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1. 发明申请

WO2007101526A1 ANASTOMOTIC DEVICE 审中-公开
公开(公告)号：WO2007101526A1
公开(公告)日：2007-09-13
申请号：PCT/EP2007/001272
申请日：2007-02-14
申请人： ETHICON ENDO-SURGERY, INC. , BILOTTI, Federico , PASTORELLI, Alessandro , TACCHINO, Roberto , D'ARCANGELO, Michele , THOMPSON, Brian, James
发明人： BILOTTI, Federico , PASTORELLI, Alessandro , TACCHINO, Roberto , D'ARCANGELO, Michele , THOMPSON, Brian, James
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/11
摘要： The present invention relates to an anastomotic device (10) comprising a first ring (20) having a first contact surface (21) and a second ring (30) having a second contact surface (31). The rings (20, 30) are suitable to be approached in the axial direction (X) such as to move said contact surfaces (21; 31) towards each other. The anastomotic device is characterized in that the contact surfaces (21, 31) have an undulated shape relative to a plane (π) perpendicular to the axis (X) of the rings (20, 30). According to another aspect thereof, the invention also relates to an apparatus (60) for the implantation of the anastomotic device (10). According to a further aspect thereof, the invention relates to a kit comprising an anastomotic device (10) and an apparatus (60) for the implantation of the same.
摘要翻译：本发明涉及包括具有第一接触表面（21）的第一环（20）和具有第二接触表面（31）的第二环（30）的吻合装置（10）。环（20,30）适于沿轴向方向（X）接近，以便使所述接触表面（21; 31）朝向彼此移动。吻合装置的特征在于接触表面（21,31）相对于垂直于环（20,30）的轴线（X）的平面（π）具有波浪形状。根据其另一方面，本发明还涉及用于植入吻合装置（10）的设备（60）。根据其另一方面，本发明涉及一种包括吻合装置（10）和用于植入该吻合装置（10）的装置（60）的套件。

2. 发明申请

WO2008040582A1 ANASTOMOTIC RING DEVICE WITH LOCKING MEANS 审中-公开
标题翻译：具有锁定手段的感应环设备
公开(公告)号：WO2008040582A1
公开(公告)日：2008-04-10
申请号：PCT/EP2007/057778
申请日：2007-07-27
申请人： Ethicon Endo-Surgery, Inc. , PASTORELLI, Alessandro , BILOTTI, Federico , TACCHINO, Roberto , THOMPSON, Brian James
发明人： PASTORELLI, Alessandro , BILOTTI, Federico , TACCHINO, Roberto , THOMPSON, Brian James
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/0643 , A61B2017/0641
摘要： The invention relates to a locking device (6) for an anastomotic ring device (1) of the type comprising at least a proximal ring (2) and a distal ring (3) intended to be positioned on either side of a proximal (4) and distal tissue portion (5) and suitable to clamp the proximal and distal tissue portions (4, 5) between them when the ring device (1) is actuated, wherein both rings (2, 3) define a central passage opening across the ring device (1). The locking device (6) is adapted to connect the distal and proximal rings (2, 3) to lock the ring device (1) in its actuated configuration and comprises a longitudinal portion (20) insertable in the passage opening of at least one (3) of the proximal and distal rings (2, 3) and a bushing portion (7) adapted to cover an inside surface of the tissue portions (4, 5) clamped between the compression rings. In this manner, the locking device combines a ring connecting function with a tissue stenting feature.
摘要翻译：本发明涉及一种用于吻合口装置（1）的锁定装置（6），该装置包括至少近端环（2）和远端环（3），所述近端环（2）和远端环（3）位于近端（4）的任一侧上，和远端组织部分（5），并且适于在环形装置（1）被致动时将近端和远侧组织部分（4,5）夹紧在它们之间，其中两个环（2,3）限定穿过环的中心通道开口装置（1）。锁定装置（6）适于连接远端和近端环（2,3），以将环形装置（1）锁定在其致动构造中并且包括纵向部分（20），该纵向部分可插入至少一个（近端环和远端环（2,3）的衬套部分（3）和适于覆盖夹在压缩环之间的组织部分（4,5）的内表面的衬套部分（7）。以这种方式，锁定装置将环形连接功能与组织支架特征组合。

