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1. 发明授权

US08167898B1 Flexible cutter for surgical stapler 有权
标题翻译：用于外科缝合器的柔性切割器
公开(公告)号：US08167898B1
公开(公告)日：2012-05-01
申请号：US12435653
申请日：2009-05-05
申请人： Michael P. Schaller , Michael Murillo , Nathan H. White , Hung K. Nguyen
发明人： Michael P. Schaller , Michael Murillo , Nathan H. White , Hung K. Nguyen
IPC分类号： A61B17/32
CPC分类号： A61B17/3209 , A61B17/07207 , A61B2017/07285
摘要： An exemplary surgical apparatus may include an anvil including an outer surface, a channel defined therein, and an aperture defined in the outer surface, where the aperture opens to the channel; and a cutter slidable along and within the channel, where at least a portion of the cutter is flexible. Another exemplary surgical apparatus may include an anvil including an open channel defined therein; and a one-piece cutter including a knife adjacent to a bending region, where the cutter is slidable in the channel; where the knife is initially held completely within the anvil, and where the knife flexes out of the channel and out of the anvil in response to proximal motion of the cutter. An exemplary surgical method of treating tissue within the body of a patient may include providing a flexible cutter including a knife; providing an anvil with a channel defined therein; holding the knife completely within the channel in a stowed position; placing the anvil adjacent to tissue; and moving the cutter proximally, wherein that moving causes at least part of the knife to flex out of the channel and into the tissue adjacent to the anvil.
摘要翻译：示例性手术装置可以包括砧座，其包括外表面，限定在其中的通道和限定在外表面中的孔，其中孔向通道开口; 以及可沿着通道内和内部滑动的切割器，其中刀具的至少一部分是柔性的。另一示例性外科手术装置可以包括其中限定的开放通道的砧座; 以及包括邻近弯曲区域的刀的单件式切割器，其中刀具在通道中可滑动; 其中刀最初完全保持在砧座内，并且其中刀响应于切割器的近端运动而从通道弯曲并离开砧座。治疗患者体内的组织的示例性手术方法可包括提供包括刀的柔性切割器; 提供具有限定在其中的通道的砧座; 将刀完全夹在通道内的收纳位置; 将砧座放置在组织附近; 并且向近侧移动切割器，其中所述移动使至少一部分刀从所述通道弯曲并进入邻近所述砧座的组织中。

2. 发明授权

US08398653B2 Surgical method utilizing a soft-tipped anvil 有权
标题翻译：手术方法利用软烙铁头
公开(公告)号：US08398653B2
公开(公告)日：2013-03-19
申请号：US12968641
申请日：2010-12-15
申请人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
发明人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1152 , A61B2017/00946 , A61B2017/07257 , A61B2017/22042
摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.
摘要翻译：用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的所述刚性砧座的所述部分。

3. 发明申请

US20120080497A1 Feeder Belt and Staples for Surgical Stapler 审中-公开
标题翻译：手术订书机的送料皮带和订书钉
公开(公告)号：US20120080497A1
公开(公告)日：2012-04-05
申请号：US13282759
申请日：2011-10-27
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
摘要： One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected.
摘要翻译：一个示例性手术装置可以包括至少一个载体，固定到相应的载体上的钉，以及至少一个载体被易碎地连接到的馈送带。

4. 发明授权

US08056789B1 Staple and feeder belt configurations for surgical stapler 有权
标题翻译：手术吻合器的装订和进给带配置
公开(公告)号：US08056789B1
公开(公告)日：2011-11-15
申请号：US12477834
申请日：2009-06-03
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要： One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected. Another exemplary surgical apparatus may include a staple holder, an anvil movably connected to the staple holder, a feeder belt, where at least part of the feeder belt extends into the staple holder, and staples fixed to and frangibly separable from the feeder belt; where the staples are organized into at least two groups spaced apart from one another; and where at least one staple is deployable to a different closed shape than at least one other staple. Another exemplary surgical apparatus may include a feeder belt, a first plurality of staples fixed directly to and frangibly separable from the feeder belt; a plurality of extension arms extending at least partially in the lateral direction away from the feeder belt; and a second plurality of staples each fixed to an extension arm at a location spaced laterally apart from the feeder belt.
摘要翻译：一个示例性手术装置可以包括至少一个载体，固定到相应的载体上的钉，以及至少一个载体被易碎地连接到的馈送带。另一种示例性的外科手术装置可以包括钉固定器，可移动地连接到钉固定器的砧座，给料带，其中进给带的至少一部分延伸到钉仓中，并且钉被固定到并可与进给带分离; 其中订书钉被组织成彼此间隔开的至少两个组; 并且其中至少一个订书钉可部署到与至少一个其他订书钉不同的封闭形状。另一个示例性的外科手术装置可以包括馈送带，第一组多个钉，其直接固定到并可与进给带分离; 多个延伸臂至少部分地沿横向方向延伸远离进料带; 以及第二多个钉，每个订书钉在与进给带横向间隔开的位置处固定到延伸臂。

