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1. 发明授权

US07232445B2 Apparatus for the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：胃食管反流病（GERD）腔内治疗仪
公开(公告)号：US07232445B2
公开(公告)日：2007-06-19
申请号：US10010247
申请日：2001-12-06
申请人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles R. Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Robert Sixto, Jr. , Kevin W. Smith , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/122 , A61B17/1227 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/00827 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
摘要翻译：用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。夹具的整体直径小于7毫米。夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。还提供了多个夹子设计。

2. 发明授权

US06966919B2 Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) 有权
标题翻译：特别用于胃食管反流病（GERD）经口治疗的手术紧固器的仪器
公开(公告)号：US06966919B2
公开(公告)日：2005-11-22
申请号：US10252069
申请日：2002-09-20
申请人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
发明人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
IPC分类号： A61B17/064 , A61B17/28 , A61B17/08
CPC分类号： A61B17/0643 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

3. 发明授权

US07727246B2 Methods for endoluminal treatment 有权
标题翻译：腔内治疗方法
公开(公告)号：US07727246B2
公开(公告)日：2010-06-01
申请号：US10010244
申请日：2001-12-06
申请人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
发明人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： Methods of the invention include delivering a grasper, a clip applier, and an endoscope transorally to the site of fundoplication; grasping the fundus with the grasper (or similar device, e.g. corkscrew) and pulling it into the jaws of the clip applier; closing the jaws of the clip applier over the fundus and applying a clip to the fundus.
摘要翻译：本发明的方法包括将抓持器，夹具施加器和内窥镜经皮递送至基层应用部位; 用抓紧器（或类似的装置，例如开瓶器）抓住眼底并将其拉入夹具的钳口中; 将夹子的钳口夹在眼底上，并将夹子应用于眼底。

4. 发明授权

US07070602B2 Method of applying surgical clips to tissue 有权
公开(公告)号：US07070602B2
公开(公告)日：2006-07-04
申请号：US10010908
申请日：2001-12-06
申请人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61B17/04
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound outer tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A large pushing force to advance a clip is created by providing a compressive force to the outer tubular coil to increase its tensile limitation, and providing a force which is compressive to the clip-advancing wire and tensile to the tubular coil while maintaining the compressive force on the tubular coil.

5. 发明授权

US06824548B2 Flexible surgical clip applier 有权
标题翻译：灵活的手术夹具
公开(公告)号：US06824548B2
公开(公告)日：2004-11-30
申请号：US10010906
申请日：2001-12-06
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
IPC分类号： A61B1704
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. The device can push a clip with a force in excess of 1500 grams.
摘要翻译：柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。夹子室限定在线圈的远端。夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时将夹子推进到夹爪中。夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持在夹紧的组织上。该装置可以用超过1500克的力推动夹子。

6. 发明申请

US20110071555A1 Method for Applying Surgical Clips Particularly Useful in the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 审中-公开
公开(公告)号：US20110071555A1
公开(公告)日：2011-03-24
申请号：US12748944
申请日：2010-03-29
申请人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, and methods of applying the surgical clips to living tissue are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape, and which are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.

7. 发明授权

US5624398A Endoscopic robotic surgical tools and methods 失效
标题翻译：内窥镜机器人手术工具及方法
公开(公告)号：US5624398A
公开(公告)日：1997-04-29
申请号：US597423
申请日：1996-02-08
申请人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
发明人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
IPC分类号： A61B1/00 , A61B17/00 , A61B19/00 , B25J3/04 , B25J9/06 , B25J9/10 , B25J15/02 , A61M37/00
CPC分类号： B25J15/02 , A61B34/70 , A61B34/71 , A61B34/76 , B25J3/04 , B25J9/06 , B25J9/104 , A61B17/00234 , A61B2017/00477 , A61B2034/2059
摘要： The methods and devices of the invention include an encoder, an endoscopic robotic instrument, and an encoder/robotic instrument interface. A preferred embodiment of the encoder has a chest/shoulder plate provided with telescoping tubes and joints. Each joint is provided with a direct drive potentiometer to monitor movement and provide a corresponding signal. The chest plate is preferably adaptable to a large range of human chest sizes and the telescopic segments are strapped to the arms of the practitioner at the elbows. A pistol grip is provided at the wrist end of the telescopic segments. According to the presently preferred embodiment, the encoder encodes flexion and rotation at the shoulder, elbow and wrist of each arm in addition to gripping at each hand. The encoding device is coupled to a circuit which operates a servo system. The servo system includes a series of servo motors. A series of pulleys corresponding to the number of servo motors are arranged in a housing. The robotic instrument preferably comprises two arms mounted at the distal end of a multi-lumen tube. Each arm has rotational and flexional joints corresponding to the shoulder, elbow, and wrist of the practitioner. Tendons are coupled to the pulleys of the servo motors and are fed through the multi-lumen tube to the joints of the two arms.
摘要翻译：本发明的方法和装置包括编码器，内窥镜机器人仪器和编码器/机器人仪器接口。编码器的优选实施例具有设置有伸缩管和接头的胸/肩板。每个接头都配有一个直接驱动电位器来监控运动并提供相应的信号。胸板优选适应于大范围的人胸部尺寸，并且伸缩部分在肘部处被绑在医师的手臂上。在伸缩段的腕端设有手枪式握把。根据目前优选的实施例，编码器除了在每只手握持之外还编码每个臂的肩部，肘部和手腕的屈曲和旋转。编码装置耦合到操作伺服系统的电路。伺服系统包括一系列伺服电机。与伺服马达的数量对应的一系列滑轮布置在壳体中。机器人装置优选地包括安装在多腔管的远端处的两个臂。每个臂具有对应于从业者的肩部，肘部和手腕的旋转和弯曲关节。肌腱联接到伺服电动机的皮带轮，并通过多腔管馈送到两个臂的关节。

