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51. 发明授权

US08939897B2 Methods for closing a gastrotomy 有权
标题翻译：关闭胃切开术的方法
公开(公告)号：US08939897B2
公开(公告)日：2015-01-27
申请号：US13021222
申请日：2011-02-04
申请人： Rudolph H. Nobis
发明人： Rudolph H. Nobis
IPC分类号： A61B1/00 , A61B1/04 , A61B1/12 , A61B1/273
CPC分类号： A61B1/12 , A61B1/2736
摘要： A surgical instrument for forming a gastrotomy. In various embodiments, the surgical instrument may comprise a hollow tip for attachment to a distal end of a tubular member such as an endoscope. In other embodiments, the hollow tip is integrally formed on the distal end of the endoscope. The hollow tip is configured such that when it is brought into contact with the inner layer of tissue in the stomach, the tissue is caused to stretch. A hole-forming device may be passed through the hollow tip to pierce through the stretched inner layer and adjacent outer layers of tissue to form a passageway therethrough for permitting surgical procedures to be performed therethrough. After the surgical procedures are performed through the passageway, the hollow tip is removed from contact with the inner layer of tissue to permit the inner layer of tissue to relax and to cause the holes formed through the inner layer and outer layers of tissue to be offset from each other.
摘要翻译：用于形成胃切开术的手术器械。在各种实施例中，外科器械可以包括用于附接到诸如内窥镜的管状构件的远端的中空末端。在其他实施例中，中空末端一体地形成在内窥镜的远端上。中空尖端构造成使得当其与胃中的组织的内层接触时，使组织拉伸。孔形成装置可以穿过中空尖端以穿透延伸的内层和相邻的组织外层，以形成穿过其中的通道，以允许通过其进行外科手术。在通过通道进行外科手术之后，中空尖端与组织内层脱离接触以允许组织的内层松弛并且使通过内层和组织外层形成的孔被偏移从彼此。

52. 发明申请

US20110276041A1 MANUALLY ARTICULATING DEVICES 有权
标题翻译：手动设备
公开(公告)号：US20110276041A1
公开(公告)日：2011-11-10
申请号：US13188512
申请日：2011-07-22
申请人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
发明人： Rudolph H. Nobis , Anil K. Nalagatla , Sean P. Conlon
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B10/06 , A61B17/2909 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device, and in particular for performing various surgical procedures using an instrument having an end effector that can be articulated relative to an elongate shaft of the device. In certain embodiments, the end effector can also optionally rotate relative to the elongate shaft of the device, and/or the shaft can rotate relative to a handle of the device.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置，特别是用于使用具有可相对于装置的细长轴铰接的端部执行器的器具执行各种外科手术程序。在某些实施例中，末端执行器还可以相对于装置的细长轴可选地旋转，和/或轴可相对于装置的手柄旋转。

53. 发明授权

US07959642B2 Medical instrument having a needle knife 有权
标题翻译：医用器具有针刀
公开(公告)号：US07959642B2
公开(公告)日：2011-06-14
申请号：US11435376
申请日：2006-05-16
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B17/32
CPC分类号： A61B17/3478 , A61B18/1477 , A61B18/1492 , A61B2017/2923 , A61B2017/2927 , A61B2018/1425 , A61B2018/1475 , A61B2018/1861
摘要： A medical instrument includes a flexible sheath, a pivot base, a medical needle knife base, a medical needle knife, and a handpiece. The flexible sheath has a distal sheath portion insertable within a patient and has a proximal sheath portion. The pivot base is attached to the distal sheath portion. The needle knife base is pivotally connected to the pivot base and has a passageway. The medical needle knife is extendable from the passageway and is retractable within the passageway. The handpiece is connected to the proximal sheath portion and includes a manually-operated articulation control operatively connected to the needle knife base for pivoting the needle knife base with respect to the pivot base.
摘要翻译：医疗器具包括柔性护套，枢轴底座，医用针刀基座，医用针刀和手持件。柔性护套具有可插入患者体内的远端护套部分，并且具有近侧护套部分。枢转底座附接到远端护套部分。针刀基座枢转地连接到枢转底座并具有通道。医用针刀可从通道延伸并在通道内伸缩。手持件连接到近侧护套部分并且包括可操作地连接到针刀基座的手动操作的关节运动控制器，用于相对于枢转底座枢转针刀座。

