公开(公告)号：US20050033333A1

公开(公告)日：2005-02-10

申请号：US10867412

申请日：2004-06-14

申请人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

发明人： Kevin Smith ,  Jose Francese ,  Robert Sixto ,  Juergen Kortenbach ,  Thomas Bales ,  Carlos Rivera ,  Matthew Palmer

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32 ,  A61B17/08

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B2017/2905 ,  A61B2017/320064 ,  Y10T24/44752

摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.

摘要翻译： 手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。 臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。 从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。 臂还具有带有底切的近端部分，其有助于臂的挠曲。 底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

公开(公告)号：US20050090837A1

公开(公告)日：2005-04-28

申请号：US10867501

申请日：2004-06-14

申请人： Robert Sixto ,  Kevin Smith ,  Juergen Kortenbach ,  Kristin Dawson ,  Scott Arp ,  Jose Francese ,  Matthew Palmer ,  Peter Kratsch ,  Carlos Rivera

发明人： Robert Sixto ,  Kevin Smith ,  Juergen Kortenbach ,  Kristin Dawson ,  Scott Arp ,  Jose Francese ,  Matthew Palmer ,  Peter Kratsch ,  Carlos Rivera

IPC分类号： A61B17/12 ,  A61B1/00 ,  A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050277953A1

公开(公告)日：2005-12-15

申请号：US10867483

申请日：2004-06-14

申请人： Jose Francese ,  Kevin Smith ,  Robert Sixto ,  Juergen Kortenbach ,  Matthew Palmer

发明人： Jose Francese ,  Kevin Smith ,  Robert Sixto ,  Juergen Kortenbach ,  Matthew Palmer

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050049616A1

公开(公告)日：2005-03-03

申请号：US10867413

申请日：2004-06-14

申请人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

发明人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20080051808A1

公开(公告)日：2008-02-28

申请号：US11928358

申请日：2007-10-30

申请人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

发明人： Carlos Rivera ,  Kevin Smith ,  Thomas Bales ,  Robert Sixto ,  Juergen Kortenbach ,  Scott Arp

IPC分类号： A61B17/10

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20080045786A1

公开(公告)日：2008-02-21

申请号：US11924778

申请日：2007-10-26

申请人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

发明人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

IPC分类号： A61B1/00

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050277951A1

公开(公告)日：2005-12-15

申请号：US10867395

申请日：2004-06-14

申请人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

发明人： Kevin Smith ,  Jose Francese ,  Juergen Kortenbach ,  Robert Sixto

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic dip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 柔性内窥镜浸渍器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20050080435A1

公开(公告)日：2005-04-14

申请号：US10728385

申请日：2003-12-05

申请人： Kevin Smith ,  Matthew Palmer ,  Juergen Kortenbach ,  Robert Sixto ,  Jorge Pinos

发明人： Kevin Smith ,  Matthew Palmer ,  Juergen Kortenbach ,  Robert Sixto ,  Jorge Pinos

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/30 ,  A61B17/08

CPC分类号： A61B17/0682 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/301

摘要： A tissue retractor includes a body having proximal and distal ends. The retractor also includes a retraction device having a head connected to the distal end of the body and defining two opposing openings, an actuator movably disposed in the head, and two substantially rigid needles each pivotably connected to the actuator for traveling through a respective one of the openings. The needles have an arcuate shape. A one-handed actuation device is connected to the proximal end of the body and is operatively connected to the actuator through the body. Upon actuation of the actuation device, the actuator moves to selectively extend the needles out of the head and withdraw the needles into the head. Methods for using the tissue retractor, in particular for the treatment of Gastroesophageal Reflux Disease, are also provided.

摘要翻译： 组织牵缩器包括具有近端和远端的本体。 牵开器还包括收缩装置，其具有连接到主体的远端并限定两个相对的开口的头部，可移动地设置在头部中的致动器和两个基本刚性的针，每个可枢转地连接到致动器，用于行进通过相应的一个 开口。 针具有弓形形状。 单手驱动装置连接到主体的近端并且通过主体可操作地连接到致动器。 在致动装置致动时，致动器移动以选择性地将针头延伸出头部并将针头退回头部。 还提供了使用组织牵缩器，特别是用于治疗胃食管反流疾病的方法。

公开(公告)号：US20070265640A1

公开(公告)日：2007-11-15

申请号：US11728536

申请日：2007-03-26

申请人： Juergen Kortenbach ,  Robert Sixto ,  Kevin Smith ,  Charles Slater ,  Saul Gottlieb

发明人： Juergen Kortenbach ,  Robert Sixto ,  Kevin Smith ,  Charles Slater ,  Saul Gottlieb

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B1/00073 ,  A61B1/00087 ,  A61B1/0014 ,  A61B1/018 ,  A61B10/06 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0644 ,  A61B17/122 ,  A61B17/1227 ,  A61B18/1445 ,  A61B90/50 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00464 ,  A61B2017/00827 ,  A61B2017/2936 ,  A61B2017/320064 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2090/306 ,  A61B2090/3614

摘要： An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.

摘要翻译： 用于腹部经腹壁和胃底部食管的装置包括具有尖锐齿形钳口的施夹器，用于在应用夹子之前抓住并损坏眼底。 夹具的整体直径小于7毫米。 夹钳夹爪通过连接件联接到拉丝，其增加了机械优点，因此允许更大的抓握力。 还提供了多个夹子设计。

公开(公告)号：US20070142851A1

公开(公告)日：2007-06-21

申请号：US11636341

申请日：2006-12-07

申请人： Robert Sixto ,  Michael McBrayer ,  Juergen Kortenbach ,  Charles Slater ,  Kevin Smith

发明人： Robert Sixto ,  Michael McBrayer ,  Juergen Kortenbach ,  Charles Slater ,  Kevin Smith

IPC分类号： A61B17/08

CPC分类号： A61B17/08 ,  A61B17/064 ,  A61B17/10 ,  A61B2017/00827

摘要： A medical method includes sliding two substantially straight unconnected arms over a fold of body tissue such that a first arm contacts a first portion of the fold and a second arm contacts a second portion. Then, each arm is bent completely through the fold such that both of the arms compress the portions of the fold into contact with each other. Another method includes releasably coupling first and second substantially linear arms to a bridge, each of the arms having a substantially straight sliding portion and a bendable piercing portion. The arms are slid over opposing sides of two body tissue layers, the first arm sliding over the first layer and the second over the second layer. While the sliding portions of the arms remain substantially straight, each piercing portion is bent completely through the adjacent layer and halfway through the other layer to compress the two layers together.

摘要翻译： 医疗方法包括将两个基本上直的未连接的臂滑动到身体组织的折叠上，使得第一臂接触折叠的第一部分，而第二臂接触第二部分。 然后，每个臂完全弯曲通过折叠，使得两个臂都将折叠部分压缩成彼此接触。 另一种方法包括将第一和第二基本线性的臂可释放地联接到桥，每个臂具有基本上直的滑动部分和可弯曲的刺穿部分。 臂在两个身体组织层的相对侧滑动，第一臂在第一层上滑动，第二臂在第二层上滑动。 当臂的滑动部分保持基本上直线时，每个刺穿部分完全弯曲穿过相邻的层并且穿过另一层的中间，以将两个层压在一起。