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1. 发明授权

US5810811A Electrosurgical hemostatic device 失效
标题翻译：电外科止血装置
公开(公告)号：US5810811A
公开(公告)日：1998-09-22
申请号：US835127
申请日：1997-04-04
申请人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson IV , Steven H. Mersch , Martin Madden , Richard P. Nuchols
发明人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson IV , Steven H. Mersch , Martin Madden , Richard P. Nuchols
IPC分类号： A61B18/16 , A61B17/072 , A61B17/115 , A61B17/32 , A61B18/14 , A61B19/00 , A61B17/36
CPC分类号： A61B18/1447 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B17/32 , A61B18/1206 , A61B2018/00404 , A61B2018/00601 , A61B2018/00642 , A61B2018/00666 , A61B2018/00672 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/00708 , A61B2018/00875 , A61B2018/1273 , A61B2018/1861 , A61B2090/032
摘要： An improved electro surgical instrument is provided for cauterization and/or welding of tissue of varying impedances, thicknesses and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between one pole of a bipolar energy source located on one interfacing surface, and a second interfacing surface. A second pole is located on one of the two interfacing surfaces. In a preferred embodiment, the second pole is located on the same interfacing surface as the first pole and an insulator electrically isolates the two poles. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.
摘要翻译：提供了一种改进的电手术器械，用于对变化的阻抗，厚度和血管的组织进行烧灼和/或焊接，特别是在内窥镜手术的执行中。该仪器压缩位于一个界面表面上的双极能量源的一个极点与第二接口表面之间的组织。第二个极位于两个接口表面中的一个上。在优选实施例中，第二极位于与第一极相同的接口表面上，绝缘体电隔离两极。本发明的优选应用在切割仪器中，其中使用RF能量沿着切割线形成止血线。

2. 依法登记的发明

USH1904H Electrosurgical hemostatic method and device 失效
标题翻译：电外科止血方法及装置
公开(公告)号：USH1904H
公开(公告)日：2000-10-03
申请号：US856520
申请日：1997-05-14
申请人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson, IV
发明人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson, IV
IPC分类号： A61B17/072 , A61B17/115 , A61B17/32 , A61B18/12 , A61B18/14 , A61B19/00 , A61B18/18
CPC分类号： A61B17/07207 , A61B17/32 , A61B18/1206 , A61B18/1402 , A61B18/1447 , A61B2018/00875 , A61B2090/032
摘要： An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedance, thickness and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between one pole of a bipolar energy source located on one interfacing surface, and a second interfacing surface applying pressure in a predetermined range. A second pole is located one of the two interfacing surfaces. In a preferred embodiment, the second pole is located on the same interfacing surface as the first pole and an insulator electrically isolates the two poles. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.
摘要翻译：提供了一种电外科手术器械，用于烧灼和/或焊接不同阻抗，厚度和血管的组织，特别是在内窥镜手术的执行过程中。该仪器压缩位于一个界面表面上的双极能量源的一极之间的组织和在预定范围内施加压力的第二接口表面。第二个极点位于两个接口表面之一。在优选实施例中，第二极位于与第一极相同的接口表面上，绝缘体电隔离两极。本发明的优选应用在切割仪器中，其中使用RF能量沿着切割线形成止血线。

3. 依法登记的发明

USH2037H1 Electrosurgical hemostatic device including an anvil 失效
公开(公告)号：USH2037H1
公开(公告)日：2002-07-02
申请号：US08856210
申请日：1997-05-14
申请人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson, IV , Darrel M. Powell
发明人： David C. Yates , James W. Voegele , Jesse Kuhns , Anil Nalagatla , Warren P. Williamson, IV , Darrel M. Powell
IPC分类号： A61B1818
摘要： An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedance, thickness and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between one pole of a bipolar energy source located on one interfacing surface, and a second interfacing surface applying pressure in a predetermined range wherein one of the interfacing surfaces is positioned on an anvil with a specified preload and spring rate. A second pole is located one of the two interfacing surfaces. In a preferred embodiment, the second pole is located on the same interfacing surface as the first pole and an insulator electrically isolates the two poles. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.

4. 发明授权

US06003517A Method for using an electrosurgical device on lung tissue 失效
标题翻译：在肺组织上使用电外科手术装置的方法
公开(公告)号：US06003517A
公开(公告)日：1999-12-21
申请号：US070363
申请日：1998-04-30
申请人： Warren D. Sheffield , Jesse Kuhns , David C. Yates , Steven H. Mersch
发明人： Warren D. Sheffield , Jesse Kuhns , David C. Yates , Steven H. Mersch
IPC分类号： A61B17/00 , A61B17/072 , A61B18/14 , A61B17/36
CPC分类号： A61B18/1447 , A61B17/07207 , A61B2017/00973 , A61B2017/07214 , A61B2018/00577 , A61B2018/00595 , A61B2018/1412
摘要： A method of resecting a portion of lung using an electrosurgical instrument is disclosed. The electrosurgical device clamps upon lung tissue and applies RF energy to create a cauterized zone within the clamped portion of the lung. At least one staple is placed within the cauterized tissue zone. The cauterized zone is cut adjacent to the at least one staple and the cut portion of the lung is removed.
摘要翻译：公开了使用电外科手术切除肺部分的方法。电外科装置夹在肺组织上并施加RF能量以在肺的夹紧部分内产生烧灼区域。至少一个钉被放置在烧灼组织区域内。烧灼区域被切割成邻近至少一个钉，并且切除肺部分。

