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71. 发明授权

US07942885B2 Surgical clip applier having clip chamber with clip chain 有权
标题翻译：具有夹子链的夹子室的手术夹具
公开(公告)号：US07942885B2
公开(公告)日：2011-05-17
申请号：US11531720
申请日：2006-09-14
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach
IPC分类号： A61B17/10
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip applier includes a clip chamber defined at the distal end of the instrument. A clip chain of at least two clips is provided in the clip chamber. The clip chain is coupled such that both relatively distal and proximal movement of the proximalmost clip of the clip chain within the chamber results in longitudinal translation of clips within the chamber.
摘要翻译：手术夹具包括限定在器械远端的夹子室。至少两个夹子的夹子链设置在夹子室中。夹子链被联接成使得夹子链的最近端的夹子的相对远端和近端运动在腔室内导致夹子在腔室内的纵向平移。

72. 发明授权

US07935126B2 Bone plate shaping system 有权
标题翻译：骨板成型系统
公开(公告)号：US07935126B2
公开(公告)日：2011-05-03
申请号：US11459824
申请日：2006-07-25
申请人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Jorge L. Orbay , Javier E. Castaneda , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B17/58
CPC分类号： A61B17/8863 , A61B17/1728 , A61B17/80 , A61B17/8052 , A61B17/8061 , A61B17/8085 , A61B17/888 , A61B17/8888 , A61B90/92 , A61B2017/564 , A61B2090/062
摘要： Removable guide tips are pre-assembled into threaded holes of a fracture fixation plate. The guide tips may be used with or without drill guides to guide a drill along the axes of threaded holes defined in the plate. In addition, the tips may be used with bending tools to contour the plate laterally, longitudinally and with twist. More particularly, such plate contouring can be performed while the plate is located on the bone.
摘要翻译：可拆卸的导向尖端预先组装成骨折固定板的螺纹孔。引导尖端可用于或不具有钻子引导件以沿着限定在板中的螺纹孔的轴线引导钻头。此外，尖端可以与弯曲工具一起使用，以横向，纵向和扭转轮廓板。更具体地，可以在板位于骨头上的同时执行这种板形状。

73. 发明申请

US20110060354A1 Tissue Fastening Devices and Related Insertion Tools and Methods 失效
标题翻译：组织紧固装置及相关插入工具及方法
公开(公告)号：US20110060354A1
公开(公告)日：2011-03-10
申请号：US12880868
申请日：2010-09-13
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/00
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00827 , A61B2017/0649
摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophageal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.
摘要翻译：本发明在一些方面涉及用于紧固组织段的单件式螺旋形外科紧固件，特别适用于内窥镜下方法用于固定下食管括约肌和眼底的部分，用于治疗GERD。本发明还涉及用于插入这种紧固件的相关方法和装置，特别是沿着这种组织段的表面的接合处。

74. 发明授权

US07811295B2 Tissue fastening devices and related insertion tools and methods 有权
标题翻译：组织固定装置及相关插入工具及方法
公开(公告)号：US07811295B2
公开(公告)日：2010-10-12
申请号：US11488191
申请日：2006-07-18
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00827 , A61B2017/0649
摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophogeal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.
摘要翻译：本发明在一些方面涉及用于紧固组织段的单件式线圈形外科紧固件，特别适用于内窥镜下方法中用于治疗GERD的下部食管括约肌和眼底的部分。本发明还涉及用于插入这种紧固件的相关方法和装置，特别是沿着这种组织段的表面的接合处。

75. 发明申请

US20100069969A1 Low Profile Screw and Washer System for Bone Plating 有权
标题翻译：用于骨电镀的薄型螺丝和垫圈系统
公开(公告)号：US20100069969A1
公开(公告)日：2010-03-18
申请号：US12210627
申请日：2008-09-15
申请人： Eduardo A. Ampuero , Alfredo Castaneda , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Eduardo A. Ampuero , Alfredo Castaneda , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/04
CPC分类号： G07F11/38 , A61B17/8605 , A61B17/8685 , A61B17/8695 , A61B50/20 , A61B50/30
摘要： A low profile bone screw system includes a retainable washer and a low profile bone screw having a smooth conical head for insertion into the washer. The washer has an axial bore with a conical portion for fully seating the screw head and a smooth outer surface shaped like the head of a conventional compression bone screw head. Washer dispensing units are also provided.
摘要翻译：低剖面骨螺钉系统包括可保持的垫圈和具有用于插入垫圈的平滑锥形头部的低轮廓骨螺钉。垫圈具有一个具有圆锥形部分的轴向孔，用于完全安置螺钉头和与常规压缩骨螺钉头形状相似的光滑外表面。还提供洗衣机分配单元。

76. 发明申请

US20090118768A1 Elbow Fracture Fixation System 有权
标题翻译：弯头骨折固定系统
公开(公告)号：US20090118768A1
公开(公告)日：2009-05-07
申请号：US12261392
申请日：2008-10-30
申请人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Kyle B. Thomas , Sravanthi Avuthu , Michael Wich , Roy Sanders , Scott Steinmann
发明人： Robert Sixto, JR. , Juergen A. Kortenbach , Jose Luis Francese , Kyle B. Thomas , Sravanthi Avuthu , Michael Wich , Roy Sanders , Scott Steinmann
IPC分类号： A61B17/70 , A61B17/04
CPC分类号： A61B17/80 , A61B17/17 , A61B17/1728 , A61B17/1739 , A61B17/8061 , A61B17/8085 , A61B17/809 , A61B17/864 , A61B17/8863 , B25B27/026 , B25B27/064 , Y10S606/902
摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.
摘要翻译：用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。所述至少一个板适于根据患者骨骼的形状来定制。该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。至少一个孔是螺纹孔。板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。

