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1. 发明授权

US5814056A Seal 失效
标题翻译：密封
公开(公告)号：US5814056A
公开(公告)日：1998-09-29
申请号：US790663
申请日：1997-01-30
申请人： Rudiger L. Prosst , Klaus Roth , Gerhard Buess , Marc O. Schurr
发明人： Rudiger L. Prosst , Klaus Roth , Gerhard Buess , Marc O. Schurr
IPC分类号： A61B17/04 , A61B17/12
CPC分类号： A61B17/12013 , A61B17/0487 , A61B2017/0461 , Y10T24/1498
摘要： A seal 10 comprises a bushing 11 and a thread 12, wherein the bushing 11 has a first lumen 15 and a second lumen 16. The lumina 15 and 16 extend along the entire length of the bushing 11. The thread 12 can be introduced at one end into the second lumen 16 and has a swelling 21 at the free end which prevents reintroduction and travel of the end of the thread through the second lumen 16. The thread 12 can be introduced into the first lumen 15 via its other free end and pushed through first lumen 15. Enlargements 20 are formed on the thread 12 having a size preventing introduction into the first lumen 15 without the exercise of force. The bushing 11 and the thread 12 are manufactured from a flexible material having a stable shape. When the enlargements 20 are pulled into the first lumen 15, the bushing 11 bends and seats on e.g. tissue to be ligated. When the enlargements 20 are completely pulled into the first lumen 15, the seal 10 is permanently closed. Subsequent thereto the thread 12 is cut-off outside of the seal 10. The seal 10 can be applied using conventional knot-displacers.
摘要翻译：密封件10包括衬套11和螺纹12，其中衬套11具有第一内腔15和第二腔16.腔15和16沿衬套11的整个长度延伸。螺纹12可以被引入一个端部进入第二内腔16，并且在自由端处具有膨胀部21，防止线的端部再次引入和移动通过第二内腔16.螺纹12可以经由其另一自由端引入第一内腔15并推动通过第一内腔15.在螺纹12上形成放大件20，其具有防止在不施加力的情况下引入第一内腔15的尺寸。衬套11和螺纹12由具有稳定形状的柔性材料制成。当放大20被拉入第一内腔15时，衬套11弯曲并且位于例如座位上。要连接的组织。当放大20被完全拉入第一内腔15时，密封件10永久关闭。随后，螺纹12在密封件10的外部被切断。密封件10可以使用传统的结置换器来施加。

2. 发明申请

US20130060264A1 METHODS AND DEVICES FOR FOLDING AND SECURING TISSUE 审中-公开
标题翻译：用于折叠和安全组织的方法和装置
公开(公告)号：US20130060264A1
公开(公告)日：2013-03-07
申请号：US13616212
申请日：2012-09-14
申请人： Marc O. Schurr , Robert Sakal , Kurt A.E. Geitz , Gerhard Buess , Daniel Kalanovic
发明人： Marc O. Schurr , Robert Sakal , Kurt A.E. Geitz , Gerhard Buess , Daniel Kalanovic
IPC分类号： A61B17/03
CPC分类号： A61B17/0644 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/122 , A61B17/1285 , A61B2017/00827 , A61B2017/0641 , A61B2017/0647 , A61B2017/081
摘要： The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.
摘要翻译：本发明涉及装置和使用该装置的方法，以在腔内医疗过程中产生和固定组织折叠。装置和方法可以用于折叠和固定，例如，在食管下括约肌（LES）区域中的食管壁或食管组织上的眼底壁，以减小该区域中食道开口的直径。本发明的一个方面包括通过闭合可枢转地连接到位于眼底壁和食管壁的接合处的外套管的把持臂来形成组织折叠。本发明的另一方面包括构造成通过内腔装置插入和定位的组织夹。

3. 发明授权

US09173656B2 Methods and devices for folding and securing tissue 有权
公开(公告)号：US09173656B2
公开(公告)日：2015-11-03
申请号：US13616212
申请日：2012-09-14
申请人： Marc O. Schurr , Robert Sakal , Kurt A. E. Geitz , Gerhard Buess , Daniel Kalanovic
发明人： Marc O. Schurr , Robert Sakal , Kurt A. E. Geitz , Gerhard Buess , Daniel Kalanovic
IPC分类号： A61B17/10 , A61B17/08 , A61B17/068 , A61B17/064 , A61B17/00 , A61B17/122 , A61B17/128
CPC分类号： A61B17/0644 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/122 , A61B17/1285 , A61B2017/00827 , A61B2017/0641 , A61B2017/0647 , A61B2017/081
摘要： The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.

