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21. 发明申请

WO2008045385A2 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
标题翻译：柔性内窥镜缝合装置
公开(公告)号：WO2008045385A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/021495
申请日：2007-10-05
申请人： TYCO HEALTHCARE GROUP LP , CABRERA, Ramiro , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
发明人： CABRERA, Ramiro , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
IPC分类号： A61B17/94
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device including a tool assembly having a pair of juxtaposed jaws; a rotatably supported camming hub defining a groove formed in an inner surface of a central lumen thereof; and a center rod slidably and rotatably disposed within the lumen of the camming hub. The center rod is operatively engaged with the groove formed in the camming hub and engaged with the pair of jaws. The inner groove of the camming hub is configured such that, in at least one position, axial translation of the center rod relative to the camming hub results in rotation of the camming hub and at least one of opening and closing of the pair of jaws. The inner groove of the camming hub is configured such that, in at least one other position, rotation of the canter rod results in rotation of the tool assembly.
摘要翻译：一种内窥镜缝合装置，其包括具有一对并置的钳口的工具组件; 限定形成在其中央内腔的内表面中的凹槽的可旋转支撑的凸轮毂; 以及可滑动且可旋转地设置在凸轮毂的内腔内的中心杆。中心杆与形成在凸轮毂中的凹槽可操作地接合并且与一对钳口接合。凸轮毂的内凹槽构造成使得在至少一个位置中，中心杆相对于凸轮毂的轴向平移导致凸轮毂的旋转以及一对钳夹的打开和闭合中的至少一个。凸轮毂的内凹槽构造成使得在至少一个其他位置中，倾斜杆的旋转导致工具组件的旋转。

22. 发明申请

WO2008045333A2 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
标题翻译：柔性内窥镜缝合装置
公开(公告)号：WO2008045333A2
公开(公告)日：2008-04-17
申请号：PCT/US2007021412
申请日：2007-10-05
申请人： TYCO HEALTHCARE , VIOLA FRANK J , TAYLOR ERIC J , HATHAWAY PETER , HORTON KENNETH W
发明人： VIOLA FRANK J , TAYLOR ERIC J , HATHAWAY PETER , HORTON KENNETH W
IPC分类号： A61B17/94
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and at least one actuation cable operatively associated with the trigger and extending from the housing in such a manner that an actuation of the trigger imparts both an axial translation of the actuation cable and a rotation to the actuation cable. Each of the axial translation and rotation of the actuation cable performs a separate function.
摘要翻译：提供了一种用于操作手术器械的手柄组件，并且包括壳体; 可操作地支撑在壳体上的扳机; 以及至少一个致动电缆，其操作地与触发器相关联并且以这样的方式从壳体延伸，使得触发器的致动赋予致动电缆的轴向平移和向致动电缆的旋转。驱动电缆的轴向平移和旋转中的每一个执行单独的功能。

23. 发明申请

WO2007089603A3 APPARATUS AND METHOD FOR TISSUE CLOSURE 审中-公开
标题翻译：用于组织闭合的装置和方法
公开(公告)号：WO2007089603A3
公开(公告)日：2008-01-10
申请号：PCT/US2007002204
申请日：2007-01-29
申请人： SUTURTEK INC , MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
发明人： MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
IPC分类号： A61B17/06
CPC分类号： A61B17/0491 , A61B17/0482 , A61B17/06114 , A61B17/062 , A61B34/70 , A61B2017/00398 , A61B2017/00734 , A61B2017/06028 , A61B2017/06052 , A61B2090/0813
摘要： A tissue closure device includes a pusher assembly having a drive arm extending from a drive shaft and a drive mechanism at a distal end of the drive arm, wherein the drive mechanism is capable of releasably engaging and rotating a suturing needle having a pointed end and a blunt end about a rotational axis and a cartridge having a protective housing and the suturing needle, the cartridge extending from a distal end of a cartridge holder assembly and releasably attached to the cartridge holder assembly. A pointed end of the suturing needle may be positioned within the protective housing before and after a complete rotation of the suturing needle about the rotational axis. A removable electronic module may be provided controlled by an actuator that mechanically engages the drive shaft to rotate the drive shaft and the drive mechanism, thereby rotating the suturing needle about the rotational axis.
摘要翻译：组织闭合装置包括推动器组件，其具有从驱动轴延伸的驱动臂和在驱动臂的远端处的驱动机构，其中驱动机构能够可释放地接合和旋转具有尖端和围绕旋转轴线的平端部和具有保护壳体和缝合针的药筒，药筒从药筒保持器组件的远端延伸并且可释放地附接到药筒保持器组件。缝合针的尖端可以在缝合针绕旋转轴线完全旋转之前和之后定位在保护壳体内。可移动电子模块可以由致动器控制，致动器机械地接合驱动轴以旋转驱动轴和驱动机构，从而使缝合针绕旋转轴线旋转。

