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1. 发明申请

US20130012958A1 Surgical Device with Articulation and Wrist Rotation 审中-公开
标题翻译：手术装置与关节旋转
公开(公告)号：US20130012958A1
公开(公告)日：2013-01-10
申请号：US13543931
申请日：2012-07-09
申请人： Stanislaw Marczyk , Russell Pribanic , Kenneth W. Horton, JR.
发明人： Stanislaw Marczyk , Russell Pribanic , Kenneth W. Horton, JR.
IPC分类号： A61B19/00
CPC分类号： A61B17/2909 , A61B17/29 , A61B2017/00327 , A61B2017/291 , A61B2017/2929
摘要： A surgical instrument comprising a handle assembly, an elongated shaft, an end effector, a rotation mechanism, and an articulation mechanism is disclosed. The rotation mechanism is disposed in mechanical cooperation with the handle assembly and effects rotation of the end effector about the second longitudinal axis. The articulation mechanism is disposed in mechanical cooperation with the handle assembly and effects movement of the end effector from a first position where the first longitudinal axis is substantially aligned with the second longitudinal axis to a second position where the second longitudinal axis is displaced from the first longitudinal axis. The articulation mechanism comprises a first articulation control disposed in mechanical cooperation with the handle assembly, a first cable and a second cable. Actuation of the first articulation control in a first direction causes the first cable to move distally and causes the second cable to move proximally.
摘要翻译：公开了一种包括手柄组件，细长轴，端部执行器，旋转机构和关节运动机构的手术器械。旋转机构设置成与手柄组件机械配合，并且实现端部执行器围绕第二纵向轴线的旋转。关节运动机构与手柄组件机械协作地设置，并且实现末端执行器从第一纵向轴线基本上与第二纵向轴线对准的第一位置到第二位置的运动，第二纵向轴线与第一纵向轴线从第一纵向轴线纵轴。铰接机构包括与手柄组件机械配合设置的第一关节运动控制件，第一电缆和第二电缆。在第一方向上的第一关节运动控制的致动导致第一电缆向远侧移动并且使第二电缆向近侧移动。

2. 发明授权

US08708211B2 Powered surgical instrument with secondary circuit board 有权
标题翻译：带二次电路板的动力手术器械
公开(公告)号：US08708211B2
公开(公告)日：2014-04-29
申请号：US12689386
申请日：2010-01-19
申请人： Michael A. Zemlok , Stanislaw Marczyk , Adam J. Ross , Russell Pribanic
发明人： Michael A. Zemlok , Stanislaw Marczyk , Adam J. Ross , Russell Pribanic
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/282 , A61B18/1445 , A61B18/20 , A61B2017/00022 , A61B2017/00221 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/07285 , A61B2018/00577 , A61B2018/00595
摘要： A powered surgical apparatus, which is configured to engage tissue includes a handle assembly having proximal and distal portions, a movable portion operatively connected to the distal portion of the handle assembly, a tool assembly operatively coupled to the movable portion, a power source configured to supply electrical power, and a transmission system operatively associated with the power source. The movable portion is movable with respect to the handle assembly. The tool assembly is adapted to engage tissue. The transmission system is configured to transmit electrical power or signals between the handle assembly and the movable portion.
摘要翻译：构造成接合组织的动力手术装置包括具有近端部分和远端部分的手柄组件，可操作地连接到手柄组件的远端部分的可动部分，可操作地联接到可动部分的工具组件，被配置为提供电力，以及可操作地与电源相关联的传输系统。可移动部分可相对于手柄组件移动。工具组件适于接合组织。传输系统被配置为在手柄组件和可移动部分之间传输电力或信号。

