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81. 发明申请

US20120080485A1 FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX 有权
标题翻译：用于配置包含保持矩阵的紧固件系统的紧固件
公开(公告)号：US20120080485A1
公开(公告)日：2012-04-05
申请号：US12894367
申请日：2010-09-30
申请人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
发明人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.
摘要翻译：外科缝合器械可以包括一个包括致动器的手柄，以及两个端部执行器，其包括近端，远端和在近端和远端之间延伸的纵向轴线。端部执行器还可以包括第一钳口，第一钳口被配置为支撑包括钉腿的钉，并且还包括支撑与钉相对的矩阵元件的第二钳口，其中夹爪之一可向另一侧移动以使基体元件与钉腿。缝合器械还可以包括与致动器可操作地联接的凸轮，其中凸轮可沿着纵向轴线移动以使钉腿变形。

82. 发明申请

US20120080338A1 COMPRESSIBLE STAPLE CARTRIDGE ASSEMBLY 有权
标题翻译：可压缩胶囊组件
公开(公告)号：US20120080338A1
公开(公告)日：2012-04-05
申请号：US13097907
申请日：2011-04-29
申请人： Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young
发明人： Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young
IPC分类号： A61B17/064
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译：紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。

83. 发明申请

US20110284614A1 SURGICAL INSTRUMENT WITH CLAMP 有权
标题翻译：带夹钳的手术仪器
公开(公告)号：US20110284614A1
公开(公告)日：2011-11-24
申请号：US13194168
申请日：2011-07-29
申请人： David Farascioni
发明人： David Farascioni
IPC分类号： A61B17/068 , A61B18/18
CPC分类号： A61B17/07207 , A61B18/1445 , A61B2017/00353 , A61B2017/00473 , A61B2017/07214 , A61B2017/07221 , A61B2017/2927 , A61B2017/2931 , A61B2017/2945 , A61B2018/1432
摘要： A surgical instrument for surgically joining tissue is disclosed. The surgical instrument includes a handle portion, an endoscopic portion, a pair of jaw members and a clamp. The endoscopic portion extends distally from the handle portion and defines a longitudinal axis. The pair of jaw members is disposed adjacent a distal end of the endoscopic portion. At least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The pair of jaw members is curved with respect to the longitudinal axis. The clamp is disposed adjacent the jaw members. The clamp is movable between an open position and an approximated position for engaging body tissue. The clamp is independently movable with respect to the jaw members and is curved with respect to the longitudinal axis.
摘要翻译：公开了一种用于手术连接组织的手术器械。外科器械包括手柄部分，内窥镜部分，一对钳口构件和夹具。内窥镜部分从手柄部分向远侧延伸并且限定纵向轴线。一对钳口构件邻近内窥镜部分的远端设置。夹钳构件中的至少一个可相对于另一个在打开位置和近似位置之间移动，用于在其间接合身体组织。一对钳口构件相对于纵向轴线弯曲。夹具邻近钳口构件设置。夹具可以在打开位置和用于接合身体组织的近似位置之间移动。夹具可相对于钳口构件独立地移动并相对于纵向轴线弯曲。

84. 发明申请

US20110248064A1 Surgical Fastener Applying Apparatus 有权
标题翻译：手术紧固件应用仪器
公开(公告)号：US20110248064A1
公开(公告)日：2011-10-13
申请号：US12755590
申请日：2010-04-07
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/064
CPC分类号： A61B17/07207 , A61B2017/07221 , A61B2017/07271 , A61B2017/07278
摘要： A surgical fastener cartridge is provided and includes a cartridge body having a plurality of surgical fasteners operatively disposed therein. An actuation mechanism is housed within the cartridge body and includes a plurality of pushers operably associated with the plurality of surgical fasteners. The actuation mechanism includes a plurality of pivotably connected link assemblies. Each link assembly being pivotably engaged with a corresponding bottom surface associated with each the pushers and a corresponding top surface associated with an internal channel housing and operably coupled to one another. The actuation mechanism includes an activation structure configured to move each of the link assemblies and sequentially cause each of the link assemblies to move through a succession of motions within the cartridge body, such that the link assemblies cause the corresponding pusher to contact and, subsequently, sequentially eject the associated surgical fastener towards the depression in the anvil.
摘要翻译：提供外科紧固件盒，并且包括具有可操作地设置在其中的多个手术紧固件的药筒主体。致动机构容纳在药筒体内，并且包括可操作地与多个外科紧固件相关联的多个推动器。致动机构包括多个可枢转地连接的连杆组件。每个连杆组件可枢转地与与每个推动器相关联的相应底部表面接合，以及与内部通道壳体相关联并且可操作地彼此连接的相应顶部表面。所述致动机构包括致动结构，所述致动结构构造成移动每个所述连杆组件并且顺序地使所述连杆组件中的每一个移动通过所述筒体内的一系列运动，使得所述连杆组件使所述相应的推动器接触，顺序地将相关的手术紧固件朝向砧座中的凹陷排出。

