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公开(公告)号：US20120071902A1
公开(公告)日：2012-03-22
申请号：US13305299
申请日：2011-11-28
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0401 , A61B17/29 , A61B2017/00637 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496
摘要： A perforation suturing method has the steps of: inserting a needle into a wall of a hollow organ at a periphery of the perforation formed in the hollow organ, and piercing the wall; withdrawing the needle from the wall after delivery of an anchor attaching suture thread from the needle, and having the suture thread transit the wall; and tightening the suture thread so that the mated insertion points at the time of insertion of the needle into the wall approximately coincide after having the needle pierce the wall at the periphery of the perforation a plurality of times, and making surfaces of the wall where the insertion points are formed coincide with each other.
摘要翻译： 穿孔缝合方法具有以下步骤：将针头插入中空器官形成的穿孔周边的中空器官的壁上，并刺穿壁; 在从针上传出锚固附着缝合线后，将缝线从墙壁上取出，并使缝合线穿过墙壁; 并且收紧缝合线，使得在使针穿孔穿孔多次之后将针插入壁中的配合插入点大致重合，并且使壁的表面在 插入点形成为一致。
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公开(公告)号：US08002695B2
公开(公告)日：2011-08-23
申请号：US11331966
申请日：2006-01-13
CPC分类号： A61M5/14276 , A61B17/06066 , A61B17/12099 , A61B17/12136 , A61B17/12159 , A61B17/12181 , A61B2017/00278
摘要： The medical procedure via a natural opening according to the present invention includes: adjusting the patient's body so that a target site on the anterior wall of a hollow organ faces in the direction opposite to the direction of gravitational force; introducing a liquid inflow conduit in the vicinity of the target site, and flowing liquid into the hollow organ via the liquid inflow conduit, to form a liquid holding area and a gas retaining area inside the hollow organ; introducing an observation device into the hollow organ, and confirming the position of the target site from the position of the gas retaining area; and incising while observation the target area.
摘要翻译： 根据本发明的通过天然开口的医疗程序包括：调节患者身体，使得中空器官前壁上的目标部位面向与重力方向相反的方向; 在目标位置附近引入液体流入管道，并且经由液体流入管道将液体流入中空器官，以在中空器官内部形成液体保持区域和气体保持区域; 将观察装置引入中空器官，并从气体保持区域的位置确认目标部位的位置; 并在观察目标区域时进行切割。
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公开(公告)号：US20100069710A1
公开(公告)日：2010-03-18
申请号：US12552405
申请日：2009-09-02
申请人： Ken Yamatani , Takayasu Mikkaichi , Kazushi Murakami , Kosuke Motai , Ayano Ishioka , Kunihide Kaji
发明人： Ken Yamatani , Takayasu Mikkaichi , Kazushi Murakami , Kosuke Motai , Ayano Ishioka , Kunihide Kaji
CPC分类号： A61B1/018
摘要： A treatment method for a tissue in a body cavity of a patient includes the steps of endoscopically introducing treatment tools into the body cavity of the patient from a natural opening of the patient, and setting the posture of the patient to a prone position.
摘要翻译： 用于患者体腔中的组织的处理方法包括从患者的自然开口将治疗工具内窥镜地引入患者的体腔并将患者的姿势置于俯卧位的步骤。
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公开(公告)号：US20070073319A1
公开(公告)日：2007-03-29
申请号：US11238006
申请日：2005-09-28
申请人： Takayasu Mikkaichi , Kunihide Kaji
发明人： Takayasu Mikkaichi , Kunihide Kaji
IPC分类号： A61B17/08
CPC分类号： A61B17/0482 , A61B5/117 , A61B17/0469 , A61B17/0487 , A61B2017/00876 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052
摘要： A method for suturing a perforation formed in a hollow organ comprises the steps of: causing plural end portions of the suture thread to puncture a tissue around the perforation in the same direction as each other; connecting the end portions of the suture thread to each other; and tightening up the suture thread after connecting the end portions of the suture thread with each other.