24. 发明申请

WO2007001936A3 METHOD AND APPARATUS FOR APPLYING A KNOT TO A SUTURE 审中-公开
标题翻译：用于将针织物应用于针织物的方法和设备
公开(公告)号：WO2007001936A3
公开(公告)日：2007-07-26
申请号：PCT/US2006023676
申请日：2006-06-19
申请人： SUTURA INC , NOBLES ANTHONY A , DECKER STEVEN E , RATERING EGBERT
发明人： NOBLES ANTHONY A , DECKER STEVEN E , RATERING EGBERT
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0467 , A61B17/0469 , A61B17/0485 , A61B17/0487 , A61B2017/045 , A61B2017/0459 , A61B2017/0488
摘要： A knot placement device (100) allows a physician to apply a knot for securing two or more suture ends extending from an incision in a vessel or organ of a patient relative to each other in order to seal an opening in the vessel or organ. The knot placement (100) device has a handle (102) and an elongate shaft (104) and a push rod (118) slidably inserted in said shaft (104). A knot is disposed in the distal end of the shaft (104). An actuator (106) on the handle may be depressed to distally advance said push rod (118) relative to said shaft (104) and thereby distally advance said knot. The knot may include a knot body (124) having an inner cavity and a plug (126) sized to fit securely within the inner cavity. In use, the plug (126) may be inserted into the inner cavity of the knot body (124) to fixedly hold two or more suture ends (34) between the knot body (124) and the plug (126).
摘要翻译：结节安置装置（100）允许医生施加结以固定从患者的血管或器官中的切口延伸的两个或更多个缝合线端部，以便密封血管或器官中的开口。结布置（100）装置具有手柄（102）和细长轴（104）以及可滑动地插入所述轴（104）中的推杆（118）。结（shaft）设置在轴（104）的远端中。手柄上的致动器（106）可以被压下以相对于所述轴（104）向远侧推进所述推杆（118），并且由此向远侧推进所述结。该结可以包括具有内腔和塞子（126）的结主体（124），塞子的尺寸被确定为牢固地配合在内腔内。在使用中，插塞（126）可以插入结主体（124）的内腔中以将两个或更多个缝合线端部（34）固定地保持在结主体（124）和插塞（126）之间。

