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    • 1. 发明申请
    • METHOD AND APPARATUS FOR THE FORMATION OF TISSUE FOLDS
    • 组织形成的方法和装置
    • US20090275980A1
    • 2009-11-05
    • US12113633
    • 2008-05-01
    • Mark S. ZeinerMichael J. StokesJason L. HarrisWayne YoungJames T. Spivey
    • Mark S. ZeinerMichael J. StokesJason L. HarrisWayne YoungJames T. Spivey
    • A61B17/04
    • A61B17/0401A61B2017/0417A61F5/0086
    • A suture anchoring device includes a fastener body composed of a tube and a spool is mounted within the tube for rotation relative to the tube. Suture material is wrapped about the spool such that pulling of the suture material causes rotation of the spool within the tube. A one-way locking mechanism allows the spool to rotate freely in a first direction and prevents rotation in an opposite direction. A method for creating a tissue fold includes deploying a first suture anchoring device within the tissue with suture material extending proximally from the first suture anchoring device, deploying a second suture anchoring device within the tissue with a distal portion of the suture material extending between the first suture anchoring device and a proximal portion of the suture material extending proximally from the second suture anchoring device, and applying tension to the suture material to draw portions of the tissue together to form a tissue fold.
    • 缝合线锚定装置包括由管组成的紧固件主体,并且线轴安装在管内以相对于管旋转。 缝线材料缠绕在线轴上,使得缝合材料的拉动导致线轴在管内旋转。 单向锁定机构允许线轴在第一方向上自由旋转并且防止沿相反方向旋转。 用于产生组织折叠的方法包括使用从第一缝合线锚定装置向近侧延伸的缝合材料在组织内展开第一缝合线锚定装置,在组织内部展开第二缝合线锚固装置,其中缝合材料的远端部分在第一 缝合线锚定装置和缝合材料的近端部分从第二缝合线锚定装置向近侧延伸,并且向缝合材料施加张力以将组织的部分拉到一起以形成组织折叠。
    • 5. 发明授权
    • Tissue apposition clip application devices and methods
    • 组织应用程序设备和方法
    • US08888792B2
    • 2014-11-18
    • US12172766
    • 2008-07-14
    • Jason L. HarrisJames T. Spivey
    • Jason L. HarrisJames T. Spivey
    • A61B17/10A61B17/08A61B17/29A61B17/00
    • A61B17/10A61B17/083A61B17/29A61B2017/00818
    • Surgical instruments and methods for closing a gastrotomy. In various embodiments, the surgical instrument may comprise an overtube that supports a clip magazine therein that houses a plurality of tissue apposition clips in an orientation wherein the upper and lower clip arms thereof are releasably supported in an open orientation. Various embodiments are configured to operably accommodate one or more tissue grasping members for grasping the tissue. Other embodiments comprise clip dispensing adapters that may be affixed to the distal end of an endoscope. The various adapters are configured to support a tissue apposition clip such that the upper and lower clip arms thereof are initially supported in an open orientation relative to each other to enable grasped tissue to be drawn therein. Various tissue apposition clips are disclosed which may be used in connection with conventional tissue anchors and/or sutures.
    • 手术器械和闭合胃切开术的方法。 在各种实施例中,外科器械可以包括支撑其中的夹子仓的外套管,其中容纳多个组织定位夹具的方向,其中上部和下部夹臂可释放地支撑在开放取向。 各种实施例被构造成可操作地容纳用于抓握组织的一个或多个组织抓握构件。 其他实施例包括可以固定到内窥镜的远端的夹子分配适配器。 各种适配器被配置成支撑组织定位夹,使得其上和下夹臂最初相对于彼此以开放方向被支撑,以使得抓握的组织能够被拉入其中。 公开了可以与常规组织锚和/或缝合线结合使用的各种组织定位夹。
    • 6. 发明授权
    • Methods and devices for guiding and supporting surgical instruments
    • 引导和支持手术器械的方法和装置
    • US08603078B2
    • 2013-12-10
    • US12903330
    • 2010-10-13
    • David StefanchikJames T. SpiveyRobert M. TrustyPeter K. ShiresMichael J. Stokes
    • David StefanchikJames T. SpiveyRobert M. TrustyPeter K. ShiresMichael J. Stokes
    • A61B17/00
    • A61B17/0218A61B90/11A61B2017/3407
    • Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
    • 提供的方法和装置用于允许外科手术器械由外科支撑系统支撑,所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。 提供了一种手术支撑系统,其包括限定枢轴点的引导端口,手术器械可以通过该枢转点枢转。 引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。 还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。 提供了一种机械吹气装置,其包括可膨胀的远端构件,其构造成选择性地膨胀和展开以机械地灌注体腔。 机械吹气装置可以可选地与外科支架系统一起使用。
    • 9. 发明申请
    • TISSUE APPOSITION CLIP APPLICATION DEVICES AND METHODS
    • 组织鉴定剪辑应用设备和方法
    • US20100010511A1
    • 2010-01-14
    • US12172766
    • 2008-07-14
    • Jason L. HarrisJames T. Spivey
    • Jason L. HarrisJames T. Spivey
    • A61B17/10
    • A61B17/10A61B17/083A61B17/29A61B2017/00818
    • Surgical instruments and methods for closing a gastrotomy. In various embodiments, the surgical instrument may comprise an overtube that supports a clip magazine therein that houses a plurality of tissue apposition clips in an orientation wherein the upper and lower clip arms thereof are releasably supported in an open orientation. Various embodiments are configured to operably accommodate one or more tissue grasping members for grasping the tissue. Other embodiments comprise clip dispensing adapters that may be affixed to the distal end of an endoscope. The various adapters are configured to support a tissue apposition clip such that the upper and lower clip arms thereof are initially supported in an open orientation relative to each other to enable grasped tissue to be drawn therein. Various tissue apposition clips are disclosed which may be used in connection with conventional tissue anchors and/or sutures.
    • 手术器械和闭合胃切开术的方法。 在各种实施例中,外科器械可以包括支撑其中的夹子仓的外套管,其中以定向方式容纳多个组织定位夹具,其中上部和下部夹臂可释放地支撑在开放取向。 各种实施例被构造成可操作地容纳用于抓握组织的一个或多个组织抓握构件。 其他实施例包括可以固定到内窥镜的远端的夹子分配适配器。 各种适配器被配置成支撑组织定位夹,使得其上和下夹臂最初相对于彼此以开放方向被支撑,以使得抓握的组织能够被拉入其中。 公开了可以与常规组织锚和/或缝合线结合使用的各种组织定位夹。