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    Over-tube, method of manufacturing over-tube, method of disposing over-tube, and method of treatment in abdominal cavity
    31.
    发明授权
    Over-tube, method of manufacturing over-tube, method of disposing over-tube, and method of treatment in abdominal cavity 有权
    上管，管外制造方法，管上方法及腹腔治疗方法

    公开(公告)号：US07645230B2

    公开(公告)日：2010-01-12

    申请号：US10962000

    申请日：2004-10-08

    申请人： Takayasu Mikkaichi ,  Keita Suzuki

    发明人： Takayasu Mikkaichi ,  Keita Suzuki

    IPC分类号： A61B1/00

    CPC分类号： A61B1/00135 ,  A61B1/00142 ,  A61B1/24 ,  A61B1/2736 ,  A61B1/31 ,  A61B1/313 ,  A61B90/40

    摘要： An over-tube for use in an endoscopic treatment in an abdominal cavity using an endoscope includes an over-tube main body which is inserted from a distal portion thereof via a natural opening in a patient's body to access the inside of the abdominal cavity from the distal portion through a lumen wall, and an internal cover which is disposed in a passage of the endoscope disposed in an inner cavity of the over-tube main body and which is extractible from a proximal portion of the over-tube main body.

    摘要翻译： 用于使用内窥镜在腹腔内窥镜处理中的外管包括：外管主体，其从其远端部分经由患者体内的天然开口插入以从腹部腔内的内部进入 远端部分通过管腔壁，以及内盖，其设置在设置在上管主体的内腔中的内窥镜的通道中，并且可从外管主体的近侧部分提取。

    Leak test method for medical procedure via natural orifice
    33.
    发明申请
    Leak test method for medical procedure via natural orifice 审中-公开
    通过自然孔口进行医疗程序的泄漏试验方法

    公开(公告)号：US20070163604A1

    公开(公告)日：2007-07-19

    申请号：US11331968

    申请日：2006-01-13

    申请人： Takayasu Mikkaichi ,  Kensei Nakahashi

    发明人： Takayasu Mikkaichi ,  Kensei Nakahashi

    IPC分类号： A61B19/00

    CPC分类号： A61B90/06 ,  A61B17/3474 ,  A61B2017/00278 ,  A61B2090/064

    摘要： A leak test method for a medical procedure via a natural orifice includes: inflating the abdominal cavity by introducing a gas into the abdominal cavity via a conduit inserted from the abdominal cavity after closing an opening that communicates between the inside of a hollow organ and the inside of the abdominal cavity using an instrument inserted via the patient's natural orifice; monitoring no leakage between the hollow organ and the abdominal cavity of a fluid passing through the closed opening; and removing the conduit inserted into the abdominal cavity once no leakage of the fluid has been confirmed.

    摘要翻译： 用于通过自然孔的医疗程序的泄漏测试方法包括：通过在闭合在中空器官的内部和内部之间连通的开口的情况下，通过从腹腔插入的导管将气体引入腹腔来充气腹腔 使用通过患者自然孔口插入的器械的腹腔; 监测中空器官与通过封闭开口的流体的腹腔之间的渗漏; 并且一旦没有确认流体的泄漏，则移除插入腹腔中的导管。

    Medical procedure through natural body orifice
    34.
    发明申请
    Medical procedure through natural body orifice 审中-公开
    医疗程序通过天然体孔

    公开(公告)号：US20070161855A1

    公开(公告)日：2007-07-12

    申请号：US11327788

    申请日：2006-01-06

    申请人： Takayasu Mikkaichi ,  Kensei Nakahashi

    发明人： Takayasu Mikkaichi ,  Kensei Nakahashi

    IPC分类号： A61B1/04 ,  A61B1/00

    CPC分类号： A61B1/0005 ,  A61B1/00016 ,  A61B1/00158 ,  A61B1/041 ,  A61B5/0002 ,  A61B2017/00283 ,  A61B2017/00876

    摘要： A medical procedure through a natural orifice according to the present invention 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 the orifice formed in the hollow organ into an abdominal cavity; introducing a second observation device from the orifice formed in the hollow organ into the abdominal cavity; arranging the second observation device in a position different from that of the first observation device; simultaneously or selectively displaying an image obtained from the first observation device and an image obtained from the second observation device; and performing a desired procedure in the abdominal cavity while confirming the images.

    摘要翻译： 根据本发明的通过天然孔的医疗过程包括：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; 将形成在中空器官上的孔的第一观察装置引入腹腔内; 将形成在中空器官中的孔的第二观察装置引入腹腔; 将所述第二观察装置配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第一观察装置获得的图像和从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。

    Medical procedure via natural opening
    35.
    发明申请
    Medical procedure via natural opening 有权
    医疗程序通过自然开放

    公开(公告)号：US20070157937A1

    公开(公告)日：2007-07-12

    申请号：US11329897

    申请日：2006-01-11

    申请人： Takayasu Mikkaichi ,  Kensei Nakahashi

    发明人： Takayasu Mikkaichi ,  Kensei Nakahashi

    IPC分类号： A61B1/01 ,  A61B19/00 ,  A61B1/273

    CPC分类号： A61B17/3415 ,  A61B1/00154 ,  A61B1/00158 ,  A61B1/015 ,  A61B1/2736 ,  A61B17/3474 ,  A61B90/39 ,  A61B2090/0801 ,  A61B2090/3954

    摘要： The medical procedure via a natural opening according to the present invention includes: disposing a target on the body surface near a target site on the inner wall of a hollow organ; introducing a guide member into the hollow organ via a natural natural opening, guiding the guide member to the target site using the target, and confirming the target site by means of a observation device; and carrying out a procedure at the target site while observing the target site.

