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71. 发明授权

US08453905B2 Surgical fastener for applying a large staple through a small delivery port 有权
标题翻译：外科紧固件，用于通过小型输送口施加大型钉
公开(公告)号：US08453905B2
公开(公告)日：2013-06-04
申请号：US13164960
申请日：2011-06-21
申请人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Jeffrey C. Cerier , Jonathan B. O'Keefe , Keith D. Boudreau , Mark S. Zeiner
发明人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Jeffrey C. Cerier , Jonathan B. O'Keefe , Keith D. Boudreau , Mark S. Zeiner
IPC分类号： A61B17/68
CPC分类号： A61B17/0644 , A61B17/0682 , A61B17/0684
摘要： A surgical fastener applying device having a handle with a trigger pivotably attached thereto and movable within a trigger plane. The trigger has a bottom portion extending from the handle and a top portion disposed within a housing of the handle. The device has a staple housing with a proximal end attached to the handle, a distal end extending therefrom and a longitudinal axis therebetween. The housing has a firing bar disposed within, and the trigger is coupled to the firing bar. The device has a link member with a first end pivotably attached to the top portion of trigger, the link member has a second end comprising a slidable pin. The pin engages a three dimensional cam path disposed within the housing. The link member follows distal and proximal movement of the top portion of the trigger, and the pin slides perpendicular to the trigger plane to follow the three dimensional cam path.
摘要翻译：一种手术紧固件施加装置，具有手柄，该手柄具有可枢转地附接到其上并在触发平面内可移动的扳机。触发器具有从手柄延伸的底部部分和设置在手柄壳体内的顶部部分。该装置具有钉壳体，其近端附接到手柄，从其延伸的远端和它们之间的纵向轴线。壳体具有设置在其内的击发杆，并且触发器联接到击发杆。该装置具有连杆构件，其具有可枢转地附接到触发器的顶部的第一端，该连杆构件具有包括可滑动销的第二端。销接合设置在壳体内的三维凸轮路径。连杆构件遵循触发器的顶部的远端和近端运动，并且销垂直于触发平面滑动以跟随三维凸轮路径。

72. 发明申请

US20120160890A1 Surgical Fastener for Applying A Large Staple Through A Small Delivery Port 有权
标题翻译：手术紧固件通过一个小的送货口应用大型主食
公开(公告)号：US20120160890A1
公开(公告)日：2012-06-28
申请号：US13164960
申请日：2011-06-21
申请人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Jeffrey C. Cerier , Jonathan B. O'Keefe , Keith D. Boudreau , Mark S. Zeiner
发明人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Jeffrey C. Cerier , Jonathan B. O'Keefe , Keith D. Boudreau , Mark S. Zeiner
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/0682 , A61B17/0684
摘要： A surgical fastener applying device having a handle with a trigger pivotably attached thereto and movable within a trigger plane. The trigger has a bottom portion extending from the handle and a top portion disposed within a housing of the handle. The device has a staple housing with a proximal end attached to the handle, a distal end extending therefrom and a longitudinal axis therebetween. The housing has a firing bar disposed within, and the trigger is coupled to the firing bar. The device has a link member with a first end pivotably attached to the top portion of trigger, the link member has a second end comprising a slidable pin. The pin engages a three dimensional cam path disposed within the housing. The link member follows distal and proximal movement of the top portion of the trigger, and the pin slides perpendicular to the trigger plane to follow the three dimensional cam path.
摘要翻译：一种手术紧固件施加装置，具有手柄，该手柄具有可枢转地附接到其上并在触发平面内可移动的扳机。触发器具有从手柄延伸的底部部分和设置在手柄壳体内的顶部部分。该装置具有钉壳体，其近端附接到手柄，从其延伸的远端和它们之间的纵向轴线。壳体具有设置在其内的击发杆，并且触发器联接到击发杆。该装置具有连杆构件，其具有可枢转地附接到触发器的顶部的第一端，该连杆构件具有包括可滑动销的第二端。销接合设置在壳体内的三维凸轮路径。连杆构件遵循触发器的顶部的远端和近端运动，并且销垂直于触发平面滑动以跟随三维凸轮路径。