5. 发明授权

US06572626B1 Surgical instrument having a fastener delivery mechanism 有权
标题翻译：具有紧固件输送机构的手术器械
公开(公告)号：US06572626B1
公开(公告)日：2003-06-03
申请号：US09692635
申请日：2000-10-19
申请人： Bryan D. Knodel , Bennie Thompson , Richard P. Fuchs , Jesse Kuhns , Richard P. Nuchols
发明人： Bryan D. Knodel , Bennie Thompson , Richard P. Fuchs , Jesse Kuhns , Richard P. Nuchols
IPC分类号： A61B1710
CPC分类号： A61B17/0643 , A61B17/0682 , A61B2017/0647 , A61F2/0063
摘要： A delivery device for delivering a plurality of individual surgical fasteners is disclosed. The delivery device has a drive mechanism having a distal and a proximal end, and a first and a second opposing member. The members are moveable proximally and distally with respect to the delivery device, and individually with respect to each other. The device further includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The surgical fasteners are preferably made from a superelastic nickel titanium alloy. Additionally an actuator having at least three sequential positions is included. The first position of the actuator is for moving the drive mechanism distally. The second position is for moving the first member proximally to partially deploy the distal end of the fastener. The third position of the actuator is for moving the second member proximally, to fully deploy the distal end of the fastener.
摘要翻译：公开了用于输送多个单独外科紧固件的输送装置。输送装置具有驱动机构，其具有远端和近端，以及第一和第二相对构件。构件相对于输送装置向近侧和远侧移动，并且相对于彼此分开。该装置还包括位于第一和第二构件之间的至少一个外科紧固件。所述至少一个手术紧固件中的每一个具有近端和远端。手术紧固件优选地由超弹性镍钛合金制成。此外，还包括具有至少三个连续位置的致动器。执行器的第一个位置用于向远侧移动驱动机构。第二位置是用于将第一构件向近端移动以部分地展开紧固件的远端。致动器的第三位置用于向近侧移动第二构件，以完全展开紧固件的远端。

6. 发明申请

US20050277957A1 Devices and methods of locking and cutting a suture in a medical procedure 有权
标题翻译：在医疗过程中锁定和切割缝线的装置和方法
公开(公告)号：US20050277957A1
公开(公告)日：2005-12-15
申请号：US11127515
申请日：2005-05-12
申请人： Jesse Kuhns , Christopher Swain , Charles Mosse , Omar Vakharia , Rudolph Nobis
发明人： Jesse Kuhns , Christopher Swain , Charles Mosse , Omar Vakharia , Rudolph Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/06166 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052
摘要： Devices and methods are provided which may be used for suturing, including performing a totally transoral surgical procedure, such as a posterior gastropexy procedure. A suture lock and cut assembly is provided to lock and cut one or more sutures in one motion, which motion can be a non-curved, non rotational linear motion. The suture lock and cut assembly with one or more sutures threaded therethrough may be pushed through, for example, a patient's esophagus and into the stomach by the tip of an endoscope, or alternatively, sized to be fed through the working channel of the endoscope.
摘要翻译：提供了可以用于缝合的装置和方法，包括完成全面的手术操作，例如胃后路手术。提供缝合线锁和切割组件以在一个运动中锁定和切割一个或多个缝合线，该运动可以是非弯曲的非旋转线性运动。具有穿过其中的一个或多个缝合线的缝合线锁定和切割组件可以被推送通过例如患者的食道并且通过内窥镜的尖端被推入胃部，或者可选地尺寸设置成被馈送通过内窥镜的工作通道。

7. 发明申请

US20080045978A1 Method For Delivering a Plurality of Fasteners 有权
标题翻译：提供多种紧固件的方法
公开(公告)号：US20080045978A1
公开(公告)日：2008-02-21
申请号：US11877177
申请日：2007-10-23
申请人： Jesse Kuhns , Robert Koch , Bennie Thompson , Rick Fuchs , David Norvelle
发明人： Jesse Kuhns , Robert Koch , Bennie Thompson , Rick Fuchs , David Norvelle
IPC分类号： A61B17/08
CPC分类号： A61B17/0644 , A61B17/00234 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/10 , A61B2017/0409 , A61B2017/0647 , A61F2/0063
摘要： A delivery device for delivering a plurality of individual surgical fasteners. The delivery device includes a drive mechanism having distal and proximal ends. The drive mechanism has a moving member and a fixed opposing member, wherein the moving member is moveable proximally and distally with respect to the delivery device. The moving member has a sharpened distal end for piercing tissue. The device includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The device also has an actuator having at least two sequential positions. A first position for moving the moving member distally and piercing tissue, and a second position for moving the moving member proximally, thereby deploying the distal end of the fastener.
摘要翻译：用于输送多个单独外科紧固件的输送装置。输送装置包括具有远端和近端的驱动机构。驱动机构具有移动构件和固定的相对构件，其中移动构件相对于输送装置向近侧和远端运动。移动构件具有用于刺穿组织的锋利的远端。该装置包括位于第一和第二构件之间的至少一个外科紧固件。所述至少一个手术紧固件中的每一个具有近端和远端。该装置还具有至少两个连续位置的致动器。用于将移动构件向远侧移动并刺穿组织的第一位置和用于向近侧移动移动构件的第二位置，从而展开紧固件的远端。

