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11. 发明授权

US08915934B2 Anastomosis system with anvil entry hole sealer 有权
标题翻译：吻合系统与砧进入孔密封
公开(公告)号：US08915934B2
公开(公告)日：2014-12-23
申请号：US11865893
申请日：2007-10-02
申请人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
发明人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
IPC分类号： A61B17/11 , A61B17/072 , A61B17/115 , A61B17/064 , A61B17/02 , A61B17/32 , A61B17/00 , A61B17/08 , A61B17/10 , A61B17/068 , A61B19/00 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译：用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器，其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处，使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口，其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。

12. 发明授权

US07300444B1 Surgical system and method for connecting hollow tissue structures 有权
标题翻译：用于连接中空组织结构的手术系统和方法
公开(公告)号：US07300444B1
公开(公告)日：2007-11-27
申请号：US10720618
申请日：2003-11-24
申请人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
发明人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
IPC分类号： A61B17/04 , A61B17/10 , A61B17/34 , A61B17/08 , A61B17/32 , A61F2/04
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for performing anastomosis between a graft vessel and a target vessel includes a tissue effector that may be configured to deploy a user-selectable number of connectors. The system includes an anvil that enters the wall of the target vessel through an entry hole that is spaced apart from the anastomosis site, and at least one anvil entry hole sealer may be utilized to substantially seal the anvil entry hole upon withdrawal of the anvil. The system may include a shield and a cutter, both of which are movable relative to the anvil, where the shield is configured to protect the graft vessel from the cutter. The cutter may include an incising element movable from a stowed position to an active position.
摘要翻译：用于在移植血管和靶血管之间进行吻合的系统包括组织执行器，其可被配置成部署用户可选择数量的连接器。该系统包括通过与吻合部位间隔开的进入孔进入靶容器壁的砧座，并且可以使用至少一个砧进入孔密封器来在砧座抽出时基本上密封砧座入口孔。该系统可以包括屏蔽件和切割器，两者都可相对于砧座移动，其中护罩被构造成保护移植物容器免受切割器的影响。切割器可以包括可从收起位置移动到活动位置的切割元件。

13. 发明授权

US08475474B2 Anastomosis method utilizing tool with fluid-driven actuator 有权
标题翻译：利用流体驱动致动器的吻合吻合方法
公开(公告)号：US08475474B2
公开(公告)日：2013-07-02
申请号：US12577589
申请日：2009-10-12
申请人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/0644 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0641 , A61B2017/07228 , A61B2017/07264 , A61B2017/1135 , A61B2017/2926 , A61B2017/2937 , A61B2017/2939 , A61B2017/320052 , A61B2090/037 , A61F2/064
摘要： A method of performing anastomosis between a graft vessel and a target vessel, each having a circumferential wall and a lumen therethrough, may include providing an anastomosis tool including a tissue effector and a fluid-driven actuator operationally connected to that tissue effector; connecting the fluid-driven actuator to an energy source; placing an end of the graft vessel in proximity to the side of the target vessel; and actuating the fluid-driven actuator to connect the end of the graft vessel to the side of the target vessel.
摘要翻译：一种在移植物血管和目标血管之间进行吻合的方法，每个具有周壁和通过其的腔，可以包括提供包括组织效应器和可操作地连接到该组织效应器的流体驱动致动器的吻合工具; 将流体驱动致动器连接到能量源; 将移植血管的末端放置在靶容器侧面附近; 并且致动流体驱动的致动器以将移植脉管的端部连接到目标血管的侧面。

