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1. 发明授权

US08105355B2 Suture lock fastening device 有权
标题翻译：缝合锁紧固装置
公开(公告)号：US08105355B2
公开(公告)日：2012-01-31
申请号：US11436398
申请日：2006-05-18
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0467 , A61B17/0485 , A61B2017/045 , A61B2017/0488
摘要： A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.
摘要翻译：一种缝合线锁紧装置，用于将缝合线缝合在缝合线锁中，切割缝合线端部，并且响应于使用者的单次运动而部署缝合线锁。紧固装置包括具有保持器的紧固头部，该保持器构造成将缝合线锁定在紧固头部中。为了从紧固头释放缝合线锁，保持架不可逆地变形。紧固装置可以包括具有切割刃的可轴向移动的切割器，以将缝合线的端部切割成靠近缝合线锁定。穿线装置可以被预加载到紧固装置中以便于缝合线穿过紧固装置。

2. 发明申请

US20080234729A1 Suture lock fastening device 有权
标题翻译：缝合锁紧固装置
公开(公告)号：US20080234729A1
公开(公告)日：2008-09-25
申请号：US11436398
申请日：2006-05-18
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0467 , A61B17/0485 , A61B2017/045 , A61B2017/0488
摘要： A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.
摘要翻译：一种缝合线锁紧装置，用于将缝合线缝合在缝合线锁中，切割缝合线端部，并且响应于使用者的单次运动而部署缝合线锁。紧固装置包括具有保持器的紧固头部，该保持器构造成将缝合线锁定在紧固头部中。为了从紧固头释放缝合锁，保持器不可逆地变形。紧固装置可以包括具有切割刃的可轴向移动的切割器，以将缝合线的端部切割成靠近缝合线锁定。穿线装置可以被预加载到紧固装置中以便于缝合线穿过紧固装置。

3. 发明申请

US20120089182A1 SUTURE LOCK FASTENING DEVICE 有权
标题翻译：舒适锁紧装置
公开(公告)号：US20120089182A1
公开(公告)日：2012-04-12
申请号：US13330023
申请日：2011-12-19
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0467 , A61B17/0485 , A61B2017/045 , A61B2017/0488
摘要： A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.
摘要翻译：一种缝合线锁紧装置，用于将缝合线缝合在缝合线锁中，切割缝合线端部，并且响应于使用者的单次运动而部署缝合线锁。紧固装置包括具有保持器的紧固头部，该保持器构造成将缝合线锁定在紧固头部中。为了从紧固头释放缝合锁，保持器不可逆地变形。紧固装置可以包括具有切割刃的可轴向移动的切割器，以将缝合线的端部切割成靠近缝合线锁定。穿线装置可以被预加载到紧固装置中以便于缝合线穿过紧固装置。

4. 发明申请

US20050033319A1 Single intubation, multi-stitch endoscopic suturing system 有权
标题翻译：单插管，多针内窥镜缝合系统
公开(公告)号：US20050033319A1
公开(公告)日：2005-02-10
申请号：US10847190
申请日：2004-05-17
申请人： Richard Gambale , Peter Lukin , Paul DiCesare , Christopher Battles , Jeffrey Radziunas , Danial Ferreira
发明人： Richard Gambale , Peter Lukin , Paul DiCesare , Christopher Battles , Jeffrey Radziunas , Danial Ferreira
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/0469 , A61B17/0467 , A61B17/0487 , A61B2017/00827 , A61B2017/045 , A61B2017/0464 , A61B2017/047
摘要： Provided is an endoscopic suturing system for joining internal body tissues in a variety of procedures. The system comprises a suturing capsule releasably mountable to the distal end of an endoscope and capable of forming multiple stitches in tissue at a plurality of locations without requiring withdrawal of the capsule from the patient between stitches. Also enclosed is a suture lock to secure the placed stitch that is delivered by a device introduced through the working channel of the indwelling endoscope. Suitable control handles for the suturing capsule and for the suture lock delivery device positioned at the proximal end of the endoscope are provided to facilitate operation by the user.
摘要翻译：提供了一种用于以各种方法连接内部身体组织的内窥镜缝合系统。该系统包括可释放地安装到内窥镜的远端的缝合胶囊，并且能够在多个位置处在组织中形成多个线圈，而不需要在线圈之间从患者中取出胶囊。还包括缝合线锁，用于固定由通过留置内窥镜的工作通道引入的装置输送的放置针迹。提供用于缝合胶囊和位于内窥镜的近端处的缝线锁输送装置的合适的控制手柄，以便于使用者的操作。

5. 发明授权

US06821282B2 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US06821282B2
公开(公告)日：2004-11-23
申请号：US09957901
申请日：2001-09-20
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/07207 , A61B17/115 , A61B17/2909 , A61B17/320016 , A61B2017/0725 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

