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81. 发明授权

US09320519B1 Single-trigger clamping and firing of surgical stapler 有权
标题翻译：手术吻合器的单触发钳夹
公开(公告)号：US09320519B1
公开(公告)日：2016-04-26
申请号：US13094805
申请日：2011-04-26
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/068 , A61B17/072 , A61B17/28
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/2923
摘要： An exemplary surgical apparatus may include an end effector including a staple holder, an anvil movable relative to the staple holder, and staples held within the staple holder; a shaft extending from the end effector; a handle attached to the shaft, the handle including a single trigger; wherein actuation of the single trigger in a clamping mode clamps the end effector; and wherein actuation of the single trigger in a stapling mode deploys the staples.
摘要翻译：示例性手术装置可以包括端部执行器，其包括钉仓保持器，可相对于钉仓保持器移动的砧座以及保持在钉仓夹具内的钉钉; 从所述端部执行器延伸的轴; 手柄附接到轴，手柄包括单个扳机; 其中以夹紧模式致动所述单个触发器夹紧所述端部执行器; 并且其中在装订模式中单个触发器的致动部署订书钉。

82. 发明授权

US08789738B2 Surgical method for stapling tissue 有权
标题翻译：缝合组织的手术方法
公开(公告)号：US08789738B2
公开(公告)日：2014-07-29
申请号：US13105799
申请日：2011-05-11
申请人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/072 , A61B17/068 , A61B17/122 , A61B17/064 , A61B17/10 , A61B18/14 , A61B17/00 , A61B19/00
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical method of treating tissue may include possessing a surgical tool that has at least one movable feeder belt that includes staples frangibly connected thereto, where at least one staple is oriented relative to the feeder belt in a direction angled relative to the transverse direction; placing the surgical tool adjacent to tissue; deforming at least one staple into tissue; frangibly separating at least one deformed staple from the feeder belt; advancing the feeder belt; and repeating the placing, deploying and separating. Another exemplary surgical method of treating tissue of a patient may include holding a cartridgeless surgical tool that includes staples; stapling tissue with staples in response to a single actuation of the surgical tool; and repeating the stapling at least once.
摘要翻译：治疗组织的示例性手术方法可以包括具有外科工具，该外科手术工具具有至少一个可移动进给带，其包括与其易碎连接的钉，其中至少一个钉相对于进给带在相对于横向成角度的方向上定向; 将外科手术工具放置在组织附近; 将至少一个钉变形成组织; 将至少一个变形的订书钉与进纸带分开; 推进给料带; 并重复放置，部署和分离。治疗患者组织的另一示例性手术方法可包括保持包括缝钉的无切削外科手术工具; 响应于外科手术工具的单次致动，用钉钉钉钉组织; 并重复装订至少一次。

83. 发明授权

US08636189B1 Active wedge for surgical stapler 失效
标题翻译：外科缝合器活动楔
公开(公告)号：US08636189B1
公开(公告)日：2014-01-28
申请号：US13090214
申请日：2011-04-19
申请人： Bryan D. Knodel , Philipe R. Manoux , Brendan M. Donohoe
发明人： Bryan D. Knodel , Philipe R. Manoux , Brendan M. Donohoe
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B2017/07228 , A61B2017/07271 , A61B2017/07278
摘要： An exemplary active wedge for use with surgical staples, comprising a wedge base having an upper surface; and at least one wedge grate movable relative to the wedge base between a first position and a second position, where in the first position of the wedge base substantially all of the wedge grate is located below the upper surface of the wedge base, and where in the second position at least part of the wedge grate is positioned above the upper surface of the wedge base.
摘要翻译：一种用于外科缝钉的示例性活动楔，包括具有上表面的楔形基座; 以及至少一个楔形格栅，其相对于楔形基座在第一位置和第二位置之间移动，其中楔形基座的第一位置基本上所有楔形格栅位于楔形基部的上表面下方，并且其中第二位置，楔形格栅的至少一部分位于楔形基底的上表面上方。

