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71. 发明申请

WO0205721A9 DEVICE FOR FULL THICKNESS RESECTIONING OF AN ORGAN 审中-公开
标题翻译：用于全面厚度检测的器件
公开(公告)号：WO0205721A9
公开(公告)日：2004-04-29
申请号：PCT/US0122141
申请日：2001-07-16
申请人： SCIMED LIFE SYSTEMS INC
发明人： ADAMS RONALD D , SULLIVAN ROY H III , BUESS GERHARD F , SCHURR MARC O
IPC分类号： A61B17/32 , A61B1/00 , A61B17/00 , A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/320016 , A61B2017/00539 , A61B2017/00827 , A61B2017/07214 , A61B2017/07278 , A61B2017/2905
摘要： A full-thickness resection system (100) is disclosed. In an embodiment for the resection system (100), the system may include a flexible shaft, a flexible guide member (120) disposed within the flexible shaft, a stapling mechanism (140) disposed around the flexible guide member (120), and a grasper (130). The stapling mechanism (140) has an elongated portion that is at least partially disposed within the flexible shaft. The stapling mechanism (140) includes a stapling arm (150) and an anvil arm (160). The stapling arm (150) has a longitudinal axis (LSA) and includes a stapling head (152) having a longitudinal axis (LSA). The anvil (160) includes an anvil head (162). The stapling arm (150) and anvil arm (160) extend from the elongated portion of the stapling mechanism (140) and are moveable with respect to each other between a tissue receiving position and a stapling position. The grasper (130) extends through the flexible shaft and is adapted to grasp a portion of a tissue that is to be excised from an organ in the patient's body. The grasper (130) is movable in an axis that is perpendicular to the longitudinal axis of the stapling head.
摘要翻译：公开了一种全厚度切除系统（100）。在用于切除系统（100）的实施例中，系统可以包括柔性轴，设置在柔性轴内的柔性引导构件（120），设置在柔性引导构件（120）周围的缝合机构（140）抓紧器（130）。装订机构（140）具有至少部分地设置在柔性轴内的细长部分。装订机构（140）包括装订臂（150）和砧臂（160）。装订臂（150）具有纵向轴线（LSA）并且包括具有纵向轴线（LSA）的装订头部（152）。砧座（160）包括砧头（162）。装订臂（150）和砧臂（160）从缝合机构（140）的细长部分延伸，并且可以在组织接收位置和装订位置之间相对于彼此移动。抓持器（130）延伸穿过柔性轴并且适于抓住要从患者身体中的器官切除的组织的一部分。抓持器（130）可以在垂直于装订头的纵向轴线的轴线上移动。

72. 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。

73. 发明申请

WO2003099139A1 SURGICAL CLIPS PARTICULARLY USEFUL IN THE ENDOLUMINAL TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE(GERD) 审中-公开
标题翻译：外科手术特别适用于胃肠外反射疾病（GERD）的内分泌治疗
公开(公告)号：WO2003099139A1
公开(公告)日：2003-12-04
申请号：PCT/US2003/013354
申请日：2003-04-30
申请人： ID, LLC
发明人： SIXTO, Robert, Jr. , KORTENBACH, Juergen, A.
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips (910), which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, are disclosed. The clips include first and second arms (912 & 914) joined by a bridge to form a substantially U-shape, and which are provided with a first structure (931/932) adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure (922/924) adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.
摘要翻译：公开了一种特别适用于腹部胃肠和胃食管食管的手术夹（910）。夹具包括由桥接件连接以形成大致U形的第一臂和第二臂（912和914），并且设置有第一结构（931/932），其适于防止夹子沿垂直于将夹子施加到组织之后的夹子的纵向轴线。此外，夹子优选地还包括适于在夹子被施加到组织之后防止夹子围绕夹子的纵向轴线旋转的第二结构（922/924）。

