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1. 发明授权

US07422138B2 Elliptical intraluminal surgical stapler for anastomosis 有权
标题翻译：用于吻合的椭圆形腔内手术吻合器
公开(公告)号：US07422138B2
公开(公告)日：2008-09-09
申请号：US11344542
申请日：2006-02-01
申请人： Federico Bilotti , George M. Pomeroy , Todd P. Omaits , Laszlo Csiky , Mark A. Neurohr , Alessandro Pastorelli
发明人： Federico Bilotti , George M. Pomeroy , Todd P. Omaits , Laszlo Csiky , Mark A. Neurohr , Alessandro Pastorelli
IPC分类号： A61B17/04
CPC分类号： A61B17/115 , A61B17/072 , A61B17/1155 , A61B2017/07214 , A61B2017/07221 , A61B2017/07257
摘要： A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed to the facing surface of the head for mating engagement therewith. The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler.
摘要翻译：手术吻合器包括其中存储有多个钉的头部。头部包括面向表面。订书机还包括砧座，砧座具有成形和尺寸的砧座表面，用于在手术吻合器致动时形成缝钉，砧座包括与头部的相对表面相对的对置表面，用于与其配合接合。头部的相对表面相对于头部的纵向轴线倾斜定向，当在外科缝合器的致动期间头部与砧座接触时，产生椭圆形缝合线。

2. 发明授权

US07399305B2 Surgical stapling device with tissue tensioner 有权
标题翻译：带组织张紧器的手术吻合装置
公开(公告)号：US07399305B2
公开(公告)日：2008-07-15
申请号：US11495101
申请日：2006-07-28
申请人： Laszlo Csiky , Russell Heinrch
发明人： Laszlo Csiky , Russell Heinrch
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1114 , A61B17/1155 , A61B17/32053
摘要： A circular stapling device particularly suited for surgical treatment of internal hemorrhoids is provided. The stapling device includes a distal head portion having an anvil and a shell assembly. A tissue tensioner device including a tissue engagement member is movably positioned between the anvil and the shell assembly and is operable via a tensioner trigger to position tissue within a bore defined within the shell assembly.
摘要翻译：提供了特别适用于内痔外科治疗的圆形吻合装置。缝合装置包括具有砧座和外壳组件的远端头部。包括组织接合构件的组织张紧器装置可移动地定位在砧座和壳体组件之间，并且可通过张紧器触发器操作以将组织定位在限定在壳组件内的孔内。

3. 发明授权

US08413870B2 Surgical stapling instrument 有权
标题翻译：手术吻合器械
公开(公告)号：US08413870B2
公开(公告)日：2013-04-09
申请号：US12307751
申请日：2007-06-19
申请人： Alessandro Pastorelli , Michael A. Murray , William Bruce Weisenburgh, II , Federico Bilotti , Laszlo Csiky , Todd Phillip Omaits
发明人： Alessandro Pastorelli , Michael A. Murray , William Bruce Weisenburgh, II , Federico Bilotti , Laszlo Csiky , Todd Phillip Omaits
IPC分类号： A61B17/115
CPC分类号： A61B17/105 , A61B17/068 , A61B17/1114 , A61B17/115 , A61B17/32053
摘要： A surgical stapling instrument (1) comprises a staple fastening assembly (4) in the distal region of said instrument, the staple fastening assembly (4) including a cartridge device (8) which comprises at least one closed row (17, 18) of staples and defines a wavy distal end surface (14), and an anvil (9) which defines a wavy proximal staple forming surface (20) substantially matching the distal end surface (14) and which is adapted to cooperate with the cartridge device (8) for forming the ends of the staples exiting from the cartridge device (8), wherein the distal end surface (14) and the staple forming surface (20) have a globally wavy shape including two opposite peaks (21) and two opposite valleys (22) angularly spaced at about 90° from the adjacent peaks (21) and in that said two-peaks-two-valleys wavy shape is formed by a stepped configuration of said surfaces (14, 20).
摘要翻译：外科缝合器具（1）包括在所述器械的远侧区域中的缝钉紧固组件（4），所述缝钉紧固组件（4）包括筒装置（8），所述钉仓装置包括至少一个闭合的列（17,18）缝钉并且限定了波浪形远端表面（14）和砧座（9），所述砧座（9）限定基本上与所述远端表面（14）匹配的波形近似缝合钉形成表面（20），并且所述砧座（9）适于与所述钉仓装置），用于形成从所述盒装置（8）出来的钉的端部，其中所述远端表面（14）和所述钉形成表面（20）具有包括两个相对的峰（21）和两个相对的谷（ 22）与相邻的峰（21）成角度地间隔约90°，并且所述两峰 - 两谷波浪形状由所述表面（14,20）的阶梯状构造形成。

