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1. 发明授权

US09408605B1 Single-trigger clamping and firing of surgical stapler 有权
标题翻译：手术吻合器的单触发钳夹
公开(公告)号：US09408605B1
公开(公告)日：2016-08-09
申请号：US13451344
申请日：2012-07-12
申请人： Bryan D. Knodel , Yaeer E. Lev
发明人： Bryan D. Knodel , Yaeer E. Lev
IPC分类号： A61B17/068 , A61B17/072 , A61B17/29 , A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/2917 , A61B2017/2923
摘要： An exemplary surgical apparatus includes an end effector; and a handle operationally connected to the end effector, the handle including a trigger and a mode button; where the mode button is first in a neutral position in which actuation of the trigger causes the end effector to move to a clamped configuration; and where the mode button is movable laterally to a second position in which actuation of the trigger causes the end effector to deploy staples.
摘要翻译：示例性手术装置包括端部执行器; 以及可操作地连接到末端执行器的手柄，所述手柄包括触发器和模式按钮; 其中模式按钮首先处于中立位置，其中触发器的致动使端部执行器移动到夹紧构型; 并且其中模式按钮可横向移动到第二位置，在第二位置，触发器的致动使端部执行器部署订书钉。

2. 发明授权

US08469253B1 Surgical staples attached to resorbable holder 失效
标题翻译：手术钉附着在可再吸收的支架上
公开(公告)号：US08469253B1
公开(公告)日：2013-06-25
申请号：US12435577
申请日：2009-05-05
申请人： Bryan D. Knodel , Bennie Thompson , Jinhoon Park , Nathan H. White , Michael Murillo , Yaeer E. Lev
发明人： Bryan D. Knodel , Bennie Thompson , Jinhoon Park , Nathan H. White , Michael Murillo , Yaeer E. Lev
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B2017/00004 , A61B2017/0688
摘要： One example of a surgical apparatus may include at least one resorbable feeder belt, and a plurality of staples fixed to that feeder belt. Another example of a surgical apparatus may include at least one feeder belt and at least one resorbable carrier detachably connected to a corresponding feeder belt, where the carrier includes a plurality of staples attached to it. An exemplary surgical method of treating tissue within the body of a patient may include providing a surgical instrument that includes an end effector moveable between an open configuration and a closed configuration, where the end effector includes an anvil and a staple holder pivotally connected to one another, where the anvil holds a knife; and at least one resorbable feeder belt and a plurality of staples fixed to the feeder belt, where the feeder belt extends into said staple holder; placing the end effector in proximity to tissue; deploying a plurality of staples into tissue; separating a distal segment of at least one feeder belt from a remainder of that feeder belt; and leaving that distal segment within the body of the patient.
摘要翻译：手术装置的一个实例可以包括至少一个可再吸收进给带，以及固定到该馈送带的多个钉。手术设备的另一示例可以包括至少一个馈送带和可拆卸地连接到相应馈送带的至少一个可再吸收的载体，其中所述载体包括附接到其上的多个钉。治疗患者体内的组织的示例性手术方法可以包括提供外科器械，其包括可在打开构型和闭合构型之间移动的端部执行器，其中末端执行器包括砧座和彼此枢转连接的钉仓铁砧拿着刀; 以及至少一个可再吸收馈送带和固定到所述馈送带的多个订书钉，所述馈送带延伸到所述订书钉保持器中; 将末端执行器放置在组织附近; 将多个钉放置在组织中; 将至少一个进料带的远端段与该进料带的其余部分分离; 并将该远侧段留在患者体内。

3. 发明授权

US09155536B1 Circular stapler 有权
标题翻译：圆形订书机
公开(公告)号：US09155536B1
公开(公告)日：2015-10-13
申请号：US13094814
申请日：2011-04-26
申请人： Bernard A. Hausen , Bryan D. Knodel
发明人： Bernard A. Hausen , Bryan D. Knodel
IPC分类号： A61B17/04 , A61B17/10 , A61B17/068 , A61B17/115
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/1155 , A61B2017/07221 , A61B2017/07285 , A61B2090/037
摘要： An exemplary circular stapler may include an anvil; a staple holder connected to the anvil; and a feeder belt ring held within the staple holder, the feeder belt ring including staples frangibly affixed thereto. An exemplary surgical method for treating tissue may include possessing an anvil, a staple holder connected to the anvil, and a feeder belt ring held within the staple holder, the feeder belt ring including a plurality of staples frangibly affixed thereto; clamping tissue between the anvil and staple holder; and sequentially deforming and then breaking from the feeder belt ring at least two staples.
摘要翻译：示例性的圆形订书机可以包括砧座; 与砧座连接的订书钉架; 以及保持在订书钉保持器内的馈送带环，馈送带环包括易碎地附着于其上的钉。用于治疗组织的示例性手术方法可以包括具有砧座，连接到砧座的缝钉夹持器和保持在钉仓夹持器内的进给带环，所述给送带环包括易碎地附着在其上的多个钉; 夹在砧座和钉仓之间的组织; 并且从进给带环顺序变形然后从至少两个订书钉断开。