8. 发明授权

US06258064B1 Helically advanceable endoscopic needle device 有权
标题翻译：螺旋可推进内窥镜针装置
公开(公告)号：US06258064B1
公开(公告)日：2001-07-10
申请号：US09411856
申请日：1999-10-04
申请人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61M5178
CPC分类号： A61B17/3478 , A61B2017/00367 , A61B2090/034
摘要： An endoscopic needle device includes an outer sheath, an elongate shaft extending through the sheath, a needle rigidly attached to the distal end of the shaft, and a handle assembly having a housing coupled to the proximal end of the sheath and having a syringe port in fluid communication with the sheath and a knob rotatably coupled to the housing. Rotation of the knob relative to the housing causes rotation of the shaft relative to the sheath. The needle and the distal end of the sheath are mated by a threaded connection. As such, rotation of the knob relative to the housing causes precise longitudinal movement and extension of the needle relative to the distal end of the sheath. A set of intermeshing gears are provided between the knob and shaft which function to permit at most one rotation of the knob to cause complete extension and/or retraction of the needle. Furthermore, assemblies are provided with permit the shaft to accommodate movement of the needle relative to the sheath. Moreover, the position of the knob relative to the housing provides an indication of the extension of the needle. As such, the injection needle device of the invention permits controllable and calibrated rotation of the needle to within a few degrees, such that the needle device can be easily, reliably, and precisely operated to advance the needle.
摘要翻译：内窥镜针装置包括外护套，延伸穿过护套的细长轴，刚性地附接到轴的远端的针和手柄组件，其具有联接到护套的近端的壳体，并且具有注射器端口与护套的流体连通和可旋转地联接到壳体的旋钮。旋钮相对于壳体的旋转导致轴相对于护套的旋转。针和鞘的远端通过螺纹连接配合。因此，旋钮相对于壳体的旋转导致针相对于护套的远端的精确的纵向移动和延伸。一组相互啮合的齿轮设置在旋钮和轴之间，其功能是允许旋钮的至多一个旋转引起针的完全伸展和/或缩回。此外，组件被设置有允许轴以适应针相对于护套的运动。此外，旋钮相对于壳体的位置提供针的延伸的指示。因此，本发明的注射针装置允许可控和校准的针旋转到几度，使得针装置可以容易地，可靠地和精确地操作以推进针。

9. 发明授权

US06569105B1 Rotatable and deflectable biopsy forceps 失效
公开(公告)号：US06569105B1
公开(公告)日：2003-05-27
申请号：US09661593
申请日：2000-09-14
申请人： Juergen A. Kortenbach , Saul Gottlieb , Kevin W. Smith , Charles R. Slater , Thomas O. Bales
发明人： Juergen A. Kortenbach , Saul Gottlieb , Kevin W. Smith , Charles R. Slater , Thomas O. Bales
IPC分类号： A61B1000
CPC分类号： A61B10/06 , A61B2017/003 , A61B2017/2927 , A61B2017/2938
摘要： An endoscopic or laparoscopic biopsy forceps instrument is provided which includes a flexible tubular member having proximal and distal ends, a biopsy jaw assembly at the distal end of the tubular member, an actuation assembly to operate the jaw assembly between open and closed positions, and a control assembly to deflect the biopsy jaw assembly relative to a lumen through which the instrument extends and to rotate the jaw assembly about the longitudinal axis of the instrument.

10. 发明授权

US06569085B2 Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen 有权
标题翻译：当内窥镜在体腔内时，用于在内窥镜上传送医疗器械的方法和装置
公开(公告)号：US06569085B2
公开(公告)日：2003-05-27
申请号：US09931528
申请日：2001-08-16
申请人： Juergen A. Kortenbach , Charles R. Slater , Michael Sean McBrayer
发明人： Juergen A. Kortenbach , Charles R. Slater , Michael Sean McBrayer
IPC分类号： A61B100
CPC分类号： A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/1285 , A61B90/50 , A61B2017/00296 , A61B2017/320064
摘要： Methods and apparatus for delivering a medical instrument over the exterior of an endoscope while the endoscope is installed in the patient's body allow the use of instruments which are too large to fit through the lumena of an endoscope. Furthermore, the invention allows the elimination of working lumena in an endoscope thereby minimizing the likelihood of contamination.
摘要翻译：当将内窥镜安装在患者身体内时，用于将内窥镜的外部递送医疗器械的方法和装置允许使用太大而不能穿过内窥镜的内腔的装置。此外，本发明允许消除内窥镜中的工作灯泡，从而使污染的可能性最小化。

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