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    Surgical fastener, particularly for the endoluminal treatment of gastroesophageal reflux disease (GERD)
    32.
    发明授权
    Surgical fastener, particularly for the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
    手术紧固件，特别适用于胃食管反流病（GERD）的腔内治疗

    公开(公告)号：US07033378B2

    公开(公告)日：2006-04-25

    申请号：US10252079

    申请日：2002-09-20

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0643 ,  A61B17/00234 ,  A61B17/0682 ,  A61B2017/00827 ,  A61B2017/2926 ,  A61B2017/301

    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： 手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。 夹钳相对于仪器的控制轴的纵向轴线向近侧指向并横向移位。 夹爪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的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底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中以将紧固件的部件锁定在一起。 该仪器适于将第二部分移动到第二配置中。 还提供了一种使用该装置和紧固件的方法。

    Method for fastening a hinged surgical fastener on tissue
    33.
    发明授权
    Method for fastening a hinged surgical fastener on tissue 有权
    将铰接手术紧固件固定在组织上的方法

    公开(公告)号：US08613750B2

    公开(公告)日：2013-12-24

    申请号：US13158771

    申请日：2011-06-13

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    IPC分类号： A61B17/08

    CPC分类号： A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B2017/00349 ,  A61B2017/00827

    摘要： A method for fastening a two-piece surgical fastener to bodily tissue whereby the surgical fastener has a safety position. The method comprises inserting first and second piercing posts through at least two layers of tissue and attaching a receiving portion to the coupling ends of the first and second piercing posts. Each of the first and second piercing posts have a fixed end and a coupling end, the first piercing post being fixedly-attached at its fixed end to a first base portion, the second piercing post being fixedly-attached at its fixed end to a second base portion, the first and second base portions being foldably coupled to one another by a hinge, where a bias device imparts a bias force on at least one of the first base portion and the second base portion in a direction toward the other and substantially perpendicular to a longitudinal axis of the hinge.

    摘要翻译： 一种用于将两件式手术紧固件紧固到身体组织的方法，由此手术紧固件具有安全位置。 该方法包括将第一和第二刺穿柱穿过至少两层纸巾，并将接收部分附接到第一和第二穿刺柱的联接端。 第一穿刺柱和第二穿刺柱中的每一个具有固定端和联接端，第一穿刺柱在其固定端处固定地附接到第一基部，第二穿刺柱在其固定端固定地附接到第二穿孔 所述第一基部和第二基部通过铰链彼此可折叠地连接，偏置装置在朝向另一基部和第二基部的至少一个的方向上施加偏压力并且基本垂直 到铰链的纵向轴线。

    Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease
    34.
    发明授权
    Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease 有权
    外科紧固件矫正器具特别适用于胃食管反流病的经口治疗

    公开(公告)号：US08454628B2

    公开(公告)日：2013-06-04

    申请号：US10846898

    申请日：2004-05-13

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    IPC分类号： A61B17/10

    CPC分类号： A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B2017/00349 ,  A61B2017/00827

    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 an 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 tissue-piercing posts, and the second part includes a second base defining apertures receiving the posts and a portion movable relative thereto between first and second orientations. When the posts are inserted into the apertures, the movable portion can be moved from the first unlocked orientation into the second configuration to lock the fastener parts together in an implanting position determined by various alignment measures, including markings or flags on the jaws or at the housing. The instrument is adapted to move the second part into the second configuration.

    摘要翻译： 手术器械包括端部执行器，其具有U形夹以及在打开位置和闭合位置之间可相互旋转的第一和第二钳口。 夹钳相对于仪器的控制轴的轴线向近端引导和横向移位。 夹爪分别固定紧固件的第一和第二部分。 第一部分包括具有组织穿刺柱的基部，并且第二部分包括限定接收柱的孔的第二基部和在第一和第二取向之间相对于其移动的部分。 当柱插入孔中时，可移动部分可以从第一解锁方向移动到第二构造中，以将紧固件部件锁定在由各种对准措施确定的植入位置中，包括在钳口上的标记或标记 住房。 该仪器适于将第二部分移动到第二配置中。

    Flexible surgical clip applier
    36.
    发明授权
    Flexible surgical clip applier 有权
    灵活的手术夹具

    公开(公告)号：US06824548B2

    公开(公告)日：2004-11-30

    申请号：US10010906

    申请日：2001-12-06

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Charles R. Slater

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Charles R. Slater

    IPC分类号： A61B1704

    CPC分类号： G01B7/10 ,  A61B17/0644 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/2905 ,  A61B2017/2946 ,  A61B2017/320064 ,  Y10T24/44752

    摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. The device can push a clip with a force in excess of 1500 grams.

    摘要翻译： 柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。 夹子室限定在线圈的远端。 夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时将夹子推进到夹爪中。 夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持 在夹紧的组织上。 该装置可以用超过1500克的力推动夹子。

    Endoscopic surgical instrument having a rotational actuator
    37.
    发明授权
    Endoscopic surgical instrument having a rotational actuator 有权
    具有旋转致动器的内窥镜外科器械

    公开(公告)号：US08211119B2

    公开(公告)日：2012-07-03

    申请号：US10867498

    申请日：2004-06-14

    申请人： Matthew A. Palmer ,  Kevin W. Smith ,  Juergen A. Kortenbach ,  Thomas O. Bales

    发明人： Matthew A. Palmer ,  Kevin W. Smith ,  Juergen A. Kortenbach ,  Thomas O. Bales

    IPC分类号： A61B17/10

    CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803 ,  Y10T29/53478

    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。