77. 发明授权

US07090685B2 Surgical tool having a distal ratchet mechanism 有权
公开(公告)号：US07090685B2
公开(公告)日：2006-08-15
申请号：US10396961
申请日：2003-03-25
申请人： Juergen A. Kortenbach , Jose Luis Francese
发明人： Juergen A. Kortenbach , Jose Luis Francese
IPC分类号： A61B17/10
CPC分类号： A61B17/122 , A61B17/128 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064
摘要： A flexible clip applier includes a ratchet mechanism adapted to locate a clip pusher to a known location after deployment of a distalmost clip. In addition, the clip applier includes a flexible housing into which a train of clips may be chambered. The flexible housing is constrained from elongation when subject to tensile forces. In accord with another aspect of the invention, the jaw assembly is adapted to have relatively high mechanical leverage which facilitates tissue compression prior to application of a clip.

78. 发明授权

US07083636B2 Tissue fasteners and related methods 失效
标题翻译：组织紧固件及相关方法
公开(公告)号：US07083636B2
公开(公告)日：2006-08-01
申请号：US10291252
申请日：2002-11-08
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , Y10T24/366
摘要： An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.
摘要翻译：一种用于展开具有阳紧固件部分和阴紧固件部分的两部分紧固件的内窥镜外科器械包括具有近端和远端的管。端部执行器联接到所述管的所述远端并且构造成以相对的关系保持阳性紧固件部件和阴型紧固件部件。致动器联接到所述管的所述近端，并且构造成致动所述末端执行器。剪切装置可以在端部执行器附近定位，以在雄性和雌性紧固件部件移动到锁定关系之后剪切掉雄性紧固件部件的尖端。此外，外科器械可以包括具有多个制动位置的轴的阳紧固件部件。此外，阳紧固件部分可以包括基部和枢转地连接到基部的轴。

79. 发明授权

US06808491B2 Methods and apparatus for on-endoscope instruments having end effectors and combinations of on-endoscope and through-endoscope instruments 失效
标题翻译：具有末端执行器的内窥镜仪器的方法和装置以及内窥镜和内窥镜仪器的组合
公开(公告)号：US06808491B2
公开(公告)日：2004-10-26
申请号：US10151503
申请日：2002-05-20
申请人： Juergen A. Kortenbach , Michael Sean McBrayer
发明人： Juergen A. Kortenbach , Michael Sean McBrayer
IPC分类号： A61B1018
CPC分类号： A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/2945 , A61B2017/320064 , A61B2018/00494 , A61B2018/00607 , A61B2018/00982 , A61B2018/1432 , A61B2018/1495 , A61B2090/306 , A61B2090/3614
摘要： A surgical system includes an endoscope, a pair of end effectors provided on the outside of the distal end of a endoscope (“on-scope”), in which one end effector is rotatable or otherwise movable relative to the second end effector and in which such movement is effected via controls elements which do not extend through a lumen of the endoscope, and another instrument extending through the lumen of the endoscope (“through-scope”), and which preferably also has a pair of end effectors. The on-scope device may be clamping jaws, needle passers, clip appliers, cautery devices, staplers, and releasable hemoclips, among other end devices. The through-scope end effectors may be graspers and clip appliers, among other end effectors.
摘要翻译：外科系统包括内窥镜，设置在内窥镜的远端的外侧（“在范围”）上的一对末端执行器，其中一个末端执行器可相对于第二末端执行器旋转或以其它方式移动，其中这样的运动通过不延伸通过内窥镜的内腔的控制元件和延伸穿过内窥镜的内腔（“通过范围”）的另一仪器实现，并且其优选地还具有一对末端执行器。与其他终端设备相比，该示范设备可以是夹钳爪，针通路器，夹具装置，烧灼装置，缝合器和可释放的血液透镜。通过范围的末端执行器可以是抓取器和夹子施放器，以及其他终端执行器。

80. 发明授权

US09510826B2 Endoscopic instrument 有权
标题翻译：内窥镜仪器
公开(公告)号：US09510826B2
公开(公告)日：2016-12-06
申请号：US12453937
申请日：2009-05-27
申请人： Juergen A. Kortenbach
发明人： Juergen A. Kortenbach
IPC分类号： A61B19/00 , A61B17/064 , A61B17/00 , A61B17/068 , A61B17/29
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , Y10T24/366
摘要： An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.
摘要翻译：一种用于展开具有阳紧固件部分和阴紧固件部分的两部分紧固件的内窥镜外科器械包括具有近端和远端的管。端部执行器联接到所述管的所述远端并且构造成以相对的关系保持阳性紧固件部件和阴型紧固件部件。致动器联接到所述管的所述近端，并且构造成致动所述末端执行器。剪切装置可以在端部执行器附近定位，以在雄性和雌性紧固件部件移动到锁定关系之后剪切掉雄性紧固件部件的尖端。此外，外科器械可以包括具有多个制动位置的轴的阳紧固件部件。此外，阳紧固件部分可以包括基部和枢转地连接到基部的轴。

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