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1. 发明授权

US07837698B2 Devices and methods for fastening tissue layers 有权
标题翻译：用于固定组织层的装置和方法
公开(公告)号：US07837698B2
公开(公告)日：2010-11-23
申请号：US11471513
申请日：2006-06-21
申请人： Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
发明人： Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件，用于将组织紧固件插入组织层中。

2. 发明授权

US07083630B2 Devices and methods for fastening tissue layers 有权
标题翻译：用于固定组织层的装置和方法
公开(公告)号：US07083630B2
公开(公告)日：2006-08-01
申请号：US10230682
申请日：2002-08-29
申请人： Robert DeVries , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
发明人： Robert DeVries , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件，用于将组织紧固件插入组织层中。

3. 发明授权

US08286845B2 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US08286845B2
公开(公告)日：2012-10-16
申请号：US10964007
申请日：2004-10-12
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号： B27F7/00
CPC分类号： A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

4. 发明授权

US06821282B2 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US06821282B2
公开(公告)日：2004-11-23
申请号：US09957901
申请日：2001-09-20
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号： A61B1704
CPC分类号： A61B17/11 , A61B17/07207 , A61B17/115 , A61B17/2909 , A61B17/320016 , A61B2017/0725 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

5. 发明授权

US06929645B2 Electro-surgical bipolar forceps 有权
标题翻译：电手术双极镊子
公开(公告)号：US06929645B2
公开(公告)日：2005-08-16
申请号：US10359495
申请日：2003-02-06
申请人： Christopher Austin Battles , Paul DiCesare , Patrick Gutelius , Daniel Paul Ferriera , Richard Barry Stevens
发明人： Christopher Austin Battles , Paul DiCesare , Patrick Gutelius , Daniel Paul Ferriera , Richard Barry Stevens
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/1442 , A61B2018/00083 , A61B2018/1462 , A61B2018/1495
摘要： In accordance with a currently preferred exemplary embodiment, the present invention involves an electro-surgical bipolar forceps having a first member, a second member, and a tip assembly. The first member has a first insert tube extending from a distal end thereof and a handle disposed at a proximal end thereof. The second member has a second insert tube extending from a distal end thereof and a handle disposed at a proximal end thereof. At least one of the first and second insert tube has an inner surface, a portion of which is covered with an electrically insulating material. The first tip assembly has a proximal end and a distal end. The proximal end of the first tip assembly is selectively engageable with one of the first and second insert tubes. The first tip assembly includes an electrically conductive tip disposed at the distal end of the first tip assembly.
摘要翻译：根据当前优选的示例性实施例，本发明涉及具有第一构件，第二构件和尖端组件的电手术双极钳。第一构件具有从其远端延伸的第一插入管和设置在其近端处的手柄。第二构件具有从其远端延伸的第二插入管和设置在其近端处的手柄。第一和第二插入管中的至少一个具有内表面，其一部分被电绝缘材料覆盖。第一尖端组件具有近端和远端。第一末端组件的近端可选择性地与第一和第二插入管中的一个接合。第一末端组件包括设置在第一末端组件的远端处的导电尖端。

6. 发明申请

US20050125009A1 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US20050125009A1
公开(公告)日：2005-06-09
申请号：US10964007
申请日：2004-10-12
申请人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
发明人： Stephen Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy Sullivan
IPC分类号： A61B17/072 , A61B17/28 , A61B17/32 , B27F7/00 , B25C5/02 , B25C5/06
CPC分类号： A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译：一种用于切除装置的控制机构，包括联接到柔性驱动轴的第一致动器，用于当沿第一方向操作时用于致动第一机构，并且当在第二方向上操作时，致动第二机构和第一闭锁机构，在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。此外，提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。

7. 发明授权

US08105355B2 Suture lock fastening device 有权
标题翻译：缝合锁紧固装置
公开(公告)号：US08105355B2
公开(公告)日：2012-01-31
申请号：US11436398
申请日：2006-05-18
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0467 , A61B17/0485 , A61B2017/045 , A61B2017/0488
摘要： A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.
摘要翻译：一种缝合线锁紧装置，用于将缝合线缝合在缝合线锁中，切割缝合线端部，并且响应于使用者的单次运动而部署缝合线锁。紧固装置包括具有保持器的紧固头部，该保持器构造成将缝合线锁定在紧固头部中。为了从紧固头释放缝合线锁，保持架不可逆地变形。紧固装置可以包括具有切割刃的可轴向移动的切割器，以将缝合线的端部切割成靠近缝合线锁定。穿线装置可以被预加载到紧固装置中以便于缝合线穿过紧固装置。