摘要翻译： 用于缝合形成在中空器官中的穿孔的方法包括以下步骤：使缝合线的多个端部沿彼此相同的方向刺穿穿孔周围的组织; 将缝合线的端部彼此连接; 并且在将缝合线的端部彼此连接之后收紧缝合线。
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公开(公告)号：US07988656B2
公开(公告)日：2011-08-02
申请号：US11653145
申请日：2007-01-12
CPC分类号： A61B5/03 , A61B1/00135 , A61B1/015 , A61B2017/00278 , A61M13/003 , A61M2205/3331 , A61M2205/3344 , A61M2210/1021 , A61M2210/1053
摘要： In order to control the pressure in an abdominal cavity of a patient and a pressure in a hollow organ, a medical system includes: a first pressure sensor for measuring the pressure of a gas in the abdominal cavity; a first port for insufflating and evacuating the abdominal cavity; a second pressure sensor for measuring the pressure of a gas in the hollow organ; a second port for insufflating and evacuating the hollow organ; an air supply apparatus connected to the second port for controlling the air supply and evacuation based on the output by the first and second pressure sensors; a third port connected to the second pressure sensor in the air supply apparatus; an endoscope connected to the air supply apparatus; a pneumoperitoneum needle connected to the first port; and a puncture needle connected to the second port.
摘要翻译： 为了控制患者的腹腔内的压力和中空器官的压力，医疗系统包括：用于测量腹腔内气体压力的第一压力传感器; 第一个口腔，用于吸入和排空腹腔; 第二压力传感器，用于测量中空器官中的气体的压力; 第二个口腔，用于吹入和疏散空心器官; 连接到第二端口的空气供应装置，用于基于第一和第二压力传感器的输出来控制供气和排气; 连接到空气供应装置中的第二压力传感器的第三端口; 连接到空气供应装置的内窥镜; 连接到第一端口的气腹针; 以及连接到第二端口的穿刺针。
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26.发明申请Medical method and medical system conducted percutaneous or using naturally occurring body orifice 有权医疗方法和医疗系统进行经皮或使用自然发生的身体孔公开(公告)号：US20070255100A1
公开(公告)日：2007-11-01
申请号：US11650123
申请日：2007-01-05
IPC分类号： A61B1/00
CPC分类号： A61B1/041 , A61B1/0005 , A61B1/00101 , A61B1/00105 , A61B1/00135 , A61B1/00147 , A61B1/00158 , A61B1/00174 , A61B1/00183 , A61B1/00193 , A61B1/05 , A61B1/053 , A61B1/3132 , A61B90/361 , A61B2017/00283
摘要： A medical procedure and a system are provided so that two visions are obtainable through natural orifices by means of two observational apparatuses, or one the two visions is selectable. The medical procedure through a natural orifice comprises: forming an orifice in a hollow organ by using a device inserted into the hollow organ from a natural orifice of a patient; introducing a first observation device from said orifice formed in said hollow organ into an abdominal cavity; introducing a second observation device from said orifice formed in said hollow organ into the abdominal cavity; arranging said second observation device in a position different from that of said first observation device; simultaneously or selectively displaying an image obtained from said first observation device and an image obtained from said second observation device; and performing a desired procedure in the abdominal cavity while confirming the images.
摘要翻译： 提供医疗程序和系统，使得通过两个观察装置通过天然孔获得两个视觉，或者两个视觉可选择。 通过自然孔的医疗程序包括：通过使用从患者的天然孔插入中空器官的装置在中空器官中形成孔口; 将形成在所述中空器官内的所述孔的第一观察装置引入腹腔; 将形成在所述中空器官中的所述孔的第二观察装置引入腹腔; 将所述第二观察装置布置在与所述第一观察装置不同的位置; 同时或选择性地显示从所述第一观察装置获得的图像和从所述第二观察装置获得的图像; 并且在确认图像的同时在腹腔中执行所需的手术。
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公开(公告)号：US07875041B2
公开(公告)日：2011-01-25
申请号：US11238019
申请日：2005-09-28
IPC分类号： A61B17/04
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/0469 , A61B17/0487 , A61B2017/00278 , A61B2017/0034 , A61B2017/00557 , A61B2017/00575 , A61B2017/0225 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/06095
摘要： A suturing method for a penetrating hole formed in a luminal organ using a suture material to close the penetrating hole according to the present invention includes the steps of inserting a needle at a position that is removed from the open edge of the penetrating hole by a distance that is less than the thickness of the wall of the luminal organ and passing the needle through the wall; sending out from the needle an anchor affixed to the end of the suture material; placing the anchor in place by pulling the needle through the wall and passing the suture material through the wall; and tightening the suture material after passing the suture material in the same direction through the wall at multiple sites interposing the penetrating hole.
