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41. 发明申请

US20100152609A1 SPECIMEN RETRIEVAL DEVICE 有权
标题翻译：样本检索设备
公开(公告)号：US20100152609A1
公开(公告)日：2010-06-17
申请号：US12332938
申请日：2008-12-11
申请人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
发明人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
IPC分类号： A61B10/02
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译：手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋处于部署位置。在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

42. 发明申请

US20090275964A1 METHOD OF ROLLING STOMACH TISSUE SO AS TO MAXIMIZE THE CONTACT SURFACE AREA OF A FOLD 审中-公开
标题翻译：滚动组织的方法，以便最大限度地减少接触面的面积
公开(公告)号：US20090275964A1
公开(公告)日：2009-11-05
申请号：US12113773
申请日：2008-05-01
申请人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Daniel E. Alesi , Mark S. Ortiz , Thomas E. Albrecht , James T. Spivey , Lawrence Crainich
发明人： Mark S. Zeiner , Jason L. Harris , Michael J. Stokes , Daniel E. Alesi , Mark S. Ortiz , Thomas E. Albrecht , James T. Spivey , Lawrence Crainich
IPC分类号： A61B17/12 , A61B17/34
CPC分类号： A61B17/00234 , A61B2017/00827 , A61B2017/00867 , A61B2017/0649 , A61B2017/081 , A61B2017/2926 , A61F5/0086
摘要： A rolling instrument for rolling the outside surface of the stomach for reducing stomach volume in bariatric surgery includes an elongated tubular body that is sufficiently flexible to allow for access to the outside surface. The tubular body includes a proximal end and a distal end. The proximal end is shaped and dimensioned for use by the medical practitioner performing the medical procedure and includes a handle for manipulation of the rolling instrument. The distal end of the tubular body includes a mechanism allowing for gripping of the stomach in a manner permitting rolling thereof. A coiled retainer shaped and dimensioned is provided for application to the rolled portion of the stomach in a manner holding the rolled portion of the stomach in its rolled configuration. The coiled retainer includes a helically coiled body having a first end and a second end, the first end is pointed such that it may puncture tissue as the coiled body is rotated during its application to the stomach.
摘要翻译：用于在减肥手术中滚动用于减少胃体积的胃的外表面的滚动仪器包括具有足够柔性以允许进入外表面的细长管状体。管状体包括近端和远端。近端的形状和尺寸被医生执行医疗程序所使用，并且包括用于操纵滚动仪器的手柄。管状体的远端包括允许以允许其滚动的方式夹持胃的机构。提供成形和尺寸的盘形保持器，以使其处于卷成形状的胃的卷绕部分的方式施加到胃的卷绕部分。卷绕的保持器包括具有第一端和第二端的螺旋状卷绕体，第一端是尖的，使得当线圈体在其施加到胃部期间旋转时可能刺穿组织。

43. 发明授权

US08172772B2 Specimen retrieval device 有权
标题翻译：标本检索装置
公开(公告)号：US08172772B2
公开(公告)日：2012-05-08
申请号：US12332938
申请日：2008-12-11
申请人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
发明人： Andrew M. Zwolinski , James T. Spivey , Michael J. Stokes , Daniel H. Duke
IPC分类号： A61B10/00 , A61B17/24 , A61B17/26
CPC分类号： A61B10/06 , A61B10/0096 , A61B10/0283
摘要： A surgical instrument can be used to capture and retrieve tissue, or other specimens, from within the body of a patient through a single trocar port. The surgical instrument can include a grasper, wherein the grasper can be configured to capture a specimen, and a specimen retrieval bag, wherein the specimen retrieval bag can be configured to at least partially surround, or encapsulate, the captured specimen when the specimen retrieval bag is in a deployed position. In certain embodiments, the retrieval bag can be inverted as it is moved between undeployed and deployed positions. In various embodiments, the surgical instrument can further include a snare operably engaged with the specimen retrieval bag, wherein the snare can be configured to at least partially close the bag. A vacuum can be placed in communication with the bag to reduce the size of the bag before it is removed from the surgical site.
摘要翻译：手术器械可用于通过单个套管针端口从患者体内捕获和回收组织或其他标本。手术器械可以包括抓取器，其中抓取器可以构造成捕获样本和样本取回袋，其中样本取回袋可被构造成至少部分地包围或封装所捕获的样本，当样本取回袋处于部署位置。在某些实施例中，当取出袋在未部署位置和展开位置之间移动时可以反转。在各种实施例中，手术器械还可以包括可操作地与样本回收袋接合的圈套，其中所述圈套可被构造成至少部分地封闭所述袋。可以将真空放置成与袋连通，以在袋从手术部位移除之前减小袋的尺寸。

