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1. 发明申请

US20060241661A1 Devices and methods for fastening tissue layers 有权
公开(公告)号：US20060241661A1
公开(公告)日：2006-10-26
申请号：US11471513
申请日：2006-06-21
申请人： Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
发明人： Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

2. 发明申请

US20060191975A1 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US20060191975A1
公开(公告)日：2006-08-31
申请号：US11411389
申请日：2006-04-25
申请人： Ronald Adams , Roy Sullivan , George Nunez , Lauren Main , Peter Kratsch , Jurgen Kortenbach , Matt Solar , Gerhard Buess , Marc Schurr
发明人： Ronald Adams , Roy Sullivan , George Nunez , Lauren Main , Peter Kratsch , Jurgen Kortenbach , Matt Solar , Gerhard Buess , Marc Schurr
IPC分类号： A61B17/04 , A61B17/08
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Describeed is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述是全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

3. 发明申请

US20050262949A1 Tactile instrument 有权
标题翻译：触觉仪器
公开(公告)号：US20050262949A1
公开(公告)日：2005-12-01
申请号：US11142633
申请日：2005-05-31
申请人： Sebastian Schostek , Chi-Nghia Ho , Marc Schurr , Daniel Kalanovic
发明人： Sebastian Schostek , Chi-Nghia Ho , Marc Schurr , Daniel Kalanovic
IPC分类号： G01L1/10 , G01L1/20 , G01L5/22
CPC分类号： G01L1/205 , G01L5/228
摘要： The ability of a person to grasp an object and at the same time to feel, as well as to determine mechanical and geometric parameters of the comprehended object, makes him or her irreplaceable for many tasks, i.e. in production or in surgery. The translation of this ability into a technological system has often failed up to now due to lack of special adjusted sensors. The object of this invention is a sensory device, which fulfills the requirements for a tactile sensor system and at the same time affords a cost-effective and simple manufacturing alternative to other sensor principles. The layer structure of the sensor element is so constructed that by effect of an external force of the current by a resistive layer a path is disposed to narrowing or enlargement. The voltage drop over this resistive layer is dependent upon the acting external force and serves as signal sensor.
摘要翻译：一个人抓住一个物体并同时感觉到以及确定理解的物体的机械和几何参数的能力使得他或她在许多任务中不可替代，即在生产或手术中。由于缺少特殊的调整传感器，将这种能力转化为技术系统往往失败。本发明的目的是一种感觉装置，其满足触觉传感器系统的要求，并且同时为其它传感器原理提供成本有效且简单的制造替代方案。传感器元件的层结构被构造成通过由电阻层的电流的外力的作用使路径变窄或扩大。该电阻层上的电压降取决于作用的外力，并用作信号传感器。

4. 发明授权

US5997471A Apparatus for guiding surgical instruments for endoscopic surgery 失效
标题翻译：用于引导外科手术器械用于内窥镜手术的装置
公开(公告)号：US5997471A
公开(公告)日：1999-12-07
申请号：US917522
申请日：1997-08-26
申请人： Lothar Gumb , Aribert Schaf , Rainer Trapp , Gerhard Buess , Marc Schurr
发明人： Lothar Gumb , Aribert Schaf , Rainer Trapp , Gerhard Buess , Marc Schurr
IPC分类号： A61B17/00 , A61B1/00 , A61B1/045 , A61B17/34 , A61B90/50 , A61B1/04
CPC分类号： A61B17/3403 , A61B90/50
摘要： In an apparatus for guiding surgical instruments during endoscopic surgery including a carrier on which a support member is rotatably mounted about a first axis and a housing structure is mounted on the support member so as to pivot about a second axis which is spaced from the housing structure and intersects the first axis in an invariant point and the housing slidably supports an instrument shaft having an axis also extending through the invariant point and an end which is mounted on a guide member, which is axially movably supported on a guide housing extending from the housing structure parallel to the instrument shaft, a camera is firmly supported on the guide housing in alignment with the instrument shaft so as to be axially movable but not rotatable with the instrument shaft whereby an image transmitted from a lens system at the front end of the instrument shaft to the camera at the rear end of the shaft is shown at a given top-to-bottom orientation independently the rotational position of the instrument shaft.
摘要翻译：在一种用于在内窥镜手术期间引导外科器械的装置，包括载体，支撑构件围绕第一轴线可旋转地安装在其上，并且壳体结构安装在支撑构件上，以围绕与壳体结构间隔开的第二轴线枢转并且在不变点处与所述第一轴相交，并且所述壳体可滑动地支撑具有也延伸穿过所述不变点的轴线的仪器轴和安装在引导构件上的端部，所述引导构件被轴向移动地支撑在从所述壳体延伸的引导壳体与仪器轴平行的结构，照相机被牢固地支撑在引导壳体上，与仪器轴对准，以便可轴向移动，但不能随着仪器轴转动，从而从仪器前端的透镜系统传输的图像轴在轴的后端处的摄像机以给定的从上到下的取向独立于旋转仪器轴的位置。