4. 发明授权

US06849078B2 Apparatus and method for compressing body tissue 有权
标题翻译：用于压缩身体组织的装置和方法
公开(公告)号：US06849078B2
公开(公告)日：2005-02-01
申请号：US09956902
申请日：2001-09-21
申请人： Russell F. Durgin , Marc O. Schurr , Gerhard Buess , Bernd Vogel , Harald Fischer
发明人： Russell F. Durgin , Marc O. Schurr , Gerhard Buess , Bernd Vogel , Harald Fischer
IPC分类号： A61B17/12 , A61B17/00 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/04
CPC分类号： A61B17/122 , A61B17/0057 , A61B17/083 , A61B17/10 , A61B17/1227 , A61B17/1285 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61B2017/12004
摘要： A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed.
摘要翻译：公开了一种用于将手术夹子递送到患者身体内的手术部位以压缩身体组织的系统和方法。在本发明的系统的一个实施例中，该系统包括内窥镜装置，其具有设置在内窥镜装置的远端上的内窥镜盖。外科夹可拆卸地设置在内窥镜盖的外表面上。展开装置与手术夹具相关联，用于将手术夹子从内窥镜盖部署到待压缩的身体组织。

5. 发明授权

US06428548B1 Apparatus and method for compressing body tissue 有权
标题翻译：用于压缩身体组织的装置和方法
公开(公告)号：US06428548B1
公开(公告)日：2002-08-06
申请号：US09443219
申请日：1999-11-18
申请人： Russell F. Durgin , Marc O. Schurr , Gerhard Buess , Bernd Vogel , Harald Fischer
发明人： Russell F. Durgin , Marc O. Schurr , Gerhard Buess , Bernd Vogel , Harald Fischer
IPC分类号： A61B1704
CPC分类号： A61B17/122 , A61B17/0057 , A61B17/083 , A61B17/10 , A61B17/1227 , A61B17/1285 , A61B2017/00539 , A61B2017/00544 , A61B2017/00557 , A61B2017/12004
摘要： A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed.
摘要翻译：公开了一种用于将手术夹子递送到患者身体内的手术部位以压缩身体组织的系统和方法。在本发明的系统的一个实施例中，该系统包括内窥镜装置，其具有设置在内窥镜装置的远端上的内窥镜盖。外科夹可拆卸地设置在内窥镜盖的外表面上。展开装置与手术夹具相关联，用于将手术夹子从内窥镜盖部署到待压缩的身体组织。

6. 发明授权

US5935097A Suction and rinsing instrument 失效
标题翻译：吸水和冲洗仪器
公开(公告)号：US5935097A
公开(公告)日：1999-08-10
申请号：US879942
申请日：1997-06-20
申请人： Dieter Metsch , Manfred Boebel , Gerhard Fritz Buess , Marc O. Schurr , Klaus Roth
发明人： Dieter Metsch , Manfred Boebel , Gerhard Fritz Buess , Marc O. Schurr , Klaus Roth
IPC分类号： A61B17/22 , A61B17/34 , A61M1/00
CPC分类号： A61M1/0064 , A61B2017/22075 , A61B2017/3445 , A61B2017/347 , A61M1/0043 , A61M2205/12
摘要： The invention relates to a suction/rinsing instrument comprising a suction channel for removing fluid and a rinsing channel for supplying rinsing fluid. The suction channel is provided for receiving an auxiliary instrument. Via a grip part of the instrument, the auxiliary instrument, for example a forceps, may be controlled. The auxiliary instrument is fixed on the suction/rinsing instrument by way of a receiver. The receiver can be traversed in the axial direction of the shank, the traversing is effected via operating means provided on or near the grip part, so that the operator, without having to let go of the grip part, may selectively, with only one hand, push forward the auxiliary instrument an thus operate or also retract the auxiliary instrument and clear the suction/rinsing channel.
摘要翻译：本发明涉及一种吸入/冲洗仪器，其包括用于除去流体的抽吸通道和用于供应冲洗流体的冲洗通道。抽吸通道用于接收辅助仪器。通过手柄的夹持部分，可以控制辅助仪器，例如镊子。辅助仪器通过接收器固定在吸入/冲洗仪器上。接收器可以在柄的轴向方向上移动，通过设置在把手部分上或附近的操作装置进行横移，使得操作者不必放开把手部分，可以仅选择一只手，推动辅助仪器进行操作，或者也可以将辅助仪器收回并清除吸入/冲洗通道。