5. 发明申请

US20110106150A1 Surgical Method Utilizing a Soft-Tipped Anvil 有权
标题翻译：利用软烙铁钉的手术方法
公开(公告)号：US20110106150A1
公开(公告)日：2011-05-05
申请号：US12968641
申请日：2010-12-15
申请人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
发明人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
IPC分类号： A61B17/064
CPC分类号： A61B17/115 , A61B17/1152 , A61B2017/00946 , A61B2017/07257 , A61B2017/22042
摘要： A surgical method for treating a tissue structure having a wall and a lumen may include providing a substantially rigid anvil and a flexible tip affixed to and extending from the distal end of that anvil; making an incision in the wall of the tissue structure; inserting the flexible tip and at least a portion of the rigid anvil through the incision into the lumen of the tissue structure; and deforming at least one connector, introduced from outside the wall of the tissue structure, against the portion of the rigid anvil located within the lumen of the tissue structure.
摘要翻译：用于治疗具有壁和内腔的组织结构的手术方法可以包括提供固定到该砧座的远端并从该砧座的远端延伸的基本刚性的砧座和柔性尖端; 在组织结构的壁上进行切口; 将所述柔性尖端和所述刚性砧座的至少一部分穿过所述切口插入所述组织结构的内腔中; 以及使从所述组织结构的壁的外侧引入的至少一个连接器变形成位于所述组织结构的内腔内的刚性砧座的部分。

6. 发明授权

US07866523B1 Soft-tipped anvil 有权
标题翻译：软砧
公开(公告)号：US07866523B1
公开(公告)日：2011-01-11
申请号：US11859058
申请日：2007-09-21
申请人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
发明人： Nathan H. White , Michael P. Schaller , Luke W. Clauson , Michael Murillo , Bernard A. Hausen
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1152 , A61B2017/00946 , A61B2017/07257 , A61B2017/22042
摘要： A tool for treating tissue in conjunction with one or more connectors may include an anvil against which at least one connector is urged, and a flexible tip extending from the distal end of said anvil. At least one connector may be held by a connector holder that is pivotally connected to the anvil. The anvil may be used to treat tissue by making an incision in the wall of the blood vessel, inserting the flexible tip and at least a portion of the anvil through the incision into the lumen of the blood vessel, and deforming at least one connector, introduced from outside the wall of the blood vessel, against the portion of the anvil that is located within the lumen of the blood vessel.
摘要翻译：用于与一个或多个连接器一起治疗组织的工具可以包括砧座，至少一个连接器被推向该砧座，以及从所述砧座的远端延伸的柔性尖端。至少一个连接器可以由枢转地连接到砧座的连接器保持器保持。砧座可以用于通过在血管壁中形成切口来处理组织，将柔性尖端和砧座的至少一部分穿过切口插入血管的内腔，并使至少一个连接器变形，从血管壁的外部引入位于血管腔内的砧座部分。

7. 发明授权

US08365973B1 D-shaped surgical staples 有权
标题翻译： D形外科缝钉
公开(公告)号：US08365973B1
公开(公告)日：2013-02-05
申请号：US13090168
申请日：2011-04-19
申请人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人： Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要： An exemplary surgical apparatus may include a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg; where in the second, deployed configuration the surgical staple forms substantially a D-shape. Another exemplary surgical apparatus may include a feeder belt; a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg connected to the first leg, where one end of the first leg is frangibly affixed to the feeder belt and one end of said the leg is free; where in the second, deployed configuration the surgical staple forms substantially a D-shape. An exemplary method of treating tissue may include providing a surgical staple; urging the surgical staple into tissue, while the surgical staple has a first shape; and deforming the surgical staple into substantially a D-shape.
摘要翻译：示例性外科手术装置可以包括可从第一构造变形到第二展开构造的外科缝合钉，其中手术钉包括第一腿和第二腿; 其中在第二个部署结构中，外科手术钉基本上形成D形。另一种示例性的外科手术装置可包括给药带; 外科缝合钉，其可从第一构型变形到第二展开构造，其中所述外科缝合钉包括第一腿部和连接到所述第一腿部的第二腿部，其中所述第一腿部的一端被易碎地固定到所述饲养带上，说腿是自由的其中在第二个部署结构中，外科手术钉基本上形成D形。治疗组织的示例性方法可以包括提供外科钉; 推动外科手术钉进入组织，而外科手术钉具有第一形状; 并将外科手术钉变形成大致D形。

