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41. 发明授权

US08114072B2 Electrical ablation device 有权
标题翻译：电气消融装置
公开(公告)号：US08114072B2
公开(公告)日：2012-02-14
申请号：US12130010
申请日：2008-05-30
申请人： Gary L. Long , Andrew M. Zwolinski
发明人： Gary L. Long , Andrew M. Zwolinski
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1445 , A61B2017/2215 , A61B2017/2945 , A61B2018/00601 , A61B2018/1213 , A61B2018/1422 , A61B2018/1432 , A61B2018/1475
摘要： An electrical ablation apparatus includes a housing extending along a longitudinal axis. A first electrode and a second electrode are disposed within the housing. The electrodes are configured to connect to electrically conductive wires. The first and second electrodes are separated by a gap. The second electrode includes first and second prongs defining an opening suitable to receive tissue to be ablated therebetween. When the first and second electrodes are energized at a predetermined energy level, an electric current suitable to ablate the tissue flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue. A system includes an energy source to drive the electrical ablation apparatus. A method includes introducing the electrical ablation apparatus into a patient and ablating tissue with the electric arc.
摘要翻译：电切除装置包括沿着纵向轴线延伸的壳体。第一电极和第二电极设置在壳体内。电极被配置成连接到导电线。第一和第二电极被间隙隔开。第二电极包括限定适于接收要在其间被烧蚀的组织的开口的第一和第二插脚。当第一和第二电极以预定能量级供电时，适于消融组织的电流流过间隙，并在第一电极的远端和组织之间形成电弧。一种系统包括用于驱动电消融装置的能量源。一种方法包括将电消融装置引入患者并用电弧消融组织。

42. 发明申请

US20110295151A1 Enteroendocrine Manipulation for Metabolic Effect 审中-公开
标题翻译：肠内分泌操作代谢作用
公开(公告)号：US20110295151A1
公开(公告)日：2011-12-01
申请号：US13104282
申请日：2011-05-10
申请人： Gregory J. Bakos , Edward G. Chekan , Denzel Z. Herrera-Davis , Jason L. Harris , Gary L. Long , Rudolph H. Nobis , Mark S. Ortiz , Mark D. Overmyer , David N. Plescia , Randy J. Seeley , William B. Weisenburgh, II , Tamara S. Vetro Widenhouse , Mark S. Zeiner , Andrew M. Zwolinski
发明人： Gregory J. Bakos , Edward G. Chekan , Denzel Z. Herrera-Davis , Jason L. Harris , Gary L. Long , Rudolph H. Nobis , Mark S. Ortiz , Mark D. Overmyer , David N. Plescia , Randy J. Seeley , William B. Weisenburgh, II , Tamara S. Vetro Widenhouse , Mark S. Zeiner , Andrew M. Zwolinski
IPC分类号： A61M37/00 , A61P3/00 , A61K9/00 , A61F2/04 , A61K49/00 , A61P3/04 , A61B10/02 , A61M5/00 , A61K35/55 , A61K9/20
CPC分类号： C12N5/0679 , A61K35/12 , A61K35/38 , A61L27/14 , A61L27/3882 , A61L27/58 , A61L31/04 , A61L31/148 , A61L31/16 , A61L2300/64
摘要： L-cells may be introduced in the gastrointestinal tract. L-cells are used in the digestive process to produce a more efficient and lasting means of regulating feelings of satiation in a patient. Desired metabolic effects may be achieved by manipulating L-cells via delivery sites, frequency of delivery, or type of biological substance delivered.
摘要翻译： L细胞可能被引入胃肠道。 L细胞用于消化过程，以产生更有效和持久的调节患者饱腹感的手段。所需的代谢作用可以通过经由递送部位操纵L细胞，递送频率或递送的生物物质的类型来实现。

43. 发明授权

US07819298B2 Surgical stapling apparatus with control features operable with one hand 有权
标题翻译：具有可手动操作的控制特征的手术吻合装置
公开(公告)号：US07819298B2
公开(公告)日：2010-10-26
申请号：US12031030
申请日：2008-02-14
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair
IPC分类号： A61B17/68
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B50/00 , A61B90/70 , A61B2017/0023 , A61B2017/00367 , A61B2017/00398 , A61B2017/00407 , A61B2017/00473 , A61B2017/00946 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2901 , A61B2017/2905 , A61B2017/2906 , A61B2017/2908 , A61B2017/291 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/320052 , A61B2090/0813
摘要： A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.
摘要翻译：外科缝合装置。各种实施例包括可旋转细长主体，其从手柄组件上的可旋转护罩延伸并且具有被配置为附接到一次性加载单元的远端。该装置还包括可锁定的旋转系统，用于选择性地锁定可旋转护罩以防止围绕纵向轴线旋转。