    摘要翻译： 根据本发明的通过天然开口的医疗程序包括：将靶标放置在中空器官内壁上的目标部位附近的身体表面上; 通过天然自然开口将引导构件引入中空器官，使用目标将引导构件引导到目标部位，并通过观察装置确认目标部位; 并在观察目标地点时在目标地点执行程序。

    Suturing instrument
    36.
    发明申请
    Suturing instrument 审中-公开

    公开(公告)号：US20070100376A1

    公开(公告)日：2007-05-03

    申请号：US11639708

    申请日：2006-12-15

    申请人： Takayasu Mikkaichi ,  Keita Suzuki

    发明人： Takayasu Mikkaichi ,  Keita Suzuki

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/06109 ,  A61B2017/0417 ,  A61B2017/06052 ,  A61B2017/061 ,  A61B2217/005 ,  A61B2217/007

    摘要： This suturing instrument has a flexible inserted portion, which is introduced into a body cavity, and a hand operated portion, which is manipulated from outside the body by the surgeon. An anchoring member, which is attached to suture material, is housed inside the puncture needle at the end of the inserted portion. A pushing member, which pushes out the anchoring member, has a structure that enables it to be inserted into the inserted portion and the hand operated portion. Further, the puncture needle communicates with a flow path inside the hand operated portion, and a gas port for supplying flow to this flow path is provided to the hand operated portion.

    Organ incision method
    37.
    发明授权
    Organ incision method 有权
    器官切口法

    公开(公告)号：US08540706B2

    公开(公告)日：2013-09-24

    申请号：US12637687

    申请日：2009-12-14

    申请人： Takayasu Mikkaichi ,  Takahiro Kogasaka

    发明人： Takayasu Mikkaichi ,  Takahiro Kogasaka

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1477 ,  A61B1/2736 ,  A61B18/1492 ,  A61B2018/00279

    摘要： A method of making an incision in an organ includes piercing, by a puncture needle having a proximal end and a distal end, an abdominal wall and an organ that is to be incised, disposing, via the puncture needle, an electrode, to which a first end of a cable is electrically connected, inside the organ, and disposing a second end of the cable outside a body, performing insufflation using a conduit so as to form a space between the abdominal wall and the organ, pulling the cable farther from the second end so that the electrode is placed in contact with an incision position of the organ, and the incision position of the organ is pulled into the space, and supplying power to the cable so that an incision is made by the electrode at the incision position of the organ.

    摘要翻译： 在器官中形成切口的方法包括通过具有近端和远端的穿刺针刺穿要切开的腹壁和器官，经由穿刺针布置电极，将电极 电缆的第一端在器官内部电连接，并将电缆的第二端设置在身体外部，使用导管进行吹气，以在腹壁和器官之间形成空间，将电缆从 第二端，使得电极与器官的切口位置接触，并且器官的切口位置被拉入空间，并且向电缆供电，使得在切口位置处由电极进行切口 的器官。

    Anastomosing instrument
    39.
    发明授权
    Anastomosing instrument 有权
    吻合器械

    公开(公告)号：US07534248B2

    公开(公告)日：2009-05-19

    申请号：US10859849

    申请日：2004-06-03

    申请人： Takayasu Mikkaichi ,  Keita Suzuki

    发明人： Takayasu Mikkaichi ,  Keita Suzuki

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0487 ,  A61B17/0469 ,  A61B17/11 ,  A61B2017/00367 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052

    摘要： The present invention aims to provide an anastomosing instrument that can anastomose biological tissue with surety.This anastomosing instrument has an inserted portion, which is inserted into a body cavity and is provided with a puncture needle, and a hand-operated portion, which the surgeon operates from outside the body. This anastomosing instrument is designed as follows. Namely, an anchoring member for anchoring in biological tissue and a locking member for fastening on a suture material are housed inside the puncture needle. A first pushing member, for pushing the locking member out from the puncture needle ahead of the anchoring member, and a second pushing member, for pushing the anchoring member out from the puncture needle are passed through from the hand-operated portion.

    摘要翻译： 本发明旨在提供一种可以保证生物组织吻合的吻合器械。 这种吻合器具有插入到体腔中的插入部分，并且设置有穿刺针和外科医生从身体外部操作的手动部分。 该吻合仪器设计如下。 也就是说，用于锚固在生物体组织中的锚定构件和用于紧固在缝合材料上的锁定构件容纳在穿刺针的内部。 用于将锚定构件从固定构件前方的穿刺针推出的第一推动构件和用于将固定构件从穿刺针推出的第二推动构件从手动部分穿过。