3. 发明申请

WO2008040580A1 AN ANASTOMOTIC APPLIER 审中-公开
标题翻译：分析仪
公开(公告)号：WO2008040580A1
公开(公告)日：2008-04-10
申请号：PCT/EP2007/057300
申请日：2007-07-16
申请人： ETHICON ENDO-SURGERY, INC. , THOMPSON, Brian James , PASTORELLI, Alessandro , BILOTTI, Federico , TACCHINO, Roberto
发明人： THOMPSON, Brian James , PASTORELLI, Alessandro , BILOTTI, Federico , TACCHINO, Roberto
IPC分类号： A61B17/11 , A61B17/115 , A61B17/068
CPC分类号： A61B17/1114 , A61B17/0686 , A61B17/115 , A61B2017/1135 , A61B2017/1139
摘要： A surgical instrument (1) for implanting an anastomotic ring device (2) comprises an anvil (7) inclxiding a first connecting part (9) and a seat (15) for receiving a distal compression ring (2A), an actuating member (8) comprising: - one or more seats (22, 24) for receiving a proximal compression ring (2B) and a retention element (2C); - a second connecting part (17) configured to engage the first connecting part (9) for connecting the anvil (7) with the actuating member (8), wherein the second connecting part (17) is movable to approximate the distal compression ring (2A) towards the proximal compression ring (2B); - an actuating part (24) configured to act on the retention element (2C), the actuating part (24) being movable for moving the retention element (2C) towards and in engagement with the distal compression ring (2A) to connect the compression rings.
摘要翻译：一种用于植入吻合环装置（2）的外科器械（1）包括一个砧座（7），包括一个第一连接部分（9）和一个用于容纳远端压缩环（2A）的座（15），一个致动构件）包括： - 一个或多个用于接收近端压缩环（2B）和保持元件（2C）的座（22,24）; - 第二连接部分（17），其构造成接合用于将所述砧座（7）与所述致动构件（8）连接的所述第一连接部分（9），其中所述第二连接部件（17）可移动以近似所述远端压缩环 2A）朝向近端压缩环（2B）; - 致动部件（24），其构造成作用在所述保持元件（2C）上，所述致动部件（24）可移动以使所述保持元件（2C）朝向所述远端压缩环（2A）接合并与所述远侧压缩环（2A）接合，戒指。

4. 发明申请

WO2008028725A1 SURGICAL INSTRUMENTATION FOR PERFORMING ENDOLUMINAL AND/OR TRANSLUMINAL ANASTOMOSIS 审中-公开
标题翻译：用于执行内膜和/或斜颈分析的外科手术
公开(公告)号：WO2008028725A1
公开(公告)日：2008-03-13
申请号：PCT/EP2007/057500
申请日：2007-07-20
申请人： ETHICON ENDO-SURGERY, INC. , TACCHINO, Roberto , BILOTTI, Federico , PASTORELLI, Alessandro , THOMPSON, Brian, James , D'ARCANGELO, Michele
发明人： TACCHINO, Roberto , BILOTTI, Federico , PASTORELLI, Alessandro , THOMPSON, Brian, James , D'ARCANGELO, Michele
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/115 , A61B2017/00278 , A61B2017/1139
摘要： An Instrumentation for performing an endoluminal or transluminal anastomosis, comprises an anastomotic ring device including a proximal ring (5) having two guide wire seats (22) adapted to slidably receive two guide wires (1, 2) and a distal ring (6) having two guide wire seats (25) adapted to slidably receive the two guide wires, the proximal ring and the distal ring being snap-connectable to each other, a surgical probe (7) comprising an elongate insertion shaft (30) and a probe head (32) adapted to be endoluminally advanced to a proximal tissue portion (3), the insertion shaft def ining guide wire canals (8, 9) extending into two guide wire exit openings (31) defined in the probe head and adapted to deliver the distal ends (1'', 2'') of said guide wires to said proximal tissue portion. The distance between the two guide wire exit openings of the probe is substantially equal to the distance between the two guide wire seats of the proximal ring and to the distance between the two guide wire seats of the distal ring.
摘要翻译：用于执行腔内或腔内吻合的仪器包括吻合环装置，其包括近端环（5），所述近端环具有两个适于可滑动地容纳两个导丝（1,2）的引导线座（22）和远端环（6）两个引导线座（25），其适于可滑动地容纳所述两条导线，所述近端环和所述远端环彼此可卡扣连接;外科探针（7），包括细长插入轴（30）和探针头 32），其适于被内腔推进到近侧组织部分（3），所述插入轴限定引导线通道（8,9）延伸到限定在所述探针头中的两个导丝管出口（31）中并且适于将远端所述导丝的末端（1“，2”）到所述近端组织部分。探针的两个引导线出口之间的距离基本上等于近端环的两个导丝座之间的距离以及远端环的两个导丝座之间的距离。

