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1. 发明授权

US07815565B2 Endcap for use with an endoscope 有权
标题翻译：内窥镜使用的端盖
公开(公告)号：US07815565B2
公开(公告)日：2010-10-19
申请号：US10440956
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/04
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译：公开了一种用于内窥镜的引导系统和使用方法。引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。可以设置端盖以相对于内窥镜的远端支撑轨道。

2. 发明授权

US08211143B2 Suturing device 有权
标题翻译：缝合装置
公开(公告)号：US08211143B2
公开(公告)日：2012-07-03
申请号：US11095439
申请日：2005-03-31
申请人： David Stefanchik , James A. Craft
发明人： David Stefanchik , James A. Craft
IPC分类号： A61B17/06
CPC分类号： A61B17/0482 , A61B17/0469 , A61B17/0487 , A61B17/0625 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464 , A61B2017/06052 , A61B2017/0608 , A61B2017/06095 , A61B2017/061
摘要： A medical apparatus and method useful for suturing tissue is disclosed. The medical apparatus can include a curved needle and an apparatus suitable for providing endoscopic suturing. The apparatus can include a needle drive for driving the curved needle about a generally arcuate path. The curved needle can be deformed to form a closed needle structure.
摘要翻译：公开了一种用于缝合组织的医疗装置和方法。医疗装置可以包括弯曲针和适于提供内窥镜缝合的装置。该装置可以包括用于围绕大致弧形路径驱动弯曲针的针驱动器。弯曲的针可以变形以形成闭合的针结构。

3. 发明授权

US07431694B2 Method of guiding medical devices 有权
标题翻译：医疗器械指导方法
公开(公告)号：US07431694B2
公开(公告)日：2008-10-07
申请号：US10440660
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译：公开了一种用于内窥镜的引导系统和使用方法。引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。可以设置端盖以相对于内窥镜的远端支撑轨道。

4. 发明授权

US06187019B1 Surgical anastomosis instrument 有权
标题翻译：手术吻合器械
公开(公告)号：US06187019B1
公开(公告)日：2001-02-13
申请号：US09412276
申请日：1999-10-05
申请人： David Stefanchik , David L. Hamann , John B. Flege, Jr. , Douglas N. Ladd , J. Renee Lupton , James A. Craft
发明人： David Stefanchik , David L. Hamann , John B. Flege, Jr. , Douglas N. Ladd , J. Renee Lupton , James A. Craft
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/0482 , A61B2017/00252 , A61B2017/06076 , A61B2017/081 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： In accordance with the present invention, there is provided a surgical device for attaching a first hollow organ to a second hollow organ and creating a passageway therebetween. The device includes a first member comprising a first prong for entering a wall of the first hollow organ and a second prong for entering a wall of the second hollow organ. The prongs each have a proximal end which attaches to the first member and a distal end extending therefrom. The device further includes a second member having a plow for incising at least one of the hollow organs so as to create a passageway between the hollow organs. The second member further includes a plurality of needle paths on either side of the plow for guiding a needle through the walls of the hollow organ on either side of the passageway. The device further includes a means for driving a needle, having a suture attached thereto, so as to attach the hollow organs together. Lastly, the device includes a frame for coupling the first member and the second member together in operational engagement.
摘要翻译：根据本发明，提供了一种用于将第一中空器官附接到第二中空器官并在其间形成通道的外科装置。该装置包括第一构件，其包括用于进入第一中空器官的壁的第一插脚和用于进入第二中空器官的壁的第二插脚。每个尖头具有附接到第一构件的近端和从其延伸的远端。该装置还包括具有用于切割至少一个中空器官的犁的第二构件，以便在中空器件之间形成通道。第二构件还包括在犁的两侧上的多个针通道，用于引导针穿过通道两侧的中空器官的壁。该装置还包括用于驱动针的装置，具有附接到其上的缝合线，以将中空器件连接在一起。最后，该装置包括用于将第一构件和第二构件联接在一起的操作接合的框架。

5. 发明授权

US07060024B2 Apparatus for guiding an instrument used with an endoscope 有权
标题翻译：用于引导用于内窥镜的仪器的装置
公开(公告)号：US07060024B2
公开(公告)日：2006-06-13
申请号：US10098250
申请日：2002-03-15
申请人： Gary L. Long , David Stefanchik , David S. Little , James A. Craft
发明人： Gary L. Long , David Stefanchik , David S. Little , James A. Craft
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0014
摘要： An apparatus for guiding an instrument inserted through an endoscope's instrument channel is provided. The apparatus can attach to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel. The apparatus can be used to assist in positioning the instrument to perform useful work on tissue adjacent the perimeter of the endoscope. The apparatus can also be used to provide cooperation between instruments inserted either through or alongside the endoscope.
摘要翻译：提供了一种用于引导插入通过内窥镜的仪器通道的仪器的装置。该装置可以附接到内窥镜以引导器械的端部的位置，例如通过约束仪器以预定的方式弯曲，或以其它方式引导从器械通道的远端延伸的器械的远端。该装置可用于帮助定位仪器以在靠近内窥镜的周边的组织上执行有用的工作。该装置还可用于提供通过内窥镜插入或与内窥镜一起插入的装置之间的协作。

6. 发明授权

US07615005B2 Medical apparatus for use with an endoscope 有权
标题翻译：用于内窥镜的医疗设备
公开(公告)号：US07615005B2
公开(公告)日：2009-11-10
申请号：US10440957
申请日：2003-05-16
申请人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译：公开了一种用于内窥镜的引导系统和使用方法。引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。可以设置端盖以相对于内窥镜的远端支撑轨道。

