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21. 发明授权

US08197521B2 Fracture fixation plate for the proximal radius 有权
标题翻译：骨折固定板近端半径
公开(公告)号：US08197521B2
公开(公告)日：2012-06-12
申请号：US12261413
申请日：2008-10-30
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

22. 发明授权

US08080020B2 Methods for the surgical application of a fastener and the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：方法外科应用紧固件和腔内治疗胃食管反流病（GERD）
公开(公告)号：US08080020B2
公开(公告)日：2011-12-20
申请号：US12689772
申请日：2010-01-19
申请人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith
发明人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith
IPC分类号： A61B17/10
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及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。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

23. 发明授权

US08066721B2 Surgical clip application assembly 有权
标题翻译：手术夹应用程序组装
公开(公告)号：US08066721B2
公开(公告)日：2011-11-29
申请号：US11728536
申请日：2007-03-26
申请人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

24. 发明授权

US07867261B2 Bone plate with variable torsional stiffness at fixed angle holes 有权
标题翻译：在固定角度孔处具有可变扭转刚度的骨板
公开(公告)号：US07867261B2
公开(公告)日：2011-01-11
申请号：US11557429
申请日：2006-11-07
申请人： Robert Sixto, Jr. , Jose Luis Francese , Jorge L. Orbay
发明人： Robert Sixto, Jr. , Jose Luis Francese , Jorge L. Orbay
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/8085 , A61B2017/00004
摘要： A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.
摘要翻译：骨板包括至少一个扭转修改特征（TMF）。每个TMF被构造成降低板相对于纵向相对部分的扭转刚度，但是可以被修改以增加其上的扭转刚度。每个TMF由与板的侧面相邻的梁以及横向延伸的开口限定。在优选实施例中，相对的突出部延伸到开口中以限定用于接收插入件（例如固定螺钉）的螺纹不连续壁部分。在一个实施方案中，可以使用生物可吸收和/或生物活性插入物来暂时增加初始固定期间板的扭转刚度，此后具有降低的扭转刚度以模拟正常愈伤组织。该板最好与固定角紧固件一起使用，固定角紧固件可能在操作后经受高扭转载荷。

25. 发明申请

US20100137868A1 Method of implanting a modular fracture fixation system 有权
$Method of implanting a modular fracture fixation system$
标题翻译：植入模块化骨折固定系统的方法
公开(公告)号：US20100137868A1
公开(公告)日：2010-06-03
申请号：US12701062
申请日：2010-02-05
申请人： Jorge L. Orbay , Javier E. Castaneda , Robert Graham , Robert Sixto, JR. , Jose Luis Francese , Marcus Bourda , Edward Mebarak , Cesare Cavallazzi
发明人： Jorge L. Orbay , Javier E. Castaneda , Robert Graham , Robert Sixto, JR. , Jose Luis Francese , Marcus Bourda , Edward Mebarak , Cesare Cavallazzi
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/8042 , A61B17/8057 , A61B17/8061 , A61B2017/00004 , A61B2017/00477
摘要： A fracture fixation plate system for use on a long bone having a metaphysis and a diaphysis, includes at least one end plate having a head portion for the metaphysis, and at least one diaphyseal plate having a first end and a second end with a plurality of screw holes therebetween. The end plate includes mating structure adapted to mate with and securely couple to at least one end of the at least one diaphyseal plate. The system preferably includes several end plates and diaphyseal plates to accommodate anatomy of various sizes.
摘要翻译：一种在具有干ysis端和骨干的长骨上使用的骨折固定板系统，包括至少一个端板，其具有用于干ysis端的头部，以及至少一个骨干板，其具有第一端和具有多个螺丝孔。端板包括适于与至少一个干al板的至少一端配合并牢固地联接的配合结构。该系统优选地包括几个端板和骨干板，以适应各种尺寸的解剖结构。

26. 发明申请

US20090118769A1 Fracture Fixation Plate for the Proximal Radius 有权
标题翻译：用于近端半径的断裂固定板
公开(公告)号：US20090118769A1
公开(公告)日：2009-05-07
申请号：US12261413
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/70
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

