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31. 发明申请

WO2005018426A2 SURGICAL FASTENER ALIGNING INSTRUMENT PARTICULARLY FOR TRANSORAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE 审中-公开
标题翻译：手术紧固件仪器特别用于胃肠道反流病的转移治疗
公开(公告)号：WO2005018426A2
公开(公告)日：2005-03-03
申请号：PCT/US2004026864
申请日：2004-08-18
申请人： ID LLC , SMITH KEVIN W , KORTENBACH JUERGEN A , SIXTO ROBERT JR
发明人： SMITH KEVIN W , KORTENBACH JUERGEN A , SIXTO ROBERT JR
IPC分类号： A61B20060101 , A61B17/00 , A61B17/064 , A61B17/068 , A61B
CPC分类号： A61B17/0643 , A61B17/068 , A61B17/10 , A61B2017/00349 , A61B2017/00827
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to an axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having tissue-piercing posts, and the second part includes a second base defining apertures receiving the posts and a portion movable relative thereto between first and second orientations. When the posts are inserted into the apertures, the movable portion can be moved from the first unlocked orientation into the second configuration to lock the fastener parts together in an implanting position determined by various alignment measures, including markings or flags on the jaws or at the housing. The instrument is adapted to move the second part into the second configuration.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的轴线向近端引导和横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有组织穿刺柱的基部，并且第二部分包括限定接收柱的孔的第二基部和在第一和第二取向之间相对于其移动的部分。当柱插入孔中时，可移动部分可以从第一解锁方向移动到第二构造中，以将紧固件部件锁定在由各种对准措施确定的植入位置中，包括在钳口上的标记或标记住房。该仪器适于将第二部分移动到第二配置中。

32. 发明申请

WO2004026349A2 SURGICAL FASTENER PARTICULARLY FOR THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) 审中-公开
标题翻译：手术紧固器特别用于治疗胃食管反流病（GERD）
公开(公告)号：WO2004026349A2
公开(公告)日：2004-04-01
申请号：PCT/US2003/029523
申请日：2003-09-19
申请人： SMITH, Kevin, W. , KORTENBACH, Juergen, A. , SIXTO, Robert, Jr.
发明人： SMITH, Kevin, W. , KORTENBACH, Juergen, A. , SIXTO, Robert, Jr.
IPC分类号： A61L
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/0682 , A61B2017/00827 , A61B2017/2926 , A61B2017/301
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括具有U形夹的末端执行器以及可在打开和闭合位置之间相互旋转的第一和第二钳口。夹爪相对于器械的控制轴的纵向轴线向近侧定向并且横向移位。钳口分别固定紧固件的第一和第二部分。第一部分包括具有直立组织刺穿柱的基部，并且第二部分包括限定用于接收柱的孔的另一基部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型以将紧固件的部分锁定在一起。该仪器适合于将第二部分移动到第二配置。还提供了使用该设备和紧固件的方法。

