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1. 发明申请

US20080149685A1 Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease 有权
标题翻译：外科紧固件矫正器具特别适用于胃食管反流病的经口治疗
公开(公告)号：US20080149685A1
公开(公告)日：2008-06-26
申请号：US10846898
申请日：2004-05-13
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61B17/068 , A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to an axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having tissue-piercing posts, and the second part includes a second base defining apertures receiving the posts and a portion movable relative thereto between first and second orientations. When the posts are inserted into the apertures, the movable portion can be moved from the first unlocked orientation into the second configuration to lock the fastener parts together in an implanting position determined by various alignment measures, including markings or flags on the jaws or at the housing. The instrument is adapted to move the second part into the second configuration.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的轴线向近端引导和横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有组织穿刺柱的基部，并且第二部分包括限定接收柱的孔的第二基部和在第一和第二取向之间相对于其移动的部分。当柱插入孔中时，可移动部分可以从第一解锁方向移动到第二构造中，以将紧固件部件锁定在由各种对准措施确定的植入位置中，包括在钳口上的标记或标记住房。该仪器适于将第二部分移动到第二配置中。

2. 发明申请

US20080147116A1 Surgical Fastener 有权
标题翻译：手术紧固件
公开(公告)号：US20080147116A1
公开(公告)日：2008-06-19
申请号：US11931351
申请日：2007-10-31
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical fastener with a safety position includes a lower base having piercing posts each having fixed and coupling ends, first and second base portions respectively attached to the posts, a hinge coupling the base portions, and a bias device imparting force on at least one base portion toward the other and at an angle to the hinge axis. Also provided is an upper fastening portion receiving and selectively coupling the posts. The lower base has a piercing position for coupling with the upper fastener portion where the posts are substantially parallel and a folded position where a distance between a coupling end of the first piercing post and the coupling end of the second piercing post is less than a distance between the fixed end of the first piercing post and the fixed end of the second piercing post.
摘要翻译：具有安全位置的外科紧固件包括具有穿刺柱的下基部，每个具有固定和联接端，分别附接到柱的第一和第二基部，联接基部的铰链和在至少一个基部上施加力的偏置装置部分朝向另一个并且与铰链轴线成一定角度。还提供了接收并选择性地联接柱的上紧固部分。下基座具有穿刺位置，用于与上部紧固件部分联接，其中柱基本上平行，并且折叠位置，其中第一穿刺柱的联接端和第二穿刺柱的联接端之间的距离小于距离在第一穿刺柱的固定端和第二穿孔柱的固定端之间。

3. 发明申请

US20080207995A1 Surgical clip application assembly 有权
标题翻译：手术夹应用程序组装
公开(公告)号：US20080207995A1
公开(公告)日：2008-08-28
申请号：US11728502
申请日：2007-03-26
申请人： Juergen A. Kortenbach , Robert Sixto , Kevin W. Smith , Charles Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto , Kevin W. Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/10 , A61B1/00
CPC分类号： A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/2945 , A61B2017/320064 , A61B2018/00494 , A61B2018/00607 , A61B2018/00982 , A61B2018/1432 , A61B2018/1495 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

4. 发明申请

US20160310185A1 CLAVICLE IMPLANTS 审中-公开
标题翻译： CLAVICLE植入物
公开(公告)号：US20160310185A1
公开(公告)日：2016-10-27
申请号：US15136398
申请日：2016-04-22
申请人： Robert Sixto , Andrea Suarez , Juergen A. Kortenbach , Alejandro Perez
发明人： Robert Sixto , Andrea Suarez , Juergen A. Kortenbach , Alejandro Perez
IPC分类号： A61B17/80 , A61B17/88
摘要： A bone plate including a main bone plate body having two opposing curved sections adapted for a clavicle; a bendable waist portion narrower than the main body of the bone plate; and a node at each end of the main body connected to the main body by a bridge portion which is narrower than the main body, wherein the bridge includes a cut-out relief portion on a bottom side of the bone plate.
摘要翻译：一种骨板，包括具有适于锁骨的两个相对的弯曲部分的主骨板体; 可弯腰部分比骨板的主体窄; 以及通过比主体窄的桥接部分连接到主体的主体的每个端部处的节点，其中所述桥包括在所述骨板的底侧上的切口释放部分。