5. 发明申请

WO2007104397A1 DEVICE FOR THE MANIPULATION OF BODY TISSUE 审中-公开
标题翻译：用于操作身体组织的装置
公开(公告)号：WO2007104397A1
公开(公告)日：2007-09-20
申请号：PCT/EP2007/001168
申请日：2007-02-12
申请人： ETHICON ENDO-SURGERY, INC. , TACCHINO, Roberto , D'ARCANGELO, Michele , PASTORELLI, Alessandro , KUHNS, Jesse, J. , BILOTTI, Federico
发明人： TACCHINO, Roberto , D'ARCANGELO, Michele , PASTORELLI, Alessandro , KUHNS, Jesse, J. , BILOTTI, Federico
IPC分类号： A61B1/018 , A61B17/29
CPC分类号： A61B17/29 , A61B1/0014 , A61B1/018 , A61B90/50 , A61B2017/00278 , A61B2017/3447
摘要： A device (1) for manipulating body tissue comprises a base structure (2, 102) and at least one tubular member (3) having a proximal end (4) and an orientable distal end (5) that defines a seat (6) for supporting a surgical instrument (7), in which the tubular member is connected to the base structure. An actuation mechanism (8) is suitable for orientating the distal end of the tubular member to take it into certain operative configurations. The actuation mechanism is also connected to the base structure. Means (23, 24) are also foreseen for the connection of the base structure to a distal end portion (9) of an insertion tube (10) of an endoscope or laparoscope, so that the actuation mechanism and the tubular member are arranged outside the insertion tube. The tubular member interacts with the actuation mechanism so that a movement of an actuation portion of the tubular member with respect to the base structure leads to the orientation of the orientable end.
摘要翻译：用于操纵身体组织的装置（1）包括基部结构（2,102）和至少一个具有近端（4）和可定向远端（5）的管状构件（3），所述远端用于限定座（6）支撑外科器械（7），其中管状构件连接到基部结构。致动机构（8）适于定向管状构件的远端以将其带入某些操作构型。致动机构也连接到基座结构。还预见了用于将基部结构连接到内窥镜或腹腔镜的插入管（10）的远端部分（9）的装置（23,24），使得致动机构和管状构件布置在插管。管状构件与致动机构相互作用，使得管状构件的致动部分相对于基部结构的运动导致可取向端的取向。

