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21. 发明申请

US20070233161A1 DEVICES AND METHODS FOR PLACEMENT OF PARTITIONS WITHIN A HOLLOW BODY ORGAN 审中-公开
标题翻译：在中空身体器官中放置部分的装置和方法
公开(公告)号：US20070233161A1
公开(公告)日：2007-10-04
申请号：US11760687
申请日：2007-06-08
申请人： Gary Weller , Alex Roth , Christopher Julian , James Gannoe , Andrew Hancock , Craig Gerbi , Crystine Lee
发明人： Gary Weller , Alex Roth , Christopher Julian , James Gannoe , Andrew Hancock , Craig Gerbi , Crystine Lee
IPC分类号： A61B17/10 , A61B17/50
CPC分类号： A61B17/072 , A61B17/0218 , A61B17/07207 , A61B17/105 , A61B17/29 , A61B17/3474 , A61B90/92 , A61B2017/00278 , A61B2017/003 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/306 , A61B2090/0811 , A61F5/0086
摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position relative to one another, and the cartridge member is re-loadable with a removable staple cartridge to form multiple plications within the organ with the same tissue treatment device.
摘要翻译：描述用于组织采集和固定或胃成形术的装置和方法。通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。药筒构件和砧座构件可在相对于彼此的关闭位置和打开位置之间移动，并且药筒构件可再用可拆卸钉仓重新装载，以在具有相同组织处理装置的器官内形成多次发。。

22. 发明申请

US20060106288A1 Remote tissue retraction device 审中-公开
标题翻译：远程组织回缩装置
公开(公告)号：US20060106288A1
公开(公告)日：2006-05-18
申请号：US10991140
申请日：2004-11-17
申请人： Alex Roth , Gary Weller , James Gannoe , Craig Gerbi , Christopher Julian , Andrew Hancock
发明人： Alex Roth , Gary Weller , James Gannoe , Craig Gerbi , Christopher Julian , Andrew Hancock
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/072 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00827 , A61B2017/07214 , A61B2017/306
摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a retractor section disposed at or near the distal end. The retractor section is adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The retraction device can be configured for use with a second therapeutic device or such a therapeutic device may have a retraction device integrated within it or adapted for cooperative use therewith.
摘要翻译：用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。医疗装置包括具有近端和远端的细长主体和设置在远端处或附近的牵开器部分。牵开器部分适于从输送位置移动到缩回位置以移动或管理胃的组织。缩回装置可以被配置为与第二治疗装置一起使用，或者这种治疗装置可以具有集成在其中的或适于与其协作使用的缩回装置。

23. 发明申请

US20050256533A1 Single fold device for tissue fixation 有权
标题翻译：用于组织固定的单折装置
公开(公告)号：US20050256533A1
公开(公告)日：2005-11-17
申请号：US11107382
申请日：2005-04-15
申请人： Alex Roth , Andrew Hancock , Gary Weller , Gilbert Mata , Craig Gerbi , James Gannoe , Christopher Julian
发明人： Alex Roth , Andrew Hancock , Gary Weller , Gilbert Mata , Craig Gerbi , James Gannoe , Christopher Julian
IPC分类号： A61B20060101 , A61B17/072 , A61B17/08 , A61B17/11 , A61B17/28 , A61B17/32
CPC分类号： A61F5/0083 , A61B1/3132 , A61B17/07207 , A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/003 , A61B2017/00323 , A61B2017/0034 , A61B2017/00353 , A61B2017/00876 , A61B2017/00946 , A61B2017/07214 , A61B2017/1103 , A61B2017/2905 , A61B2017/306 , A61B2090/08021 , A61F5/005 , A61F5/0076
摘要： A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.
摘要翻译：本文描述了用于组织近似和固定的系统。装置以微创方式在患者身体内前进，以在中空身体器官内产生一个或多个分裂或症状。该系统包括具有组织采集构件和组织固定构件的吻合器组件。缝合器组件使用采集构件从中空身体器官内的组织近似，然后将近似组织固定在固定构件上。在一种方法中，该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。

