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31. 发明授权

US08828026B2 Tissue fastening apparatus 有权
标题翻译：组织紧固装置
公开(公告)号：US08828026B2
公开(公告)日：2014-09-09
申请号：US12430484
申请日：2009-04-27
申请人： Ayano Ishioka , Masatoshi Sato , Shinji Takahashi , Tatsutoshi Hashimoto , Yusuke Nomura , Kazushi Murakami
发明人： Ayano Ishioka , Masatoshi Sato , Shinji Takahashi , Tatsutoshi Hashimoto , Yusuke Nomura , Kazushi Murakami
IPC分类号： A61B17/10
CPC分类号： A61B17/11 , A61B17/0644 , A61B17/068 , A61B17/1114 , A61B2017/00867 , A61B2017/0649 , A61B2017/1139
摘要： A tissue fastening apparatus includes a tissue fastening tool, with fastens a first biological tissue and a second biological tissue so as to bring the tissues into close contact and an applicator for indwelling the tissue fastening tool. The tissue fastening tool is made of an elastic wire rod and is wound in a coil shape. The applicator includes a needle tube accommodated in an inner cavity with the tissue fastening tool stretched, a stylet inserted into the inner cavity of the needle tube nearer to the proximal side than the tissue fastening tool, and a rotating mechanism that rotates the stylet around an axis when the stylet is moved toward a distal end of the needle tube. The tissue fastening tool and the stylet are disengageably engaged with each other and integrally and rotatably connected with each other. The rotating mechanism rotates the stylet in a direction opposite to the winding direction of the tissue fastening tool as seen from the proximal side.
摘要翻译：组织固定装置包括组织紧固工具，其紧固第一生物组织和第二生物组织，以使组织紧密接触，以及用于留置组织紧固工具的施用器。组织紧固工具由弹性线材制成，并且卷绕成线圈形状。敷贴器包括容纳在内腔中的针管，其中组织紧固工具被拉伸，插入到针管的内腔中的探针比组织紧固工具更靠近近侧;以及旋转机构，其将探针围绕着当探针被朝向针管的远端移动时。组织固定工具和探针可彼此分离地接合并且彼此一体地且可旋转地连接。旋转机构从近侧观察时，沿与组织紧固工具的卷绕方向相反的方向旋转探针。

32. 发明申请

US20080287735A1 MEDICAL TREATMENT ENDOSCOPE 有权
标题翻译：医疗处理内窥镜
公开(公告)号：US20080287735A1
公开(公告)日：2008-11-20
申请号：US12035535
申请日：2008-02-22
申请人： Shotaro Takemoto , Takumi Dejima , Kazushi Murakami
发明人： Shotaro Takemoto , Takumi Dejima , Kazushi Murakami
IPC分类号： A61B1/01
CPC分类号： A61B1/018 , A61B1/00133 , A61B1/0052 , A61B1/0055 , A61B17/00234 , A61B17/29 , A61B34/70 , A61B2017/003 , A61B2017/0034 , A61B2017/2905 , A61B2017/2906 , A61B2017/2927 , A61B2034/742 , A61B2090/065 , A61B2090/0813
摘要： A medical treatment endoscope according to the present invention is provided with: a flexible sheath capable of a bending operation; an arm section protruding from the tip of the sheath and capable of a bending operation; an operation stick formed to allow a procedure instrument to pass therethrough so that the operation stick is operated by an operator in an attempt to bend the arm section; and a channel unit having a first channel which allows the procedure instrument to pass therethrough so that the channel unit is inserted through the operation stick detachably.
摘要翻译：根据本发明的医疗用内窥镜设置有能够弯曲操作的柔性护套; 臂部从护套的尖端突出并能够进行弯曲操作; 形成为允许程序仪器通过的操作杆，使得操作杆由操作者操作以试图弯曲臂部; 以及具有第一通道的通道单元，其允许程序设备通过，使得通道单元可拆卸地插入通过操作杆。

