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    Surgical device for creating an anastomosis between first and second hollow organs
    4.
    发明授权
    Surgical device for creating an anastomosis between first and second hollow organs 有权
    用于创建第一和第二中空器官之间的吻合的手术装置

    公开(公告)号：US06605098B2

    公开(公告)日：2003-08-12

    申请号：US09967227

    申请日：2001-09-28

    申请人： Rudolph H. Nobis ,  Christopher J. Hess ,  Gary W. Knight ,  Michael F. Clem ,  Dale R. Schulze

    发明人： Rudolph H. Nobis ,  Christopher J. Hess ,  Gary W. Knight ,  Michael F. Clem ,  Dale R. Schulze

    IPC分类号： A61B1708

    CPC分类号： A61B17/11 ,  A61B17/0644 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/0641 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical device including: a punch slidingly disposed in a housing for forming a hole in a first vessel; a cartridge movably disposed in the housing between a cutting and deploying positions, the cartridge having a second vessel and a coupler for coupling the first and second vessel loaded therein; a punch actuator for sliding the punch between the cutting and deploying positions; a cartridge actuator for moving the cartridge between the cutting and deploying positions, wherein while in the cutting position, the punch and cartridge are in position to permit the punch to form the hole in the first vessel and while in the deploying position, they are in position to deploy the second vessel; and a deployment mechanism for deploying the second vessel and coupler into the hole of the first vessel while the punch and cartridge are in the deploying position to create an anastomosis.

    摘要翻译： 一种手术装置，包括：滑动地设置在壳体中的冲头，用于在第一容器中形成孔; 一个可移动地设置在壳体中的切割和展开位置之间的墨盒，该墨盒具有一个第二容器和一个联接器，用于联接装在其中的第一和第二容器; 用于在切割和展开位置之间滑动冲头的冲头致动器; 用于在切割和展开位置之间移动墨盒的墨盒致动器，其中在切割位置时，冲头和墨盒处于适当位置以允许冲头在第一容器中形成孔，而在展开位置时， 部署第二艘船的位置; 以及用于将所述第二容器和联接器部署到所述第一容器的孔中并且同时所述冲头和所述盒处于所述展开位置以产生吻合的部署机构。

    Method for endoscopic, transgastric access into the abdominal cavity
    5.
    发明授权
    Method for endoscopic, transgastric access into the abdominal cavity 有权
    内窥镜检查方法，经腹进入腹腔

    公开(公告)号：US07824368B2

    公开(公告)日：2010-11-02

    申请号：US10465061

    申请日：2003-06-19

    申请人： Michael F. Clem ,  Gary W. Knight ,  Rudolph H. Nobis ,  Dale R. Schulze ,  Christopher J Hess ,  Elliott J. Fegelman

    发明人： Michael F. Clem ,  Gary W. Knight ,  Rudolph H. Nobis ,  Dale R. Schulze ,  Christopher J Hess ,  Elliott J. Fegelman

    IPC分类号： A61M29/00 ,  A61M5/00 ,  A61M5/32

    CPC分类号： A61B1/00142 ,  A61B1/00154 ,  A61B1/01 ,  A61B1/313

    摘要： The present invention is a method for accessing the abdominal cavity of a patient in order to perform a medical procedure therein. In one embodiment the method includes the step of inserting a guide wire into the upper gastrointestinal tract, via a gastric opening in the gastric wall and an abdominal opening in the abdominal wall of the patient, the guide wire having a first end that extends from the mouth of the patient, and a second end that extends from the abdominal opening of the patient. The method further includes providing an access device in the form of an elongated sheath having a lumen therethrough, attaching the first end of the guide wire to the distal end of the elongated sheath, and pulling the second end of the guide wire to position the access device into the upper gastrointestinal tract, wherein the distal end of the access device extends into the abdominal cavity while the proximal end of the access device extends out of the mouth of the patient.

