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81. 发明申请

US20100217083A1 SHAPE CONTROL ENDOSCOPE 有权
标题翻译：形状控制内窥镜
公开(公告)号：US20100217083A1
公开(公告)日：2010-08-26
申请号：US12392472
申请日：2009-02-25
申请人： David Stefanchik , James T. Spivey , Michael J. Stokes
发明人： David Stefanchik , James T. Spivey , Michael J. Stokes
IPC分类号： A61B1/008
CPC分类号： A61B1/0055 , A61B1/00078 , A61B1/008 , A61B1/01
摘要： Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment, a stiffening element for an endoscopic surgical system includes an elongate member having a diameter configured for insertion and use in a channel of an endoscope. The elongate member can be movable between an unlocked position in which the elongate member is freely movable to assume a desired configuration, and a locked position in which the elongate member is maintained in a desired configuration. In one embodiment, the elongate member is formed from a plurality of links that are pivotally coupled to one another. Methods for controlling a surgical device in a body cavity, as well as systems for use in endoscopic surgeries, are also provided herein.
摘要翻译：提供了用于控制体腔内窥镜的方法和装置。在一个示例性实施例中，用于内窥镜手术系统的加强元件包括细长构件，该细长构件具有被构造用于在内窥镜的通道中插入和使用的直径。细长构件可以在其中细长构件可自由移动以呈现期望构造的解锁位置和锁定位置之间移动，在该位置中细长构件保持在期望的构型。在一个实施例中，细长构件由彼此枢转地联接的多个连杆形成。本文还提供了用于控制体腔内的手术装置的方法以及用于内窥镜手术的系统。

82. 发明申请

US20100187285A1 SURGICAL STAPLER FOR APPLYING A LARGE STAPLE THOUGH A SMALL DELIVERY PORT AND A METHOD OF USING THE STAPLER TO SECURE A TISSUE FOLD 审中-公开
标题翻译：用于通过小型输送口应用大口袋的外科手术台和使用贴标机来保护组织结构的方法
公开(公告)号：US20100187285A1
公开(公告)日：2010-07-29
申请号：US12359354
申请日：2009-01-26
申请人： Jason L. Harris , Lawrence Craininch , Michael J. Stokes
发明人： Jason L. Harris , Lawrence Craininch , Michael J. Stokes
IPC分类号： A61B17/115 , A61B17/064
CPC分类号： A61B17/064 , A61B17/00234 , A61B17/0684 , A61B17/29 , A61B2017/00818 , A61B2017/07264
摘要： A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains a plurality of surgical fasteners. The surgical fasteners have a base, and two legs extending away from the base, wherein the legs have distal end segments. The fastener has a first shape wherein the distal end segments bend towards each other so that they are adjacent and form the fastener into a first loop. The fastener has a second shape wherein the distal end segments are spaced apart from each other along substantially an entire length thereof. The fastener also has a third shape wherein the distal end segments bend towards each other in so that they are adjacent and form the fastener into a second loop wherein the second loop having a width greater than a width of the first loop. The applier includes a means for forming the fastener into the second and third shapes.
摘要翻译：具有手柄和从手柄延伸的紧固件外壳的手术紧固件施加器。外壳包含多个手术紧固件。手术紧固件具有基部和两个远离基部延伸的腿，其中腿具有远端段。紧固件具有第一形状，其中远端段彼此弯曲，使得它们相邻并且将紧固件形成第一回路。紧固件具有第二形状，其中远端段在其大致整个长度上彼此间隔开。紧固件还具有第三形状，其中远端段彼此弯曲成使得它们相邻并且将紧固件形成第二环，其中第二环具有大于第一环的宽度的宽度。施加器包括用于将紧固件形成第二和第三形状的装置。

83. 发明申请

US20100152609A1 SPECIMEN RETRIEVAL DEVICE 有权
标题翻译：样本检索设备
公开(公告)号：US20100152609A1
公开(公告)日：2010-06-17
申请号：US12332938
申请日：2008-12-11
申请人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
发明人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
IPC分类号： A61B10/02
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译：手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋处于部署位置。在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

84. 发明申请

US20100023024A1 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：US20100023024A1
公开(公告)日：2010-01-28
申请号：US12179598
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 , A61B2017/003 , 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
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 has 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 device also includes a means, adjacent the handle, for facilitating removal of the first cartridge from the handle and replacing it with a second cartridge.
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。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。该装置还包括与手柄相邻的装置，以便于将第一盒从手柄移除并用第二盒替换。

