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41. 发明申请

US20080221604A1 Tissue shredding device and tissue shredding method 有权
标题翻译：组织切碎装置和组织切碎方法
公开(公告)号：US20080221604A1
公开(公告)日：2008-09-11
申请号：US11714340
申请日：2007-03-06
申请人： Nobuko Kondoh , Kiyotaka Matsuno
发明人： Nobuko Kondoh , Kiyotaka Matsuno
IPC分类号： A61B17/32
CPC分类号： A61B17/32056 , A61B17/00234 , A61B2017/00287 , A61B2017/32006 , A61B2017/320064 , A61B2017/320775
摘要： A tissue shredding device is provided which includes a shredding pipe which is inserted into a patient body in which a plurality of opening portions is formed in a longitudinal direction; and a plurality of wires which is withdrawn from the opening portion, bent back outside the shredding pipe, and drawn into the shredding pipe. Here, the tissue shredding device may be changed to one of a first arrangement in which the wires are withdrawn from the shredding pipe so that a tissue can be introduced toward top portions corresponding to bent-back parts of the plurality of wires, a second arrangement in which the top portions are arranged opposite to the shredding pipe, and a third arrangement in which the wires are drawn into the opening portion.
摘要翻译：提供了一种组织切碎装置，其包括：切割管，其插入到沿纵向方向形成有多个开口部的患者体内; 以及多个从开口部取出的线，在切断管的外侧弯曲并被拉入到切碎管中。这里，可以将组织切碎装置变更为将丝从切碎管排出的第一布置中的一个，使得可以将组织引入对应于多根线的弯曲部的顶部，第二布置其中顶部布置成与切碎管相对，以及第三布置，其中丝线被拉入开口部分。

42. 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。

43. 发明申请

US20080051631A1 Medical treatment endoscope 有权
标题翻译：医疗内窥镜
公开(公告)号：US20080051631A1
公开(公告)日：2008-02-28
申请号：US11809488
申请日：2007-06-01
申请人： Takumi Dejima , Kiyotaka Matsuno , Shotaro Takemoto
发明人： Takumi Dejima , Kiyotaka Matsuno , Shotaro Takemoto
IPC分类号： A61B1/008 , A61B1/01
CPC分类号： A61B1/0052 , A61B1/0055 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/29 , A61B17/3478 , A61B34/70 , A61B2017/00278 , A61B2017/003 , A61B2017/00398 , A61B2017/0417 , A61B2017/0472 , A61B2017/06052 , A61B2017/2905 , A61B2017/2906 , A61B2017/2923 , A61B2017/2927 , A61B2017/2946 , A61B2017/3445 , A61B2017/3447
摘要： The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.
摘要翻译：根据本发明的医疗用内窥镜包括具有柔性的护套; 至少一个臂构件具有从护套的前端突出并弯曲的弯曲部; 一个打开/关闭机构，其将臂构件沿着从护套的中心轴线的方向转向偏离护套的中心轴线的方向，以及从偏离护套的中心轴线的方向到沿着中心的方向鞘的轴线; 以及设置在护套的前端侧的观察装置和照明部件。

44. 发明申请

US20070198000A1 Overtube and operative procedure via bodily orifice 有权
标题翻译： Oversube和手术通过身体孔
公开(公告)号：US20070198000A1
公开(公告)日：2007-08-23
申请号：US11358257
申请日：2006-02-21
申请人： Manabu Miyamoto , Takumi Dejima , Ken Yamatani , Kiyotaka Matsuno , Saori Takeuchi , Takahiro Kogasaka
发明人： Manabu Miyamoto , Takumi Dejima , Ken Yamatani , Kiyotaka Matsuno , Saori Takeuchi , Takahiro Kogasaka
IPC分类号： A61M25/00
CPC分类号： A61B1/313 , A61B1/00135 , A61B1/00154 , A61B1/00158 , A61B1/0051 , A61B1/015 , A61B1/018 , A61B1/273 , A61B2018/00273 , A61B2018/00482 , A61B2018/00494 , A61B2018/1407 , A61B2018/144 , A61B2018/1495
摘要： An overtube includes an insertion portion that has a distal end portion and a proximal end portion, and at least the distal end portion thereof is inserted into a subject; a first lumen that is formed in the insertion portion and that allows freely inserting and removing a device for carrying out medical procedures in the subject; puncture needles that pass through the insertion portion, have a control member connected to the proximal end portion of the insertion portion, and puncture tissue; and second lumens that are provided in the insertion portion and through which puncture needles are passed, the second lumens having on the distal end portion of the insertion portion openings through which distal ends of the puncture needles extend and retract, and the openings being provided on an inside of the insertion portion defined by the first lumen.
摘要翻译：外套管包括具有远端部和近端部的插入部，至少其前端部插入被检体内; 形成在所述插入部分中并且允许自由地插入和移除用于在所述对象中执行医疗程序的装置的第一管腔; 穿过插入部的穿刺针具有连接到插入部的基端部的控制部件，并且刺穿组织; 以及设置在所述插入部分中并穿过穿刺针的第二腔，所述第二腔具有在所述插入部开口的远端部分上，所述穿刺针的远端延伸和缩回，并且所述开口设置在由第一管腔限定的插入部分的内部。

