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11. 发明授权

US5997533A RF pressure activated instrument 失效
标题翻译： RF压力激活仪器
公开(公告)号：US5997533A
公开(公告)日：1999-12-07
申请号：US16811
申请日：1998-01-30
申请人： Jesse J. Kuhns
发明人： Jesse J. Kuhns
IPC分类号： A61B18/14 , A61B17/36
CPC分类号： A61B18/1402 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B2018/124
摘要： An electrosurgical instrument includes a housing and a first connector in the housing for receiving electrical energy. A shaft assembly is movably connected to the housing. The shaft assembly also includes at least one electrode at a distal end of the shaft assembly as well as at least one conductive portion for passing the electrical energy to the electrode. A spring is positioned between the shaft assembly and the housing for biasing the shaft assembly a distance away from the first connector. The distance defines a pre-determined gap between the first connector and the shaft assembly. The shaft assembly is proximally movable in the housing upon an application of force at the shaft assembly distal end for compressing the spring such that the conductive portion traverses the predetermined gap such that electrical energy is passed from the first connector to the electrode through the conductive portion.
摘要翻译：电外科器械包括壳体和壳体中用于接收电能的第一连接器。轴组件可移动地连接到壳体。轴组件还包括在轴组件的远端处的至少一个电极以及用于将电能传递到电极的至少一个导电部分。弹簧定位在轴组件和壳体之间，用于使轴组件偏离离开第一连接器的距离。距离限定了第一连接器和轴组件之间的预定间隙。轴组件在轴组件远端处施加力时在壳体中可向近侧移动以压缩弹簧，使得导电部分穿过预定间隙，使得电能从第一连接器通过导电部分传递到电极。

12. 发明授权

US08435231B2 Positioning device for deploying at least one locking portion of an anastomotic device and method for carrying out anastomosis in tracts of the digestive tube 有权
标题翻译：用于部署吻合装置的至少一个锁定部分的定位装置和用于在消化管的束中进行吻合的方法
公开(公告)号：US08435231B2
公开(公告)日：2013-05-07
申请号：US12159003
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/00
CPC分类号： A61B17/0643 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50). A head (52) of the positioning device is suitable to be interference-inserted on a distal end of the elongated structure (50). The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).
摘要翻译：一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

13. 发明授权

US08353847B2 Method for endoluminally or laparoscopically excising a tissue sample from areas in a patient's body, traction means and kit 有权
标题翻译：用于从患者体内的区域，牵引装置和试剂盒内部或腹腔镜切除组织样品的方法
公开(公告)号：US08353847B2
公开(公告)日：2013-01-15
申请号：US12279544
申请日：2006-11-27
申请人： Jesse J. Kuhns , Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Brian James Thompson
发明人： Jesse J. Kuhns , Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Brian James Thompson
IPC分类号： A61B10/00 , A61B17/10 , A61B17/32 , A61B17/04
CPC分类号： A61B10/06 , A61B1/00135 , A61B1/018 , A61B10/04 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/3496 , A61B2017/00269 , A61B2017/32004 , A61B2017/320064
摘要： Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.
摘要翻译：用于切除包括远端部分（14a）的组织样本的牵引装置（14），包括至少一个适于固定到要切除的组织的一部分（12）的夹子（20）和近端部分（14b）适合被牵引。所述至少一个夹子（20）适于连接到缝合线（22）的远端（22a）以拉动要切除的组织，所述缝合线（22）在所述远端（22a）和近端端部对应于所述牵引装置（14）的近端部分。此外，所述至少一个夹子（20）连接到形成在所述缝合线（22）的远端（24a）处的环（24），以拉动要切除的组织。

14. 发明授权

US08187289B2 Device and method for the therapy of obesity 有权
标题翻译：用于治疗肥胖症的装置和方法
公开(公告)号：US08187289B2
公开(公告)日：2012-05-29
申请号：US11662010
申请日：2005-06-16
申请人： Roberto Tacchino , Federico Bilotti , Michele D'Arcangelo , Jesse J. Kuhns , Michael F. Clem
发明人： Roberto Tacchino , Federico Bilotti , Michele D'Arcangelo , Jesse J. Kuhns , Michael F. Clem
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/00862 , A61B2017/0404 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A device for drawing tissues together and creating an anastomosis comprises a main guide wire (66, 86) suitable to receive and draw anastomotic devices (10; 16; 24) in order to draw together portions (A; B) of tissues to be joined by means of anastomosis. The main guide wire (66, 86) is suitable to be shaped like an open ring crossing the portions (A, A′; B, B′) of tissues to be joined by means of anastomosis (66, 86), wherein the ends of the main guide wire (66, 86) are different and distinguishable from each other. The main guide wire (66, 86) has a tubular or hollow structure suitable to house at least one needle for a push or radiofrequency perforation of the tissues.
摘要翻译：用于将组织一起拉伸并产生吻合的装置包括适于接收和拉伸吻合装置（10; 16; 24）的主导丝（66,86），以将待连接的组织的部分（A; B）通过吻合。主引导线（66,86）适于成形为与通过吻合（66,86）连接的组织的部分（A，A'; B，B'）相交的开环，其中末端的主导丝（66,86）彼此不同且可区分。主导丝（66,86）具有管状或中空结构，适于容纳至少一个针，用于组织的推动或射频穿孔。