3. 发明申请

US20120304438A1 Barbed Sutures 有权
标题翻译：带刺缝线
公开(公告)号：US20120304438A1
公开(公告)日：2012-12-06
申请号：US13149061
申请日：2011-05-31
申请人： Stanislaw Marczyk , Russell Pribanic
发明人： Stanislaw Marczyk , Russell Pribanic
IPC分类号： B23P11/00
CPC分类号： A61B17/06166 , A61B2017/00526 , A61B2017/06176 , B29C65/48 , Y10T29/49778 , Y10T29/49826 , Y10T29/53 , Y10T29/53313 , Y10T29/53348 , Y10T29/53352 , Y10T156/10
摘要： A system and method for affixing barbs on a suture are provided. In one embodiment, the system includes a suture supply mechanism for selectively retaining a length of suture and a barb supply mechanism for operably engaging a barb supply assembly including at least one barb. At least one of the suture supply mechanism and the barb supply mechanism are configured to approximate towards the other of the barb supply mechanism and suture supply mechanism to engage the at least one barb of the barb supply assembly with the suture of the suture supply assembly. Also provided are a barb for use in forming a barbed suture and a suture including at least one barb.
摘要翻译：提供了一种在缝线上贴上倒钩的系统和方法。在一个实施例中，系统包括用于选择性地保持一定长度的缝合线和倒钩供给机构的缝合线供应机构，用于可操作地接合包括至少一个倒钩的倒钩供给组件。缝合线供给机构和倒钩供给机构中的至少一个构造成朝向倒钩供给机构和缝合线供给机构中的另一个近似，以与缝合线供给组件的缝线接合倒钩供给组件的至少一个倒钩。还提供了用于形成有倒钩的缝合线的倒钩和包括至少一个倒钩的缝合线。

4. 发明申请

US20110087242A1 SUTURE CLIP APPLIER 有权
标题翻译： SUTURE夹具
公开(公告)号：US20110087242A1
公开(公告)日：2011-04-14
申请号：US12897868
申请日：2010-10-05
申请人： Russell Pribanic , Stanislaw Marczyk
发明人： Russell Pribanic , Stanislaw Marczyk
IPC分类号： A61B17/10
CPC分类号： A61B17/0487 , A61B2017/0488
摘要： Suture clip appliers, suture clips and methods of their use for securing sutures during an endoscopic or laparoscopic procedure are provided, wherein the method includes the steps of providing a suture clip applier having a working tip configured to retain and fire a suture clip; providing a suture clip having a biased closed configuration; loading the suture clip into the working tip of the clip applier; translating the suture clip distally relative to the working tip to a first position wherein the suture clip is splayed open; inserting a suture into the opened suture clip; and translating the suture clip distally relative to the working tip such that the suture clip is ejected from the working tip and biased to the closed configuration to close on and to retain the suture.
摘要翻译：提供缝合夹施夹器，缝线夹以及其在内窥镜或腹腔镜手术过程中用于固定缝合线的方法，其中所述方法包括以下步骤：提供具有构造成保持和发射缝合夹的加工尖端的缝合夹施加器; 提供具有偏置关闭构造的缝合夹; 将缝合夹装入夹具的工作尖端; 将所述缝合夹相对于所述工作尖端向远侧平移到第一位置，其中所述缝合夹被张开; 将缝合线插入打开的缝合夹中; 以及相对于所述工作尖端向远侧平移所述缝合夹，使得所述缝线夹从所述工作尖端弹出并偏压到所述闭合构型以闭合并保持所述缝合线。

5. 发明授权

US09610412B2 Internally pressurized medical devices 有权
公开(公告)号：US09610412B2
公开(公告)日：2017-04-04
申请号：US13020354
申请日：2011-02-03
申请人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
发明人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
IPC分类号： A61M13/00 , A61B17/072 , A61B17/34
CPC分类号： A61M13/00 , A61B17/07207 , A61B17/34 , A61B17/3474 , A61B2017/07271 , A61B2090/064 , A61M13/003 , A61M39/22 , A61M2205/3331
摘要： There are provided pressurized surgical instruments for use in pressurized surgical environments. The pressurized surgical instruments include pressurizing systems for maintaining a neutral or positive pressure flow within the surgical instrument during use. The pressurizing systems include a primary sensor for detecting the pressure of the surgical environment and a pressurizing mechanism for balancing the pressure of the surgical instrument with the surgical environment. The pressurizing mechanism includes a controller to receive and compare the signal sent from the primary sensor to the ambient or internal instrument pressure and a pressure delivery system to provide positive pressure to the interior of the surgical instrument in response to a signal received from the controller. The sources of pressure for the pressure delivery systems may be external or self contained within the surgical instrument.

