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1. 发明申请

WO2010036565A1 DEVICES FOR DELIVERING AND APPLYING SUTURE ANCHORS 审中-公开
标题翻译：用于输送和应用固定锚的装置
公开(公告)号：WO2010036565A1
公开(公告)日：2010-04-01
申请号：PCT/US2009/057408
申请日：2009-09-18
申请人： ETHICON ENDO-SURGERY, INC. , BAKOS, Gregory, J. , FOX, William, D. , LINENKUGEL, Duane , CONLON, Sean, P.
发明人： BAKOS, Gregory, J. , FOX, William, D. , LINENKUGEL, Duane , CONLON, Sean, P.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0417 , A61B2090/034 , A61B2090/036
摘要： Methods and devices are provided for deploying and applying a suture anchor (10). In one embodiment, a surgical device (30) is provided having a shaft (34) configured to be introduced into a body and to deliver a suture anchor with a coil (36) of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use. The device comprises a suture spool (38) for suture management.
摘要翻译：提供了用于部署和应用缝合锚（10）的方法和装置。在一个实施例中，提供了一种外科装置（30），其具有构造成被引入体内并将带有附接到其上的线缝线圈（36））递送到缝合锚的轴（34）。轴可以构造成将缝合线锚定件穿过组织展开并将缝合线输送到体腔中，使得从线圈延伸的缝合线延伸穿过组织以允许锚固体接合组织。线圈可以保留在体腔中以备后续使用。该装置包括用于缝合线管理的缝合线轴（38）。

2. 发明申请

WO2008101075A2 SURGICAL DEVICES AND METHODS FOR FORMING AN ANASTOMOSIS BETWEEN ORGANS BY GAINING ACCESS THERETO THROUGH A NATURAL ORIFICE IN THE BODY 审中-公开
标题翻译：手术装置和方法通过使用自然通过身体内的自然形态获得接触来形成机构之间的分析
公开(公告)号：WO2008101075A2
公开(公告)日：2008-08-21
申请号：PCT/US2008/053958
申请日：2008-02-14
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory, J. , FOX, William, D.
发明人： BAKOS, Gregory, J. , FOX, William, D.
IPC分类号： A61B17/11 , A61B17/34
CPC分类号： A61B17/1114 , A61B17/3401 , A61B17/3415 , A61B17/3439 , A61B17/3468 , A61B2017/00278 , A61B2017/00557 , A61B2017/1103 , A61B2017/1139 , A61B2017/3425 , A61B2017/3445
摘要： A surgical instrument for creating an anastomosis between two organs. In various embodiments, the instrument may include a hollow outer sleeve for creating a tool-receiving passage between a natural orifice in the patient and the surgical site. The tool receiving passage may be used to operably accommodate various surgical instruments such as an endoscope, a hole-forming instrument, and suction and aeration tubes for assisting in the formation of the anastomosis. The hollow outer sleeve may further be used to position a hollow anastomosis sleeve segment within two aligned holes in the organs. The anastomosis sleeve segment supports an inflatable distal receptacle that is inflated within one of the organs and a proximal inflatable receptacle that is inflated in the other organ to retain the anastomosis sleeve segment in position. Thereafter, the hollow outer sleeve is withdrawn from the patient leaving the hollow anastomosis sleeve segment in position between the two organs.
摘要翻译：用于在两个器官之间产生吻合的手术器械。在各种实施例中，器械可以包括中空的外套筒，用于在患者的天然孔口和手术部位之间产生工具接收通道。工具接收通道可用于可操作地容纳诸如内窥镜，孔形成仪器以及用于辅助形成吻合的抽吸和通气管的各种外科器械。中空外套还可以用于将中空吻合套管部分定位在器官中的两个对准的孔内。吻合套管段支撑在一个器官内充气的充气远端容器和在另一个器官中膨胀的近端可充气容器，以将吻合套管段保持在适当的位置。此后，中空的外套筒从病人身上取出，使空心吻合套管段在两个器官之间的位置上。

3. 发明申请

WO2011047229A1 OTOMY CLOSURE DEVICE 审中-公开
标题翻译： OTOMY封闭装置
公开(公告)号：WO2011047229A1
公开(公告)日：2011-04-21
申请号：PCT/US2010/052789
申请日：2010-10-15
申请人： ETHICON ENDO-SURGERY, INC. , FOX, William, D.
发明人： FOX, William, D.
IPC分类号： A61B17/00 , A61B17/04 , A61B17/29
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/12013 , A61B17/32056 , A61B2017/00278 , A61B2017/00292 , A61B2017/00358 , A61B2017/00637 , A61B2017/2215 , A61B2017/2916
摘要： 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.
摘要翻译：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。

