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81. 发明申请

US20100251861A1 Torque-Limiting Fastener Driver 有权
标题翻译：扭矩限制紧固件驱动
公开(公告)号：US20100251861A1
公开(公告)日：2010-10-07
申请号：US12419339
申请日：2009-04-07
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Javier E. Castaneda , Eduardo A. Ampuero , Alfredo Castaneda , Joel G. Marquart
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Javier E. Castaneda , Eduardo A. Ampuero , Alfredo Castaneda , Joel G. Marquart
IPC分类号： B25B23/142 , B25B15/02
CPC分类号： B25B15/02 , A61B17/888 , A61B2090/031 , B25B23/0042 , B25B23/1415 , B25B23/1427
摘要： A torque-limiting fastener driver for driving a bone fastener into bone includes a handle supporting a driver shaft. The driver shaft includes limited components which are designed to provide feedback to a user regarding the applied torsional force. In addition, the driver shaft is designed to controllably fail before any potential uncontrolled failure of the distal driving tip. This prevents application of too much torque and controlled design of the shape and size of the failed components.
摘要翻译：用于将骨固定件驱动到骨头中的扭矩限制紧固件驱动器包括支撑驱动轴的手柄。驱动轴包括有限的部件，其被设计成向使用者提供关于施加的扭转力的反馈。此外，驱动器轴设计成在远侧驱动尖端的任何潜在的不受控制的故障之前可控制地失效。这样可以防止过大的扭矩和受控设计的失效部件的形状和尺寸。

82. 发明申请

US20090299381A1 Surgical instrument for invagination and fundoplication 有权
标题翻译：手术器械用于内陷和眼底应用
公开(公告)号：US20090299381A1
公开(公告)日：2009-12-03
申请号：US12453937
申请日：2009-05-27
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/10
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。

83. 发明授权

US07615058B2 Surgical clip applier having jaws adapted to guide and deform a clip 有权
公开(公告)号：US07615058B2
公开(公告)日：2009-11-10
申请号：US10992569
申请日：2004-11-18
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Kevin W. Smith
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Kevin W. Smith
IPC分类号： A61B17/10
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to deform a portion of the clip to enhance its retention on the clamped tissue.

84. 发明申请

US20090118770A1 Fracture Fixation Plate for the Olecranon of the Proximal Ulna 有权
标题翻译：骨折固定板近端乌尔纳的鹰嘴
公开(公告)号：US20090118770A1
公开(公告)日：2009-05-07
申请号：US12261471
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Sravanthi Avuthu , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Sravanthi Avuthu , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/70 , A61B17/04
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

85. 发明申请

US20070233112A1 Method of Bone Plate Shaping 有权
标题翻译：骨板成型方法
公开(公告)号：US20070233112A1
公开(公告)日：2007-10-04
申请号：US11459877
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61F2/30
CPC分类号： A61B17/1728 , A61B17/1782 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/8863 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

86. 发明申请

US20070233111A1 Bone Plate Shaping System 有权
标题翻译：骨板整形系统
公开(公告)号：US20070233111A1
公开(公告)日：2007-10-04
申请号：US11459824
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61F2/30
CPC分类号： A61B17/8863 , A61B17/1728 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2017/564 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

87. 发明授权

US07276067B2 Multifilar flexible rotary shaft and medical instruments incorporating the same 失效
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：US07276067B2
公开(公告)日：2007-10-02
申请号：US10856927
申请日：2004-05-27
申请人： Thomas O. Bales , Juergen A. Kortenbach
发明人： Thomas O. Bales , Juergen A. Kortenbach
IPC分类号： A61B18/18
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.
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。优选地，所有的长丝是相同的。 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。为了明显地消除这种灯丝组合中的所有滞后现象，如果有的话，灯丝不应该松散地扭曲在一起。将电线松散地缠绕在一起的唯一原因是允许集合容易地处理并且确保单个线丝沿着从一端到另一端的相同的一般弯曲路径。还公开了本发明的几个实际应用。

88. 发明授权

US07223272B2 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
标题翻译：内窥镜夹钳与非共线夹钳安装在非共线轴上
公开(公告)号：US07223272B2
公开(公告)日：2007-05-29
申请号：US10867483
申请日：2004-06-14
申请人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
发明人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is adjacent to the jaw assembly and a clip pusher is adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存储器与钳口组件相邻，并且夹子推动器邻近夹子存储。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着一部分螺纹的第二控制构件。螺纹部分接合联接到推动器的螺纹构件，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

89. 发明授权

US07033378B2 Surgical fastener, particularly for the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：手术紧固件，特别适用于胃食管反流病（GERD）的腔内治疗
公开(公告)号：US07033378B2
公开(公告)日：2006-04-25
申请号：US10252079
申请日：2002-09-20
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/0682 , A61B2017/00827 , A61B2017/2926 , A61B2017/301
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

90. 发明授权

US06258064B1 Helically advanceable endoscopic needle device 有权
标题翻译：螺旋可推进内窥镜针装置
公开(公告)号：US06258064B1
公开(公告)日：2001-07-10
申请号：US09411856
申请日：1999-10-04
申请人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61M5178
CPC分类号： A61B17/3478 , A61B2017/00367 , A61B2090/034
摘要： An endoscopic needle device includes an outer sheath, an elongate shaft extending through the sheath, a needle rigidly attached to the distal end of the shaft, and a handle assembly having a housing coupled to the proximal end of the sheath and having a syringe port in fluid communication with the sheath and a knob rotatably coupled to the housing. Rotation of the knob relative to the housing causes rotation of the shaft relative to the sheath. The needle and the distal end of the sheath are mated by a threaded connection. As such, rotation of the knob relative to the housing causes precise longitudinal movement and extension of the needle relative to the distal end of the sheath. A set of intermeshing gears are provided between the knob and shaft which function to permit at most one rotation of the knob to cause complete extension and/or retraction of the needle. Furthermore, assemblies are provided with permit the shaft to accommodate movement of the needle relative to the sheath. Moreover, the position of the knob relative to the housing provides an indication of the extension of the needle. As such, the injection needle device of the invention permits controllable and calibrated rotation of the needle to within a few degrees, such that the needle device can be easily, reliably, and precisely operated to advance the needle.
摘要翻译：内窥镜针装置包括外护套，延伸穿过护套的细长轴，刚性地附接到轴的远端的针和手柄组件，其具有联接到护套的近端的壳体，并且具有注射器端口与护套的流体连通和可旋转地联接到壳体的旋钮。旋钮相对于壳体的旋转导致轴相对于护套的旋转。针和鞘的远端通过螺纹连接配合。因此，旋钮相对于壳体的旋转导致针相对于护套的远端的精确的纵向移动和延伸。一组相互啮合的齿轮设置在旋钮和轴之间，其功能是允许旋钮的至多一个旋转引起针的完全伸展和/或缩回。此外，组件被设置有允许轴以适应针相对于护套的运动。此外，旋钮相对于壳体的位置提供针的延伸的指示。因此，本发明的注射针装置允许可控和校准的针旋转到几度，使得针装置可以容易地，可靠地和精确地操作以推进针。

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