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    Surgical Multiple Use Adhesive Applier
    2.
    发明申请
    Surgical Multiple Use Adhesive Applier 有权
    手术多用粘合剂

    公开(公告)号：US20080112751A1

    公开(公告)日：2008-05-15

    申请号：US11558138

    申请日：2006-11-09

    申请人： John W. Sheets ,  Donna L. Korvick ,  Georgette A. Belair ,  Mark S. Ortiz ,  Wells D. Haberstich ,  Ronald J. Kolata ,  Frederick E. Shelton ,  James W. Voegele ,  Margaret M. D'Aversa ,  Michael T. Mather

    发明人： John W. Sheets ,  Donna L. Korvick ,  Georgette A. Belair ,  Mark S. Ortiz ,  Wells D. Haberstich ,  Ronald J. Kolata ,  Frederick E. Shelton ,  James W. Voegele ,  Margaret M. D'Aversa ,  Michael T. Mather

    IPC分类号： B43K5/14

    CPC分类号： A61B17/00491 ,  A61B50/30 ,  A61B2090/037

    摘要： A multiple use adhesive dispenser facilitates precise, extended dispensing for a surgical procedure by sequentially positioning an ampoule containing a flowable material, such as a polymerizable monomer compound such as a cyanoacrylate adhesive. In one version particularly suited to an open surgical procedure, the ampoules are affixed to a tape substrate that is unreeled from an internal storage reel and transported proximate to an ampoule gripping mechanism with an underlying tape substrate peeled away and internally stored as each ampoule is positioned for dispensing. Actuating an ampoule advancement handle positions the next ampoule and squeezing a movable handle toward a fixed handle effects dispensing. Another version has an elongate shaft that internally augers each ampoule in succession into a pair of spaced jaws that are pinched together by actuating rods to dispense adhesive.

    摘要翻译： 多用途粘合剂分配器通过顺序地定位包含可流动材料（例如可聚合单体化合物例如氰基丙烯酸酯粘合剂）的安瓿，便于精确的，延伸的外科手术分配。 在特别适用于开放式外科手术的一个版本中，安瓿被固定到带状基底上，该带基底从内部储存卷轴未被拉出并被运送到附近的安瓿夹持机构，下面的带基底被剥离并且在每个安瓿被定位时内部存储 用于分配。 执行安瓿升降手柄放置下一个安瓿，并向固定手柄挤压可动手柄，实现分配。 另一个版本具有细长的轴，其内部将每个安瓿连续地螺旋连接成一对间隔开的夹爪，所述夹爪通过致动杆被夹在一起以分配粘合剂。

    Expanding Adhesive Foam Structure to Reduce Stomach Volume
    9.
    发明申请
    Expanding Adhesive Foam Structure to Reduce Stomach Volume 有权
    扩大粘合泡沫结构以减少胃体积

    公开(公告)号：US20080109086A1

    公开(公告)日：2008-05-08

    申请号：US11557649

    申请日：2006-11-08

    申请人： James W. Voegele ,  Douglas J. Turner ,  Mark S. Ortiz ,  Frederick E. Shelton

    发明人： James W. Voegele ,  Douglas J. Turner ,  Mark S. Ortiz ,  Frederick E. Shelton

    IPC分类号： A61F2/04

    CPC分类号： A61F5/0086 ,  A61F2002/044

    摘要： Expanding or foaming adhesives are used to reduce the stomach volume to reduce the caloric intake and weight of a patient. A web structure is attached inside the stomach and an expanding or foaming adhesive is applied to the web structure. The expanding or foaming adhesive attaches to the web structure and to the stomach to partition the stomach. The partition barrier divides the stomach volume into a reduced volume available for food storage and an empty volume that the food cannot enter. The reduced volume enables the patient to feel full faster and reduce caloric intake. A passageway can be provided between the two volumes near the base of the stomach to allow food or fluids to exit from the empty volume.

    摘要翻译： 使用膨胀或起泡粘合剂来减少胃体积以降低患者的热量摄取和重量。 将腹板结构附接在胃内，并且将膨胀或起泡粘合剂施加到腹板结构上。 膨胀或发泡粘合剂附着到腹板结构和胃部以分隔胃。 分隔壁将胃容积分成可用于食物储存的减小体积，以及食物不能进入的空的体积。 减少的体积使患者感觉更快，降低热量摄入。 可以在靠近胃底部的两个体积之间提供通道，以允许食物或液体从空的体积中排出。

    Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
    10.
    发明授权
    Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser 有权
    具有电活性聚合物致动的药物分配器的手术吻合器械

    公开(公告)号：US08905977B2

    公开(公告)日：2014-12-09

    申请号：US11141753

    申请日：2005-06-01

    申请人： Frederick E. Shelton ,  Joseph C. Hueil ,  Jerome R. Morgan

    发明人： Frederick E. Shelton ,  Joseph C. Hueil ,  Jerome R. Morgan

    IPC分类号： A61M5/00 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29

    CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2912

    摘要： A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.

    摘要翻译： 外科缝合和切割器械通过具有上下钳口（即，砧座和缝合通道）来进行微创外科手术，所述上钳口和下颚定位成具有细长轴和手柄通过手术开口，并且特别是通过套管针的插管。 一对流体囊（提升袋）被定位在近侧突出的杆托板下方的钉通道中，使得来自手柄的流体的传送导致砧座的闭合和夹紧。 双向流体控制可以在手柄处或通过激活电活性聚合物致动器机械地产生。 一旦感测到烧灼，则插入到细长轴中的药物注射器中的EAP柱塞被激活以分配医疗物质（例如麻醉剂，粘合剂，烧灼物质，抗生素等），并且沿着击球杆被引导至切割 电子束的表面将物质放置在组织上切断。