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51. 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。

52. 发明授权

US08845648B2 Minimally invasive orthopaedic apparatus and methods 有权
标题翻译：微创矫形器和方法
公开(公告)号：US08845648B2
公开(公告)日：2014-09-30
申请号：US11027135
申请日：2004-12-30
申请人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
发明人： Pamela C. Guzman , Michael A. Wack , Dale R. Schulze , Gary W. Knight , Christopher J. Hess , Rudolph H. Nobis , Michael F. Clem , Ronald J. Kolata
IPC分类号： A61B17/80 , A61B17/88 , A61B17/17 , A61B17/16 , A61B1/00 , A61F2/46 , A61B17/72 , A61B17/92 , A61B17/00 , A61B17/02 , A61B17/86 , A61B19/00 , A61B1/06 , A61B17/74
CPC分类号： A61B17/921 , A61B1/00154 , A61B1/0615 , A61B17/00234 , A61B17/0218 , A61B17/1604 , A61B17/1635 , A61B17/1655 , A61B17/1664 , A61B17/1703 , A61B17/1717 , A61B17/1725 , A61B17/1728 , A61B17/1735 , A61B17/1782 , A61B17/72 , A61B17/744 , A61B17/808 , A61B17/8685 , A61B17/8866 , A61B90/02 , A61B2090/08021 , A61F2/4644 , A61F2002/4635 , A61F2002/4649
摘要： Apparatus and methods for use in the performance of minimally invasive orthopaedic procedures, including apparatus and methods for use in the performance of such procedures under the visualization of an endoscope, are herein disclosed. Such procedures include a minimally invasive intramedullary nailing procedure, a minimally invasive bone graft harvesting procedure, a minimally invasive pelvic osteotomy procedure, an orthopaedic implant revision procedure, and a minimally invasive percutaneous bone plating procedure.
摘要翻译：本文公开了用于执行微创骨科手术的装置和方法，包括用于在内窥镜可视化下执行这种程序的装置和方法。这样的程序包括微创髓内钉术，微创骨移植物收获程序，微创骨盆截骨术，矫形植入物修复程序和微创经皮骨移植手术。

53. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

54. 发明申请

US20110087265A1 LAPAROSCOPIC INSTRUMENT WITH ATTACHABLE END EFFECTOR 审中-公开
标题翻译：具有附加功能的LAPAROSCOPIC仪器
公开(公告)号：US20110087265A1
公开(公告)日：2011-04-14
申请号：US12576546
申请日：2009-10-09
申请人： Rudolph H. Nobis , James T. Spivey , Kevin M. Huey , Christopher J. Hess
发明人： Rudolph H. Nobis , James T. Spivey , Kevin M. Huey , Christopher J. Hess
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/320016 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/0053 , A61B2017/2931 , A61B2017/320093 , A61B2017/320095
摘要： A laparoscopic surgical device comprises an elongate shaft defining a longitudinal axis, the shaft comprising a distal end and a proximal end. A plurality of arms project distally from the distal end of the elongate shaft, the arms each comprising a lateral notch. The arms are axially slideable relative the elongate shaft and are medially deflectable. An elongate pin is positioned medially relative the arms. The elongate pin is axially slideable relative the arms between a locked position preventing medial deflection of the arms and an unlocked position allowing medial deflection of the arms. A surgical end effector is selectively attachable in vivo and detachable in vivo to the mating feature of the arms, the surgical end effector comprising jaws that open and close in response to the axial movement of the two arms when attached to the surgical end effector.
摘要翻译：腹腔镜手术装置包括限定纵向轴线的细长轴，该轴包括远端和近端。多个臂从细长轴的远端向远侧突出，所述臂各自包括侧向凹口。臂相对于细长轴可轴向滑动并且可内向偏转。细长销相对于臂中间定位。细长销相对于臂在可防止臂的内侧偏转的锁定位置和允许臂的内侧偏转的解锁位置之间轴向滑动。手术末端执行器可选择性地附接到体内并且能够在体内可拆卸到臂的配合特征，所述外科末端执行器包括当连接到手术端部执行器时响应于两个臂的轴向运动而打开和关闭的钳口。

