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1. 发明申请

WO2012177915A3 ERGONOMIC, LIGHTED, UTERINE MANIPULATOR WITH CAUTERY 审中-公开
标题翻译： ERGONOMIC，照明，子宫操纵器与CAUTERY
公开(公告)号：WO2012177915A3
公开(公告)日：2013-03-14
申请号：PCT/US2012043596
申请日：2012-06-21
申请人： LSI SOLUTIONS INC , SAUER JUDE S
发明人： SAUER JUDE S
IPC分类号： A61B17/42 , A61B1/303
CPC分类号： A61B17/4241 , A61B90/30 , A61B2017/00323 , A61B2017/00433 , A61B2017/00455 , A61B2018/1412 , A61B2090/306
摘要： A uterine manipulator includes a sound and a body. The sound has a selectively actuatable anchor disposed proximate a distal end and an operating mechanism spaced from the anchor for controlling actuation of the anchor. The body has a passage therethrough adapted to receive the sound passed proximally through the body to a position in which the operating mechanism is accessible proximally of the body and the anchor extends distally.
摘要翻译：子宫操纵器包括声音和身体。声音具有靠近远端设置的可选择性致动的锚杆和与锚固件间隔开的操作机构，用于控制锚固件的致动。身体具有穿过其中的通道，其适于接收通过身体向近端传递的声音到其中操作机构可靠近身体的位置，并且锚向远侧延伸。

2. 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）。

3. 发明申请

WO2012009069A3 METHOD AND APPARATUS FOR CLOSING AN OPENING IN THICK, MOVING TISSUE 审中-公开
标题翻译：用于封闭开口的方法和装置，移动组织
公开(公告)号：WO2012009069A3
公开(公告)日：2012-03-29
申请号：PCT/US2011039710
申请日：2011-06-09
申请人： LSI SOLUTIONS INC , SAUER JUDE S , BOVARD MARK A , HAMMOND JOHN F
发明人： SAUER JUDE S , BOVARD MARK A , HAMMOND JOHN F
IPC分类号： A61B17/04 , A61B17/03 , A61B17/062 , A61M29/02
CPC分类号： A61B17/0483 , A61B17/0057 , A61B17/0469 , A61B2017/00557 , A61B2017/00663 , A61B2017/00986 , A61B2017/0243 , A61B2017/0404 , A61B2017/0472
摘要： A device for placing sutures through a section of tissue, especially a section of thick and/or moving tissue. A tissue welting tip has a trough for forming a welt in a tissue section. An alignment guide is pivotally mounted in the distal end adjacent to the trough. The device has an opening receiving a guide wire and an elongated sleeveslidably engagable with the guide wire there through. An expandable tissue engaging member on the sleeve expands from a collapsed configuration having a diameter small enough to pass through the opening in the tip to an expanded configuration having a diameter large enough to engage a tissue section and urge it into the trough to form a welt in the tissue section and a retractable needle extendable through at least two portions of a tissue section while the tissue section is engaged with the trough.
摘要翻译：用于将缝合线放置穿过一段组织，特别是厚的和/或运动的组织的部分的装置。组织焊接尖端具有用于在组织部分中形成边缘的槽。对准引导件枢转地安装在与槽相邻的远端中。该装置具有一个开口，该开口容纳导丝，并且细长的可伸缩地与导丝接合。套筒上的可膨胀组织接合构件从具有足够小的直径的缩小构型膨胀，以使其穿过尖端中的开口至具有足够大的直径的扩张构型，以使其与组织部分接合并将其推入槽中以形成贴边在所述组织部分和可组合部分与所述槽接合的可伸缩针可延伸穿过组织部分的至少两个部分。

