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1. 发明授权

US09033978B2 High-frequency treatment instrument 有权
标题翻译：高频治疗仪
公开(公告)号：US09033978B2
公开(公告)日：2015-05-19
申请号：US11810372
申请日：2007-06-05
申请人： Naohisa Yahagi , Yuta Muyari , Tsutomu Nakamura , Chika Miyajima , Tsutomu Okada
发明人： Naohisa Yahagi , Yuta Muyari , Tsutomu Nakamura , Chika Miyajima , Tsutomu Okada
IPC分类号： A61B18/14 , A61B17/3205 , A61B17/221 , A61B17/00 , A61B18/00
CPC分类号： A61B18/1402 , A61B17/32056 , A61B18/1492 , A61B2017/00269 , A61B2017/2212 , A61B2018/00214 , A61B2018/00898 , A61B2018/1407 , A61B2018/141 , A61B2018/144 , A61B2018/1475
摘要： A high-frequency treatment instrument having a sheath; an elongated extension member; a narrow portion provided on an inner surface of the sheath; and a pressing member which allows the elongated extension member to advance and retract only in a part of the sheath. The elongated extension member is advanced to form a first treatment electrode extending along a central axial line of the sheath and the elongated extension member is further advanced to form a second treatment electrode which intersects with the central axial line of the sheath.
摘要翻译：具有护套的高频处理器具; 细长的延伸构件; 设置在护套的内表面上的窄部; 以及按压构件，其允许细长的延伸构件仅在护套的一部分中前进和后退。细长的延伸构件前进以形成沿着护套的中心轴线延伸的第一处理电极，并且细长延伸构件进一步前进以形成与护套的中心轴线相交的第二处理电极。

2. 发明申请

US20070282328A1 High-frequency treatment instrument 有权
标题翻译：高频治疗仪
公开(公告)号：US20070282328A1
公开(公告)日：2007-12-06
申请号：US11810372
申请日：2007-06-05
申请人： Naohisa Yahagi , Yuta Muyari , Tsutomu Nakamura , Chika Miyajima , Tsutomu Okada
发明人： Naohisa Yahagi , Yuta Muyari , Tsutomu Nakamura , Chika Miyajima , Tsutomu Okada
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B17/32056 , A61B18/1492 , A61B2017/00269 , A61B2017/2212 , A61B2018/00214 , A61B2018/00898 , A61B2018/1407 , A61B2018/141 , A61B2018/144 , A61B2018/1475
摘要： A high-frequency treatment instrument for performing a high-frequency treatment on a pathological lesion portion includes an elongated flexible sheath 2, a pair of arm portions 3A and 3B which is disposed in the sheath 2 so as to freely extend and retract, which is in a closed state in the sheath, and which is opened in a direction moving away from a center axial line of the sheath 2 when it protrudes from the distal end of the sheath 2, a linear treatment electrode which is connected to the distal end sides of the pair of arm portions and which is stretched between the arm portions when the pair of arm portions are opened, an operating wire (elongated extension member) which is disposed in the sheath 2 so as to freely extend and retract and the distal end of which is connected to the treatment electrode, and an operating portion, to which the proximal ends of the sheath and the operating wire are connected, and which operates the operating wire to extend and retract relative to the sheath 2. According to the invention, it is possible to facilitate a procedure by enabling a treatment on a target tissue without performing a curving operation of an endoscope.
摘要翻译：用于对病理损伤部进行高频处理的高频处理器具具有细长的柔性护套2，一对臂部3A，3B，其设置在护套2内，自由伸缩，其在护套中处于闭合状态，并且当其从护套2的远端突出时沿远离护套2的中心轴线移动的方向打开，线性治疗电极连接到远端一对臂部的端侧，并且当一对臂部分打开时在臂部之间拉伸;操作线（细长延伸构件），其设置在护套2中以便自由伸缩;远端其端部连接到处理电极，以及操作部分，护套和操作线的近端连接到该操作部分上，并且操作线相对于第二端部延伸和缩回 e鞘2。根据本发明，可以通过在不进行内窥镜的弯曲操作的情况下对目标组织进行治疗来促进手术。