84. 发明授权

US08475474B2 Anastomosis method utilizing tool with fluid-driven actuator 有权
标题翻译：利用流体驱动致动器的吻合吻合方法
公开(公告)号：US08475474B2
公开(公告)日：2013-07-02
申请号：US12577589
申请日：2009-10-12
申请人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/0644 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0641 , A61B2017/07228 , A61B2017/07264 , A61B2017/1135 , A61B2017/2926 , A61B2017/2937 , A61B2017/2939 , A61B2017/320052 , A61B2090/037 , A61F2/064
摘要： A method of performing anastomosis between a graft vessel and a target vessel, each having a circumferential wall and a lumen therethrough, may include providing an anastomosis tool including a tissue effector and a fluid-driven actuator operationally connected to that tissue effector; connecting the fluid-driven actuator to an energy source; placing an end of the graft vessel in proximity to the side of the target vessel; and actuating the fluid-driven actuator to connect the end of the graft vessel to the side of the target vessel.
摘要翻译：一种在移植物血管和目标血管之间进行吻合的方法，每个具有周壁和通过其的腔，可以包括提供包括组织效应器和可操作地连接到该组织效应器的流体驱动致动器的吻合工具; 将流体驱动致动器连接到能量源; 将移植血管的末端放置在靶容器侧面附近; 并且致动流体驱动的致动器以将移植脉管的端部连接到目标血管的侧面。

85. 发明授权

US08439245B2 True multi-fire endocutter 有权
标题翻译：真正的多功能火炮
公开(公告)号：US08439245B2
公开(公告)日：2013-05-14
申请号：US13194098
申请日：2011-07-29
申请人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/064 , A61B17/072
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical endocutter may include a staple holder; at least one feeder belt having two lateral edges, at least part of at least one feeder belt extending into the staple holder; and staples, wherein each said staple may include a first end frangibly affixed to a corresponding feeder belt, wherein each first end is affixed to the feeder belt at a location laterally spaced from the longitudinal centerline of the feeder belt, and a second free end; and wherein the staples form at least one row, each row including at least two said staples; wherein staples in least one row are staggered relative to said staples in at least one other row. Another exemplary surgical endocutter may include a feeder belt; staples frangibly connected to the feeder belt; and at least one wedge movable relative to the staples in a direction substantially longitudinal relative to the feeder belt; wherein at least one wedge both directly engages a plurality of staples and disconnects a plurality of staples from the feeder belt in a single continuous motion of the wedge.
摘要翻译：示例性的手术切割器可以包括钉保持器; 至少一个馈送带，其具有两个侧边缘，至少一个馈送带的至少一部分延伸到所述钉保持器中; 和订书钉，其中每个所述订书钉可以包括易碎地固定到相应馈送带上的第一端，其中每个第一端在与馈送带的纵向中心线横向间隔开的位置和第二自由端固定到馈送带上; 并且其中所述钉形成至少一排，每排包括至少两个所述钉; 其中至少一排中的钉相对于至少另一排中的所述钉交错。另一个示例性的手术切割器可以包括馈送带; 钉子易碎地连接到给料带; 以及至少一个可相对于缝钉移动的楔块，其相对于给料带基本纵向; 其中至少一个楔形件直接接合多个钉，并且在所述楔的单次连续运动中将所述多个钉与所述馈送带分离。