15. 发明申请

US20110130775A1 Device and Method for the Therapy of Obesity 有权
标题翻译：用于治疗肥胖症的装置和方法
公开(公告)号：US20110130775A1
公开(公告)日：2011-06-02
申请号：US11662010
申请日：2005-06-16
申请人： Roberto Tacchino , Federico Bilotti , Michele D'Arcangelo , Jesse J. Kuhns , Michael F. Clem
发明人： Roberto Tacchino , Federico Bilotti , Michele D'Arcangelo , Jesse J. Kuhns , Michael F. Clem
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/00862 , A61B2017/0404 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A device for drawing tissues together and creating an anastomosis comprises a main guide wire (66, 86) suitable to receive and draw anastomotic devices (10; 16; 24) in order to draw together portions (A; B) of tissues to be joined by means of anastomosis. The main guide wire (66, 86) is suitable to be shaped like an open ring crossing the portions (A, A′; B, B′) of tissues to be joined by means of anastomosis (66, 86), wherein the ends of the main guide wire (66, 86) are different and distinguishable from each other. The main guide wire (66, 86) has a tubular or hollow structure suitable to house at least one needle for a push or radiofrequency perforation of the tissues.
摘要翻译：用于将组织一起拉伸并产生吻合的装置包括适于接收和拉伸吻合装置（10; 16; 24）的主导丝（66,86），以将待连接的组织的部分（A; B）通过吻合。主引导线（66,86）适于成形为与通过吻合（66,86）连接的组织的部分（A，A'; B，B'）相交的开环，其中末端的主导丝（66,86）彼此不同且可区分。主导丝（66,86）具有管状或中空结构，适于容纳至少一个针，用于组织的推动或射频穿孔。

16. 发明申请

US20080302855A1 Device and Method for the Thereapy of Obesity 有权
标题翻译：肥胖治疗的装置和方法
公开(公告)号：US20080302855A1
公开(公告)日：2008-12-11
申请号：US11662029
申请日：2005-06-17
申请人： Federico Bilotti , Michele D'Arcangelo , Roberto Tacchino , Jesse J. Kuhns
发明人： Federico Bilotti , Michele D'Arcangelo , Roberto Tacchino , Jesse J. Kuhns
IPC分类号： A61B17/04 , A61B19/00
CPC分类号： A61B17/11 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/1103 , A61B2017/1135
摘要： An anastomotic device, particularly a circular stapler (10), comprises a handle (12) and a stem (14). A channel suitable to receive a guide wire at least partially develops along the length of the stapler. The stem (14) is made of a flexible material, such as to facilitate reaching the site requiring anastomosis. The circular stapler (10) comprises an anvil (16) suitable to be introduced on the free end of the stem (14). The anvil (16) comprises a channel (22) suitable to receive a guide wire (66) and extending along the anvil, and a portion (20) suitable to act as a striker against the wall of one of the portions (A; B) of the tissues to be joined.
摘要翻译：吻合装置，特别是圆形缝合器（10），包括手柄（12）和杆（14）。适于接收导丝的通道沿着缝合器的长度至少部分地形成。杆（14）由柔性材料制成，以便于到达需要吻合的部位。圆形订书机（10）包括适于引入杆（14）的自由端的砧座（16）。砧座（16）包括适于接收导丝（66）并沿着砧座延伸的通道（22），以及适于作为撞击器抵靠在其中一个部分（A; B）的壁上的部分）要接合的组织。

17. 发明授权

US09173546B2 Diagnostic device for tubular anatomical structures 有权
标题翻译：用于管状解剖结构的诊断装置
公开(公告)号：US09173546B2
公开(公告)日：2015-11-03
申请号：US10579014
申请日：2004-11-16
申请人： Jesse J. Kuhns , Michele D'Arcangelo , Federico Bilotti , Antonio Longo
发明人： Jesse J. Kuhns , Michele D'Arcangelo , Federico Bilotti , Antonio Longo
IPC分类号： A61M29/00 , A61B1/00 , A61B1/31 , A61B1/32
CPC分类号： A61B1/00085 , A61B1/00087 , A61B1/31 , A61B1/32
摘要： A diagnostic device (10) for pathologies of tubular anatomical structures comprises a tubular elongated structure (12, 28) developing between a proximal end and a distal end and is adapted to be inserted in the tubular anatomical structure, means (22) for locally dilating the walls of the tubular anatomical structure being associated with the distal end of said elongated structure, said means for locally dilating being movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology, and control means being associated with the proximal end of the elongated structure, said control means being operatively connected to said means for locally dilating, in order to move them between the closed position and the open position, and vice versa.
摘要翻译：用于管状解剖结构病理的诊断装置（10）包括在近端和远端之间形成的管状细长结构（12,28），并适于插入管状解剖结构中，用于局部扩张的装置（22）所述管状解剖结构的壁与所述细长结构的远端相关联，所述用于局部扩张的装置可在用于引入装置的关闭位置和用于观察和评估病理的至少一个打开位置之间移动，以及控制装置与所述细长结构的近端相关联，所述控制装置可操作地连接到所述用于局部扩张的装置，以便在关闭位置和打开位置之间移动它们，反之亦然。