44. 发明申请

US20080082125A1 Surgical staple having a deformable member with a non-circular cross-sectional geometry 审中-公开
标题翻译：具有非圆形横截面几何形状的可变形构件的手术钉
公开(公告)号：US20080082125A1
公开(公告)日：2008-04-03
申请号：US11824299
申请日：2007-06-29
申请人： Michael A. Murray , Jerome R. Morgan , Christopher J. Hess , William B. Weiserburgh , Andrew M. Zwolinski
发明人： Michael A. Murray , Jerome R. Morgan , Christopher J. Hess , William B. Weiserburgh , Andrew M. Zwolinski
IPC分类号： A61B17/064
摘要： A surgical staple including at least one deformable member which can be bent upon contacting an anvil of a surgical stapler. In various embodiments, at least a portion of the deformable member can include a non-circular cross-section which can dictate the direction and manner in which the deformable member is bent. In at least one various embodiment, the non-circular cross-section can include a flat portion which can cause the deformable member to bend in the direction of the flat portion. In various embodiments, the non-circular portion of the cross-section can be configured to abut soft tissue of a patient and apply a compressive force or pressure thereto. In various embodiments, a crown formed on the surgical staple can dissolve as the soft tissue heals and can, depending on the cross-sectional geometry of the deformable member, reduce the force or pressure applied to the soft tissue by the deformable member.
摘要翻译：一种外科缝合钉，其包括至少一个可变形构件，所述可变形构件可在与外科缝合器的砧座接触时弯曲。在各种实施例中，可变形构件的至少一部分可以包括非圆形横截面，其可以指示可变形构件弯曲的方向和方式。在至少一个各种实施例中，非圆形横截面可以包括可使可变形构件在平坦部分的方向上弯曲的平坦部分。在各种实施例中，横截面的非圆形部分可以构造成邻接患者的软组织并向其施加压力或压力。在各种实施例中，形成在外科缝合钉上的牙冠可以随着软组织愈合而溶解，并且可以根据可变形构件的横截面几何形状来减小由可变形构件施加到软组织的力或压力。

45. 发明授权

US08875971B2 Surgical stapling apparatus with interlockable firing system 有权
标题翻译：具有互锁点火系统的手术吻合装置
公开(公告)号：US08875971B2
公开(公告)日：2014-11-04
申请号：US12957685
申请日：2010-12-01
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61B17/072 , A61B17/29 , A61B17/00 , A61B19/02 , A61B17/32 , A61B19/00
CPC分类号： A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/115 , A61B50/30 , A61B2017/00371 , A61B2017/00398 , A61B2017/00473 , A61B2017/00946 , A61B2017/07214 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/320052 , A61B2090/0813
摘要： A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.
摘要翻译：外科缝合装置。各种实施例包括手柄组件，该手柄组件具有可移动的手柄，其可通过相对于固定手柄壳体的致动冲程移动。致动是至少部分地在固定手柄壳体内支撑的轴，并且可响应于可移动手柄的操纵而移动。各种实施例还包括击发锁定组件，其被构造成选择性地防止致动轴在远侧方向上的纵向移动。触发释放触发器被支撑在可移动手柄上以与之一起行进，并被配置为与击发锁定组件相接合，以选择性地释放击发锁定组件，以允许致动轴在可移动手柄的操纵时沿远侧方向纵向移动。

46. 发明授权

US08641728B2 Attachment apparatus for coupling with an endoscope 有权
标题翻译：用于与内窥镜连接的附接装置
公开(公告)号：US08641728B2
公开(公告)日：2014-02-04
申请号：US11394150
申请日：2006-03-31
申请人： Michael J. Stokes , Thomas E. Albrecht , Mark S. Ortiz , Mark S. Zeiner , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Michael J. Stokes , Thomas E. Albrecht , Mark S. Ortiz , Mark S. Zeiner , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A61B17/04
CPC分类号： A61B17/00234 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/005 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0493 , A61B17/06066 , A61B17/062 , A61B34/20 , A61B90/36 , A61B2017/00022 , A61B2017/00292 , A61B2017/00296 , A61B2017/00407 , A61B2017/00469 , A61B2017/00477 , A61B2017/00561 , A61B2017/045 , A61B2017/0464 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/0619 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： An endoscopic apparatus shaped and dimensioned for passage through an orifice in the body includes a scope attachment member coupled to an endoscopic instrument, and a connection member attaching the scope attachment member to the endoscopic instrument. The connection member has an insertion orientation sized for passage through the orifice and a deployed orientation too large to pass though the orifice. When the connection member is in its insertion orientation the endoscopic instrument is positioned closely adjacent an exterior of an endoscope for low profile insertion of the endoscopic instrument through an orifice, and when the connection is in its deployed orientation the endoscopic instrument is spaced from the endoscope to improve visibility.
摘要翻译：成形和尺寸设计用于穿过主体中的孔的内窥镜装置包括联接到内窥镜器械的镜架附接构件和将镜架附接构件附接到内窥镜器械的连接构件。连接构件具有尺寸适于通过孔口的插入取向和展开的取向太大而不能通过孔口。当连接构件处于其插入方向时，内窥镜器械紧邻内窥镜的外部定位，用于通过孔口对内窥镜器械进行低轮廓插入，并且当连接处于其展开方向时，内窥镜器械与内窥镜间隔开提高知名度。

