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    Surgical fastener aligning instrument particularly for transoral treatment of gastroesophageal reflux disease
    32.
    发明申请
    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：US20080149685A1

    公开(公告)日：2008-06-26

    申请号：US10846898

    申请日：2004-05-13

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

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

    IPC分类号： A61B17/068 ,  A61B17/064

    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。

    Clip ejector for endoscopic clip applier
    33.
    发明授权
    Clip ejector for endoscopic clip applier 有权
    夹子用于内窥镜夹子施放器

    公开(公告)号：US07357806B2

    公开(公告)日：2008-04-15

    申请号：US10867413

    申请日：2004-06-14

    申请人： Carlos Rivera ,  Kevin W. Smith ,  Thomas O. Bales ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Arp

    发明人： Carlos Rivera ,  Kevin W. Smith ,  Thomas O. Bales ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Arp

    IPC分类号： 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, a manual actuator coupled to one end and a jaw assembly coupled to the other. A store of clips is arranged adjacent to the jaw assembly and a clip pusher 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 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 portion. The threaded portion engages a threaded member near the pusher such that rotation of the second 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柔性线圈，联接到一端的手动致动器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。 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，该单个控制构件通过线圈延伸到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着一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，使得第二控制构件通过曲柄的旋转使得推动器向远侧移动。

    Surgical instrument for invagination and fundoplication
    36.
    发明授权
    Surgical instrument for invagination and fundoplication 有权

    公开(公告)号：US06551328B2

    公开(公告)日：2003-04-22

    申请号：US09871981

    申请日：2001-06-04

    申请人： Juergen A. Kortenbach

    发明人： Juergen A. Kortenbach

    IPC分类号： A61B1710

    CPC分类号： A61B17/0643 ,  A61B17/00234 ,  A61B17/068 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61B2017/2905 ,  Y10T24/366

    摘要： An endoscopic surgical instrument for deploying a two part fastener having a male fastener part and a female fastener part, includes a tube having a proximal end and a distal end. An end effector is coupled to said distal end of said tube and is configured to hold the male fastener part and the female fastener part in opposed relation. An actuator is coupled to said proximal end of said tube and is configured to actuate the end effector. A shearing device may be positioned proximate the end effector to shear off a tip of the male fastener part after the male and female fastener parts are moved into locking relation. In addition, the surgical instrument may include a male fastener part having a shaft with a plurality of detent positions. Further, the male fastener part may include a base and a shaft pivotally connected to the base.

    Tissue fastening devices and related insertion tools and methods
    37.
    发明授权
    Tissue fastening devices and related insertion tools and methods 失效
    组织固定装置及相关插入工具及方法

    公开(公告)号：US08647351B2

    公开(公告)日：2014-02-11

    申请号：US12880868

    申请日：2010-09-13

    申请人： Juergen A. Kortenbach

    发明人： Juergen A. Kortenbach

    IPC分类号： A61B17/10 ,  A61B17/08

    CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B2017/00827 ,  A61B2017/0649

    摘要： The invention in certain aspects relates to a one-piece coil-shaped surgical fastener for fastening tissue segments, especially suitable for fastening segments of the lower esophageal sphincter and fundus in an endoscopic procedure for the treatment of GERD. The invention also relates to related methods and devices for insertion of such a fastener, especially along a juncture of the surfaces of such tissue segments.

    摘要翻译： 本发明在一些方面涉及用于紧固组织段的单件式螺旋形外科紧固件，特别适用于内窥镜下方法用于固定下食管括约肌和眼底的部分，用于治疗GERD。 本发明还涉及用于插入这种紧固件的相关方法和装置，特别是沿着这种组织段的表面的接合处。

    Reduced component bone plating system
    38.
    发明授权
    Reduced component bone plating system 有权
    减少组分骨电镀系统

    公开(公告)号：US08632574B2

    公开(公告)日：2014-01-21

    申请号：US13313350

    申请日：2011-12-07

    申请人： Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Andrea Suarez

    发明人： Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Andrea Suarez

    IPC分类号： A61B17/80

    CPC分类号： A61B17/8052 ,  A61B17/8057 ,  A61B17/8061 ,  A61B17/8605

    摘要： An orthopedic screw system includes a screw with a locking head that can both lockingly engage in a fixed angle threaded screw hole to secure a plate to a bone without compression, and non-lockingly engage at a compression screw hole to provide compression between the plate and the bone. The structure of the system is particularly well adapted to plates and screw of small dimensions, such as screws smaller than 3.5 mm and is capable of providing high compressive force, on the order of 120 lbs of axial load, without significant plastic deformation between the screw and plate.

