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1. 发明授权

US06585144B2 Integrated surgical staple retainer for a full thickness resectioning device 有权
公开(公告)号：US06585144B2
公开(公告)日：2003-07-01
申请号：US09835480
申请日：2001-04-17
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： An integrated surgical staple retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the fill thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.

2. 发明授权

US06840423B2 Integrated surgical staple retainer for a full thickness resectioning device 有权
公开(公告)号：US06840423B2
公开(公告)日：2005-01-11
申请号：US10371435
申请日：2003-02-21
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： The present invention is directed to a full-thickness resection system comprising a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism includes an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another. A position adjusting mechanism is provided for moving the anvil and the stapling head relative to one another.An integrated surgical retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the full thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.

3. 发明授权

US06874669B2 Integrated surgical staple retainer for a full thickness resectioning device 有权
标题翻译：整体外科缝合保持器，用于全厚度切除装置
公开(公告)号：US06874669B2
公开(公告)日：2005-04-05
申请号：US10876921
申请日：2004-06-25
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： The present invention is directed to a full-thickness resection system comprising a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism includes an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another. A position adjusting mechanism is provided for moving the anvil and the stapling head relative to one another.An integrated surgical retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the full thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.
摘要翻译：本发明涉及一种包括柔性内窥镜和缝合机构的全厚度切除系统，其中内窥镜通过至少一部分吻合机构可滑动地容纳。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部能够相对于彼此移动。提供了一种位置调节机构，用于相对于彼此移动砧座和缝合头。一种用于全厚度切除装置的综合手术保持器被描述。一体化的外科缝合钉保持器包括校准部分，保持部分和抓握部分。校准部分限定圆形开口，该开口的直径基本上等于全厚度切除装置的工作通道的直径。保持部分具有下表面，该下表面适于限制手术吻合钉在全厚度切除装置中的运动，并且与整体外科缝合钉保持器的校准部分相邻。

4. 发明授权

US06866178B2 Integrated surgical staple retainer for a full thickness resectioning device 有权
公开(公告)号：US06866178B2
公开(公告)日：2005-03-15
申请号：US10746630
申请日：2003-12-23
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： The present invention is directed to a full-thickness resection system comprising a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism includes an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another. A position adjusting mechanism is provided for moving the anvil and the stapling head relative to one another.An integrated surgical retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the full thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.

5. 发明授权

US06695198B2 Integrated surgical staple retainer for a full thickness resectioning device 失效
标题翻译：整体外科缝合保持器，用于全厚度切除装置
公开(公告)号：US06695198B2
公开(公告)日：2004-02-24
申请号：US10371437
申请日：2003-02-21
申请人： Ronald D. Adams , Roy H. Sullivan , George Nunez
发明人： Ronald D. Adams , Roy H. Sullivan , George Nunez
IPC分类号： A61B17068
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： The present invention is directed to a full-thickness resection system comprising a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism includes an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another. A position adjusting mechanism is provided for moving the anvil and the stapling head relative to one another. An integrated surgical retainer for use in the full thickness resectioning device is described. The integrated surgical staple retainer comprises a calibrating portion, a retaining portion, and a grasping portion. The calibrating portion defines a circular opening which has a diameter substantially equal to a diameter of a working channel of the full thickness resectioning device. The retaining portion has a lower surface adapted to limit movement of the surgical staples in the full thickness resectioning device and is adjacent to the calibrating portion of the integrated surgical staple retainer.
摘要翻译：本发明涉及一种包括柔性内窥镜和缝合机构的全厚度切除系统，其中内窥镜通过至少一部分吻合机构可滑动地容纳。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部能够相对于彼此移动。提供了一种位置调节机构，用于相对于彼此移动砧座和缝合头。一种用于全厚度切除装置的综合手术保持器被描述。一体化的外科缝合钉保持器包括校准部分，保持部分和抓握部分。校准部分限定圆形开口，该开口的直径基本上等于全厚度切除装置的工作通道的直径。保持部分具有下表面，该下表面适于限制手术吻合钉在全厚度切除装置中的运动，并且与整体外科缝合钉保持器的校准部分相邻。

6. 发明申请

US20090242612A1 Method and Device for Full Thickness Resectioning of an Organ 有权
标题翻译：器官全层切除术的方法与装置
公开(公告)号：US20090242612A1
公开(公告)日：2009-10-01
申请号：US12482574
申请日：2009-06-11
申请人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

7. 发明授权

US08006889B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US08006889B2
公开(公告)日：2011-08-30
申请号：US13009070
申请日：2011-01-19
申请人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matthew S. Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matthew S. Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

8. 发明授权

US06179195B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US06179195B2
公开(公告)日：2001-01-30
申请号：US09316674
申请日：1999-05-21
申请人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B1704
CPC分类号： A61B17/07207 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

9. 发明授权

US07546939B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US07546939B2
公开(公告)日：2009-06-16
申请号：US11411389
申请日：2006-04-25
申请人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

10. 发明申请

US20130046316A1 TISSUE REMOVAL SYSTEM 有权
公开(公告)号：US20130046316A1
公开(公告)日：2013-02-21
申请号：US13589003
申请日：2012-08-17
申请人： Roy H. Sullivan , Ronald D. Adams , Andrew Barnes , Jeffrey Radziunas , Jo Paul , Paul DiCesare
发明人： Roy H. Sullivan , Ronald D. Adams , Andrew Barnes , Jeffrey Radziunas , Jo Paul , Paul DiCesare
IPC分类号： A61B17/42
CPC分类号： A61B10/0291 , A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B17/320016 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2010/0225 , A61B2017/00389 , A61B2017/00685 , A61B2017/320028 , A61B2017/32004 , A61B2017/320064 , A61B2017/4216 , A61B2217/005 , A61B2217/007 , A61M1/0047
摘要： A tissue removal device includes an outer tubular member coupled to a housing and a having a tissue resection window, an inner tubular member slidably disposed within the outer tubular member, a tissue trap having a sealed interior in fluid communication with a vacuum chamber, an open proximal end of the inner tubular member being disposed within the tissue trap interior, and an actuator moveably coupled to the housing and operatively connected to a movable piston in the vacuum chamber, such that movement of the actuator relative to the housing generates a vacuum in the tissue trap.

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