47. 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。

48. 发明授权

US08113410B2 Surgical stapling apparatus with control features 有权
标题翻译：具有控制功能的手术吻合装置
公开(公告)号：US08113410B2
公开(公告)日：2012-02-14
申请号：US13023703
申请日：2011-02-09
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B50/00 , A61B90/70 , A61B2017/0023 , A61B2017/00367 , A61B2017/00398 , A61B2017/00407 , A61B2017/00473 , A61B2017/00946 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2901 , A61B2017/2905 , A61B2017/2906 , A61B2017/2908 , A61B2017/291 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/320052 , A61B2090/0813
摘要： A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.
摘要翻译：外科缝合装置。各种实施例包括可旋转细长主体，其从手柄组件上的可旋转护罩延伸并且具有被配置为附接到一次性加载单元的远端。该装置还包括可锁定的旋转系统，用于选择性地锁定可旋转护罩以防止围绕纵向轴线旋转。

49. 发明申请

US20110132964A1 END EFFECTOR COUPLING ARRANGEMENTS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT 有权
标题翻译：外科切割和装订仪器的终端效应器联轴器安装
公开(公告)号：US20110132964A1
公开(公告)日：2011-06-09
申请号：US13027641
申请日：2011-02-15
申请人： William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair , Frederick E. Shelton, IV
发明人： William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Gregory B. Blair , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B17/3205 , A61B17/3209 , A61B2017/00473 , A61B2017/07214 , A61B2017/2931
摘要： In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.
摘要翻译：在各种实施例中，外科缝合器械可以包括手柄，从手柄延伸的轴，其中轴限定轴线，以及一个一次性加载单元，其在横向于轴线的方向上组装到轴上。一次性加载单元和轴之间的这种连接可以防止或至少阻止一次性加载单元相对于外科器械的轴向近侧和/或远端被无意地移位。外科缝合器械和/或一次性装载单元还可包括构造成将一次性装载单元保持在适当位置的螺纹环和/或制动组件。在各种实施例中，一次性加载单元可以包括锁定特征，其可以防止或至少抑制消耗的一次性装载单元被重新组装到外科器械的细长主体。

50. 发明授权

US07810692B2 Disposable loading unit with firing indicator 有权
标题翻译：带点火指示灯的一次性装载单元
公开(公告)号：US07810692B2
公开(公告)日：2010-10-12
申请号：US12031618
申请日：2008-02-14
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A65B17/065
CPC分类号： A61B17/07207 , A61B2017/00199 , A61B2017/00907 , A61B2017/07214 , A61B2017/07271 , A61B2017/07278 , A61B2090/064 , A61B2090/0811
摘要： A disposable loading unit for operable attachment to a surgical stapling apparatus. The disposable loading unit may have a carrier that supports a staple cartridge therein, an anvil assembly that is movably coupled to the carrier, and an axial drive assembly that is constructed to move in a distal direction from a start position to an end position through the staple cartridge in response to a drive motion imparted to the axial drive assembly from the surgical stapling apparatus. A firing indicator is provided on at least one of the anvil assembly and housing for indicating a position of the axial drive assembly as the axial drive assembly is driven from the start position to the end position.
摘要翻译：一种用于可操作地附接到外科缝合装置的一次性装载单元。一次性装载单元可以具有在其中支撑钉仓的托架，可移动地联接到托架的砧座组件，以及轴向驱动组件，其被构造成在远端方向上从起始位置移动到终点位置响应于从外科缝合装置向轴向驱动组件传递的驱动运动，钉仓。在砧座组件和壳体中的至少一个上提供击发指示器，用于当轴向驱动组件从起始位置被驱动到结束位置时指示轴向驱动组件的位置。

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