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    • 5. 发明申请
    • METHODS FOR THE SURGICAL APPLICATION OF A FASTENER AND THE ENDOLUMINAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD)
    • 紧固件的外科应用方法和胃肠道反流病(GERD)的内分泌治疗
    • WO2004026350A3
    • 2004-10-14
    • PCT/US0329524
    • 2003-09-19
    • KORTENBACH JUERGEN ASIXTO ROBERT JRSMITH KEVIN W
    • KORTENBACH JUERGEN ASIXTO ROBERT JRSMITH KEVIN W
    • A61B17/064A61B17/068A61B17/28A61B17/08
    • A61B17/0643A61B17/068A61B17/29A61B2017/00827A61B2017/2905
    • A surgical instrument (200)includes an end effector (202) having a clevis (224) and first and second jaws (226, 228) mutually rotatable between open and closed positions. The jaws (226, 229) are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft (206) of the instrument. The jaws (226, 228) hold first and second parts (12, 14) of a fastener (10), respectively. The first part (12) includes a base (18) having upstanding tissue piercing posts (32, 34), and the second part (14) includes another base (54) defining apertures (58, 60) for receiving the posts (32, 34), as well as a portion (52) movable relative to the second base (54). When the upstanding posts (32, 34) are inserted into the apertures (58, 60), the movable portion (52) can be moved into a second configuration to lock the parts (12, 14) of the fastener (10) together. The instrument (200) is adapted to move the second part (14) into the second configuration.
    • 手术器械(200)包括具有U形夹(224)的端部执行器(202)和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(226,228)。 钳口226,229)相对于仪器的控制轴(206)的纵向轴向近端地定向并横向移位。 夹爪(226,228)分别固定紧固件(10)的第一和第二部分(12,14)。 第一部分(12)包括具有直立的组织穿刺柱(32,34)的基部(18),并且第二部分(14)包括限定孔(58,60)的另一底座(54) 34)以及可相对于第二基座(54)移动的部分(52)。 当直立柱(32,34)插入到孔(58,60)中时,可移动部分(52)可以移动到第二构造中,以将紧固件(10)的部件(12,14)锁定在一起。 仪器(200)适于将第二部分(14)移动到第二配置中。
    • 9. 发明申请
    • SURGICAL INSTRUMENT FOR INVAGINATION AND FUNDOPLICATION
    • 外科手术器械用于入院和补充
    • WO02098299A3
    • 2003-03-06
    • PCT/US0217201
    • 2002-06-03
    • SYMBIOSIS CORPKORTENBACH JUERGEN A
    • KORTENBACH JUERGEN A
    • A61B17/28A61B17/00A61B17/064A61B17/068
    • A61B17/0643A61B17/00234A61B17/068A61B17/29A61B2017/00827A61B2017/0647A61B2017/2905Y10T24/366
    • 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.
    • 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。