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71. 发明公开

EP2237727A1 TISSUE RETRACTOR AND METHOD OF USE THEREOF 有权
标题翻译：组织牵开器
公开(公告)号：EP2237727A1
公开(公告)日：2010-10-13
申请号：EP09700358.6
申请日：2009-01-09
申请人： Nanyang Technological University , Insightra Medical, Inc.
发明人： SHARP, Bradley J. , NODA, Wayne A. , BELL, Stephen G.
IPC分类号： A61B17/02
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/00407 , A61B2017/0287
摘要： A tissue retractor is disclosed. The tissue retractor includes: a base support unit having an underside that is adapted to be conformable and to be removably attachable to a surface proximate to an incision; and a retractable member substantially inelastic in its central longitudinal axis and flexible in at least one axis deviating from said central longitudinal axis, wherein the retractable member is adapted to receive the mounting portion of an at least one tissue hook, the at least one tissue hook having a tissue engagement portion and a mounting portion, wherein the tissue engagement portion is capable of engaging tissue to be retracted, wherein said retractable member is retractable away from the incision, such that the tissue engagement portion of the tissue hook retracts tissue to which it is engaged, wherein said retractable member has a first end and a second end, wherein said retractable member is integrally formed with the base support unit via the first end, and wherein the second end of the retractable member has a securing mechanism for removably attaching the second end to a corresponding securing mechanism on the first end and/or the base support unit.

72. 发明授权

EP1872727B1 Manually driven surgical cutting and fastening instrument 有权
标题翻译：手动操作的外科切割和紧固器械
公开(公告)号：EP1872727B1
公开(公告)日：2010-09-08
申请号：EP07252583.5
申请日：2007-06-26
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Shelton IV, Frederick E. , Ouwerkerk, John N. , Morgan, Jerome R. , Swayze, Jeffrey S. , Timperman, Eugene L. , Fugikawa, Leslie M.
IPC分类号： A61B17/068 , A61B17/072 , A61B17/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/32 , A61B2017/00367 , A61B2017/00407 , A61B2017/07271 , A61B2017/07285 , B65B55/12

73. 发明公开

EP2158856A2 Endoscopic surgical clip applier with clip retention 有权转让
标题翻译：内窥镜手术施夹器夹保持
公开(公告)号：EP2158856A2
公开(公告)日：2010-03-03
申请号：EP09252055.0
申请日：2009-08-25
申请人： Tyco Healthcare Group LP
发明人： Sorrentino, Gregory , Whitfield, Kenneth H.
IPC分类号： A61B17/128
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译：提供了一种用于将手术夹子应用于身体组织的设备，并且该设备包括手柄组件; 轴组件，所述轴组件包括从所述手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹子; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在打开间隔状态和闭合接近状态之间移动; 以及推杆，所述推杆可往复运动地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远侧手术夹装载到所述钳口中并保持连接到所述壳体并且在钳口近似期间处于远侧前进位置。

74. 发明公开

EP2158855A1 Endoscopic surgical clip applier 有权转让
标题翻译：内窥镜手术施夹
公开(公告)号：EP2158855A1
公开(公告)日：2010-03-03
申请号：EP09252054.3
申请日：2009-08-25
申请人： Tyco Healthcare Group LP
发明人： Sorrentino, Gregory , Whitfield, Kenneth H.
IPC分类号： A61B17/128
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.

75. 发明公开

EP2158853A1 Endoscopic surgical clip applier with wedge plate 有权转让
标题翻译： Endoskopischer chirurgischer Klammerapplikator mit Keilplatte
公开(公告)号：EP2158853A1
公开(公告)日：2010-03-03
申请号：EP09252051.9
申请日：2009-08-25
申请人： Tyco Healthcare Group LP
发明人： Sorrentino, Gregory , Whitfield, Kenneth H.
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/0487 , A61B17/128 , A61B90/03 , A61B2017/00407 , A61B2017/0488 , A61B2090/034
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译：提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的状态和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远侧手术夹子装载到所述夹爪中并且保持连接到所述壳体并且在近似钳口期间处于远侧前进位置。

76. 发明公开

EP2057949A3 Articulation and Firing Force Mechanisms 有权
标题翻译：关节和射击力机制
公开(公告)号：EP2057949A3
公开(公告)日：2009-06-10
申请号：EP08253619.4
申请日：2008-11-05
申请人： Tyco Healthcare Group, LP
发明人： Viola, Frank J
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/00 , A61B17/07207 , A61B17/105 , A61B2017/003 , A61B2017/00407 , A61B2017/07214 , A61B2017/2902 , A61B2017/2917 , A61B2017/2923 , A61B2017/2927 , A61B2017/2937 , A61B2017/2943 , A61B2017/320052
摘要： There is provided a surgical instrument incorporating driving force mechanisms capable of transmitting a driving force through an articulated section (30) of the surgical instrument. In one embodiment, a series of racks (80,90) connect with a transfer gear (84) to pass forces around the articulated section. In an alternative embodiment a series of cable sections and wheels or pulleys are provided to transmit a driving force through the articulated section of the surgical instrument.
摘要翻译：提供了一种包含驱动力机构的手术器械，该驱动力机构能够通过手术器械的铰接部分（30）传输驱动力。在一个实施例中，一系列齿条（80,90）与传动齿轮（84）连接以围绕铰接部分传递力。在替代实施例中，提供一系列电缆部分和轮或滑轮以通过外科器械的铰接部分传递驱动力。