4. 发明申请

WO2010077561A1 POSITIONABLE IMAGING MEDICAL DEVICES 审中-公开
标题翻译：可定位成像医疗器械
公开(公告)号：WO2010077561A1
公开(公告)日：2010-07-08
申请号：PCT/US2009/066678
申请日：2009-12-04
申请人： ETHICON ENDO-SURGERY, INC. , GHABRIAL, Ragae, M. , STOKES, Michael, J. , NOBIS, Rudolph, H. , ZWOLINSKI, Andrew, M. , WEIR, Michael, P. , PLESCIA, David, N. , CUNNINGHAM, Christie, M. , VAKHARIA, Omar, J. , FOX, William, D. , SPIVEY, James, T.
发明人： GHABRIAL, Ragae, M. , STOKES, Michael, J. , NOBIS, Rudolph, H. , ZWOLINSKI, Andrew, M. , WEIR, Michael, P. , PLESCIA, David, N. , CUNNINGHAM, Christie, M. , VAKHARIA, Omar, J. , FOX, William, D. , SPIVEY, James, T.
IPC分类号： A61B1/05 , A61B5/07
CPC分类号： A61B1/041 , A61B1/00029 , A61B1/00147 , A61B5/073 , A61B5/6882 , A61B34/73 , A61B2017/00283
摘要： A positionable imaging device includes a body defining a first end and a second end. The body is configured to be received within an internal body cavity. An imaging device is located at the first end of the body. A releasable fastener is coupled to the body to removably attach the imaging device to tissue within the internal body cavity. A release mechanism is coupled to the releasable fastener to detach the imaging device from the tissue.
摘要翻译：可定位成像装置包括限定第一端和第二端的主体。身体构造成被容纳在内部体腔内。成像装置位于身体的第一端。可拆卸紧固件联接到主体以将成像装置可移除地附接到内部体腔内的组织。释放机构联接到可释放紧固件以将成像装置与组织分离。

5. 发明申请

WO2010088239A1 SURGICAL DEVICE 审中-公开
标题翻译：外科手术
公开(公告)号：WO2010088239A1
公开(公告)日：2010-08-05
申请号：PCT/US2010/022177
申请日：2010-01-27
申请人： ETHICON ENDO-SURGERY, INC. , FOX, William, D.
发明人： FOX, William, D.
IPC分类号： A61B17/34 , A61M29/00
CPC分类号： A61B17/3478 , A61B2017/00278 , A61B2017/0034 , A61B2017/06076 , A61B2017/22061 , A61B2017/306 , A61B2017/3484 , A61B2017/349 , A61M29/02
摘要： A surgical device comprises a guide tube having a proximal end, a distal end, and an inside diameter. A needle has a proximal end and a distal end. The needle comprises a longitudinal portion having a diameter suitable to be slidably received within the inside diameter of the guide tube. The needle comprises a helical element disposed at the distal end of the needle.
摘要翻译：手术装置包括具有近端，远端和内径的引导管。针具有近端和远端。该针包括具有适于可滑动地容纳在引导管的内径内的直径的纵向部分。针包括设置在针的远端处的螺旋形元件。

6. 发明申请

WO2010085436A1 ROTARY NEEDLE FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：旋转针针对自然脊柱内翻手术内镜手术
公开(公告)号：WO2010085436A1
公开(公告)日：2010-07-29
申请号：PCT/US2010/021349
申请日：2010-01-19
申请人： ETHICON ENDO-SURGERY, INC. , FOX, William, D.
发明人： FOX, William, D.
IPC分类号： A61B17/32 , A61B17/34 , A61B17/22 , A61B17/00 , A61B17/3209
CPC分类号： A61B17/3478 , A61B17/320016 , A61B17/32002 , A61B17/3209 , A61B2017/00278 , A61B2017/22077
摘要： A translumenal access device including a cannula defining a first lumen. The cannula may be sized for insertion into a working channel of a flexible endoscope. The device includes a rotatable rotary needle positioned within the cannula. The rotary needle may define a lumen that houses a stylet. The distal end of the rotary needle may define a distal circular opening with a cutting edge. The rotary needle may be used to slice through tissue during a surgical procedure.
摘要翻译：一种经腔进入装置，其包括限定第一腔的套管。套管的尺寸可以设置成插入到柔性内窥镜的工作通道中。该装置包括位于套管内的可旋转旋转针。旋转针可以限定容纳探针的内腔。旋转针的远端可以限定具有切割边缘的远端圆形开口。旋转针可用于在手术过程中切片穿过组织。

