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1. 发明授权

US07223239B2 Medical device that removably attaches to a bodily organ 有权
标题翻译：可拆卸地连接到身体器官的医疗装置
公开(公告)号：US07223239B2
公开(公告)日：2007-05-29
申请号：US11032288
申请日：2005-01-10
申请人： Dale R. Schulze , Christopher J Hess , Michael F. Clem , Gary W. Knight , Kevin A. Harper , Rudolph H Nobis
发明人： Dale R. Schulze , Christopher J Hess , Michael F. Clem , Gary W. Knight , Kevin A. Harper , Rudolph H Nobis
IPC分类号： A61B5/05 , A61N7/00
CPC分类号： A61N7/02 , A61B2018/00011
摘要： A medical device for use on a bodily organ includes a concave support element that is removably attachable to the surface of the bodily organ, thereby defining an enclosed space adjacent to the bodily organ. The enclosed space is fluidly connected to a fluid management system for circulating a fluid inside of the enclosed space. The medical device also has an energy transfer element mounted to the concave support element and electrically connected to a control unit. In some embodiments, the energy transfer element transmits intense ultrasound energy in a frequency range of 1–30 megahertz, and the fluid acoustically couples the energy transfer element to the bodily organ, and the fluid also cools the energy transfer element.
摘要翻译：用于身体器官的医疗装置包括可移除地附接到身体器官表面的凹形支撑元件，从而限定与身体器官相邻的封闭空间。封闭空间流体地连接到流体管理系统，用于使封闭空间内的流体循环。医疗装置还具有安装到凹形支撑元件并电连接到控制单元的能量传递元件。在一些实施例中，能量传递元件在1-30兆赫的频率范围内传输强烈的超声能量，并且流体将能量传递元件声学耦合到身体器官，并且流体还冷却能量传递元件。

2. 发明授权

US07824368B2 Method for endoscopic, transgastric access into the abdominal cavity 有权
标题翻译：内窥镜检查方法，经腹进入腹腔
公开(公告)号：US07824368B2
公开(公告)日：2010-11-02
申请号：US10465061
申请日：2003-06-19
申请人： Michael F. Clem , Gary W. Knight , Rudolph H. Nobis , Dale R. Schulze , Christopher J Hess , Elliott J. Fegelman
发明人： Michael F. Clem , Gary W. Knight , Rudolph H. Nobis , Dale R. Schulze , Christopher J Hess , Elliott J. Fegelman
IPC分类号： A61M29/00 , A61M5/00 , A61M5/32
CPC分类号： A61B1/00142 , A61B1/00154 , A61B1/01 , A61B1/313
摘要： The present invention is a method for accessing the abdominal cavity of a patient in order to perform a medical procedure therein. In one embodiment the method includes the step of inserting a guide wire into the upper gastrointestinal tract, via a gastric opening in the gastric wall and an abdominal opening in the abdominal wall of the patient, the guide wire having a first end that extends from the mouth of the patient, and a second end that extends from the abdominal opening of the patient. The method further includes providing an access device in the form of an elongated sheath having a lumen therethrough, attaching the first end of the guide wire to the distal end of the elongated sheath, and pulling the second end of the guide wire to position the access device into the upper gastrointestinal tract, wherein the distal end of the access device extends into the abdominal cavity while the proximal end of the access device extends out of the mouth of the patient.
摘要翻译：本发明是一种用于访问患者腹腔以便在其中执行医疗程序的方法。在一个实施例中，该方法包括通过胃壁中的胃开口和患者腹壁中的腹部开口将导丝插入上胃肠道的步骤，该导丝具有从并且从患者的腹部开口延伸的第二端。该方法还包括提供一种细长护套形式的进入装置，其具有穿过其中的内腔，将导丝的第一端附接到细长护套的远端，以及拉动导丝的第二端以定位通道装置进入上胃肠道，其中进入装置的远端延伸到腹腔中，而进入装置的近端延伸出患者口部。