6. 发明授权

US09241709B2 Barbed sutures 有权
公开(公告)号：US09241709B2
公开(公告)日：2016-01-26
申请号：US13149077
申请日：2011-05-31
申请人： Stanislaw Marczyk , Russell Pribanic
发明人： Stanislaw Marczyk , Russell Pribanic
IPC分类号： A61B17/04 , A61B17/06 , A61B17/00
CPC分类号： A61B17/06166 , A61B2017/00526 , A61B2017/06176
摘要： A system and method for affixing barbs on a suture are provided. In one embodiment, the system includes a suture supply mechanism for selectively retaining a length of suture and a barb supply mechanism for operably engaging a barb supply assembly including at least one barb. At least one of the suture supply mechanism and the barb supply mechanism are configured to approximate towards the other of the barb supply mechanism and suture supply mechanism to engage the at least one barb of the barb supply assembly with the suture of the suture supply assembly. Also provided are a barb for use in forming a barbed suture and a suture including at least one barb.

7. 发明授权

US08342378B2 One handed stapler 有权
标题翻译：单手订书机
公开(公告)号：US08342378B2
公开(公告)日：2013-01-01
申请号：US12792244
申请日：2010-06-02
申请人： Stanislaw Marczyk , Russell Pribanic , Adam J. Ross , Michael A. Zemlok
发明人： Stanislaw Marczyk , Russell Pribanic , Adam J. Ross , Michael A. Zemlok
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/1155 , A61B2017/00367 , A61B2017/00398 , A61B2017/2929
摘要： The present disclosure is directed to a surgical instrument, which includes a handle assembly and an elongate member having two jaw members. The second jaw member is movable in relation to the first jaw member between an open position and a closed position. The first jaw member is supported by the elongate body and contains a plurality of fasteners. The elongate member extends distally from the handle assembly and defines both a longitudinal axis and a distal portion. A switch is placed about the handle assembly to allow the handle assembly to operate in multiple modes.
摘要翻译：本公开涉及一种外科器械，其包括手柄组件和具有两个钳口构件的细长构件。第二钳口构件可相对于第一钳口构件在打开位置和关闭位置之间移动。第一钳口构件由细长主体支撑并且包含多个紧固件。细长构件从手柄组件向远侧延伸并且限定纵向轴线和远端部分。开关放置在手柄组件周围以允许手柄组件以多种模式操作。

8. 发明申请

US20120138659A1 Surgical Stapling Apparatus Having Articulation Mechanism 审中-公开
标题翻译：具有铰接机构的外科手术装置
公开(公告)号：US20120138659A1
公开(公告)日：2012-06-07
申请号：US13371836
申请日：2012-02-13
申请人： Stanislaw Marczyk , Russell Pribanic
发明人： Stanislaw Marczyk , Russell Pribanic
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/2915 , A61B2017/2916 , A61B2017/2927 , A61B2017/320052 , A61B2090/0811
摘要： An articulation mechanism for use with a surgical apparatus having an articulating tool assembly is described. The articulation mechanism includes a rotatable shaft which is fixedly secured to a disk defining a spiral groove or slot. A linearly movable translation member is provided and includes a pin which is received within the spiral groove such that rotation of the disk effects linear translation of the translation member. The configuration of the spiral groove can be selected to provide any desired ratio of angular rotation of the disk to linear advancement of the translation member. As such, the configuration of the spiral slot can be selected to provide a uniform rate of articulation of the tool assembly of the surgical apparatus or a variable rate of articulation.
摘要翻译：描述了一种与具有铰接工具组件的手术装置一起使用的关节运动机构。铰接机构包括可旋转的轴，其固定地固定到限定螺旋槽或槽的盘。提供线性移动的平移构件，并且包括容纳在螺旋槽内的销，使得盘的旋转影响平移构件的线性平移。可以选择螺旋槽的构造以提供盘的角度旋转与平移构件的线性前进的任何期望的比率。因此，可以选择螺旋槽的构造以提供外科手术装置的工具组件的相互连接的速度或可变的关节速率。

