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1. 发明授权

US07179265B2 Reduced diameter clip applying arrangement 有权
标题翻译：减径直径夹施加装置
公开(公告)号：US07179265B2
公开(公告)日：2007-02-20
申请号：US10457324
申请日：2003-06-09
申请人： Emmanuel Manetakis , Henri F. DeGuillebon , Ly Ung
发明人： Emmanuel Manetakis , Henri F. DeGuillebon , Ly Ung
IPC分类号： A61B17/10
CPC分类号： A61B17/1285
摘要： A clip applying device for the insertion and pinching of a medical clip within a mammalian body portion. The device comprises a housing supporting a proximal end of a delivery tube of the device. A pair of pinchable jaws are movably arranged at a distal end of the delivery tube. The device contains a plurality of preformed clips of a first width, the clips having leg portions, the clips also being movably disposed within the delivery tube between the housing and the jaws. A tool adjacent the jaws is arranged to enlarge the clips from a first width to a wider second width, as the clips emerge from the delivery tube.
摘要翻译：一种用于在哺乳动物身体部分内插入和夹持医疗夹子的夹子施加装置。该装置包括支撑装置的输送管的近端的壳体。一对夹持爪可移动地布置在输送管的远端。该装置包含多个具有第一宽度的预制夹子，夹子具有腿部，夹子还可移动地设置在外壳和夹爪之间的输送管内。靠近钳口的工具被布置成当夹子从输送管出现时将夹子从第一宽度扩大到更宽的第二宽度。

2. 发明授权

US6013055A Catheter balloon having selected folding characteristics 失效
标题翻译：导管气球具有折叠特征
公开(公告)号：US6013055A
公开(公告)日：2000-01-11
申请号：US969904
申请日：1997-11-13
申请人： Pattiann Bampos , Ralph J. Barry , Andrew J. Campbell , Bruce S. Hamilton , Emmanuel Manetakis
发明人： Pattiann Bampos , Ralph J. Barry , Andrew J. Campbell , Bruce S. Hamilton , Emmanuel Manetakis
IPC分类号： A61F2/958 , A61M29/00
CPC分类号： A61M25/1029 , A61M25/1002 , A61M25/1038 , A61M2025/1004 , A61M2025/1086
摘要： A balloon and method of manufacture for use in catheters for medical procedures, in particular percutaneous translumenal coronary angioplasty and other cardiovascular interventions. The balloon incorporates an inflatable membrane having a number of perpendicular ribs which have a higher resistance to collapse during deflation. A number of longitudinal ribs are provided which are preferably equidistantly spaced about a longitudinal axis and which extend between a proximal and distal end of the balloon. A number of triangular indentations are provided, wherein each triangular indentation is preferably equidistantly positioned between adjacent longitudinal ribs and each triangular indentation extends along a portion of the balloon between the proximal and distal ends. Each triangular indentation may extend through a perpendicular rib to reduce the resistance of the perpendicular rib to collapse during deflation. The number of triangular indentations enhance the collapse of the balloon from an expanded configuration to a folded configuration once the resistance of the number of perpendicular ribs to collapse has been overcome.
摘要翻译：用于医疗程序的导管的球囊和制造方法，特别是经皮冠状动脉内冠状动脉成形术和其它心血管介入。气囊包括具有多个垂直肋的充气膜，其在放气期间具有较高的抗塌陷性。提供了多个纵向肋，其优选地围绕纵向轴线等间隔地间隔开并且在气球的近端和远端之间延伸。提供了许多三角形凹口，其中每个三角形凹槽优选地等距地定位在相邻的纵向肋之间，并且每个三角形凹陷沿近端和远端之间的气球的一部分延伸。每个三角形凹口可以延伸穿过垂直肋，以减小垂直肋在放气期间的塌陷的阻力。一旦克服了垂直肋的数量的阻力，三角形凹口的数量增加了气囊从膨胀构型到折叠构型的崩溃。

3. 发明申请

US20070049950A1 Medical clip applying device 审中-公开
标题翻译：医疗夹施加装置
公开(公告)号：US20070049950A1
公开(公告)日：2007-03-01
申请号：US11210837
申请日：2005-08-25
申请人： Marc Theroux , Pavel Menn , Emmanuel Manetakis , Peter Aliski , Brian Mazejka
发明人： Marc Theroux , Pavel Menn , Emmanuel Manetakis , Peter Aliski , Brian Mazejka
IPC分类号： A61B17/10
摘要： A medical clip applying device for crimping a clip. The device has a body assembly having a handle and a squeezable trigger, a barrel having a first end extending into the body assembly, a pair of jaws arranged on a second end of the barrel, the jaws actuable by squeezing action of the trigger, the second end of the barrel and the pair of jaws configured to be inserted into a body cavity, and a loading port in communication with the barrel. The barrel is configured to alternatively accept the insertion, through the loading port, of (a) a first cartridge type containing a plurality of clips of a first size or (b) a second cartridge type containing a plurality of clips of a second size, the first size being different from the second size.
摘要翻译：一种用于压接夹子的医疗夹子施加装置。该装置具有主体组件，该主体组件具有手柄和可挤压触发器，一个具有延伸到主体组件中的第一端的筒体，设置在筒体的第二端上的一对夹爪，可通过挤压扳机的动作来驱动夹爪，枪管的第二端和构造成插入体腔的一对钳口，以及与枪管连通的装载口。桶被配置成交替地接受通过装载端口插入（a）包含多个第一尺寸的夹子的第一盒型，或（b）包含第二尺寸的多个夹子的第二盒型，第一大小与第二大小不同。