4. 发明申请

WO02062200B1 SYSTEM FOR ENDOSCOPIC SUTURING 审中-公开
标题翻译：系统内窥镜切割
公开(公告)号：WO02062200B1
公开(公告)日：2004-04-15
申请号：PCT/US0202791
申请日：2002-02-01
申请人： LSI SOLUTIONS INC
发明人： SAUER JUDE S , FITZSIMMONS MICHAEL W , BOVARD MARK A
IPC分类号： A61B17/04 , A61B17/30 , A61B17/36
CPC分类号： A61B1/0014 , A61B1/018 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B2017/00296 , A61B2017/0496 , A61B2017/306
摘要： A system (10) for endoscopic suturing is provided having an endoscope (14), such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft (14a) extending to the distal end, a flexible accessory tube (12) coupled to the endoscope (14) to be movable relative to the endoscope's shaft (14a), and a tip (26) coupled to the shaft of the endoscope (14) having an opening (26b) through which one end of the accessory tube (18) is received. The system further includes a suture securing instrument (16) having a partially flexible shaft locatable through the accessory tube, and a distal end coupled to the shaft
摘要翻译：提供了一种用于内窥镜缝合的系统（10），其具有内窥镜（14），例如胃镜，远端可位于患者的身体中，柔性轴（14a）延伸至远端，柔性辅助管（12），其联接到内窥镜（14）以能够相对于内窥镜的轴（14a）移动;以及尖端（26），其联接到具有开口（26b）的内窥镜（14）的轴上，通过该开口附件管（18）被接收。该系统还包括缝线固定器械（16），该器械具有可通过附件管定位的部分柔性轴，并且远端联接到轴

5. 发明申请

WO2007127774A3 MEDICAL INSTRUMENT TO PLACE A PURSESTRING SUTURE, OPEN A HOLE AND PASS A GUDEWIRE 审中-公开
标题翻译：医用仪器放置一个开口，打开一个孔和通过一个GUDEWIRE
公开(公告)号：WO2007127774A3
公开(公告)日：2008-11-27
申请号：PCT/US2007067376
申请日：2007-04-25
申请人： LSI SOLUTIONS INC , SAUER JUDE S
发明人： SAUER JUDE S
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/30 , A61B17/320016 , A61B2017/00278 , A61B2017/00663 , A61B2017/00862 , A61B2017/1142 , A61B2017/22038 , A61B2017/2905 , A61B2017/306
摘要： A therapeutic instrument for the ergonomic, effective and safe opening and closing of targeted remote tissue sites; includes a pistoi grip style handle with a hand activated lever for needle deployment and, optionally, with features to control tissue cutting and guide wire installation; also incorporates a specialized elongated rigid or flexible instrument shaft, which enables vacuum assisted holding of tissue at a uniquely contoured distal tip, where placement of a suture in a purse string configures occurs along with, if desired, tissue cutting and guide wire passage.
摘要翻译：用于人体工程学，有效和安全地打开和关闭目标远程组织部位的治疗仪器; 包括一个手枪握柄式手柄，一个手动激活杠杆用于针展开，并且可选地具有控制组织切割和导丝安装的特征; 还包括专门的细长的刚性或柔性仪器轴，其能够真空辅助保持在独特轮廓的远侧末梢处的组织，其中缝合线放置在钱包串中配置，并且如果需要，随着组织切割和导丝通道一起发生。

6. 发明申请

WO2007084910A2 ERGONOMIC NEEDLE TISSUE HARVESTING INSTRUMENT NOT REQUIRING A STYLET 审中-公开
标题翻译：非需要针织组织收集仪器不需要STYLET
公开(公告)号：WO2007084910A2
公开(公告)日：2007-07-26
申请号：PCT/US2007060622
申请日：2007-01-17
申请人： LSI SOLUTIONS INC , SAUER JUDE S
发明人： SAUER JUDE S
IPC分类号： A61B10/00
CPC分类号： A61B10/0233 , A61B10/04 , A61B2010/0208
摘要： A medical diagnostic instrument for the ergonomic effective and safe harvesting of specimen at targeted remote tissue sites includes a pistol grip style handle with a hand activated lever and a specialized elongated flexible double tube needle shaft inside of a protective sheath for use, in a preferred embodiment, within an endoscope. The length of needle shaft is adjusted using locking buttons. Moving another set of buttons sets the needle penetration depth. With a squeeze of the lever, a novel thin band drive mechanism advances the needle shaft out of its sheath, through adjacent tissue and into the targeted site. The double tube needfe shaft incorporates a pointed distal tip attached to an innermost "grater" needle, which has sharp edged tissue cutting holes or "grating" features that are exposed by retracting back an overlying cover tube. Sliding back the cover tube is achieved via a cam. The sharp cutting surfaces of the grater tube communicate directly with a vacuum source attached near the handle. Oscillation of the vacuum augmented grater tube back and forth within the targeted tissue yields small pieces of tissue for harvest. When adequate amounts of tissue are drawn into the grater tuber the cover tube is re-advanced over the distal grater tube, the needle shaft is retracted back into the sheath and the instrument along with the harvested specimen are removed from the patient.
摘要翻译：用于在目标远程组织部位的人体工程学有效和安全地收获样品的医疗诊断仪器包括手枪式握柄式手柄，其具有手动激活杆和专用的细长柔性双管针轴，在保护套内部用于使用，在优选实施例中在内窥镜内。使用锁定按钮调节针轴的长度。移动另一组按钮设置穿刺深度。通过杠杆的挤压，新的薄带驱动机构使针轴从其护套中移出，穿过相邻的组织并进入目标位置。双管需要的轴包括附接到最内侧的“磨刀”针的尖端远端，其具有尖锐的边缘组织切割孔或通过缩回上覆盖管而暴露的“光栅”特征。通过一个凸轮来实现向后滑动盖管。磨边管的锋利切割表面与附在手柄附近的真空源直接连通。在目标组织内来回振荡真空增压砂轮，产生用于收获的小块组织。当足够量的组织被拉入磨块块中时，覆盖管重新前进到远侧磨浆机管上，针轴被缩回到护套中，并且与收获的标本一起从患者身上取出仪器。