3. 发明授权

US08226544B2 Endoscope treatment tool 有权
标题翻译：内窥镜治疗工具
公开(公告)号：US08226544B2
公开(公告)日：2012-07-24
申请号：US12098064
申请日：2008-04-04
申请人： Yuta Muyari , Naohisa Yahagi
发明人： Yuta Muyari , Naohisa Yahagi
IPC分类号： A61B1/00
CPC分类号： A61B18/1492 , A61B18/1445 , A61B2017/2945 , A61B2018/00494 , A61B2018/00601 , A61B2018/1432
摘要： The endoscope treatment tool 1 has a distal end member 3 which is installed in an endoscope. A connection member 4 is attached to the distal end member 3 in a freely rotatable manner. In the connection member 4, a portion which is supported by a cap 12 of the distal end member 3 is a second pivot shaft 15. A portion penetrating a supporting member 21 of a treatment portion 5 is a first pivot shaft 23. The first pivot shaft 23 is also a rotational axis of a pair of forceps members 22 provided in the treatment member 5. When the forceps members 22 are used, a coil sheath 6 is extended by an operation at the side of the proximal end. The connection member 4 rotates about the second pivot shaft 15, which is a fulcrum, and the treatment portion 5 moves forward beyond the cap 12. In accordance with the present invention, it is possible to resolve the difficulty of procedures by positioning the treatment portion in an appropriate location.
摘要翻译：内窥镜处理工具1具有安装在内窥镜中的前端部件3。连接构件4以可自由旋转的方式附接到远端构件3。在连接构件4中，由远端构件3的盖12支撑的部分是第二枢轴15.贯穿处理部5的支撑构件21的部分是第一枢轴23。轴23也是设置在处理构件5中的一对镊子构件22的旋转轴。当使用镊子构件22时，通过在近端侧的操作来延伸线圈护套6。连接部件4围绕作为支点的第二枢轴15旋转，并且处理部5向前移动超过盖12.根据本发明，可以通过将处理部分在适当的位置。

4. 发明授权

US08048073B2 Endoscopic instrument with stepwise adjustment of projection length 有权
标题翻译：内窥镜仪器，逐步调整投影长度
公开(公告)号：US08048073B2
公开(公告)日：2011-11-01
申请号：US12115038
申请日：2008-05-05
申请人： Tsutomu Nakamura , Keita Suzuki , Yuta Muyari , Shunsuke Motosugi
发明人： Tsutomu Nakamura , Keita Suzuki , Yuta Muyari , Shunsuke Motosugi
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1477 , A61B2018/1425
摘要： An endoscopic instrument includes: a knife; a wire having a distal end connected to the knife; a sheath around the wire; a main body having the freely rotative sheath fixed thereto; a slider fixed to the wire, slidable in an axial direction of the main body; a stopper projecting radially from the wire; a first-distal-regulation section in the sheath for regulating distal sliding movement of the wire by making contact with the stopper; and a second-distal-regulation section, provided distal to the first-distal-regulation section, for regulating sliding movement of the wire by making contact with the stopper, wherein the stopper is capable of moving between the first-distal-regulation section and the second-distal-regulation section by rotating the main body relative to the sheath around an axial line by predetermined angle, and at least two different projection lengths can be maintained by contacting the main body to the first-distal-regulation section or the second-distal-regulation section.
摘要翻译：内窥镜仪器包括：刀; 具有连接到所述刀的远端的线; 电线周围的护套; 具有固定到其上的自由旋转皮套的主体; 固定在所述线材上的滑块，其沿主体的轴向滑动; 从导线径向突出的止动件; 护套中的第一远端调节部分，用于通过与塞子接触来调节线的远端滑动运动; 以及第二远端调节部，其设置在所述第一远端调节部的远侧，用于通过与所述止动件接触来调节所述线的滑动运动，其中所述止动件能够在所述第一远端调节部和所述第二远端调节部通过使所述主体相对于所述鞘绕着轴线旋转预定角度，并且可以通过使所述主体与所述第一远端调节部或所述第二远端调节部接触而保持至少两个不同的突出长度 - 调节部分。

5. 发明授权

US08602970B2 Lifting cap 有权
公开(公告)号：US08602970B2
公开(公告)日：2013-12-10
申请号：US12016700
申请日：2008-01-18
申请人： Yuta Muyari , Keita Suzuki , Tsutomu Okada , Shunsuke Motosugi
发明人： Yuta Muyari , Keita Suzuki , Tsutomu Okada , Shunsuke Motosugi
IPC分类号： A61B1/00
CPC分类号： A61B1/00087 , A61B1/00089 , A61B1/00098 , A61B1/018 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/083 , A61B17/122 , A61B17/1285 , A61B17/221 , A61B17/29 , A61B17/3478 , A61B18/1442 , A61B2017/00269 , A61B2017/00296 , A61B2017/00349 , A61B2017/306 , A61B2017/320044 , A61B2017/320048 , A61B2018/1495 , A61B2090/3908
摘要： An endoscope procedure instrument provided with: a tube part that is cylindrical in shape and attaches to the front end of the endoscope, the tube part having a slit provided to the side surface thereof extending along the direction of the central axis; and a grasping member that is disposed to the tube part extending along the slit, for holding a biologic tissue with respect to the endoscope.