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

US08784436B2 Medical instrument for setting tissue clips 有权
标题翻译：用于设置组织夹的医疗器械
公开(公告)号：US08784436B2
公开(公告)日：2014-07-22
申请号：US12914938
申请日：2010-10-28
申请人： Chi-Nghia Ho , Gunnar Anhoeck , Franziska Baur , Marc O. Schurr , Ruediger Prosst , Thomas Gottwald
发明人： Chi-Nghia Ho , Gunnar Anhoeck , Franziska Baur , Marc O. Schurr , Ruediger Prosst , Thomas Gottwald
IPC分类号： A61B17/10
CPC分类号： A61B17/10 , A61B1/00087 , A61B1/31 , A61B17/083 , A61B17/1227 , A61B2017/00292 , A61B2017/00296 , A61B2017/00331 , A61B2017/2904 , A61B2017/32006
摘要： A proctological instrument is disclosed comprising an instrument handle to which at its proximal end a bending-resistant tubular shaft is mounted at the distal end of which a cap is fixed or formed to which a tissue clip adapted to be withdrawn from the cap by means of a releasing or withdrawing device is attached in a preferably spring-elastic manner. In accordance with the invention, the tubular shaft is offset at its distal end portion in an area directly ahead of the cap and/or the cap itself is offset at a predetermined fixed angle so that the withdrawing direction for the clip defined by the cap is aligned at the angle with respect to the tubular shaft axis.
摘要翻译：公开了一种仪器手柄，其包括仪器手柄，在其近端处具有抗弯曲的管状轴，其远端处安装有帽，所述顶部固定或形成，适于通过释放或取出装置以优选弹性弹性方式附接。根据本发明，管状轴在其远端部分处偏离在帽的正前方，和/或帽本身以预定的固定角度偏移，使得由帽限定的夹子的抽出方向为以相对于管状轴线的角度排列。

10. 发明申请

US20120209400A1 Medical Implant 有权
标题翻译：医疗植入
公开(公告)号：US20120209400A1
公开(公告)日：2012-08-16
申请号：US13452314
申请日：2012-04-20
申请人： Marc O. Schurr
发明人： Marc O. Schurr
IPC分类号： A61F2/04
CPC分类号： A61F5/0083 , A61F2/04 , A61F5/0036
摘要： A medical implant is disclosed, said implant having a flexible hollow body (1) which can be implanted inside the stomach (8) of a patient and which has a first tube-like end section (2) and a second tube-like end section (3), wherein the first tube-like end section (2) is dimensioned such that it can be fitted into the esophagus (7) of the patient, and the second tube-like end section (3) is dimensioned such that it can be connected to the small intestine loop (9) of the patent in a sealing manner.
摘要翻译：公开了一种医疗植入物，所述植入物具有柔性中空体（1），其可植入患者的胃部（8）内，并且具有第一管状端部（2）和第二管状端部（3），其中所述第一管状端部（2）的尺寸设计成使其能够装配到患者的食道（7）中，并且所述第二管状端部（3）的尺寸设定成使得其可以以密封方式连接到专利的小肠回路（9）。

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