73. 发明申请

US20120059396A1 Device For Deploying A Fastener For Use In A Gastric Volume Reduction Procedure 审中-公开
标题翻译：用于部署紧固件的装置用于胃体积减少程序
公开(公告)号：US20120059396A1
公开(公告)日：2012-03-08
申请号：US13294241
申请日：2011-11-11
申请人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
发明人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0483 , A61B17/0487 , A61B17/06114 , A61B17/06166 , A61B17/3462 , A61B17/3478 , A61B90/90 , A61B2017/00278 , A61B2017/00818 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/306 , A61F5/0079 , A61F5/0086 , A61M13/003
摘要： A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature.
摘要翻译：一种用于围绕较大曲率的胃操作胃组织的方法和装置。该方法包括以下步骤：产生至少一个切口以进入腹膜腔，以及解剖大网膜的至少一部分。然后，该方法包括通过切口进入胃组织的外部并折叠胃的较大曲率的至少一部分。折叠被构造成具有大致沿着其整个长度的浆膜到浆膜的接触。该方法还包括用柔性构件固定折叠物，其中柔性构件包括至少一个组织固定特征。

74. 发明申请

US20110082472A1 Method For Deploying Fasteners For Use In a Gastric Volume Reduction Procedure 失效
标题翻译：用于部分紧固件的方法用于胃减容程序
公开(公告)号：US20110082472A1
公开(公告)日：2011-04-07
申请号：US12573907
申请日：2009-10-06
申请人： Jason L. Harris , Matthew D. Holcomb , Mark S. Zeiner , Michael J. Stokes
发明人： Jason L. Harris , Matthew D. Holcomb , Mark S. Zeiner , Michael J. Stokes
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/3498 , A61B90/92 , A61B90/94 , A61B2017/00477 , A61B2017/00526 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0496 , A61B2017/06052 , A61B2017/2916 , A61B2017/2917 , A61B2017/292 , A61B2017/2923 , A61B2017/2926
摘要： A method for deploying fasteners including the steps of providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle and an elongated pusher movable through the hollow housing from the distal to the proximal end for deploying the fastener from the distal end. The method includes increasing the stiffness of the pusher at a distal end thereof and advancing the pusher through the elongated housing to deploy the fasteners.
摘要翻译：一种用于部署紧固件的方法，包括以下步骤：提供具有手柄和至少一个致动器的装置。手柄连接到具有远端和近端的细长的中空壳体。该装置具有第一盒，该盒包含至少一个可释放地连接到手柄的紧固件，以及可从远端到近端可穿过中空壳体的细长推动器，用于从远端展开紧固件。该方法包括增加推动器在其远端处的刚度，并且推动推动器穿过细长壳体以展开紧固件。

75. 发明申请

US20090275977A1 TISSUE CONVEYOR FOR USE IN GASTRIC REDUCTION SURGERY AND ASSOCIATED METHOD FOR USE 有权
标题翻译：用于胃肠减容手术的组织输送机及相关使用方法
公开(公告)号：US20090275977A1
公开(公告)日：2009-11-05
申请号：US12113765
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/28
CPC分类号： A61F5/0086 , A61B17/00491 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/08 , A61B17/1114 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/06052 , A61B2017/081 , A61B2017/2926
摘要： A tissue conveyor includes a conveyor body having a proximal end and a distal end. The proximal end includes a handle allowing for operator control of an end effector located at the distal end. The end effector includes a grasper assembly composed of a first jaw bar and a second jaw bar connected by a support base to define a cavity into which tissue is drawn. A first conveyor member is positioned upon the first jaw bar for movement along an internal surface of the first jaw bar and a second conveyor member is positioned upon the second jaw bar for movement along an internal surface of the second jaw bar. The method for creating a tissue fold includes positioning a tissue conveyor adjacent tissue, pushing the respective first jaw bar and the second jaw bar into the tissue in the area where a fold is desired, and pulling the first conveyor member and the second conveyor member proximally to draw the first and second conveyor members and tissue into a cavity defined by the first jaw bar and the second jaw bar to create a tissue fold.
摘要翻译：纸巾输送机包括具有近端和远端的输送机主体。近端包括允许操作者控制位于远端的末端执行器的手柄。端部执行器包括由第一钳口杆和由支撑基座连接的第二钳口条组成的抓紧器组件，以限定抽出组织的空腔。第一传送器构件定位在第一钳口杆上，用于沿着第一钳口杆的内表面移动，并且第二传送构件定位在第二钳口杆上，用于沿着第二钳口杆的内表面移动。用于产生组织折叠的方法包括将组织输送器定位成邻近组织，将相应的第一钳口条和第二钳口杆推向需要折叠的区域中的组织中，并且将第一传送构件和第二传送构件向近侧拉以将第一和第二传送器构件和组织拉入由第一颚板和第二颚条限定的空腔中以产生组织折叠。