86. 发明授权

US08365973B1 D-shaped surgical staples 有权
标题翻译： D形外科缝钉
公开(公告)号：US08365973B1
公开(公告)日：2013-02-05
申请号：US13090168
申请日：2011-04-19
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要： An exemplary surgical apparatus may include a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg; where in the second, deployed configuration the surgical staple forms substantially a D-shape. Another exemplary surgical apparatus may include a feeder belt; a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg connected to the first leg, where one end of the first leg is frangibly affixed to the feeder belt and one end of said the leg is free; where in the second, deployed configuration the surgical staple forms substantially a D-shape. An exemplary method of treating tissue may include providing a surgical staple; urging the surgical staple into tissue, while the surgical staple has a first shape; and deforming the surgical staple into substantially a D-shape.
摘要翻译：示例性外科手术装置可以包括可从第一构造变形到第二展开构造的外科缝合钉，其中手术钉包括第一腿和第二腿; 其中在第二个部署结构中，外科手术钉基本上形成D形。另一种示例性的外科手术装置可包括给药带; 外科缝合钉，其可从第一构型变形到第二展开构造，其中所述外科缝合钉包括第一腿部和连接到所述第一腿部的第二腿部，其中所述第一腿部的一端被易碎地固定到所述饲养带上，说腿是自由的其中在第二个部署结构中，外科手术钉基本上形成D形。治疗组织的示例性方法可以包括提供外科钉; 推动外科手术钉进入组织，而外科手术钉具有第一形状; 并将外科手术钉变形成大致D形。

87. 发明授权

US08365971B1 True multi-fire linear cutter 有权
标题翻译：真正的多功能线性切割机
公开(公告)号：US08365971B1
公开(公告)日：2013-02-05
申请号：US12565534
申请日：2009-09-23
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/92 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , Y10T74/18152
摘要： One exemplary surgical apparatus may include: an anvil assembly to which a staple holder assembly detachably connected; feeder belts positioned at least partially within the staple holder assembly; staples separably attached to each feeder belt; a wedge assembly slidable within and along the staple holder assembly, the wedge assembly including an engagement feature; and a deployment handle. Upon closure of the anvil assembly and staple holder assembly relative to one another, the deployment handle engages the engagement feature. The deployment handle is movable along the anvil assembly to drive the wedge assembly relative to the staple holder assembly, feeder belts and staples in order to deform at least one staple to a closed state and separate at least one closed staple from the corresponding feeder belt.
摘要翻译：一种示例性手术装置可以包括：砧座组件，可拆卸地连接有钉仓保持器组件; 馈送带至少部分地定位在订书钉保持器组件内; 订书钉可分离地连接到每个馈送带; 楔形组件可在钉保持器组件内和沿着缝钉保持器组件滑动，所述楔组件包括接合特征; 和部署手柄。在砧座组件和缝钉保持器组件相对于彼此闭合时，展开手柄接合接合特征。展开手柄可沿着砧座组件移动以驱动楔组件相对于缝钉保持器组件，馈送带和订书钉，以使至少一个订书钉变形到关闭状态，并将至少一个封闭订书钉与相应的馈送带分开。

88. 发明授权

US08261958B1 Stapler cartridge with staples frangibly affixed thereto 有权
标题翻译：订书钉盒装有易碎的钉书钉
公开(公告)号：US08261958B1
公开(公告)日：2012-09-11
申请号：US12683382
申请日：2010-01-06
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/072
CPC分类号： A61B17/064 , A61B17/07207 , A61B2017/07271 , A61B2090/037 , Y10T29/49826
摘要： A surgical apparatus may include a cartridge, and surgical staples affixed to and frangibly separable from that cartridge. A method for surgical stapling utilizing that apparatus may include providing at least one wedge; and moving at least one wedge into the cartridge, where that moving deforms and then shears from the cartridge at least one staple. A method of manufacturing an apparatus for use with a surgical stapler may include fabricating a cartridge configured to be received by the surgical stapler; fabricating staples; and fixing the staples to the cartridge.
摘要翻译：外科手术器械可以包括药筒，以及固定在该药筒上且与该药筒可分离的手术钉。利用该装置的外科缝合方法可以包括提供至少一个楔形物; 并且将至少一个楔块移动到所述盒中，其中所述移动变形，然后从所述盒中剪切至少一个订书钉。一种制造与外科缝合器一起使用的装置的方法可包括制造构造成由外科缝合器接收的药筒; 制作订书钉并将订书钉固定到盒。