3. 发明授权

US07819877B2 Method and apparatus for endoscopic minimally invasive orthopaedic plating procedures 有权
标题翻译：内镜微创矫形手术方法和装置
公开(公告)号：US07819877B2
公开(公告)日：2010-10-26
申请号：US10154558
申请日：2002-05-24
申请人： Pamela C. Guzmán , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
发明人： Pamela C. Guzmán , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
IPC分类号： A61B17/88
CPC分类号： A61B17/921 , A61B1/00154 , A61B1/0615 , A61B17/00234 , A61B17/0218 , A61B17/1604 , A61B17/1635 , A61B17/1655 , A61B17/1664 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1728 , A61B17/1735 , A61B17/1782 , A61B17/72 , A61B17/744 , A61B17/808 , A61B17/8685 , A61B17/8866 , A61B90/02 , A61B2090/08021 , A61F2/4644 , A61F2002/4635 , A61F2002/4649
摘要： A bone plating apparatus includes a handle having extending therefrom a tissue expander for insertion through a skin incision and through the subcutaneous tissue surrounding a fractured bone. A bone plate may be secured to the handle during advancement of the tissue expander so as to deliver the bone plate to a desired location proximate to the fractured bone. Both the tissue expander and the bone plate may be advanced to the desired location proximate to the fractured bone under the visualization of an endoscope. A screw alignment jig is secured to the handle and has a guide hole which aligns with an access hole of the tissue expander. The alignment of the guide hole and the access hole allow for percutaneous screw insertion into the delivered bone plate. A method for plating a fractured bone is also disclosed.
摘要翻译：骨电镀装置包括具有从其延伸的用于通过皮肤切口插入并通过围绕骨折骨的皮下组织的组织扩张器的手柄。在组织扩张器的前进过程中，骨板可以固定到手柄上，以将骨板输送到靠近骨折骨的期望位置。在内窥镜的可视化下，组织扩张器和骨板都可以前进到靠近骨折骨的期望位置。螺钉对准夹具固定到手柄上并具有与组织扩张器的进入孔对准的引导孔。引导孔和进入孔的对准允许经皮螺钉插入输送的骨板中。还公开了一种用于电镀骨折骨的方法。

4. 发明授权

US07063699B2 Electrosurgical instrument with minimally invasive jaws 失效
公开(公告)号：US07063699B2
公开(公告)日：2006-06-20
申请号：US09966846
申请日：2001-09-28
申请人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze
发明人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B90/70 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument useful in harvesting blood vessels such as veins and arteries and for manipulating and grasping tissue. The instrument has a pair of jaws and a closing tube to open and close the jaws.

5. 发明授权

US08328808B2 Minimally invasive orthopaedic apparatus and methods 有权
标题翻译：微创矫形器和方法
公开(公告)号：US08328808B2
公开(公告)日：2012-12-11
申请号：US10480053
申请日：2002-05-24
申请人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
发明人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
IPC分类号： A61B17/56
CPC分类号： A61B17/921 , A61B1/00154 , A61B1/0615 , A61B17/00234 , A61B17/0218 , A61B17/1604 , A61B17/1635 , A61B17/1655 , A61B17/1664 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1728 , A61B17/1735 , A61B17/1782 , A61B17/72 , A61B17/744 , A61B17/808 , A61B17/8685 , A61B17/8866 , A61B90/02 , A61B2090/08021 , A61F2/4644 , A61F2002/4635 , A61F2002/4649
摘要： Apparatus (20, 120, 300) and methods for use in the performance of minimally invasive orthopedic procedures, including apparatus and methods for use in the performance of such procedures under the visualization of an endoscope (22), are herein disclosed. Such procedures include a minimally invasive intramedullary nailing procedure, a minimally invasive bone graft harvesting procedure, a minimally invasive pelvic osteotomy procedure, an orthopedic implant revision procedure, and a minimally invasive percutaneous bone plating procedure.
摘要翻译：本文公开了用于执行微创骨科手术的装置（20,120,300）以及用于执行微创矫形手术的方法，包括用于在内窥镜（22）的可视化下执行这种程序的装置和方法。这样的程序包括微创髓内钉术，微创骨移植物收获程序，微创骨盆截骨术，矫形植入物修复程序和微创经皮骨移植程序。

