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1. 发明授权

US5897563A Method for using a needle holder to assist in suturing 失效
标题翻译：使用针架来辅助缝合的方法
公开(公告)号：US5897563A
公开(公告)日：1999-04-27
申请号：US947115
申请日：1997-10-08
申请人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
发明人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0491
摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.
摘要翻译：根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。该装置还具有从手柄向远侧延伸的右臂和左臂。装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。右夹具保持具有附着于其上的缝合线的针。该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。然后，该方法包括使臂的远端彼此远离地移动。最后，该方法包括从组织中去除针。

2. 发明授权

US06530932B1 Anastomosis device having improved tissue presentation 有权
标题翻译：具有改善的组织呈现的吻合装置
公开(公告)号：US06530932B1
公开(公告)日：2003-03-11
申请号：US09650577
申请日：2000-08-30
申请人： Jeffrey S. Swayze , Douglas B. Hoffman , David Stefanchik , Mark A. Goldin , Rudolph H. Nobis
发明人： Jeffrey S. Swayze , Douglas B. Hoffman , David Stefanchik , Mark A. Goldin , Rudolph H. Nobis
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/0469 , A61B2017/06076 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： In accordance with the present invention there is provided a surgical device for presenting a first hollow organ and a second hollow organ for creation a passageway therebetween. The surgical device includes a member, an upper pin for entering a first hollow organ, and a lower pin for entering a the second hollow organ, the pins having proximal ends attached to the member, distal ends extending therefrom and longitudinal axis extending therebetween. The device further includes a first actuator assembly coupled to the member for laterally moving the distal and proximal ends of the lower pin relative to the first member, and a second actuator coupled to the member for moving the distal ends of the upper and lower pins adjacent to one another so as to move the hollow organs close together.
摘要翻译：根据本发明，提供了一种用于呈现第一中空器官和第二中空器官的手术装置，用于在其间形成通道。手术装置包括构件，用于进入第一中空器官的上销和用于进入第二中空器官的下销，所述销具有附接到构件的近端，从其延伸的远端和在它们之间延伸的纵向轴线。所述装置还包括联接到所述构件的第一致动器组件，用于相对于所述第一构件侧向移动所述下销的远端和近端，以及联接到所述构件的第二致动器，用于使所述上销和下销的远端相邻相互靠近，将中空器官靠近在一起。

3. 发明授权

US5205459A Surgical anastomosis stapling instrument 失效
标题翻译：手术吻合吻合器械
公开(公告)号：US5205459A
公开(公告)日：1993-04-27
申请号：US938982
申请日：1992-09-01
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The aotuator mechanism permits adjustment of the anvil gap to produce a desired staple heiqht and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
摘要翻译：提供了一种用于执行圆形吻合缝合操作的外科缝合器械。手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器头组件。缝合头组件包括可由一个或多个保持夹固定在砧座的空心轴上的可纵向移动的套管针。当套管针缩回时，砧座轴滑入中心支撑管，该中心支撑管使砧座轴向和周向与钉在钉头组件上的缝钉保持架对准。保持夹通过支撑管锁定在套针针上，并将张力从套管针传递到砧座，在砧座轴上没有张力负载。调节器机构允许调整砧座间隙以产生期望的缝合钉，并且如果砧座间隙设定在预定范围之外，则阻止钉头组件的致动。此外，致动器机构适于相对于缝合头组件中的缝钉保持器使订书钉驱动器前进和缩回。此外，提供了一种用于将支撑轴附接到装订头组件和致动器手柄组件的改进的布置。

4. 发明授权

US5285945A Surgical anastomosis stapling instrument 失效
公开(公告)号：US5285945A
公开(公告)日：1994-02-15
申请号：US998285
申请日：1992-12-30
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The actuator mechanism permits adjustment of the anvil gap to produce a desired staple height and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.

5. 发明授权

US5275322A Surgical anastomosis stapling instrument 失效
标题翻译：手术吻合吻合器械
公开(公告)号：US5275322A
公开(公告)日：1994-01-04
申请号：US10682
申请日：1993-01-28
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill , Richard Grant , Roger Hildwein , J. David Hughett , Clifton Coles , W. Thompson Lawrence
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill , Richard Grant , Roger Hildwein , J. David Hughett , Clifton Coles , W. Thompson Lawrence
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The actuator mechanism permits adjustment of the anvil gap to produce a desired staple height and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
摘要翻译：提供了一种用于执行圆形吻合缝合操作的外科缝合器械。手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器头组件。缝合头组件包括可由一个或多个保持夹固定在砧座的空心轴上的可纵向移动的套管针。当套管针缩回时，砧座轴滑入中心支撑管，该中心支撑管使砧座轴向和周向与钉在钉头组件上的缝钉保持架对准。保持夹通过支撑管锁定在套针针上，并将张力从套管针传递到砧座，在砧座轴上没有张力负载。致动器机构允许调整砧座间隙以产生期望的钉高度，并且如果砧座间隙设定在预定范围之外，则阻止钉头组件的致动。此外，致动器机构适于相对于缝合头组件中的缝钉保持器使订书钉驱动器前进和缩回。此外，提供了一种用于将支撑轴附接到装订头组件和致动器手柄组件的改进的布置。