44. 发明申请

US20090275980A1 METHOD AND APPARATUS FOR THE FORMATION OF TISSUE FOLDS 审中-公开
标题翻译：组织形成的方法和装置
公开(公告)号：US20090275980A1
公开(公告)日：2009-11-05
申请号：US12113633
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Wayne Young , James T. Spivey
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Wayne Young , James T. Spivey
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0417 , A61F5/0086
摘要： A suture anchoring device includes a fastener body composed of a tube and a spool is mounted within the tube for rotation relative to the tube. Suture material is wrapped about the spool such that pulling of the suture material causes rotation of the spool within the tube. A one-way locking mechanism allows the spool to rotate freely in a first direction and prevents rotation in an opposite direction. A method for creating a tissue fold includes deploying a first suture anchoring device within the tissue with suture material extending proximally from the first suture anchoring device, deploying a second suture anchoring device within the tissue with a distal portion of the suture material extending between the first suture anchoring device and a proximal portion of the suture material extending proximally from the second suture anchoring device, and applying tension to the suture material to draw portions of the tissue together to form a tissue fold.
摘要翻译：缝合线锚定装置包括由管组成的紧固件主体，并且线轴安装在管内以相对于管旋转。缝线材料缠绕在线轴上，使得缝合材料的拉动导致线轴在管内旋转。单向锁定机构允许线轴在第一方向上自由旋转并且防止沿相反方向旋转。用于产生组织折叠的方法包括使用从第一缝合线锚定装置向近侧延伸的缝合材料在组织内展开第一缝合线锚定装置，在组织内部展开第二缝合线锚固装置，其中缝合材料的远端部分在第一缝合线锚定装置和缝合材料的近端部分从第二缝合线锚定装置向近侧延伸，并且向缝合材料施加张力以将组织的部分拉到一起以形成组织折叠。

45. 发明授权

US07803137B2 Intubation system for use with an endoscope 有权
标题翻译：用于内窥镜的插管系统
公开(公告)号：US07803137B2
公开(公告)日：2010-09-28
申请号：US11386584
申请日：2006-03-22
申请人： David Stefanchik , James T. Spivey , Jesse J. Kuhns , Omar Vakharia , Rick D. Applegate
发明人： David Stefanchik , James T. Spivey , Jesse J. Kuhns , Omar Vakharia , Rick D. Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/00073 , A61B1/00154
摘要： An intubation system is provided for use with an endoscope. The intubation system includes a guide apparatus having a track that is adapted to be associated with the endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation system also includes a positioning device having a first coupling member on the distal end and an intubation device having a second coupling member on the proximal end. The intubation device and the positioning device each include a mating member that is adapted to slidingly engage the track external of the endoscope, whereby the first and second coupling members may be releasably attached together.
摘要翻译：提供一种用于内窥镜的插管系统。插管系统包括具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲与内窥镜的弯曲基本上脱离。所述插管系统还包括具有在远端上的第一联接构件的定位装置和在近端具有第二联接构件的插管装置。插管装置和定位装置各自包括配合构件，其适于滑动地接合内窥镜外部的轨道，由此第一和第二联接构件可以可释放地附接在一起。

46. 发明申请

US20080097152A1 BRAIDED ENDOSCOPE ACCESSORIES 审中-公开
标题翻译： BRAIDED内窥镜附件
公开(公告)号：US20080097152A1
公开(公告)日：2008-04-24
申请号：US11458895
申请日：2006-07-20
申请人： David Stefanchik , Oman J. Vakharia , James T. Spivey
发明人： David Stefanchik , Oman J. Vakharia , James T. Spivey
IPC分类号： A61B1/01 , B65D69/00
CPC分类号： A61B1/00071 , A61B1/00085 , A61B1/00087 , A61B1/00154 , A61B1/0057
摘要： A braided device for use with an endoscope having a selectively lockable braided flexible tube. The braided device may have cables disposed along side the braided flexible tube and capable, upon their retraction, of bending the braided device at a region along its length and holding it at a desired orientation. The braided device has a handle for controlling the steering and the locking of the flexible braided tube. A braided hollow member may be attached to an endoscope for providing space for the endoscope while it operates in an internal cavity or for holding tissue samples.
摘要翻译：一种用于具有可选择性地锁定的编织柔性管的内窥镜的编织装置。编织装置可以具有沿编织柔性管一侧设置的电缆，并且能够在其回缩时将编织装置沿其长度的区域弯曲并将其保持在期望的取向。编织装置具有用于控制柔性编织管的转向和锁定的手柄。编织的中空构件可以附接到内窥镜，以在内窥镜操作在内腔中或用于保持组织样本时提供空间。