7. 发明申请

WO2004103157A3 SYSTEM FOR ENDOSCOPIC SUTURING 审中-公开
标题翻译：内镜手术系统
公开(公告)号：WO2004103157A3
公开(公告)日：2005-06-09
申请号：PCT/US2004015315
申请日：2004-05-14
申请人： LSI SOLUTIONS INC
发明人： SAUER JUDE S , FITZSIMMONS MICHAEL W , BOVARD MARK A
IPC分类号： A61B20060101 , A61B1/012 , A61B1/273 , A61B17/00 , A61B17/04 , A61B17/06 , A61B17/10 , A61B17/30
CPC分类号： A61B17/0469 , A61B1/00071 , A61B1/00087 , A61B1/0014 , A61B1/012 , A61B1/018 , A61B1/2736 , A61B17/0467 , A61B17/0482 , A61B2017/00296 , A61B2017/0042 , A61B2017/0472 , A61B2017/0496 , A61B2017/06095 , A61B2017/306
摘要： A system (10) for endoscopic suturing is provided having an endoscope (14), such as a gastroscope, with a distal end (14b) locatable in the body of a patient and a flexible shaft (14a) extending to the distal end, a flexible accessory tube (12) coupled to the endoscope (14) to flex relative to the endoscope's shaft (14a), and a tip (26) coupled to the shaft (14a) of the endoscope having an opening (26a) through which one end of the accessory tube (12) is received. A tissue suturing instrument (16) and a suture securing instrument (130) are provided each having a sufficiently flexible shaft locatable through the accessory tube (12).
摘要翻译：提供了一种用于内窥镜缝合的系统（10），其具有诸如胃镜的内窥镜（14），其具有可定位在患者体内的远端（14b）和延伸到远端的柔性轴（14a），耦合到内窥镜（14）的柔性附件管（12）相对于内窥镜的轴（14a）弯曲，以及联接到内窥镜的轴（14a）的尖端（26），其具有开口（26a），一端的附件管（12）。提供组织缝合器具（16）和缝合线固定器具（130），每个具有可通过附件管（12）定位的足够柔性的轴。

8. 发明申请

WO2004069291A3 INSTRUMENT FOR ASSISTING IN THE REMOTE PLACEMENT OF TIED SURGICAL KNOTS AND TRIMMING OF SUTURE AWAY FROM THE KNOT AND METHOD OF USE 审中-公开
标题翻译：用于辅助远程放置手术枪的仪器，以及从使用方法中切除的方法和方法
公开(公告)号：WO2004069291A3
公开(公告)日：2005-04-21
申请号：PCT/US2004003069
申请日：2004-02-04
申请人： LSI SOLUTIONS INC , SAUER JUDE S
发明人： SAUER JUDE S
IPC分类号： A61B17/00 , A61B17/04 , A61K20060101 , A61K9/00 , A61K9/22 , A61K9/26 , A61K9/32 , A61K9/52 , A61K9/54 , A61K9/56 , A61K9/58 , A61K9/64 , A61L20060101
CPC分类号： A61B17/0485 , A61B17/0467 , A61B17/0483 , A61B2017/0474 , A61B2017/0475 , A61K9/1075 , A61K9/4858 , A61K31/122 , A61K31/355 , A61K31/56 , A61K45/06 , A61K2300/00
摘要： An instrument (10) is provided having a shaft (12) extending to a distal end (16). The distal end (16) has a distal tip member (40) having a cavity (42, 83), and a passageway (44, 80) extending to the cavity through which a first suture end (48A) of a loop of suture (48) extends from a tissue site to facilitate a user looping a second suture end (48B) around the first suture end (48A) between the distal tip member (40) and the tissue site to form a knot (48C). Advancing of the distal tip rrember (40) while drawing the first suture end (48A) through the passageway (44, 80) pushes the knot (48C) for placement at the tissue site.
摘要翻译：提供了具有延伸到远端（16）的轴（12）的器械（10）。远端（16）具有远端尖端构件（40），其具有空腔（42,83）和延伸到空腔的通道（44,80），通过所述通道将缝合线环的第一缝合线端部（48A） 48）从组织部位延伸以便于使用者围绕远侧末端部件（40）和组织部位之间的第一缝合线端部（48A）环绕第二缝合线端部（48B）以形成结（48C）。当通过通道（44,80）牵引第一缝合线端部（48A）时推进远端尖端（40）推动结（48C）以放置在组织部位。