77. 发明公开

EP2051648A2 PUSH-OFF DRIVER AND METHOD FOR INSERTING BONE SCREWS 有权
标题翻译：螺丝刀使用设备用于分离的螺杆骨螺钉
公开(公告)号：EP2051648A2
公开(公告)日：2009-04-29
申请号：EP07841062.8
申请日：2007-08-17
申请人： Synthes GmbH
发明人： SAIDHA, Sean , STRAUSBAUGH, William , WOLF, Boyd, A.
IPC分类号： A61B17/88
CPC分类号： A61B17/7082 , A61B17/7032 , A61B17/7035 , A61B17/8615 , A61B17/862 , A61B17/888 , A61B17/8883 , A61B17/8886 , A61B2017/00407 , B25B23/0035 , B25B23/0042 , B25B23/101 , Y10S606/916
摘要： A driver (100) for inserting a bone screw comprising: a handle (160); a driver sleeve (130) comprising a releasing mechanism and one or more sliding members (136, 155); an inner driver (170) being releasably movable within the driver sleeve (130) and further comprising one or more recesses (171); wherein operation of the releasing mechanism permits the one or more sliding members (136, 155) to engage the one or more recesses (171) and permits the screw to be pushed off of the inner driver (170); wherein the one or more recesses (171) are configured to permit movement of the one or more sliding members (136, 155) in a direction along the longitudinal axis when engaged in the one or more recesses (171); and the one or more recesses (171) comprise a start preventing the one or more sliding members (136, 155) from further moving along the longitudinal axis towards the proximate end (175) of the inner driver (170) when the one or more sliding members (136, 155) are engaged in the one or more recesses (171).
摘要翻译：一种用于将骨螺钉，包括驱动器（100）：手柄（160）; 驾驶员套筒（130），其包括释放机构和一个或多个滑动件（136，155）; 在帧内驱动器（170）是所述驱动套筒（130），并且还包括一个或多个凹槽（171）内可释放地移动; 所述释放机构的worin手术允许所述一个或多个滑动构件（136，155），以接合所述一个或多个凹槽（171）并允许螺钉被推离内驱动器（170）的; worin所述一个或多个凹部（171）被配置为沿着所述纵向轴线允许的方向上的一个或多个滑动构件的移动（136，155）当接合时在所述一个或多个凹部（171）; 以及所述一个或多个凹部（171）包括开始从沿着所述纵向轴线朝向所述内部驱动器（170）的近端（175）进一步移动防止所述一个或多个滑动构件（136，155）在所述一个或多个滑动部件（136，155）被接合在所述一个或多个凹部（171）。

78. 发明公开

EP1839589A3 Surgical suturing apparatus with needle release system 有权
标题翻译：该手术器械用针去除系统
公开(公告)号：EP1839589A3
公开(公告)日：2008-07-16
申请号：EP07251429.2
申请日：2007-03-30
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Stokes, Michael J. , Zeiner, Mark S. , Shelton, IV Frederick E. , Ortiz, Mark S.
IPC分类号： A61B17/04
CPC分类号： A61B1/005 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0493 , A61B17/06066 , A61B17/062 , A61B34/20 , A61B90/36 , A61B2017/00022 , A61B2017/00292 , A61B2017/00296 , A61B2017/00407 , A61B2017/00469 , A61B2017/00477 , A61B2017/00561 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： A surgical suturing apparatus includes a suture housing (814), a needle (828) mounted within the suture housing for movement about an arcuate path, and a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue. The suture housing has an open position and a closed position, and the needle can be removed from the suture housing when in the open position.

79. 发明公开

EP1933790A2 NON-BALLOON LOW PROFILE FEED DEVICE WITH INSERTION/REMOVAL TOOL 有权转让
标题翻译： LOW PROFILE馈线不与INTR /移除工具气球
公开(公告)号：EP1933790A2
公开(公告)日：2008-06-25
申请号：EP06814782.6
申请日：2006-09-15
申请人： Applied Medical Technology Inc.
发明人： WILLIAMS, Derek, M. , PHILLIPS, Grant, W.
IPC分类号： A61F11/00
CPC分类号： A61J15/0046 , A61B17/3415 , A61B2017/00407 , A61B2090/0811 , A61J15/0015 , A61J15/0038 , A61J15/0065 , A61J15/0092
摘要： A device for inserting a non-balloon gastrostomic device through an opening in the wall of the abdomen and stomach or other viscera of a patient is provided. The insertion device comprises a body, a stylus, and a trigger device being adapted to selectively maintain a selected position of the stylus relative to the body without the use of an external force. A method of inserting the gastrostomic device utilizing the insertion tool is also provided. In addition or alternatively, a gastrostomic device is provided including a hollow tube member and an enlarged resiliently deformable tip at one end of the tube member. The deformable tip is deformable between a first configuration and a second configuration, each configuration having a cross- sectional area. In addition or alternatively, a method is provided for forming the gastrostomic device using a disposable core.

80. 发明公开

EP1913881A1 Apparatus for applying surgical clips 有权转让
标题翻译：用于设置外科钉
公开(公告)号：EP1913881A1
公开(公告)日：2008-04-23
申请号：EP07253905.9
申请日：2007-10-02
申请人： Tyco Healthcare Group, LP
发明人： Aranyi, Ernest , Whitfield, Kenneth H. , Sorrentino, Gregory , Li, Jeremy
IPC分类号： A61B17/128
CPC分类号： A61B17/105 , A61B17/10 , A61B17/1285 , A61B2017/00407
摘要： An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.

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