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    Endoluminal fundoplication device and related method
    91.
    发明授权
    Endoluminal fundoplication device and related method 有权
    腔内胃底穿刺装置及相关方法

    公开(公告)号：US08915935B2

    公开(公告)日：2014-12-23

    申请号：US13240285

    申请日：2011-09-22

    Applicant: Ronald Adams

    Inventor： Ronald Adams

    IPC: A61B17/08 ,  A61B1/00 ,  A61B1/05 ,  A61B1/005 ,  A61B17/00 ,  A61B17/064 ,  A61B17/128 ,  A61B17/29

    CPC classification number: A61B17/10 ,  A61B1/00179 ,  A61B1/0051 ,  A61B1/05 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/1285 ,  A61B2017/00353 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2934

    Abstract: A distal assembly of an endoscopic surgical device, and a related method, having a first arm and a second arm pivotal relative to the first arm. Each arm is configured to hold a part of a two-part fastener at a distal end of the arm. A closing mechanism is positioned proximate a proximal end of each of the first and second arms opposite the distal end of each of the first and second arms. The dosing mechanism is configured to move in relation to the first and second arms so as to close over at least one of the first and second arms to cause the distal ends of the arms to come together. An actuation member is also attached to the closing mechanism actuable to cause the closing mechanism to move in relation to the first and second arms.

    Abstract translation: 内窥镜手术装置的远侧组件和相关方法，具有相对于第一臂枢转的第一臂和第二臂。 每个臂构造成将两部分紧固件的一部分保持在臂的远端。 闭合机构定位在与第一和第二臂中的每一个的远端相对的第一和第二臂中的每一个的近端附近。 配量机构被配置为相对于第一和第二臂移动以便关闭第一和第二臂中的至少一个臂，以使臂的远端汇合在一起。 致动构件也附接到可致动的闭合机构，以使关闭机构相对于第一和第二臂移动。

    Articulatable surgical device
    92.
    发明授权
    Articulatable surgical device 有权
    可手术器械

    公开(公告)号：US08911471B2

    公开(公告)日：2014-12-16

    申请号：US13616263

    申请日：2012-09-14

    Applicant: James T. Spivey ,  Mark S. Ortiz ,  Frederick E. Shelton, IV

    Inventor： James T. Spivey ,  Mark S. Ortiz ,  Frederick E. Shelton, IV

    IPC: A61B17/00 ,  A61B1/005 ,  A61B17/32 ,  A61B17/068 ,  A61B17/29 ,  A61B19/00

    CPC classification number: A61B17/068 ,  A61B1/0052 ,  A61B1/0057 ,  A61B17/32002 ,  A61B90/37 ,  A61B2017/003 ,  A61B2017/0042 ,  A61B2017/2905 ,  A61B2017/291 ,  A61B2017/2919 ,  A61B2017/2927 ,  A61B2017/2947 ,  A61B2034/306 ,  A61B2090/372

    Abstract: Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.

    Abstract translation: 提供了用于控制手术装置的工作端的移动的方法和装置。 在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。 运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。 在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置， 有效地致动末端执行器而不旋转端部执行器。 在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。 柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

    HANDLING OF FASTENERS WITHIN A SURGICAL INSTRUMENT
    97.
    发明申请
    HANDLING OF FASTENERS WITHIN A SURGICAL INSTRUMENT 有权
    在手术仪器中处理紧固件

    公开(公告)号：US20140276965A1

    公开(公告)日：2014-09-18

    申请号：US13826979

    申请日：2013-03-14

    Applicant: C.R. BARD, INC.

    Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

    IPC: A61B17/10

    CPC classification number: A61B17/064 ,  A61B17/068 ,  A61B2017/00309 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2017/2941

    Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.

    Abstract translation: 公开了手术器械及其使用方法。 在一些实施例中，手术器械可以包括手柄和从手柄向远侧延伸的细长轴组件。 外科器械还可以包括用于从细长轴组件展开紧固件的紧固件展开系统，其包括设置在细长轴组件内的往复式驱动轴。 驱动轴可以包括内部通道和至少一个引导表面，其被成形和布置成保持至少一个紧固件在驱动轴的通道中的取向。 在其他实施例中，紧固件展开系统可以包括设置在细长轴组件内的随动件，用于将细长轴组件内的一个或多个紧固件朝向远端紧固件展开位置移位。

    VAGINAL CUFF CLOSURE TOOL AND METHOD
    98.
    发明申请
    VAGINAL CUFF CLOSURE TOOL AND METHOD 审中-公开
    VAGINAL CUFF封闭工具和方法

    公开(公告)号：US20140276914A1

    公开(公告)日：2014-09-18

    申请号：US13804590

    申请日：2013-03-14

    Applicant: Gyrus ACMI. Inc., d.b.a. Olympus Surgical Technologies America

    Inventor： Tsuyoshi Hayashida ,  Kester J. Batchelor

    IPC: A61B17/29 ,  A61B17/28 ,  A61B17/42

    CPC classification number: A61B17/42 ,  A61B17/0469 ,  A61B17/08 ,  A61B17/29 ,  A61B2017/00331 ,  A61B2017/081 ,  A61B2017/2901 ,  A61B2017/2905 ,  A61B2017/2906

    Abstract: An apparatus includes a hollow sleeve member with an open interior section and a sleeve proximal and a sleeve distal end. Two or more probes are disposed within the open interior section and extending beyond the sleeve distal end when in a deployed position. Distal ends of the probes have a lateral space between each other. One or more tissue manipulators are disposed at the distal end of each of the at least two probes. The hollow sleeve member and the two or more probes move axially relative to each other to reduce the lateral space. A method of closing a vaginal cuff of a vaginal canal is also provided.

    Abstract translation: 一种装置包括具有开放的内部部分和近端的套筒以及套筒远端的中空的套筒构件。 当处于展开位置时，两个或更多个探针设置在打开的内部部分内并延伸超过套筒远端。 探针的远端具有彼此之间的横向空间。 一个或多个组织操纵器设置在至少两个探针中的每一个的远端处。 中空套筒构件和两个或更多个探针相对于彼此轴向移动以减小横向空间。 还提供了关闭阴道口阴道套的方法。

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