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1. 发明授权

US5829662A Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge 失效
公开(公告)号：US5829662A
公开(公告)日：1998-11-03
申请号：US709961
申请日：1996-09-09
申请人： Eugene David Allen , James J. Bedi , Gregory D. Bishop , Mark A. Burdorff , Sean P. Conlon , John A. Hibner , J. David Hughett , Mark S. Ortiz , Joseph Paraschac , Narinderjit Sambi , Thomas J. Sierocuk , Jack E. Smith
发明人： Eugene David Allen , James J. Bedi , Gregory D. Bishop , Mark A. Burdorff , Sean P. Conlon , John A. Hibner , J. David Hughett , Mark S. Ortiz , Joseph Paraschac , Narinderjit Sambi , Thomas J. Sierocuk , Jack E. Smith
IPC分类号： A61B1/00 , A61B17/068 , A61B17/10 , A61B17/28 , A61B17/34
CPC分类号： A61B17/0684 , A61B17/0682 , A61B17/3421 , A61B2017/2903 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929
摘要： A surgical stapler is provided which is insertable through an endoscopic tube to enable a surgeon to staple a hernia patch to tissue inside a body cavity. The endoscopic surgical stapler includes a staple cartridge pivotally mounted on the distal end of a support tube extending from a handle provided with an actuator mechanism for actuating a staple forming mechanism inside the staple cartridge to fasten staples to the tissue. The staple cartridge is adjustable to different angular orientations relative to the support tube. The staple actuator mechanism is operable to actuate the staple cartridge in any of the angular orientations. The support shaft is rotatable about its longitudinal axis relative to the handle to adjust the rotational orientation of the support shaft and the staple cartridge. The staple cartridge is rotatable about its longitudinal axis relative to the support shaft to adjust the rotational position of the staple cartridge relative to the support shaft. Separate actuator mechanisms are provided on the handle to control the pivotal movement of the staple cartridge, the rotation of the support shaft, and the rotation of the staple cartridge relative to the support shaft.

2. 发明授权

US5381943A Endoscopic surgical stapling instrument with pivotable and rotatable staple cartridge 失效
标题翻译：内窥镜手术吻合器具可旋转和可旋转的钉仓
公开(公告)号：US5381943A
公开(公告)日：1995-01-17
申请号：US959184
申请日：1992-10-09
申请人： Eugene D. Allen , James J. Bedi , Gregory D. Bishop , Mark A. Burdorff , Sean P. Conlon , John A. Hibner , J. David Hughett , Mark S. Ortiz , Joseph Paraschac , Narinderjit Sambi , Thomas J. Sierocuk , Jack E. Smith
发明人： Eugene D. Allen , James J. Bedi , Gregory D. Bishop , Mark A. Burdorff , Sean P. Conlon , John A. Hibner , J. David Hughett , Mark S. Ortiz , Joseph Paraschac , Narinderjit Sambi , Thomas J. Sierocuk , Jack E. Smith
IPC分类号： A61B1/00 , A61B17/068 , A61B17/10 , A61B17/28 , A61B17/34
CPC分类号： A61B17/0684 , A61B17/0682 , A61B17/3421 , A61B2017/2903 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929
摘要： A surgical stapler is provided which is insertable through an endoscopic tube to enable a surgeon to staple a hernia patch to tissue inside a body cavity. The endoscopic surgical stapler includes a staple cartridge pivotally mounted on the distal end of a support tube extending from a handle provided with an actuator mechanism for actuating a staple forming mechanism inside the staple cartridge to fasten staples to the tissue. The staple cartridge is adjustable to different angular orientations relative to the support tube. The staple actuator mechanism is operable to actuate the staple cartridge in any of the angular orientations. The support shaft is rotatable about its longitudinal axis relative to the handle to adjust the rotational orientation of the support shaft and the staple cartridge. The staple cartridge is rotatable about its longitudinal axis relative to the support shaft to adjust the rotational position of the staple cartridge relative to the support shaft. Separate actuator mechanisms are provided on the handle to control the pivotal movement of the staple cartridge, the rotation of the support shaft, and the rotation of the staple cartridge relative to the support shaft.
摘要翻译：提供外科缝合器，其可通过内窥镜管插入，以使外科医生将疝补片装订到体腔内的组织内。内窥镜手术吻合器包括枢转地安装在支撑管的远端上的钉仓，该支撑管从具有致动器机构的手柄延伸，用于致动钉仓中的钉形成机构，以将钉紧固到组织。钉仓可相对于支撑管可调节到不同的角度取向。缝钉致动器机构可操作以以任何角度取向来致动钉仓。支撑轴可绕其纵向轴线相对于手柄旋转，以调节支撑轴和钉仓的旋转方向。钉仓可相对于支撑轴绕其纵向轴线旋转，以调节钉仓相对于支撑轴的旋转位置。单独的致动器机构设置在手柄上以控制钉仓的枢转运动，支撑轴的旋转以及钉仓相对于支撑轴的旋转。