33. 发明申请

US20080140089A1 Ligation Apparatus 有权
标题翻译：连接装置
公开(公告)号：US20080140089A1
公开(公告)日：2008-06-12
申请号：US11722490
申请日：2005-12-22
申请人： Junichi Kogiso , Kiyotaka Matsuno , Mamoru Nakada , Kazushi Murakami
发明人： Junichi Kogiso , Kiyotaka Matsuno , Mamoru Nakada , Kazushi Murakami
IPC分类号： A61B17/122
CPC分类号： A61B17/1227 , A61B17/122 , A61B17/1285 , A61B2090/037
摘要： The present invention relates to a ligation apparatus that ligatures living tissue by a clip and provides an optimal ligation apparatus for ligaturing living tissue in a body cavity.The ligation apparatus includes a clip (26) in which a clip claw member (42) is advanced and retreated relative to a pressing member (40) to be opened and closed, a sheath (28) which is configured to accommodate the clip (26) such that the clip claw member (42) is not exposed to the outside, an advance and retreat restricting mechanism (50, 52, 54, 56) which restricts advance and retreat of the pressing member (40) relative to the sheath (28) at a distal end portion of the sheath (28) and allows advance and retreat of the clip claw member (42) relative to the pressing member (40) according to advance and retreat of the operation wire (30) relative to the sheath (28) so as to allow the clip (26) ligaturing living tissue, and a releasing mechanism (66, 74, 76, 78) which releases at least a portion of the clip (26) in a state that the clip (26) ligatures the living tissue.
摘要翻译：本发明涉及一种通过夹子连接生物体组织并提供用于使体腔内的生物组织连接的最佳结扎装置的连接装置。连接装置包括夹子（26），夹爪构件（42）相对于打开和关闭的按压构件（40）前进并后退;护套（28），其构造成容纳夹子（26）），使得夹爪构件（42）不暴露于外部，前进和后退限制机构（50,52,54,56）限制按压构件（40）相对于护套（28）的前进和后退），并且根据操作线（30）相对于护套（30）的前进和后退，允许夹爪构件（42）相对于按压构件（40）的前进和后退 28），以使得夹子（26）连接生物体组织，以及释放机构（66,74,76,78），其在夹子（26）连接的状态下释放夹子（26）的至少一部分活组织。

34. 发明授权

US09895142B2 Implant placement device, coupling support, and endoscopic treatment tool 有权
公开(公告)号：US09895142B2
公开(公告)日：2018-02-20
申请号：US13115445
申请日：2011-05-25
申请人： Masatoshi Sato , Shinji Takahashi , Tatsutoshi Hashimoto , Kazushi Murakami
发明人： Masatoshi Sato , Shinji Takahashi , Tatsutoshi Hashimoto , Kazushi Murakami
IPC分类号： A61F2/00 , A61B17/00 , A61B17/064 , A61B17/068 , A61B1/00 , A61B1/018 , A61B17/06
CPC分类号： A61B17/00234 , A61B1/00133 , A61B1/018 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/1114 , A61B2017/00477 , A61B2017/00818 , A61B2017/06052 , A61B2017/0645 , A61B2017/0649
摘要： An implant placement device includes a sheath; a long-axis member having an opening on a distal end side, movable along an axis, and a lumen communicating with the opening; a stylet movable in the axis and provided within the lumen to be turnable around the axis; an operating part on a proximal end side of the stylet to turn the stylet around the axis; a guide part on the proximal end side of the sheath to guide the operating part in a predetermined direction, thereby moving the sheath in the axis with respect to the stylet and turning a distal end portion of the stylet around the axis; and a coupling portion formed at the distal end of the stylet, detachably coupled with an implant, and moving in the axis and turning around the axis along with the stylet and the implant according to an operation of the operating part.

