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    • 2. 发明申请
    • METHODS FOR THE SURGICAL APPLICATION OF A FASTENER AND THE ENDOLUMINAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD)
    • 紧固件的外科应用方法和胃肠道反流病(GERD)的内分泌治疗
    • WO2004026350A3
    • 2004-10-14
    • PCT/US0329524
    • 2003-09-19
    • KORTENBACH JUERGEN ASIXTO ROBERT JRSMITH KEVIN W
    • KORTENBACH JUERGEN ASIXTO ROBERT JRSMITH KEVIN W
    • A61B17/064A61B17/068A61B17/28A61B17/08
    • A61B17/0643A61B17/068A61B17/29A61B2017/00827A61B2017/2905
    • A surgical instrument (200)includes an end effector (202) having a clevis (224) and first and second jaws (226, 228) mutually rotatable between open and closed positions. The jaws (226, 229) are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft (206) of the instrument. The jaws (226, 228) hold first and second parts (12, 14) of a fastener (10), respectively. The first part (12) includes a base (18) having upstanding tissue piercing posts (32, 34), and the second part (14) includes another base (54) defining apertures (58, 60) for receiving the posts (32, 34), as well as a portion (52) movable relative to the second base (54). When the upstanding posts (32, 34) are inserted into the apertures (58, 60), the movable portion (52) can be moved into a second configuration to lock the parts (12, 14) of the fastener (10) together. The instrument (200) is adapted to move the second part (14) into the second configuration.
    • 手术器械(200)包括具有U形夹(224)的端部执行器(202)和在打开位置和闭合位置之间可相互旋转的第一和第二钳口(226,228)。 钳口226,229)相对于仪器的控制轴(206)的纵向轴向近端地定向并横向移位。 夹爪(226,228)分别固定紧固件(10)的第一和第二部分(12,14)。 第一部分(12)包括具有直立的组织穿刺柱(32,34)的基部(18),并且第二部分(14)包括限定孔(58,60)的另一底座(54) 34)以及可相对于第二基座(54)移动的部分(52)。 当直立柱(32,34)插入到孔(58,60)中时,可移动部分(52)可以移动到第二构造中,以将紧固件(10)的部件(12,14)锁定在一起。 仪器(200)适于将第二部分(14)移动到第二配置中。