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1. 发明申请

US20070282358A1 Steerable medical instrument 审中-公开
标题翻译：可行医疗器械
公开(公告)号：US20070282358A1
公开(公告)日：2007-12-06
申请号：US11804871
申请日：2007-05-21
申请人： Stan Remiszewski , Michael Abrams , Dominick Mastri , Rich Gambale , Jeffrey Radziunas , Ronald Green , Danial Ferreira
发明人： Stan Remiszewski , Michael Abrams , Dominick Mastri , Rich Gambale , Jeffrey Radziunas , Ronald Green , Danial Ferreira
IPC分类号： A61B17/22
CPC分类号： A61B17/32056 , A61B1/0052 , A61B1/0055 , A61B1/0057 , A61B17/00 , A61B18/1492 , A61B2017/003 , A61B2017/00323 , A61B2017/00867 , A61B2018/00482 , A61B2018/00494 , A61B2018/00595 , A61B2018/1407 , A61B2018/144 , A61M25/0029 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61M2025/0036 , A61M2025/004 , A61M2025/0163
摘要： A steerable medical instrument includes a control handle, a shaft, steering control wires, and an end effector at the distal end of the shaft. The end effector is a separate component engineered to distribute the stress and strain of bending moments along the length of the end effector to achieve predicable, repeatable, fine motion control over the distal end of the instrument. The end effector may be customized for any medical application. For example, the end effector may comprise a grasping device, a cutting devise, a snare, a specimen retrieval device, or a wound closure device (such as a stapler).
摘要翻译：可操纵的医疗器械包括控制手柄，轴，转向控制线和在轴远端的末端执行器。端部执行器是一个单独的部件，设计用于沿着末端执行器的长度分布弯矩的应力和应变，以实现仪器远端上的可预测的，可重复的精细运动控制。末端执行器可以针对任何医疗应用进行定制。例如，末端执行器可以包括抓握装置，切割装置，圈套，样本取出装置或伤口闭合装置（例如吻合器）。

2. 发明授权

US08764765B2 Laparoscopic instrument and related surgical method 失效
标题翻译：腹腔镜仪及相关手术方法
公开(公告)号：US08764765B2
公开(公告)日：2014-07-01
申请号：US12550617
申请日：2009-08-31
申请人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
发明人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
IPC分类号： A61B1/04 , A61F11/00
CPC分类号： A61B17/29 , A61B17/2909 , A61B17/3417 , A61B17/3421 , A61B34/70 , A61B2017/003 , A61B2017/00314 , A61B2017/00738 , A61B2017/2904 , A61B2017/2929 , A61B2017/2946 , A61B2017/3447 , A61B2017/3456 , A61B2017/3466 , A61B2017/349 , A61B2034/301
摘要： A medical instrument insertable through a cannula, the instrument comprising an elongate shaft; and an operative tip having a first jaw and a second jaw movable with respect to the first jaw. The operative tip disposed at a distal end of said elongate shaft and being disposed on said shaft for rotation relative to at least a distal end portion of said shaft about a longitudinal axis of said distal end portion.
摘要翻译：可通过插管插入的医疗器械，所述器械包括细长轴; 以及具有相对于所述第一钳口可移动的第一钳口和第二钳口的操作尖端。所述操作尖端设置在所述细长轴的远端并且设置在所述轴上，用于相对于所述轴的至少远端部围绕所述远端部分的纵向轴线旋转。

3. 发明申请

US20100057121A1 LAPAROSCOPIC INSTRUMENT AND RELATED SURGICAL METHOD 失效
标题翻译： LAPAROSCOPIC仪器及相关手术方法
公开(公告)号：US20100057121A1
公开(公告)日：2010-03-04
申请号：US12550617
申请日：2009-08-31
申请人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
发明人： Gregory Piskun , Oleg Shikhman , Anatoly Konik , Dan Rottenberg , Christopher Battles , Michael Abrams , Jeffrey Radziunas , Danial Ferreira
IPC分类号： A61B17/29
CPC分类号： A61B17/29 , A61B17/2909 , A61B17/3417 , A61B17/3421 , A61B34/70 , A61B2017/003 , A61B2017/00314 , A61B2017/00738 , A61B2017/2904 , A61B2017/2929 , A61B2017/2946 , A61B2017/3447 , A61B2017/3456 , A61B2017/3466 , A61B2017/349 , A61B2034/301
摘要： A medical instrument insertable through a cannula, the instrument comprising an elongate shaft; and an operative tip having a first jaw and a second jaw movable with respect to the first jaw. The operative tip disposed at a distal end of said elongate shaft and being disposed on said shaft for rotation relative to at least a distal end portion of said shaft about a longitudinal axis of said distal end portion.
摘要翻译：可通过插管插入的医疗器械，所述器械包括细长轴; 以及具有相对于所述第一钳口可移动的第一钳口和第二钳口的操作尖端。所述操作尖端设置在所述细长轴的远端并且设置在所述轴上，用于相对于所述轴的至少远端部围绕所述远端部分的纵向轴线旋转。