33. 发明申请

WO0240081A3 INTRAGASTRIC BALLOON DEVICE ADAPTED TO BE REPEATEDLY VARIED IN VOLUME WITHOUT EXTERNAL ASSISTANCE 审中-公开
标题翻译：适用于不经外部帮助的体积变化的内部气球装置
公开(公告)号：WO0240081A3
公开(公告)日：2003-04-03
申请号：PCT/US0151202
申请日：2001-11-13
申请人： SYNTHEON LLC , BALES THOMAS O , SMITH KEVIN W
发明人： BALES THOMAS O , SMITH KEVIN W
IPC分类号： A61F5/00 , A61M29/00
CPC分类号： A61F5/003 , A61F5/004
摘要： An intragastic balloon device (10) includes a flexible bladder (12), a relatively rigid reservoir (14) coupled to the bladder and adapted to hold a bladder inflation fluid, and an inflation/deflation system (18) is adapted to move or permit movement of the fluid from the reservoir and into the bladder. The intragastric balloon device (10) is sized such that it may be positioned, in its entirety, into the stomach cavity. Various systems may be used to move or permit movement of the fluid. In several embodiments, the system (18) is a pump (20) which moves the fluid between the reservoir and the bladder. In other embodiments, the system includes a mechanism for heating a fluid to cause the heated fluid to expand the bladder. In yet another embodiment, no reservoir is employed and a pump pumps stomach fluid into the bladder to inflate the bladder. A control mechanism (22) is provided to automatically activate the inflation/deflation system. The automatic activation may be actuivated by a combination of one or more of a timer, the temperature of the stomach, the pressure in the stomach, the mechanical stress in the stomach, or another sensed condition, at which the control system is programmed or otherwise configured to activate. The control system (22) is preferably reprogammable via an external transmitter. In addition, the control system (22) and the pump (20), where utilized, are preferably battery-powered (24) such that the intragastric balloon device is self-contained.
摘要翻译：内窥镜气囊装置（10）包括柔性囊（12），联接到膀胱并适于保持膀胱充气流体的相对刚性的储存器（14），并且充气/放气系统（18）适于移动或允许流体从储存器移动到气囊中。胃内气囊装置（10）的尺寸使得其可以整体地定位到胃腔中。可以使用各种系统来移动或允许流体的移动。在几个实施例中，系统（18）是泵（20），其在储器和气囊之间移动流体。在其他实施例中，系统包括用于加热流体以使加热的流体膨胀囊的机构。在另一个实施例中，不使用储存器，并且泵将胃液泵入膀胱以使膀胱膨胀。提供控制机构（22）以自动启动充气/放气系统。自动激活可以由定时器，胃的温度，胃中的压力，胃中的机械应力或另一个感测到的条件中的一个或多个的组合来实现，其中控制系统被编程或以其他方式配置为激活。控制系统（22）优选地经由外部发射器是可消除的。此外，其中利用的控制系统（22）和泵（20）优选地由电池供电（24），使得胃内气囊装置是独立的。

34. 发明申请

WO2011025857A9 TWO -STAGE SWITCH FOR CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无级手持超声波CAUTERY切割装置的两级开关
公开(公告)号：WO2011025857A9
公开(公告)日：2011-04-14
申请号：PCT/US2010046749
申请日：2010-08-26
申请人： SYNTHEON LLC , PALMER MATTHEW A , SMITH KEVIN W , BALES THOMAS O JR , DEVILLE DEREK DEE
发明人： PALMER MATTHEW A , SMITH KEVIN W , BALES THOMAS O JR , DEVILLE DEREK DEE
IPC分类号： H01H5/00
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00389 , A61B2017/00734
摘要： An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.
摘要翻译：超声自供电手术装置包括手柄，与手柄相关的自备电源以及设置在手柄和/或电源内的控制电路。控制电路可操作以执行手术装置的至少两个操作状况。两级开关电连接到控制电路并且实现手术装置的至少两个操作状况。所述开关的第一阶段实现所述至少两个操作条件中的第一操作条件，并且所述开关的第二阶段实现与所述第一操作条件不同的所述至少两个操作条件中的第二操作条件。

35. 发明申请

WO2009073608A1 CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无绳手持超声波切割装置
公开(公告)号：WO2009073608A1
公开(公告)日：2009-06-11
申请号：PCT/US2008/085141
申请日：2008-12-01
申请人： SYNTHEON, LLC , SMITH, Kevin, W. , BALES, Thomas, O. , PALMER, Matthew, A. , DEVILLE, Derek, Lee , MCBRAYER, Sean , KLINE, Korey
发明人： SMITH, Kevin, W. , BALES, Thomas, O. , PALMER, Matthew, A. , DEVILLE, Derek, Lee , MCBRAYER, Sean , KLINE, Korey
IPC分类号： A61B17/00
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic assembly that is removably connectable to an ultrasonic waveguide of an ultrasonic surgical handle includes a cordless ultrasonic-movement-generation assembly having an ultrasonic generator and an ultrasonic transducer electrically coupled to the generator and having an output couple, a shell housing therein the uitrasonic-movement-generation assembly and having a securing connection shaped to removably connect to the ultrasonic surgical handle. The output couple is operable to impart ultrasonic movement to the ultrasonic waveguide when the securing connection is connected to the ultrasonic surgical handle and the waveguide is connected to the output couple.
摘要翻译：可移除地连接到超声手术手柄的超声波导的超声波组件包括无电极超声波移动发生组件，其具有电耦合到发生器的超声波发生器和超声波换能器，并且具有输出耦合，壳体中的外壳 - 移动发生组件，并且具有成形为可移除地连接到超声手术手柄的固定连接。当固定连接连接到超声手术手柄并且波导连接到输出对时，输出对可操作以向超声波导施加超声波运动。

