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1. 发明申请

US20050261717A1 Optical trocar 失效
标题翻译：光学套管针
公开(公告)号：US20050261717A1
公开(公告)日：2005-11-24
申请号：US11054598
申请日：2005-02-09
申请人： Jude Sauer , Michael Oravecz , Roger Greenwald , Alexander Kobilansky
发明人： Jude Sauer , Michael Oravecz , Roger Greenwald , Alexander Kobilansky
IPC分类号： G02B23/24 , A61B1/00 , A61B17/32 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3417 , A61B17/34 , A61B17/3496 , A61B90/30 , A61B90/361 , A61B2090/306
摘要： The present invention relates to an optical obturator which includes a sleeve having a longitudinal bore between a proximal end and a distal end. The longitudinal bore of the sleeve is configured to receive at least a portion of an endoscope or like image transferring system. An image passing member, such as an optical window is positioned at the distal end of the sleeve and is provided to permit optical images to pass into the longitudinal bore of the sleeve and to permit illumination light to pass to the surgical site. An automatically retracting blade is positioned distal to the image passing member to facilitate penetration of body tissue.
摘要翻译：本发明涉及一种光闭塞器，其包括在近端和远端之间具有纵向孔的套筒。套筒的纵向孔被构造成容纳内窥镜或类似图像传送系统的至少一部分。诸如光学窗口的图像通过构件定位在套筒的远端，并且被设置成允许光学图像进入套筒的纵向孔并允许照明光通过到手术部位。自动缩回刀片定位在图像通过部件的远侧以便于穿透身体组织。

2. 发明申请

US20070255296A1 Medical instrument to place a pursestring suture, open a hole and pass a guidewire 有权
标题翻译：医疗器械放置一条追求缝合线，打开一个洞并通过导丝
公开(公告)号：US20070255296A1
公开(公告)日：2007-11-01
申请号：US11411626
申请日：2006-04-26
申请人： Jude Sauer
发明人： Jude Sauer
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/30 , A61B17/320016 , A61B2017/00278 , A61B2017/00663 , A61B2017/00862 , A61B2017/1142 , A61B2017/22038 , A61B2017/2905 , A61B2017/306
摘要： A therapeutic instrument for the ergonomic, effective and safe opening and closing of targeted remote tissue sites; includes a pistol grip style handle with a hand activated lever for needle deployment and, optionally, with features to control tissue cutting and guide wire installation; also incorporates a specialized elongated rigid or flexible instrument shaft, which enables vacuum assisted holding of tissue at a uniquely contoured distal tip, where placement of a suture in a purse string configures occurs along with, if desired, tissue cutting and guide wire passage.
摘要翻译：用于人体工程学，有效和安全地打开和关闭目标远程组织部位的治疗仪器; 包括手枪握柄式手柄，手柄用于针头展开，并且可选地具有控制组织切割和导丝安装的特征; 还包括专门的细长的刚性或柔性仪器轴，其能够真空辅助保持在独特轮廓的远侧末梢处的组织，其中缝合线放置在钱包串中配置，并且如果需要，随着组织切割和导丝通道一起发生。

3. 发明申请

US20070167868A1 Ergonomic needle tissue harvesting instrument not requiring a stylet 审中-公开
标题翻译：符合人体工程学的针组织采集器不需要探针
公开(公告)号：US20070167868A1
公开(公告)日：2007-07-19
申请号：US11334314
申请日：2006-01-18
申请人： Jude Sauer
发明人： Jude Sauer
IPC分类号： A61B10/00
CPC分类号： A61B10/0233 , A61B10/04 , A61B2010/0208
摘要： A medical diagnostic instrument for the ergonomic effective and safe harvesting of specimen at targeted remote tissue sites includes a pistol grip style handle with a hand activated lever and a specialized elongated flexible double tube needle shaft inside of a protective sheath for use, in a preferred embodiment, within an endoscope. The length of needle shaft is adjusted using locking buttons. Moving another set of buttons sets the needle penetration depth. With a squeeze of the lever, a novel thin band drive mechanism advances the needle shaft out of its sheath, through adjacent tissue and into the targeted site. The double tube needle shaft incorporates a pointed distal tip attached to an innermost “grater” needle, which has sharp edged tissue cutting holes or “grating” features that are exposed by retracting back an overlying cover tube. Sliding back the cover tube is achieved via a cam. The sharp cutting surfaces of the grater tube communicate directly with a vacuum source attached near the handle. Oscillation of the vacuum augmented grater tube back and forth within the targeted tissue yields small pieces of tissue for harvest. When adequate amounts of tissue are drawn into the grater tube, the cover tube is re-advanced over the distal grater tube, the needle shaft is retracted back into the sheath and the instrument along with the harvested specimen are removed from the patient.
摘要翻译：用于在目标远程组织部位的人体工程学有效和安全地收集样品的医疗诊断仪器包括手枪式握柄式手柄，其具有手动激活的杆和用于使用的保护性护套中的专用细长柔性双管针轴，在优选实施例中在内窥镜内。针轴的长度使用锁定按钮进行调整。移动另一组按钮设置针穿透深度。通过杠杆的挤压，新颖的薄带驱动机构使针轴从其护套中移出，穿过相邻的组织并进入目标位置。双管针轴包括附接到最内侧的“磨刀”针的尖端远端，其具有锐利的边缘组织切割孔或通过缩回上覆盖管而暴露的“光栅”特征。通过凸轮实现滑盖的覆盖。磨边管的锋利切割表面与附在手柄附近的真空源直接连通。在目标组织内来回振荡真空增压砂浆管产生用于收获的小块组织。当足够量的组织被吸入磨边管中时，覆盖管在远侧磨碎管上重新前进，针轴缩回到护套中，并且与收集的样本一起从患者身上取下仪器。