89. 发明授权

US08066720B2 Surgical method for stapling tissue 有权
标题翻译：缝合组织的手术方法
公开(公告)号：US08066720B2
公开(公告)日：2011-11-29
申请号：US12343048
申请日：2008-12-23
申请人： Bryan D. Knodel , Benjamin J. Matthias
发明人： Bryan D. Knodel , Benjamin J. Matthias
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0644
摘要： An exemplary method for surgically stapling tissue may include providing a surgical stapler that includes at least one staple, a pusher configured to hold at least one staple, a splay arm movable relative to the pusher, where that splay arm includes two spaced-apart splay tips, and a driver movable relative to the pusher; splaying at least one staple by plastically deforming the distalmost staple against the splay tips; and after splaying, closing at least one staple by plastically deforming the distalmost staple against the splay tips. Another exemplary method for surgically stapling tissue may include providing a surgical stapler comprising a plurality of staples, a pusher configured to hold the staples, a splay arm movable relative to the pusher, a driver movable relative to the pusher, wherein the pusher, splay arm and driver are initially in a first configuration relative to one another; splaying at least one staple to a splayed state; after splaying, closing at least one splayed staple, after which the pusher, splay arm and driver are in a second configuration relative to one another; and resetting the stapler to the first configuration of the pusher, splay arm and driver; where the splaying and closing each plastically deform at least one staple.
摘要翻译：用于手术缝合组织的示例性方法可以包括提供外科缝合器，其包括至少一个钉，被构造成保持至少一个钉的推动器，相对于推动器可移动的张开臂，其中所述喷射臂包括两个间隔开的喷射尖端和相对于推动器可移动的驱动器; 通过使最远端的钉头相对于喷射尖端塑性变形来展现至少一个订书钉; 并且在展开之后，通过使最远侧的钉头相对于喷射尖端塑性变形来闭合至少一个订书钉。用于手术缝合组织的另一示例性方法可以包括提供包括多个钉的手术吻合器，构造成保持钉的推动器，相对于推动器可移动的张开臂，可相对于推动器移动的驱动器，其中推动器，并且驾驶员最初相对于彼此处于第一配置; 至少展示一个订书钉到展示状态; 在展开之后，关闭至少一个展开的订书钉，之后推动器，喷射臂和驱动器相对于彼此处于第二配置; 并将订书机复位到推动器，喷射臂和驱动器的第一配置; 其中展开和关闭每个塑料变形至少一个订书钉。

90. 发明申请

US20110101069A1 Surgical Stapler with Direct Sled to Staple Contact 审中-公开
标题翻译：手术订书机与直接雪橇缝合接触
公开(公告)号：US20110101069A1
公开(公告)日：2011-05-05
申请号：US12970678
申请日：2010-12-16
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An exemplary surgical stapler may include a staple holder, staples positioned within the staple holder, and at least one structure slidable within the staple holder to contact directly at least one staple, where that direct contact deploys at least one staple from the staple holder. Another exemplary surgical stapler may include a staple holder, an anvil movably connected to the staple holder, staples positioned within the staple holder; and a sled slidable within the staple holder to contact directly at least one staple, where that direct contact urges at least one staple out of the staple holder and against the anvil.
摘要翻译：示例性的外科缝合器可以包括缝钉保持器，定位在钉保持器内的钉，以及至少一个可在钉保持器内滑动的结构，以直接接触至少一个钉，其中该直接接触部分从钉保持器展开至少一个钉。另一个示例性的外科缝合器可以包括缝钉保持器，可移动地连接到缝钉夹的砧座，定位在钉保持器内的钉; 以及在订书钉保持器内滑动的滑动件，以直接接触至少一个订书钉，其中该直接接触将至少一个订书钉推出订书钉保持器并抵靠砧座。

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