7. 发明授权

US07261728B2 Biopsy forceps device and method 有权
标题翻译：活检钳装置及方法
公开(公告)号：US07261728B2
公开(公告)日：2007-08-28
申请号：US10099086
申请日：2002-03-15
申请人： Gary L. Long , David Stefanchik , James A. Craft
发明人： Gary L. Long , David Stefanchik , James A. Craft
IPC分类号： A61B10/06 , A61B17/29
CPC分类号： A61B10/04 , A61B10/0283 , A61B10/06 , A61B18/042 , A61B18/14 , A61B2090/306
摘要： An apparatus and method for providing a biopsy device at the distal end of a medical device, such as an endoscope, are disclosed. The apparatus can include a device attached to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel.
摘要翻译：公开了一种用于在诸如内窥镜的医疗装置的远端处提供活检装置的装置和方法。该装置可以包括附接到内窥镜以引导器械端部的位置的装置，例如通过约束器械以预定的方式弯曲，或以其它方式引导从远端的远端延伸的器械的远端仪器通道。

8. 发明授权

US6015416A Surgical anastomosis instrument 失效
标题翻译：手术吻合器械
公开(公告)号：US6015416A
公开(公告)日：2000-01-18
申请号：US31346
申请日：1998-02-26
申请人： David Stefanchik , David L. Hamann , John B. Flege, Jr. , Douglas N. Ladd , J. Renee Lupton , James A. Craft
发明人： David Stefanchik , David L. Hamann , John B. Flege, Jr. , Douglas N. Ladd , J. Renee Lupton , James A. Craft
IPC分类号： A61B17/04 , A61B17/00 , A61B17/06 , A61B17/08 , A61B17/11
CPC分类号： A61B17/11 , A61B17/0482 , A61B2017/00252 , A61B2017/06076 , A61B2017/081 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： In accordance with the present invention, there is provided a surgical device for attaching a first hollow organ to a second hollow organ and creating a passageway therebetween. The device includes a first member comprising a first prong for entering a wall of the first hollow organ and a second prong for entering a wall of the second hollow organ. The prongs each have a proximal end which attaches to the first member and a distal end extending therefrom. The device further includes a second member having a plow for incising at least one of the hollow organs so as to create a passageway between the hollow organs. The second member further includes a plurality of needle paths on either side of the plow for guiding a needle through the walls of the hollow organ on either side of the passageway. The device further includes a means for driving a needle, having a suture attached thereto, so as to attach the hollow organs together. Lastly, the device includes a frame for coupling the first member and the second member together in operational engagement.
摘要翻译：根据本发明，提供了一种用于将第一中空器官附接到第二中空器官并在其间形成通道的外科装置。该装置包括第一构件，其包括用于进入第一中空器官的壁的第一插脚和用于进入第二中空器官的壁的第二插脚。每个尖头具有附接到第一构件的近端和从其延伸的远端。该装置还包括具有用于切割至少一个中空器官的犁的第二构件，以便在中空器件之间形成通道。第二构件还包括在犁的两侧上的多个针通道，用于引导针穿过通道两侧的中空器官的壁。该装置还包括用于驱动针的装置，具有附接到其上的缝合线，以将中空器件连接在一起。最后，该装置包括用于将第一构件和第二构件联接在一起的操作接合的框架。

9. 发明授权

US09247997B2 Patient-referenced surgical support frame 有权
标题翻译：病人参考的手术支架
公开(公告)号：US09247997B2
公开(公告)日：2016-02-02
申请号：US13249883
申请日：2011-09-30
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B1/32 , A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B19/26 , A61B17/3417 , A61B90/50 , A61B2017/00535 , A61B2017/00876 , A61B2017/00991 , A61B2017/3447 , A61B2017/347
摘要： A patient-referenced surgical support frame and method of use are provided. In one embodiment, a surgical support frame can have at least three support members coupled by adjustable linkages. Each support member can have a lumen extending therethrough for receiving a cannula, and each support member can be configured such that the at least three support members (or the cannulas extending therethrough) are angularly adjustable relative to one another, and such that a distance between each of the at least three support members is adjustable. In use, the surgical support frame can be positioned on a skin surface of a patient and used to retain one or more instruments extending through the support members in a fixed orientation or position with respect to the patient, thereby allowing more than two instruments to be used simultaneously.
摘要翻译：提供了一种患者参考的手术支架和使用方法。在一个实施例中，手术支撑框架可以具有通过可调节联接件联接的至少三个支撑构件。每个支撑构件可以具有延伸穿过其中用于接纳插管的内腔，并且每个支撑构件可被构造成使得至少三个支撑构件（或穿过其中的插管）可相对于彼此成角度地调节，并且使得所述至少三个支撑构件中的每一个都是可调节的。在使用中，手术支撑框架可以定位在患者的皮肤表面上并用于保持一个或多个仪器以相对于患者的固定取向或位置延伸穿过支撑构件，从而允许两个以上的器械同时使用

10. 发明授权

US09211159B2 Surgical devices with intracorporeal elbow joint 有权
标题翻译：手术器械与体内肘关节
公开(公告)号：US09211159B2
公开(公告)日：2015-12-15
申请号：US13309856
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B17/00 , A61B19/00 , A61B17/29
CPC分类号： A61B17/29 , A61B17/28 , A61B17/2804 , A61B17/2816 , A61B19/2203 , A61B34/30 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/003 , A61B2017/00323 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/291 , A61B2017/2927 , A61B2017/2939 , A61B2017/2947 , A61B2019/2223
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

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