4. 发明申请

US20050165419A1 System for endoscopic suturing 审中-公开
公开(公告)号：US20050165419A1
公开(公告)日：2005-07-28
申请号：US11085703
申请日：2005-03-21
申请人： Jude Sauer , Michael Fitzsimmons , Mark Bovard
发明人： Jude Sauer , Michael Fitzsimmons , Mark Bovard
IPC分类号： A61B17/04 , A61B17/30
CPC分类号： A61B1/0014 , A61B1/018 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B2017/00296 , A61B2017/0496 , A61B2017/306
摘要： A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. A tissue suturing instrument is provided having a partially flexible shaft locatable through the accessory tube, and a tissue engaging end coupled to the shaft. The tissue engaging end has a vacuum sleeve enabling suction to be selectably applied at the tissue engaging end to capture tissue through an opening in the vacuum sleeve. Two needles are provided which extend through the shaft of the suturing instrument. Each needle is separately actuated into a gap in the instrument's tip, through tissue suctioned into the opening of the vacuum sleeve and into a ferrule at each end of a loop of suture. The system further includes a suture securing instrument having a partially flexible shaft locatable through the accessory tube, and a distal end coupled to the shaft. After removal of the suturing instrument from the accessory tube, a loop of suture extends through the tissue and the accessory tube, the suture securing instrument receives the free ends of the loop of suture at its distal end through a sleeve member, and the suture securing instrument is then inserted through the accessory tube to the location of the suture in the tissue. The suture securing instrument crimps the sleeve member and cuts the free ends of the suture to secure the suture closed. The suturing instrument and suture securing instrument are passed through the accessory tube without removal of the endoscope from the patient. The endoscope provides viewing by an operator of the engaging end of the suturing instrument for selecting placement of the suture through tissue, and of the distal end of the suture securing instrument to secure the suture closed.