85. 发明申请

US20110108604A1 Method and Device for Full Thickness Resectioning of an Organ 有权
标题翻译：器官全层切除术的方法与装置
公开(公告)号：US20110108604A1
公开(公告)日：2011-05-12
申请号：US13009070
申请日：2011-01-19
申请人： Ronald D. ADAMS , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. ADAMS , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

86. 发明申请

US20110087259A1 Tissue Stop For Surgical Instrument 有权
标题翻译：组织停止手术器械
公开(公告)号：US20110087259A1
公开(公告)日：2011-04-14
申请号：US12952371
申请日：2010-11-23
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/285 , A61B17/28
CPC分类号： A61B90/03 , A61B17/072 , A61B17/07207 , A61B18/1442 , A61B2017/07221 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2945 , A61B2017/320052 , A61B2018/1432 , A61B2090/033
摘要： A surgical instrument including a handle assembly, an elongated portion, an end effector, and a stop member is disclosed. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member, and a second position where a lower portion of the stop member being positioned at least partially within the groove.
摘要翻译：公开了一种包括手柄组件，细长部分，末端执行器和止动构件的手术器械。末端执行器设置在细长部分的远端部分附近并且包括第一钳口构件和第二钳口构件。至少一个钳口构件可相对于另一钳口构件在间隔和近似位置之间移动。第一钳口构件包括上部组织接触表面和下部搁架部分。搁架部分包括设置在其中的凹槽。止动构件邻近第一钳口构件的远侧部分设置，并且可相对于第一钳口构件在第一位置和第二位置之间枢转，第一位置和止动构件的大部分位于第一钳口构件的外部，第二位置止动构件的下部至少部分地定位在凹槽内。

87. 发明授权

US07896895B2 Surgical clip and applier device and method of use 有权
标题翻译：手术夹和施放器装置及使用方法
公开(公告)号：US07896895B2
公开(公告)日：2011-03-01
申请号：US11286889
申请日：2005-11-23
申请人： Chad Paul Boudreaux , Mark S. Ortiz
发明人： Chad Paul Boudreaux , Mark S. Ortiz
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/064 , A61B17/072 , A61B17/1227 , A61B2017/00862 , A61B2017/07221 , A61B2090/037
摘要： A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the arms can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue.
摘要翻译：提供外科夹子用于结扎或切断组织，例如血管，其他管状导管等，以及用于将手术夹子递送和施加到组织的外科夹子施加器装置。手术夹可以包括脊柱和从脊柱延伸的相对臂，其中臂可以限定夹紧长度。在静止状态下，夹子可以被偏置到关闭位置，使得每个相对臂的端部彼此靠近设置。通过这种偏压，当例如用手术夹子施加器施加到组织上时，夹子可以沿着夹紧长度向组织施加正的夹紧压力以密封组织并限制来自组织的流体（例如血液）的通过。