6. 发明授权

US08052702B2 Vessel harvesting retractor with bilateral electrosurgical ligation 有权
标题翻译：采用双侧电外科手术结扎的收缩收缩器
公开(公告)号：US08052702B2
公开(公告)日：2011-11-08
申请号：US10816024
申请日：2004-04-01
申请人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
发明人： Christopher J. Hess , Gary W. Knight , Michael F. Clem , Rudolph H. Nobis , Dale R. Schulze , Kristin L. Jambor
IPC分类号： A61B1/32 , A61B17/22
CPC分类号： A61B17/00008 , A61B17/32 , A61B18/1442 , A61B2017/1225 , A61B2018/0063
摘要： A method and device for endoscopic harvesting of blood vessels from a patient for use in subsequent procedures. The device having a two piece headpiece. A vessel to be removed is inserted into the headpiece and the top and bottom portions of the headpiece are alternatively extended in reciprocating fashion to dissect above and below the vessel. The headpiece having electrodes for ligation of any side branch vessels which are uncovered in the dissection process.
摘要翻译：用于从患者内窥镜收集血管以用于随后程序的方法和装置。该装置具有两件头盔。要移除的容器被插入到头盔中，头盔的顶部和底部交替地以往复方式延伸以在容器的上方和下方剖开。头部具有用于连接在解剖过程中未被覆盖的任何侧分支血管的电极。

7. 发明授权

US06605098B2 Surgical device for creating an anastomosis between first and second hollow organs 有权
标题翻译：用于创建第一和第二中空器官之间的吻合的手术装置
公开(公告)号：US06605098B2
公开(公告)日：2003-08-12
申请号：US09967227
申请日：2001-09-28
申请人： Rudolph H. Nobis , Christopher J. Hess , Gary W. Knight , Michael F. Clem , Dale R. Schulze
发明人： Rudolph H. Nobis , Christopher J. Hess , Gary W. Knight , Michael F. Clem , Dale R. Schulze
IPC分类号： A61B1708
CPC分类号： A61B17/11 , A61B17/0644 , A61B17/115 , A61B17/32053 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： A surgical device including: a punch slidingly disposed in a housing for forming a hole in a first vessel; a cartridge movably disposed in the housing between a cutting and deploying positions, the cartridge having a second vessel and a coupler for coupling the first and second vessel loaded therein; a punch actuator for sliding the punch between the cutting and deploying positions; a cartridge actuator for moving the cartridge between the cutting and deploying positions, wherein while in the cutting position, the punch and cartridge are in position to permit the punch to form the hole in the first vessel and while in the deploying position, they are in position to deploy the second vessel; and a deployment mechanism for deploying the second vessel and coupler into the hole of the first vessel while the punch and cartridge are in the deploying position to create an anastomosis.
摘要翻译：一种手术装置，包括：滑动地设置在壳体中的冲头，用于在第一容器中形成孔; 一个可移动地设置在壳体中的切割和展开位置之间的墨盒，该墨盒具有一个第二容器和一个联接器，用于联接装在其中的第一和第二容器; 用于在切割和展开位置之间滑动冲头的冲头致动器; 用于在切割和展开位置之间移动墨盒的墨盒致动器，其中在切割位置时，冲头和墨盒处于适当位置以允许冲头在第一容器中形成孔，而在展开位置时，部署第二艘船的位置; 以及用于将所述第二容器和联接器部署到所述第一容器的孔中并且同时所述冲头和所述盒处于所述展开位置以产生吻合的部署机构。