4. 发明授权

US08985427B1 Feeder belt with internally manufactured staples for true multi-fire surgical stapler 有权
标题翻译：进料带带有内部制造的钉，用于真正的多功能手术吻合器
公开(公告)号：US08985427B1
公开(公告)日：2015-03-24
申请号：US12435912
申请日：2009-05-05
申请人： Philipe R. Manoux , Bryan D. Knodel , Patrick Flanagan
发明人： Philipe R. Manoux , Bryan D. Knodel , Patrick Flanagan
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B2017/00526
摘要： An exemplary surgical apparatus may include a feeder belt; wings fixed to that feeder belt; and a die into which the feeder belt extends, where relative motion of the die and feeder belt bends at least one wing to transform at least one wing into an unformed staple. An exemplary surgical method for treating tissue of a patient may include providing a surgical instrument including an end effector; placing the end effector adjacent to tissue of a patient; and manufacturing at least one surgical staple within the end effector.
摘要翻译：示例性手术装置可以包括馈送带; 翅膀固定在该喂料带上; 以及进给带延伸的模具，其中模具和进给器带的相对运动弯曲至少一个机翼，以将至少一个机翼转换成未成型的订书钉。用于治疗患者组织的示例性手术方法可包括提供包括末端执行器的手术器械; 将末端执行器放置在患者组织附近; 以及在末端执行器内制造至少一个手术缝合钉。

5. 发明授权

US08915934B2 Anastomosis system with anvil entry hole sealer 有权
标题翻译：吻合系统与砧进入孔密封
公开(公告)号：US08915934B2
公开(公告)日：2014-12-23
申请号：US11865893
申请日：2007-10-02
申请人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
发明人： James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
IPC分类号： A61B17/11 , A61B17/072 , A61B17/115 , A61B17/064 , A61B17/02 , A61B17/32 , A61B17/00 , A61B17/08 , A61B17/10 , A61B17/068 , A61B19/00 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要： A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译：用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器，其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处，使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口，其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。

6. 发明授权

US08662369B1 Barbed surgical staple 有权
标题翻译：刺骨手术钉
公开(公告)号：US08662369B1
公开(公告)日：2014-03-04
申请号：US12788911
申请日：2010-05-27
申请人： Philipe R. Manoux , Bryan D. Knodel
发明人： Philipe R. Manoux , Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B90/03 , A61B2017/07264 , A61B2090/037
摘要： An exemplary surgical staple may include a base including a first end and a second end; a single tine extending from the second end of the base; and a barb extending from the base at a location between the first end of the base and the second end of the base. An end of such a staple may be frangibly affixed to a feeder belt. Another exemplary surgical apparatus may include at least one staple including a base including a first end and a second end, a first tine extending from the second end of the base, and a second tine extending from the base at a location between the first end of the base and the second end of the base.
摘要翻译：示例性的手术缝合钉可以包括包括第一端和第二端的基部; 从基座的第二端延伸的单齿; 以及在基部的第一端和基部的第二端之间的位置处从基部延伸的倒钩。这种订书钉的一端可以被脆弱地固定在馈送带上。另一示例性手术装置可以包括至少一个订书钉，其包括基部，该基部包括第一端和第二端，从基部的第二端延伸的第一齿，以及在基部的第一端底座和底座的第二端。

7. 发明授权

US08475493B2 Surgical staple for anastomosis 有权
标题翻译：手术缝合吻合
公开(公告)号：US08475493B2
公开(公告)日：2013-07-02
申请号：US11759319
申请日：2007-06-07
申请人： Theodore M. Bender , David L. Bombard , Philipe R. Manoux , Tenny Chang , Jaime S. Vargas , Bryan D. Knodel
发明人： Theodore M. Bender , David L. Bombard , Philipe R. Manoux , Tenny Chang , Jaime S. Vargas , Bryan D. Knodel
IPC分类号： A61B17/08
CPC分类号： A61B17/0644 , A61B17/0684 , A61B17/11 , A61B17/115 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： A surgical staple for connecting two tubular tissue structures may include a substantially rectangular base having a first edge and a second edge substantially parallel to one another, and a third edge substantially perpendicular to the first and said second edges; and may also include at least three deformable tines extending from the first and second edges of said base; where no tine that extends from the first edge may be positioned at substantially the same distance from the third edge as any said tine that extends from the second edge; and where deformation of the tines secures the tubular tissue structures together.
摘要翻译：用于连接两个管状组织结构的外科手术钉可以包括基本上矩形的基部，其具有基本上彼此平行的第一边缘和第二边缘，以及基本上垂直于第一边缘和所述第二边缘的第三边缘; 并且还可以包括从所述基座的第一和第二边缘延伸的至少三个可变形齿; 其中没有从第一边缘延伸的齿可以定位成与从第二边缘延伸的任何所述齿大致相距离第三边缘; 并且其中尖齿的变形将管状组织结构固定在一起。