5. 发明授权

US5989181A Device for endoscopic diagnosis and treatment of tissue 失效
标题翻译：用于内窥镜诊断和治疗组织的装置
公开(公告)号：US5989181A
公开(公告)日：1999-11-23
申请号：US968047
申请日：1997-11-10
申请人： Kaspar Dutting , Marc Schurr , Gerhard Buess , Gerhard Muller , Bernd Wagner
发明人： Kaspar Dutting , Marc Schurr , Gerhard Buess , Gerhard Muller , Bernd Wagner
IPC分类号： A61B1/00 , A61B5/00 , A61B18/00 , A61N5/06 , A61B1/04
CPC分类号： A61B1/00096 , A61B1/00179 , A61B1/063 , A61B1/0638 , A61B5/0084 , A61N5/0601
摘要： The device comprises a treatment laser and at least two diagnosis lasers of differing wavelengths, wherein a receiving means is allocated to each diagnosis laser. The signal of the receiving means is led to an electronic evaluation and control means. In the distal end section of the endosopic part of the device the light beams of all lasers are guided together.
摘要翻译：该装置包括处理激光器和至少两个不同波长的诊断激光器，其中接收装置被分配给每个诊断激光器。接收装置的信号被引导到电子评估和控制装置。在设备的内窥部分的远端部分中，所有激光器的光束被一起引导。

6. 发明申请

US20050283107A1 Medical implant 有权
标题翻译：医疗植入
公开(公告)号：US20050283107A1
公开(公告)日：2005-12-22
申请号：US11074404
申请日：2005-03-08
申请人： Daniel Kalanovic , Chi-Nghia Ho , Sebastian Schostek , Marc Schurr
发明人： Daniel Kalanovic , Chi-Nghia Ho , Sebastian Schostek , Marc Schurr
IPC分类号： A61F5/00 , A61F2/04
CPC分类号： A61F5/0083
摘要： The present invention describes a medical implant for treating pathological obesity, which is adapted to modify and, as an alternative, to bypass the natural food passage in the digestive tract. In contrast to purely surgical methods of food bypassing, the properties of the present implant permit an adjustable bypassing of food into the small intestine and/or into the stomach (natural digestive path). Since the ratio of this bypass is adjustable in the course of the treatment by the physician, e.g. with the aid of an endoscope, for the first time a balance between the therapeutic effect and the side-effects can be adapted individually to each patient by the use of the implant. The present invention is a hollow body 1 comprising a first and a second tubular end portion 2, 3 and at least one third lateral opening having a hose-like extension 8. It is provided that individual, at least partly closable hose-like extensions 8 differ in their ability to allow the passage of food into the stomach 11. The possibility to close individual hose-like extensions 8 at least partially by means of an endoscope leads to an individually adjustable distribution of food between the stomach 11 and the small-intestine loop 12.
摘要翻译：本发明描述了一种用于治疗病理性肥胖的医疗植入物，其适于修饰和替代地绕过消化道中的天然食物通道。与食物旁路的纯手术方法相反，本植入物的性质允许将食物可调节地绕过小肠和/或进入胃（自然消化道）。由于该旁路的比例在医师的治疗过程中是可调节的，例如，借助于内窥镜，首次可以通过使用植入物来单独地对每个患者适应治疗效果和副作用之间的平衡。本发明是一种中空体1，其包括第一和第二管状端部2,3以及具有软管状延伸部8的至少一个第三侧向开口。提供了个体的，至少部分可关闭的软管状延伸部8的能力不同，允许食物进入胃部11。通过内窥镜至少部分地封闭单个软管状延伸部8的可能性导致在胃部11和小肠回路12之间单独调节的食物分配。

7. 发明授权

US07809447B2 Implantable medical electrode device, in particular cardiovascular cardiac pacemaker or defibrillator electrode device 有权
标题翻译：可植入医疗电极装置，特别是心血管心脏起搏器或除颤器电极装置
公开(公告)号：US07809447B2
公开(公告)日：2010-10-05
申请号：US11683900
申请日：2007-03-08
申请人： Eckard Dreier , Erhard Flach , Wolfgang Geistert , Michelle Maxfield , Jochen Palm , Marc Schurr , Jan-Heiner Brinkmann
发明人： Eckard Dreier , Erhard Flach , Wolfgang Geistert , Michelle Maxfield , Jochen Palm , Marc Schurr , Jan-Heiner Brinkmann
IPC分类号： A61N1/00
CPC分类号： A61N1/057 , A61N2001/0578 , A61N2001/0585
摘要： An implantable medical electrode device, in particular a cardiovascular cardiac pacemaker or defibrillator electrode device, comprises an elongate, tubular electrode body (2), a fixing zone (4) in front of the distal end (3) of the electrode body (2), in which the externally closed peripheral envelope (8) of the electrode body (2) is reversibly expandable into a body lumen (27) for detachable fixing of the electrode device (1), and an expansion apparatus, situated in the fixing zone (4), for controlling the expansion and contraction in the fixing zone (4).
摘要翻译：可植入医疗电极装置，特别是心血管心脏起搏器或除颤器电极装置，包括细长管状电极体（2），电极体（2）的远端（3）前方的固定区（4），其中电极体（2）的外部封闭的外围封套（8）可逆地扩展到用于电极装置（1）的可拆卸固定的体腔（27）中，以及位于固定区（ 4），用于控制固定区（4）的膨胀和收缩。