5. 发明申请

US20060161183A1 Instrument for assisting in the remote placement of tied surgical knots and trimming of suture away from the knot and method of use 有权
标题翻译：用于协助远程放置绑定的手术结和修剪缝合线远离结的仪器和使用方法
公开(公告)号：US20060161183A1
公开(公告)日：2006-07-20
申请号：US10543948
申请日：2004-02-04
申请人： Jude Sauer
发明人： Jude Sauer
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/0467 , A61B17/0483 , A61B2017/0474 , A61B2017/0475 , A61K9/1075 , A61K9/4858 , A61K31/122 , A61K31/355 , A61K31/56 , A61K45/06 , A61K2300/00
摘要： An instrument (10) is provided having a shaft (12) extending to a distal end (16). The distal end (16) has a distal tip member (40) having a cavity (42, 83), and a passageway (44, 80) extending to the cavity through which a first suture end (48A) of a loop of suture (48) extends from a tissue site to facilitate a user looping a second suture end (48B) around the first suture end (48A) between the distal tip member (40) and the tissue site to form a knot (48C). Advancing of the distal tip member (40) while drawing the first suture end (48A) through the passageway (44, 80) pushes the knot (48C) for placement at the tissue site. The distal tip member (79) of another embodiment provides an additional open-sided passageway (81) through which the second suture end (48B) is passed to assist in forming and pushing a knot at to the tissue site. A more secure knot (50) may be formed by a double loop (49A) and then a single loop (49B) by the second suture end (48B) around the first suture end (48A) and appropriate tensioning of the first and second suture ends when the knot is pushed to the tissue site. The distal end (16) further has two openings (46, 47) through which the two suture ends (48A, 4813) are passed from the placed knot (48C, 50), and a blade (38) in the distal end (16) is positionable to cut the two suture ends near the tissue site to trim the suture away from such knot.
摘要翻译：提供了具有延伸到远端（16）的轴（12）的器械（10）。远端（16）具有远端尖端构件（40），其具有空腔（42,83）和延伸到空腔的通道（44,80），通过所述通道将缝合线环的第一缝合线端部（48A）（48）从组织部位延伸以便于使用者围绕远侧末端部件（40）和组织部位之间的第一缝合线端部（48A）环绕第二缝合线端部（48B）以形成结（48C）。当通过通道（44,80）牵引第一缝合线端部（48A）时推进远侧末端构件（40）推动结（48C）以放置在组织部位。另一个实施例的远侧末端构件（79）提供另外的开放侧通道（81），第二缝合线端部（48B）通过该通道辅助形成并将结推到组织部位。可以通过双环路（49A）形成更安全的结（50），然后通过第二缝合线端部（48B）围绕第一缝合线端部（48A）形成单个环路（49B），并且适当地张紧第一当结被推到组织部位时，第二缝合线结束。远端（16）还具有两个开口（46,47），两个缝合线端部（48A，4813）从放置的结（48C，50）穿过该开口（46,47），并且远端中的刀片（38）（16）可定位以在组织部位附近切割两条缝线端，以将缝合线修剪离开此结。

6. 发明申请

US20050154403A1 Running stitch suturing device 有权
标题翻译：运动缝合缝合装置
公开(公告)号：US20050154403A1
公开(公告)日：2005-07-14
申请号：US10845040
申请日：2004-05-13
申请人： Jude Sauer , Mark Bovard , Michael Fitzsimmons , James Guelzow , John Hammond
发明人： Jude Sauer , Mark Bovard , Michael Fitzsimmons , James Guelzow , John Hammond
IPC分类号： A61B17/00 , A61B17/04 , A61B17/10
CPC分类号： A61B17/0625 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0487 , A61B17/0491 , A61B2017/00371 , A61B2017/0406 , A61B2017/0454 , A61B2017/0464 , A61B2017/0474 , A61B2017/0496 , B33Y80/00
摘要： An instrument and method for suturing wound closures is provided having a handle, shaft and suture engagement mechanism. The instrument provides for multiple placements or “bites” of suture in tissues to enable a wide variety of suturing techniques, including the ability to “run” a suture. The instrument further facilitates suture knot tying. The method of this instrument provides for rapid and effective remote suture placement and knot tying.
摘要翻译：提供了一种用于缝合伤口闭合件的仪器和方法，其具有手柄，轴和缝合线接合机构。该仪器在组织中提供缝合的多次放置或“咬”，以实现各种缝合技术，包括“运行”缝合线的能力。该仪器进一步方便缝合结扎。该仪器的方法提供快速有效的远程缝合布置和打结。

7. 发明申请

US20050154402A1 Sew-right running stitch instrument 有权
标题翻译：缝制跑步针迹仪
公开(公告)号：US20050154402A1
公开(公告)日：2005-07-14
申请号：US10757042
申请日：2004-01-14
申请人： Jude Sauer , John Hammond , James Guelzow , Michael Fitzsimmons , Mark Bovard
发明人： Jude Sauer , John Hammond , James Guelzow , Michael Fitzsimmons , Mark Bovard
IPC分类号： A61B17/00 , A61B17/04 , A61B17/10
CPC分类号： A61B17/0625 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0487 , A61B17/0491 , A61B2017/00371 , A61B2017/0406 , A61B2017/0454 , A61B2017/0464 , A61B2017/0474 , A61B2017/0496 , B33Y80/00
摘要： An instrument and method for suturing wound closures is provided having a handle, shaft and suture engagement mechanism. The instrument provides for multiple placements or “bites” of suture in tissues to enable a wide variety of suturing techniques, including the ability to “run” a suture. The instrument further facilitates suture knot tying. The method of this instrument provides for rapid and effective remote suture placement and knot tying.
摘要翻译：提供了一种用于缝合伤口闭合件的仪器和方法，其具有手柄，轴和缝合线接合机构。该仪器在组织中提供缝合的多次放置或“咬”，以实现各种缝合技术，包括“运行”缝合线的能力。该仪器进一步方便缝合结扎。该仪器的方法提供快速有效的远程缝合布置和打结。

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