4. 发明申请

US20050033319A1 Single intubation, multi-stitch endoscopic suturing system 有权
标题翻译：单插管，多针内窥镜缝合系统
公开(公告)号：US20050033319A1
公开(公告)日：2005-02-10
申请号：US10847190
申请日：2004-05-17
申请人： Richard Gambale , Peter Lukin , Paul DiCesare , Christopher Battles , Jeffrey Radziunas , Danial Ferreira
发明人： Richard Gambale , Peter Lukin , Paul DiCesare , Christopher Battles , Jeffrey Radziunas , Danial Ferreira
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/0469 , A61B17/0467 , A61B17/0487 , A61B2017/00827 , A61B2017/045 , A61B2017/0464 , A61B2017/047
摘要： Provided is an endoscopic suturing system for joining internal body tissues in a variety of procedures. The system comprises a suturing capsule releasably mountable to the distal end of an endoscope and capable of forming multiple stitches in tissue at a plurality of locations without requiring withdrawal of the capsule from the patient between stitches. Also enclosed is a suture lock to secure the placed stitch that is delivered by a device introduced through the working channel of the indwelling endoscope. Suitable control handles for the suturing capsule and for the suture lock delivery device positioned at the proximal end of the endoscope are provided to facilitate operation by the user.
摘要翻译：提供了一种用于以各种方法连接内部身体组织的内窥镜缝合系统。该系统包括可释放地安装到内窥镜的远端的缝合胶囊，并且能够在多个位置处在组织中形成多个线圈，而不需要在线圈之间从患者中取出胶囊。还包括缝合线锁，用于固定由通过留置内窥镜的工作通道引入的装置输送的放置针迹。提供用于缝合胶囊和位于内窥镜的近端处的缝线锁输送装置的合适的控制手柄，以便于使用者的操作。

5. 发明申请

US20120089182A1 SUTURE LOCK FASTENING DEVICE 有权
标题翻译：舒适锁紧装置
公开(公告)号：US20120089182A1
公开(公告)日：2012-04-12
申请号：US13330023
申请日：2011-12-19
申请人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas
发明人： Edward C. Page , Patrick Gutelius , Danial Ferreira , Jeffrey Radziunas
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。