4. 发明申请

US20070049949A1 Clip feeder mechanism for clip applying device 审中-公开
标题翻译：夹子施加装置的夹子进给机构
公开(公告)号：US20070049949A1
公开(公告)日：2007-03-01
申请号：US11210836
申请日：2005-08-25
申请人： Emmanuel Manetakis
发明人： Emmanuel Manetakis
IPC分类号： A61B17/10
摘要： An advancement block for a clip applying device. The advancement block includes a body that proximally slides in the axial direction when a trigger is squeezed, and further distally slides in the axial direction when the trigger is released, and a toggle pivotably connected to the body, the toggle pivoting in a first direction about a pivot axis generally orthogonal to the axial direction and to a first position when the body proximally slides in the axial direction, the toggle further pivoting in a second direction about the pivot axis and to a second position when the body distally slides in the axial direction. When in the second position, the toggle engages and distally moves the ladder member such that the ladder member distally moves the rearmost clip in the axial direction.
摘要翻译：夹子施加装置的前进块。推进块包括当触发器被挤压时向轴向方向滑动的主体，并且当触发器被释放时进一步在轴向方向上远端滑动，以及可枢转地连接到主体的肘节，肘节围绕第一方向枢转大致垂直于轴向方向的枢转轴线和当主体沿轴向方向向近侧滑动时的第一位置，当肘板沿着轴向方向远离滑动时，肘节还在第二方向上围绕枢转轴线枢转并且到第二位置。当处于第二位置时，肘节接合并远程地移动梯子构件，使得梯构件沿轴向方向向远侧移动最后的夹子。

5. 发明申请

US20070191868A1 Indicating system for clip applying device 审中-公开
标题翻译：剪贴装置指示系统
公开(公告)号：US20070191868A1
公开(公告)日：2007-08-16
申请号：US11210828
申请日：2005-08-25
申请人： Marc Theroux , Emmanuel Manetakis
发明人： Marc Theroux , Emmanuel Manetakis
IPC分类号： A61B17/10
摘要： An indicating system for a clip applying device. The system has an indicator operatively connected to a trigger, wherein the indicator provides a signal when the trigger is moved to a position to operate jaws of the device to partially crimp the clip.
摘要翻译：夹子施加装置的指示系统。系统具有可操作地连接到触发器的指示器，其中当触发器移动到操作装置的夹爪以部分地卷曲夹子的位置时，指示器提供信号。

6. 发明申请

US20070049948A1 Trigger lockout device for clip applying instrument 有权
标题翻译：夹子应用仪器的触发锁定装置
公开(公告)号：US20070049948A1
公开(公告)日：2007-03-01
申请号：US11210832
申请日：2005-08-25
申请人： Pavel Menn , Emmanuel Manetakis , Peter Aliski
发明人： Pavel Menn , Emmanuel Manetakis , Peter Aliski
IPC分类号： A61B17/10
CPC分类号： A61B17/128 , A61B17/1285 , A61B2017/2919 , A61B2017/2925 , A61B2090/08021 , A61B2090/0811
摘要： A trigger lockout device for a clip applying instrument. The lockout device includes a displaceable slider actuable by squeezing a trigger slidable in first and second directions a longitudinal axial direction within the barrel, and a block disposed within the barrel. When a first number of clips have not been applied and when the trigger is squeezed, the slider slidably engages and displaces the block and slides along a path in the axial direction to retrieve a clip of the first number of clips, and to insert the clip into the pair of jaws, and when a second number or none of the clips have not been applied, the slider engages the block to substantially prevent the slider from sliding along the path in at least one of the first or second directions such that the triggery cannot be unsqueezed.
摘要翻译：用于夹子应用仪器的触发器锁定装置。锁定装置包括可移动的滑块，其通过挤压在第一和第二方向上可滑动地在筒体内的纵向轴向方向的触发器和设置在筒体内的块来致动。当没有应用第一数量的夹子并且当触发器被挤压时，滑块可滑动地接合并移动块并沿着轴向方向沿着路径滑动以获取第一数量的夹子的夹子，并且插入夹子并且当没有应用第二数量或没有夹子时，滑块与块接合以基本上防止滑块在第一或第二方向中的至少一个方向沿着路径滑动，使得该装置不能被压缩。

