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1. 发明申请

US20150265277A1 Surgical Method Utilizing a True Multiple-Fire Surgical Stapler 有权
标题翻译：使用真正的多功能手术订书机的手术方法
公开(公告)号：US20150265277A1
公开(公告)日：2015-09-24
申请号：US14734952
申请日：2015-06-09
申请人： Cardica, Inc.
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/072 , A61B17/064 , A61B17/295
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient. Another exemplary surgical method of treating a plurality of discrete tissue structures within the body of a patient in which an incision has been made may include having an endocutter that holds a plurality of staples; inserting the distal end of the endocutter through the incision in the patient; and transecting a plurality of the discrete tissue structures with the distal end of the endocutter, without withdrawing the distal end of the endocutter through the incision in the patient and without inserting additional staples into the endocutter.
摘要翻译：治疗患者体内的组织的示例性手术方法可包括具有末端执行器的内切割器; 通过开口将末端执行器插入患者体内; 使组织与末端执行器接合; 用两个缝合线与末端执行器装订组织; 在末端执行器之间切割缝合线之间的组织; 从末端执行器释放组织; 并且在患者身体内的不同位置的组织上重复在患者体内的接合，缝合，切割和释放，同时将末端执行器保持在患者体内。治疗其中已经进行切口的患者体内的多个离散组织结构的另一示例性手术方法可包括具有保持多个钉的内切割器; 将内切割器的远端插入患者的切口; 并且利用内切割器的远端横切多个离散的组织结构，而不通过患者的切口撤回内切割器的远端，并且不将额外的钉插入到内切割器中。

2. 发明申请

US20140207165A1 SURGICAL METHOD UTILIZING A TRUE MULTIPLE-FIRE SURGICAL STAPLER 有权
标题翻译：使用真正的多功能消融器械的外科手术
公开(公告)号：US20140207165A1
公开(公告)日：2014-07-24
申请号：US14222527
申请日：2014-03-21
申请人： Cardica, Inc.
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient. Another exemplary surgical method of treating a plurality of discrete tissue structures within the body of a patient in which an incision has been made may include having an endocutter that holds a plurality of staples; inserting the distal end of the endocutter through the incision in the patient; and transecting a plurality of the discrete tissue structures with the distal end of the endocutter, without withdrawing the distal end of the endocutter through the incision in the patient and without inserting additional staples into the endocutter.
摘要翻译：治疗患者体内的组织的示例性手术方法可包括具有末端执行器的内切割器; 通过开口将末端执行器插入患者体内; 使组织与末端执行器接合; 用两个缝合线与末端执行器装订组织; 在末端执行器之间切割缝合线之间的组织; 从末端执行器释放组织; 并且在患者身体内的不同位置的组织上重复在患者体内的接合，缝合，切割和释放，同时将末端执行器保持在患者体内。治疗其中已经进行切口的患者体内的多个离散组织结构的另一示例性手术方法可包括具有保持多个钉的内切割器; 将内切割器的远端插入患者的切口; 并且利用内切割器的远端横切多个离散的组织结构，而不通过患者的切口撤回内切割器的远端，并且不将额外的钉插入到内切割器中。

