of the conduit, and the needle. In addition, the proximal end of the wire is coupled to the movable member. The handle assembly also includes a knob rotatably coupled to the stationary member, wherein rotation of the knob results in reciprocal movement of the movable member relative to the stationary, and consequently the needle relative to the distal end of the outer sheath.
摘要翻译：内窥镜针装置包括内部流体导管，在导管的长度上延伸的外护套，延伸穿过导管的纵向刚性线，以及固定连接到导管远端的针。线的远端连接到针和导管的远端中的一个或两个。针包括近端开口，使得针的中空与导管的内腔流体连通。近侧手柄包括固定构件和可相对于固定构件纵向移动的可移动构件。外护套的近端联接到固定构件，并且固定构件包括将手柄安装到内窥镜的端口的结构。可动构件包括通道，并且导管的近端联接到可移动构件的远端，并且端口设置在可动构件的近端处。注射器可以联接到端口并且被操作以注射穿过通道，导管的内腔和针的流体。此外，线的近端联接到可动构件。手柄组件还包括可旋转地联接到固定构件的旋钮，其中旋钮的旋转导致可动构件相对于静止件的相互运动，并且因此导致相对于外护套的远端的针。

74. 发明申请

US20130211428A1 ENDOSCOPIC SUTURE SYSTEMS 有权
标题翻译：内窥镜系统
公开(公告)号：US20130211428A1
公开(公告)日：2013-08-15
申请号：US13742716
申请日：2013-01-16
申请人： Juergen A. Kortenbach , Ghaleb Sater , Michael Sean McBrayer , Barry N. Gellman
发明人： Juergen A. Kortenbach , Ghaleb Sater , Michael Sean McBrayer , Barry N. Gellman
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/06066 , A61B17/0625 , A61B17/29 , A61B2017/00805 , A61B2017/00946 , A61B2017/047 , A61B2017/2929 , Y10S261/11
摘要： A surgical instrument for applying sutures to tissue includes a needle deployment mechanism and a catch mechanism. In some embodiments, the needle deployment mechanism employs a linear path. Alternatively, it can employ a curved needle. The surgical instrument may include a rotatable head, a bend, and/or a malleable elongated body member formable into various shapes.
摘要翻译：用于向组织施加缝合线的手术器械包括针展开机构和捕捉机构。在一些实施例中，针展开机构采用线性路径。或者，它可以使用弯曲的针。手术器械可以包括可形成为各种形状的可旋转头部，弯曲部和/或可延展的细长主体部件。

75. 发明授权

US08241280B2 Multifilar flexible rotary shaft and medical instruments incorporating the same 有权
标题翻译：多头柔性旋转轴和包含其的医疗器械
公开(公告)号：US08241280B2
公开(公告)日：2012-08-14
申请号：US11854206
申请日：2007-09-12
申请人： Thomas O. Bales , Juergen A. Kortenbach
发明人： Thomas O. Bales , Juergen A. Kortenbach
IPC分类号： A61B18/14
CPC分类号： A61B17/32056 , A61B17/320016 , A61B17/32002 , A61B2017/2902 , A61B2017/2905 , A61B2017/2929 , F16C1/02 , F16C1/08 , F16C2316/10
摘要： A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. The filaments should be no more than loosely twisted together, if at all. Several practical applications of the invention are also disclosed.
摘要翻译：多针柔性旋转轴包括多个单独的细丝，它们彼此不缠绕或围绕中心芯，松散的细丝组合。每个灯丝的输入端彼此耦合，并且每个灯丝的输出端彼此耦合。 N细丝的松散组合可以传播N倍的单丝的扭矩，并且将具有单丝的扭转刚度的N倍，同时保持单丝的最小操作半径。由于长丝的松散组合在细丝之间没有任何明显的接触力（因为它们不被强制扭曲在一起），所以没有明显的内部摩擦或滞后。如果有的话，长丝不应该松散地扭曲在一起。还公开了本发明的几个实际应用。

76. 发明申请

US20110060354A1 Tissue Fastening Devices and Related Insertion Tools and Methods 失效
标题翻译：组织紧固装置及相关插入工具及方法
公开(公告)号：US20110060354A1
公开(公告)日：2011-03-10
申请号：US12880868
申请日：2010-09-13
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/00
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00827 , A61B2017/0649
摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophageal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.
摘要翻译：本发明在一些方面涉及用于紧固组织段的单件式螺旋形外科紧固件，特别适用于内窥镜下方法用于固定下食管括约肌和眼底的部分，用于治疗GERD。本发明还涉及用于插入这种紧固件的相关方法和装置，特别是沿着这种组织段的表面的接合处。