85. 发明申请

US20090275977A1 TISSUE CONVEYOR FOR USE IN GASTRIC REDUCTION SURGERY AND ASSOCIATED METHOD FOR USE 有权
标题翻译：用于胃肠减容手术的组织输送机及相关使用方法
公开(公告)号：US20090275977A1
公开(公告)日：2009-11-05
申请号：US12113765
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/28
CPC分类号： A61F5/0086 , A61B17/00491 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/08 , A61B17/1114 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/06052 , A61B2017/081 , A61B2017/2926
摘要： A tissue conveyor includes a conveyor body having a proximal end and a distal end. The proximal end includes a handle allowing for operator control of an end effector located at the distal end. The end effector includes a grasper assembly composed of a first jaw bar and a second jaw bar connected by a support base to define a cavity into which tissue is drawn. A first conveyor member is positioned upon the first jaw bar for movement along an internal surface of the first jaw bar and a second conveyor member is positioned upon the second jaw bar for movement along an internal surface of the second jaw bar. The method for creating a tissue fold includes positioning a tissue conveyor adjacent tissue, pushing the respective first jaw bar and the second jaw bar into the tissue in the area where a fold is desired, and pulling the first conveyor member and the second conveyor member proximally to draw the first and second conveyor members and tissue into a cavity defined by the first jaw bar and the second jaw bar to create a tissue fold.
摘要翻译：纸巾输送机包括具有近端和远端的输送机主体。近端包括允许操作者控制位于远端的末端执行器的手柄。端部执行器包括由第一钳口杆和由支撑基座连接的第二钳口条组成的抓紧器组件，以限定抽出组织的空腔。第一传送器构件定位在第一钳口杆上，用于沿着第一钳口杆的内表面移动，并且第二传送构件定位在第二钳口杆上，用于沿着第二钳口杆的内表面移动。用于产生组织折叠的方法包括将组织输送器定位成邻近组织，将相应的第一钳口条和第二钳口杆推向需要折叠的区域中的组织中，并且将第一传送构件和第二传送构件向近侧拉以将第一和第二传送器构件和组织拉入由第一颚板和第二颚条限定的空腔中以产生组织折叠。

86. 发明申请

US20090275967A1 SAFE TISSUE PUNCTURE DEVICE 有权
标题翻译：安全组织装置
公开(公告)号：US20090275967A1
公开(公告)日：2009-11-05
申请号：US12113758
申请日：2008-05-01
申请人： Michael J. Stokes , Mark S. Ortiz
发明人： Michael J. Stokes , Mark S. Ortiz
IPC分类号： A61B17/34
CPC分类号： A61F5/0083 , A61B17/0469 , A61B17/1114 , A61B17/3474 , A61B17/3478 , A61B18/1477 , A61B2017/00278 , A61B2017/00818 , A61B2017/308 , A61B2018/00291 , A61B2018/1425
摘要： A method for safely penetrating the tissue of a gastric wall includes deploying a tissue puncture assembly including a suction device proximate the gastric wall tissue, applying a vacuum source to the suction device to draw a portion of the gastric wall tissue thereto and extending a needle through the portion of gastric wall tissue drawn into contact with the suction device. A device for safely penetrating the tissue of a gastric wall includes a tissue puncture assembly including a suction device in the form of a cup with suction ports therein and an open end. A needle is surrounded by the cup and extends through the cup toward the open end.
摘要翻译：一种用于安全地穿透胃壁组织的方法包括：将包括靠近胃壁组织的抽吸装置的组织穿刺组件展开，向抽吸装置施加真空源以将胃壁组织的一部分拉出并延伸针穿过胃壁组织的部分与抽吸装置接触。用于安全地穿透胃壁的组织的装置包括组织穿刺组件，该组织穿刺组件包括具有吸入口的杯形式的抽吸装置和开口端。针被杯子包围，并且穿过杯子朝向开口端延伸。

