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1. 发明授权

US08985427B1 Feeder belt with internally manufactured staples for true multi-fire surgical stapler 有权
标题翻译：进料带带有内部制造的钉，用于真正的多功能手术吻合器
公开(公告)号：US08985427B1
公开(公告)日：2015-03-24
申请号：US12435912
申请日：2009-05-05
申请人： Philipe R. Manoux , Bryan D. Knodel , Patrick Flanagan
发明人： Philipe R. Manoux , Bryan D. Knodel , Patrick Flanagan
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B2017/00526
摘要： An exemplary surgical apparatus may include a feeder belt; wings fixed to that feeder belt; and a die into which the feeder belt extends, where relative motion of the die and feeder belt bends at least one wing to transform at least one wing into an unformed staple. An exemplary surgical method for treating tissue of a patient may include providing a surgical instrument including an end effector; placing the end effector adjacent to tissue of a patient; and manufacturing at least one surgical staple within the end effector.
摘要翻译：示例性手术装置可以包括馈送带; 翅膀固定在该喂料带上; 以及进给带延伸的模具，其中模具和进给器带的相对运动弯曲至少一个机翼，以将至少一个机翼转换成未成型的订书钉。用于治疗患者组织的示例性手术方法可包括提供包括末端执行器的手术器械; 将末端执行器放置在患者组织附近; 以及在末端执行器内制造至少一个手术缝合钉。

2. 发明授权

US08915934B2 Anastomosis system with anvil entry hole sealer 有权
标题翻译：吻合系统与砧进入孔密封
公开(公告)号：US08915934B2
公开(公告)日：2014-12-23
申请号：US11865893
申请日：2007-10-02
申请人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
发明人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
IPC分类号： A61B17/11 , A61B17/072 , A61B17/115 , A61B17/064 , A61B17/02 , A61B17/32 , A61B17/00 , A61B17/08 , A61B17/10 , A61B17/068 , A61B19/00 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译：用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器，其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处，使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口，其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。

3. 发明授权

US08662369B1 Barbed surgical staple 有权
标题翻译：刺骨手术钉
公开(公告)号：US08662369B1
公开(公告)日：2014-03-04
申请号：US12788911
申请日：2010-05-27
申请人： Philipe R. Manoux , Bryan D. Knodel
发明人： Philipe R. Manoux , Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B90/03 , A61B2017/07264 , A61B2090/037
摘要： An exemplary surgical staple may include a base including a first end and a second end; a single tine extending from the second end of the base; and a barb extending from the base at a location between the first end of the base and the second end of the base. An end of such a staple may be frangibly affixed to a feeder belt. Another exemplary surgical apparatus may include at least one staple including a base including a first end and a second end, a first tine extending from the second end of the base, and a second tine extending from the base at a location between the first end of the base and the second end of the base.
摘要翻译：示例性的手术缝合钉可以包括包括第一端和第二端的基部; 从基座的第二端延伸的单齿; 以及在基部的第一端和基部的第二端之间的位置处从基部延伸的倒钩。这种订书钉的一端可以被脆弱地固定在馈送带上。另一示例性手术装置可以包括至少一个订书钉，其包括基部，该基部包括第一端和第二端，从基部的第二端延伸的第一齿，以及在基部的第一端底座和底座的第二端。

4. 发明授权

US08475493B2 Surgical staple for anastomosis 有权
标题翻译：手术缝合吻合
公开(公告)号：US08475493B2
公开(公告)日：2013-07-02
申请号：US11759319
申请日：2007-06-07
申请人： Theodore M. Bender , David L. Bombard , Philipe R. Manoux , Tenny Chang , Jaime S. Vargas , Bryan D. Knodel
发明人： Theodore M. Bender , David L. Bombard , Philipe R. Manoux , Tenny Chang , Jaime S. Vargas , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/0644 , A61B17/0684 , A61B17/11 , A61B17/115 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together.
摘要翻译：用于连接两个管状组织结构的外科手术钉可以包括基本上矩形的基部，其具有基本上彼此平行的第一边缘和第二边缘，以及基本上垂直于第一边缘和所述第二边缘的第三边缘; 并且还可以包括从所述基座的第一和第二边缘延伸的至少三个可变形齿; 其中没有从第一边缘延伸的齿可以定位成与从第二边缘延伸的任何所述齿大致相距离第三边缘; 并且其中尖齿的变形将管状组织结构固定在一起。