77. 发明授权

US07811295B2 Tissue fastening devices and related insertion tools and methods 有权
标题翻译：组织固定装置及相关插入工具及方法
公开(公告)号：US07811295B2
公开(公告)日：2010-10-12
申请号：US11488191
申请日：2006-07-18
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00827 , A61B2017/0649
摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophogeal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.
摘要翻译：本发明在一些方面涉及用于紧固组织段的单件式线圈形外科紧固件，特别适用于内窥镜下方法中用于治疗GERD的下部食管括约肌和眼底的部分。本发明还涉及用于插入这种紧固件的相关方法和装置，特别是沿着这种组织段的表面的接合处。

78. 发明授权

US07083636B2 Tissue fasteners and related methods 失效
标题翻译：组织紧固件及相关方法
公开(公告)号：US07083636B2
公开(公告)日：2006-08-01
申请号：US10291252
申请日：2002-11-08
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , Y10T24/366
摘要： An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.
摘要翻译：一种用于展开具有阳紧固件部分和阴紧固件部分的两部分紧固件的内窥镜外科器械包括具有近端和远端的管。端部执行器联接到所述管的所述远端并且构造成以相对的关系保持阳性紧固件部件和阴型紧固件部件。致动器联接到所述管的所述近端，并且构造成致动所述末端执行器。剪切装置可以在端部执行器附近定位，以在雄性和雌性紧固件部件移动到锁定关系之后剪切掉雄性紧固件部件的尖端。此外，外科器械可以包括具有多个制动位置的轴的阳紧固件部件。此外，阳紧固件部分可以包括基部和枢转地连接到基部的轴。

79. 发明授权

US06808491B2 Methods and apparatus for on-endoscope instruments having end effectors and combinations of on-endoscope and through-endoscope instruments 失效
标题翻译：具有末端执行器的内窥镜仪器的方法和装置以及内窥镜和内窥镜仪器的组合
公开(公告)号：US06808491B2
公开(公告)日：2004-10-26
申请号：US10151503
申请日：2002-05-20
申请人： Juergen A. Kortenbach , Michael Sean McBrayer
发明人： Juergen A. Kortenbach , Michael Sean McBrayer
IPC分类号： A61B1018
CPC分类号： A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/2945 , A61B2017/320064 , A61B2018/00494 , A61B2018/00607 , A61B2018/00982 , A61B2018/1432 , A61B2018/1495 , A61B2090/306 , A61B2090/3614
摘要： A surgical system includes an endoscope, a pair of end effectors provided on the outside of the distal end of a endoscope (“on-scope”), in which one end effector is rotatable or otherwise movable relative to the second end effector and in which such movement is effected via controls elements which do not extend through a lumen of the endoscope, and another instrument extending through the lumen of the endoscope (“through-scope”), and which preferably also has a pair of end effectors. The on-scope device may be clamping jaws, needle passers, clip appliers, cautery devices, staplers, and releasable hemoclips, among other end devices. The through-scope end effectors may be graspers and clip appliers, among other end effectors.
摘要翻译：外科系统包括内窥镜，设置在内窥镜的远端的外侧（“在范围”）上的一对末端执行器，其中一个末端执行器可相对于第二末端执行器旋转或以其它方式移动，其中这样的运动通过不延伸通过内窥镜的内腔的控制元件和延伸穿过内窥镜的内腔（“通过范围”）的另一仪器实现，并且其优选地还具有一对末端执行器。与其他终端设备相比，该示范设备可以是夹钳爪，针通路器，夹具装置，烧灼装置，缝合器和可释放的血液透镜。通过范围的末端执行器可以是抓取器和夹子施放器，以及其他终端执行器。

80. 发明授权

US06409727B1 Multifilar flexible rotary shaft and medical instruments incorporating the same 有权
公开(公告)号：US06409727B1
公开(公告)日：2002-06-25
申请号：US09418769
申请日：1999-10-15
申请人： Thomas O. Bales , Juergen A. Kortenbach
发明人： Thomas O. Bales , Juergen A. Kortenbach
IPC分类号： A61B1818
CPC分类号： A61B17/32056 , A61B17/320016 , A61B17/32002 , A61B2017/2902 , A61B2017/2905 , A61B2017/2929 , F16C1/02 , F16C1/08 , F16C2316/10
摘要： A multifilar flexible rotary shaft includes a plurality of individual filaments which are not wound around each other or around a central core, a loose ensemble of filaments. The input ends of each filament are coupled to each other and the output ends of each filament are coupled to each other. Preferably all of the filaments are identical. A loose ensemble of N filaments can transmit N times the torque of a single filament, and will have N times the torsional stiffness of a single filament, while retaining the minimum radius of operation of a single filament. Since a loose ensemble of filaments does not have any appreciable contact forces among the filaments (because they are not forcibly twisted together), there is no appreciable internal friction or hysteresis. In order to appreciably eliminate all the hysteresis in such an ensemble of filaments, the filaments should be no more than loosely twisted together, if at all. The only reason for loosely twisting the wires together is to allow the ensemble to be easily handled and to insure that the individual wire filaments follow the same general curved path from one end to the other. Several practical applications of the invention are also disclosed.

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