25. 发明申请

WO2006040562A1 LAPAROSCOPIC SEWING DEVICE 审中-公开
标题翻译： LAPAROSCOPIC SEWING设备
公开(公告)号：WO2006040562A1
公开(公告)日：2006-04-20
申请号：PCT/GB2005/003943
申请日：2005-10-13
申请人： GRIFFITH, John, Dalton
发明人： GRIFFITH, John, Dalton
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0469
摘要： A laparoscopic sewing device arranged to produce chain stitches, the device including a rigid elongate support body, a sewing head mounted to longitudinally project from one end of the support body and a sewing head operating mechanism located at the opposite longitudinal end of the support body, the sewing head having a needle arm carrying a sewing needle adapted to be threaded with suturing yarn, an anvil having an aperture through which the sewing needle may pass and through which, in use, said suturing yarn passes and a looper, the needle arm being pivotally movable relative to the anvil between a fully raised position whereat said needle is spaced above the anvil and a fully lowered position whereat said needle has penetrated through the aperture in the anvil, the needle arm also being movable axially relative to the support body between a fully retracted position and a fully advanced position, the anvil being axially movable relative to the support body in a direction toward said opposite longitudinal end of the support body when said needle arm is at its fully raised position so that, in use, the anvil is able to engage yarn passing through said aperture for axially advancing the support body during sewing and/or for tightening of sewn stitches.
摘要翻译：一种腹腔镜缝合装置，其布置成产生链式线迹，该装置包括刚性细长支撑体，安装成从支撑体的一端纵向突出的缝合头和位于支撑体的相对纵向端的缝合头操作机构，所述缝合头具有承载缝合针的针臂，所述缝针适于与缝合纱线螺纹连接，所述砧座具有缝合针可以穿过的孔，所述缝合线在使用中通过所述孔，所述针臂是弯针，所述针臂为可枢转地相对于砧座移动，在完全升高的位置，所述针在砧座上方间隔开并且完全降低的位置，在该位置所述针已经穿过砧座中的孔，针臂也可相对于支撑体轴向移动完全缩回位置和完全前进位置，所述砧座沿着朝向所述支撑体的方向相对于所述支撑体可轴向移动当所述针臂处于其完全升高的位置时，所述支撑体的相对的纵向端部，使得在使用中，所述砧座能够接合通过所述孔的纱线，以在缝合期间和/或用于紧固缝合线圈时使支撑体轴向前进。

26. 发明申请

WO2005070305A1 RUNNING STITCH SUTURING DEVICE 审中-公开
标题翻译：运行缝纫设备
公开(公告)号：WO2005070305A1
公开(公告)日：2005-08-04
申请号：PCT/US2005/001081
申请日：2005-01-13
申请人： LSI SOLUTIONS, INC. , SAUER, Jude, S. , BOVARD, Mark, A. , FITZSIMMONS, Michael, W. , GUELZOW, James, W. , HAMMOND, John, F.
发明人： SAUER, Jude, S. , BOVARD, Mark, A. , FITZSIMMONS, Michael, W. , GUELZOW, James, W. , HAMMOND, John, F.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0491 , A61B17/0625 , A61B2017/00371
摘要： This invention relates generally to surgical suturing instrument (10) and more particularly to a surgical suturing method in which a needle (34) can be selectively engaged with a fitting (103) at the end of a suture (105) for pulling the suture through a tissue section and released from the suture for permitting subsequent stitches to be made.
摘要翻译：本发明一般涉及外科缝合器具（10），更具体地说，涉及一种外科缝合方法，其中针（34）可选择性地与缝合线（105）的末端处的配件（103）接合，以将缝合线拉过组织部分并从缝合线释放以允许进一步缝合。