6. 发明授权

US06520971B1 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US06520971B1
公开(公告)日：2003-02-18
申请号：US09722026
申请日：2000-11-27
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas
IPC分类号： A61B1710
CPC分类号： A61B17/2909 , A61B17/07207 , A61B17/320016 , A61B2017/0725 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control handle for a full thickness resection device is disclosed. In an embodiment for the control handle of the present invention, the control handle includes a body and a staple firing assembly coupled to the body. The staple firing assembly includes a rotatable staple firing ring, a worm gear assembly rotatably engaged with the staple firing ring, and a flexible drive shaft coupled to the worm gear assembly. In an embodiment for a method of the present invention, a method for actuating a full thickness resection device is provided. The method includes the steps of rotating a staple firing ring in a first direction and actuating a worm gear assembly in a first operative mode in response to the rotation of the staple firing ring in the first direction, the worm gear assembly is coupled to the staple firing ring. A flexible drive shaft is rotated in the first direction, the flexible drive shaft being coupled to the worm gear assembly, and torsional energy is stored in the flexible drive shaft during rotation of the flexible drive shaft in the first direction. The worm gear assembly is actuated in a second operative mode and a release rate of the stored torsional energy in the flexible drive shaft is controlled by the worm gear assembly. The flexible drive shaft is rotated in a second direction.
摘要翻译：公开了一种全厚度切除装置的控制手柄。在本发明的控制手柄的一个实施例中，控制手柄包括主体和联接到主体的订书钉组件。订书钉组装包括可转动的订书钉预制环，可旋转地与订书钉发射环接合的蜗轮组件和联接到蜗轮组件的柔性驱动轴。在本发明的方法的实施例中，提供了一种用于致动全厚度切除装置的方法。该方法包括以下步骤：响应于第一方向上的订书钉击发环的旋转，以第一方向旋转订书钉击发环并以第一操作模式致动蜗轮组件，蜗轮组件联接到订书钉射击戒指柔性驱动轴沿着第一方向旋转，柔性驱动轴联接到蜗轮组件，并且扭转能量在柔性驱动轴沿第一方向旋转期间被存储在柔性驱动轴中。蜗轮组件以第二操作模式致动，并且柔性驱动轴中存储的扭转能量的释放速率由蜗轮组件控制。柔性驱动轴沿第二方向旋转。

7. 发明授权

US08286845B2 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US08286845B2
公开(公告)日：2012-10-16
申请号：US10964007
申请日：2004-10-12
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号： B27F7/00
CPC分类号： A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

8. 发明申请

US20050125009A1 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US20050125009A1
公开(公告)日：2005-06-09
申请号：US10964007
申请日：2004-10-12
申请人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
发明人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
IPC分类号： A61B17/072 , A61B17/28 , A61B17/32 , B27F7/00 , B25C5/02 , B25C5/06
CPC分类号： A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

9. 发明授权

US08764765B2 Laparoscopic instrument and related surgical method 失效
标题翻译：腹腔镜仪及相关手术方法
公开(公告)号：US08764765B2
公开(公告)日：2014-07-01
申请号：US12550617
申请日：2009-08-31
申请人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
发明人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
IPC分类号： A61B1/04 , A61F11/00
CPC分类号： A61B17/29 , A61B17/2909 , A61B17/3417 , A61B17/3421 , A61B34/70 , A61B2017/003 , A61B2017/00314 , A61B2017/00738 , A61B2017/2904 , A61B2017/2929 , A61B2017/2946 , A61B2017/3447 , A61B2017/3456 , A61B2017/3466 , A61B2017/349 , A61B2034/301
摘要： A medical instrument insertable through a cannula, the instrument comprising an elongate shaft; and an operative tip having a first jaw and a second jaw movable with respect to the first jaw. The operative tip disposed at a distal end of said elongate shaft and being disposed on said shaft for rotation relative to at least a distal end portion of said shaft about a longitudinal axis of said distal end portion.
摘要翻译：可通过插管插入的医疗器械，所述器械包括细长轴; 以及具有相对于所述第一钳口可移动的第一钳口和第二钳口的操作尖端。所述操作尖端设置在所述细长轴的远端并且设置在所述轴上，用于相对于所述轴的至少远端部围绕所述远端部分的纵向轴线旋转。

10. 发明申请

US20070282358A1 Steerable medical instrument 审中-公开
标题翻译：可行医疗器械
公开(公告)号：US20070282358A1
公开(公告)日：2007-12-06
申请号：US11804871
申请日：2007-05-21
申请人： Stan Remiszewski , Michael Abrams , Dominick Mastri , Rich Gambale , Jeffrey Radziunas , Ronald Green , Danial Ferreira
发明人： Stan Remiszewski , Michael Abrams , Dominick Mastri , Rich Gambale , Jeffrey Radziunas , Ronald Green , Danial Ferreira
IPC分类号： A61B17/22
CPC分类号： A61B17/32056 , A61B1/0052 , A61B1/0055 , A61B1/0057 , A61B17/00 , A61B18/1492 , A61B2017/003 , A61B2017/00323 , A61B2017/00867 , A61B2018/00482 , A61B2018/00494 , A61B2018/00595 , A61B2018/1407 , A61B2018/144 , A61M25/0029 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61M2025/0036 , A61M2025/004 , A61M2025/0163
摘要： A steerable medical instrument includes a control handle, a shaft, steering control wires, and an end effector at the distal end of the shaft. The end effector is a separate component engineered to distribute the stress and strain of bending moments along the length of the end effector to achieve predicable, repeatable, fine motion control over the distal end of the instrument. The end effector may be customized for any medical application. For example, the end effector may comprise a grasping device, a cutting devise, a snare, a specimen retrieval device, or a wound closure device (such as a stapler).
摘要翻译：可操纵的医疗器械包括控制手柄，轴，转向控制线和在轴远端的末端执行器。端部执行器是一个单独的部件，设计用于沿着末端执行器的长度分布弯矩的应力和应变，以实现仪器远端上的可预测的，可重复的精细运动控制。末端执行器可以针对任何医疗应用进行定制。例如，末端执行器可以包括抓握装置，切割装置，圈套，样本取出装置或伤口闭合装置（例如吻合器）。

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