8. 发明申请

US20090069877A1 ELECTRODE DEVICE FOR PHYSIOLOGICAL USE, IN PARTICULAR IN CARDIOLOGY 审中-公开
标题翻译：用于生理用途的电极装置，特别是心脏学
公开(公告)号：US20090069877A1
公开(公告)日：2009-03-12
申请号：US12206918
申请日：2008-09-09
申请人： Gernot Kolberg , Erhard Flach , Marc Schurr , Stephan Zedler
发明人： Gernot Kolberg , Erhard Flach , Marc Schurr , Stephan Zedler
IPC分类号： A61N1/04
CPC分类号： A61N1/056
摘要： An electrode device for physiological use, in particular in cardiology, that has an electrically insulating, elastic electrode body which, between internal and external layers (1, 2), has an intermediate layer (3) tailored to their physical properties.
摘要翻译：一种用于生理用途，特别是心脏病学的电极装置，其具有电绝缘的弹性电极体，其在内部和外部层（1,2）之间具有根据其物理特性而定制的中间层（3）。

9. 发明申请

US20060264984A1 Medical device for changing the shape of hollow organs in the human body 有权
标题翻译：用于改变人体中空器官形状的医疗装置
公开(公告)号：US20060264984A1
公开(公告)日：2006-11-23
申请号：US11433612
申请日：2006-05-12
申请人： Marc Schurr , Chi-Nghia Ho
发明人： Marc Schurr , Chi-Nghia Ho
IPC分类号： A61B17/08
CPC分类号： A61B17/083
摘要： The present invention relates to a medical device for changing the shape of hollow organs in the human body, comprising at least one issue clamp, clip or anchor, which can be fixed to the organ tissue by means of a clamping or hooking-in action in order to provide a fixation point or a point of transmission of force in the organ. The clip or anchor has a receiving-element portion or hooking-in device for a flexible band, wire or tube, by means of which a force causing the change in shape can be applied to the organ at least partially via the clip.
摘要翻译：本发明涉及一种用于改变人体中空器官形状的医疗装置，其包括至少一个问题夹子，夹子或锚固件，其可以通过夹紧或钩挂动作固定在器官组织上提供器官中的固定点或力传递点。夹子或锚具有用于柔性带，线或管的接收元件部分或钩入装置，通过该接收元件部分或钩入装置可以至少部分地经由夹子将形成形状变化的力施加到器官。

10. 发明授权

US07797055B2 Implantable electrode line 有权
标题翻译：可植入电极线
公开(公告)号：US07797055B2
公开(公告)日：2010-09-14
申请号：US11451140
申请日：2006-06-12
申请人： Joerg Feldmann , Jochen Palm , Marc Schurr
发明人： Joerg Feldmann , Jochen Palm , Marc Schurr
IPC分类号： A61N1/05
CPC分类号： A61N1/056 , A61N1/0565 , A61N2001/0578
摘要： A device for stimulating a living being having proximal end having an electrical connection to an implantable medical device; having an oblong medial section having a first external diameter, which has at least one first dielectric outer envelope, at least one electrical conductor, at least one electrical stimulation and/or measurement means on the distal end; having distal section having a second outer diameter, which has at least one second dielectric outer envelope and at least one electrical conductor; having distal end having at least one electrical stimulation and/or measurement means; and having a lumen running in the longitudinal direction at least through the proximal end and the medial section. The first external diameter is isodiametric to the second external diameter, the first dielectric outer envelope has the same material properties as the second dielectric outer envelope, and the medial section has a lesser flexibility than the distal section.
摘要翻译：一种用于刺激具有近端的活体的装置，其具有与可植入医疗装置的电连接; 具有具有第一外径的长圆形中间部分，其具有至少一个第一电介质外封套，至少一个电导体，在远端上的至少一个电刺激和/或测量装置; 其具有具有第二外径的远侧部分，其具有至少一个第二电介质外封套和至少一个电导体; 具有远端具有至少一个电刺激和/或测量装置; 并且具有至少通过近端和中间部分沿纵向延伸的管腔。第一外径与第二外径等径，第一绝缘外壳与第二电介质外包层具有相同的材料特性，并且中间部分具有比远侧部分更小的柔性。

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