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1. 发明申请

US20080108860A1 Methods and Apparatus for Magnetic Manipulation or Retrieval 审中-公开
标题翻译：用于磁操作或检索的方法和装置
公开(公告)号：US20080108860A1
公开(公告)日：2008-05-08
申请号：US11924139
申请日：2007-10-25
申请人： Stephen G. Bell , Wayne A. Noda , Elbert Y. Tzeng
发明人： Stephen G. Bell , Wayne A. Noda , Elbert Y. Tzeng
IPC分类号： A61N2/10 , A61B17/10 , A61M25/09 , A61M29/02
CPC分类号： A61B17/00 , A61B17/0218 , A61B2017/00876
摘要： Apparatus and methods for minimally invasive stabilization, manipulation and/or removal of body cavities or organs in the body through the skin or natural body orifices. A magnet is delivered into an organ, the position of the organ is stabilized with an opposing magnetic retrieval device positioned outside the organ, and the organ is ligated and removed from the body through the skin or a natural body orifice. This magnetic linkage between an internal body cavity with a retrieval device may be used to hold the position of the body cavity steady during resection and aid in the removal of that structure from the body. The magnet may be a balloon filled with a magnetic gel or fluid.
摘要翻译：用于通过皮肤或天然身体孔口微创稳定，操纵和/或去除体腔内的体腔或器官的装置和方法。将磁体输送到器官中，器官的位置通过位于器官外部的相对的磁取出装置稳定，并且器官通过皮肤或天然的身体孔口与身体连接并移除。具有回收装置的内部体腔之间的这种磁连接可以用于在切除期间保持体腔的位置稳定并有助于将该结构从身体移除。磁体可以是填充有磁性凝胶或流体的气球。

2. 发明申请

US20080171989A1 Trans Urinary Bladder Access Device and Method 审中-公开
标题翻译：膀胱膀胱接触装置及方法
公开(公告)号：US20080171989A1
公开(公告)日：2008-07-17
申请号：US11869021
申请日：2007-10-09
申请人： Stephen G. Bell , Wayne A. Noda , Elbert Y. Tzeng
发明人： Stephen G. Bell , Wayne A. Noda , Elbert Y. Tzeng
IPC分类号： A61M25/06 , A61M25/04
CPC分类号： A61M25/0662 , A61B2017/00278 , A61M25/0026 , A61M25/0068 , A61M25/007 , A61M25/0071 , A61M25/0074 , A61M25/1011 , A61M2025/0233
摘要： The present invention relates to a device and method for accessing an anatomical cavity using a natural body orifice where penetration of a tissue wall is required. In particular, an objective of this invention is to provide a system for delivering an access device to the abdominal cavity through the bladder. An access device is described suitable for introduction into the bladder, at least partially disinfecting the access site, accessing the abdominal cavity through a wall of the bladder and insufflating the bladder and the abdominal cavity as required. The access device may be used to deliver an endoscope or other diagnostic or therapeutic instruments into the abdominal cavity.
摘要翻译：本发明涉及使用需要穿透组织壁的天然体孔进入解剖腔的装置和方法。特别地，本发明的目的是提供一种用于通过膀胱将进入装置输送到腹腔的系统。描述适于引入到膀胱中的进入装置，至少部分地消毒进入部位，通过膀胱的壁进入腹腔，并根据需要对膀胱和腹腔进行吹气。进入装置可用于将内窥镜或其它诊断或治疗仪器输送到腹腔中。

3. 发明申请

US20090062614A1 CLOSURES FOR OUTER TUBE FOR NATURAL ORIFICE SURGERY 审中-公开
标题翻译：外筒外科手术用于自然手术手术
公开(公告)号：US20090062614A1
公开(公告)日：2009-03-05
申请号：US12164557
申请日：2008-06-30
申请人： VASO ADZICH , Wayne A. Noda , Stephen Graham Bell , Elbert Y. Tzeng
发明人： VASO ADZICH , Wayne A. Noda , Stephen Graham Bell , Elbert Y. Tzeng
IPC分类号： A61B1/31
CPC分类号： A61B1/31 , A61B1/00135 , A61B1/00154 , A61B17/3421 , A61B17/3431 , A61B2017/3441
摘要： A plug is closely received in the open distal end of an outer tube for natural orifice surgery and is proximally removable from the tube. Various means are provided for deforming the plug to permit the plug to be retrieved through the outer tube.
摘要翻译：塞子紧密地接收在外管的开口远端，用于自然孔手术，并且可近距离地从管中移除。提供了用于使插头变形以允许插头通过外管回收的各种装置。