6. 发明授权

US4612933A Multiple-load cartridge assembly for a linear surgical stapling instrument 失效
标题翻译：用于线性外科缝合器械的多负载筒组件
公开(公告)号：US4612933A
公开(公告)日：1986-09-23
申请号：US595291
申请日：1984-03-30
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis
IPC分类号： A61B17/072 , A61B17/04
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A multiple-load cartridge assembly for use with a linear surgical stapling instrument of the type which, when actuated, simultaneously implants at least one row of staples in the tissue of a patient and forms or clinches the staples of the row against the instrument anvil. The cartridge assembly comprises a cartridge having a row of staple-containing forming pockets and a driver having a plurality of blades equal in number to the number of forming pockets and configured to drive the staples from the forming pockets through the tissue to be sutured and against the instrument anvil to be clinched, when the surgical stapling instrument is actuated. The cartridge has at least one row of storage pockets, equal in number to the forming pockets, and each containing at least one staple. An indexing mechanism is provided to shift the at least one staple in each storage pocket to the line of action between the driver and the anvil after the first actuation of the surgical stapling instrument, for at least another actuation of the surgical stapling instrument. A safety interlock within the cartridge assembly assures correct sequential operation of the cartridge assembly and prevents jamming thereof. An indicator visually shows the number of the load of staples ready to be implanted and formed.
摘要翻译：一种用于线性外科缝合器械的多重装载盒组件，其在被致动时同时在患者的组织中植入至少一排钉，并形成或者将该排钉钉住仪器砧座。盒组件包括具有一排装订成形袋的盒，驱动器具有数量等于成形袋数量的多个叶片，并且构造成驱动订书钉从成形袋通过要缝合的组织并抵抗当外科缝合器械被致动时，要钳制的仪器砧座。盒具有至少一排存储袋，其数量与成形袋相同，并且每个包含至少一个订书钉。提供了一种分度机构，用于在外科缝合器械的第一次致动之后将每个存储口袋中的至少一个钉子移动到驱动器和砧座之间的作用线，用于外科缝合器械的至少另一个致动。盒组件内的安全联锁确保盒组件的正确顺序操作，并防止其卡住。指示器可视地显示准备植入和形成的钉的负载数。

7. 发明授权

US07658738B2 Medical devices for use with endoscope 有权
标题翻译：用于内窥镜的医疗设备
公开(公告)号：US07658738B2
公开(公告)日：2010-02-09
申请号：US11129601
申请日：2005-05-13
申请人： Rudolph H. Nobis , Christopher J. Hess , David Stefanchik , Michael Clem
发明人： Rudolph H. Nobis , Christopher J. Hess , David Stefanchik , Michael Clem
IPC分类号： A61B18/18
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00087 , A61B1/00135 , A61B1/0014 , A61B17/320783 , A61B18/1492 , A61B18/1815 , A61B2017/00269 , A61B2017/306 , A61B2018/00601 , A61B2018/00982 , A61B2018/144 , A61B2018/1495
摘要： A medical device is provided for use with an endoscope. The medical device can include a tissue resection device comprising an RF cutting wire. The tissue resection device can be supported for proximal and distal movement relative to the endoscope.
摘要翻译：提供用于内窥镜的医疗装置。医疗装置可以包括包括RF切割线的组织切除装置。组织切除装置可以被支撑用于相对于内窥镜的近端和远端运动。

8. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

9. 发明授权

US5171249A Endoscopic multiple ligating clip applier 失效
标题翻译：内窥镜多功能贴片夹具
公开(公告)号：US5171249A
公开(公告)日：1992-12-15
申请号：US680215
申请日：1991-04-04
申请人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
发明人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
IPC分类号： A61B17/28 , A61B1/00 , A61B17/128
CPC分类号： A61B17/1285
摘要： An endoscopic clip applying system as described which contains a venting system and a clip applying support system which prevents closure of the mechanism before firing. Also, the system ensures proper loading of the clips and prevents them from falling out during loading. Further, the system describes an easily manufacturable, positively opening system which has minimized size requirements. Furthermore, a lock-out mechanism is provided so that the mechanism may not be inadvertently fired. The shaft resists excessive torque as well as holds the clip in place during firing. There are provisions for sealant and non back-up of the clips, as well as features which make the clip properly placed for closure.

10. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

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