6. 发明申请

WO2007080111A2 EQUIPMENT TO APPROXIMATE TISSUE PORTIONS, WHICH ARE INTENTED TO FORM AN ANASTOMOSIS, AND A METHOD FOR PERFORMING ANASTOMOSES IN TRACTS OF THE DIGESTIVE TUBE 审中-公开
标题翻译：用于近似形成吻合术的组织部分的设备以及用于在消化管的迹线中执行吻合术的方法
公开(公告)号：WO2007080111A2
公开(公告)日：2007-07-19
申请号：PCT/EP2007/000195
申请日：2007-01-11
申请人： ETHICON ENDO-SURGERY, INC. , TACCHINO, Roberto , D'ARCANGELO, Michele , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
发明人： TACCHINO, Roberto , D'ARCANGELO, Michele , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
IPC分类号： A61B17/11 , A61B17/22
CPC分类号： A61B17/1114 , A61B17/0643 , A61B90/90 , A61B2017/00469 , A61B2017/00473 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： An equipment to approximate tissue portions, which are intended to form an anastomosis comprises a guide means suitable for passing through a first tissue portion (12) and a second tissue portion (14) to be connected by anastomosis. This equipment further comprises an anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide means consists of at least two guide wires (A, B), suitable for passing through the tissue portions to be connected, to receive and drag at least said anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide wires (A, B) are located side by side to each other and are suitable for forming a loop which passes through the tissue portions to be connected.
摘要翻译：用于近似用于形成吻合的组织部分的设备包括适于穿过要通过吻合连接的第一组织部分（12）和第二组织部分（14）的引导装置。该设备还包括吻合装置（10），以近似第一组织部分（12）和第二组织部分（14）以通过吻合连接。引导装置由适于穿过待连接的组织部分的至少两根导丝（A，B）组成，以接收和拖曳至少所述吻合装置（10）以接近第一组织部分（12），并且第二组织部分（14）通过吻合连接。导丝（A，B）彼此并排设置并且适于形成穿过待连接的组织部分的环。

7. 发明申请

WO2007080110A1 ANASTOMOTIC DEVICE 审中-公开
标题翻译：分析装置
公开(公告)号：WO2007080110A1
公开(公告)日：2007-07-19
申请号：PCT/EP2007/000194
申请日：2007-01-11
申请人： ETHICON ENDO-SURGERY, INC. , D'ARCANGELO, Michele , TACCHINO, Roberto , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
发明人： D'ARCANGELO, Michele , TACCHINO, Roberto , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/068 , A61B2017/1103 , A61B2017/1139
摘要： An anastomotic device (10) is suitable for approximating and keeping close to each other a first tissue portion (12) and a second tissue portion (14) intended to form an anastomosis. The anastomotic device (10) comprises an abutment portion (18) suitable for the abutment against a surface of the first tissue portion (12) and a locking portion (20) suitable for being placed opposite the abutment portion (18) with respect to the first and second tissue portion (12, 14). The locking portion (20) and the abutment portion (18) are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device (10) is suitable for being connected to a guide means comprising at least one guide wire (A, B).
摘要翻译：吻合装置（10）适于近似并保持彼此接近用于形成吻合的第一组织部分（12）和第二组织部分（14）。吻合装置（10）包括适于抵靠第一组织部分（12）的表面的抵接部分（18）和适于相对于邻接部分（18）相对于第二组织部分（12）相对放置的锁定部分（20）第一和第二组织部分（12,14）。锁定部分（20）和邻接部分（18）通过近似的第一和第二组织部分相互连接，以保持连接。吻合装置（10）适于连接到包括至少一根导丝（A，B）的引导装置。

8. 发明申请

WO2007080112A1 POSITIONING DEVICE FOR DEPLOYING AT LEAST ONE LOCKING PORTION OF AN ANASTOMOTIC DEVICE AND METHOD FOR CARRYING OUT ANASTOMOSIS IN TRACTS OF THE DIGESTIVE TUBE 审中-公开
标题翻译：用于分配至少一个分解装置的锁定部分的定位装置和用于在消化管的跟踪中进行分析的方法
公开(公告)号：WO2007080112A1
公开(公告)日：2007-07-19
申请号：PCT/EP2007/000196
申请日：2007-01-11
申请人： ETHICON ENDO-SURGERY, INC. , D'ARCANGELO, Michele , TACCHINO, Roberto , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
发明人： D'ARCANGELO, Michele , TACCHINO, Roberto , KUHNS, Jesse, J. , PASTORELLI, Alessandro , BILOTTI, Federico
IPC分类号： A61B17/11 , A61B17/22
CPC分类号： A61B17/0643 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50) . A head (52) of the positioning device is suitable to be interference- inserted on a distal end of the elongated structure (50) . The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).
摘要翻译：一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