8. 发明申请

US20080234729A1 Suture lock fastening device 有权
标题翻译：缝合锁紧固装置
公开(公告)号：US20080234729A1
公开(公告)日：2008-09-25
申请号：US11436398
申请日：2006-05-18
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas , Paul Dicesare
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0467 , A61B17/0485 , A61B2017/045 , A61B2017/0488
摘要： A suture lock fastening device to cinch a suture in a suture lock, cut the suture end, and deploy the suture lock in response to a single movement of a user. The fastening device includes a fastening head with a retainer that is configured to hold a suture lock in the fastening head. To release the suture lock from the fastening head, the retainer is irreversibly deformed. The fastening device may include an axially movable cutter with a cutting edge to sever the ends of the suture close to the suture lock. A threading device may be preloaded into the fastening device to facilitate threading the suture through the fastening device.
摘要翻译：一种缝合线锁紧装置，用于将缝合线缝合在缝合线锁中，切割缝合线端部，并且响应于使用者的单次运动而部署缝合线锁。紧固装置包括具有保持器的紧固头部，该保持器构造成将缝合线锁定在紧固头部中。为了从紧固头释放缝合锁，保持器不可逆地变形。紧固装置可以包括具有切割刃的可轴向移动的切割器，以将缝合线的端部切割成靠近缝合线锁定。穿线装置可以被预加载到紧固装置中以便于缝合线穿过紧固装置。

9. 发明授权

US06860882B2 Electro-surgical bipolar forceps 有权
公开(公告)号：US06860882B2
公开(公告)日：2005-03-01
申请号：US10457176
申请日：2003-06-09
申请人： Christopher Austin Battles , Paul DiCesare , Patrick Gutelius , Daniel Paul Ferriera , Richard Barry Stevens , John Buonanno , Donald A. Coelho, Jr. , Sharon A. Mulligan
发明人： Christopher Austin Battles , Paul DiCesare , Patrick Gutelius , Daniel Paul Ferriera , Richard Barry Stevens , John Buonanno , Donald A. Coelho, Jr. , Sharon A. Mulligan
IPC分类号： A61B18/12 , A61B18/14 , A61B18/18
CPC分类号： A61B18/1442 , A61B2018/00083 , A61B2018/1462 , A61B2018/1495
摘要： In accordance with a currently preferred exemplary embodiment, the present invention involves an electro-surgical bipolar forceps having a first member, a second member, and a tip assembly. The first member has a first insert tube extending from a distal end thereof and a handle disposed at a proximal end thereof. The second member has a second insert tube extending from a distal end thereof and a handle disposed at a proximal end thereof. At least one of the first and second insert tube has an inner surface, a portion of which is covered with an electrically insulating material. The first tip assembly has a proximal end and a distal end. The proximal end of the first tip assembly is selectively engageable with one of the first and second insert tubes. The first tip assembly includes an electrically conductive tip disposed at the distal end of the first tip assembly.

10. 发明授权

US06520971B1 Full thickness resection device control handle 有权
标题翻译：全厚度切除装置控制手柄
公开(公告)号：US06520971B1
公开(公告)日：2003-02-18
申请号：US09722026
申请日：2000-11-27
申请人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas
发明人： Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas
IPC分类号： A61B1710
CPC分类号： A61B17/2909 , A61B17/07207 , A61B17/320016 , A61B2017/0725 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要： A control handle for a full thickness resection device is disclosed. In an embodiment for the control handle of the present invention, the control handle includes a body and a staple firing assembly coupled to the body. The staple firing assembly includes a rotatable staple firing ring, a worm gear assembly rotatably engaged with the staple firing ring, and a flexible drive shaft coupled to the worm gear assembly. In an embodiment for a method of the present invention, a method for actuating a full thickness resection device is provided. The method includes the steps of rotating a staple firing ring in a first direction and actuating a worm gear assembly in a first operative mode in response to the rotation of the staple firing ring in the first direction, the worm gear assembly is coupled to the staple firing ring. A flexible drive shaft is rotated in the first direction, the flexible drive shaft being coupled to the worm gear assembly, and torsional energy is stored in the flexible drive shaft during rotation of the flexible drive shaft in the first direction. The worm gear assembly is actuated in a second operative mode and a release rate of the stored torsional energy in the flexible drive shaft is controlled by the worm gear assembly. The flexible drive shaft is rotated in a second direction.
摘要翻译：公开了一种全厚度切除装置的控制手柄。在本发明的控制手柄的一个实施例中，控制手柄包括主体和联接到主体的订书钉组件。订书钉组装包括可转动的订书钉预制环，可旋转地与订书钉发射环接合的蜗轮组件和联接到蜗轮组件的柔性驱动轴。在本发明的方法的实施例中，提供了一种用于致动全厚度切除装置的方法。该方法包括以下步骤：响应于第一方向上的订书钉击发环的旋转，以第一方向旋转订书钉击发环并以第一操作模式致动蜗轮组件，蜗轮组件联接到订书钉射击戒指柔性驱动轴沿着第一方向旋转，柔性驱动轴联接到蜗轮组件，并且扭转能量在柔性驱动轴沿第一方向旋转期间被存储在柔性驱动轴中。蜗轮组件以第二操作模式致动，并且柔性驱动轴中存储的扭转能量的释放速率由蜗轮组件控制。柔性驱动轴沿第二方向旋转。

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