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1. 发明申请

US20100331862A1 TISSUE COMPRESSION USING SURGICAL CLIPS 审中-公开
标题翻译：使用手术夹的组织压缩
公开(公告)号：US20100331862A1
公开(公告)日：2010-12-30
申请号：US12521597
申请日：2007-12-27
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A compression clip system where compression is used to close a tissue opening, reduce the volume of an organ, ligate dilated blood vessels or compress tissue adjacent to various other types of lesions to induce healing. Compression prevents bleeding and the leakage of body fluids into a body cavity. The opening may be surgery induced as in gastrectomies or formed naturally such as peptic ulcers and hemorrhoids. The system may include a compression clip, a suitable clip applier, a grasper assembly and an endoscope all brought to the compression site via a multi-lumen sleeve.
摘要翻译：压缩夹系统，其中压缩用于封闭组织开口，减少器官的体积，连接扩张的血管或压迫与各种其它类型的损伤相邻的组织以诱导愈合。压缩防止体液流入体腔的出血和泄漏。开口可以是胃切除手术或自然形成的手术，如消化性溃疡和痔疮。该系统可以包括压缩夹，合适的施夹器，抓紧器组件和内窥镜，其全部通过多腔套筒带到压缩部位。

2. 发明申请

US20070213585A1 Endoscopic full thickness resection using surgical compression clips 失效
标题翻译：内镜全切除术使用手术压缩夹
公开(公告)号：US20070213585A1
公开(公告)日：2007-09-13
申请号：US11647912
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B1/00
CPC分类号： A61B17/0643 , A61B1/00135 , A61B1/0014 , A61B1/018 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0641 , A61B2017/308
摘要： A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.
摘要翻译：描述了一种包括手术压缩夹的系统，用于内窥镜全厚度切除。类似地，还讨论了使用所述系统的内窥镜全厚度切除术的方法。讨论使用形状记忆元件的手术压缩夹。这些夹子可推进到可疑组织的位置，以通过包围内窥镜的多腔套筒的内腔切除。在组织的位置处，压缩夹被打开并操作以包围可疑组织。还描述了可通过内窥镜推进的抓斗组件。这些后者将把嫌疑组织带到打开的夹子上。然后关闭夹子并切除组织。夹子会影响切除部位的坏死和愈合。

3. 发明授权

US07635374B2 Endoscopic full thickness resection using surgical compression clips 失效
标题翻译：内镜全切除术使用手术压缩夹
公开(公告)号：US07635374B2
公开(公告)日：2009-12-22
申请号：US11647912
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/10 , A61B17/08 , A61B1/00
CPC分类号： A61B17/0643 , A61B1/00135 , A61B1/0014 , A61B1/018 , A61B17/068 , A61B17/12 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/0641 , A61B2017/308
摘要： A system including surgical compression clips is described and used for endoscopic full thickness resection. Similarly, methods for endoscopic full thickness resection using the described system are also discussed. Surgical compression clips using shape-memory elements are discussed. These clips are advanceable to the site of suspect tissue to be resected through a lumen of a multi-lumen sleeve encasing an endoscope. At the site of the tissue, the compression clip is opened and operated to circumscribe the suspect tissue. Grasper assemblies, advanceable through an endoscope, are also described. These latter grasp and bring the suspect tissue to the open clip. The clip is then closed and the tissue resected. The clip effects necrosis and healing at the resected site.
摘要翻译：描述了一种包括手术压缩夹的系统，用于内窥镜全厚度切除。类似地，还讨论了使用所述系统的内窥镜全厚度切除术的方法。讨论使用形状记忆元件的手术压缩夹。这些夹子可推进到可疑组织的位置，以通过包围内窥镜的多腔套筒的内腔切除。在组织的位置处，压缩夹被打开并操作以包围可疑组织。还描述了可通过内窥镜推进的抓斗组件。这些后者将把嫌疑组织带到打开的夹子上。然后关闭夹子并切除组织。夹子会影响切除部位的坏死和愈合。

4. 发明申请

US20070213747A1 Surgical compression clips 有权
标题翻译：手术压缩夹
公开(公告)号：US20070213747A1
公开(公告)日：2007-09-13
申请号：US11647913
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.
摘要翻译：一种外科夹子组件，其包括一对大致线性的压缩元件，用于将组织固定在它们之间并用于向固定的组织施加压缩力。夹子组件具有初始的打开位置，其中线性压缩元件可以围绕组织定位以固定在它们之间。组件还具有最终的闭合位置，其中压缩元件基本上彼此平行，向固定的组织施加压缩力。夹子组件还包括设置在该对压缩元件之间并且可操作地在它们之间传递操作力的力装置。

5. 发明授权

US07892244B2 Surgical compression clips 有权
标题翻译：手术压缩夹
公开(公告)号：US07892244B2
公开(公告)日：2011-02-22
申请号：US11647913
申请日：2006-12-29
申请人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
发明人： Leonid Monassevitch , Boaz Shenhav , Boaz Harari , Amir Perle , Michael Arad , Shahar Millis , Kobby Greenberg , Alex Geller , Amir Szold , Shlomo Lelcuk , Doron Kopelman , Amol Bapaye , Dror Rosner
IPC分类号： A61B17/08
CPC分类号： A61B17/12 , A61B1/0014 , A61B17/0643 , A61B17/068 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B2017/00867 , A61B2017/00871 , A61B2017/0641 , A61B2017/308
摘要： A surgical clip assembly which includes a pair of generally linear compression elements for securing tissue between them and for applying to the secured tissue a compression force. The clip assembly has an initial, open position in which the linear compression elements may be positioned about tissue to be secured between them. The assembly also has a final, closed position where the compression elements are substantially parallel to each other, applying a compressive force to the secured tissue. The clip assembly also includes a force means disposed between the pair of compression elements and operative to transmit operational forces between them.
摘要翻译：一种外科夹子组件，其包括一对大致线性的压缩元件，用于将组织固定在它们之间并用于向固定的组织施加压缩力。夹子组件具有初始的打开位置，其中线性压缩元件可以围绕组织定位以固定在它们之间。组件还具有最终的闭合位置，其中压缩元件基本上彼此平行，向固定的组织施加压缩力。夹子组件还包括设置在该对压缩元件之间并且可操作地在它们之间传递操作力的力装置。