9. 发明申请

US20110218484A1 INTERNALLY PRESSURIZED MEDICAL DEVICES 有权
标题翻译：内部加压医疗器械
公开(公告)号：US20110218484A1
公开(公告)日：2011-09-08
申请号：US13020354
申请日：2011-02-03
申请人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
发明人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
IPC分类号： A61M13/00
CPC分类号： A61M13/00 , A61B17/07207 , A61B17/34 , A61B17/3474 , A61B2017/07271 , A61B2090/064 , A61M13/003 , A61M39/22 , A61M2205/3331
摘要： There are provided pressurized surgical instruments for use in pressurized surgical environments. The pressurized surgical instruments include pressurizing systems for maintaining a neutral or positive pressure flow within the surgical instrument during use. The pressurizing systems include a primary sensor for detecting the pressure of the surgical environment and a pressurizing mechanism for balancing the pressure of the surgical instrument with the surgical environment. The pressurizing mechanism includes a controller to receive and compare the signal sent from the primary sensor to the ambient or internal instrument pressure and a pressure delivery system to provide positive pressure to the interior of the surgical instrument in response to a signal received from the controller. The sources of pressure for the pressure delivery systems may be external or self contained within the surgical instrument.
摘要翻译：提供加压手术器械用于加压手术环境。加压手术器械包括用于在使用期间保持手术器械内的中性或正压力流的加压系统。加压系统包括用于检测手术环境的压力的主传感器和用于平衡外科器械的压力与外科手术环境的加压机构。加压机构包括控制器，用于接收和比较从主传感器发送到环境或内部仪器压力的信号，以及压力传送系统，以响应于从控制器接收的信号向外科器械的内部提供正压力。压力输送系统的压力来源可以是外部的或者自己包含在外科器械中。

10. 发明申请

US20110009704A1 Apparatus and Method for Transvaginal Surgery 有权
标题翻译：经阴道手术的装置与方法
公开(公告)号：US20110009704A1
公开(公告)日：2011-01-13
申请号：US12830762
申请日：2010-07-06
申请人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
发明人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/00278 , A61B2017/3445 , A61B2017/3454 , A61B2017/346 , A61B2017/3486 , A61B2017/3488
摘要： An access port for performing surgery transvaginally is provided. The access port includes an elongated flexible member having proximal and distal ends and a central portion therebetween, and a retention mechanism formed on the distal end of the elongated member. The retention mechanism includes a first configuration for inserting the distal end of the elongated member within an opening and a second configuration for selectively securing the elongated member within an opening. Also provided is a method of performing a transvaginal surgery. The method includes providing an access port including a retention mechanism configured to selectively retain the access port within the vagina of a patient, forming an incision in the wall of the vagina into the abdomen of the patient, inserting a distal end of the access port into the vagina and through the incision, and activating the retention mechanism to secure the distal end of the access port within the abdominal cavity of the patient.
摘要翻译：提供了一种经阴道镜进行手术的入口。进入端口包括细长的柔性构件，其具有近端和远端以及中间部分，以及形成在细长构件的远端上的保持机构。保持机构包括用于将细长构件的远端插入开口内的第一构造和用于选择性地将细长构件固定在开口内的第二构造。还提供了进行经阴道手术的方法。该方法包括提供一种进入端口，其包括保持机构，该保持机构构造成选择性地将入口端口保持在患者的阴道内，在阴道壁中形成切口进入患者腹部，将进入端口的远端插入阴道和通过切口，并且启动保持机构以将进入口的远端固定在患者的腹腔内。

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