8. 发明申请

US20070149845A1 Diagnostic device for tubular anatomical structures 有权
标题翻译：用于管状解剖结构的诊断装置
公开(公告)号：US20070149845A1
公开(公告)日：2007-06-28
申请号：US10579014
申请日：2004-11-16
申请人： Jesse Kuhns , Michele D'Arcangelo , Federico Bilotti , Antonio Longo
发明人： Jesse Kuhns , Michele D'Arcangelo , Federico Bilotti , Antonio Longo
IPC分类号： A61B1/00
CPC分类号： A61B1/00085 , A61B1/00087 , A61B1/31 , A61B1/32
摘要： A diagnostic device (10) for pathologies of tubular anatomical structures comprises a tubular elongated structure (12, 28) developing between a proximal end and a distal end and is adapted to be inserted in the tubular anatomical structure, means (22) for locally dilating the walls of the tubular anatomical structure being associated with the distal end of said elongated structure, said means for locally dilating being movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology, and control means being associated with the proximal end of the elongated structure, said control means being operatively connected to said means for locally dilating, in order to move them between the closed position and the open position, and vice versa.
摘要翻译：用于管状解剖结构病理的诊断装置（10）包括在近端和远端之间形成的管状细长结构（12,28），并适于插入管状解剖结构中，用于局部扩张的装置（22）管状解剖结构的壁与所述细长结构的远端相关联，所述用于局部扩张的装置可在用于引入装置的关闭位置和用于观察和评估病理的至少一个打开位置之间移动，以及控制装置与所述细长结构的近端相关联，所述控制装置可操作地连接到所述用于局部扩张的装置，以便在关闭位置和打开位置之间移动它们，反之亦然。

9. 发明申请

US20070249989A1 Diagnostic Device 有权
标题翻译：诊断设备
公开(公告)号：US20070249989A1
公开(公告)日：2007-10-25
申请号：US11662032
申请日：2005-06-16
申请人： Antonio Longo , Jesse Kuhns , Federico Bilotti , Michele D'Arcangelo , Christopher Hess , William Weisenburgh
发明人： Antonio Longo , Jesse Kuhns , Federico Bilotti , Michele D'Arcangelo , Christopher Hess , William Weisenburgh
IPC分类号： A61B17/22
CPC分类号： A61B1/0008 , A61B1/31 , A61B1/32
摘要： A diagnostic device (10) for pathologies of tubular anatomical structures comprises a tubular elongated structure (12, 28) developing between a proximal end and a distal end and is suitable to be inserted in the tubular anatomical structure, means (22, 32) for locally dilating the walls of the tubular anatomical structure that are associated with the distal end of said elongated structure, said means for locally dilating being movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology, and control means being associated with the proximal end of the elongated structure, said control means being operatively connected to said means for locally dilating, in order to move them between the closed position and the open position, and vice versa.
摘要翻译：用于管状解剖结构病理的诊断装置（10）包括在近端和远端之间形成的管状细长结构（12,28），并且适合于插入管状解剖结构中，用于局部扩张与所述细长结构的远端相关联的管状解剖结构的壁，所述用于局部扩张的装置可在用于引入装置的关闭位置和用于观察和评估病理的至少一个打开位置之间移动，以及控制装置与细长结构的近端相关联，所述控制装置可操作地连接到所述用于局部扩张的装置，以便在关闭位置和打开位置之间移动它们，反之亦然。

10. 发明申请

US20070239137A1 Intubation device for colonic decompression 审中-公开
标题翻译：用于结肠减压的插管装置
公开(公告)号：US20070239137A1
公开(公告)日：2007-10-11
申请号：US11393333
申请日：2006-03-30
申请人： David Stefanchik , Douglas Faigel , James Spivey , Jesse Kuhns
发明人： David Stefanchik , Douglas Faigel , James Spivey , Jesse Kuhns
IPC分类号： A61M25/00 , A61B1/00
CPC分类号： A61B17/3415 , A61B1/00073 , A61B1/0014 , A61B1/015 , A61B1/018 , A61B1/2736 , A61B1/31 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/0038 , A61J15/0069
摘要： An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube defining a channel therethrough and having a plurality of spaced-apart apertures disposed on the distal portion, wherein the apertures are in fluid communication with the channel. The intubation device further includes a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope.
摘要翻译：插管装置被提供用于具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲基本上与内窥镜的弯曲脱离。插管装置包括细长的柔性管，其限定穿过其中的通道，并且具有设置在远端部分上的多个间隔开的孔，其中孔与通道流体连通。插管装置还包括附接到管并适于滑动地接合内窥镜外部的轨道的配合构件。

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