4. 发明申请

US20080119868A1 Methods and Apparatus for Natural Orifice Vaginal Hysterectomy 有权
标题翻译：天然子宫阴道子宫切除术的方法与装置
公开(公告)号：US20080119868A1
公开(公告)日：2008-05-22
申请号：US11870884
申请日：2007-10-11
申请人： Bradley J. Sharp , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
发明人： Bradley J. Sharp , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
IPC分类号： A61B17/42
CPC分类号： A61B17/42 , A61B17/3421 , A61B17/3474 , A61B18/02 , A61B18/06 , A61B18/1477 , A61B18/1485 , A61B18/20 , A61B2017/003 , A61B2017/00889 , A61B2017/1142 , A61B2017/308 , A61B2017/320044 , A61B2017/3486 , A61B2017/4216 , A61B2018/00559 , A61B2018/1425
摘要： A transuterine cannula through which an endoscope can be advanced into the peritoneal space to provide visualization of tissue cutting in the peritoneal space pursuant to a vaginal hysterectomy.
摘要翻译：一种跨宫套管，通过该插管，内窥镜可以进入腹膜空间，以提供根据阴道子宫切除术在腹膜间隙中组织切割的可视化。

5. 发明授权

US09220532B2 Translumenal peritoneal access and catheter therefor 有权
标题翻译：腹腔内腹腔进入和导管
公开(公告)号：US09220532B2
公开(公告)日：2015-12-29
申请号：US12243017
申请日：2008-10-01
申请人： Wayne A. Noda , Elbert Y. Tzeng , Stephen Graham Bell
发明人： Wayne A. Noda , Elbert Y. Tzeng , Stephen Graham Bell
IPC分类号： A61M5/00 , A61B17/34 , A61B17/00 , A61M25/00
CPC分类号： A61B17/3478 , A61B17/3474 , A61B2017/00278 , A61M25/0084
摘要： A working cannula is advanced through the urethra into the bladder. Gas is infused through the cannula into the bladder, pressurizing the bladder. A fenestrating shunt catheter is then advanced through the urethra into the bladder and against the wall of the bladder, fenestrating it. A distal segment of the shunt catheter is then advanced through the wall into the peritoneal space, while a more proximal segment of the shunt catheter remains in the bladder. Shunt holes are formed in both the distal segment and more proximal segment so that gas from the pressurized bladder flows through the shunt holes into the peritoneal space, insufflating the peritoneal space.
摘要翻译：工作插管通过尿道进入膀胱。将气体通过套管输入膀胱，对膀胱加压。然后将开窗分流导管穿过尿道进入膀胱并抵靠膀胱的壁，开窗。分流导管的远侧段然后通过壁前进进入腹膜空间，而分流导管的更近端段保留在膀胱中。分流孔形成在远端段和更近端段中，使得来自加压膀胱的气体流过分流孔进入腹膜空间，从而填充腹膜空间。

6. 发明申请

US20110306829A1 METHODS AND APPARATUS FOR NATURAL ORIFICE VAGINAL HYSTERECTOMY 审中-公开
标题翻译：方法和装置用于自然导管血管造影
公开(公告)号：US20110306829A1
公开(公告)日：2011-12-15
申请号：US13214939
申请日：2011-08-22
申请人： BRADLEY J. SHARP , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
发明人： BRADLEY J. SHARP , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
IPC分类号： A61B17/42 , A61B1/018
CPC分类号： A61B17/42 , A61B17/3421 , A61B17/3474 , A61B18/02 , A61B18/06 , A61B18/1477 , A61B18/1485 , A61B18/20 , A61B2017/003 , A61B2017/00889 , A61B2017/1142 , A61B2017/308 , A61B2017/320044 , A61B2017/3486 , A61B2017/4216 , A61B2018/00559 , A61B2018/1425
摘要： A transuterine cannula through which an endoscope can be advanced into the peritoneal space to provide visualization of tissue cutting in the peritoneal space pursuant to a vaginal hysterectomy.
摘要翻译：一种跨宫套管，通过该插管，内窥镜可以进入腹膜空间，以提供根据阴道子宫切除术在腹膜间隙中组织切割的可视化。