47. 发明申请

US20100076488A1 METHODS AND DEVICES FOR DELIVERING AND APPLYING MULTIPLE SUTURE ANCHORS 有权
标题翻译：用于输送和应用多个固定锚杆的方法和装置
公开(公告)号：US20100076488A1
公开(公告)日：2010-03-25
申请号：US12237858
申请日：2008-09-25
申请人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
发明人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。

48. 发明授权

US09089320B2 Methods and devices for delivering and applying multiple suture anchors 有权
标题翻译：用于交付和应用多个缝合锚的方法和装置
公开(公告)号：US09089320B2
公开(公告)日：2015-07-28
申请号：US12237858
申请日：2008-09-25
申请人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
发明人： James T. Spivey , Duane Linenkugel , Andrew M. Zwolinski , William D. Fox , Sean P. Conlon
IPC分类号： A61B17/04 , A61B17/00
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。

49. 发明授权

US08540744B2 Tissue penetrating surgical device 有权
标题翻译：组织穿刺手术装置
公开(公告)号：US08540744B2
公开(公告)日：2013-09-24
申请号：US12060601
申请日：2008-04-01
申请人： James T. Spivey , David Stefanchik
发明人： James T. Spivey , David Stefanchik
IPC分类号： A61B17/32
CPC分类号： A61B17/320016 , A61B17/00234 , A61B17/320758 , A61B2017/00278 , A61B2017/00858 , A61B2017/320044 , A61B2217/005
摘要： Devices and methods are provided for penetrating tissue and/or effecting movement of devices relative to tissue. In general, a surgical instrument is provided having an at least partially fabric-covered distal tip that be used to at least partially penetrate tissue by contacting the tissue with the fabric and rotating the fabric to “drill” into the tissue. The surgical instrument can be configured for delivery proximate to tissue through a working channel of a delivery device and can include an elongate shaft having in its distal portion an end effector at least partially covered in fabric. The fabric, the end effector, and/or the shaft can rotate, thereby allowing at least the fabric to penetrate the tissue and, if sufficiently rotated, causing an opening to form in the tissue. The surgical instrument and/or the delivery device can be advanced through the opening.
摘要翻译：提供了用于穿透组织和/或实现装置相对于组织的运动的装置和方法。通常，提供具有至少部分织物覆盖的远侧末端的外科器械，其用于通过使织物与织物接触并将织物“钻”成组织至少部分地穿透组织。手术器械可以被配置为通过输送装置的工作通道在组织附近输送，并且可以包括细长轴，其在其远端部分具有至少部分地覆盖在织物中的端部执行器。织物，末端执行器和/或轴可以旋转，从而允许至少织物穿透组织，并且如果充分旋转，则在组织中形成开口。手术器械和/或输送装置可以通过开口前进。

50. 发明授权

US08287469B2 Articulating surgical device and method of use 有权
标题翻译：铰接手术装置及其使用方法
公开(公告)号：US08287469B2
公开(公告)日：2012-10-16
申请号：US11971410
申请日：2008-01-09
申请人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
发明人： David Stefanchik , Ragae M. Ghabrial , James T. Spivey
IPC分类号： A61B5/00
CPC分类号： A61B17/3421 , A61B1/00073 , A61B1/0014 , A61B17/29 , A61B17/2909 , A61B2017/003 , A61B2017/00477 , A61B2017/3447
摘要： Various embodiments of an elongate surgical device configured to travel along a tortuous body lumen to a surgical site are provided herein. In one embodiment, the device can include a tensioning element extending through a channel formed along a length of the device and the tensioning element can translate an articulation force to the working end of the device. During such articulation of the device, a portion of the channel can be configured to allow the tensioning element to exit the channel and move away from a longitudinal axis of the device thereby optimizing a mechanical advantage relative to the distal end of the device and thus maximizing the force capable of being delivered thereto. Additionally, various embodiments of a method for articulating a working end of an elongate surgical device are provided herein.
摘要翻译：这里提供了构造成沿曲折的体腔行进到外科手术部位的细长手术装置的各种实施例。在一个实施例中，该装置可以包括延伸穿过沿着装置的长度形成的通道的张紧元件，并且张紧元件可以将铰接力平移到装置的工作端。在装置的这种关节过程中，通道的一部分可以构造成允许张紧元件离开通道并远离装置的纵向轴线移动，从而优化相对于装置的远端的机械优点，从而最大化能够传递给它的力。此外，本文提供了用于铰接细长外科手术装置的工作端的方法的各种实施例。

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