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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

US20060149316A1 Devices and methods for tissue invagination 审中-公开
标题翻译：用于组织内陷的装置和方法
公开(公告)号：US20060149316A1
公开(公告)日：2006-07-06
申请号：US11347249
申请日：2006-02-06
申请人： Robert DeVries , Roy Sullivan , Marc Tassy , Kristian DiMatteo , Tak Kwan , William Shaw
发明人： Robert DeVries , Roy Sullivan , Marc Tassy , Kristian DiMatteo , Tak Kwan , William Shaw
IPC分类号： A61B17/28
CPC分类号： A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/1114 , A61B17/1285 , A61B17/29 , A61B2017/00336 , A61B2017/00557 , A61B2017/00827 , A61B2017/0419 , A61B2017/306 , A61B2017/308
摘要： Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
摘要翻译：公开了在例如内窥镜下眼底切开手术期间用于入侵组织的手术装置和方法。该装置包括细长管，该细长管具有构造成延伸到主体外部的近端，以及被配置为延伸到待入侵的组织附近的远端，以及联接到管的远端的远侧构件。远端构件被构造成保持或抓住要入侵的组织。装置可以包括保护性远端套管。

3. 发明申请

US20050149072A1 Devices and methods for tissue invagination 审中-公开
标题翻译：用于组织内陷的装置和方法
公开(公告)号：US20050149072A1
公开(公告)日：2005-07-07
申请号：US10748243
申请日：2003-12-31
申请人： Robert DeVries , Roy Sullivan , Marc Tassy , Kristian DiMatteo , Tak Kwan , William Shaw
发明人： Robert DeVries , Roy Sullivan , Marc Tassy , Kristian DiMatteo , Tak Kwan , William Shaw
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/30 , A61B17/08
CPC分类号： A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/1114 , A61B17/1285 , A61B17/29 , A61B2017/00336 , A61B2017/00557 , A61B2017/00827 , A61B2017/0419 , A61B2017/306 , A61B2017/308
摘要： Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
摘要翻译：公开了在例如内窥镜下眼底切开手术期间用于入侵组织的手术装置和方法。该装置包括细长管，该细长管具有构造成延伸到主体外部的近端，以及被配置为延伸到待入侵的组织附近的远端，以及联接到管的远端的远侧构件。远端构件被构造成保持或抓住要入侵的组织。装置可以包括保护性远端套管。

4. 发明授权

US08579935B2 Tissue fasteners and related deployment systems and methods 有权
标题翻译：组织紧固件和相关的部署系统和方法
公开(公告)号：US08579935B2
公开(公告)日：2013-11-12
申请号：US12379252
申请日：2009-02-17
申请人： Robert B. DeVries , Kristian DiMatteo , Roy Sullivan , Marc Tassy, Jr. , Barry N. Gellman , John E. Hutchins , John B. Golden , Kurt A. E. Geitz , William J. Shaw
发明人： Robert B. DeVries , Kristian DiMatteo , Roy Sullivan , Marc Tassy, Jr. , Barry N. Gellman , John E. Hutchins , John B. Golden , Kurt A. E. Geitz , William J. Shaw
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B17/0401 , A61B17/0644 , A61B17/068 , A61B2017/00867 , A61B2017/0443 , A61B2017/0641 , A61B2017/0647 , A61B2017/0649
摘要： Surgical tissue fasteners and related deployment systems and methods are disclosed. A tissue fastener used to join multiple tissue layers includes a first member, a second member, and a connecting member connecting the first and second members. In some embodiments, the first and second members are configured to expand from a delivered state to a deployed state in which the fastener secures the tissue layers together. In other tissue fastener embodiments the connecting member has an elastic compressive spring force for applying a substantially constant force on the tissue layers for adjusting a length of the connecting member between the first and second members.
摘要翻译：公开了外科组织紧固件和相关的部署系统和方法。用于连接多个组织层的组织紧固件包括第一构件，第二构件和连接第一构件和第二构件的连接构件。在一些实施例中，第一和第二构件构造成从传送状态扩展到展开状态，其中紧固件将组织层固定在一起。在其他组织紧固件实施例中，连接构件具有弹性压缩弹簧力，用于在组织层上施加基本恒定的力，以调节第一和第二构件之间的连接构件的长度。

5. 发明申请

US20090216265A1 Tissue fasteners and related deployment systems and methods 有权
标题翻译：组织紧固件和相关的部署系统和方法
公开(公告)号：US20090216265A1
公开(公告)日：2009-08-27
申请号：US12379252
申请日：2009-02-17
申请人： Robert B. DeVries , Kristian DiMatteo , Roy Sullivan , Marc Tassy, JR. , Barry N. Gellman , John E. Hutchins , John B. Golden , Kurt A.E. Geitz , William J. Shaw
发明人： Robert B. DeVries , Kristian DiMatteo , Roy Sullivan , Marc Tassy, JR. , Barry N. Gellman , John E. Hutchins , John B. Golden , Kurt A.E. Geitz , William J. Shaw
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B17/0401 , A61B17/0644 , A61B17/068 , A61B2017/00867 , A61B2017/0443 , A61B2017/0641 , A61B2017/0647 , A61B2017/0649
摘要： Surgical tissue fasteners and related deployment systems and methods are disclosed. A tissue fastener used to join multiple tissue layers includes a first member, a second member, and a connecting member connecting the first and second members. In some embodiments, the first and second members are configured to expand from a delivered state to a deployed state in which the fastener secures the tissue layers together. Other tissue fastener embodiments include means for applying a substantially constant force on the tissue layers and/or means for adjusting a length of the connecting member between the first and second members.
摘要翻译：公开了外科组织紧固件和相关的部署系统和方法。用于连接多个组织层的组织紧固件包括第一构件，第二构件和连接第一构件和第二构件的连接构件。在一些实施例中，第一和第二构件构造成从输送状态扩展到展开状态，其中紧固件将组织层固定在一起。其他组织紧固件实施例包括用于在组织层上施加基本恒定的力的装置和/或用于调节第一和第二构件之间的连接构件的长度的装置。