3. 发明申请

US20140033674A1 METHOD OF MANUFACTURING SURGICAL STAPLES 有权
标题翻译：制造手术缝的方法
公开(公告)号：US20140033674A1
公开(公告)日：2014-02-06
申请号：US14053318
申请日：2013-10-14
申请人： Cardica, Inc.
发明人： Bryan D. Knodel , Philipe R. Manoux
IPC分类号： B21G7/02
CPC分类号： B21G7/02 , A61B17/064 , A61B2017/00526
摘要： One exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting the strip to produce a feeder belt with at least one lateral edge, and staples affixed to the feeder belt in proximity to at least one lateral edge, where the staples and feeder belt are substantially aligned along a first plane; and bending at least one staple out of the first plane, while the feeder belt remains in the first plane. Another exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting that strip to produce a feeder belt with edges, and staples affixed to different edges of the feeder belt; and coining at least one staple after the cutting.
摘要翻译：用于制造手术设备的一个示例性方法可以包括提供扁平的，大致平面的生物相容性材料条; 切割所述条带以产生具有至少一个侧边缘的馈送带，以及在至少一个侧边缘附近固定到所述馈送带的订书钉，其中所述订书钉和馈送带沿着第一平面基本对齐; 并且当所述馈送带保持在所述第一平面中时，将所述至少一个钉从所述第一平面弯曲。用于制造手术设备的另一示例性方法可以包括提供扁平的，大致平面的生物相容性材料条; 切割该条以产生具有边缘的馈送带，以及固定到馈送带的不同边缘的钉; 并在切割后至少压制一个订书钉。

4. 发明申请

US20130306705A1 FEEDER BELT FOR TRUE MULTI-FIRE SURGICAL STAPLER 审中-公开
标题翻译：用于真正的多消防手术台的进给皮带
公开(公告)号：US20130306705A1
公开(公告)日：2013-11-21
申请号：US13948496
申请日：2013-07-23
申请人： Cardica, Inc.
发明人： Bryan D. Knodel , Philipe R. Manoux
IPC分类号： A61B17/072
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。

5. 发明申请

US20130233908A1 ACTIVE WEDGE AND I-BEAM FOR SURGICAL STAPLER 有权
标题翻译：活动楔和手术刀的I波束
公开(公告)号：US20130233908A1
公开(公告)日：2013-09-12
申请号：US13870687
申请日：2013-04-25
申请人： CARDICA, INC.
发明人： Bryan D. Knodel , Philipe R. Manoux , Brendan M. Donohoe
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/07228 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285
摘要： A surgical stapling device designed and constructed for cutting and stapling tissues in a surgical procedure. The surgical stapling device includes an actuated wedge to deploy staples. The actuated wedge is put into an active state by a first wedge actuation element. In the active state, the actuated wedge is ready to engage and deploy staples in a staple holder. The actuated wedge is put into a neutral state by a second wedge actuation element. In the neutral state, the actuated wedge disengages with the staples and does not deploy the staples. The surgical stapling device includes an I-beam that acts to maintain a clamp gap between the anvil and staple holder of the surgical stapling device to ensure proper stapling of tissue.
摘要翻译：一种外科缝合装置，其设计和构造用于在外科手术中切割和缝合组织。外科缝合装置包括用于部署钉的致动楔。致动楔通过第一楔形致动元件进入活动状态。在活动状态下，致动的楔子准备好接合并将订书钉部署在钉仓中。致动楔通过第二楔形致动元件进入中立状态。在中立状态下，致动的楔与订书钉分离并且不会部署订书钉。外科缝合装置包括工作梁，其用于在外科缝合装置的砧座和缝钉保持器之间保持夹持间隙，以确保组织的适当的缝合。

6. 发明授权

US09566065B2 Apparatus and methods for surgical stapler clamping and deployment 有权
标题翻译：手术吻合器夹紧和部署的装置和方法
公开(公告)号：US09566065B2
公开(公告)日：2017-02-14
申请号：US14135368
申请日：2013-12-19
申请人： Cardica, Inc.
发明人： Bryan D. Knodel
IPC分类号： A61B17/04 , A61B17/10 , A61B17/068 , A61B17/072 , A61B17/29 , A61B17/00
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00393 , A61B2017/00407 , A61B2017/0046 , A61B2017/2923
摘要： A surgical stapling apparatus configured to perform stapling and/or cutting operations on a target tissue of a patient. The surgical stapling apparatus comprises of a mode selection switch to place the apparatus in either a clamping operational phase or a deployment operational phase. In the clamping operational phase, various clamp components are operated to facilitate loading of surgical staples into the stapling apparatus, if not preloaded, placement of the stapling apparatus to a target surgical site, and clamping of target tissue to be stapled and/or cut. In the deployment operational phase, various deployment components are operated to staple and/or cut the target tissue to one or more desired distance intervals to achieve the desired outcome for the surgical procedure.
摘要翻译：一种外科缝合装置，其被配置为对患者的靶组织执行吻合和/或切割操作。外科缝合装置包括模式选择开关，以将装置置于夹紧操作阶段或部署操作阶段。在夹紧操作阶段中，操作各种夹紧部件以便于如果不预先装载缝合装置中的缝合装置，将装订装置放置到目标手术部位，以及夹紧待装订和/或切割的目标组织。在部署操作阶段中，操作各种部署部件以将目标组织装订和/或切割到一个或多个期望的距离间隔以实现外科手术的期望结果。