6. 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。

7. 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。

8. 发明授权

US07927271B2 Endoscope tool coupling 有权
标题翻译：内窥镜工具联轴器
公开(公告)号：US07927271B2
公开(公告)日：2011-04-19
申请号：US11436103
申请日：2006-05-17
申请人： John Dimitriou , Christopher A. Battles , Danial Ferreira , Daniel Vigliotti , Patrick Gutelius
发明人： John Dimitriou , Christopher A. Battles , Danial Ferreira , Daniel Vigliotti , Patrick Gutelius
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/018 , A61B17/3423 , A61B2017/00477 , A61B2017/347 , A61B2090/034
摘要： An endoscope tool coupling that facilitates the placement and positioning of a surgical tool within an endoscope. The tool coupling may be configured to accommodate differences in lengths between the surgical tool and the endoscope, which may allow a user to precisely position and maintain the distal end of a surgical tool in a desired location relative to the distal end of the endoscope despite differences and variations in lengths. The tool coupling may have an adjustable configuration to accommodate variations in tool and/or endoscope lengths. The tool coupling employ an arrangement that allows a user to easily increase or decrease the length of the coupling, such as by using a telescoping arrangement. A locking arrangement or mechanism may be provided to secure the coupling in a selected configuration for maintaining the surgical tool in a desired location relative to the endoscope. The tool coupling may be configured to generate a preload on the surgical tool when the tool is positioned in a desired location relative to the endoscope. The tool coupling may be configured to allow for the withdrawal and reintroduction of the same or a similar surgical tool without changing or impacting the original length adjustment and/or preload for the particular tool/endoscope arrangement. The tool coupling may be configured as a separate device that can be attached to various endoscopes, or the tool coupling may be an integrated component of the endoscope.
摘要翻译：一种内窥镜工具联接器，其有助于外科手术工具在内窥镜内的放置和定位。工具联接器可以被配置为适应手术工具和内窥镜之间的长度差异，其可以允许使用者相对于内窥镜的远端精确地将外科器械的远端精确地定位并保持在期望的位置，尽管有差异和长度变化。工具联接器可以具有可调配置以适应工具和/或内窥镜长度的变化。工具联接器采用允许使用者容易地增加或减小联接器的长度的布置，例如通过使用伸缩装置。可以提供锁定装置或机构以将联接器固定在选定的构型中，以将外科手术工具相对于内窥镜保持在期望的位置。工具联接器可以被配置为当工具相对于内窥镜定位在期望位置时在外科手术工具上产生预载荷。工具联接器可以被配置为允许相同或相似的手术工具的取出和重新引入，而不改变或影响特定工具/内窥镜装置的原始长度调节和/或预加载。工具联接器可以被配置为可以附接到各种内窥镜的单独的装置，或者工具联接器可以是内窥镜的集成部件。

9. 发明申请

US20070270640A1 Endoscope tool coupling 有权
标题翻译：内窥镜工具联轴器
公开(公告)号：US20070270640A1
公开(公告)日：2007-11-22
申请号：US11436103
申请日：2006-05-17
申请人： John Dimitriou , Christopher A. Battles , Danial Ferreira , Daniel Vigliotti , Patrick Gutelius
发明人： John Dimitriou , Christopher A. Battles , Danial Ferreira , Daniel Vigliotti , Patrick Gutelius
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/018 , A61B17/3423 , A61B2017/00477 , A61B2017/347 , A61B2090/034
摘要： An endoscope tool coupling that facilitates the placement and positioning of a surgical tool within an endoscope. The tool coupling may be configured to accommodate differences in lengths between the surgical tool and the endoscope, which may allow a user to precisely position and maintain the distal end of a surgical tool in a desired location relative to the distal end of the endoscope despite differences and variations in lengths. The tool coupling may have an adjustable configuration to accommodate variations in tool and/or endoscope lengths. The tool coupling employ an arrangement that allows a user to easily increase or decrease the length of the coupling, such as by using a telescoping arrangement. A locking arrangement or mechanism may be provided to secure the coupling in a selected configuration for maintaining the surgical tool in a desired location relative to the endoscope. The tool coupling may be configured to generate a preload on the surgical tool when the tool is positioned in a desired location relative to the endoscope. The tool coupling may be configured to allow for the withdrawal and reintroduction of the same or a similar surgical tool without changing or impacting the original length adjustment and/or preload for the particular tool/endoscope arrangement. The tool coupling may be configured as a separate device that can be attached to various endoscopes, or the tool coupling may be an integrated component of the endoscope.
摘要翻译：一种内窥镜工具联接器，其有助于外科手术工具在内窥镜内的放置和定位。工具联接器可以被配置为适应手术工具和内窥镜之间的长度差异，其可以允许使用者相对于内窥镜的远端精确地将外科器械的远端精确地定位并保持在期望的位置，尽管有差异和长度变化。工具联接器可以具有可调配置以适应工具和/或内窥镜长度的变化。工具联接器采用允许使用者容易地增加或减小联接器的长度的布置，例如通过使用伸缩装置。可以提供锁定装置或机构以将联接器固定在选定的构型中，以将外科手术工具相对于内窥镜保持在期望的位置。工具联接器可以被配置为当工具相对于内窥镜定位在期望位置时在外科手术工具上产生预载荷。工具联接器可以被配置为允许相同或相似的手术工具的取出和重新引入，而不改变或影响特定工具/内窥镜装置的原始长度调节和/或预加载。工具联接器可以被配置为可以附接到各种内窥镜的单独的装置，或者工具联接器可以是内窥镜的集成部件。

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