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41. 发明申请

US20120024935A1 TISSUE ACQUISITION ARRANGEMENTS AND METHODS FOR SURGICAL STAPLING DEVICES 有权
标题翻译：组织收集装置和手术装置的方法
公开(公告)号：US20120024935A1
公开(公告)日：2012-02-02
申请号：US12846964
申请日：2010-07-30
申请人： Frederick E. Shelton, IV , John W. Willis
发明人： Frederick E. Shelton, IV , John W. Willis
IPC分类号： A61B17/068 , A61B17/115
CPC分类号： A61B17/1114 , A61B17/068 , A61B17/1155 , A61B2017/00115 , A61B2017/00734 , A61B2017/00867 , A61B2017/07264 , A61B2017/07285 , A61B2017/1125 , A61B2017/1142 , G07F17/3239 , G07F17/3255
摘要： A surgical instrument that includes an elongated shaft that defines defining a central axis. The elongated shaft may have a distal end portion that is configured to operably support a circular staple cartridge therein. A tissue acquisition shaft may be axially movable within the elongated shaft such that a distal end portion of the tissue acquisition shaft may be distally advanced beyond the distal end portion of the elongated shaft. At least one tissue acquisition member may be pivotally attached to the distal end portion of the tissue acquisition shaft such that at least one tissue acquisition member is selectively pivotable about a corresponding acquisition axis that is substantially parallel to the central axis from a retracted position to deployed positions upon application of a deployment motion thereto. Various embodiments include an annular cutting member that is supported by the distal end of the elongated shaft for selective axial travel relative thereto.
摘要翻译：一种外科器械，其包括限定中心轴线的细长轴。细长轴可以具有构造成在其中可操作地支撑圆形钉仓的远端部分。组织采集轴可以在细长轴内轴向移动，使得组织采集轴的远端部分可以向远侧前进超过细长轴的远端部分。至少一个组织采集构件可以枢转地附接到组织采集轴的远端部分，使得至少一个组织采集构件可选择性地围绕对应的采集轴线枢转，该对应采集轴线基本上平行于中心轴线从缩回位置到部署应用部署动作时的位置。各种实施例包括由细长轴的远端支撑的环形切割构件，用于相对于其选择性地轴向移动。

42. 发明授权

US08070038B2 Surgical instrument with pivotable jaw member 有权
标题翻译：具有可枢转钳口构件的手术器械
公开(公告)号：US08070038B2
公开(公告)日：2011-12-06
申请号：US12249182
申请日：2008-10-10
申请人： Stanislaw Kostrzewski
发明人： Stanislaw Kostrzewski
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0682 , A61B17/072 , A61B17/282 , A61B17/285 , A61B18/1445 , A61B2017/07214 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/1103 , A61B2017/1125 , A61B2017/2933 , A61B2017/2943 , A61B2018/1455
摘要： A surgical instrument for surgically joining tissue is disclosed. The surgical instrument includes a handle assembly, an elongated portion extending distally from the handle assembly and defining a longitudinal axis, and an end effector disposed adjacent a distal portion of the elongated portion. The end effector includes a first jaw member and a second jaw member. The first jaw member defines a first axis, which is transverse to the longitudinal axis. The first jaw member is pivotable about the first axis. At least one of the first jaw member and the second jaw member is movable with respect to the other between a spaced-apart and an approximated position.
摘要翻译：公开了一种用于手术连接组织的手术器械。手术器械包括手柄组件，从手柄组件向远侧延伸并限定纵向轴线的细长部分，以及邻近细长部分的远端部分设置的端部执行器。末端执行器包括第一钳口构件和第二钳口构件。第一钳口构件限定了横向于纵向轴线的第一轴线。第一钳口构件可围绕第一轴线枢转。第一钳口构件和第二钳口构件中的至少一个可相对于彼此在间隔开和近似位置之间移动。

43. 发明授权

US07972357B2 Extraluminal sealant applicator and method 有权
标题翻译：口腔内密封胶涂布器和方法
公开(公告)号：US07972357B2
公开(公告)日：2011-07-05
申请号：US12001625
申请日：2007-12-11
申请人： Michael Bettuchi
发明人： Michael Bettuchi
IPC分类号： A61B17/08
CPC分类号： A61B17/00491 , A61B17/064 , A61B17/08 , A61B17/11 , A61B2017/1125
摘要： An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.
摘要翻译：提供了一种用于向外科手术部位的靶组织施加密封剂的装置。该装置包括手柄，导管和端部执行器。手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。导管存储和/或携带密封剂朝向末端执行器。端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。