76. 发明申请

US20090272783A1 FASTENER AND FASTENER APPLIER HAVING SELECTIVE SUTURE ATTACHMENT 有权
标题翻译：具有选择性附件的紧固件和紧固件应用
公开(公告)号：US20090272783A1
公开(公告)日：2009-11-05
申请号：US12113644
申请日：2008-05-01
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0401 , A61B17/0644 , A61B2017/0409 , A61B2017/0488
摘要： A surgical stapling device for deploying staples connected with suture to tissue includes a handle having a staple actuator mechanism, a tubular support shaft having a longitudinal axis and extending from the handle, and a staple cartridge mounted on the support shaft and connected to the staple actuator mechanism for applying one or more staples to the tissue. The cartridge has a cartridge housing adapted to receive a plurality of staples in a row for longitudinal movement therethrough and an anvil mounted on the housing. The cartridge further includes a mechanism for advancing the forwardmost staple in the row into engagement with the anvil, and a suture guide supporting a length of suture that extends in a loop for attachment to the staples as they are secured to the tissue.
摘要翻译：一种用于将与缝合线连接的组织部署到外科缝合装置的手术装置包括具有缝钉致动器机构的手柄，具有纵向轴线并从手柄延伸的管状支撑轴，以及安装在支撑轴上并连接到钉子致动器用于将一个或多个钉钉施加到组织的机构。该盒具有一个盒壳体，其适于容纳一行中的多个钉，用于纵向运动，并且安装在壳体上的砧座。所述筒还包括用于将所述排中的最前面的钉向前推进与所述砧座接合的机构，以及缝合线引导件，所述缝合线引导件支撑一定长度的缝合线，所述缝线引导件在环路中延伸，以便在固定到所述组织上时与所述缝钉连接。

77. 发明申请

US20090118762A1 Disposable cartridge for use in a gastric volume reduction procedure 审中-公开
标题翻译：用于胃体积减少手术的一次性药筒
公开(公告)号：US20090118762A1
公开(公告)日：2009-05-07
申请号：US11930291
申请日：2007-10-31
申请人： Lawrence Crainch , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
发明人： Lawrence Crainch , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0467 , A61B2017/00818 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417
摘要： A cartridge containing a fastener, wherein the cartridge releasably connected to a fastener deploying device. The cartridge has a housing which houses at least one tissue penetrating member. The penetrating member at least partially houses a fastener. The fastener has at least two rigid anchors connected together by a flaccid member. The cartridge further includes a means for removably attaching the cartridge to a deployment device.
摘要翻译：一种包含紧固件的盒，其中盒可释放地连接到紧固件展开装置。该盒具有容纳至少一个组织穿透构件的壳体。穿透构件至少部分地容纳紧固件。紧固件具有至少两个由松弛部件连接在一起的刚性锚固件。墨盒还包括用于将墨盒可拆卸地附接到展开装置的装置。

78. 发明授权

US09084599B2 Surgical stapling instrument for applying a large staple through a small delivery port and a method of using the surgical stapler to secure a tissue fold 有权
标题翻译：用于通过小的输送口施加大的钉的外科缝合器械以及使用外科缝合器固定组织折叠的方法
公开(公告)号：US09084599B2
公开(公告)日：2015-07-21
申请号：US12113829
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
IPC分类号： A61B17/068 , A61B17/00 , A61B17/64 , A61B17/29
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0684 , A61B17/6425 , A61B2017/0034 , A61B2017/00818 , A61B2017/2929
摘要： A low-profile surgical stapler enables a large-sized staple to be delivered into a body cavity through a small opening or port. The surgical stapler includes a handle having a trigger movably coupled to the handle. The surgical stapler also includes an elongated, tubular shaft extends distally from the handle. The tubular shaft includes a proximal end secured to the handle and a distal end in which a deployment opening is formed. A staple deploying assembly is disposed within an interior of the shaft for discharging staples from the deployment opening at the distal end of the shaft, the staple deploying assembly supporting a staple such that a longitudinal axis of the staple is aligned with a longitudinal axis of the shaft. The deployment opening is shaped and dimensioned to permit the deployment of the staples from within the shaft, out of the deployment opening and into adjacent tissue.
摘要翻译：低调外科缝合器使得大尺寸的钉可以通过小的开口或端口输送到体腔中。手术吻合器包括具有可移动地联接到手柄的触发器的手柄。手术吻合器还包括从手柄向远侧延伸的细长管状轴。管状轴包括固定到手柄的近端和形成有展开开口的远端。缝钉展开组件设置在轴的内部，用于在轴的远端处从排出口排出订书钉，所述订书钉展开组件支撑订书钉，使得订书钉的纵向轴线与轴。展开口的形状和尺寸被设计成允许订书针从轴内部伸出展开开口并进入邻近的组织。