54. 发明申请

US20110124964A1 METHODS FOR CLOSING A GASTROTOMY 有权
标题翻译：封闭胃肠道的方法
公开(公告)号：US20110124964A1
公开(公告)日：2011-05-26
申请号：US13021222
申请日：2011-02-04
申请人： Rudolph H. Nobis
发明人： Rudolph H. Nobis
IPC分类号： A61B1/00 , A61B17/34
CPC分类号： A61B1/12 , A61B1/2736
摘要： A surgical instrument for forming a gastrotomy. In various embodiments, the surgical instrument may comprise a hollow tip for attachment to a distal end of a tubular member such as an endoscope. In other embodiments, the hollow tip is integrally formed on the distal end of the endoscope. The hollow tip is configured such that when it is brought into contact with the inner layer of tissue in the stomach, the tissue is caused to stretch. A hole-forming device may be passed through the hollow tip to pierce through the stretched inner layer and adjacent outer layers of tissue to form a passageway therethrough for permitting surgical procedures to be performed therethrough. After the surgical procedures are performed through the passageway, the hollow tip is removed from contact with the inner layer of tissue to permit the inner layer of tissue to relax and to cause the holes formed through the inner layer and outer layers of tissue to be offset from each other.
摘要翻译：用于形成胃切开术的手术器械。在各种实施例中，外科器械可以包括用于附接到诸如内窥镜的管状构件的远端的中空末端。在其他实施例中，中空末端一体地形成在内窥镜的远端上。中空尖端构造成使得当其与胃中的组织的内层接触时，使组织拉伸。孔形成装置可以穿过中空尖端以穿透延伸的内层和相邻的组织外层，以形成穿过其中的通道，以允许通过其进行外科手术。在通过通道进行外科手术之后，中空尖端与组织内层脱离接触以允许组织的内层松弛并且使通过内层和组织外层形成的孔被偏移从彼此。

55. 发明授权

US07927327B2 Medical instrument having an articulatable end effector 有权
标题翻译：具有可铰接端部执行器的医疗器械
公开(公告)号：US07927327B2
公开(公告)日：2011-04-19
申请号：US11411214
申请日：2006-04-25
申请人： Ifung Lu , Rudolph H. Nobis
发明人： Ifung Lu , Rudolph H. Nobis
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/221 , A61B17/32 , A61B2017/003 , A61B2017/00398 , A61B2017/2212 , A61B2017/2215 , A61B2017/2905 , A61B2017/2927 , A61B2017/2939
摘要： A medical instrument includes a flexible tube, a distal member, a flexible end-effector activation wire, a proximal member, and a flexible first cable. The distal member is connected to the distal tube portion. The activation wire is positioned within the tube. The proximal member is attached to the tube. The first cable is positioned outside the tube, is substantially transversely constrained by the proximal member, and has a first distal cable portion attached to the distal member. Lengthwise translation of the first cable articulates the distal member with respect to the proximal member. Another instrument includes a drive screw which articulates an end effector (e.g., a grasper) pivotally connected to a tube. An additional instrument includes a drive screw which articulates a distal medical instrument member pivotally connected to a tube. A medical end effector (e.g., a snare) is positionable in a lumen of the distal medical instrument member.
摘要翻译：医疗器械包括柔性管，远侧构件，柔性末端执行器激活线，近端构件和柔性第一电缆。远侧构件连接到远端管部。激活线定位在管内。近端构件附接到管。第一缆线位于管外部，基本上横向地受到近端构件的约束，并且具有附接到远端构件的第一远端缆索部分。第一缆线的纵向平移相对于近端构件铰接远端构件。另一个仪器包括一个驱动螺钉，该驱动螺钉将可枢转地连接到管的端部执行器（例如，抓紧器）连接起来。附加的仪器包括驱动螺钉，所述驱动螺钉铰接到枢转地连接到管的远侧医疗器械构件。医疗末端执行器（例如，圈套）可定位在远端医疗器械构件的内腔中。

56. 发明授权

US07837620B2 Medical tubular assembly 有权
标题翻译：医用管状组件
公开(公告)号：US07837620B2
公开(公告)日：2010-11-23
申请号：US11411195
申请日：2006-04-25
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00071 , A61B2018/00166
摘要： A medical tubular assembly includes four medical coilpipes together having a distal end portion insertable into a patient. The four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe. The four medical coilpipes are wound from a continuous length of wire. In one example, a lengthwise translatable medical-end-effector activation cable is located in the central coilpipe, a separate and lengthwise translatable medical-instrument-member articulation cable is located in each of the three peripheral coilpipes, and the distal end portion is endoscopically insertable into the patient. Other examples are left to those skilled in the art.
摘要翻译：医疗管状组件包括四个医用线圈管，其一起具有可插入患者体内的远端部分。四个医用线圈管包括中央卷管和设置在中心卷管的外侧的三个外围线圈管。四条医用线圈管由连续长度的线缠绕。在一个示例中，纵向可平移的医疗末端执行器激活电缆位于中央卷管中，在三个外围线圈管中的每一个中设置单独的和纵向可平移的医疗器械构件铰接电缆，并且远端部分是内窥镜可插入患者。本领域技术人员还可以使用其它实例。