74. 发明申请

WO03024300A3 SURGICAL SUTURING INSTRUMENT AND METHOD OF USE 审中-公开
标题翻译：外科手术仪器及使用方法
公开(公告)号：WO03024300A3
公开(公告)日：2003-07-03
申请号：PCT/US0229263
申请日：2002-09-13
申请人： ONUX MEDICAL INC
发明人： SANCOFF GREGORY E , FIELD FREDERIC P , FOGG DOUGLAS A , DICARLO JOSEPH A
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/28
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/0483 , A61B17/068 , A61B2017/00004 , A61B2017/00827 , A61B2017/0498 , A61B2017/0646 , A61B2017/2929
摘要： A device (10) is disclosed for introducing a flexible elongated element (58) through at least two portions (112, 110) of a subject. In an embodiment, the device includes a proximal end and a distal end, as well as an advancement unit for longitudinally advancing the flexible elongated element toward the distal end such that a proximal end of the elongated element may pass from the distal end of said device with sufficient force to pass through the portions of the subject. The device also includes a securing unit (26) for variably adjusting a securing force applied by the flexible elongated element to secure together the portions of the subject.
摘要翻译：公开了一种用于通过受试者的至少两个部分（112,110）引入柔性细长元件（58）的装置（10）。在一个实施例中，该装置包括近端和远端，以及用于将柔性细长元件朝向远端纵向前进的前进单元，使得细长元件的近端可以从所述装置的远端具有足够的力穿过受试者的部分。该装置还包括固定单元（26），用于可变地调节由柔性细长元件施加的固定力，以固定对象的部分。

75. 发明申请

WO02098299A3 SURGICAL INSTRUMENT FOR INVAGINATION AND FUNDOPLICATION 审中-公开
标题翻译：外科手术器械用于入院和补充
公开(公告)号：WO02098299A3
公开(公告)日：2003-03-06
申请号：PCT/US0217201
申请日：2002-06-03
申请人： SYMBIOSIS CORP , KORTENBACH JUERGEN A
发明人： KORTENBACH JUERGEN A
IPC分类号： A61B17/28 , A61B17/00 , A61B17/064 , A61B17/068
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/068 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , Y10T24/366
摘要： An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.
摘要翻译：一种用于展开具有阳紧固件部分和阴紧固件部分的两部分紧固件的内窥镜外科器械包括具有近端和远端的管。端部执行器联接到所述管的所述远端并且构造成以相对的关系保持阳性紧固件部件和阴型紧固件部件。致动器联接到所述管的所述近端，并且构造成致动所述末端执行器。剪切装置可以在端部执行器附近定位，以在雄性和雌性紧固件部件移动到锁定关系之后剪切掉雄性紧固件部件的尖端。此外，外科器械可以包括具有多个制动位置的轴的阳紧固件部件。此外，阳紧固件部分可以包括基部和枢转地连接到基部的轴。

76. 发明申请

WO2002094132A2 METHODS AND APPARATUS FOR REGULATING THE FLOW OF MATTER THROUGH BODY TUBING 审中-公开
标题翻译：通过身体管道调节流量的方法和装置
公开(公告)号：WO2002094132A2
公开(公告)日：2002-11-28
申请号：PCT/US2002/016956
申请日：2002-05-24
申请人： BERG, Todd, A. , BERG, James
发明人： BERG, Todd, A. , BERG, James
IPC分类号： A61F2/00
CPC分类号： A61F2/2445 , A61B17/064 , A61B17/0682 , A61B17/072 , A61B17/115 , A61B2017/00557 , A61B2017/00827 , A61B2017/0647 , A61F2/04 , A61F2/91 , A61F2/958 , A61F2002/8483 , A61F2250/0039
摘要： A self-retracting body, which may have a bore, may be inserted into a biological passage. A dilating balloon may be used to expand the body toward an inner wall of the passage. The body may include an anchor that may engage the wall. The anchor may include a tip that is within the body before the body expands and extends away from the body during expansion. The body may include an opening that may receive a portion of the wall. The portion may be fixed to the body. The body may retract toward a central portion of the passage after the anchor engages the wall. The wall may be drawn toward the central passage and the diameter of the passage may be reduced. In some embodiments, a liner may be provided for the passage. In some embodiments, a baffle may be provided for the passage.
摘要翻译：可以具有孔的自回缩体可插入生物通道中。可以使用扩张气囊来朝向通道的内壁扩张身体。主体可以包括可以接合壁的锚。锚固体可以包括在体部膨胀之前在体内的尖端，并且在膨胀期间远离身体延伸。主体可以包括可以接收壁的一部分的开口。该部分可以固定在身体上。在锚固器接合墙壁之后，主体可以朝向通道的中心部分缩回。可以将壁拉向中央通道并且可以减小通道的直径。在一些实施例中，可以为通道提供衬垫。在一些实施例中，可以为通道提供挡板。