5. 发明授权

US08317072B1 Feeder belt for true multi-fire surgical stapler 有权
标题翻译：真正多功能手术吻合器的送料带
公开(公告)号：US08317072B1
公开(公告)日：2012-11-27
申请号：US12770462
申请日：2010-04-29
申请人： Bryan D. Knodel , Philipe R. Manoux
发明人： Bryan D. Knodel , Philipe R. Manoux
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07278
摘要： An exemplary surgical apparatus may include a feeder belt configured as a continuous loop; staples fixed to and shearable from the continuous feeder belt; apertures defined in the continuous feeder belt; and a gear positioned at the distal end of the feeder belt within the continuous loop, where the gear engages at least one of the apertures to move the continuous feeder belt around the gear. Another exemplary surgical apparatus may include a feeder belt; a plurality of staples fixed to and shearable from the continuous feeder belt; and a plurality of teeth defined on the continuous feeder belt. Another exemplary surgical apparatus may include a continuous belt assembly that has a flexible rack with two ends, and a feeder belt with two ends, each end of the feeder belt connected to a corresponding end of the flexible rack; and staples fixed to and shearable from the continuous feeder belt.
摘要翻译：示例性手术装置可以包括被配置为连续环路的馈送带; 从连续进料带固定并可剪切订书钉; 限定在连续给料带中的孔; 以及齿轮，其位于所述连续回路内的所述给送带的远端处，其中所述齿轮与所述孔中的至少一个接合，以将所述连续进给带围绕所述齿轮移动。另一种示例性的外科手术装置可包括给药带; 多个订书钉固定到可连续馈送带上并可剪切; 以及限定在连续进料带上的多个齿。另一个示例性的外科手术装置可以包括具有两端柔性齿条的连续皮带组件，以及具有两个端部的进给带，馈送带的每个端部连接到柔性齿条的相应端部; 以及从连续进料带固定并可剪切的订书钉。

6. 发明申请

US20080071294A1 Apparatus and method for closure of patent foramen ovale 有权
标题翻译：专利孔卵巢闭合的装置和方法
公开(公告)号：US20080071294A1
公开(公告)日：2008-03-20
申请号：US11522217
申请日：2006-09-15
申请人： Theodore M. Bender , Bernard A. Hausen , Philipe R. Manoux , Bryan D. Knodel , Joshua M.O. Newth
发明人： Theodore M. Bender , Bernard A. Hausen , Philipe R. Manoux , Bryan D. Knodel , Joshua M.O. Newth
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/07207 , A61B2017/00575 , A61B2017/00623 , A61B2017/00663
摘要： A method for closing a patent foramen ovale in the heart tissue of a patient may include percutaneously advancing a connector applicator to the patent foramen ovale, registering the connector applicator with the patent foramen ovale, deploying connectors into heart tissue to close the patent foramen ovale; and percutaneously removing the connector applicator from the heart. One or more anchors may be used to register the connector applicator with the patent foramen ovale. The connector applicator may include a driver having a longitudinal passage therein, where at least part of at least one connector is positioned within said passage.
摘要翻译：用于在患者的心脏组织中闭合卵孔的专利的方法可以包括将连接器施用器经皮推进到卵孔的专利，将连接器施加器注册到卵孔的专利中，将连接器部署到心脏组织中以封闭卵孔的专利; 并从心脏经皮去除连接器敷贴器。可以使用一个或多个锚定器来将连接器施加器注册到卵孔的专利中。连接器施加器可以包括其中具有纵向通道的驱动器，其中至少一个连接器的至少一部分位于所述通道内。