6. 发明授权

US08262654B2 High-frequency treatment instrument 有权
标题翻译：高频治疗仪
公开(公告)号：US08262654B2
公开(公告)日：2012-09-11
申请号：US11809080
申请日：2007-05-31
申请人： Yuta Muyari
发明人： Yuta Muyari
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B18/1492 , A61B2018/1861
摘要： The high-frequency treatment instrument is a high-frequency treatment instrument for performing a high-frequency treatment on a pathological lesion portion (subject tissue) not shown and includes a sheath (elongated extension member), a treatment electrode which is rotatably disposed at a distal end of the sheath and which extends in a direction substantially parallel to a diameter direction of the rotation, an operating wire (axial member) for allowing the treatment electrode to rotate around the distal end of the sheath, and an operating portion to which proximal ends of the sheath and the operating wire are connected. According to a high-frequency treatment instrument, by enabling a treatment on a subject tissue without using a curving operation of an endoscope it is possible to facilitate a procedure.
摘要翻译：高频处理器具是对未图示的病理损伤部（主体组织）进行高频处理的高频处理器具，包括护套（细长延伸部件），可旋转地设置在护套的远端并且在基本上平行于旋转的直径方向的方向上延伸，用于允许治疗电极围绕护套的远端旋转的操作线（轴向构件）和近侧的操作部分护套和操作线的两端连接。根据高频处理器具，通过在不使用内窥镜的弯曲操作的情况下对对象组织进行治疗，可以方便手术。

7. 发明申请

US20090076319A1 ENDOSCOPIC-USE TREATMENT INSTRUMENT 有权
标题翻译：内窥镜治疗仪器
公开(公告)号：US20090076319A1
公开(公告)日：2009-03-19
申请号：US12208400
申请日：2008-09-11
申请人： Yuta Muyari
发明人： Yuta Muyari
IPC分类号： A61B1/018
CPC分类号： A61B18/1492 , A61B2017/2212 , A61B2017/2929 , A61B2018/00482 , A61B2018/1407 , A61B2018/1861 , A61B2218/002
摘要： An endoscopic-use treatment instrument according to the present invention includes: a wire; an Y-shaped knife formed by a flexible material and is disposed at the distal end of the wire and used for treatment conducted in a body cavity; a flexible sheath having the wire passing therethrough; an operation section provided to the proximal end of the wire and capable of rotating the wire around an axial line; a cylindrical bearing fixed to the distal end of the sheath; a rotative member inserted into the bearing and capable of freely rotating relative to the bearing; and a regulator section provided to the rotative member and regulating the rotation of the treatment member relative to the rotative member around the axial line, so that the Y-shape knife is urged to expand outward in a radial direction of the sheath when the Y-shape knife is in the exterior of the sheath, and the rotation of the Y-shape knife relative to the rotative member around the axial line is regulated when the Y-shape knife makes contact with the regulator section. The rotational operation amount corresponds to rotational amount of a distal end mechanism correspond desirably according to this configuration.
摘要翻译：根据本发明的内窥镜用处理器具包括：线; 由柔性材料形成的Y形刀，设置在线的远端，用于在体腔内进行治疗; 具有穿过其中的线的柔性护套; 操作部，其设置在所述线的近端并且能够绕所述轴线旋转所述线; 固定到护套的远端的圆柱形轴承; 插入所述轴承并能够相对于所述轴承自由旋转的旋转构件; 以及调节部，其设置在所述旋转部件上，并且相对于所述旋转部件围绕所述轴线调节所述处理部件的旋转，使得所述Y形刀在所述Y轴方向上沿所述护套的径向向外侧膨胀，形状刀在护套的外部，并且当Y形刀与调节器部分接触时，调节Y形刀相对于轴线周围的旋转部件的旋转。旋转操作量对应于远端机构的旋转量对应于理想的这种配置。