55. 发明授权

US07850686B2 Protective needle knife 有权
标题翻译：保护针刀
公开(公告)号：US07850686B2
公开(公告)日：2010-12-14
申请号：US11277998
申请日：2006-03-30
申请人： Rudolph H. Nobis , Kurt Bally , Christopher Paul Swain
发明人： Rudolph H. Nobis , Kurt Bally , Christopher Paul Swain
IPC分类号： A61B18/18
CPC分类号： A61B17/3415 , A61B17/3478 , A61B17/3494 , A61B17/3496 , A61B18/1477
摘要： Various methods and devices are provided for penetrating tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible elongate shaft and a flexible elongate wire extending through the elongate shaft and having a needle tip at a distal end thereof for penetrating tissue. The needle tip can be conductive and the elongate wire can be adapted to couple to an energy source for delivering energy to the needle tip to facilitate penetration of the needle tip through tissue. The device can also include a protective sheath disposed over at least a portion of the elongate shaft and movable relative to the elongate shaft between a distal position and a proximal position. The protective sheath is configured to either protect the needle tip or electrically isolate the needle tip after the needle tip is penetrated through tissue, thereby preventing unintentional penetration of adjacent tissue.
摘要翻译：提供用于穿透组织的各种方法和装置。在一个实施例中，提供组织穿透装置，并且包括柔性细长轴和延伸穿过细长轴并且在其远端处具有用于穿透组织的针尖的柔性细长线。针尖可以是导电的，并且细长线可以适于耦合到能量源，以将能量传递到针尖以促进针尖穿过组织。该装置还可以包括设置在细长轴的至少一部分上并且可在远侧位置和近端位置之间相对于细长轴移动的护套。保护套被构造成在针尖穿过组织之后保护针尖或电隔离针尖，从而防止相邻组织的无意穿透。

56. 发明申请

US20100280326A1 SURGICAL DEVICES FOR INTERNAL ACCESS THROUGH TISSUE 审中-公开
标题翻译：通过组织进行内部接触的外科手术
公开(公告)号：US20100280326A1
公开(公告)日：2010-11-04
申请号：US12475012
申请日：2009-05-29
申请人： Christopher J. Hess , Rudolph H. Nobis , Andrew M. Zwolinski
发明人： Christopher J. Hess , Rudolph H. Nobis , Andrew M. Zwolinski
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B1/32 , A61B17/0293 , A61B2017/00867 , A61B2017/3443 , A61B2017/3466
摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can be configured to move between a first, expanded configuration, and a second, compressed configuration. As the device moves from the first configuration to the second configuration, a longitudinal length of the device can decrease, thereby allowing the device to be securely positioned in tissue and reducing a distance that the device extends into a body cavity.
摘要翻译：提供了用于提供通过组织进入外科手术部位的方法和装置。在一个实施例中，手术进入装置可被配置成在第一扩张配置和第二压缩配置之间移动。当设备从第一配置移动到第二配置时，设备的纵向长度可以减小，从而允许设备被牢固地定位在组织中并且减小设备延伸到体腔中的距离。

57. 发明授权

US07785348B2 Devices and methods of locking and cutting a suture in a medical procedure 有权
标题翻译：在医疗过程中锁定和切割缝线的装置和方法
公开(公告)号：US07785348B2
公开(公告)日：2010-08-31
申请号：US11127515
申请日：2005-05-12
申请人： Jesse J. Kuhns , Christopher Paul Swain , Charles Alexander Mosse , Omar J. Vakharia , Rudolph H. Nobis
发明人： Jesse J. Kuhns , Christopher Paul Swain , Charles Alexander Mosse , Omar J. Vakharia , Rudolph H. Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/06166 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052
摘要： Devices and methods are provided which may be used for suturing, including performing a totally transoral surgical procedure, such as a posterior gastropexy procedure. A suture lock and cut assembly is provided to lock and cut one or more sutures in one motion, which motion can be a non-curved, non rotational linear motion. The suture lock and cut assembly with one or more sutures threaded therethrough may be pushed through, for example, a patient's esophagus and into the stomach by the tip of an endoscope, or alternatively, sized to be fed through the working channel of the endoscope.
摘要翻译：提供了可以用于缝合的装置和方法，包括完成全面的手术操作，例如胃后路手术。提供缝合线锁和切割组件以在一个运动中锁定和切割一个或多个缝合线，该运动可以是非弯曲的非旋转线性运动。具有穿过其中的一个或多个缝合线的缝合线锁定和切割组件可以被推送通过例如患者的食道并且通过内窥镜的尖端被推入胃部，或者可选地尺寸设置成被馈送通过内窥镜的工作通道。