27. 发明申请

WO2004021894A1 DEVICE AND METHOD FOR ENDOLUMINAL THERAPY 审中-公开
标题翻译：用于内分泌治疗的装置和方法
公开(公告)号：WO2004021894A1
公开(公告)日：2004-03-18
申请号：PCT/US2003/028509
申请日：2003-09-09
申请人： KELLEHER, Brian
发明人： KELLEHER, Brian , STONE, Corbett
IPC分类号： A61B17/08
CPC分类号： A61F5/0086 , A61B17/0206 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0491 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/1152 , A61B2017/00827 , A61B2017/0409 , A61B2017/0417 , A61B2017/0458 , A61B2017/047 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052 , A61B2017/07214 , A61B2017/2905 , A61B2017/2943
摘要： A device and method for selectively engaging or penetrating a layer of a luminal organ wall (20) where the luminal organ wall (20) has a plurality of layers including an outermost layer (22) and an innermost layer (28) adjacent to the lumen of the organ. The device and method select one of the plurality of layers of the organ wall other than the innermost layer (28) and deploy from within the lumen of the organ a tissue device through the innermost layer (28) to a specific depth to engage or penetrate the selected one of the plurality of layers. The device and method may be employed to create luminal pouches (9) or restrictive outlets (13). In a stomach organ (10), the device and methods may be employed to treat obesity by forming a gastric pouch (9) with or without a restrictive outlet (13).
摘要翻译：一种用于选择性地接合或穿透管腔器官壁（20）的层的装置和方法，其中所述管腔器官壁（20）具有包括邻近内腔的最外层（22）和最内层（28）的多个层的器官。所述装置和方法选择除最内层（28）以外的器官壁的多个层中的一个，并且将器官的内腔内的组织装置从最内层（28）展开至特定深度以接合或穿透所选择的多个层中的一个。该装置和方法可用于产生管腔（9）或限制性出口（13）。在胃器（10）中，可以使用该装置和方法来形成具有或不具有限制性出口（13）的胃袋（9）来治疗肥胖症。

28. 发明申请

WO03078721A2 APPARATUS FOR SEWING TISSUE AND METHOD OF USE 审中-公开
标题翻译：用于缝合组织的装置和使用方法
公开(公告)号：WO03078721A2
公开(公告)日：2003-09-25
申请号：PCT/US0307741
申请日：2003-03-12
申请人： LSI SOLUTIONS INC
发明人： SAUER JUDE S
IPC分类号： A61B17/04 , A61B17/06 , A61B17/12 , D05B
CPC分类号： A61B17/0625 , A61B17/0491 , A61B17/12013 , A61B2017/06019 , A61B2017/06042
摘要： An apparatus (10) for sewing tissue especially useful for tissue ligation, is provided having a housing (12) and a hollow shaft (14) which extends from the housing. At the distal end (16) of the shaft (14) along its interior is a movable driver member (19) disposed opposite a fixed member (20). A needle (24) is pivotably mounted at one end to the driver member (18) to extend, when the driver member is moved forward, through a slot (21) in the fixed member (20) and an opening (23) in the shaft (14), and to retract back into the shaft (14) when the driver member (18) is moved backward. At the distal end of needle (24) is a slotted hook (30) for capturing a loop of suture (76). The free ends (77) of the loop of suture (76) extend through a hole (32) of the fixed member (20). A lever (42) pivotably mounted in the housing (12) is coupled to the driver member (18) to translate linear motion forwards or backwards to the driver member to extend or retract needle (24), respectively.
摘要翻译：提供了一种用于缝合特别可用于组织结扎的组织的装置（10），其具有从壳体延伸的壳体（12）和中空轴（14）。沿着其内部的轴（14）的远端（16）是与固定构件（20）相对设置的可移动的驱动构件（19）。当驱动器构件向前移动时，针（24）的一端可枢转地安装到驱动构件（18），以延伸通过固定构件（20）中的狭槽（21）和在所述固定构件轴（14），并且当驾驶员构件（18）向后移动时缩回到轴（14）中。在针（24）的远端是用于捕获缝线环（76）的开槽钩（30）。缝合线环76的自由端（77）延伸穿过固定构件（20）的孔（32）。可枢转地安装在壳体（12）中的杠杆（42）联接到驱动器构件（18）以将线性运动向前或向后平移到驾驶员构件以分别延伸或缩回针头（24）。