8. 发明授权

US07998150B2 Suturing device 有权
标题翻译：缝合装置
公开(公告)号：US07998150B2
公开(公告)日：2011-08-16
申请号：US11863899
申请日：2007-09-28
申请人： Junji Shiono , Yuta Muyari , Kensuke Hayashi
发明人： Junji Shiono , Yuta Muyari , Kensuke Hayashi
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B2017/0409 , A61B2017/0417 , A61B2017/06052
摘要： A suturing device is disclosed which sutures a tissue using a suture unit having a suture thread with both ends fitted to a first anchor and a second anchor, respectively. The suturing device includes a hollow tip member receiving the first and second anchors; a wire having a front end inserted through the hollow tip member so that the first and second anchors can be released out from the hollow tip member; a flexible tube, a parallel member, a relative position holding member, a forward movement restricting member, and an operating portion. At least one of the hollow tip member, the forward movement restricting member, and the flexible tube has a communication portion on an outer peripheral surface thereof so as to communicate with an internal cavity, and a middle portion of the suture unit is inserted into the communication portion and is tied to the wire.
摘要翻译：公开了一种缝合装置，其使用具有缝合线的缝合单元缝合组织，缝合线分别具有装配到第一锚固件和第二锚固件。缝合装置包括接收第一和第二锚固件的中空尖端构件; 电线，其前端插入穿过所述中空末端构件，使得所述第一和第二锚定件能够从所述中空末端构件中被释放; 柔性管，平行构件，相对位置保持构件，向前移动限制构件和操作部。中空的末端部件，前进运动限制部件和柔性管中的至少一个在其外周面上具有与内部空腔连通的连通部，并且将缝合线的中间部插入到通信部分，并连接到电线。

9. 发明申请

US20070282327A1 High-frequency treatment instrument 有权
标题翻译：高频治疗仪
公开(公告)号：US20070282327A1
公开(公告)日：2007-12-06
申请号：US11809080
申请日：2007-05-31
申请人： Yuta Muyari
发明人： Yuta Muyari
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B18/1492 , A61B2018/1861
摘要： The high-frequency treatment instrument 1 is a high-frequency treatment instrument for performing a high-frequency treatment on a pathological lesion portion (subject tissue) not shown and includes a sheath (elongated extension member) 2, a treatment electrode 5 which is rotatably disposed at a distal end of the sheath and which extends in a direction substantially parallel to a diameter direction of the rotation, an operating wire (axial member) 6 for allowing the treatment electrode to rotate around the distal end of the sheath, and an operating portion 7 to which proximal ends of the sheath 2 and the operating wire 6 are connected.According to a high-frequency treatment instrument, by enabling a treatment on a subject tissue without using a curving operation of an endoscope it is possible to facilitate a procedure.
摘要翻译：高频处理器具1是用于对未图示的病理损伤部（主体组织）进行高频处理的高频处理器具，包括护套（细长延伸部件）2，可旋转地设置在护套的远端并且沿基本上平行于旋转的直径方向的方向延伸;操作线（轴向构件）6，用于允许治疗电极围绕护套的远端旋转;以及操作护套2和操作线6的近端连接到的部分7。根据高频处理器具，通过在不使用内窥镜的弯曲操作的情况下对对象组织进行治疗，可以方便手术。

10. 发明授权

US08740899B2 Operation section structure of treatment instrument for endoscopic use 有权
标题翻译：内窥镜使用治疗仪操作部分结构
公开(公告)号：US08740899B2
公开(公告)日：2014-06-03
申请号：US12184530
申请日：2008-08-01
申请人： Yuta Muyari
发明人： Yuta Muyari
IPC分类号： A61B18/14 , A61B17/00
CPC分类号： A61B18/1492 , A61B18/1445 , A61B2017/00415 , A61B2018/1407 , A61B2018/144 , A61B2018/1475 , A61B2018/1861
摘要： An operation section structure of a treatment instrument for endoscopic use has: a hook knife inserted into a body cavity; a wire having a distal end connected to the hook knife; a tubular flexible sheath provided to an outer periphery of the wire; a current-carrying plug having a main unit having a distal end connected to the sheath; a sliding member made of a conductive material and having a proximal end of the wire fixed thereto, the sliding member being capable of sliding on the main unit in longitudinal direction; a operation member capable of freely rotating in circumferential direction of the operation member; and attached to the sliding member; and a conductive section provided to the operation member, the conductive section being made of a conductive material providing conductivity by making contact with the sliding member. This configuration can rotate the distal end structure easily.
摘要翻译：用于内窥镜使用的治疗仪器的操作部分结构具有插入体腔内的钩刀; 具有连接到所述钩刀的远端的线; 设置在所述线的外周的管状柔性护套; 载流塞，其具有连接到护套的远端的主单元; 由导电材料制成并具有固定在其上的线的近端的滑动构件，滑动构件能够在主体上沿纵向方向滑动; 操作构件，其能够在所述操作构件的圆周方向上自由旋转; 并附接到滑动构件; 以及设置在所述操作部件上的导电部，所述导电部由与所述滑动部件接触而提供导电性的导电材料制成。这种构造可以容易地旋转远端结构。

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