7. 发明申请

WO2010036566A1 METHODS AND DEVICES FOR DELIVERING AND APPLYING MULTIPLE SUTURE ANCHORS 审中-公开
标题翻译：用于交付和应用多个固定锚杆的方法和装置
公开(公告)号：WO2010036566A1
公开(公告)日：2010-04-01
申请号：PCT/US2009/057415
申请日：2009-09-18
申请人： ETHICON ENDO-SURGERY, INC. , SPIVEY, James, T. , LINENKUGEL, Duane , ZWOLINSKI, Andrew, M. , FOX, William, D. , CONLON, Sean, P.
发明人： SPIVEY, James, T. , LINENKUGEL, Duane , ZWOLINSKI, Andrew, M. , FOX, William, D. , CONLON, Sean, P.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors (10). In one embodiment, a surgical device (24) is provided having a shaft (40) configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels (30), with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures (42) attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚（10）的方法和装置。在一个实施例中，提供了一种手术装置（24），其具有构造成被引入到身体中的轴（40），例如通过观察装置，并且将多个缝合锚固件输送到组织中，优选地不需要移除轴从身体。所述轴可以具有多个通道（30），所述多个通道中的每一个被构造成座位于多个缝线锚固件中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线（42）。

8. 发明申请

WO2012051279A1 METHODS OF MAGNETICALLY GUIDING AND AXIALLY ALIGNING DISTAL ENDS OF SURGICAL DEVICES 审中-公开
标题翻译：手术方法和手术方法
公开(公告)号：WO2012051279A1
公开(公告)日：2012-04-19
申请号：PCT/US2011/055938
申请日：2011-10-12
申请人： ETHICON ENDO-SURGERY, INC. , SWAIN, Christopher, P. , FOX, William, D.
发明人： SWAIN, Christopher, P. , FOX, William, D.
IPC分类号： A61M25/01
CPC分类号： A61M25/0127
摘要： A magnetic alignment and guidance system is described for use during a surgical or diagnostic procedure within a patient to align and magnetically join the free ends of catheters to form a continuous channel. The system includes two magnetic couplers mounted on the ends of the catheters. One or both of the catheters may be attached to a surgical or diagnostic device, such as a trocar or an endoscope.
摘要翻译：描述了磁性对准和引导系统，以便在患者的外科手术或诊断过程中使用，以对准和磁连接导管的自由端以形成连续通道。该系统包括安装在导管端部的两个磁耦合器。导管中的一个或两个可以附接到手术或诊断装置，例如套管针或内窥镜。

9. 发明申请

WO2010088241A1 SURGICAL ACCESS DEVICE 审中-公开
标题翻译：外科手术器械
公开(公告)号：WO2010088241A1
公开(公告)日：2010-08-05
申请号：PCT/US2010/022181
申请日：2010-01-27
申请人： ETHICON ENDO-SURGERY, INC. , FOX, William, D.
发明人： FOX, William, D.
IPC分类号： A61B17/34 , A61B17/02
CPC分类号： A61B17/0218 , A61B17/3415 , A61B2017/00278 , A61B2017/00336 , A61B2017/320048 , A61B2090/0801
摘要： A surgical access device (10) comprises a conduit (12) comprising a proximal portion and a distal portion. An inflatable member (16) at least partially surrounds a portion of the conduit and is positioned proximate to the distal portion of the conduit. In various embodiments, a protective sleeve can at least partially surround a portion of the conduit and is movable between at least a first position and a second position. In at least one embodiment, the protective sleeve is configured to at least partially cover the inflatable member when in the first position and is configured to expose the inflatable member when in the second position.
摘要翻译：外科进入装置（10）包括包括近端部分和远端部分的导管（12）。可膨胀构件（16）至少部分地围绕导管的一部分并且定位成靠近管道的远端部分。在各种实施例中，保护套筒可以至少部分地围绕导管的一部分并且可在至少第一位置和第二位置之间移动。在至少一个实施例中，保护套管构造成在处于第一位置时至少部分地覆盖可膨胀构件，并且构造成在处于第二位置时暴露可充气构件。

10. 发明申请

WO2009140399A3 ENDOSCOPIC ROTARY ACCESS NEEDLE 审中-公开
公开(公告)号：WO2009140399A3
公开(公告)日：2009-11-19
申请号：PCT/US2009/043808
申请日：2009-05-13
申请人： ETHICON ENDO-SERGERY, INC. , BAKOS, Gregory, J. , FOX, William, D. , MUGAN, John, M. , RYAN, Damien, J.
发明人： BAKOS, Gregory, J. , FOX, William, D. , MUGAN, John, M. , RYAN, Damien, J.
IPC分类号： A61B17/32
摘要： 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

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