    摘要翻译： 矫形螺钉系统包括具有锁定头的螺钉，其可以锁定地接合在固定角度的螺纹孔中，以将板固定在骨头上而不受压缩，并且非锁定地接合在压缩螺钉孔处以在板和 骨头。 该系统的结构特别适用于小尺寸的板和螺钉，例如小于3.5mm的螺钉，并且能够提供大约120磅的轴向载荷的高压缩力，而螺杆之间没有明显的塑性变形 和板。

    Bone plate bender system
    39.
    发明授权
    Bone plate bender system 有权
    骨板弯曲系统

    公开(公告)号：US08419745B2

    公开(公告)日：2013-04-16

    申请号：US12766539

    申请日：2010-04-23

    申请人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Juergen A. Kortenbach

    发明人： Robert Sixto, Jr. ,  Jose Luis Francese ,  Juergen A. Kortenbach

    IPC分类号： A61B17/88

    CPC分类号： A61B17/8863 ,  A61B17/80

    摘要： A pair of plate benders are provided for bending a bone plate. Each bender includes a lever arm having a first end and a second end. The first end includes a fulcrum for placement on the upper surface of the plate, and a foot insertable through the oblong screw hole to contact the lower surface of the plate. The second end includes a cut-out with a central divider. The cut-out has a length dimensioned to extend widthwise about the plate at the location of the oblong screw hole with the divider extending into the oblong screw hole for stability. The second end may also be provided with a deep slot that accommodates the thickness of the plate. In use, plate benders with such structure can be used in pairs to longitudinal bend the plate; bend the plate in plane; or twist the plate along its axis.

    摘要翻译： 提供一对弯板机用于弯曲骨板。 每个弯曲机包括具有第一端和第二端的杠杆臂。 第一端包括用于放置在板的上表面上的支点，以及可插入通过长方形螺钉孔的脚以接触板的下表面。 第二端包括带中央分隔线的切口。 切口的长度尺寸设计成在长方形螺丝孔的位置处围绕板宽度延伸，分隔件延伸到长方形螺钉孔中以确保稳定性。 第二端还可以设置有容纳板的厚度的深槽。 在使用中，具有这种结构的板式弯曲机可成对使用以纵向弯曲板; 在平面上弯曲板; 或沿其轴线扭转板。

    Fracture fixation plate for the coronoid of the proximal ulna
    40.
    发明授权
    Fracture fixation plate for the coronoid of the proximal ulna 有权
    骨折固定板为近端尺骨冠状突

    公开(公告)号：US08192472B2

    公开(公告)日：2012-06-05

    申请号：US12261456

    申请日：2008-10-30

    申请人： Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Steinmann

    发明人： Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Steinmann

    IPC分类号： A61B17/80

    CPC分类号： A61B17/80 ,  A61B17/17 ,  A61B17/1728 ,  A61B17/1739 ,  A61B17/8061 ,  A61B17/8085 ,  A61B17/809 ,  A61B17/864 ,  A61B17/8863 ,  B25B27/026 ,  B25B27/064 ,  Y10S606/902

    摘要： A system for the internal fixation of a fractured bone of an elbow joint of a patient includes at least one bone plate, each bone plate having a plurality of holes and generally configured to fit an anatomical surface of the fractured bone. The at least one plate is adapted to be customized to the shape of a patient's bone. The system also includes a plurality of fasteners including at least one locking fastener for attaching the bone plate to the bone. At least one of the holes is a threaded hole. Guides for plate benders, drills, and/or K-wires can be pre-assembled to the threaded holes, and the locking fastener can lock into any of the threaded holes after the guides are removed.

    摘要翻译： 用于患者的肘关节的骨折的内部固定的系统包括至少一个骨板，每个骨板具有多个孔，并且通常构造成适合骨折骨的解剖表面。 所述至少一个板适于根据患者骨骼的形状来定制。 该系统还包括多个紧固件，其包括用于将骨板附接到骨头的至少一个锁定紧固件。 至少一个孔是螺纹孔。 板式弯管机，钻头和/或K线的导轨可以预先组装到螺纹孔中，并且在引导件被移除之后，锁定紧固件可以锁定到任何螺纹孔中。