7. 发明授权

US08025670B2 Methods and apparatus for natural orifice vaginal hysterectomy 有权
标题翻译：自然孔阴道子宫切除术的方法和装置
公开(公告)号：US08025670B2
公开(公告)日：2011-09-27
申请号：US11870884
申请日：2007-10-11
申请人： Bradley J. Sharp , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
发明人： Bradley J. Sharp , Stephen Graham Bell , Wayne A. Noda , Elbert Y. Tzeng
IPC分类号： A61D1/06
CPC分类号： A61B17/42 , A61B17/3421 , A61B17/3474 , A61B18/02 , A61B18/06 , A61B18/1477 , A61B18/1485 , A61B18/20 , A61B2017/003 , A61B2017/00889 , A61B2017/1142 , A61B2017/308 , A61B2017/320044 , A61B2017/3486 , A61B2017/4216 , A61B2018/00559 , A61B2018/1425
摘要： A transuterine cannula through which an endoscope can be advanced into the peritoneal space to provide visualization of tissue cutting in the peritoneal space pursuant to a vaginal hysterectomy.
摘要翻译：一种跨宫套管，通过该插管，内窥镜可以进入腹膜空间，以提供根据阴道子宫切除术在腹膜间隙中组织切割的可视化。

8. 发明授权

US08308725B2 Reverse sealing and dissection instrument 有权
标题翻译：反向密封和解剖仪器
公开(公告)号：US08308725B2
公开(公告)日：2012-11-13
申请号：US12050280
申请日：2008-03-18
申请人： Stephen G. Bell , Wayne A. Noda
发明人： Stephen G. Bell , Wayne A. Noda
IPC分类号： A61B18/18
CPC分类号： A61B17/3201 , A61B18/02 , A61B18/085 , A61B18/1445 , A61B2018/00005 , A61B2018/0063
摘要： The invention relates to a device and related method for sealing and/or dissecting body tissue using a reverse action instrument. The devices and methods described permit laparoscopic or natural body orifice access to an anatomical space and facilitate sealing portions of tissue together, dissecting tissue or combinations thereof. A surgical instrument for sealing and dissecting body tissue is described having distal and proximal ends with an elongated body. The body includes a jaw member positioned at the distal end that is defined by a stationary arm and a pivotable arm. A moveable closure sleeve is disposed at least partially about the body and the closure sleeve is configured such that coaxial movement of the sleeve along the longitudinal axis of the body causes the jaw member to open or close.
摘要翻译：本发明涉及使用反向作用器械来密封和/或解剖身体组织的装置和相关方法。所描述的装置和方法允许腹腔镜或天然体孔进入解剖空间，并且有助于将组织的一部分密封在一起，解剖组织或其组合。描述了用于密封和解剖身体组织的外科器械，其具有带有细长体的远端和近端。主体包括定位在由固定臂和可枢转臂限定的远端处的颚构件。可移动的闭合套筒至少部分地围绕主体设置，并且闭合套筒构造成使得套筒沿着身体的纵向轴线的同轴运动导致钳口构件打开或关闭。