58. 发明授权

US07758593B2 Medical instrument handle and medical instrument having same 有权
标题翻译：医疗器械手柄和医疗器具相同
公开(公告)号：US07758593B2
公开(公告)日：2010-07-20
申请号：US11417482
申请日：2006-05-04
申请人： Rudolph H. Nobis , Ifung Lu , Omar Vakharia
发明人： Rudolph H. Nobis , Ifung Lu , Omar Vakharia
IPC分类号： A61B17/24 , A61B17/26
CPC分类号： A61B17/32056 , A61B2017/2911 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument handle includes a medical-instrument-handle body, manually-slidable first and second slides, and medical-instrument-member first and second articulation cables. The handle body has a longitudinal axis, a proximal body portion, and a distal body portion. The first slide is slidably attached to the handle body. The first articulation cable includes a first proximal cable portion which has a first centerline and which is connected to the first slide. The second slide is slidably attached to the handle body. The second articulation cable includes a second proximal cable portion which is connected to the second slide. A medical instrument also includes a flexible shaft and a medical end effector.
摘要翻译：医疗器械手柄包括医疗器械手柄本体，可手动滑动的第一和第二滑块以及医疗器械构件第一和第二铰接电缆。手柄主体具有纵向轴线，近端主体部分和远侧主体部分。第一滑块可滑动地附接到手柄主体。第一铰接电缆包括具有第一中心线并连接到第一滑块的第一近侧电缆部分。第二滑块可滑动地附接到手柄主体。第二铰接缆线包括连接到第二滑块的第二近侧缆索部分。医疗器械还包括柔性轴和医疗末端执行器。

59. 发明授权

US07651491B2 Method for performing an endoscopic mucosal resection 有权
标题翻译：进行内窥镜粘膜切除术的方法
公开(公告)号：US07651491B2
公开(公告)日：2010-01-26
申请号：US11414627
申请日：2006-04-28
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B18/14
CPC分类号： A61B18/04 , A61B18/082 , A61B18/1445 , A61B18/1492 , A61B2017/00269 , A61B2017/2945 , A61B2018/00482 , A61B2018/1253 , A61B2018/1407 , A61B2018/1432 , A61B2018/144
摘要： A method for resecting tissue from an organ of a patient, the organ being comprised of at least a first layer, a second layer and a third layer, the method including the steps of providing an EMR device with access to the organ, the EMR device including at least one deployable cutting element disposed on at least one moveable arm, identifying a target tissue area for resection, forming an incision through the first and second layers without penetrating the third layer, positioning the EMR device through the incision such that the device is positioned between the first third layers, advancing the moveable arm between the first and third layers, deploying the cutting element such that the cutting element is advanced in the direction of the first layer and away from the third layer and, while the EMR device is positioned between the first and third layers, cutting through the first layer.
摘要翻译：一种用于从患者器官切除组织的方法，所述器官由至少第一层，第二层和第三层组成，所述方法包括以下步骤：向EMR装置提供对器官的访问，EMR装置包括设置在至少一个可移动臂上的至少一个可展开的切割元件，识别用于切除的目标组织区域，在不穿透第三层的情况下通过第一和第二层形成切口，将EMR装置定位穿过切口使得该装置是位于所述第一第三层之间，使所述可移动臂在所述第一层和所述第三层之间前进，展开所述切割元件，使得所述切割元件沿所述第一层的方向前进并且远离所述第三层，并且当所述EMR设备被定位时在第一和第三层之间切割第一层。

60. 发明申请

US20070255299A1 Dual-Bend Sphinctertome 有权
标题翻译：双弯曲括约肌切开术
公开(公告)号：US20070255299A1
公开(公告)日：2007-11-01
申请号：US11741198
申请日：2007-04-27
申请人： Omar J. Vakharia , Rudolph H. Nobis , Christopher Paul Swain , Charles Alexander Mosse , Keiichi Ikeda
发明人： Omar J. Vakharia , Rudolph H. Nobis , Christopher Paul Swain , Charles Alexander Mosse , Keiichi Ikeda
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/32056 , A61B2017/00278 , A61B2017/003 , A61B2018/1407 , A61B2018/144 , A61B2018/1467 , A61B2018/1475
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first and second wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译：本文公开了用于在组织中形成多向切割的装置和方法。本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿构件的一部分的至少第一和第二导线。电线的远端部分锚定在细长构件的一部分上或内部。当例如通过设备近端的致动器将张力施加到一个电线上时，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假设组织 - 切割配置。

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