29. 发明申请

WO02102226B1 APPARATUS AND METHOD FOR SURGICAL SUTURING WITH THREAD MANAGEMENT 审中-公开
标题翻译：用螺旋管理手术治疗的装置和方法
公开(公告)号：WO02102226B1
公开(公告)日：2003-09-12
申请号：PCT/US0212560
申请日：2002-04-22
申请人： SUTURTEK INC , MEADE JOHN T , DELOUGHERY NIALL G , BRECHER GERALD I , BLECK JAMES H
发明人： MEADE JOHN T , DELOUGHERY NIALL G , BRECHER GERALD I , BLECK JAMES H
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0491 , A61B17/06 , A61B17/06004 , A61B17/06066 , A61B17/06114 , A61B17/06166 , A61B17/0625 , A61B17/1114 , A61B2017/00367 , A61B2017/00398 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00544 , A61B2017/00818 , A61B2017/0498 , A61B2017/06014 , A61B2017/06019 , A61B2017/06028 , A61B2017/06042 , A61B2017/06071 , A61B2017/06085 , A61B2017/06171 , A61B2017/2927 , A61B2090/035
摘要： An apparatus and a method for surgical suturing with thread management (72). An apparatus for tissue suturing comprising a cartridge (24) having a suturing needle (26) having a pointed end and a blunt end, the suturing needle (26) capable of rotating about an axis; a pusher assembly (9) comprising a cartridge holder (20) having a needle rotation drive capable of releasably engaging the cartridge (24) and rotating the suturing needle (26) about the axis; and an actuator (12) capable of releasably engaging the needle rotation drive to rotate the needle rotation drive. A method for suturing tissue comprising placing a suturing device (1) having a cartridge (24) containing a suturing needle (26) to span separated tissue segments; activating an actuator (12) to cause rotational movement of the suturing needle (26) through the separated tissue segments; and deactivating the actuator (12) to stop an advancing movement of the suturing needle (26) to cause a suturing material (100) to be pulled through the separated tissue segments forming a stitch.
摘要翻译：一种用螺纹管理手术缝合的装置和方法（72）。一种用于组织缝合的装置，包括具有具有尖端和钝端的缝合针（26）的筒（24），所述缝合针能够围绕轴线旋转; 推动器组件（9），其包括具有针旋转驱动器的盒保持器（20），其能够可释放地接合所述盒（24）并且绕所述轴线旋转所述缝合针（26）以及能够可释放地接合针旋转驱动器以旋转针旋转驱动器的致动器（12）。一种用于缝合组织的方法，包括放置具有包含缝合针（26）的药筒（24）的缝合装置（1）以跨越分离的组织段; 激活致动器（12）以引起缝合针（26）通过分离的组织段的旋转运动; 并且使致动器（12）停止以停止缝合针（26）的前进运动，以使缝合材料（100）被拉动通过形成针迹的分离的组织段。

30. 发明申请

WO2003000141A1 APPARATUS AND METHODS FOR PERFORMING AN ANASTOMOSIS 审中-公开
标题翻译：用于执行分析的装置和方法
公开(公告)号：WO2003000141A1
公开(公告)日：2003-01-03
申请号：PCT/US2002/018998
申请日：2002-06-13
申请人： ABBOTT LABORATORIES
发明人： BURDULIS, Albert, Jr. , STAFFORD, Joshua
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B17/0057 , A61B17/0469 , A61B17/0491 , A61B17/06061 , A61B17/11 , A61B2017/00252 , A61B2017/0472 , A61B2017/0496 , A61B2017/06057 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A suturing device suitable for anastomosis procedures. The suturing device includes a suture guid and a needle holder. The suture guide includes a foot portion having an axis defined along a length of the foot portion. The foot portion includes a plurality of apertures, each aperture holding a suture. The needle holder movably holds at least one needle relative to a first side of the foot portion and movably holds at least one needle relative to a second side of the foot portion. The needles are movable into respective apertures, and the at least one needle on the first side of the foot portion is at an angle relative to the at least one needle on the second side of the foot portion.
摘要翻译：适用于吻合手术的缝合装置。缝合装置包括缝合线和针座。缝线引导件包括具有沿着脚部的长度限定的轴的脚部。脚部包括多个孔，每个孔保持缝合线。所述针架相对于所述足部的第一侧面可移动地保持至少一个针，并相对于所述脚部的第二侧可移动地保持至少一个针。针可移动到相应的孔中，并且足部的第一侧上的至少一个针相对于脚部的第二侧上的至少一个针成一定角度。

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