7. 发明申请

US20160166249A1 STAPLING DEVICE WITH DISTALLY LOCATED HYDRAULIC DRIVE- RECIPROCALLY OPERATED SYSTEM AND METHOD 审中-公开
标题翻译：具有定位液压驱动装置的分体装置 - 循环运行系统和方法
公开(公告)号：US20160166249A1
公开(公告)日：2016-06-16
申请号：US14793592
申请日：2015-07-07
申请人： Cardica, Inc.
发明人： Bryan D. Knodel
IPC分类号： A61B17/068 , A61B17/10
CPC分类号： A61B17/07207 , A61B2017/00415 , A61B2017/00539 , A61B2017/0069 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927
摘要： A surgical stapling device is configured for use in open and/or laparoscopic surgical procedures. The device includes a handle assembly, a shaft assembly coupled to the handle assembly, and an end-effector coupled to the shaft assembly. The end-effector comprises of a jaw assembly configured to clamp, staple, and/or cut a target tissue. The handle assembly comprises of a trigger member that can activate a control member to close the jaw assembly to clamp, staple, and/or cut the target tissue. The end-effector includes a reciprocating hydraulic drive system to provide the power necessary to drive the deployment operations, such as deploying staples and cutting tissue.
摘要翻译：外科缝合装置构造成用于开腹和/或腹腔镜手术。该装置包括手柄组件，联接到手柄组件的轴组件和联接到轴组件的端部执行器。末端执行器包括构造成夹紧，缝合和/或切割靶组织的钳口组件。手柄组件包括触发构件，其可以启动控制构件以闭合钳口组件以夹紧，缝合和/或切割目标组织。末端执行器包括往复式液压驱动系统，以提供驱动展开操作所必需的动力，例如展开订书钉和切割组织。

8. 发明授权

US09144427B2 Surgical method utilizing a true multiple-fire surgical stapler 有权
标题翻译：采用真正多功能手术吻合器的手术方法
公开(公告)号：US09144427B2
公开(公告)日：2015-09-29
申请号：US14222527
申请日：2014-03-21
申请人： Cardica, Inc.
发明人： Bryan D. Knodel , Bernard A. Hausen , Luke W. Clauson
IPC分类号： A61B17/068 , A61B17/072 , A61B17/115 , A61B17/122 , A61B17/064 , A61B17/10 , A61B17/00 , A61B19/00 , A61B18/14
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/115 , A61B17/1222 , A61B17/295 , A61B18/1445 , A61B2017/00398 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2018/1412 , A61B2018/144 , A61B2018/1452 , A61B2090/037
摘要： An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient. Another exemplary surgical method of treating a plurality of discrete tissue structures within the body of a patient in which an incision has been made may include having an endocutter that holds a plurality of staples; inserting the distal end of the endocutter through the incision in the patient; and transecting a plurality of the discrete tissue structures with the distal end of the endocutter, without withdrawing the distal end of the endocutter through the incision in the patient and without inserting additional staples into the endocutter.
摘要翻译：治疗患者体内的组织的示例性手术方法可包括具有末端执行器的内切割器; 通过开口将末端执行器插入患者体内; 使组织与末端执行器接合; 用两个缝合线与末端执行器装订组织; 在末端执行器之间切割缝合线之间的组织; 从末端执行器释放组织; 并且在患者身体内的不同位置的组织上重复在患者体内的接合，缝合，切割和释放，同时将末端执行器保持在患者体内。治疗其中已经进行切口的患者体内的多个离散组织结构的另一示例性手术方法可包括具有保持多个钉的内切割器; 将内切割器的远端插入患者的切口; 并且利用内切割器的远端横切多个离散的组织结构，而不通过患者的切口撤回内切割器的远端，并且不将额外的钉插入到内切割器中。