8. 发明授权

US06835195B2 Surgical device for applying radio frequency energy to a portion of a captured vessel 失效
标题翻译：用于将射频能量施加到捕获的血管的一部分的外科手术装置
公开(公告)号：US06835195B2
公开(公告)日：2004-12-28
申请号：US10318755
申请日：2002-12-13
申请人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
发明人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00982
摘要： A surgical device for applying radio frequency energy to a portion of a captured vessel is provided. The device including: a first tube having an internal lumen for passage of a viewing device therein, the first tube having a substantially transparent first window at a distal tip thereof; a second tube slidingly disposed over the first tube, the second tube having a substantially transparent second window at a distal tip thereof, the second tube further having a slot for capturing a portion of the vessel; an actuator for sliding the second tube relative to the first tube between open and closed positions, wherein in the closed position an inner surface of the second window is aligned with an outer surface of the first window and captures the portion of the vessel therebetween; and at least one electrode affixed to one of the inner or outer surfaces and facing the other of the inner or outer surfaces for applying radio frequency energy to the captured portion of the vessel.
摘要翻译：提供了一种用于将射频能量施加到捕获的血管的一部分的手术装置。该装置包括：第一管，其具有用于在其中观察装置通过的内腔，第一管在其远端处具有基本透明的第一窗口; 滑动地设置在所述第一管上的第二管，所述第二管在其远端处具有基本透明的第二窗口，所述第二管还具有用于捕获所述容器的一部分的狭槽; 致动器，其用于在打开和关闭位置之间相对于第一管滑动第二管，其中在关闭位置，第二窗口的内表面与第一窗口的外表面对准并且捕获其间的容器部分; 以及至少一个电极，固定在所述内表面或外表面中的一个上并面向所述内表面或外表面中的另一个，以将射频能量施加到所述容器的所捕获的部分。

9. 发明授权

US06592582B2 Vessel harvesting retractor with electrosurgical plunger 失效
标题翻译：带电外科柱塞的血管收缩牵开器
公开(公告)号：US06592582B2
公开(公告)日：2003-07-15
申请号：US09966858
申请日：2001-09-28
申请人： Christopher J. Hess , Michael F. Clem , Gary W. Knight , Rudolph H. Nobis , Dale R. Schulze
发明人： Christopher J. Hess , Michael F. Clem , Gary W. Knight , Rudolph H. Nobis , Dale R. Schulze
IPC分类号： A61B1818
CPC分类号： A61B17/00008 , A61B18/1482 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/1412 , A61B2018/1455
摘要： An endoscopic device including a shaft having a lumen for insertion of an endoscope therethrough, a transparent headpiece defining a workspace and disposed at a distal end of the shaft, a handle disposed at a proximal end of the shaft, a plunger disposed at the distal end of the shaft and movable between a retracted and extended position, wherein in the extended position the plunger interacts with at least a portion of the headpiece to capture a vessel therebetweeen, an actuator for moving the plunger between the retracted and extended positions, and a ligator for cauterizing the vessel captured between the plunger and the portion of the headpiece.
摘要翻译：一种内窥镜装置，包括具有用于插入内窥镜的内腔的轴，限定工作空间并设置在所述轴的远端的透明头盔，设置在所述轴的近端的手柄，设置在所述远端的柱塞并且在缩回位置和延伸位置之间可移动，其中在延伸位置中，柱塞与头盔的至少一部分相互作用以捕获其间的容器，用于在缩回位置和伸出位置之间移动柱塞的致动器，以及连接器用于烧灼在柱塞和头盔部分之间捕获的容器。

10. 发明授权

US06572615B2 Surgical device for applying radio frequency energy to a portion of a captured vessel 失效
公开(公告)号：US06572615B2
公开(公告)日：2003-06-03
申请号：US09966790
申请日：2001-09-28
申请人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
发明人： Dale R. Schulze , Michael F. Clem , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Gary L. Long
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00982
摘要： A surgical device for applying radio frequency energy to a portion of a captured vessel is provided. The device including: a first tube having an internal lumen for passage of a viewing device therein, the first tube having a substantially transparent first window at a distal tip thereof; a second tube slidingly disposed over the first tube, the second tube having a substantially transparent second window at a distal tip thereof, the second tube further having a slot for capturing a portion of the vessel; an actuator for sliding the second tube relative to the first tube between open and closed positions, wherein in the closed position an inner surface of the second window is aligned with an outer surface of the first window and captures the portion of the vessel therebetween; and at least one electrode affixed to one of the inner or outer surfaces and facing the other of the inner or outer surfaces for applying radio frequency energy to the captured portion of the vessel.

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