45. 发明申请

US20070167675A1 Overtube and medical procedure via natural orifice using the same 审中-公开
公开(公告)号：US20070167675A1
公开(公告)日：2007-07-19
申请号：US11331938
申请日：2006-01-13
申请人： Manabu Miyamoto , Takahiro Kogasaka , Takumi Dejima , Kiyotaka Matsuno , Ken Yamatani , Saori Takeuchi
发明人： Manabu Miyamoto , Takahiro Kogasaka , Takumi Dejima , Kiyotaka Matsuno , Ken Yamatani , Saori Takeuchi
IPC分类号： A61B1/00 , A61B18/18
CPC分类号： A61B17/3478 , A61B17/3403 , A61B18/1482 , A61B18/1492 , A61B90/50 , A61B2017/00278 , A61B2017/00296 , A61B2017/003 , A61B2017/00876 , A61B2017/3488 , A61B2018/1495
摘要： An overtube according to this invention includes: an insertion part, that is inserted into a subject and has a lumen, through which a device insertion part of a device for performing a medical procedure inside a body of the subject is removably inserted, the insertion part being inserted into the subject; and a tissue incising part that is disposed at a distal end side of the insertion part so as to cross the lumen and incises a tissue of the subject.

46. 发明申请

US20070162052A1 Loading device for indwelling implement 审中-公开
标题翻译：内置装置装置
公开(公告)号：US20070162052A1
公开(公告)日：2007-07-12
申请号：US11327808
申请日：2006-01-06
申请人： Tatsutoshi Hashimoto , Kiyotaka Matsuno
发明人： Tatsutoshi Hashimoto , Kiyotaka Matsuno
IPC分类号： A61B17/10
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06114 , A61B2017/0445 , A61B2017/0458 , A61B2017/0464 , A61B2017/0479 , A61B2017/0496
摘要： A loading device for an indwelling implement according to the present invention is for loading an indwelling implement having a linear member into an applicator, wherein the loading device for an indwelling implement includes: an end tip holder that holds a center tip that is provided at one end of the linear member that is freely attachable and releasable with respect to an end tip housing in the applicator, the end tip holder having a receiving part that guides the end tip housing of the applicator onto an end tip; an end tip locking member that comes into contact with the end tip inside the end tip holder so that the axis of the end tip and the axis of the receiving part approximately coincide, the end tip locking member being disposed so as to enable movement between a first position at which the movement of the end tip is restricted, and a second position which is removed from the movement path of the end tip housing when the end tip housing is attached to the end tip; and a casing holder that is provided farther to the other end of the linear member than the end tip and holds the casing that houses the end tip, the casing holder holding the casing so that its axis and the axis of the casing attachment of the applicator which attaches the casing approximately coincide.
摘要翻译：根据本发明的用于留置器具的装载装置是用于将具有线性构件的留置工具装载到施用器中，其中用于留置工具的装载装置包括：端盖保持器，其保持设置在一侧的中心尖端所述线性构件的端部相对于所述施加器中的端部末端壳体可自由地附接和释放，所述端部末端保持器具有将所述施加器的端部末端壳体引导到端部末端的接纳部; 端头锁定构件，其在末端保持器内部与端部尖端接触，使得端部末端的轴线和接收部件的轴线大致重合，端部顶端锁定构件被布置成能够在第一位置，其末端尖端的运动受到限制;以及第二位置，当端部末端壳体附接到端部末端时，该第二位置从端部末端壳体的移动路径移除; 以及壳体保持器，其比所述端部末端更远地设置在所述线性构件的另一端，并且保持容纳所述端部末端的所述壳体，所述壳体保持器保持所述壳体，使得其轴线和所述施加器的所述壳体附件的轴线其将套管大致重合。

47. 发明申请

US20060282048A1 Instrument for an endoscope and needle for an endoscope 有权
公开(公告)号：US20060282048A1
公开(公告)日：2006-12-14
申请号：US11440616
申请日：2006-05-25
申请人： Koh Kimura , Kiyotaka Matsuno , Ken Fujisaki
发明人： Koh Kimura , Kiyotaka Matsuno , Ken Fujisaki
IPC分类号： A61M5/32
CPC分类号： A61B17/3478 , A61B17/3496 , A61M25/0084
摘要： A needle for an endoscope, includes: an outer sheath tube having a fluid passage provided therein; a distal end discharging portion that is accommodated in the distal end of the outer sheath tube so as to be extended therefrom and retracted thereinto, and is connected to the distal end of the fluid passage; an operating device for operating the distal end discharging portion so as to be extended from the distal end of the outer sheath tube and retracted thereinto; a fluid supplying device, that is provided in the outer sheath tube and is caused to communicate with the fluid passage, and supplies a fluid to the distal end discharging portion through the fluid passage; and a blocking device that is provided in the fluid passage, for freely opening and shutting off circulation of a fluid in line with an operation of the operating device.