14. 发明授权

US07682368B1 Anastomosis tool actuated with stored energy 有权
标题翻译：用储存能量启动吻合工具
公开(公告)号：US07682368B1
公开(公告)日：2010-03-23
申请号：US11054265
申请日：2005-02-09
申请人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/10
CPC分类号： A61B17/1152 , A61B17/0644 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0641 , A61B2017/07228 , A61B2017/07264 , A61B2017/1135 , A61B2017/2926 , A61B2017/2937 , A61B2017/2939 , A61B2017/320052 , A61B2090/037 , A61F2/064
摘要： An anastomosis tool may include a tissue effector having an anvil and a staple holder movable relative to one another, where that tissue effector may be movable from an open position to a closed position. A fluid-driven actuator may be utilized to move the tissue effector between those positions, and/or to deploy connectors from the staple holder when the tissue effector is in the closed position. The fluid-driven actuator may utilize pressurized gas stored in a cylinder or reservoir within the anastomosis tool. A separate clip applier may be used to close the entry hole made by the anvil in a target vessel.
摘要翻译：吻合工具可以包括具有砧座和可相对于彼此移动的缝钉保持器的组织执行器，其中组织效应器可以从打开位置移动到关闭位置。当组织执行器处于关闭位置时，流体驱动的致动器可以用于在这些位置之间移动组织效应器和/或从缝钉保持器展开连接器。流体驱动致动器可以利用存储在吻合工具内的气缸或容器中的加压气体。可以使用单独的夹具来封闭由目标容器中的砧座制成的入口孔。

15. 发明申请

US20100069934A1 Anastomosis Method Utilizing Tool with Fluid-Driven Actuator 有权
标题翻译：使用流体驱动致动器的吻合吻合方法
公开(公告)号：US20100069934A1
公开(公告)日：2010-03-18
申请号：US12577589
申请日：2009-10-12
申请人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
发明人： David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
IPC分类号： A61B17/11
CPC分类号： A61B17/1152 , A61B17/0644 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0641 , A61B2017/07228 , A61B2017/07264 , A61B2017/1135 , A61B2017/2926 , A61B2017/2937 , A61B2017/2939 , A61B2017/320052 , A61B2090/037 , A61F2/064
摘要： A method of performing anastomosis between a graft vessel and a target vessel, each having a circumferential wall and a lumen therethrough, may include providing an anastomosis tool including a tissue effector and a fluid-driven actuator operationally connected to that tissue effector; connecting the fluid-driven actuator to an energy source; placing an end of the graft vessel in proximity to the side of the target vessel; and actuating the fluid-driven actuator to connect the end of the graft vessel to the side of the target vessel.
摘要翻译：一种在移植物血管和目标血管之间进行吻合的方法，每个具有周壁和通过其的腔，可以包括提供包括组织效应器和可操作地连接到该组织效应器的流体驱动致动器的吻合工具; 将流体驱动致动器连接到能量源; 将移植血管的末端放置在靶容器侧面附近; 并且致动流体驱动的致动器以将移植脉管的端部连接到目标血管的侧面。

16. 发明授权

US08398653B2 Surgical method utilizing a soft-tipped anvil 有权
标题翻译：手术方法利用软烙铁头
公开(公告)号：US08398653B2
公开(公告)日：2013-03-19
申请号：US12968641
申请日：2010-12-15
申请人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
发明人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1152 , A61B2017/00946 , A61B2017/07257 , A61B2017/22042
摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.
摘要翻译：用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的所述刚性砧座的所述部分。

17. 发明授权

US08469253B1 Surgical staples attached to resorbable holder 失效
标题翻译：手术钉附着在可再吸收的支架上
公开(公告)号：US08469253B1
公开(公告)日：2013-06-25
申请号：US12435577
申请日：2009-05-05
申请人： Bryan D. Knodel , Bennie Thompson , Jinhoon Park , Nathan H. White , Michael Murillo , Yaeer E. Lev
发明人： Bryan D. Knodel , Bennie Thompson , Jinhoon Park , Nathan H. White , Michael Murillo , Yaeer E. Lev
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B2017/00004 , A61B2017/0688
摘要： One example of a surgical apparatus may include at least one resorbable feeder belt, and a plurality of staples fixed to that feeder belt. Another example of a surgical apparatus may include at least one feeder belt and at least one resorbable carrier detachably connected to a corresponding feeder belt, where the carrier includes a plurality of staples attached to it. An exemplary surgical method of treating tissue within the body of a patient may include providing a surgical instrument that includes an end effector moveable between an open configuration and a closed configuration, where the end effector includes an anvil and a staple holder pivotally connected to one another, where the anvil holds a knife; and at least one resorbable feeder belt and a plurality of staples fixed to the feeder belt, where the feeder belt extends into said staple holder; placing the end effector in proximity to tissue; deploying a plurality of staples into tissue; separating a distal segment of at least one feeder belt from a remainder of that feeder belt; and leaving that distal segment within the body of the patient.
摘要翻译：手术装置的一个实例可以包括至少一个可再吸收进给带，以及固定到该馈送带的多个钉。手术设备的另一示例可以包括至少一个馈送带和可拆卸地连接到相应馈送带的至少一个可再吸收的载体，其中所述载体包括附接到其上的多个钉。治疗患者体内的组织的示例性手术方法可以包括提供外科器械，其包括可在打开构型和闭合构型之间移动的端部执行器，其中末端执行器包括砧座和彼此枢转连接的钉仓铁砧拿着刀; 以及至少一个可再吸收馈送带和固定到所述馈送带的多个订书钉，所述馈送带延伸到所述订书钉保持器中; 将末端执行器放置在组织附近; 将多个钉放置在组织中; 将至少一个进料带的远端段与该进料带的其余部分分离; 并将该远侧段留在患者体内。