9. 发明申请

WO2007093198A1 A DEVICE, CLIP, ENDOSCOPE AND METHOD FOR THE INTRALUMINAL TREATMENT OF TISSUE, E.G. HEMORRHOIDS 审中-公开
标题翻译：用于组织内皮治疗的装置，夹子，内窥镜和方法，E.G. 痔疮
公开(公告)号：WO2007093198A1
公开(公告)日：2007-08-23
申请号：PCT/EP2006/007355
申请日：2006-07-26
申请人： ETHICON ENDO-SURGERY, INC. , THOMPSON, Brian, James , POPOVIC, Drago , PASTORELLI, Alessandro , BILOTTI, Federico
发明人： THOMPSON, Brian, James , POPOVIC, Drago , PASTORELLI, Alessandro , BILOTTI, Federico
IPC分类号： A61B17/064 , A61B17/072 , A61B17/068 , A61B17/128 , A61B17/122 , A61B1/31
CPC分类号： A61B17/072 , A61B1/31 , A61B17/0643 , A61B17/068 , A61B17/07207 , A61B17/1227 , A61B17/1285 , A61B2017/0641 , A61B2017/07221 , A61B2017/3452
摘要： A device for the intraluminal treatment of tissue comprises a handle, a shaft which extends from the handle and a head arranged at the distal end of the shaft, wherein the head comprises at least one jaw, movable between an open position, wherein it defines a window for the insertion of the tissue and surrounding tissue, and a closed position, and wherein the shaft extends between the handle and head in a curvilinear longitudinal direction.
摘要翻译：用于腔内处理组织的装置包括手柄，从手柄延伸的轴和布置在轴的远端的头部，其中头部包括至少一个可在打开位置之间移动的钳口，其中，窗口，用于插入组织和周围组织，以及关闭位置，并且其中轴在曲线纵向方向上在手柄和头部之间延伸。

10. 发明申请

WO2008028701A1 A SURGICAL INSTRUMENT FOR PERFORMING CONTROLLED MYOTOMIES 审中-公开
标题翻译：用于执行控制性MYOTOMIES的手术仪器
公开(公告)号：WO2008028701A1
公开(公告)日：2008-03-13
申请号：PCT/EP2007/056263
申请日：2007-06-22
申请人： ETHICON ENDO-SURGERY, INC. , LONGO, Antonio , D'ARCANGELO, Michele , PASTORELLI, Alessandro , BILOTTI, Federico , THOMPSON, Brian James
发明人： LONGO, Antonio , D'ARCANGELO, Michele , PASTORELLI, Alessandro , BILOTTI, Federico , THOMPSON, Brian James
IPC分类号： A61B17/32 , A61B19/00 , A61B17/00 , A61B18/14 , A61B18/00
CPC分类号： A61B17/320016 , A61B17/320036 , A61B18/1402 , A61B18/1477 , A61B2017/00367 , A61B2017/0042 , A61B2017/00455 , A61B2018/00922 , A61B2018/00946 , A61B2018/1407 , A61B2018/1422 , A61B2018/1425 , A61B2018/143 , A61B2018/1475 , A61B2090/062
摘要： A surgical instrument (1) for performing controlled myotomies, particularly for performing internal anal sphincterotomies, comprises a proximal handle portion (2), an elongate insertion shaft (3) connected with the handle portion (2) and extending distally therefrom, a distal incision tip (4) arranged at a distal end of the insertion shaft (3) and adapted to incise tissue distally to the insertion shaft (3), a lateral incision member (5) arranged at the insertion shaft (3) and adapted to incise tissue laterally to the insertion shaft (3), wherein the lateral incision member (4) is movable from a rest position, in which it is retracted towards or inside the insertion shaft (3) and an operational position in which it protrudes laterally from the insertion shaft (3).
摘要翻译：用于执行受控肌内切断术的手术器械（1），特别是用于执行内部肛门括约肌切开术，包括近侧手柄部分（2），与手柄部分（2）连接并从其远端延伸的细长插入轴（3），远端切口末端（4），布置在所述插入轴（3）的远端并且适于将组织向远侧切开到所述插入轴（3）;横向切口构件（5），布置在所述插入轴（3）处并适于切开组织横向于所述插入轴（3），其中所述侧切口构件（4）可从静止位置移动，在所述静止位置，所述横向切口构件（4）向所述插入轴（3）内侧或内侧缩回，并且在所述操作位置中，轴（3）。

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