24. 发明申请

US20070167960A1 Devices and methods for placement of partitions within a hollow body organ 有权
标题翻译：在空心体器官中放置隔板的装置和方法
公开(公告)号：US20070167960A1
公开(公告)日：2007-07-19
申请号：US11648708
申请日：2006-12-29
申请人： Alex Roth , Andrew Hancock , Chris Pamichev , John Gaiser , Gary Weller , Christopher Julian , James Gannoe , Craig Gerbi , Crystine Lee
发明人： Alex Roth , Andrew Hancock , Chris Pamichev , John Gaiser , Gary Weller , Christopher Julian , James Gannoe , Craig Gerbi , Crystine Lee
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/0218 , A61B17/072 , A61B17/07207 , A61B17/29 , A61B17/3474 , A61B90/92 , A61B2017/00278 , A61B2017/003 , A61B2017/00557 , A61B2017/07214 , A61B2017/07242 , A61B2017/0725 , A61B2017/306 , A61B2090/0811 , A61F5/0083
摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position, and a moveable barrier is disposed between the cartridge and anvil members to help acquire a dual fold of tissue. The tissue treatment device can be repositioned to form multiple plications within the organ.
摘要翻译：描述用于组织采集和固定或胃成形术的装置和方法。通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。盒构件和砧构件可在关闭位置和打开位置之间移动，并且可移动屏障设置在盒和砧座构件之间，以帮助获得组织的双重折叠。组织处理装置可以重新定位以在器官内形成多次发作。

25. 发明申请

US20060122462A1 Remote tissue retraction device 有权
公开(公告)号：US20060122462A1
公开(公告)日：2006-06-08
申请号：US11282320
申请日：2005-11-17
申请人： Alex Roth , Craig Gerbi , Andrew Hancock , Gary Weller , Christopher Julian , James Gannoe
发明人： Alex Roth , Craig Gerbi , Andrew Hancock , Gary Weller , Christopher Julian , James Gannoe
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/072 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00827 , A61B2017/07214 , A61B2017/306
摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

26. 发明申请

US20060151568A1 Devices and methods for placement of partitions within a hollow body organ 有权
标题翻译：在空心体器官中放置隔板的装置和方法
公开(公告)号：US20060151568A1
公开(公告)日：2006-07-13
申请号：US11324135
申请日：2005-12-29
申请人： Gary Weller , Alex Roth , Christopher Julian , James Gannoe , Andrew Hancock , Craig Gerbi , Crystine Lee
发明人： Gary Weller , Alex Roth , Christopher Julian , James Gannoe , Andrew Hancock , Craig Gerbi , Crystine Lee
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B17/0218 , A61B17/07207 , A61B17/105 , A61B17/29 , A61B17/3474 , A61B90/92 , A61B2017/00278 , A61B2017/003 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/306 , A61B2090/0811 , A61F5/0086
摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position relative to one another, and the cartridge member is re-loadable with a removable staple cartridge to form multiple plications within the organ with the same tissue treatment device.
摘要翻译：描述用于组织采集和固定或胃成形术的装置和方法。通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。药筒构件和砧座构件可在相对于彼此的关闭位置和打开位置之间移动，并且药筒构件可再用可拆卸钉仓重新装载，以在具有相同组织处理装置的器官内形成多次发。。