6. 发明授权

US06896684B2 Surgical clip applicator device 失效
标题翻译：手术夹敷贴器
公开(公告)号：US06896684B2
公开(公告)日：2005-05-24
申请号：US10158673
申请日：2002-05-30
申请人： Leonid Monassevitch , Shlomo Lelcuk , Michael Arad , Boaz Harari , Ronen Neeman
发明人： Leonid Monassevitch , Shlomo Lelcuk , Michael Arad , Boaz Harari , Ronen Neeman
IPC分类号： A61B17/12 , A61B17/00 , A61B17/064 , A61B17/08 , A61B17/11 , A61B17/122 , A61B17/28 , A61B17/32 , A61B17/10
CPC分类号： A61B17/128 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/083 , A61B17/11 , A61B17/1114 , A61B17/1227 , A61B17/2812 , A61B17/32 , A61B2017/00867 , A61B2017/0649 , A61B2017/1107 , A61B2017/1125 , A61B2017/1139 , A61B2017/1225
摘要： The present invention, discloses an anastomosis clip applicator device for applying a surgical clip, formed at least partly of a shape memory alloy, to press together adjacent wall portions of adjacent hollow organ portions so as to effect anastomosis therebetween. The applicator device includes: gripping apparatus for gripping a surgical clip, a release mechanism, associated with the gripping apparatus, and tissue cutting apparatus, operatively associated with the gripping apparatus. There is also apparatus for activating the gripping apparatus, the release mechanism and the cutting apparatus, so as to introduce and apply the surgical clip into adjacent hollow organ portions, such that the surgical clip compresses together the adjacent walls of the hollow organ portions, and thereafter causes the cutting apparatus to perforate the adjacent pressed together organ walls to provide patency through the joined portions of the hollow organ.
摘要翻译：本发明公开了一种用于施加至少部分由形状记忆合金形成的手术夹子以将相邻中空器官部分的相邻壁部分压在一起以在其间进行吻合的吻合夹施加器装置。涂抹器装置包括：与夹持装置可操作地相关联的用于夹持手术夹子的夹持装置，与夹持装置相关联的释放机构和组织切割装置。还有用于启动夹持装置，释放机构和切割装置的装置，以便将手术夹子引入并应用到相邻的中空器官部分中，使得手术夹子将中空器官部分的相邻壁压缩在一起，以及然后使切割装置穿过相邻的压制在一起的器官壁，以通过中空器官的连接部分提供通畅。

7. 发明授权

US06402765B1 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US06402765B1
公开(公告)日：2002-06-11
申请号：US09592518
申请日：2000-06-12
申请人： Leonid Monassevitch , Shlomo Lelcuk , Michael Arad
发明人： Leonid Monassevitch , Shlomo Lelcuk , Michael Arad
IPC分类号： A61B1708
CPC分类号： A61B17/11 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/1114 , A61B17/1227 , A61B2017/00867 , A61B2017/1107 , A61B2017/1139
摘要： A surgical clip and method for anastomosing a gastrointestinal tract, the clip being formed at least partly of a shape memory alloy, the clip including: a first length of a wire defining a closed geometrical shape having a central opening; a second length of a wire defining a closed geometrical shape similar in configuration and magnitude to that of the first length of wire, wherein, when placed in side-by-side registration, the first and second lengths of wire fully overlap; an intermediate portion located between the first length of wire and the second length of wire, the intermediate portion formed of a shape memory alloy; a cutting element associated with the first length of wire; a counter element associated with the second length of wire and arranged for cutting engagement with the cutting element; wherein when at a first temperature or higher, the first and second lengths of wire are positioned in a side-by-side closed position and the shape memory alloy is in an elastic state, and further, when at a second temperature or lower, below the first temperature, the shape memory alloy is in a plastic state, thereby enabling the first and second lengths of wire to be moved into and to retain a spaced apart position, and upon heating of the clip to a temperature at least equal to the first temperature, the first and second lengths of wire return to the side-by-side closed position, thereby to apply a compressive force to tissue located therebetween.
摘要翻译：用于吻合胃肠道的手术夹子和方法，所述夹子至少部分地由形状记忆合金形成，所述夹子包括：限定具有中心开口的封闭几何形状的线的第一长度; 线的第二长度限定了类似于第一长度的线的结构和大小的封闭几何形状，其中当并排配准时，第一和第二长度的线完全重叠; 位于所述第一长度线和所述第二长度线之间的中间部分，所述中间部分由形状记忆合金形成; 与所述第一长度的丝相关联的切割元件; 与所述第二长度的线相关联并且被布置成用于切割与所述切割元件的接合的对置元件; 其中当处于第一温度或更高温度时，所述第一和第二长度的丝线位于并排关闭位置，并且所述形状记忆合金处于弹性状态，并且当处于第二温度或更低时，第一温度，形状记忆合金处于塑性状态，从而使得第一和第二长度的线能够移动并保持间隔开的位置，并且在将夹子加热至至少等于第一温度的第一温度线的第一和第二长度返回到并排关闭位置，从而对位于其间的组织施加压缩力。

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