9. 发明申请

WO2016007973A3 CRIMPING INSTRUMENT WITH REDUCED DIMENSION, CONTINUED COMPATIBILITY, AND TISSUE PROTECTION FEATURES 审中-公开
标题翻译：尺寸缩小的CRIMPING INSTRUMENT，持续兼容性和组织保护特征
公开(公告)号：WO2016007973A3
公开(公告)日：2016-03-03
申请号：PCT/US2015044329
申请日：2015-08-07
申请人： LSI SOLUTIONS INC
发明人： SAUER JUDE S
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B2017/00398 , A61B2017/0409 , A61B2017/042 , A61B2017/0445 , A61B2017/0454 , A61B2017/0488 , A61B2090/0811
摘要： An instrument for crimping a suture fastener to a surgical suture is disclosed. The instrument has a shaft and an expanded receiving face configured to receive the suture fastener and to provide a smoothing radius for a distal end of the shaft. The instrument also has an anvil in the distal end of the shaft. The instrument further has a hammer in the distal end of the shaft and moveable relative to the anvil for crimping the suture fastener therebetween and received in the expanded receiving face. The instrument also has a pusher moveable in a direction substantially parallel to a longitudinal axis of the shaft and configured to engage at least one of the hammer and the anvil for urging the hammer and the anvil together.
摘要翻译：公开了一种用于将缝线紧固件卷曲至外科缝合线的器械。该器械具有轴和扩展的接收面，扩展的接收面被构造成接收缝线紧固件并且为轴的远端提供平滑半径。该仪器在轴的远端还有一个砧座。器械还在轴的远端具有锤子并且可相对于砧座移动，以将缝线紧固件卷曲在它们之间并容纳在扩大的接收面中。该器械还具有推进器，该推进器可在基本上平行于轴的纵向轴线的方向上移动，并被配置为接合锤和砧中的至少一个以将锤和砧推压在一起。

10. 发明申请

WO2015157568A3 SELF-ARTICULATING JOINT FOR A MINIMALLY INVASIVE SURGICAL APPARATUS 审中-公开
标题翻译：用于微创外科手术的自我联合
公开(公告)号：WO2015157568A3
公开(公告)日：2015-12-03
申请号：PCT/US2015025198
申请日：2015-04-09
申请人： LSI SOLUTIONS INC
发明人： SAUER JUDE S
IPC分类号： A61B17/068
CPC分类号： A61B17/00234 , A61B17/29 , A61B17/320016 , A61B17/3421 , A61B2017/00738 , A61B2017/2901 , A61B2017/2908 , A61B2017/2927
摘要： A self-articulating joint is disclosed for a minimally invasive surgical apparatus. The self-articulating joint has a first elbow component pivotably coupled to a second elbow component, wherein the first and second elbow components are biased to form a non-linear angle relative to each other. The self-articulating joint also has an elbow latch configured to releasably hold the first and second elbow components at a substantially fixed non-linear operating angle.
摘要翻译：公开了一种用于微创手术设备的自关节接头。自铰接接头具有可枢转地联接到第二弯头部件的第一弯头部件，其中第一和第二弯头部件被偏置以相对于彼此形成非直线角度。自铰接接头还具有弯头闩锁，其构造成可释放地将第一和第二弯头部件保持在基本固定的非线性操作角度。

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