35. 发明授权

US09173550B2 Medical apparatus 有权
标题翻译：医疗器械
公开(公告)号：US09173550B2
公开(公告)日：2015-11-03
申请号：US12057990
申请日：2008-03-28
申请人： Kazushi Murakami
发明人： Kazushi Murakami
IPC分类号： A61B17/00 , A61B1/00 , A61B1/04 , A61M25/00 , A61B1/005 , A61B1/018 , A61B17/29 , A61B19/08 , A61B19/00
CPC分类号： A61B1/0052 , A61B1/00133 , A61B1/0055 , A61B1/018 , A61B17/00234 , A61B17/29 , A61B34/70 , A61B34/71 , A61B34/74 , A61B46/10 , A61B2017/00278 , A61B2017/2905 , A61B2017/2906 , A61B2017/2908 , A61B2017/2927 , A61B2034/303 , A61B2090/0813
摘要： A medical apparatus according to the present invention includes: a flexible sheath; an arm section having a bending part capable of bending operation and a first channel capable of inserting a procedure instrument therethrough, the arm section being disposed to protrude from a tip of the sheath; and an operation stick having a second channel connected to the first channel and a bending operating part connected to the arm section by an operation-transmission member, wherein the operation stick has: a regulation section for regulating movement of the bending operating part; and a falloff-preventive section for engaging with the procedure instrument inserted in the second channel to prevent the procedure instrument from falling from the operation stick.
摘要翻译：根据本发明的医疗装置包括：柔性护套; 具有能够弯曲操作的弯曲部的臂部和能够插入程序器具的第一通道，所述臂部从所述护套的前端突出设置; 以及操作杆，其具有连接到所述第一通道的第二通道和通过操作传递构件连接到所述臂部的弯曲操作部，其中所述操作杆具有：用于调节所述弯曲操作部的移动的调节部; 以及用于与插入第二通道中的过程仪器接合以防止程序仪器从操作杆掉落的防倾倒部分。

36. 发明授权

US08162958B2 Tissue fastening tool and applicator for indwelling the same within body, and tissue fastening method through natural orifice 有权
标题翻译：组织紧固工具和用于在体内留置的敷料器，以及通过自然孔口进行组织固定的方法
公开(公告)号：US08162958B2
公开(公告)日：2012-04-24
申请号：US12171817
申请日：2008-07-11
申请人： Shinji Takahashi , Masatoshi Sato , Kazushi Murakami , Tetsuya Yamamoto
发明人： Shinji Takahashi , Masatoshi Sato , Kazushi Murakami , Tetsuya Yamamoto
IPC分类号： A61B17/10
CPC分类号： A61B17/1114 , A61B17/064 , A61B17/068 , A61B2017/00278 , A61B2017/00867 , A61B2017/0649 , A61B2017/1139
摘要： A tissue fastening apparatus related to the present invention includes; a tissue fastening tool formed of a wire wound into a coil shape provided with a first tissue fixing section which is hooked onto a first biological tissue and a second tissue fixing section which is hooked onto a second biological tissue; a tubular puncturing tool which extends a tissue fastening tool and accommodates the stretched tissue fastening tool inside of the puncturing tool; a fastening tool pusher in which the distal end thereof is inserted into the puncturing tool and dispenses the tissue fastening tool inserted into the puncturing tool from a distal end of the puncturing tool when the fastening tool pusher advances; and a rotating mechanism to rotate the puncturing tool when the fastening tool pusher advances.
摘要翻译：涉及本发明的组织固定装置包括：组织紧固工具，其由卷绕成线圈状的线形成，设置有钩在第一生物组织上的第一组织固定部分和钩在第二生物组织上的第二组织固定部; 一种管状穿刺工具，其延伸组织紧固工具，并将拉伸的组织紧固工具容纳在穿刺工具的内部; 紧固工具推动器，其中其远端插入到穿刺工具中，并且当紧固工具推动器前进时，从穿刺工具的远端分配插入到穿刺工具中的组织紧固工具; 以及当紧固工具推动器前进时旋转穿刺工具的旋转机构。

37. 发明申请

US20100069710A1 TREATMENT METHOD 审中-公开
标题翻译：治疗方法
公开(公告)号：US20100069710A1
公开(公告)日：2010-03-18
申请号：US12552405
申请日：2009-09-02
申请人： Ken Yamatani , Takayasu Mikkaichi , Kazushi Murakami , Kosuke Motai , Ayano Ishioka , Kunihide Kaji
发明人： Ken Yamatani , Takayasu Mikkaichi , Kazushi Murakami , Kosuke Motai , Ayano Ishioka , Kunihide Kaji
IPC分类号： A61B1/00 , A61B1/018
CPC分类号： A61B1/018
摘要： A treatment method for a tissue in a body cavity of a patient includes the steps of endoscopically introducing treatment tools into the body cavity of the patient from a natural opening of the patient, and setting the posture of the patient to a prone position.
摘要翻译：用于患者体腔中的组织的处理方法包括从患者的自然开口将治疗工具内窥镜地引入患者的体腔并将患者的姿势置于俯卧位的步骤。