27. 发明申请

US20060052664A1 Connector device for a controllable instrument 有权
标题翻译：用于可控仪器的连接器装置
公开(公告)号：US20060052664A1
公开(公告)日：2006-03-09
申请号：US10988212
申请日：2004-11-12
申请人： Christopher Julian , Amir Belson , Aaron Brown , Mark Harasym , Marc Kreidler , Robert Ohline , Scott Reiner , Enrique Romo , Charles Swinehart , Katherine Whitin
发明人： Christopher Julian , Amir Belson , Aaron Brown , Mark Harasym , Marc Kreidler , Robert Ohline , Scott Reiner , Enrique Romo , Charles Swinehart , Katherine Whitin
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/0016 , A61B1/0053 , A61B1/0055 , A61B1/0057 , A61B1/008 , A61B1/31 , A61B2017/003 , A61B2017/00477
摘要： A connector assembly for controllable articles is described herein The connector assembly engages force transmission elements used to transmit force from one or more force generators with the force transmission elements used to manipulate a controllable article. Additionally, the connector assembly provides organization thereby simplifying the process of connecting a plurality of elements, usually with a quick, single movement.
摘要翻译：本文描述了用于可控制品的连接器组件。连接器组件接合用于从一个或多个力发生器传递力的力传递元件与用于操纵可控制品的力传递元件。另外，连接器组件提供组织，从而简化了通常以快速单一运动连接多个元件的过程。

28. 发明申请

US20070093792A1 In vivo accessories for minimally invasive robotic surgery 有权
标题翻译：用于微创机器人手术的体内附件
公开(公告)号：US20070093792A1
公开(公告)日：2007-04-26
申请号：US11522852
申请日：2006-09-18
申请人： Christopher Julian , Daniel Wallace , Frederic Moll , Dean Hoornaert , David Rosa , John Freund , John Hill
发明人： Christopher Julian , Daniel Wallace , Frederic Moll , Dean Hoornaert , David Rosa , John Freund , John Hill
IPC分类号： A61B17/00
CPC分类号： A61B18/18 , A61B1/00149 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/06061 , A61B17/062 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B17/54 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/72 , A61B34/76 , A61B90/36 , A61B90/361 , A61B2017/00252 , A61B2017/00287 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135 , A61B2017/2825 , A61B2017/2829 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/2937 , A61B2017/294 , A61B2017/2946 , A61B2034/305 , B66C23/48
摘要： Surgical accessories are presented in vivo and used by surgical tools in the surgical site to perform additional tasks without the need to remove the tools from the surgical site for tool change or instrument loading. Examples of in vivo accessories include fastening accessories such as surgical clips for use with a clip applier, single working member accessories such as a blade which can be grasped and manipulated by a grasping tool for cutting, sheath accessories that fit over working members of a tool, flow tubes for providing suction or introducing a fluid into the surgical site, and a retraction member resiliently biased to retract a tissue to expose an area in the surgical site for treatment. The accessories can be introduced into the surgical site by a dedicated accessory introducer, or can be supported on the body of a surgical tool inserted into the surgical site and be manipulated using another surgical tool in the surgical site. The accessory introducer can be resiliently biased to bias the accessories toward a predetermined position in the surgical site.
摘要翻译：手术附件在体内呈现，并在手术部位使用外科手术工具进行附加任务，而无需从手术部位移除刀具以进行换刀或仪器装载。体内附件的实例包括紧固附件，例如用于夹子施放器的手术夹子，单个工作构件附件，例如可被抓取工具抓握并操纵的刀片，用于切割，护套附件适合工具的工作构件用于提供抽吸或将流体引入手术部位的流动管，以及弹性偏压以缩回组织以露出外科手术部位中用于治疗的区域的缩回构件。附件可以通过专用的辅助引导器被引入外科手术部位，或者可以被支撑在插入手术部位的外科手术工具的主体上，并且使用外科手术部位中的另一外科手术工具进行操作。附件引导器可以被弹性地偏置以将附件偏压到手术部位中的预定位置。