4. 发明申请

US20100155452A1 CIRCULAR STAPLER FOR HEMORRHOID OPERATIONS 有权
标题翻译：用于HEMORRHOID操作的通用打包机
公开(公告)号：US20100155452A1
公开(公告)日：2010-06-24
申请号：US12718364
申请日：2010-03-05
申请人： Laszlo Csiky
发明人： Laszlo Csiky
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B17/12009
摘要： A circular stapler for performing hemorrhoidal operations is disclosed. The circular stapler includes an anvil, a stapler head and a shaft which movably supports the anvil in relation to the stapler head between open and closed positions. The stapler includes at least one displacing member, each of which is arbitrarily and/or independently displaceable along the shaft. Each of the at least one displacing members has a first end configured to engage a pursestring suture and a second end which extends through the body, e.g., the neck of the stapler. The displacing member is arbitrarily displaceable along the shaft. In one embodiment, two independently displaceable displacing members are provided. In another embodiment, the at least one displacing member is at least partially embedded in the shaft.
摘要翻译：公开了一种用于进行痔疮手术的圆形吻合器。圆形订书机包括一个砧座，一个订书机头部和一个轴，该砧座和砧座相对于订书机头在打开位置和关闭位置之间可移动地支撑砧座。订书机包括至少一个位移构件，每个移位构件均可沿着轴任意和/或独立地移位。所述至少一个移位构件中的每一个具有构造成接合追索缝线的第一端和延伸穿过所述主体（例如，所述吻合器的颈部）的第二端。位移构件可以沿着轴任意移位。在一个实施例中，提供两个可独立移位的移位构件。在另一个实施例中，至少一个移位构件至少部分地嵌入轴中。

5. 发明申请

US20100108740A1 SURGICAL STAPLING INSTRUMENT 有权
标题翻译：手术包装仪
公开(公告)号：US20100108740A1
公开(公告)日：2010-05-06
申请号：US12307751
申请日：2007-06-19
申请人： Alessandro Pastorelli , Michael A. Murray , William Bruce Weisenburgh, II , Federico Bilotti , Laszlo Csiky , Todd Phillip Omaits
发明人： Alessandro Pastorelli , Michael A. Murray , William Bruce Weisenburgh, II , Federico Bilotti , Laszlo Csiky , Todd Phillip Omaits
IPC分类号： A61B17/115
CPC分类号： A61B17/105 , A61B17/068 , A61B17/1114 , A61B17/115 , A61B17/32053
摘要： A surgical stapling instrument (1) comprises a staple fastening assembly (4) in the distal region of said instrument, the staple fastening assembly (4) including a cartridge device (8) which comprises at least one closed row (17, 18) of staples and defines a wavy distal end surface (14), and an anvil (9) which defines a wavy proximal staple forming surface (20) substantially matching the distal end surface (14) and which is adapted to cooperate with the cartridge device (8) for forming the ends of the staples exiting from the cartridge device (8), wherein the distal end surface (14) and the staple forming surface (20) have a globally wavy shape including two opposite peaks (21) and two opposite valleys (22) angularly spaced at about 90° from the adjacent peaks (21) and in that said two-peaks-two-valleys wavy shape is formed by a stepped configuration of said surfaces (14, 20).
摘要翻译：外科缝合器具（1）包括在所述器械的远侧区域中的缝钉紧固组件（4），所述缝钉紧固组件（4）包括筒装置（8），所述钉仓装置包括至少一个闭合的列（17,18）缝钉并且限定了波浪形远端表面（14）和砧座（9），所述砧座（9）限定基本上与所述远端表面（14）匹配的波形近似缝合钉形成表面（20），并且所述砧座（9）适于与所述钉仓装置），用于形成从所述盒装置（8）出来的钉的端部，其中所述远端表面（14）和所述钉形成表面（20）具有包括两个相对的峰（21）和两个相对的谷（ 22）与相邻的峰（21）成角度地间隔约90°，并且所述两峰 - 两谷波浪形状由所述表面（14,20）的阶梯状构造形成。