87. 发明申请

US20090275964A1 METHOD OF ROLLING STOMACH TISSUE SO AS TO MAXIMIZE THE CONTACT SURFACE AREA OF A FOLD 审中-公开
标题翻译：滚动组织的方法，以便最大限度地减少接触面的面积
公开(公告)号：US20090275964A1
公开(公告)日：2009-11-05
申请号：US12113773
申请日：2008-05-01
申请人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Daniel E. Alesi , Mark S. Ortiz , Thomas E. Albrecht , James T. Spivey , Lawrence Crainich
发明人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Daniel E. Alesi , Mark S. Ortiz , Thomas E. Albrecht , James T. Spivey , Lawrence Crainich
IPC分类号： A61B17/12 , A61B17/34
CPC分类号： A61B17/00234 , A61B2017/00827 , A61B2017/00867 , A61B2017/0649 , A61B2017/081 , A61B2017/2926 , A61F5/0086
摘要： A rolling instrument for rolling the outside surface of the stomach for reducing stomach volume in bariatric surgery includes an elongated tubular body that is sufficiently flexible to allow for access to the outside surface. The tubular body includes a proximal end and a distal end. The proximal end is shaped and dimensioned for use by the medical practitioner performing the medical procedure and includes a handle for manipulation of the rolling instrument. The distal end of the tubular body includes a mechanism allowing for gripping of the stomach in a manner permitting rolling thereof. A coiled retainer shaped and dimensioned is provided for application to the rolled portion of the stomach in a manner holding the rolled portion of the stomach in its rolled configuration. The coiled retainer includes a helically coiled body having a first end and a second end, the first end is pointed such that it may puncture tissue as the coiled body is rotated during its application to the stomach.
摘要翻译：用于在减肥手术中滚动用于减少胃体积的胃的外表面的滚动仪器包括具有足够柔性以允许进入外表面的细长管状体。管状体包括近端和远端。近端的形状和尺寸被医生执行医疗程序所使用，并且包括用于操纵滚动仪器的手柄。管状体的远端包括允许以允许其滚动的方式夹持胃的机构。提供成形和尺寸的盘形保持器，以使其处于卷成形状的胃的卷绕部分的方式施加到胃的卷绕部分。卷绕的保持器包括具有第一端和第二端的螺旋状卷绕体，第一端是尖的，使得当线圈体在其施加到胃部期间旋转时可能刺穿组织。

88. 发明申请

US20090275942A1 BALLOON TISSUE DAMAGE DEVICE 有权
标题翻译：气球组织损伤装置
公开(公告)号：US20090275942A1
公开(公告)日：2009-11-05
申请号：US12113739
申请日：2008-05-01
申请人： Mark S. Ortiz , Thomas E. Albrecht , Mark S. Zeiner , James R. Giordano , Matthew D. Holcomb , Michael J. Stokes
发明人： Mark S. Ortiz , Thomas E. Albrecht , Mark S. Zeiner , James R. Giordano , Matthew D. Holcomb , Michael J. Stokes
IPC分类号： A61B18/18 , A61M29/00
CPC分类号： A61F5/0083 , A61B1/00165 , A61B18/1492 , A61B2017/306 , A61B2018/00214 , A61B2018/00291 , A61B2018/00494 , A61B2018/00898
摘要： An inflatable medical instrument for tissue damage in gastric reduction surgery includes a main chamber composed of a biocompatible material capable of being selectively inflated. The medical instrument also includes a longitudinally extending tab member secured to an outer surface of the main chamber, a series of suction holes are formed along the tab member and an electrode is mounted on the tab member. The present invention also provides a method for forming a tissue junction used in defining a gastric pouch including damaging opposed tissue layers, apposing the tissue layers and fastening the tissue layers to allow the tissue layers to heal together.
摘要翻译：用于胃减压手术中的组织损伤的充气医疗器械包括由能够选择性地膨胀的生物相容性材料构成的主室。医疗器械还包括固定到主室的外表面的纵向延伸的突片构件，沿着突片构件形成一系列吸孔，并且电极安装在突片构件上。本发明还提供了一种用于形成用于限定胃袋的组织连接的方法，包括有害的相对的组织层，放置组织层并紧固组织层以允许组织层一起愈合。

89. 发明申请

US20090272783A1 FASTENER AND FASTENER APPLIER HAVING SELECTIVE SUTURE ATTACHMENT 有权
标题翻译：具有选择性附件的紧固件和紧固件应用
公开(公告)号：US20090272783A1
公开(公告)日：2009-11-05
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。

90. 发明申请

US20090204179A1 POWERING IMPLANTABLE RESTRICTION SYSTEMS USING TEMPERATURE 审中-公开
标题翻译：用温度驱动可植入的限制系统
公开(公告)号：US20090204179A1
公开(公告)日：2009-08-13
申请号：US12027817
申请日：2008-02-07
申请人： Daniel F. Dlugos, JR. , Mark S. Ortiz , Amy L. Marcotte , Kevin R. Doll , David N. Plescia , Michael J. Stokes
发明人： Daniel F. Dlugos, JR. , Mark S. Ortiz , Amy L. Marcotte , Kevin R. Doll , David N. Plescia , Michael J. Stokes
IPC分类号： A61N1/02 , A61M29/00
CPC分类号： A61F5/0059
摘要： Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway.
摘要翻译：提供各种供电设备用于将许多来源的能量传递和/或产生到植入患者体内的连通构件。传递到通信构件或由通信构件产生的能量可以用于为配置成在路径中形成限制的可植入限制系统提供电力。

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