7. 发明授权

US07918376B1 Articulated surgical instrument 有权
标题翻译：铰接手术器械
公开(公告)号：US07918376B1
公开(公告)日：2011-04-05
申请号：US12400760
申请日：2009-03-09
申请人： Bryan D. Knodel , Bennie Thompson , Philipe R. Manoux , Nathan H. White
发明人： Bryan D. Knodel , Bennie Thompson , Philipe R. Manoux , Nathan H. White
IPC分类号： A61B17/064
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/2908 , A61B2017/2927 , A61B2017/2929
摘要： One example of a surgical instrument may include a handle, an end effector, and a shaft that connects the handle to the end effector, where the shaft includes an articulated region. At least one feeder belt may extend through the lumen of the shaft into the end effector, where at least one feeder belt may include at least one staple frangibly connected thereto.
摘要翻译：手术器械的一个实例可以包括手柄，末端执行器和将手柄连接到端部执行器的轴，其中轴包括铰接区域。至少一个进料带可以延伸穿过轴的内腔进入末端执行器，其中至少一个进给带可以包括与其易碎连接的至少一个钉。

8. 发明授权

US07699859B2 Method of performing anastomosis 有权
标题翻译：吻合方法
公开(公告)号：US07699859B2
公开(公告)日：2010-04-20
申请号：US10988325
申请日：2004-11-12
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： A method for anastomosing a first vessel to a second vessel may include connecting an end of the first vessel to the side of the second vessel and creating an opening in the wall of the second vessel from within the lumen of the second vessel, where that opening allows fluid communication between the lumen of the first vessel and the lumen of the second vessel.
摘要翻译：用于将第一容器吻合到第二容器的方法可以包括将第一容器的端部连接到第二容器的侧面并且在第二容器的内腔内从第二容器的内腔中产生在第二容器的壁中的开口，允许第一容器的内腔和第二容器的内腔之间的流体连通。

9. 发明授权

US07303570B2 Anastomosis tool having a connector holder 有权
标题翻译：吻合工具具有连接器支架
公开(公告)号：US07303570B2
公开(公告)日：2007-12-04
申请号：US10988335
申请日：2004-11-12
申请人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要： An anastomosis tool may include a connector holder connected to an anvil. The connector holder may be bifurcated and configured to straddle the graft vessel. The connector holder may be generally U-shaped. The connector holder may be shaped to extend around more than half of the circumference of the graft vessel.
摘要翻译：吻合工具可以包括连接到砧座的连接器支架。连接器保持器可以分叉并构造成跨越移植管。连接器支架可以是大致U形的。连接器保持器可以成形为围绕移植管的圆周的一半以上延伸。

10. 发明授权

US08701960B1 Surgical stapler with reduced clamp gap for insertion 有权
标题翻译：手术吻合器，夹具间隙缩小
公开(公告)号：US08701960B1
公开(公告)日：2014-04-22
申请号：US12489397
申请日：2009-06-22
申请人： Philipe R. Manoux , Bryan D. Knodel
发明人： Philipe R. Manoux , Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/0725 , A61B2017/2936
摘要： A surgical apparatus may include a staple holder, an anvil connected to and movable relative to the staple holder, and at least one axle extending outward from the anvil; and an overtube slidable relative to the end effector, the overtube including at least one slot defined therein; where each slot receives a corresponding axle. A surgical method for treating tissue of a patient may include providing an end effector that includes a staple holder and an anvil connected to and movable relative to the staple holder, and an overtube slidable relative to said end effector, making an incision in the patient; inserting the end effector and at least part of the overtube through the incision in a first, insertion configuration in which substantially no gap exists between the anvil and staple holder, and moving the overtube relative to the end effector to open the end effector to a second, unclamped position where at least part of the anvil is spaced apart from the staple holder.
摘要翻译：外科手术装置可以包括钉固定器，连接到并可相对于钉仓保持器移动的砧座以及从砧座向外延伸的至少一个轴; 以及相对于所述端部执行器可滑动的外套管，所述外套管包括限定在其中的至少一个狭槽; 其中每个槽接收相应的轴。用于治疗患者组织的手术方法可以包括提供端部执行器，其包括缝合钉保持器和连接到并可相对于钉仓保持器移动的砧座，以及可相对于所述端部执行器滑动的外套管，在患者体内形成切口; 将所述端部执行器和所述外套管的至少一部分以第一插入构型插入所述切口中，在所述第一插入构造中，所述砧座和所述钉仓之间基本上不存在间隙，并且相对于所述末端执行器移动所述外套管以将所述端部执行器打开到第二，未夹紧的位置，其中砧座的至少一部分与钉仓间隔开。

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