44. 发明申请

US20110108602A1 ANASTOMOSIS SYSTEM AND METHOD 有权
标题翻译： ANASTOMOSIS系统和方法
公开(公告)号：US20110108602A1
公开(公告)日：2011-05-12
申请号：US12616396
申请日：2009-11-11
申请人： RAMON E. POO , Andreas G. Tzakis
发明人： RAMON E. POO , Andreas G. Tzakis
IPC分类号： A61B17/115
CPC分类号： A61B17/11 , A61B17/2841 , A61B2017/0641 , A61B2017/1103 , A61B2017/1107 , A61B2017/1125 , A61B2017/1132 , A61B2017/1135 , A61B2090/034
摘要： A system for performing anastomosis includes a plurality of staples, an annular staple support having structure for holding the staples, and a staple closing device for closing the staples to secure the canal ends together. A method for performing anastomosis and staples for performing anastomosis are also disclosed.
摘要翻译：用于进行吻合的系统包括多个订书钉，具有用于保持订书钉的结构的环形订书钉支架，以及用于封闭订书钉以将运河端固定在一起的订书钉关闭装置。还公开了用于进行吻合的吻合方法和用于进行吻合的钉。

45. 发明授权

US07914552B2 Method of performing an end-to-end anastomosis using a stent and an adhesive 有权
标题翻译：使用支架和粘合剂进行端对端吻合的方法
公开(公告)号：US07914552B2
公开(公告)日：2011-03-29
申请号：US11558215
申请日：2006-11-09
申请人： Frederick E. Shelton, IV
发明人： Frederick E. Shelton, IV
IPC分类号： A61B17/08
CPC分类号： A61B17/11 , A61B17/00491 , A61B2017/1107 , A61B2017/1121 , A61B2017/1125 , A61F2/91 , A61F2002/30062 , A61F2210/0004
摘要： A method and instruments used to performing an end-to-end anastomosis between two portions of intestinal tissue is disclosed. The method involves drawing a first portion of intestinal tissue over a portion of a bioabsorbable stent. The end of the first portion of intestinal tissue is everted on the stent to create a collar of exposed inner intestinal tissue. A second portion of intestinal tissue is drawn over the stent and over the exposed intestinal tissue. A bandage containing one adhesive compound selected from the group of an adhesive and an adhesive initiator is wrapped about the juncture. The other adhesive compound is applied to saturate the bandage and the combination of an adhesive and an adhesive initiator sets the adhesive to adhere the first portion and the second portion of adhesive to the bandage.
摘要翻译：公开了一种用于在肠组织的两部分之间进行端对端吻合的方法和仪器。该方法包括在生物可吸收支架的一部分上拉伸肠组织的第一部分。肠组织的第一部分的末端在支架上旋转以形成暴露的肠内组织的颈圈。肠组织的第二部分被拉伸到支架上并暴露在肠组织上。包含粘合剂组合物和粘合剂引发剂的一种粘合剂的绷带缠绕在该接合处。施加另一种粘合剂以使绷带饱和，并且粘合剂和粘合剂引发剂的组合使粘合剂将粘合剂的第一部分和第二部分粘合到绷带上。

46. 发明申请

US20100204728A1 Extraluminal Sealant Applicator and Method 有权
标题翻译：腔内密封剂涂布器和方法
公开(公告)号：US20100204728A1
公开(公告)日：2010-08-12
申请号：US12765133
申请日：2010-04-22
申请人： Michael Bettuchi
发明人： Michael Bettuchi
IPC分类号： A61B17/00
CPC分类号： A61B17/00491 , A61B17/064 , A61B17/08 , A61B17/11 , A61B2017/1125
摘要： An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.
摘要翻译：提供了一种用于向外科手术部位的靶组织施加密封剂的装置。该装置包括手柄，导管和端部执行器。手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。导管存储和/或携带密封剂朝向末端执行器。端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。

47. 发明申请

US20100114301A1 Vessel Right Sizer 审中-公开
标题翻译：船右侧
公开(公告)号：US20100114301A1
公开(公告)日：2010-05-06
申请号：US12263136
申请日：2008-10-31
申请人： Larry C. Heaton, II , Alex Keller
发明人： Larry C. Heaton, II , Alex Keller
IPC分类号： A61F2/06
CPC分类号： A61F2/064 , A61B17/0643 , A61B17/11 , A61B17/115 , A61B50/30 , A61B2017/0641 , A61B2017/1103 , A61B2017/1107 , A61B2017/1125 , A61B2017/1132 , A61B2090/061 , A61F2002/065 , A61F2250/0039 , A61F2250/0097
摘要： An anastomotic device includes a tube and anastomotic coupler rings having vessel openings attached to each end of the tube. In an embodiment, the diameters of the vessel openings are different.
摘要翻译：吻合装置包括管和吻合器耦合环，其具有连接到管的每个端部的血管开口。在一个实施例中，容器开口的直径是不同的。