3. 发明授权

US08074654B2 Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions 有权
标题翻译：用于在目标组织区域中保持所需取向的可植入装置，系统和方法
公开(公告)号：US08074654B2
公开(公告)日：2011-12-13
申请号：US11820173
申请日：2007-06-18
申请人： Joseph Paraschac , Lionel M Nelson
发明人： Joseph Paraschac , Lionel M Nelson
IPC分类号： A61F13/00
CPC分类号： A61F5/566
摘要： At least one elongated body is sized and configured for implantation in a desired orientation in a tissue region in an airway. An array of projections extends from the elongated body and is resiliently coupled to the elongated body. The array or projections is in a normally biased outward extending condition sized and configured to engage tissue and resist a reorientation of the elongated body within the tissue region out of the desired orientation after implantation of the elongated body in the tissue region. The array of projections is sized and configured to resiliently yield by flexing inward against the elongated body during implantation of the elongated body in the tissue region.
摘要翻译：至少一个细长体的尺寸和构造适于在气道中的组织区域中以期望的取向植入。凸起的阵列从细长的主体延伸并且弹性地联接到细长的主体。阵列或突起处于正常偏压的向外延伸状态，其大小和构造成在细长体在组织区域中植入之后，将组织区域内的细长主体重新取向到期望取向之外，从而接合组织。突出物阵列的尺寸和构造通过在将细长主体植入组织区域期间向内靠着细长主体向内弯曲而弹性产生。

4. 发明申请

US20080066764A1 Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions 审中-公开
标题翻译：用于在目标组织区域中保持所需取向的可植入装置，系统和方法
公开(公告)号：US20080066764A1
公开(公告)日：2008-03-20
申请号：US11820168
申请日：2007-06-18
申请人： Joseph Paraschac , Lionel Nelson
发明人： Joseph Paraschac , Lionel Nelson
IPC分类号： A61F5/56
CPC分类号： A61F5/566
摘要： At least one elongated tension-able body is sized and configured for implantation in a desired orientation in a tissue region in an airway. An array of projections extend from the elongated tension-able body, which are sized and configured to engage tissue and resist a reorientation of the elongated tension-able body within the tissue region out of the desired orientation.
摘要翻译：至少一个细长张力体的尺寸和构造用于以气道中的组织区域中的期望取向植入。凸出的阵列从细长张力体伸出，其大小和构造成接合组织并抵抗组织区域内的细长张力体的重新取向偏离期望的取向。

5. 发明授权

US08707959B2 Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions 有权
标题翻译：用于在目标组织区域中保持所需取向的可植入装置，系统和方法
公开(公告)号：US08707959B2
公开(公告)日：2014-04-29
申请号：US11820174
申请日：2007-06-18
申请人： Joseph Paraschac , Lionel M Nelson
发明人： Joseph Paraschac , Lionel M Nelson
IPC分类号： A61F5/56
CPC分类号： A61F5/56 , A61F5/566
摘要： At least one implant structure is sized and configured for implantation in, on, or near an extrinsic muscle region affecting movement and/or shape of a tongue, e.g., a genioglossus muscle. The position of the implant structure is stabilized relative to the extrinsic muscle region to maintain the tongue in a desired orientation, e.g., to maintain patency of an airway.
摘要翻译：至少一个植入物结构的尺寸和构造适于植入影响舌头例如颏舌肌的运动和/或形状的外在肌肉区域中，附近或附近。植入物结构的位置相对于外在肌肉区域是稳定的，以将舌头保持在期望的方位，例如维持气道通畅。

6. 发明授权

US5692668A Surgical instrument 失效
公开(公告)号：US5692668A
公开(公告)日：1997-12-02
申请号：US724738
申请日：1996-10-02
申请人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
发明人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
IPC分类号： A61B17/00 , A61B1/00 , A61B17/072 , A61B17/26 , A61B17/28 , A61B17/32 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00309 , A61B2017/00535 , A61B2017/07214 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/07285 , A61B2017/2905 , A61B2017/2913 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932 , A61B2017/2933 , A61B2017/2943 , A61B2017/2946 , A61B2090/0801
摘要： A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.