9. 发明授权

US08926658B1 Endocutter with auto-feed buttress 有权
标题翻译：自动进给支柱的内切割
公开(公告)号：US08926658B1
公开(公告)日：2015-01-06
申请号：US13645416
申请日：2012-10-04
申请人： Cardica, Inc.
发明人： Bryan D. Knodel
IPC分类号： A61D1/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07292
摘要： A surgical method of treating tissue within the body of a patient may include: providing an endocutter having a staple holder and a plurality of staples, where a plurality, but less than all, of the staples are arranged in a firing position within the staple holder; engaging tissue of the patient with the staple holder; deploying the plurality of staples in firing position through a buttress and into tissue of the patient; disengaging the end effector from tissue of the patient; moving a plurality of staples into firing position; engaging tissue of the patient with the staple holder; advancing a segment of buttress relative to the staple holder; and repeating the deploying.
摘要翻译：治疗患者体内的组织的手术方法可以包括：提供具有缝合钉保持器和多个钉的内切割器，其中多个但不是全部的钉被布置在钉保持器内的点火位置 ; 使患者的组织与钉保持器接合; 将所述多个钉放置在击发位置，通过支撑件和患者的组织中展开; 将末端执行器与患者的组织分离; 将多个订书钉移动到点火位置; 使患者的组织与钉保持器接合; 相对于钉架推进一段支撑件; 并重复部署。

10. 发明申请

US20140175146A1 MICROCUTTER STAPLING APPARATUS CLAMP AND DEPLOY MECHANISMS SYSTEMS AND METHODS 有权
标题翻译： MICROCUTTER STAPLING APPARATUS CLAMP AND DEPLOY机械系统和方法
公开(公告)号：US20140175146A1
公开(公告)日：2014-06-26
申请号：US14135368
申请日：2013-12-19
申请人： CARDICA, INC.
发明人： Bryan D. Knodel
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00393 , A61B2017/00407 , A61B2017/0046 , A61B2017/2923
摘要： A surgical stapling apparatus configured to perform stapling and/or cutting operations on a target tissue of a patient. The surgical stapling apparatus comprises of a mode selection switch to place the apparatus in either a clamping operational phase or a deployment operational phase. In the clamping operational phase, various clamp components are operated to facilitate loading of surgical staples into the stapling apparatus, if not preloaded, placement of the stapling apparatus to a target surgical site, and clamping of target tissue to be stapled and/or cut. In the deployment operational phase, various deployment components are operated to staple and/or cut the target tissue to one or more desired distance intervals to achieve the desired outcome for the surgical procedure.
摘要翻译：一种外科缝合装置，其被配置为对患者的靶组织执行吻合和/或切割操作。外科缝合装置包括模式选择开关，以将装置置于夹紧操作阶段或部署操作阶段。在夹紧操作阶段中，操作各种夹紧部件以便于如果不预先装载缝合装置中的缝合装置，将装订装置放置到目标手术部位，以及夹紧待装订和/或切割的目标组织。在部署操作阶段，操作各种部署部件以将目标组织装订和/或切割到一个或多个期望的距离间隔以实现外科手术的期望结果。

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