88. 发明申请

US20110034767A1 SURGICAL PORT FOR NOTES PROCEDURES 失效
标题翻译：注射程序的外科手术口
公开(公告)号：US20110034767A1
公开(公告)日：2011-02-10
申请号：US12937285
申请日：2009-04-07
申请人： Boaz Harari , Leonid Monassevitch , Kobby Greenberg
发明人： Boaz Harari , Leonid Monassevitch , Kobby Greenberg
IPC分类号： A61B17/94 , A61B1/32 , A61B17/10 , A61B17/068
CPC分类号： A61B17/122 , A61B17/072 , A61B17/3423 , A61B2017/00278 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/3425
摘要： A dual use compression clip and surgical port device where the device serves as a surgical compression clip and surgical port in surgical procedures. The device comprises two compression elements each constructed having a bounding surface which when taken together form the boundary of a surgical port and one or more hinge elements in mechanical communication with the compression elements allowing the compression elements and the device to move from an open arrangement to a closed arrangement. The device also includes one or more apertures on each of the compression elements sized and configured to receive the insertion elements of an applicator instrument so that a force applied by the applicator instrument brings the device and compression elements from their open arrangement to their closed arrangement. A system and method for use of the device is also discussed.
摘要翻译：双用途压缩夹和手术口装置，其中该装置用作外科手术中的手术压缩夹和手术端口。该装置包括两个压缩元件，每个压缩元件构造成具有边界表面，该边界面一起形成外科口的边界，以及与压缩元件机械连通的一个或多个铰链元件，允许压缩元件和装置从开放布置移动到封闭的安排。该装置还包括在每个压缩元件上的一个或多个孔，其大小和构造成容纳施用器械的插入元件，使得由施用器械施加的力将装置和压缩元件从其打开的布置带到其封闭的布置。还讨论了使用该装置的系统和方法。

89. 发明申请

US20100308101A1 Surgical Stapling Instrument 有权
标题翻译：手术器械
公开(公告)号：US20100308101A1
公开(公告)日：2010-12-09
申请号：US12830010
申请日：2010-07-02
申请人： Federico Bilotti , Antonio Longo
发明人： Federico Bilotti , Antonio Longo
IPC分类号： A61B17/068
CPC分类号： A61B17/1114 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07221
摘要： A surgical stapling instrument (1) comprises a body portion (2, 3), a handle (4) and a staple fastening assembly (8). The staple fastening assembly (8) includes a curved cartridge (10), which comprises at least one curved open row of staples, and a curved anvil (22), which is adapted to cooperate with the cartridge (10) for forming the ends of the staples exiting from the cartridge (10). The staple fastening assembly (8) is adapted to allow unobstructed access towards the concave inner faces of the cartridge (10) and the anvil (22). The cartridge (10) can be moved towards the anvil (22) from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue. Preferably, a knife is contained within the cartridge (10) and is positioned such that there is at least one row of staples on at least one side of the knife.
摘要翻译：外科缝合器械（1）包括主体部分（2,3），手柄（4）和钉紧固组件（8）。缝钉紧固组件（8）包括弯曲的盒（10），其包括至少一个弯曲的开放排的钉和弯曲的砧座（22），其适于与所述盒（10）协作以形成订书钉从盒（10）离开。缝合钉紧固组件（8）适于允许朝向盒（10）和砧座（22）的凹内表面畅通无阻。药筒（10）可以从间隔位置移动到砧座（22），用于将组织定位到用于夹紧组织的关闭位置。优选地，刀被容纳在盒（10）内并且被定位成使得在刀的至少一侧上存在至少一排钉。

90. 发明授权

US07766207B2 Articulating curved cutter stapler 有权
标题翻译：铰接曲线切割订书机
公开(公告)号：US07766207B2
公开(公告)日：2010-08-03
申请号：US11511490
申请日：2006-08-29
申请人： Michael T. Mather , Michael L. Kruszynski , Richard F. Schwemberger , Michael A. Parker
发明人： Michael T. Mather , Michael L. Kruszynski , Richard F. Schwemberger , Michael A. Parker
IPC分类号： A61B17/068 , F16C11/06 , F16D11/06
CPC分类号： A61B17/072 , A61B2017/00473 , A61B2017/0688 , A61B2017/07221 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/320052 , Y10T403/32024 , Y10T403/32032 , Y10T403/32311
摘要： An articulating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective articulation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector. An articulation mechanism is positioned between the support shaft and the end effector permitting selective movement of the end effector relative to the support shaft.
摘要翻译：具有近端和远端的关节式外科缝合器包括在近端处的手柄和在远端处的端部执行器，用于选择性关节运动以改善对需要治疗的组织的通路以及本发明的线性外科缝合器的易用性。支撑轴将手柄连接到端部执行器。铰链机构定位在支撑轴和端部执行器之间，允许端部执行器相对于支撑轴的选择性移动。

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