57. 发明授权

US5871490A Suture cartridge assembly for a surgical knot 失效
标题翻译：用于手术结的缝合线筒组件
公开(公告)号：US5871490A
公开(公告)日：1999-02-16
申请号：US881978
申请日：1997-06-25
申请人： Dale R. Schulze , Sean P. Conlon , Saleem U. Qureshi , Rudolph H. Nobis , Bennie Thompson , Kip M. Rupp
发明人： Dale R. Schulze , Sean P. Conlon , Saleem U. Qureshi , Rudolph H. Nobis , Bennie Thompson , Kip M. Rupp
IPC分类号： A61B17/04 , A61B17/12 , A61B17/28 , D04G5/00
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/062 , A61B17/0625 , A61B17/12013 , A61B2017/00827 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0479 , A61B2017/2931
摘要： A suture cartridge assembly is disclosed. The assembly has a suture cartridge containing a slot for receiving a suture filament and a cartridge top for covering at least a portion of the filament. A grasping jaw faces the cartridge top, and it is movable from an open position spaced from the cartridge top to a closed position adjacent the cartridge top. The slot in the cartridge for receiving the filament facilitates the formation and placement of surgical knots made from the suture filament, particularly when knots are needed at remote surgical sites such as during minimally invasive surgery. The placement and deployment of the knot is further facilitated because the grasping jaw can grasp the filament or the tissue which is desired to be sutured when the jaw is moved from its open to closed positions. The ability to grasp the filament or tissue enables the surgeon to manipulate the filament or tissue during the procedure for deploying and placing the knot, further facilitating the ease with which the surgeon can deploy and place the knots in a minimally invasive procedure.
摘要翻译：公开了一种缝合筒组件。组件具有缝合筒，其包含用于接收缝合线丝的狭槽和用于覆盖长丝的至少一部分的药筒顶部。抓取爪面向盒顶，并且其可从与盒顶部间隔开的打开位置移动到与盒顶部相邻的关闭位置。用于接收细丝的盒中的槽有助于形成和放置由缝合线制成的手术结，特别是当在远程手术部位需要结时，例如在微创手术期间。进一步促进结的放置和部署，因为当钳口从其打开位置移动到关闭位置时，抓持钳可以抓住期望被缝合的细丝或组织。掌握细丝或组织的能力使得外科医生能够在用于部署和放置结的过程中操纵细丝或组织，进一步促进外科医生能够部署的容易程度，并将结放置在微创程序中。

58. 发明授权

US5285945A Surgical anastomosis stapling instrument 失效
公开(公告)号：US5285945A
公开(公告)日：1994-02-15
申请号：US998285
申请日：1992-12-30
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The actuator mechanism permits adjustment of the anvil gap to produce a desired staple height and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.

59. 再颁专利

USRE34519E Surgical stapler cartridge lockout device 失效
标题翻译：手术吻合器卡锁装置
公开(公告)号：USRE34519E
公开(公告)日：1994-01-25
申请号：US815235
申请日：1991-12-31
申请人： William D. Fox , Rudolph H. Nobis , Richard P. Nuchols , Mark S. Zeiner
发明人： William D. Fox , Rudolph H. Nobis , Richard P. Nuchols , Mark S. Zeiner
IPC分类号： A61B17/068 , A61B17/072 , A61B19/00 , B25C5/16
CPC分类号： B25C5/1686 , A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/2945 , A61B2090/0814
摘要： A lockout mechanism actuable upon the firing of staples in a surgical staple cartridge such that the lockout mechanism prevents the refiring of the spent staple cartridge when the cartridge remains loaded within the surgical stapler. In addition, the lockout mechanism will prevent reloading of a spent staple cartridge within a surgical stapler after the spent staple cartridge has been removed from the surgical stapler.
摘要翻译：一种锁定机构，其能够在外科手术钉仓中订制钉时致动，使得当所述药筒保持装载在所述外科缝合器内时，所述锁定机构防止所述用过的钉仓的再填充。此外，锁定机构将防止在从外科缝合器上取出用过的钉仓之后，将消耗的钉仓重新装载在外科缝合器内。

60. 发明授权

US5137198A Fast closure device for linear surgical stapling instrument 失效
标题翻译：用于线性外科手术仪器的快速闭合装置
公开(公告)号：US5137198A
公开(公告)日：1992-08-11
申请号：US701259
申请日：1991-02-16
申请人： Rudolph H. Nobis , Ronald R. VanOverloop , Michael D. Cronin , Steven W. Hamblin
发明人： Rudolph H. Nobis , Ronald R. VanOverloop , Michael D. Cronin , Steven W. Hamblin
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B34/74
摘要： A fast closure mechanism for a linear surgical stapling device as described. This comprises a double four-bar linkage which operates to both place a retaining pin into an anvil and properly and quickly approximate the staple cartridge to the anvil. Thereafter, a gap-setting screw is used so that the proper gap is set between the anvil and the cartridge. Firing is accomplished only after the gap is properly set and within the appropriate gap described pre-determined for the instrument. After firing, opening of the stapler may be accomplished with a similar fast opening motion.
摘要翻译：如上所述的用于线性外科缝合装置的快速闭合机构。这包括双重四杆连杆，其操作以将保持销放置在砧座中，并且将钉仓适当且快速地近似到砧座。此后，使用间隙调整螺钉，使得在砧座和盒之间设置适当的间隙。只有在间隙适当设定之后，并在为仪器预先确定的适当间隙内完成点火。在点火之后，订书机的打开可以用类似的快速打开动作来完成。

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