6. 发明申请

US20180092635A1 SURGICAL DEVICE AND ACCESSORIES 审中-公开
公开(公告)号：US20180092635A1
公开(公告)日：2018-04-05
申请号：US15833250
申请日：2017-12-06
申请人： Laszlo Csiky
发明人： Laszlo Csiky
IPC分类号： A61B17/00 , A61B17/42 , A61B1/018 , A61B17/34 , A61B1/00
摘要： A device for surgical interventions comprises (i) an inner end (1) guidable/steerable to an operation field, (ii) an outer end (3) operated by user and (iii) a middle part (2) which connects both ends (1, 3) together. Force transmission units extend between the outer end (3) and the inner end (1). The force transmission units, the outer and the inner ends and the middle part (2) transfer movements of the outer end (3) to the inner end (1) in an identical measure, as if the inner end (1) was a straight continuation of the outer end (3).

7. 发明授权

US09179917B2 Circular stapler for hemorrhoid operations 有权
标题翻译：用于痔疮手术的圆形吻合器
公开(公告)号：US09179917B2
公开(公告)日：2015-11-10
申请号：US13276364
申请日：2011-10-19
申请人： Laszlo Csiky
发明人： Laszlo Csiky
IPC分类号： A61B17/04 , A61B17/10 , A61B17/115 , A61B17/12
CPC分类号： A61B17/115 , A61B17/1155 , A61B17/12009
摘要： A circular stapler for performing hemorrhoidal operations is disclosed. The circular stapler includes an anvil, a stapler head and a shaft which movably supports the anvil in relation to the stapler head between open and closed positions. The stapler includes at least one displacing member, each of which is arbitrarily and/or independently displaceable along the shaft. Each of the at least one displacing members has a first end configured to engage a pursestring suture and a second end which extends through the body, e.g., the neck of the stapler. The displacing member is arbitrarily displaceable along the shaft. In one embodiment, two independently displaceable displacing members are provided. In another embodiment, the at least one displacing member is at least partially embedded in the shaft.
摘要翻译：公开了一种用于进行痔疮手术的圆形吻合器。圆形订书机包括一个砧座，一个订书机头部和一个轴，该砧座和砧座相对于订书机头在打开位置和关闭位置之间可移动地支撑砧座。订书机包括至少一个位移构件，每个移位构件均可沿着轴任意和/或独立地移位。所述至少一个移位构件中的每一个具有构造成接合追索缝线的第一端和延伸穿过所述主体（例如，所述吻合器的颈部）的第二端。位移构件可以沿着轴任意移位。在一个实施例中，提供两个可独立移位的移位构件。在另一个实施例中，至少一个移位构件至少部分地嵌入轴中。

8. 发明申请

US20120232339A1 SURGICAL DEVICE AND ACCESSORIES 审中-公开
标题翻译：外科手术及配件
公开(公告)号：US20120232339A1
公开(公告)日：2012-09-13
申请号：US13393884
申请日：2010-09-02
申请人： Laszlo Csiky
发明人： Laszlo Csiky
IPC分类号： A61B17/34 , A61B18/14 , A61B1/018 , A61M13/00 , A61B17/068 , A61B17/10 , A61M25/092
CPC分类号： A61B34/70 , A61B17/00234 , A61B17/0281 , A61B17/0469 , A61B17/062 , A61B17/072 , A61B17/07207 , A61B17/29 , A61B34/30 , A61B34/71 , A61B90/30 , A61B90/50 , A61B2017/00278 , A61B2017/003 , A61B2017/00318 , A61B2017/00539 , A61B2017/0417 , A61B2017/06052 , A61B2017/2901 , A61B2017/2902 , A61B2017/2906 , A61B2017/2908 , A61B2017/291 , A61B2017/2946 , A61B2017/306 , A61B2017/3447 , A61B2017/3466
摘要： The present invention relates to a device developed for surgical interventions comprising (i) an inner end (1) guidable/steerable to the operation field, (ii) an outer end (3) operated by the user and (iii) a middle part (2) which connects both ends (1, 3) together. According to the main concept of the present invention, it further comprises force transmission units extending between the outer (3) and the inner (1) ends, and said force transmission units, the outer and the inner ends and the middle part (2) are designed to transfer the movements of the outer end (3) to the inner end (1) in an identical measure, as if the inner end (1) were the straight continuation of the outer end (3).
摘要翻译：本发明涉及一种开发用于外科手术的装置，包括：（i）引导/可转向操作区的内端（1），（ii）由使用者操作的外端（3）和（iii）中间部分 2），其将两端（1,3）连接在一起。根据本发明的主要概念，还包括在外部（3）和内部（1）端部之间延伸的力传递单元，并且所述力传递单元，外部和内部端部以及中间部分（2）被设计成以相同的方式将外端（3）的运动传递到内端（1），好像内端（1）是外端（3）的直线延伸。