    摘要翻译： 本发明是一种用于访问患者腹腔以便在其中执行医疗程序的方法。 在一个实施例中，该方法包括通过胃壁中的胃开口和患者腹壁中的腹部开口将导丝插入上胃肠道的步骤，该导丝具有从 并且从患者的腹部开口延伸的第二端。 该方法还包括提供一种细长护套形式的进入装置，其具有穿过其中的内腔，将导丝的第一端附接到细长护套的远端，以及拉动导丝的第二端以定位通道 装置进入上胃肠道，其中进入装置的远端延伸到腹腔中，而进入装置的近端延伸出患者口部。

    Vessel harvesting retractor with integral electrosurgical clamping elements
    8.
    发明授权
    Vessel harvesting retractor with integral electrosurgical clamping elements 失效
    具有整体电外科夹紧元件的血管收缩牵开器

    公开(公告)号：US06656176B2

    公开(公告)日：2003-12-02

    申请号：US09967201

    申请日：2001-09-28

    申请人： Christopher J. Hess ,  Michael F. Clem ,  Gary W. Knight ,  Rudolph H. Nobis ,  Dale R. Schulze

    发明人： Christopher J. Hess ,  Michael F. Clem ,  Gary W. Knight ,  Rudolph H. Nobis ,  Dale R. Schulze

    IPC分类号： A61B1732

    CPC分类号： A61B17/00008 ,  A61B17/32 ,  A61B18/1442 ,  A61B2017/1225 ,  A61B2018/0063

    摘要： An endoscopic vessel harvesting device and a method of endoscopic harvesting of vessels from a patients body. The method comprises locating the vessel, and inserting the vessel harvesting device through an incision. Dissecting the vessel from the surrounding tissue, and capturing side branch vessels in a vessel capturing device. Ligating and transecting the side branch vessels using electrodes and a knife located in the vessel capturing device. Finally, ligating and transecting the vessel, and removing the vessel from the patients body. The vessel harvesting device comprises a head piece, a shaft having a lumen for receiving an endoscope, and a vessel capturing device located on the head piece for capturing the side branch vessels in the receiver.

    摘要翻译： 内窥镜血管收获装置以及从患者体内内窥镜收集血管的方法。 该方法包括定位血管，并通过切口插入血管收集装置。 从周围组织解剖血管，并捕获血管捕获装置中的侧分支血管。 使用电极和位于血管捕获装置中的刀来切断和横切侧分支血管。 最后，连接和横断血管，并从患者体内取出血管。 容器收集装置包括头部件，具有用于容纳内窥镜的内腔的轴和位于头部件上用于捕获接收器中的侧分支容器的容器捕获装置。

    Surgical device for applying radio frequency energy to a portion of a captured vessel
    10.
    发明授权
    Surgical device for applying radio frequency energy to a portion of a captured vessel 失效
    用于将射频能量施加到捕获的血管的一部分的外科手术装置

    公开(公告)号：US06835195B2

    公开(公告)日：2004-12-28

    申请号：US10318755

    申请日：2002-12-13

    申请人： Dale R. Schulze ,  Michael F. Clem ,  Gary W. Knight ,  Christopher J. Hess ,  Rudolph H. Nobis ,  Gary L. Long

    发明人： Dale R. Schulze ,  Michael F. Clem ,  Gary W. Knight ,  Christopher J. Hess ,  Rudolph H. Nobis ,  Gary L. Long

    IPC分类号： A61B1818

    CPC分类号： A61B18/1482 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00982

    摘要： A surgical device for applying radio frequency energy to a portion of a captured vessel is provided. The device including: a first tube having an internal lumen for passage of a viewing device therein, the first tube having a substantially transparent first window at a distal tip thereof; a second tube slidingly disposed over the first tube, the second tube having a substantially transparent second window at a distal tip thereof, the second tube further having a slot for capturing a portion of the vessel; an actuator for sliding the second tube relative to the first tube between open and closed positions, wherein in the closed position an inner surface of the second window is aligned with an outer surface of the first window and captures the portion of the vessel therebetween; and at least one electrode affixed to one of the inner or outer surfaces and facing the other of the inner or outer surfaces for applying radio frequency energy to the captured portion of the vessel.

    摘要翻译： 提供了一种用于将射频能量施加到捕获的血管的一部分的手术装置。 该装置包括：第一管，其具有用于在其中观察装置通过的内腔，第一管在其远端处具有基本透明的第一窗口; 滑动地设置在所述第一管上的第二管，所述第二管在其远端处具有基本透明的第二窗口，所述第二管还具有用于捕获所述容器的一部分的狭槽; 致动器，其用于在打开和关闭位置之间相对于第一管滑动第二管，其中在关闭位置，第二窗口的内表面与第一窗口的外表面对准并且捕获其间的容器部分; 以及至少一个电极，固定在所述内表面或外表面中的一个上并面向所述内表面或外表面中的另一个，以将射频能量施加到所述容器的所捕获的部分。