79. 发明授权

US08439244B2 Surgical stapler fastening device with movable anvil 有权
标题翻译：具有活动砧座的手术吻合器固定装置
公开(公告)号：US08439244B2
公开(公告)日：2013-05-14
申请号：US13015977
申请日：2011-01-28
申请人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Jonathan B. O'Keefe , Keith D. Boudreau , Jeffrey C. Cerier
发明人： Matthew D. Holcomb , Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Jonathan B. O'Keefe , Keith D. Boudreau , Jeffrey C. Cerier
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0644 , A61B17/0682 , A61B2017/0053 , A61B2017/00818 , A61B2017/0488 , A61B2017/0645 , A61B2017/0725
摘要： A surgical fastener applier having a handle and a fastener housing extending from the handle. The housing contains at least one anvil movable within the staple housing, the anvil has a proximal position and a distal position. When in the distal position a distal end of the anvil extends distal to the distal end of the staple housing. The housing contains a plurality of surgical fasteners each of which in the shape of a loop. At least one of the fasteners is placed around a portion of the anvil when in the distal position. The applier has a first mechanism for moving the anvil distally after a fastener has been deployed, and a second mechanism for moving the anvil distally after a fastener has been deployed. The second means is independent of the first means.
摘要翻译：具有手柄和从手柄延伸的紧固件外壳的手术紧固件施加器。壳体包含至少一个在钉仓壳体内可移动的砧座，砧座具有近端位置和远端位置。当处于远端位置时，砧座的远端延伸到钉仓远端的远端。壳体包含多个环形形状的外科紧固件。当处于远端位置时，至少一个紧固件被放置在砧座的一部分周围。施放器具有用于在紧固件展开之后向远侧移动砧座的第一机构，以及用于在紧固件展开后向远侧移动砧座的第二机构。第二种手段是独立于第一种手段。

80. 发明申请

US20120160891A1 Method of Using A Surgical Stapler To Secure A Tissue Fold 审中-公开
标题翻译：使用外科订书机固定组织折叠的方法
公开(公告)号：US20120160891A1
公开(公告)日：2012-06-28
申请号：US13164963
申请日：2011-06-21
申请人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Suzanne E. Thompson
发明人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner , Suzanne E. Thompson
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/0682 , A61B17/0684
摘要： A method of plicating a hollow organ by accessing the exterior of a hollow organ of a patient. The method includes the steps of grasping tissue on first and second sides of a greater curvature of the organ and forming a first fold along a length the greater curvature by attaching the first and second sides together along a first attachment line with a first plurality of fasteners. The fasteners have a first spacing therebetween. The method also involves the steps of grasping tissue on first and second sides of a greater curvature of the organ and forming a second fold about the first fold along a length the first attachment line by attaching the first and second sides together along a second attachment line with a second plurality of fasteners having a second spacing therebetween. Wherein the second spacing is less than the first spacing and wherein the second spacing is less than 2 cm.
摘要翻译：通过进入患者的中空器官的外部来调节中空器官的方法。该方法包括以下步骤：在器具的较大曲率的第一侧和第二侧上抓住组织，并通过沿着第一附接线将第一和第二侧附接在一起，并沿着第一多个紧固件。紧固件之间具有第一间隔。该方法还包括以下步骤：在器官的较大曲率的第一侧和第二侧上抓住组织，并沿第一连接线的长度沿着第一连接线的长度沿着第二连接线附接第一和第二侧而形成第二折叠其中第二多个紧固件之间具有第二间隔。其中第二间距小于第一间隔，并且其中第二间距小于2cm。

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