6. 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。

7. 发明申请

US20050125009A1 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US20050125009A1
公开(公告)日：2005-06-09
申请号：US10964007
申请日：2004-10-12
申请人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
发明人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
IPC分类号： A61B17/072 , A61B17/28 , A61B17/32 , B27F7/00 , B25C5/02 , B25C5/06
CPC分类号： A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

8. 发明申请

US20110105844A1 MANUALLY CONTROLLED ENDOSCOPE 有权
标题翻译：手动控制内窥镜
公开(公告)号：US20110105844A1
公开(公告)日：2011-05-05
申请号：US12851069
申请日：2010-08-05
申请人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
发明人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
IPC分类号： A61B1/005
CPC分类号： A61B1/0052 , A61B1/0055 , A61B1/0057 , A61M25/0147
摘要： A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.
摘要翻译：与可转向内窥镜装置一起使用的控制手柄。该内窥镜装置具有一对控制线来实现转向。控制手柄包括转向机构，其包括驱动地连接到诸如链轮或驱动齿轮的驱动构件的致动器，例如控制旋钮。为了将驱动构件的力传递到控制线，传动结构（例如胎圈链）的长度连接到控制线的近端并与驱动构件接合。在一个实施例中，可以提供一次性内窥镜，其包括控制手柄，可操纵的内窥镜装置和用于将控制手柄功能地连接到内窥镜成像系统的控制柜的脐带或通信导管。

9. 发明授权

US08366607B2 Manually controlled endoscope 有权
标题翻译：手动控制内窥镜
公开(公告)号：US08366607B2
公开(公告)日：2013-02-05
申请号：US12851069
申请日：2010-08-05
申请人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
发明人： Roy Sullivan , Eric Litscher , Vincent Turturro , Matt Whitney
IPC分类号： A61B1/00
CPC分类号： A61B1/0052 , A61B1/0055 , A61B1/0057 , A61M25/0147
摘要： A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.
摘要翻译：与可转向内窥镜装置一起使用的控制手柄。该内窥镜装置具有一对控制线来实现转向。控制手柄包括转向机构，其包括驱动地连接到诸如链轮或驱动齿轮的驱动构件的致动器，例如控制旋钮。为了将驱动构件的力传递到控制线，传动结构（例如胎圈链）的长度连接到控制线的近端并与驱动构件接合。在一个实施例中，可以提供一次性内窥镜，其包括控制手柄，可操纵的内窥镜装置和用于将控制手柄功能地连接到内窥镜成像系统的控制柜的脐带或通信导管。

10. 发明申请

US20070208250A1 Apparatus and Method for Performing a Tissue Resection Procedure 审中-公开
标题翻译：用于执行组织切除术的装置和方法
公开(公告)号：US20070208250A1
公开(公告)日：2007-09-06
申请号：US11734048
申请日：2007-04-11
申请人： Roy Sullivan
发明人： Roy Sullivan
IPC分类号： A61B5/05
CPC分类号： A61B17/320783 , A61B1/005 , A61B5/064 , A61B10/04 , A61B17/072 , A61B17/07207 , A61B90/30 , A61B90/36 , A61B90/39 , A61B2017/00119 , A61B2090/373 , A61B2090/376
摘要： An apparatus and a method for performing a medical procedure is disclosed. The apparatus includes a positioning system and a resection device disposed within the positioning system. The positioning system includes an imaging device, a video processor coupled to the imaging device, a computer coupled to the video processor, and a video display coupled to the computer. The method includes the steps of creating an image of a lesion within a patient's body on an imaging device. Data representative of the lesion image is processed by a video processor. Tissue margins around the lesion are defined by a processor based on the processed data representative of the lesion image and a resection device is operated during a resection procedure within the patient's body based upon the defined tissue margins.
摘要翻译：公开了一种用于执行医疗程序的装置和方法。该装置包括定位系统和设置在定位系统内的切除装置。定位系统包括成像设备，耦合到成像设备的视频处理器，耦合到视频处理器的计算机以及耦合到计算机的视频显示器。该方法包括以下步骤：在成像装置上创建患者体内病变的图像。代表病变图像的数据由视频处理器处理。病变周围的组织边缘由处理器基于代表病变图像的处理数据定义，并且根据所确定的组织边缘，在患者体内的切除过程期间操作切除装置。

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