摘要翻译： 根据本发明，使用缝合材料形成在腔内器官中以封闭穿透孔的穿孔的缝合方法包括以下步骤：将针插入到从穿孔的开口边缘移除一定距离的位置 小于管腔器官的壁的厚度并使针穿过壁; 从针上传出固定在缝合材料端部的锚固件; 通过将针穿过壁并使缝合材料通过壁将锚固件放置在适当位置; 以及在穿过所述穿透孔的多个部位穿过所述缝合材料之后，沿同一方向穿过所述缝合材料。
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公开(公告)号：US20070213754A1
公开(公告)日：2007-09-13
申请号：US11371455
申请日：2006-03-08
IPC分类号： A61B17/32
CPC分类号： A61B18/1477 , A61B1/2736 , A61B18/1492 , A61B2018/00279
摘要： The incision instrument of the present invention includes: a substantially rod-shaped electrode that has one end and the other end; a cable that has one end that is electrically connected to the electrode; and a connecting portion that is provided at the other end of the cable and is connectable to a high frequency power supply.
摘要翻译： 本发明的切口装置包括：具有一端和另一端的大致棒状的电极; 电缆，其一端电连接到电极; 以及连接部分，其设置在电缆的另一端并且可连接到高频电源。
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公开(公告)号：US08834353B2
公开(公告)日：2014-09-16
申请号：US12500950
申请日：2009-07-10
申请人： Takumi Dejima , Ken Yamatani , Ayano Ishioka , Kosuke Motai , Kazushi Murakami , Takayasu Mikkaichi
发明人： Takumi Dejima , Ken Yamatani , Ayano Ishioka , Kosuke Motai , Kazushi Murakami , Takayasu Mikkaichi
CPC分类号： A61B17/29 , A61B1/04 , A61B1/3132 , A61B2017/00323 , A61B2017/2906 , A61B2017/291 , A61B2017/2927 , A61B2017/3447 , A61B2090/034
摘要： A medical manipulator which includes: a plurality of arms formed in a cylindrical shape a distal end portion of which is made of a rigid member having a bending portion capable of bending; an insertion portion made of a rigid member having a plurality of channels in which base ends of the plurality of arms are connected to a distal end of the insertion portion so as to connect lumens of the arms to the plurality of channels; a photographic device provided at the distal end of the insertion portion; an operation portion that operates the bending portion; and a transmission member that connects the bending portion and the operation portion, in which the bending portion has: a first bending portion that is capable of bending in a predetermined direction by an operation of the operation portion, and a second bending portion provided in a base end than the first bending portion that is capable of fixing the plurality of arms in a bent state so as to mutually separate, and the transmission portion has: a first region which is flexible, and a second region which is rigid and connected to a base end portion of the first region.
摘要翻译： 一种医疗机械手，包括：多个臂，其形成为圆筒状，其前端部由具有能够弯曲的弯曲部的刚性构件构成; 由具有多个通道的多个通道制成的插入部分，其中所述多个臂的基端连接到所述插入部分的远端，以将所述臂的内腔连接到所述多个通道; 设置在所述插入部的前端的摄影装置; 操作所述弯曲部的操作部; 以及传递构件，其连接弯曲部和操作部，弯曲部具有：能够通过操作部的操作而能够沿预定方向弯曲的第一弯曲部和设置在所述操作部的第二弯曲部 基部端部比能够将多个臂固定成弯曲状态的第一弯曲部分相互分离，并且传动部分具有：柔性的第一区域和刚性连接到第一区域的第二区域， 第一区域的基端部分。
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公开(公告)号：US20070213749A1
公开(公告)日：2007-09-13
申请号：US11371456
申请日：2006-03-08
IPC分类号： A61B17/08
CPC分类号： A61B17/115 , A61B1/3132 , A61B17/0469 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B17/29 , A61B2017/00278 , A61B2017/00287 , A61B2017/1135
摘要： A medical procedure performed inside an abdominal cavity includes: performing a first treatment at a target position inside the abdominal cavity by a first apparatus that has been introduced percutaneously into the abdominal cavity; and performing a second treatment, using a second apparatus that has been introduced into the abdominal cavity via a natural aperture of a living body, in cooperation with the first apparatus inside the abdominal cavity, or alternatively, performing a second treatment that is necessitated as a result of the first treatment being performed after the first treatment has been performed.
摘要翻译： 在腹腔内执行的医疗程序包括：通过经皮引入腹腔的第一装置，在腹腔内的目标位置进行第一次治疗; 并且通过与腹腔内的第一装置配合使用已经通过生物体的天然孔引入腹腔的第二装置进行第二处理，或者替代地，执行必要的第二处理 在进行第一次处理之后进行第一次处理的结果。
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