8. 发明授权

US09414855B1 Anvil knife for anastomosis tool 有权
标题翻译：砧刀用于吻合工具
公开(公告)号：US09414855B1
公开(公告)日：2016-08-16
申请号：US11935315
申请日：2007-11-05
申请人： Nathan H. White , Michael P. Schaller , Luke W. Clauson
发明人： Nathan H. White , Michael P. Schaller , Luke W. Clauson
IPC分类号： A61B17/3207
CPC分类号： A61B17/320783 , A61B17/07207 , A61B2017/07285
摘要： A tool for treating a target vessel may include a longitudinally elongated anvil, a channel defined substantially longitudinally in the anvil, and a knife rotatable from a stowed position substantially completely within the channel to an active position in which at least part of the knife extends upward out of the channel, whereby rotation of the knife from the stowed position to the active position incises the target vessel from the inside out. A method of treating a target vessel having a wall may include providing a longitudinally elongated anvil, a channel defined substantially longitudinally in the anvil, and a knife rotatable into and out of the channel; rotating the knife from a stowed position substantially completely within the channel to an active position in which at least part of the knife extends upward out of the channel, wherein the rotating causes the knife to penetrate through the wall of the target vessel; translating the knife along the anvil to create an incision having a length; and rotating the knife from the active position to a withdrawal position substantially completely within the channel, wherein the rotating is in the same direction as the rotating the knife from the stowed position to the active position.
摘要翻译：用于处理目标血管的工具可以包括纵向细长的砧座，在砧座中基本上纵向限定的通道，以及可从基本上完全在通道内的收起位置旋转到活动位置的刀，其中刀的至少一部分向上延伸从而使刀从收起位置旋转到主动位置将目标容器从内部切出。处理具有壁的目标容器的方法可以包括提供纵向细长的砧座，在砧座中基本上纵向限定的通道，以及可转动地进入和离开通道的刀片; 将刀从收集位置基本上完全地在通道内旋转到活动位置，在该位置中刀的至少一部分向上延伸出通道，其中旋转使刀穿过目标血管的壁; 沿着砧座翻译刀以创建具有长度的切口; 并且将刀从主动位置旋转到基本上完全在通道内的取出位置，其中旋转方向与将刀从收起位置旋转到活动位置相同。

9. 发明授权

US08365975B1 Cam-controlled knife for surgical instrument 有权
标题翻译：用于手术器械的凸轮控制刀
公开(公告)号：US08365975B1
公开(公告)日：2013-02-05
申请号：US12772322
申请日：2010-05-03
申请人： Philipe R. Manoux , Michael P. Schaller
发明人： Philipe R. Manoux , Michael P. Schaller
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument may include a knife moveable from a stowed position completely within said surgical instrument to a cutting position in which at least part of the knife is positioned outside the surgical instrument. The surgical instrument may also include at least two cam slots, a cam pin extending from the knife into the cam slots, at least two guide slots that are substantially linear and are spaced apart from said cam slots, and a guide pin extending from the knife into the guide slots. In some embodiments, the cam slots are shaped to cause the knife to move from the stowed position to the cutting position as the knife is urged proximally.
摘要翻译：外科器械可以包括可从完全在所述手术器械中的收起位置移动到切割位置的刀，其中刀的至少一部分位于外科器械外部。手术器械还可以包括至少两个凸轮槽，从刀片延伸到凸轮槽中的凸轮销，至少两个基本上线性并且与所述凸轮槽间隔开的引导槽，以及从刀延伸的引导销进入导槽。在一些实施例中，凸轮槽成形为当刀被向近侧推动时使刀从收起位置移动到切割位置。

10. 发明授权

US09289208B1 Articulation insert for surgical instrument 有权
标题翻译：手术器械的关节插入物
公开(公告)号：US09289208B1
公开(公告)日：2016-03-22
申请号：US12436087
申请日：2009-05-05
申请人： Bryan D. Knodel , Philipe R. Manoux , Michael P. Schaller
发明人： Bryan D. Knodel , Philipe R. Manoux , Michael P. Schaller
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/07207 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327
摘要： An exemplary surgical apparatus may include a flexible articulation insert and at least one feeder belt extending through the articulation insert, where at least some of the staples are frangibly connected to the feeder belt. Another exemplary surgical apparatus may include at least one movable feeder belt; staples fixed to the feeder belt; and a flexible articulation insert having at least one feeder belt passage defined therein, the flexible articulation insert configured to bend through a range of motion; where each feeder belt extends through a corresponding feeder belt passage, and where each feeder belt passage is shaped such that the corresponding feeder belt and staples fixed thereto are slidable along the passage throughout the entire range of motion of the flexible articulation insert.
摘要翻译：示例性手术装置可以包括柔性关节运动插入件和延伸穿过关节运动插入件的至少一个进给器带，其中至少一些订书针被脆弱地连接到馈送带。另一示例性的手术装置可以包括至少一个可动进给带; 订书钉固定在给纸带上; 以及柔性铰接插入件，其具有限定在其中的至少一个馈送带通道，所述柔性关节运动插入件构造成弯曲穿过一定范围的运动; 其中每个进料带延伸通过相应的进料带通道，并且其中每个进料带通道成形为使得相应的进料带和固定在其上的订书钉可沿柔性铰接插入物的整个运动范围沿通道滑动。

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