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1. 发明申请

US20050080435A1 Tissue retractor and method for using the retractor 审中-公开
标题翻译：组织牵开器和使用牵开器的方法
公开(公告)号：US20050080435A1
公开(公告)日：2005-04-14
申请号：US10728385
申请日：2003-12-05
申请人： Kevin Smith , Matthew Palmer , Juergen Kortenbach , Robert Sixto , Jorge Pinos
发明人： Kevin Smith , Matthew Palmer , Juergen Kortenbach , Robert Sixto , Jorge Pinos
IPC分类号： A61B17/00 , A61B17/02 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/30 , A61B17/08
CPC分类号： A61B17/0682 , A61B17/00234 , A61B17/0218 , A61B17/0643 , A61B17/068 , A61B17/29 , A61B2017/00349 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/301
摘要： A tissue retractor includes a body having proximal and distal ends. The retractor also includes a retraction device having a head connected to the distal end of the body and defining two opposing openings, an actuator movably disposed in the head, and two substantially rigid needles each pivotably connected to the actuator for traveling through a respective one of the openings. The needles have an arcuate shape. A one-handed actuation device is connected to the proximal end of the body and is operatively connected to the actuator through the body. Upon actuation of the actuation device, the actuator moves to selectively extend the needles out of the head and withdraw the needles into the head. Methods for using the tissue retractor, in particular for the treatment of Gastroesophageal Reflux Disease, are also provided.
摘要翻译：组织牵缩器包括具有近端和远端的本体。牵开器还包括收缩装置，其具有连接到主体的远端并限定两个相对的开口的头部，可移动地设置在头部中的致动器和两个基本刚性的针，每个可枢转地连接到致动器，用于行进通过相应的一个开口。针具有弓形形状。单手驱动装置连接到主体的近端并且通过主体可操作地连接到致动器。在致动装置致动时，致动器移动以选择性地将针头延伸出头部并将针头退回头部。还提供了使用组织牵缩器，特别是用于治疗胃食管反流疾病的方法。

2. 发明申请

US20050277953A1 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
标题翻译：内窥镜夹钳与非共线夹钳安装在非共线轴上
公开(公告)号：US20050277953A1
公开(公告)日：2005-12-15
申请号：US10867483
申请日：2004-06-14
申请人： Jose Francese , Kevin Smith , Robert Sixto , Juergen Kortenbach , Matthew Palmer
发明人： Jose Francese , Kevin Smith , Robert Sixto , Juergen Kortenbach , Matthew Palmer
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

3. 发明申请

US20050033333A1 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US20050033333A1
公开(公告)日：2005-02-10
申请号：US10867412
申请日：2004-06-14
申请人： Kevin Smith , Jose Francese , Robert Sixto , Juergen Kortenbach , Thomas Bales , Carlos Rivera , Matthew Palmer
发明人： Kevin Smith , Jose Francese , Robert Sixto , Juergen Kortenbach , Thomas Bales , Carlos Rivera , Matthew Palmer
IPC分类号： A61B17/122 , A61B17/128 , A61B17/28 , A61B17/32 , A61B17/08
CPC分类号： A61B17/1285 , A61B17/122 , A61B2017/2905 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.
摘要翻译：手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。臂还具有带有底切的近端部分，其有助于臂的挠曲。底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

4. 发明申请

US20050090837A1 Endoscopic surgical instrument having a force limiting actuator 审中-公开
标题翻译：具有力限制致动器的内窥镜外科器械
公开(公告)号：US20050090837A1
公开(公告)日：2005-04-28
申请号：US10867501
申请日：2004-06-14
申请人： Robert Sixto , Kevin Smith , Juergen Kortenbach , Kristin Dawson , Scott Arp , Jose Francese , Matthew Palmer , Peter Kratsch , Carlos Rivera
发明人： Robert Sixto , Kevin Smith , Juergen Kortenbach , Kristin Dawson , Scott Arp , Jose Francese , Matthew Palmer , Peter Kratsch , Carlos Rivera
IPC分类号： A61B17/12 , A61B1/00 , A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