8. 发明授权

US08439246B1 Surgical stapler with cartridge-adjustable clamp gap 有权
标题翻译：手术吻合器，带有可拆卸的夹紧间隙
公开(公告)号：US08439246B1
公开(公告)日：2013-05-14
申请号：US12840156
申请日：2010-07-20
申请人： Bryan D. Knodel
发明人： Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/92 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725 , A61B2017/07285 , A61B2017/2936
摘要： An exemplary surgical apparatus for treating tissue may include an anvil; a jaw pivotally connected to the anvil; and a first cartridge detachably connected to the anvil, holding staples of a first size; where a first clamp gap between the anvil and first cartridge is set by the connection between the first cartridge and jaw. An exemplary cartridge for a surgical stapler may include a cartridge housing; a plurality of staples held within the cartridge housing; and a sled slidable within, and retained by, the cartridge housing, including a central platform, at least one wedge connected to the central platform, and a knife rotatable relative to the central platform.
摘要翻译：用于治疗组织的示例性手术装置可以包括砧座; 砧座枢轴连接到砧座上; 以及可拆卸地连接到所述砧座的第一盒，保持第一尺寸的订书钉; 其中砧座和第一筒之间的第一夹紧间隙通过第一筒和颚板之间的连接来设定。用于外科缝合器的示例性药筒可包括药筒外壳; 保持在盒壳体内的多个订书钉; 以及可在盒壳体内滑动并由其保持的滑动件，包括中心平台，连接到中心平台的至少一个楔块和可相对于中心平台旋转的刀片。

9. 发明授权

US08317072B1 Feeder belt for true multi-fire surgical stapler 有权
标题翻译：真正多功能手术吻合器的送料带
公开(公告)号：US08317072B1
公开(公告)日：2012-11-27
申请号：US12770462
申请日：2010-04-29
申请人： Bryan D. Knodel , Philipe R. Manoux
发明人： Bryan D. Knodel , Philipe R. Manoux
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07278
摘要： An exemplary surgical apparatus may include a feeder belt configured as a continuous loop; staples fixed to and shearable from the continuous feeder belt; apertures defined in the continuous feeder belt; and a gear positioned at the distal end of the feeder belt within the continuous loop, where the gear engages at least one of the apertures to move the continuous feeder belt around the gear. Another exemplary surgical apparatus may include a feeder belt; a plurality of staples fixed to and shearable from the continuous feeder belt; and a plurality of teeth defined on the continuous feeder belt. Another exemplary surgical apparatus may include a continuous belt assembly that has a flexible rack with two ends, and a feeder belt with two ends, each end of the feeder belt connected to a corresponding end of the flexible rack; and staples fixed to and shearable from the continuous feeder belt.
摘要翻译：示例性手术装置可以包括被配置为连续环路的馈送带; 从连续进料带固定并可剪切订书钉; 限定在连续给料带中的孔; 以及齿轮，其位于所述连续回路内的所述给送带的远端处，其中所述齿轮与所述孔中的至少一个接合，以将所述连续进给带围绕所述齿轮移动。另一种示例性的外科手术装置可包括给药带; 多个订书钉固定到可连续馈送带上并可剪切; 以及限定在连续进料带上的多个齿。另一个示例性的外科手术装置可以包括具有两端柔性齿条的连续皮带组件，以及具有两个端部的进给带，馈送带的每个端部连接到柔性齿条的相应端部; 以及从连续进料带固定并可剪切的订书钉。

10. 发明申请

US20120215248A1 FLUID DELIVERY SYSTEM AND RELATED METHODS OF USE 有权
标题翻译：流体输送系统及相关使用方法
公开(公告)号：US20120215248A1
公开(公告)日：2012-08-23
申请号：US13402994
申请日：2012-02-23
申请人： Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Junecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Don C. Hovey , William Lucas Churchill , John B. Golden , Yam Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
发明人： Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Junecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Don C. Hovey , William Lucas Churchill , John B. Golden , Yam Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
IPC分类号： A61M29/02
CPC分类号： A61M5/14566 , A61M5/16831 , A61M2205/3523 , A61M2205/43 , A61M2205/502 , A61M2205/8206
摘要： An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.
摘要翻译：一种用于从流体输送系统喷射流体的装置和方法。流体输送系统具有气动组件，当触发时将气体喷射到液压组件中，液压组件又通过外部界面喷射流体。电子接口显示各种测量，例如，已经排出了多少流体，以及如果液压系统关闭系统的压力。气动组件也可以被减压，使得流体可以通过外部接口重新进入液压组件。

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