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1. 发明授权

US5897563A Method for using a needle holder to assist in suturing 失效
标题翻译：使用针架来辅助缝合的方法
公开(公告)号：US5897563A
公开(公告)日：1999-04-27
申请号：US947115
申请日：1997-10-08
申请人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
发明人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0491
摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.
摘要翻译：根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。该装置还具有从手柄向远侧延伸的右臂和左臂。装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。右夹具保持具有附着于其上的缝合线的针。该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。然后，该方法包括使臂的远端彼此远离地移动。最后，该方法包括从组织中去除针。

2. 发明授权

US06530932B1 Anastomosis device having improved tissue presentation 有权
标题翻译：具有改善的组织呈现的吻合装置
公开(公告)号：US06530932B1
公开(公告)日：2003-03-11
申请号：US09650577
申请日：2000-08-30
申请人： Jeffrey S. Swayze , Douglas B. Hoffman , David Stefanchik , Mark A. Goldin , Rudolph H. Nobis
发明人： Jeffrey S. Swayze , Douglas B. Hoffman , David Stefanchik , Mark A. Goldin , Rudolph H. Nobis
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/0469 , A61B2017/06076 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： In accordance with the present invention there is provided a surgical device for presenting a first hollow organ and a second hollow organ for creation a passageway therebetween. The surgical device includes a member, an upper pin for entering a first hollow organ, and a lower pin for entering a the second hollow organ, the pins having proximal ends attached to the member, distal ends extending therefrom and longitudinal axis extending therebetween. The device further includes a first actuator assembly coupled to the member for laterally moving the distal and proximal ends of the lower pin relative to the first member, and a second actuator coupled to the member for moving the distal ends of the upper and lower pins adjacent to one another so as to move the hollow organs close together.
摘要翻译：根据本发明，提供了一种用于呈现第一中空器官和第二中空器官的手术装置，用于在其间形成通道。手术装置包括构件，用于进入第一中空器官的上销和用于进入第二中空器官的下销，所述销具有附接到构件的近端，从其延伸的远端和在它们之间延伸的纵向轴线。所述装置还包括联接到所述构件的第一致动器组件，用于相对于所述第一构件侧向移动所述下销的远端和近端，以及联接到所述构件的第二致动器，用于使所述上销和下销的远端相邻相互靠近，将中空器官靠近在一起。

3. 发明授权

US07658738B2 Medical devices for use with endoscope 有权
标题翻译：用于内窥镜的医疗设备
公开(公告)号：US07658738B2
公开(公告)日：2010-02-09
申请号：US11129601
申请日：2005-05-13
申请人： Rudolph H. Nobis , Christopher J. Hess , David Stefanchik , Michael Clem
发明人： Rudolph H. Nobis , Christopher J. Hess , David Stefanchik , Michael Clem
IPC分类号： A61B18/18
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00087 , A61B1/00135 , A61B1/0014 , A61B17/320783 , A61B18/1492 , A61B18/1815 , A61B2017/00269 , A61B2017/306 , A61B2018/00601 , A61B2018/00982 , A61B2018/144 , A61B2018/1495
摘要： A medical device is provided for use with an endoscope. The medical device can include a tissue resection device comprising an RF cutting wire. The tissue resection device can be supported for proximal and distal movement relative to the endoscope.
摘要翻译：提供用于内窥镜的医疗装置。医疗装置可以包括包括RF切割线的组织切除装置。组织切除装置可以被支撑用于相对于内窥镜的近端和远端运动。

4. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

5. 发明授权

US5171249A Endoscopic multiple ligating clip applier 失效
标题翻译：内窥镜多功能贴片夹具
公开(公告)号：US5171249A
公开(公告)日：1992-12-15
申请号：US680215
申请日：1991-04-04
申请人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
发明人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
IPC分类号： A61B17/28 , A61B1/00 , A61B17/128
CPC分类号： A61B17/1285
摘要： An endoscopic clip applying system as described which contains a venting system and a clip applying support system which prevents closure of the mechanism before firing. Also, the system ensures proper loading of the clips and prevents them from falling out during loading. Further, the system describes an easily manufacturable, positively opening system which has minimized size requirements. Furthermore, a lock-out mechanism is provided so that the mechanism may not be inadvertently fired. The shaft resists excessive torque as well as holds the clip in place during firing. There are provisions for sealant and non back-up of the clips, as well as features which make the clip properly placed for closure.

6. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

7. 再颁专利

USRE35525E Endoscopic multiple ligating clip applier 失效
标题翻译：内窥镜多重结扎夹施放器
公开(公告)号：USRE35525E
公开(公告)日：1997-06-03
申请号：US518766
申请日：1995-05-31
申请人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
发明人： David Stefanchik , Jerome E. Reckelhoff , Rudolph H. Nobis , Michael A. Murray , John E. Burbank
IPC分类号： A61B17/28 , A61B1/00 , A61B17/128 , A61B17/00
CPC分类号： A61B17/1285
摘要： An endoscopic clip applying system as described which contains a venting system and a clip applying support system which prevents closure of the mechanism before firing. Also, the system ensures proper loading of the clips and prevents them from falling out during loading. Further, the system describes an easily manufacturable, positively opening system which has minimized size requirements. Furthermore, a lock-out mechanism is provided so that the mechanism may not be inadvertently fired. The shaft resists excessive torque as well as holds the clip in place during firing. There are provisions for sealant and non back-up of the clips, as well as features which make the clip properly placed for closure.
摘要翻译：如上所述的内窥镜夹子施加系统，其包含通气系统和施加支撑系统的夹子，其防止在开火之前关闭机构。此外，系统确保夹子的正确装载，并防止它们在装载过程中脱落。此外，该系统描述了一种容易制造的，正面打开的系统，其具有最小化的尺寸要求。此外，提供了一种锁定机构，使得该机构可能不会被无意地点燃。轴可以防止过大的转矩，也可以在点火期间将夹子保持在适当位置。夹具的密封剂和非支撑件的设置以及使夹子适当地放置以封闭的特征。