77. 发明申请

WO2002060328A1 APPARATUS AND METHOD FOR STAPLING AND RESECTIONING GASTRO-ESOPHAGEAL TISSUE 审中-公开
标题翻译：装置和方法胃肠道组织的分层和分离
公开(公告)号：WO2002060328A1
公开(公告)日：2002-08-08
申请号：PCT/US2002/003069
申请日：2002-01-31
申请人： REX MEDICAL, INC.
发明人： MCGUCKIN, James, F. , HINCHLIFFE, Peter, W., J.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B1/2736 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/3205 , A61B2017/00278 , A61B2017/00827 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2923
摘要： A system for stapling tissue comprises a flexible endoscope (20) and an operative head including a pair of opposed, curved tissue clamping jaws (17) sized to pass through an esophagus, the jaws (17) being moveable with respect to one another between an open tissue receiving configuration and a closed tissue clamping configuration, a first one of the curved jaws (17) including a stapling mechanism (40) and a second one of the jaws (17) including a staple forming anvil surface (50A), the stapling mechanism including staple slots through which staples are fired arranged in a row extending from a proximal end of the first jaw to a distal end thereof in combination with a control handle (12) which, when the operative head is in an operative position within one of a patient's stomach and esophagus, remains outside the patient, the control handle including a first actuator (12A) for moving the jaws relative to one another and a second actuator (12B) for operating the stapling mechanism.
摘要翻译：用于装订组织的系统包括柔性内窥镜（20）和操作头部，其包括一对相对的弯曲组织夹钳（17），其尺寸设置成穿过食道，所述钳口（17）可相对于彼此之间移动开放的组织接收构造和封闭的组织夹持构造，第一个弯曲夹爪（17）包括装订机构（40）和包括钉形成砧座表面（50A）的夹爪（17）中的第二个，机构，包括订书钉槽，通过该缝合钉将钉从第一夹爪的近端延伸到其前端的一列排列，并与控制手柄（12）组合，当控制手柄（12）在操作头处于患者的胃和食道保留在患者外部，控制手柄包括用于相对于彼此移动夹爪的第一致动器（12A）和用于操作缝合机构的第二致动器（12B）。

78. 发明申请

WO01066018A1 ENDOSCOPIC TISSUE APPOSITION DEVICE WITH MULTIPLE SUCTION PORTS 审中-公开
标题翻译：具有多个吸气口的内窥镜组织检查装置
公开(公告)号：WO01066018A1
公开(公告)日：2001-09-13
申请号：PCT/US2001/006835
申请日：2001-03-02
IPC分类号： A61B18/20 , A61B1/00 , A61B17/00 , A61B17/04 , A61B17/06 , A61B17/068 , A61B17/08 , A61B17/10 , A61B17/11 , A61B17/12 , A61B17/32 , A61B18/00 , A61B18/04 , A61B18/18 , A61M37/00
CPC分类号： A61B17/0401 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/0625 , A61B17/068 , A61B17/08 , A61B18/1492 , A61B18/22 , A61B2017/00827 , A61B2017/0409 , A61B2017/0417 , A61B2017/0458 , A61B2017/047 , A61B2017/0472 , A61B2017/061 , A61B2017/081 , A61B2017/306 , A61B2018/00291
摘要： An improved endoscopic tissue apposition device (50) having multiple suction ports (86) permits multiple folds of tissue to be captured in the suction ports (86) with a single positioning of the device (50) and attached together by a tissue securement mechanism such as a suture (14), staple or other form of tissue bonding. The improvement reduces the number of intubations required during an endoscopic procedure to suture tissue or join areas of tissue together. The suction ports (86) may be arranged in a variety of configurations on the apposition device (50) to best suit the desired resulting tissue orientation. The tissue apposition device (50) may also incorporate tissue abrasion means (852) to activate the healing process on surfaces of tissue areas that are to be joined by operation of the device to promote a more secure attachment by permanent tissue bonding.
摘要翻译：具有多个吸入口（86）的改进的内窥镜组织安置装置（50）允许组织的多个折叠通过装置（50）的单个定位被捕获在吸入口（86）中，并且通过组织固定机构作为缝合线（14），钉或其他形式的组织粘合。该改进减少了在内窥镜过程中将缝合组织或将组织区域连接在一起的插管数量。吸入口（86）可以以各种配置布置在接合装置（50）上，以最适合所需的组织取向。组织安置装置（50）还可以包括组织磨损装置（852），以通过装置的操作来激活要连接的组织区域的表面上的愈合过程，以通过永久性组织粘合促进更安全的附接。