38. 发明申请

US20090030273A1 MEDICAL APPARATUS 有权
标题翻译：医疗器械
公开(公告)号：US20090030273A1
公开(公告)日：2009-01-29
申请号：US12057990
申请日：2008-03-28
申请人： Kazushi Murakami
发明人： Kazushi Murakami
IPC分类号： A61B1/01
CPC分类号： A61B1/0052 , A61B1/00133 , A61B1/0055 , A61B1/018 , A61B17/00234 , A61B17/29 , A61B34/70 , A61B34/71 , A61B34/74 , A61B46/10 , A61B2017/00278 , A61B2017/2905 , A61B2017/2906 , A61B2017/2908 , A61B2017/2927 , A61B2034/303 , A61B2090/0813
摘要： A medical apparatus according to the present invention includes: a flexible sheath; an arm section having a bending part capable of bending operation and a first channel capable of inserting a procedure instrument therethrough, the arm section being disposed to protrude from a tip of the sheath; and an operation stick having a second channel connected to the first channel and a bending operating part connected to the arm section by an operation-transmission member, wherein the operation stick has: a regulation section for regulating movement of the bending operating part; and a falloff-preventive section for engaging with the procedure instrument inserted in the second channel to prevent the procedure instrument from falling from the operation stick.
摘要翻译：根据本发明的医疗装置包括：柔性护套; 具有能够弯曲操作的弯曲部的臂部和能够插入程序器具的第一通道，所述臂部从所述护套的前端突出设置; 以及操作杆，其具有连接到所述第一通道的第二通道和通过操作传递构件连接到所述臂部的弯曲操作部，其中所述操作杆具有：用于调节所述弯曲操作部的移动的调节部; 以及用于与插入第二通道中的过程仪器接合以防止程序仪器从操作杆掉落的防倾倒部分。

39. 发明授权

US08690899B2 Ligation apparatus 有权
标题翻译：连接装置
公开(公告)号：US08690899B2
公开(公告)日：2014-04-08
申请号：US13089641
申请日：2011-04-19
申请人： Junichi Kogiso , Kiyotaka Matsuno , Mamoru Nakada , Kazushi Murakami
发明人： Junichi Kogiso , Kiyotaka Matsuno , Mamoru Nakada , Kazushi Murakami
IPC分类号： A61B17/08
CPC分类号： A61B17/1227 , A61B17/122 , A61B17/1285 , A61B2090/037
摘要： A ligation apparatus that ligatures living tissue using a clip and provides an optimal ligation apparatus for ligaturing living tissue in a body cavity. The ligation apparatus includes a clip with a clip claw member that is advanced and retreated relative to a pressing member to open and close, a sheath configured to accommodate the clip such that the clip claw member is not exposed to the outside, an advance and retreat restricting mechanism which restricts advance and retreat of the pressing member relative to the sheath at a distal end portion of the sheath and allows advance and retreat of the clip claw member relative to the pressing member according to advance and retreat of the operation wire relative to the sheath to allow the clip ligaturing living tissue, and a releasing mechanism which releases at least a portion of the clip when the clip ligatures the living tissue.
摘要翻译：一种使用夹子连接活组织并提供用于使体腔内的生物组织连接的最佳连接装置的连接装置。结扎装置包括具有相对于按压部件打开和关闭的夹爪部件的夹子，被构造成容纳夹子的护套，使得夹爪构件不暴露于外部，前进和后退限制机构，其限制按压构件相对于护套在护套的远端部的前进和后退，并且允许夹爪构件相对于按压构件相对于操作线相对于按压构件的前进和后退而前进退回护套以允许夹子连接的生物体组织，以及当夹子结扎生物体组织时释放夹子的至少一部分的释放机构。

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