8. 发明授权

US6071289A Surgical device for suturing tissue 有权
标题翻译：用于缝合组织的手术装置
公开(公告)号：US6071289A
公开(公告)日：2000-06-06
申请号：US270483
申请日：1999-03-15
申请人： David Stefanchik , John E. Burbank, III , Inbae Yoon , Ron J. Brinkerhoff
发明人： David Stefanchik , John E. Burbank, III , Inbae Yoon , Ron J. Brinkerhoff
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0469 , A61B17/062 , A61B17/0491 , A61B17/06004
摘要： A surgical device is described for assisting a surgeon in suturing bodily tissue using a curved, surgical needle with a suture filament attached. The surgical device comprises a handle, an elongated shaft having a proximal end, a distal end, and a longitudinal axis extending in between. The device further comprises a stationary arm having a first holder fixedly attached to and extending from the distal end of the shaft, and used for operationally engaging with the needle. The device also has a movable arm having a second holder extending from the distal end of the shaft and rotatable around the longitudinal axis of the device. The movable arm also is operationally engageable with the needle. An actuator is provided for cooperatively actuating the first and second holders, so as to be able to pass a needle along a circular path transverse to the longitudinal axis of the device through the tissue, and thus place the suture filament into the tissue.
摘要翻译：描述了一种手术装置，用于协助外科医生使用附接有缝合线的弯曲的外科手术针缝合身体组织。手术装置包括手柄，细长轴，其具有近端，远端和在其间延伸的纵向轴线。所述装置还包括固定臂，该固定臂具有固定地连接到所述轴的远端并且从所述轴的远端延伸并且用于与所述针可操作地接合的第一保持器。该装置还具有可动臂，其具有从轴的远端延伸并可围绕装置的纵向轴线旋转的第二保持架。可动臂也可以与针进行操作。提供致动器以用于协同地致动第一和第二保持器，以便能够沿着横穿于装置的纵向轴线的圆形路径通过针穿过组织，从而将缝合线放入组织中。

9. 发明授权

US09247997B2 Patient-referenced surgical support frame 有权
标题翻译：病人参考的手术支架
公开(公告)号：US09247997B2
公开(公告)日：2016-02-02
申请号：US13249883
申请日：2011-09-30
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B1/32 , A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B19/26 , A61B17/3417 , A61B90/50 , A61B2017/00535 , A61B2017/00876 , A61B2017/00991 , A61B2017/3447 , A61B2017/347
摘要： A patient-referenced surgical support frame and method of use are provided. In one embodiment, a surgical support frame can have at least three support members coupled by adjustable linkages. Each support member can have a lumen extending therethrough for receiving a cannula, and each support member can be configured such that the at least three support members (or the cannulas extending therethrough) are angularly adjustable relative to one another, and such that a distance between each of the at least three support members is adjustable. In use, the surgical support frame can be positioned on a skin surface of a patient and used to retain one or more instruments extending through the support members in a fixed orientation or position with respect to the patient, thereby allowing more than two instruments to be used simultaneously.
摘要翻译：提供了一种患者参考的手术支架和使用方法。在一个实施例中，手术支撑框架可以具有通过可调节联接件联接的至少三个支撑构件。每个支撑构件可以具有延伸穿过其中用于接纳插管的内腔，并且每个支撑构件可被构造成使得至少三个支撑构件（或穿过其中的插管）可相对于彼此成角度地调节，并且使得所述至少三个支撑构件中的每一个都是可调节的。在使用中，手术支撑框架可以定位在患者的皮肤表面上并用于保持一个或多个仪器以相对于患者的固定取向或位置延伸穿过支撑构件，从而允许两个以上的器械同时使用

10. 发明授权

US09211159B2 Surgical devices with intracorporeal elbow joint 有权
标题翻译：手术器械与体内肘关节
公开(公告)号：US09211159B2
公开(公告)日：2015-12-15
申请号：US13309856
申请日：2011-12-02
申请人： David Stefanchik , Omar J. Vakharia
发明人： David Stefanchik , Omar J. Vakharia
IPC分类号： A61B17/00 , A61B19/00 , A61B17/29
CPC分类号： A61B17/29 , A61B17/28 , A61B17/2804 , A61B17/2816 , A61B19/2203 , A61B34/30 , A61B34/70 , A61B34/71 , A61B90/50 , A61B2017/003 , A61B2017/00323 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/291 , A61B2017/2927 , A61B2017/2939 , A61B2017/2947 , A61B2019/2223
摘要： Surgical devices are disclosed herein that generally include an intracorporeal elbow joint to facilitate translational movement of an end effector while allowing a body portion of the surgical device and a trocar or working channel through which the device is inserted to be maintained in a fixed angular orientation relative to the patient. This allows a plurality of such devices to be used effectively with a single incision or access device. Such devices also generally provide end effector movement with six degrees of freedom, while maintaining a mechanical linkage between the user and the end effector and while mimicking and/or mirroring natural user movement. Various methods related to such devices are also disclosed.
摘要翻译：本文公开的手术装置通常包括体内肘关节，以便于端部执行器的平移运动，同时允许手术装置的主体部分和套管针或工作通道，装置通过该套管针或工作通道保持在固定的角度定向相对给病人这允许使用单个切口或接入装置有效地使用多个这样的装置。这样的装置还通常提供具有六个自由度的末端执行器运动，同时保持使用者和末端执行器之间的机械联动，同时模仿和/或镜像自然使用者的运动。还公开了与这种装置有关的各种方法。

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