36. 发明申请

WO2008089050A2 ADJUSTABLE COMPRESSION STAPLE AND METHOD FOR STAPLING WITH ADJUSTABLE COMPRESSION 审中-公开
标题翻译：可调整压缩机和可调节压缩装置的方法
公开(公告)号：WO2008089050A2
公开(公告)日：2008-07-24
申请号：PCT/US2008/050829
申请日：2008-01-11
申请人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： F16B15/00 , A61B17/064
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with die bridge and a deformabie distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译：压缩自调节钉包括基本上U形的订书钉主体和压缩装置。订书钉主体具有一桥和两个腿，其一角度从桥延伸。每个腿部具有与模座桥一体的基端，并且可变形的远端限定成形为刺穿要缝合的材料的缝合点。压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动用力

37. 发明申请

WO2004026349A3 SURGICAL FASTENER PARTICULARLY FOR THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) 审中-公开
标题翻译：手术紧固件特别用于治疗胃肠道反流病（GERD）
公开(公告)号：WO2004026349A3
公开(公告)日：2005-01-27
申请号：PCT/US0329523
申请日：2003-09-19
申请人： ID LLC , SMITH KEVIN W , KORTENBACH JUERGEN A , SIXTO ROBERT JR
发明人： SMITH KEVIN W , KORTENBACH JUERGEN A , SIXTO ROBERT JR
IPC分类号： A61B17/00 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/30 , A61B17/08
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/0682 , A61B2017/00827 , A61B2017/2926 , A61B2017/301
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。夹爪分别固定紧固件的第一和第二部分。第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。该仪器适于将第二部分移动到第二配置中。还提供了一种使用该装置和紧固件的方法。

38. 发明申请

WO2004026348A2 INSTRUMENT FOR APPLYING A SURGICAL FASTENER PARTICULARLY FOR THE TRANSORAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) 审中-公开
标题翻译：特别用于手术紧固器的器械用于经胃食管反流病（GERD）的横向治疗
公开(公告)号：WO2004026348A2
公开(公告)日：2004-04-01
申请号：PCT/US2003/029522
申请日：2003-09-19
申请人： SIXTO, Robert, Jr. , SMITH, Kevin, W. , KORTENBACH, Juergen, A. , McBRAYER, Michael, Sean , SLATER, Charles, R.
发明人： SIXTO, Robert, Jr. , SMITH, Kevin, W. , KORTENBACH, Juergen, A. , McBRAYER, Michael, Sean , SLATER, Charles, R.
IPC分类号： A61L
CPC分类号： A61B17/0643 , A61B17/29 , A61B2017/00827 , A61B2017/2905
摘要： A surgical instrument includes an end effector having a clevis and first and second jaws mutually rotatable between open and closed positions. The jaws are proximally directed and laterally displaced relative to a longitudinal axis of a control shaft of the instrument. The jaws hold first and second parts of a fastener, respectively. The first part includes a base having upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
摘要翻译：手术器械包括具有U形夹的末端执行器以及可在打开和闭合位置之间相互旋转的第一和第二钳口。夹爪相对于器械的控制轴的纵向轴线向近侧定向并且横向移位。钳口分别固定紧固件的第一和第二部分。第一部分包括具有直立组织刺穿柱的基部，并且第二部分包括限定用于接收柱的孔的另一基部以及相对于第二基部可移动的部分。当直立柱插入孔中时，可移动部分可以移动到第二构型以将紧固件的部分锁定在一起。该仪器适合于将第二部分移动到第二配置。还提供了使用该设备和紧固件的方法。