7. 发明授权

US06911033B2 Medical clip applying device 有权
标题翻译：医疗夹施加装置
公开(公告)号：US06911033B2
公开(公告)日：2005-06-28
申请号：US10158726
申请日：2002-05-30
申请人： Henri de Guillebon , Emmanuel Manetakis
发明人： Henri de Guillebon , Emmanuel Manetakis
IPC分类号： A61B17/128 , A61B17/10
CPC分类号： A61B17/1285
摘要： A medical clip applying device for crimping a clip onto a mammalian tissue. The clip applying device comprises a handle grip assembly having a handle and a pivotable trigger arranged onto the handle grip assembly. An elongated cartridge support channel is arranged onto a distal end of the handle grip assembly and extending through the handle grip assembly. A pair of jaws is pivotably arranged on a distal end of the elongated channel. A displacable cinch is arranged to slide onto and back from the pair of jaws to squeeze the jaws closed and to permit the jaws to bias open, respectively. A loading port is arranged on a proximal end of the handle grip assembly to permit the clip applying device to be loaded with a clip laden cartridge from the proximal end thereof.
摘要翻译：一种用于将夹子压接到哺乳动物组织上的医疗夹子施加装置。夹子施加装置包括手柄把手组件，其具有手柄和布置在手柄把手组件上的可枢转扳机。细长的盒支撑通道布置在手柄把手组件的远端上并延伸穿过手柄把手组件。一对钳口可枢转地布置在细长通道的远端上。一个可置换的束带布置成从一对夹爪滑动并从背面向后挤压，并将夹爪分别挤压并使夹爪偏置开放。装载端口布置在手柄把手组件的近端上，以允许夹子施加装置从其近端装载夹子装满的筒。

8. 发明授权

US06840945B2 Medical clip applier safety arrangement 有权
公开(公告)号：US06840945B2
公开(公告)日：2005-01-11
申请号：US10085737
申请日：2002-02-28
申请人： Emmanuel Manetakis , Henri de Guillebon
发明人： Emmanuel Manetakis , Henri de Guillebon
IPC分类号： A61B17/128 , A61B17/10
CPC分类号： A61B17/1285
摘要： A medical clip dispenser apparatus for the pinching of a medical clip or staple about a portion of a mammalian body tissue. The apparatus comprises an elongated support beam having a distal end with a stationary lower housing thereon, and a distally movable hollow cinch slidably disposed on the lower housing. The cinch has a portion of a pair of closable jaws squeezably arranged therewithin. An elongated pusher has a generally cross-shaped pusher member on a distal end thereof in slidable engagement with the jaws, to keep the jaws apart from one another after a new clip has been pushed into position between the jaws.

9. 发明授权

US07141056B2 Multiplier extension arrangement 有权
公开(公告)号：US07141056B2
公开(公告)日：2006-11-28
申请号：US10253743
申请日：2002-09-24
申请人： Emmanuel Manetakis
发明人： Emmanuel Manetakis
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B2017/2919
摘要： An elongated medical clip applying device having a handle grip assembly on a proximal end thereof and an elongated channel with a pair of squeezable jaws on a distal end thereof. A push rod arrangement is included having a distal end and a proximal end. The push rod arrangement is utilized for advancing a plurality of clips in a sequential manner between the jaws. The push rod includes a multiplier extender arrangement to increase the distance of travel of the distal end of the push rod arrangement a multiple of the distance of travel of the proximal or input end of the push rod arrangement.

10. 发明授权

US06569171B2 Safety locking mechanism for a medical clip device 有权
公开(公告)号：US06569171B2
公开(公告)日：2003-05-27
申请号：US09934378
申请日：2001-08-21
申请人： Henri F. DeGuillebon , Emmanuel Manetakis
发明人： Henri F. DeGuillebon , Emmanuel Manetakis
IPC分类号： A61B1710
CPC分类号： A61B17/1285
摘要： An elongated medical clip applying device having a hand holdable housing at a proximal end thereof and a barrel clip-dispenser at a distal end thereof is arranged for dispensing squeezable clips onto a mammalian tissue. The device includes a hollow inner sleeve arranged within the housing. The sleeve has a proximal end for receiving a clip feeder cartridge therein. A proximal bearing is slidably disposed about a proximal circumference of the inner sleeve. A trigger lever is attached to the housing, the trigger lever having a linkage bar thereon connected to a finger for moving the proximal bearing proximally and distally. A lock mechanism is arranged in the sleeve to deny a clip feeder cartridge entry into the sleeve when the proximal bearing is adjacent the lock mechanism.

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