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    • 3. 发明申请
    • SURGICAL DEVICES USING MAGNETIC FORCE TO FORM AN ANASTOMOSIS
    • 使用磁力形成分析的外科手术
    • WO2008101077A1
    • 2008-08-21
    • PCT/US2008/053961
    • 2008-02-14
    • ETHICON ENDO-SURGERY, INCFOX, William D.
    • FOX, William D.
    • A61B17/11
    • A61B17/1114A61B17/32053A61B2017/00876A61B2017/1103A61B2017/1117A61B2017/1139
    • A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs.
    • 一种使用可与磁性材料充气的中空容器在患者中形成第一和第二器官之间的吻合的方法。 该方法可以包括通过第一和第二器官形成开口,利用穿过病人自然孔插入器官的孔形成器械。 中空的容器可以被支撑在导管组件上,导管组件也插入穿过患者的自然孔口并穿过第一和第二器官的开口并且位于第二器官内。 空心容器然后用磁性材料充气,并且在力器官内施加磁力以将充气的容器拉向第一器官,使得充气的容器保持第二器官与第一器官密封接触,同时保持第一 和第二开口以在第一和第二器官之间产生吻合。
    • 5. 发明申请
    • OTOMY CLOSURE DEVICE
    • OTOMY封闭装置
    • WO2011047229A1
    • 2011-04-21
    • PCT/US2010/052789
    • 2010-10-15
    • ETHICON ENDO-SURGERY, INC.FOX, William, D.
    • FOX, William, D.
    • A61B17/00A61B17/04A61B17/29
    • A61B17/0057A61B17/0218A61B17/12013A61B17/32056A61B2017/00278A61B2017/00292A61B2017/00358A61B2017/00637A61B2017/2215A61B2017/2916
    • A surgical instrument (100) for closing an otomy includes a handle portion (102), an outer tube (110), an inner tube (108), and at least one deployable/retractable tissue engaging hook (106). The handle portion may comprise an actuator (136) configured to move the inner tube and the at least one deployable/retractable tissue engaging hook. The outer tube may comprise a distal end and a proximal end, and the inner tube may also comprise a distal end and a proximal end. The inner tube may be configured to be movably retained in the outer tube and may be configured to be coupled to the actuator. The deployable/retractable tissue engaging hook may comprise a distal end and a proximal end. The deployable/retractable tissue engaging hook may be configured to be movably retained in the inner tube. The distal end of the deployable/retractable tissue engaging hook may be configured to engage to a portion of tissue.
    • 一种用于闭合眼科手术的外科器械(100)包括手柄部分(102),外管(110),内管(108)和至少一个展开/伸缩组织接合钩(106)。 手柄部分可以包括构造成移动内管和至少一个可展开/可缩回组织接合钩的致动器(136)。 外管可以包括远端和近端,并且内管还可以包括远端和近端。 内管可以被配置为可移动地保持在外管中并且可以被配置为联接到致动器。 可展开/可缩回的组织接合钩可以包括远端和近端。 可展开/可缩回的组织接合钩可构造成可移动地保持在内管中。 可展开/可缩回的组织接合钩的远端可构造成与组织的一部分接合。
    • 6. 发明申请
    • ENDOSCOPIC ROTARY ACCESS NEEDLE
    • 内窥镜旋转接触针
    • WO2009140399A2
    • 2009-11-19
    • PCT/US2009043808
    • 2009-05-13
    • ETHICON ENDO SERGERY INCBAKOS GREGORY JFOX WILLIAM DMUGAN JOHN MRYAN DAMIEN J
    • BAKOS GREGORY JFOX WILLIAM DMUGAN JOHN MRYAN DAMIEN J
    • A61B17/32A61L2/00
    • A61B17/320016A61B1/018A61B1/04A61B17/32002A61B17/32053A61B17/3415A61B2017/00278A61B2017/306A61B2017/320044
    • Various methods and devices are provided for cutting an opening through tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible elongate needle shaft that has a distal end with a circumferentially extending tissue-cutting edge formed thereon. A proximal end of the elongate needle shaft interfaces with a rotary control member for selectively applying a rotary motion to the elongate needle shaft. When the rotating tissue-cutting edge is brought into contact with target tissue, the tissue-cutting edge cuts an opening through the tissue. The device may have a stylet that has a blunt end that can be adjusted to protrude out of the distal end of the elongate needle shaft out beyond the tissue-cutting edge and is biased inward into the elongate needle shaft when the blunt end is brought into contact with the tissue to expose the tissue-cutting edge to the tissue. The stylet may be used as a guide wire after the hole has been cut through the tissue. An outer sheath may be provided to selectively cover the distal end of the elongate needle shaft and blunt end of the stylet. The outer sheath may have a selectively expandable member thereon that may be used to expand the cut hole
    • 提供各种方法和装置来切割通过组织的开口。 在一个实施例中,提供组织穿透装置,并且包括柔性细长针轴,其具有形成在其上的周向延伸的组织切割刃的远端。 细长针轴的近端与旋转控制构件接合,用于选择性地向细长针轴施加旋转运动。 当旋转的组织切割边缘与目标组织接触时,组织切割边缘切割穿过组织的开口。 该装置可以具有一个具有钝头的探针,其可以被调节以从细长针轴的远端突出超出组织切割边缘,并且当钝端进入时被向内偏压到细长的针轴中 与组织接触以将组织切割边缘暴露于组织。 孔穿过组织后,探针可用作导丝。 可以设置外护套以选择性地覆盖细长针轴的远端和探针的钝端。 外护套可以在其上具有可选择性地可扩张的构件,其可以用于扩大切割孔