7. 发明授权

US5673841A Surgical instrument 失效
公开(公告)号：US5673841A
公开(公告)日：1997-10-07
申请号：US726321
申请日：1996-10-03
申请人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
发明人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
IPC分类号： A61B17/00 , A61B1/00 , A61B17/072 , A61B17/26 , A61B17/28 , A61B17/32 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00309 , A61B2017/00535 , A61B2017/07214 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/07285 , A61B2017/2905 , A61B2017/2913 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932 , A61B2017/2933 , A61B2017/2943 , A61B2017/2946 , A61B2090/0801
摘要： A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.

8. 发明授权

US5669544A Surgical instrument 失效
公开(公告)号：US5669544A
公开(公告)日：1997-09-23
申请号：US725683
申请日：1996-10-02
申请人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
发明人： Dale R. Schulze , Joseph Paraschac , William D. Fox , Michael E. Setser , Kenneth S. Wales , Mark S. Zeiner
IPC分类号： A61B17/00 , A61B1/00 , A61B17/072 , A61B17/26 , A61B17/28 , A61B17/32 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00309 , A61B2017/00535 , A61B2017/07214 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/07285 , A61B2017/2905 , A61B2017/2913 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932 , A61B2017/2933 , A61B2017/2943 , A61B2017/2946 , A61B2090/0801
摘要： A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.

9. 发明授权

US5346504A Intraluminal manipulator with a head having articulating links 失效
标题翻译：具有头部具有关节连杆的管腔内机械手
公开(公告)号：US5346504A
公开(公告)日：1994-09-13
申请号：US979501
申请日：1992-11-19
申请人： Mark Ortiz , Joseph Paraschac
发明人： Mark Ortiz , Joseph Paraschac
IPC分类号： A61B17/00 , A61B17/28 , A61B19/00 , A61B1/26
CPC分类号： A61B34/70 , A61B17/00234 , A61B2034/715
摘要： The present invention is directed towards an intraluminal manipulator which extends into a lumen and is operable to position and manipulate the tissue surrounding the lumen as necessary during a medical procedure. The manipulator includes a head, a handle and an interconnecting shaft. A pair of cables extend through the shaft and interconnect the head and handle. Movement of a trigger provided by the handle moves the head, which is formed by a series of articulated links, between generally straight and arched configurations. Movement of the trigger in one direction moves the head from a straightened to an arched configuration, while movement in an opposite direction moves the head from the arched to the straightened configuration. When placed in the straight configuration, the head is insertable into and removable from the lumen. When the head is in the arched configuration, it engages the walls surrounding and defining the lumen and can thereafter be used to manipulate the tissue. A fiber optic bundle is provided to allow remote visualization of the lumen, and an expandable balloon is used to provide a better frictional engagement between the head and the tissue defining the lumen.
摘要翻译：本发明涉及一种管腔内操纵器，其延伸到内腔中并且可操作以在医疗过程期间根据需要定位和操纵围绕管腔的组织。操纵器包括头部，把手和互连轴。一对电缆延伸穿过轴并连接头部和手柄。由手柄提供的触发器的移动将由一系列铰接链节形成的头部移动到大体上直的和拱形的构型之间。触发器在一个方向上的移动将头部从直线移动到拱形构型，而沿相反方向的移动将头部从拱形移动到矫直构型。当放置成直线构型时，头部可插入内腔并从内腔中移除。当头部处于拱形构型时，其与围绕并限定内腔的壁接合，并且此后可用于操纵组织。提供光纤束以允许内窥镜的远程可视化，并且可扩张气囊用于在限定内腔的头部和组织之间提供更好的摩擦接合。

10. 发明公开

US20230240868A1 UNCAGING STENT 审中-公开
公开(公告)号：US20230240868A1
公开(公告)日：2023-08-03
申请号：US18187583
申请日：2023-03-21
申请人： Motasim Sirhan , John Yan , Vinayak Bhat , Joseph Paraschac , Brett Cryer , Benjamyn Serna
发明人： Motasim Sirhan , John Yan , Vinayak Bhat , Joseph Paraschac , Brett Cryer , Benjamyn Serna
IPC分类号： A61F2/915
CPC分类号： A61F2/915 , A61F2210/0004
摘要： A stent (scaffold) or other luminal prosthesis comprising circumferential structural elements which provide high strength after deployment and allows for scaffold to uncage, and/or allow for scaffold or luminal expansion thereafter. The circumferential scaffold is typically formed from non-degradable material and will be modified to expand and/or uncage after deployment.

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