18. 发明授权

US07918376B1 Articulated surgical instrument 有权
标题翻译：铰接手术器械
公开(公告)号：US07918376B1
公开(公告)日：2011-04-05
申请号：US12400760
申请日：2009-03-09
申请人： Bryan D. Knodel , Bennie Thompson , Philipe R. Manoux , Nathan H. White
发明人： Bryan D. Knodel , Bennie Thompson , Philipe R. Manoux , Nathan H. White
IPC分类号： A61B17/064
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/2908 , A61B2017/2927 , A61B2017/2929
摘要： One example of a surgical instrument may include a handle, an end effector, and a shaft that connects the handle to the end effector, where the shaft includes an articulated region. At least one feeder belt may extend through the lumen of the shaft into the end effector, where at least one feeder belt may include at least one staple frangibly connected thereto.
摘要翻译：手术器械的一个实例可以包括手柄，末端执行器和将手柄连接到端部执行器的轴，其中轴包括铰接区域。至少一个进料带可以延伸穿过轴的内腔进入末端执行器，其中至少一个进给带可以包括与其易碎连接的至少一个钉。

19. 发明申请

US20120080497A1 Feeder Belt and Staples for Surgical Stapler 审中-公开
标题翻译：手术订书机的送料皮带和订书钉
公开(公告)号：US20120080497A1
公开(公告)日：2012-04-05
申请号：US13282759
申请日：2011-10-27
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
摘要： One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected.
摘要翻译：一个示例性手术装置可以包括至少一个载体，固定到相应的载体上的钉，以及至少一个载体被易碎地连接到的馈送带。

20. 发明授权

US08056789B1 Staple and feeder belt configurations for surgical stapler 有权
标题翻译：手术吻合器的装订和进给带配置
公开(公告)号：US08056789B1
公开(公告)日：2011-11-15
申请号：US12477834
申请日：2009-06-03
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要： One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected. Another exemplary surgical apparatus may include a staple holder, an anvil movably connected to the staple holder, a feeder belt, where at least part of the feeder belt extends into the staple holder, and staples fixed to and frangibly separable from the feeder belt; where the staples are organized into at least two groups spaced apart from one another; and where at least one staple is deployable to a different closed shape than at least one other staple. Another exemplary surgical apparatus may include a feeder belt, a first plurality of staples fixed directly to and frangibly separable from the feeder belt; a plurality of extension arms extending at least partially in the lateral direction away from the feeder belt; and a second plurality of staples each fixed to an extension arm at a location spaced laterally apart from the feeder belt.
摘要翻译：一个示例性手术装置可以包括至少一个载体，固定到相应的载体上的钉，以及至少一个载体被易碎地连接到的馈送带。另一种示例性的外科手术装置可以包括钉固定器，可移动地连接到钉固定器的砧座，给料带，其中进给带的至少一部分延伸到钉仓中，并且钉被固定到并可与进给带分离; 其中订书钉被组织成彼此间隔开的至少两个组; 并且其中至少一个订书钉可部署到与至少一个其他订书钉不同的封闭形状。另一个示例性的外科手术装置可以包括馈送带，第一组多个钉，其直接固定到并可与进给带分离; 多个延伸臂至少部分地沿横向方向延伸远离进料带; 以及第二多个钉，每个订书钉在与进给带横向间隔开的位置处固定到延伸臂。

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