5. 发明授权

US07731655B2 Tissue retractor and method for using the retractor 有权
标题翻译：组织牵开器和使用牵开器的方法
公开(公告)号：US07731655B2
公开(公告)日：2010-06-08
申请号：US10728389
申请日：2003-12-05
申请人： Kevin Smith , Matthew Palmer , Juergen Kortenbach , Jose Francese
发明人： Kevin Smith , Matthew Palmer , Juergen Kortenbach , Jose Francese
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/29 , A61B2017/00349 , A61B2017/00827 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/301
摘要： A tissue retractor includes a body having proximal and distal ends. The retractor also includes a retraction device having a head connected to the distal end of the body and defining two opposing openings, a connector movably disposed in the body, and two flexible needles of a shape memory material having a memory shape. The needles are fixedly connected to the connector for traveling through a respective one of the openings. The memory shape of the needles includes a portion with an arcuate shape. A one-handed actuation device is connected to the proximal end of the body and is operatively connected to the connector through the body. Upon actuation of the actuation device, the connector can be moved to selectively extend the needles out of the head and withdraw the needles into the head. Methods for using the tissue retractor, in particular for the treatment of Gastroesophageal Reflux Disease, are also provided.
摘要翻译：组织牵缩器包括具有近端和远端的本体。牵开器还包括退回装置，其具有连接到主体的远端并限定两个相对的开口的头部，可移动地设置在主体中的连接器和具有记忆形状的形状记忆材料的两个柔性针。针固定地连接到连接器以便穿过相应的一个开口。针的记忆形状包括具有弓形形状的部分。单手致动装置连接到主体的近端并且通过主体可操作地连接到连接器。在致动装置致动时，连接器可被移动以选择性地将针头延伸出头部并且将针头退回头部。还提供了使用组织牵缩器，特别是用于治疗胃食管反流疾病的方法。

6. 发明申请

US20050277955A1 Endoscopic surgical instrument having a rotational actuator with an energy storage element 有权
标题翻译：内窥镜手术器械具有带有能量存储元件的旋转致动器
公开(公告)号：US20050277955A1
公开(公告)日：2005-12-15
申请号：US10867498
申请日：2004-06-14
申请人： Matthew Palmer , Kevin Smith , Juergen Kortenbach , Thomas Bales
发明人： Matthew Palmer , Kevin Smith , Juergen Kortenbach , Thomas Bales
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803 , Y10T29/53478
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

7. 发明申请

US20070270648A1 Torque-transmitting, variably flexible insertion device and method for transmitting torque and variably flexing an insertion device 有权
标题翻译：扭矩传递，可变弹性插入装置和传递扭矩并可变地弯曲插入装置的方法
公开(公告)号：US20070270648A1
公开(公告)日：2007-11-22
申请号：US11804843
申请日：2007-05-21
申请人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
发明人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
IPC分类号： A61B1/00
CPC分类号： A61B1/31 , A61B1/00135
摘要： A torque-transmitting, variably-flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A torque braid transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing the insertion device includes transmitting torque along the hollow body with the torque braid, applying suction to create a vacuum in the hollow body for placing the hollow body in the relatively stiff condition, and relieving the vacuum for placing the hollow body in the relatively flexible condition.
摘要翻译：扭矩传递可变弹性插入装置包括具有近端的中空本体，其具有用于接收器械的入口和具有用于突出仪器的尖端的远端。真空激活装置在相对柔性的状态和较硬的状态之间转换中空体。扭矩编织物从近端向远端传递扭矩。用于传递扭矩并且可变地弯曲插入装置的方法包括用扭矩编织物沿中空体传递扭矩，施加抽吸以在中空体中产生真空以将中空体放置在相对较硬的状态，并且释放用于放置的真空中空体处于相对灵活的状态。