9. 再颁专利

USRE39841E1 Surgical stapling instrument 有权
标题翻译：手术吻合器械
公开(公告)号：USRE39841E1
公开(公告)日：2007-09-18
申请号：US11499818
申请日：2006-08-07
申请人： Federico Bilotti , Mark A. Neurohr , Laszlo Csiky , Todd P. Omaits
发明人： Federico Bilotti , Mark A. Neurohr , Laszlo Csiky , Todd P. Omaits
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/115 , A61B17/1155 , A61B17/32 , A61B2017/07264
摘要： A surgical stapling instrument comprises a frame having a body portion and a handle. A staple fastening assembly is provided in the distal region of the instrument and includes a cartridge device, which comprises at least one closed row (10, 12) of staples, and an anvil. The anvil is movable relative to the cartridge device and is adapted to cooperate with the cartridge device for forming the ends of the staples exiting from the cartridge device. A knife, which has a closed cutting edge, is contained within the cartridge device and is positioned such that there is at least one closed row (10, 12) of staples on the outside of the cutting edge. It can be moved towards the anvil. The line along which the closed row (10, 12) of staples is arranged has a stepped shape, leaving a plane perpendicular to the longitudinal axis of the staple fastening assembly, such that this line has a larger total length than the projection of this line onto this plane. This provides a greater flexibility of the anastomotic site and less tension during instrument removal, alleviating the incidence of clinical complications.
摘要翻译：外科缝合器械包括具有主体部分和手柄的框架。钉固定组件设置在仪器的远侧区域中，并且包括一个盒装置，该装置包括至少一个封闭排（10,12）的钉和一个砧座。砧座相对于盒装置可移动，并且适于与盒装置配合以形成从盒装置出来的钉的端部。具有闭合的切割边缘的刀被容纳在盒装置内并且被定位成使得在切割边缘的外侧上具有至少一个封闭的排（10,12）。它可以移动到砧座。排列的封闭排（10,12）所沿的线具有台阶形状，留下垂直于缝钉紧固组件的纵向轴线的平面，使得该线具有比该线的投影更大的总长度在这架飞机上这为吻合部位提供了更大的灵活性，减少了仪器清除过程中的紧张度，减轻了临床并发症的发生。

10. 发明申请

US20070175963A1 Elliptical intraluminal surgical stapler for anastomosis 有权
标题翻译：用于吻合的椭圆形腔内手术吻合器
公开(公告)号：US20070175963A1
公开(公告)日：2007-08-02
申请号：US11344542
申请日：2006-02-01
申请人： Federico Bilotti , George Pomeroy , Todd Omaits , Laszlo Csiky , Mark Neurohr , Alessandro Pastorelli
发明人： Federico Bilotti , George Pomeroy , Todd Omaits , Laszlo Csiky , Mark Neurohr , Alessandro Pastorelli
IPC分类号： A61B17/04
CPC分类号： A61B17/115 , A61B17/072 , A61B17/1155 , A61B2017/07214 , A61B2017/07221 , A61B2017/07257
摘要： A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed to the facing surface of the head for mating engagement therewith. The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler.
摘要翻译：手术吻合器包括其中存储有多个钉的头部。头部包括面向表面。订书机还包括砧座，砧座具有成形和尺寸的砧座表面，用于在手术吻合器致动时形成缝钉，砧座包括与头部的相对表面相对的对置表面，用于与其配合接合。头部的相对表面相对于头部的纵向轴线倾斜定向，当在外科缝合器的致动期间头部与砧座接触时，产生椭圆形缝合线。

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