29. 发明申请

US20070208223A1 ENDOSCOPIC BEATING-HEART STABILIZER AND VESSEL OCCLUSION FASTENER 有权
标题翻译：内窥镜治疗心脏稳定器和血管栓塞紧固件
公开(公告)号：US20070208223A1
公开(公告)日：2007-09-06
申请号：US11689287
申请日：2007-03-21
申请人： Christopher Julian , Michael Ikeda , Andris Ramans , Dean Hoornaert , Margaret Isaac
发明人： Christopher Julian , Michael Ikeda , Andris Ramans , Dean Hoornaert , Margaret Isaac
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/12013 , A61B17/122 , A61B17/1327 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/71 , A61B90/361 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2017/0404 , A61B2017/0414 , A61B2017/0454 , A61B2017/0464 , A61B2017/2905 , A61B2017/2932 , A61B2017/2933 , A61B2017/306 , A61B2034/742
摘要： Devices, systems and methods related to endoscopic surgery, particularly related to robotic surgical operations, provide a tissue stabilizer for endoscopically stabilizing a target tissue within a patent's body. For stabilizing a beating heart during a closed-chest coronary artery bypass grafting procedure, a stabilizer is inserted through an endoscopic cannula and provides sufficient surface area to contact the heart and effectively stabilize the target tissue area. The stabilizer can straddle a blood vessel, such as a coronary artery, which is targeted for an anastomosis. Vessel occlusion fasteners may occlude the target blood vessel prior to the anastomosis procedure.
摘要翻译：与内窥镜手术有关的装置，系统和方法，特别是与机器人外科手术有关的装置，系统和方法提供用于内窥镜稳定专利体内靶组织的组织稳定器。为了在闭合胸腔冠状动脉旁路移植手术期间稳定跳动的心脏，通过内窥镜套管插入稳定器，并提供足够的表面积以接触心脏并有效地稳定目标组织区域。稳定器可以跨越作为吻合靶向的血管，例如冠状动脉。血管闭塞紧固件可能在吻合手术前闭塞目标血管。

30. 发明申请

US20050021018A1 Robotic surgical tool with ultrasound cauterizing and cutting instrument 审中-公开
标题翻译：机器人外科手术具有超声波烧灼切割仪器
公开(公告)号：US20050021018A1
公开(公告)日：2005-01-27
申请号：US10912305
申请日：2004-08-04
申请人： Stephen Anderson , Christopher Julian
发明人： Stephen Anderson , Christopher Julian
IPC分类号： A61B17/00 , A61B17/32 , A61B19/00 , A61B18/04
CPC分类号： A61B17/320092 , A61B8/4405 , A61B34/30 , A61B34/37 , A61B34/70 , A61B34/71 , A61B34/76 , A61B90/361 , A61B2017/00477 , A61B2017/320069 , A61B2017/320071 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2034/305
摘要： A surgical instrument for enhancing robotic surgery generally includes an elongate shaft with an ultrasound probe, an end effector at the distal end of the shaft, and a base at the proximal end of the shaft. The end effector includes an ultrasound probe tip and the surgical instrument is generally configured for convenient positioning of the probe tip within a surgical site by a robotic surgical system. Ultrasound energy delivered by the probe tip may be used to cut, cauterize, or achieve various other desired effects on tissue at a surgical site. In various embodiments, the end effector also includes a gripper, for gripping tissue in cooperation with the ultrasound probe tip. The base is generally configured to removably couple the surgical instrument to a robotic surgical system and to transmit forces from the surgical system to the end effector, through the elongate shaft. A method for enhancing robotic surgery generally includes coupling the surgical instrument to a robotic surgical system, positioning the probe tip in contact with tissue at a surgical site, and delivering ultrasound energy to the tissue.
摘要翻译：用于增强机器人手术的手术器械通常包括具有超声波探头的细长轴，在轴的远端处的末端执行器以及在轴的近端处的基部。末端执行器包括超声探针尖端，并且手术器械通常被配置为通过机器人手术系统方便地将探针尖端定位在手术部位内。探针尖端传送的超声能量可用于在外科手术部位的组织上切割，烧灼或实现各种其它所需的效果。在各种实施例中，端部执行器还包括夹具，用于与超声波探头尖端协作夹持组织。基部通常构造成可移除地将手术器械耦合到机器人手术系统，并且通过细长轴将力从手术系统传递到末端执行器。一种用于增强机器人手术的方法通常包括将手术器械联接到机器人手术系统，将探针尖端定位在外科手术部位与组织接触，以及将超声能量递送至组织。

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