9. 发明申请

US20100286481A1 TISSUE RETRACTOR AND METHOD OF USE THEREOF 有权
标题翻译：组织返回器及其使用方法
公开(公告)号：US20100286481A1
公开(公告)日：2010-11-11
申请号：US12812310
申请日：2009-01-09
申请人： Bradley J. Sharp , Wayne A. Noda , Stephen G. Bell
发明人： Bradley J. Sharp , Wayne A. Noda , Stephen G. Bell
IPC分类号： A61B1/32
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/00407 , A61B2017/0287
摘要： A tissue retractor is disclosed. The tissue retractor includes: a base support unit having an underside that is adapted to be conformable and to be removably attachable to a surface proximate to an incision; and a retractable member substantially inelastic in its central longitudinal axis and flexible in at least one axis deviating from said central longitudinal axis, wherein the retractable member is adapted to receive the mounting portion of an at least one tissue hook, the at least one tissue hook having a tissue engagement portion and a mounting portion, wherein the tissue engagement portion is capable of engaging tissue to be retracted, wherein said retractable member is retractable away from the incision, such that the tissue engagement portion of the tissue hook retracts tissue to which it is engaged, wherein said retractable member has a first end and a second end, wherein said retractable member is integrally formed with the base support unit via the first end, and wherein the second end of the retractable member has a securing mechanism for removably attaching the second end to a corresponding securing mechanism on the first end and/or the base support unit.
摘要翻译：公开了一种组织牵缩器。组织牵缩器包括：基部支撑单元，其具有适于保持一致的下侧并且可拆卸地附接到靠近切口的表面; 以及可缩回构件，其在其中心纵向轴线上基本上不弹性，并且在至少一个偏离所述中心纵向轴线的轴线上具有柔性，其中所述可伸缩构件适于容纳至少一个组织钩的安装部分，所述至少一个组织钩具有组织接合部分和安装部分，其中所述组织接合部分能够接合要缩回的组织，其中所述可缩回构件可从所述切口缩回，使得所述组织钩的组织接合部分将组织接合部分缩回到其中其中所述可缩回构件具有第一端和第二端，其中所述可缩回构件经由所述第一端与所述基部支撑单元一体地形成，并且其中所述可缩回构件的第二端具有固定机构，用于可拆卸地将第二端到第一端和/或基座支撑单元上的对应的固定机构。

10. 发明授权

US09381007B2 Tissue retractor and method of use thereof 有权
标题翻译：组织牵开器及其使用方法
公开(公告)号：US09381007B2
公开(公告)日：2016-07-05
申请号：US12812310
申请日：2009-01-09
申请人： Bradley J. Sharp , Wayne A. Noda , Stephen G. Bell
发明人： Bradley J. Sharp , Wayne A. Noda , Stephen G. Bell
IPC分类号： A61B1/32 , A61B17/02 , A61B17/08 , A61B17/00
CPC分类号： A61B17/02 , A61B17/085 , A61B2017/00407 , A61B2017/0287
摘要： A tissue retractor is disclosed. The tissue retractor includes: a base support unit having an underside that is adapted to be conformable and to be removably attachable to a surface proximate to an incision; and a retractable member substantially inelastic in its central longitudinal axis and flexible in at least one axis deviating from said central longitudinal axis, wherein the retractable member is adapted to receive the mounting portion of an at least one tissue hook, the at least one tissue hook having a tissue engagement portion and a mounting portion, wherein the tissue engagement portion is capable of engaging tissue to be retracted, wherein said retractable member is retractable away from the incision, such that the tissue engagement portion of the tissue hook retracts tissue to which it is engaged, wherein said retractable member has a first end and a second end, wherein said retractable member is integrally formed with the base support unit via the first end, and wherein the second end of the retractable member has a securing mechanism for removably attaching the second end to a corresponding securing mechanism on the first end and/or the base support unit.
摘要翻译：公开了一种组织牵缩器。组织牵缩器包括：基部支撑单元，其具有适于保持一致的下侧并且可拆卸地附接到靠近切口的表面; 以及可缩回构件，其在其中心纵向轴线上基本上不弹性，并且在至少一个偏离所述中心纵向轴线的轴线上具有柔性，其中所述可伸缩构件适于容纳至少一个组织钩的安装部分，所述至少一个组织钩具有组织接合部分和安装部分，其中所述组织接合部分能够接合要缩回的组织，其中所述可缩回构件可从所述切口缩回，使得所述组织钩的组织接合部分将组织接合部分缩回到其中其中所述可缩回构件具有第一端和第二端，其中所述可缩回构件经由所述第一端与所述基部支撑单元一体地形成，并且其中所述可缩回构件的第二端具有固定机构，用于可拆卸地将第二端到第一端和/或基座支撑单元上的对应的固定机构。

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