39. 发明申请

WO03050387A2 FRICTION REDUCING COMPOSITION AND METHOD 审中-公开
标题翻译：减摩组合物和方法
公开(公告)号：WO03050387A2
公开(公告)日：2003-06-19
申请号：PCT/GB0205638
申请日：2002-12-12
申请人： CLEARWATER INT LLC , SCWARTZ KEVIN M , SMITH KEVIN W , CHEN SHIH-RUEY T , HARDING RICHARD PATRICK
发明人： SCWARTZ KEVIN M , SMITH KEVIN W , CHEN SHIH-RUEY T
IPC分类号： B08B9/04 , C09K8/12 , C09K8/24 , C09K8/40 , C09K8/62 , C09K8/68 , E21B17/10 , F17D3/08 , E21B43/26 , C09K7/02
CPC分类号： B08B9/0555 , C09K8/12 , C09K8/24 , C09K8/40 , C09K8/62 , C09K8/68 , C09K2208/28 , C09K2208/30 , E21B17/1064 , F16L2101/40 , F17D3/08
摘要： Water soluble nonionic friction reducers and added to coacervate gels having excellent shear viscosities and other properties. A preferred gel comprises poly diallyl dimethyl ammonium chloride, a lesser amount of sodium lauryl sulfonate, and lauryl alcohol. Excellent friction reducing properties are manifested; a particularly practical use for the compositions is in subterranean formation fracturing.
摘要翻译：水溶性非离子摩擦减少剂，并加入具有优异剪切粘度和其他性能的凝聚凝胶。优选的凝胶包括聚二烯丙基二甲基氯化铵，较少量的月桂基磺酸钠和月桂醇。表现出优异的减摩性能; 组合物的特别实用的用途是在地下裂缝中。

40. 发明申请

WO1993015673A1 RATCHET LOCKING MECHANISM FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：手术器械的锁紧机构
公开(公告)号：WO1993015673A1
公开(公告)日：1993-08-19
申请号：PCT/US1993000923
申请日：1993-02-02
申请人： SYMBIOSIS CORPORATION , BALES, Thomas, O. , SMITH, Kevin, W. , SLATER, Charles, R. , SCARFONE, Frank, A. , MURPHY, Gregory, J.
发明人： SYMBIOSIS CORPORATION
IPC分类号： A61B17/28
CPC分类号： A61B17/2909 , A61B10/06 , A61B17/29 , A61B17/320016 , A61B17/3201 , A61B18/1445 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/2926 , A61B2017/2929 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , Y10T74/2133 , Y10T74/2136 , Y10T74/214 , Y10T74/2152
摘要： Releasable ratchet mechanism (400, 412) for medical instruments such as endoscopic instruments are disclosed. The ratchet mechanism includes: a leaf spring (400) with a locking barb (412) which is located on a handle (85) of the medical instrument; a ratchet (499) on a lever arm (75) of the medical instrument which lever arm (75) is pivotally engaged to the handle (85); and a latch on the handle (85) of the medical instrument. The latch on the handle (85) engages and resiliently deforms the leaf spring (400) to cause engagement of the locking barb (412) in a groove (418) of the ratchet (499) when the latch is in a first position. When in a second position, the latch releases the locking barb (412) from the ratchet groove (418). Preferably, the locking barb (412) has an extending edge surface on an axis which is substantially parallel to the pivoting axis of the handle (85) and lever arm (75), and the teeth (419) of the ratchet (499) have extending edge surfaces on axes substantially parallel to the extending edge surface of the locking barb (412).

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