5. 发明申请

US20070233112A1 Method of Bone Plate Shaping 有权
标题翻译：骨板成型方法
公开(公告)号：US20070233112A1
公开(公告)日：2007-10-04
申请号：US11459877
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61F2/30
CPC分类号： A61B17/1728 , A61B17/1782 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/8863 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

6. 发明申请

US20070233111A1 Bone Plate Shaping System 有权
标题翻译：骨板整形系统
公开(公告)号：US20070233111A1
公开(公告)日：2007-10-04
申请号：US11459824
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61F2/30
CPC分类号： A61B17/8863 , A61B17/1728 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2017/564 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

7. 发明申请

US20070265640A1 Surgical clip application assembly 有权
标题翻译：手术夹应用程序组装
公开(公告)号：US20070265640A1
公开(公告)日：2007-11-15
申请号：US11728536
申请日：2007-03-26
申请人： Juergen Kortenbach , Robert Sixto , Kevin Smith , Charles Slater , Saul Gottlieb
发明人： Juergen Kortenbach , Robert Sixto , Kevin Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

8. 发明申请

US20070010715A1 Tissue retractor and method for using the retractor 审中-公开
标题翻译：组织牵开器和使用牵开器的方法
公开(公告)号：US20070010715A1
公开(公告)日：2007-01-11
申请号：US11321684
申请日：2005-12-29
申请人： Robert Sixto , Juergen Kortenbach , Chris Martin , Jorge Pinos
发明人： Robert Sixto , Juergen Kortenbach , Chris Martin , Jorge Pinos
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00292 , A61B2017/00827 , A61B2017/047 , A61B2017/2927
摘要： A retractor for manipulating an object includes a body having proximal and distal ends, a retraction device, and an actuation device. The retraction device has a head connected to the distal end of the body, substantially rigid needles, and an actuator. The head has a pivot. The needles are pivotally connected to the head about the pivot. The actuator is operatively connected to the needles and is movably disposed within the head and/or the body. The actuation device is connected to the proximal end of the body. The actuation device is operatively connected to the actuator through the body and, upon actuation thereof, moves the actuator to selectively rotate the needles between a stowed position where the needles are stowed within the head and a fully extended position where the needles are extended out of the head.
摘要翻译：用于操纵物体的牵开器包括具有近端和远端的主体，缩回装置和致动装置。缩回装置具有连接到主体的远端的头部，基本刚性的针和致动器。头有一个枢轴。针头围绕枢轴可枢转地连接到头部。致动器可操作地连接到针并且可移动地设置在头部和/或主体内。致动装置连接到主体的近端。致动装置通过主体可操作地连接到致动器，并且在其致动时，使致动器移动以选择性地将针旋转在针被收纳在头部内的收起位置和针伸出的完全延伸位置之间头部。

9. 发明申请

US20050277953A1 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
标题翻译：内窥镜夹钳与非共线夹钳安装在非共线轴上
公开(公告)号：US20050277953A1
公开(公告)日：2005-12-15
申请号：US10867483
申请日：2004-06-14
申请人： Jose Francese , Kevin Smith , Robert Sixto , Juergen Kortenbach , Matthew Palmer
发明人： Jose Francese , Kevin Smith , Robert Sixto , Juergen Kortenbach , Matthew Palmer
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

10. 发明申请

US20050049616A1 Clip ejector for endoscopic clip applier 有权
标题翻译：夹子用于内窥镜夹子施放器
公开(公告)号：US20050049616A1
公开(公告)日：2005-03-03
申请号：US10867413
申请日：2004-06-14
申请人： Carlos Rivera , Kevin Smith , Thomas Bales , Robert Sixto , Juergen Kortenbach , Scott Arp
发明人： Carlos Rivera , Kevin Smith , Thomas Bales , Robert Sixto , Juergen Kortenbach , Scott Arp
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

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