79. 发明申请

WO9922649A3 FLEXIBLE ENDOSCOPIC INSTRUMENT FOR INVAGINATION AND FUNDOPLICATION 审中-公开
标题翻译：挠性内窥镜仪器的开发与使用
公开(公告)号：WO9922649A3
公开(公告)日：1999-08-19
申请号：PCT/US9823190
申请日：1998-11-02
申请人： SYMBIOSIS CORP , KORTENBACH JUERGEN ANDREW
发明人： KORTENBACH JUERGEN ANDREW
IPC分类号： A61B17/00 , A61B17/064 , A61B17/068 , A61B17/28
CPC分类号： A61F5/0086 , A61B1/00087 , A61B1/00179 , A61B1/273 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2923
摘要： An endoscopic surgical fundoplication instrument includes a flexible tube, a grasping and fastening and effector coupled to the distal end of the tube, and a manual actuator coupled to the proximal end of the tube. The manual actuator is coupled to the end effector by a plurality of flexible cables which extend through the tube. The tube contains a lumen for receiving a manipulable endoscope and the end effector includes a passage for the distal end of the endoscope. The end effector has a store for a plurality of male fastener parts, a store for a plurality of female fastener parts, a rotatable grasper, a rotatable fastener head for aligning a female fastener part and a male fastener part with tissues therebetween, and a firing member for pressing a male fastener part through tissues grasped by the grasper and into a female fastener part.
摘要翻译：内窥镜手术胃底折叠术器械包括柔性管，连接到管远端的抓紧和紧固和效应器，以及连接到管近端的手动致动器。手动致动器通过延伸穿过管的多个柔性缆线连接到末端执行器。该管包含用于接收可操作的内窥镜的内腔，并且末端执行器包括用于内窥镜的远端的通道。该末端执行器具有用于多个阳紧固件部件的存储部，用于多个母紧固件部件的存储部，可旋转抓紧器，用于使组织夹在中间的女性紧固件部件和阳紧固件部件对齐的可旋转紧固件头部，用于将男性紧固件部分按压通过由抓紧器抓住的组织并进入女性紧固件部分的构件。

80. 发明申请

WO2014126709A1 DEVICE WITH PASSIVE VALVE TO BLOCK EMESIS AND/OR REFLUX AND ASSOCIATED SYSTEM AND METHOD 审中-公开
标题翻译：具有被动阀的装置，用于阻塞EMESIS和/或REFRUX及相关系统和方法
公开(公告)号：WO2014126709A1
公开(公告)日：2014-08-21
申请号：PCT/US2014/013501
申请日：2014-01-29
申请人： PNEUMOFLEX SYSTEMS, LLC
发明人： ADDINGTON, Robert , MILLER, Stuart
IPC分类号： A61M25/00 , A61B5/0488 , A61J15/00 , A61B5/00 , A61B17/00 , A61M25/10
CPC分类号： A61M39/22 , A61B5/037 , A61B5/0488 , A61B5/04884 , A61B5/0823 , A61B5/14539 , A61B5/4211 , A61B5/687 , A61B5/7282 , A61B2017/00827 , A61B2562/0247 , A61J15/0046 , A61M16/14 , A61M25/0029 , A61M2025/0002 , A61M2025/1052 , G06F19/34
摘要： A device (100) to block emesis and/or reflux includes a tube (101) insertable into the esophagus. A valve (108) is carried by the tube and includes a flexible sheath (109) having an upper edge (110) secured onto the tube and an unsecured lower circumferential edge (112) and configured such that upon contact with emesis and/or reflux from the stomach, the flexible sheath opens in a concave configuration towards the stomach and the unsecured lower circumferential edge engages the esophageal wall and blocks emesis and/or reflux from the stomach passing into the esophagus past the valve.
摘要翻译：用于阻止呕吐和/或反流的装置（100）包括可插入食道的管（101）。阀（108）由管承载并且包括具有固定在管上的上边缘（110）和不安全的下周缘（112）的柔性护套（109），并且构造成使得在与呕吐和/或回流接触时从胃部开始，柔性护套以凹形构造朝向胃部开放，并且不安全的下部周边边缘接合食管壁并且阻止从通过食管的胃通过阀门的呕吐和/或回流。

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