48. 发明授权

US5624455A Freely projectable/sinkable valvulotome and freely projectable/sinkable venous valve valvulotome 失效
标题翻译：可自由投射/可沉没的瓣膜切开术和可自由投放/沉降的静脉瓣膜瓣膜切开术
公开(公告)号：US5624455A
公开(公告)日：1997-04-29
申请号：US549196
申请日：1995-10-27
申请人： Kiyotaka Matsuno
发明人： Kiyotaka Matsuno
IPC分类号： A61B17/3211 , A61B17/22 , A61B17/32
CPC分类号： A61B17/32075 , A61B2017/22097
摘要： In a valvulotome, when an operating wire is advanced or withdrawn, a pair of arms project from or sink into a sheath, and cutters at the tips or the arms open or close. When the arms are stowed in the sheath, forces causing the two cutters to join change directions sequentially with three pairs of bents of the arms as boundaries. Thus, the blades of the two cutters are stowed in the sheath reliably.
摘要翻译：在瓣膜切开术中，当操作线前进或撤回时，一对臂从护套突出或沉入鞘中，并且尖端或手臂上的切割器打开或关闭。当手臂收纳在护套中时，导致两个切割器以三对弯曲作为边界顺序地连接改变方向的力。因此，两个刀具的刀片可靠地收纳在护套中。

49. 发明授权

US08974417B2 Instrument for an endoscope and needle for an endoscope 有权
标题翻译：用于内窥镜和内窥镜针的仪器
公开(公告)号：US08974417B2
公开(公告)日：2015-03-10
申请号：US11440616
申请日：2006-05-25
申请人： Koh Kimura , Kiyotaka Matsuno , Ken Fujisaki
发明人： Koh Kimura , Kiyotaka Matsuno , Ken Fujisaki
IPC分类号： A61M5/178 , A61B17/34 , A61M25/00
CPC分类号： A61B17/3478 , A61B17/3496 , A61M25/0084
摘要： A needle for an endoscope, includes: an outer sheath tube having a fluid passage provided therein; a distal end discharging portion that is accommodated in the distal end of the outer sheath tube so as to be extended therefrom and retracted thereinto, and is connected to the distal end of the fluid passage; an operating device for operating the distal end discharging portion so as to be extended from the distal end of the outer sheath tube and retracted thereinto; a fluid supplying device, that is provided in the outer sheath tube and is caused to communicate with the fluid passage, and supplies a fluid to the distal end discharging portion through the fluid passage; and a blocking device that is provided in the fluid passage, for freely opening and shutting off circulation of a fluid in line with an operation of the operating device.
摘要翻译：一种用于内窥镜的针，包括：外护套管，其中设置有流体通道; 远端排出部，其容纳在所述外护套管的前端部，从所述前鞘排出部的前端延伸并缩回到所述前端排出部，并与所述流体通路的前端连接; 用于操作所述远端排出部分以从所述外护套管的远端延伸并缩回到其中的操作装置; 流体供给装置，其设置在所述外鞘管内并与所述流体通道连通，并且通过所述流体通道将流体供给到所述远端排出部; 以及阻挡装置，其设置在流体通道中，用于根据操作装置的操作自由地打开和关闭流体的循环。

50. 发明授权

US08444547B2 Medical treatment endoscope 有权
标题翻译：医疗内窥镜
公开(公告)号：US08444547B2
公开(公告)日：2013-05-21
申请号：US11652880
申请日：2007-01-12
申请人： Manabu Miyamoto , Takahiro Kogasaka , Takumi Dejima , Kiyotaka Matsuno , Ken Yamatani , Saori Takeuchi
发明人： Manabu Miyamoto , Takahiro Kogasaka , Takumi Dejima , Kiyotaka Matsuno , Ken Yamatani , Saori Takeuchi
IPC分类号： A61B1/00
CPC分类号： A61B1/0055 , A61B1/018 , A61B17/00234 , A61B17/29 , A61B2017/2906 , A61B2017/2927 , A61B2017/3447
摘要： The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.
摘要翻译：根据本发明的医疗用内窥镜包括具有柔性的护套; 至少一个臂构件具有从护套的前端突出并弯曲的弯曲部; 一个打开/关闭机构，其将臂构件沿着从护套的中心轴线的方向转向偏离护套的中心轴线的方向，以及从偏离护套的中心轴线的方向到沿着中心的方向鞘的轴线; 以及设置在护套的前端侧的观察装置和照明部件。

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