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    Surgical clip and applier device and method of use
    2.
    发明授权
    Surgical clip and applier device and method of use 有权

    公开(公告)号：US10105144B2

    公开(公告)日：2018-10-23

    申请号：US14547725

    申请日：2014-11-19

    申请人： Ethicon Endo-Surgery, Inc.

    发明人： Chad P. Boudreaux ,  Mark S. Ortiz

    IPC分类号： A61B17/10 ,  A61B17/128 ,  A61B17/064 ,  A61B17/122 ,  A61B17/072 ,  A61B17/00 ,  A61B90/00

    摘要： A surgical clip is provided for ligating or transecting tissue, such as vessels, other tubular ducts, and the like and a surgical clip applier device for delivering and applying the surgical clip to the tissue. The surgical clip can include a spine and opposed arms extending from the spine where the arms can define a clamping length. In a resting state, the clip can be biased to a closed position such that the ends of each opposed arm are disposed in proximity to each other. With such biasing, when applied to a tissue, such as with a surgical clip applier, the clip can exert a positive clamping pressure to the tissue along the clamping length to seal the tissue and limit passage of fluids, such as blood, from the tissue.

    Endoscopic transoral duodenal sleeve applier
    3.
    发明授权
    Endoscopic transoral duodenal sleeve applier 有权
    内窥镜经口十二指肠套管敷贴器

    公开(公告)号：US09456917B2

    公开(公告)日：2016-10-04

    申请号：US14011962

    申请日：2013-08-28

    申请人： Ethicon Endo-Surgery, Inc.

    发明人： Mark S. Zeiner ,  Mark S. Ortiz ,  David B. Griffith

    IPC分类号： A61M5/00 ,  A61F5/00 ,  A61F2/04

    CPC分类号： A61F5/0089 ,  A61F2/04 ,  A61F5/0076

    摘要： A duodenal sleeve assembly comprises a sleeve, an expandable sealing member, a tether, and an expandable anchor. The sleeve is secured to the sealing member. The tether couples the anchor with the sealing member. A deployment instrument comprises a shaft assembly, a first retention member, and a second retention member. The first retention member selectively secures the sealing member to the shaft assembly. The second retention member selectively secures the anchor to the shaft assembly. When the first retention member is released, the sealing member expands outwardly to seal the proximal end of the sleeve against the mucosa of the patient's duodenum. When the second retention member is released, the anchor expands outwardly within the stomach to anchor the sleeve assembly relative to the stomach. The tether traverses the pylorus. The sleeve isolates chyme from enzymes in the duodenum; and the mucosa of the duodenum from nutrients in the chyme.

    摘要翻译： 十二指肠套管组件包括套筒，可膨胀密封件，系绳和可膨胀锚固件。 套筒固定在密封件上。 系绳将锚固件与密封构件连接。 部署仪器包括轴组件，第一保持构件和第二保持构件。 第一保持构件将密封构件选择性地固定到轴组件。 第二保持构件选择性地将锚固件固定到轴组件。 当第一保持构件被释放时，密封构件向外膨胀以将套筒的近端密封抵靠患者十二指肠的粘膜。 当第二保持构件被释放时，锚固体在胃内向外膨胀以相对于胃锚定套筒组件。 系绳穿过幽门。 套管将食糜与十二指肠中的酶分离; 和十二指肠的粘膜从食糜中的营养物质。

    ARTICULATABLE SURGICAL DEVICE WITH ROTARY DRIVEN CUTTING MEMBER
    8.
    发明申请
    ARTICULATABLE SURGICAL DEVICE WITH ROTARY DRIVEN CUTTING MEMBER 有权
    具有旋转驱动切割构件的可外科手术装置

    公开(公告)号：US20130197556A1

    公开(公告)日：2013-08-01

    申请号：US13803862

    申请日：2013-03-14

    申请人： Ethicon Endo-Surgery, Inc.

    发明人： Frederick E. Shelton, IV ,  Mark S. Ortiz

    IPC分类号： A61B17/32

    CPC分类号： A61B17/068 ,  A61B1/0052 ,  A61B1/0057 ,  A61B17/32002 ,  A61B90/37 ,  A61B2017/003 ,  A61B2017/0042 ,  A61B2017/2905 ,  A61B2017/291 ,  A61B2017/2919 ,  A61B2017/2927 ,  A61B2017/2947 ,  A61B2034/306 ,  A61B2090/372

    摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.

    摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置。 在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。 运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。 在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置， 有效地致动末端执行器而不旋转端部执行器。 在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。 柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。