18. 发明授权

US08540739B2 Anastomotic device 有权
标题翻译：吻合装置
公开(公告)号：US08540739B2
公开(公告)日：2013-09-24
申请号：US12159002
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/068 , A61B2017/1103 , A61B2017/1139
摘要： An anastomotic device (10) is suitable for approximating and keeping close to each other a first tissue portion (12) and a second tissue portion (14) intended to form an anastomosis. The anastomotic device (10) comprises an abutment portion (18) suitable for the abutment against a surface of the first tissue portion (12) and a locking portion (20) suitable for being placed opposite the abutment portion (18) with respect to the first and second tissue portion (12, 14). The locking portion (20) and the abutment portion (18) are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device (10) is suitable for being connected to a guide means comprising at least one guide wire (A, B).
摘要翻译：吻合装置（10）适于近似并保持彼此接近用于形成吻合的第一组织部分（12）和第二组织部分（14）。吻合装置（10）包括适于抵靠第一组织部分（12）的表面的抵接部分（18）和适于相对于邻接部分（18）相对于第二组织部分（12）相对放置的锁定部分（20）第一和第二组织部分（12,14）。锁定部分（20）和邻接部分（18）通过近似的第一和第二组织部分相互连接，以保持连接。吻合装置（10）适于连接到包括至少一根导丝（A，B）的引导装置。

19. 发明授权

US07771396B2 Intubation device for enteral feeding 有权
标题翻译：肠内喂养插管装置
公开(公告)号：US07771396B2
公开(公告)日：2010-08-10
申请号：US11386484
申请日：2006-03-22
申请人： David Stefanchik , James T. Spivey , Omar Vakharia , Jesse J. Kuhns , Rick D. Applegate
发明人： David Stefanchik , James T. Spivey , Omar Vakharia , Jesse J. Kuhns , Rick D. Applegate
IPC分类号： A61B1/00 , A61M5/00
CPC分类号： A61B17/3415 , A61B1/00073 , A61B1/0014 , A61B1/2736 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/003 , A61J15/0038 , A61J15/0061 , A61J15/0069
摘要： An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation device further includes a tissue bolster disposed on the proximal portion of the tube and changeable between a collapsed and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster is securable against the inner gastric wall when the tissue bolster is in the expanded configuration.
摘要翻译：插管装置被提供用于具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲基本上与内窥镜的弯曲脱离。插管装置包括细长的柔性管和连接到管并适于滑动地接合内窥镜外部的轨道的配合构件。插管装置还包括设置在管的近端部分上的组织垫，并且可以在折叠和膨胀构型之间改变。管可以定位在患者的上胃肠道内，使得管的近端通过患者的胃和腹壁被外部化，并且其中当组织垫在其中时，组织垫可抵靠胃内壁固定扩展配置。

20. 发明申请

US20100069932A1 ANASTOMOTIC DEVICE 有权
标题翻译：分析装置
公开(公告)号：US20100069932A1
公开(公告)日：2010-03-18
申请号：US12159002
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/068 , A61B2017/1103 , A61B2017/1139
摘要： An anastomotic device (10) is suitable for approximating and keeping close to each other a first tissue portion (12) and a second tissue portion (14) intended to form an anastomosis. The anastomotic device (10) comprises an abutment portion (18) suitable for the abutment against a surface of the first tissue portion (12) and a locking portion (20) suitable for being placed opposite the abutment portion (18) with respect to the first and second tissue portion (12, 14). The locking portion (20) and the abutment portion (18) are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device (10) is suitable for being connected to a guide means comprising at least one guide wire (A, B).
摘要翻译：吻合装置（10）适于近似并保持彼此接近用于形成吻合的第一组织部分（12）和第二组织部分（14）。吻合装置（10）包括适于抵靠第一组织部分（12）的表面的抵接部分（18）和适于相对于邻接部分（18）相对于第二组织部分（12）相对放置的锁定部分（20）第一和第二组织部分（12,14）。锁定部分（20）和邻接部分（18）通过近似的第一和第二组织部分相互连接，以保持连接。吻合装置（10）适于连接到包括至少一根导丝（A，B）的引导装置。

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