48. 发明申请

US20080114466A1 Method of Performing An End-to-End Anastomosis Using a Stent and an Adhesive 有权
标题翻译：使用支架和粘合剂进行端对端吻合的方法
公开(公告)号：US20080114466A1
公开(公告)日：2008-05-15
申请号：US11558215
申请日：2006-11-09
申请人： Frederick E. Shelton
发明人： Frederick E. Shelton
IPC分类号： A61F2/82 , A61F13/00
CPC分类号： A61B17/11 , A61B17/00491 , A61B2017/1107 , A61B2017/1121 , A61B2017/1125 , A61F2/91 , A61F2002/30062 , A61F2210/0004
摘要： A method and instruments used to performing an end-to-end anastomosis between two portions of intestinal tissue is disclosed. The method involves drawing a first portion of intestinal tissue over a portion of a bioabsorbable stent. The end of the first portion of intestinal tissue is everted on the stent to create a collar of exposed inner intestinal tissue. A second portion of intestinal tissue is drawn over the stent and over the exposed intestinal tissue. A bandage containing one adhesive compound selected from the group of an adhesive and an adhesive initiator is wrapped about the juncture. The other adhesive compound is applied to saturate the bandage and the combination of an adhesive and an adhesive initiator sets the adhesive to adhere the first portion and the second portion of adhesive to the bandage.
摘要翻译：公开了一种用于在肠组织的两部分之间进行端对端吻合的方法和仪器。该方法包括在生物可吸收支架的一部分上拉伸肠组织的第一部分。肠组织的第一部分的末端在支架上旋转以形成暴露的肠内组织的颈圈。肠组织的第二部分被拉伸到支架上并暴露在肠组织上。包含粘合剂组合物和粘合剂引发剂的一种粘合剂的绷带缠绕在该接合处。施加另一种粘合剂以使绷带饱和，并且粘合剂和粘合剂引发剂的组合使粘合剂将粘合剂的第一部分和第二部分粘合到绷带上。

49. 发明授权

US07179267B2 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US07179267B2
公开(公告)日：2007-02-20
申请号：US10234086
申请日：2002-08-30
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Charles Robertson
IPC分类号： A61B17/08 , A61B17/068
CPC分类号： A61B17/1114 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/07214 , A61B2017/07257 , A61B2017/1125 , A61B2017/1135 , A61B2017/1139 , A61B2017/2927
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

50. 发明申请

US20060142792A1 Artery holder 审中-公开
标题翻译：动物架
公开(公告)号：US20060142792A1
公开(公告)日：2006-06-29
申请号：US10529501
申请日：2003-09-17
申请人： Rafael Astudillo Ley
发明人： Rafael Astudillo Ley
IPC分类号： A61B17/08
CPC分类号： A61B17/30 , A61B17/08 , A61B2017/00243 , A61B2017/00969 , A61B2017/1107 , A61B2017/1125
摘要： An artery holder for use in connection with heart surgery, which has a gripping and fixing member (1) having two co-operating first and second clamp elements (9, 10) which are arranged to grip muscle tissue (4) around an artery (5) in connection with its cut end (7) and clamp muscle tissue while simultaneously fixing the artery and exposing its cut end. Furthermore, the artery holder has a spring member (2) to actuate the gripping and fixing member with a predetermiined spring force in order to clamp the muscle tissue, and an actuating member (3) to actuate the gripping and fixing member against the action of the spring force from the spring member in order to open the clamp elements for receiving muscle tissue therebetween and subsequent release of clamped muscle tissue.
摘要翻译：一种用于心脏手术的动脉支架，其具有夹持和固定构件（1），所述夹持和固定构件（1）具有两个配合的第一和第二夹紧元件（9,10），所述夹持和固定构件设置成夹持围绕动脉的肌肉组织（4） 5）与其切割端（7）相关并夹紧肌肉组织，同时固定动脉并暴露其切割端。此外，动脉保持器具有弹簧构件（2），用于以预定的弹簧力致动夹持和固定构件，以便夹紧肌肉组织;以及致动构件（3），以抵抗夹持和固定构件的作用来自弹簧构件的弹簧力以打开用于在其间接收肌肉组织的夹紧元件，随后释放夹紧的肌肉组织。

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