27. 发明申请

US20080149685A1 Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease 有权
标题翻译：外科紧固件矫正器具特别适用于胃食管反流病的经口治疗
公开(公告)号：US20080149685A1
公开(公告)日：2008-06-26
申请号：US10846898
申请日：2004-05-13
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto
IPC分类号： A61B17/068 , A61B17/064
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to an axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having tissue-piercing posts, and the second part includes a second base defining apertures receiving the posts and a portion movable relative thereto between first and second orientations. When the posts are inserted into the apertures, the movable portion can be moved from the first unlocked orientation into the second configuration to lock the fastener parts together in an implanting position determined by various alignment measures, including markings or flags on the jaws or at the housing. The instrument is adapted to move the second part into the second configuration.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及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。夹钳相对于仪器的控制轴的轴线向近端引导和横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有组织穿刺柱的基部，并且第二部分包括限定接收柱的孔的第二基部和在第一和第二取向之间相对于其移动的部分。当柱插入孔中时，可移动部分可以从第一解锁方向移动到第二构造中，以将紧固件部件锁定在由各种对准措施确定的植入位置中，包括在钳口上的标记或标记住房。该仪器适于将第二部分移动到第二配置中。

28. 发明授权

US07357806B2 Clip ejector for endoscopic clip applier 有权
标题翻译：夹子用于内窥镜夹子施放器
公开(公告)号：US07357806B2
公开(公告)日：2008-04-15
申请号：US10867413
申请日：2004-06-14
申请人： Carlos Rivera , Kevin W. Smith , Thomas O. Bales , Robert Sixto, Jr. , Juergen A. Kortenbach , Scott Arp
发明人： Carlos Rivera , Kevin W. Smith , Thomas O. Bales , Robert Sixto, Jr. , Juergen A. Kortenbach , Scott Arp
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil, a manual actuator coupled to one end and a jaw assembly coupled to the other. A store of clips is arranged adjacent to the jaw assembly and a clip pusher adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member near the pusher such that rotation of the second control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括柔性线圈，联接到一端的手动致动器和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件通过线圈延伸到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着一部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件，使得第二控制构件通过曲柄的旋转使得推动器向远侧移动。

29. 发明申请

US20070265640A1 Surgical clip application assembly 有权
标题翻译：手术夹应用程序组装
公开(公告)号：US20070265640A1
公开(公告)日：2007-11-15
申请号：US11728536
申请日：2007-03-26
申请人： Juergen Kortenbach , Robert Sixto , Kevin Smith , Charles Slater , Saul Gottlieb
发明人： Juergen Kortenbach , Robert Sixto , Kevin Smith , Charles Slater , Saul Gottlieb
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

30. 发明申请

US20070010715A1 Tissue retractor and method for using the retractor 审中-公开
标题翻译：组织牵开器和使用牵开器的方法
公开(公告)号：US20070010715A1
公开(公告)日：2007-01-11
申请号：US11321684
申请日：2005-12-29
申请人： Robert Sixto , Juergen Kortenbach , Chris Martin , Jorge Pinos
发明人： Robert Sixto , Juergen Kortenbach , Chris Martin , Jorge Pinos
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00292 , A61B2017/00827 , A61B2017/047 , A61B2017/2927
摘要： A retractor for manipulating an object includes a body having proximal and distal ends, a retraction device, and an actuation device. The retraction device has a head connected to the distal end of the body, substantially rigid needles, and an actuator. The head has a pivot. The needles are pivotally connected to the head about the pivot. The actuator is operatively connected to the needles and is movably disposed within the head and/or the body. The actuation device is connected to the proximal end of the body. The actuation device is operatively connected to the actuator through the body and, upon actuation thereof, moves the actuator to selectively rotate the needles between a stowed position where the needles are stowed within the head and a fully extended position where the needles are extended out of the head.
摘要翻译：用于操纵物体的牵开器包括具有近端和远端的主体，缩回装置和致动装置。缩回装置具有连接到主体的远端的头部，基本刚性的针和致动器。头有一个枢轴。针头围绕枢轴可枢转地连接到头部。致动器可操作地连接到针并且可移动地设置在头部和/或主体内。致动装置连接到主体的近端。致动装置通过主体可操作地连接到致动器，并且在其致动时，使致动器移动以选择性地将针旋转在针被收纳在头部内的收起位置和针伸出的完全延伸位置之间头部。

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