8. 发明授权

US08092374B2 Variably flexible insertion device and method for variably flexing an insertion device 有权
标题翻译：用于可变地弯曲插入装置的可变柔性插入装置和方法
公开(公告)号：US08092374B2
公开(公告)日：2012-01-10
申请号：US11367607
申请日：2006-03-02
申请人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
发明人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
IPC分类号： A61B1/00 , A61B1/04 , A61M25/00
CPC分类号： A61M29/00 , A61B1/00078 , A61B1/005 , A61B1/0055
摘要： A variably flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. Tendons within the hollow body maintain the hollow body in the relatively flexible and relatively stiff conditions. A method for variably flexing an insertion device for receiving an instrument, includes providing a hollow body having inner and outer sleeves defining a space therebetween in which tendons are disposed. Suction is applied to create a vacuum in the space for frictionally locking the tendons in place between the sleeves in a relatively stiff condition of the hollow body. The vacuum is relieved to release the tendons in a relatively flexible condition of the hollow body.
摘要翻译：可变弹性插入装置包括具有近端的中空本体，其具有用于容纳器械的入口和具有用于突出仪器的尖端的远端。一种装置在相对柔性的状态和较硬的状态之间转变中空体。中空体内的肌腱将中空体保持在相对柔韧和相对僵硬的状态。一种用于可变地弯曲用于接收器械的插入装置的方法，包括提供具有限定其间布置有腱的空间的内部和外部套筒的中空本体。施加抽吸以在空间中产生真空，以在中空体的相对刚硬的状态下将钢筋摩擦锁定在套筒之间的适当位置。真空被释放以在中空体的相对柔性的状态下释放腱。

9. 发明授权

US07988621B2 Torque-transmitting, variably-flexible, corrugated insertion device and method for transmitting torque and variably flexing a corrugated insertion device 有权
标题翻译：扭矩传递，可变弹性波纹插入装置和用于传递扭矩和可变地弯曲波纹插入装置的方法
公开(公告)号：US07988621B2
公开(公告)日：2011-08-02
申请号：US11502322
申请日：2006-08-10
申请人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
发明人： Kevin Smith , Derek Deville , Korey Kline , Matthew Palmer
IPC分类号： A61B1/00 , A61M25/092
CPC分类号： A61B1/0055
摘要： A torque-transmitting, variably-flexible, corrugated insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A corrugated tube transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, and relieving the vacuum for placing the hollow body in a relatively flexible condition.
摘要翻译：扭矩传递的，可变弹性的波纹插入装置包括具有近端的中空本体，所述近端具有用于接纳器械的入口和具有用于突出仪器的尖端的远端。真空激活装置在相对柔性的状态和较硬的状态之间转换中空体。波纹管从近端向远端传递扭矩。用于传递扭矩并可变地弯曲用于接收仪器的插入装置的方法包括提供中空体，沿着中空体传递扭矩用波纹管，施加抽吸以在中空体中产生真空以将中空体放置在相对刚性状态，并且减轻用于将中空体置于相对柔性状态的真空。

10. 发明申请

US20080048002A1 Surgical Stapling and Cutting Device with Dual Actuating Control Knob 有权
标题翻译：具有双动作控制旋钮的手术装订和切割装置
公开(公告)号：US20080048002A1
公开(公告)日：2008-02-28
申请号：US11844406
申请日：2007-08-24
申请人： Kevin Smith , Matthew Palmer , Korey Kline , Derek Deville
发明人： Kevin Smith , Matthew Palmer , Korey Kline , Derek Deville
IPC分类号： A61B17/10 , A61B17/03
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a surgical end effector, an end effector control handle, and a control shaft having a longitudinal axis and a handle portion connecting the control shaft to the control handle rotatably about the longitudinal axis. A passive articulation joint connects the end effector to the control shaft. An articulation joint release unlocks the articulation joint when actuated and locks the articulation joint when unactuated. An end effector control device is rotationally fixedly connected to at least a portion of the control shaft to correspondingly rotate the control shaft about the longitudinal axis when the control device is rotated and is longitudinally connected to the joint release to selectively unlock the articulation joint when actuated.
摘要翻译：医疗装置包括外科末端执行器，端部执行器控制手柄和控制轴，该控制轴具有纵向轴线和把控制轴与控制手柄围绕纵向轴线可旋转地连接的手柄部分。被动铰接接头将末端执行器连接到控制轴。关节接合释放在致动时释放关节接头，并且在未致动时锁定关节接头。端部执行器控制装置旋转地固定地连接到控制轴的至少一部分，以在控制装置旋转时相对于控制轴围绕纵向轴线旋转，并且当致动器时纵向地连接到关节释放件以选择性地解锁铰接接头。

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