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1.发明授权Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD) 有权特别用于胃食管反流病（GERD）经口治疗的手术紧固器的仪器公开(公告)号：US06966919B2
公开(公告)日：2005-11-22
申请号：US10252069
申请日：2002-09-20
申请人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
发明人： Robert Sixto, Jr. , Kevin W. Smith , Juergen A. Kortenbach , Michael Sean McBrayer , Charles R. Slater
IPC分类号： A61B17/064 , A61B17/28 , A61B17/08
CPC分类号： A61B17/0643 , A61B17/29 , A61B2017/00827 , A61B2017/2905
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 a longitudinal 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 upstanding tissue piercing posts, and the second part includes another base defining apertures for receiving the posts, as well as a portion movable relative to the second base. When the upstanding posts are inserted into the apertures, the movable portion can be moved into a second configuration to lock the parts of the fastener together. The instrument is adapted to move the second part into the second configuration. A method for using the apparatus and fastener are also provided.
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纵向轴线向近侧指向并横向移位。 夹爪分别固定紧固件的第一和第二部分。 第一部分包括具有直立的组织穿刺柱的基部，并且第二部分包括限定用于接收柱的孔的另一底部以及相对于第二基部可移动的部分。 当直立柱插入孔中时，可移动部分可以移动到第二构型中以将紧固件的部件锁定在一起。 该仪器适于将第二部分移动到第二配置中。 还提供了一种使用该装置和紧固件的方法。
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2.发明申请公开(公告)号：US20110071555A1
公开(公告)日：2011-03-24
申请号：US12748944
申请日：2010-03-29
申请人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, and methods of applying the surgical clips to living tissue are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape, and which are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.
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3.发明授权Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen 有权当内窥镜在体腔内时，用于在内窥镜上传送医疗器械的方法和装置公开(公告)号：US06569085B2
公开(公告)日：2003-05-27
申请号：US09931528
申请日：2001-08-16
IPC分类号： A61B100
CPC分类号： A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/1285 , A61B90/50 , A61B2017/00296 , A61B2017/320064
摘要： Methods and apparatus for delivering a medical instrument over the exterior of an endoscope while the endoscope is installed in the patient's body allow the use of instruments which are too large to fit through the lumena of an endoscope. Furthermore, the invention allows the elimination of working lumena in an endoscope thereby minimizing the likelihood of contamination.
摘要翻译： 当将内窥镜安装在患者身体内时，用于将内窥镜的外部递送医疗器械的方法和装置允许使用太大而不能穿过内窥镜的内腔的装置。 此外，本发明允许消除内窥镜中的工作灯泡，从而使污染的可能性最小化。
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公开(公告)号：US07727246B2
公开(公告)日：2010-06-01
申请号：US10010244
申请日：2001-12-06
申请人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
发明人： Robert Sixto, Jr. , Michael Sean McBrayer , Juergen A. Kortenbach , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B1/00073 , A61B1/00087 , A61B1/0014 , A61B1/018 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/320064 , A61B2018/00577 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2090/306 , A61B2090/3614
摘要： Methods of the invention include delivering a grasper, a clip applier, and an endoscope transorally to the site of fundoplication; grasping the fundus with the grasper (or similar device, e.g. corkscrew) and pulling it into the jaws of the clip applier; closing the jaws of the clip applier over the fundus and applying a clip to the fundus.
摘要翻译： 本发明的方法包括将抓持器，夹具施加器和内窥镜经皮递送至基层应用部位; 用抓紧器（或类似的装置，例如开瓶器）抓住眼底并将其拉入夹具的钳口中; 将夹子的钳口夹在眼底上，并将夹子应用于眼底。
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公开(公告)号：US06551329B1
公开(公告)日：2003-04-22
申请号：US09579455
申请日：2000-05-26
IPC分类号： A61B1704
CPC分类号： A61B17/0485 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/06066 , A61B17/0625 , A61B17/29 , A61B2017/00805 , A61B2017/00946 , A61B2017/047 , A61B2017/2929 , Y10S261/11
摘要： A surgical instrument for applying sutures to tissue includes a needle deployment mechanism and a catch mechanism. In some embodiments, the needle deployment mechanism employs a linear path. Alternatively, it can employ a curved needle. The surgical instrument may include a rotatable head, a bend, and/or a malleable elongated body member formable into various shapes.
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公开(公告)号：US06551315B2
公开(公告)日：2003-04-22
申请号：US09730911
申请日：2000-12-06
IPC分类号： A61B1818
CPC分类号： A61B18/1445 , A61B10/06 , A61B17/1285 , A61B2017/00296 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126 , A61B2018/1495
摘要： A surgical tool attaches to the distal end of an endoscope and provides a rotatable treating element. According to one embodiment of the invention, the treating element is a pair of jaws provided with cautery capability. According to an aspect of the invention, the treating element is capable of multiple movements from a first closed position, to an open position, to a second closed position and back to the first closed position via a single controller with a single linear movement.
摘要翻译： 手术工具附接到内窥镜的远端并提供可旋转的治疗元件。 根据本发明的一个实施例，处理元件是具有烧烤能力的一对钳口。 根据本发明的一个方面，处理元件能够通过具有单个线性运动的单个控制器从多个从第一关闭位置到打开位置到第二关闭位置的运动回到第一关闭位置。
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公开(公告)号：US20130211428A1
公开(公告)日：2013-08-15
申请号：US13742716
申请日：2013-01-16
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/0469 , A61B17/0482 , A61B17/0491 , A61B17/06066 , A61B17/0625 , A61B17/29 , A61B2017/00805 , A61B2017/00946 , A61B2017/047 , A61B2017/2929 , Y10S261/11
摘要： A surgical instrument for applying sutures to tissue includes a needle deployment mechanism and a catch mechanism. In some embodiments, the needle deployment mechanism employs a linear path. Alternatively, it can employ a curved needle. The surgical instrument may include a rotatable head, a bend, and/or a malleable elongated body member formable into various shapes.
摘要翻译： 用于向组织施加缝合线的手术器械包括针展开机构和捕捉机构。 在一些实施例中，针展开机构采用线性路径。 或者，它可以使用弯曲的针。 手术器械可以包括可形成为各种形状的可旋转头部，弯曲部和/或可延展的细长主体部件。
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8.发明申请Surgical Clips Particularly Useful in the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 审中-公开手术夹在胃食管反流病（GERD）的腔内治疗中特别有效公开(公告)号：US20110071554A1
公开(公告)日：2011-03-24
申请号：US12748536
申请日：2010-03-29
申请人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles S. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles S. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/08
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape. The arms are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.
摘要翻译： 公开了一种手术夹具，其特别可用于腹部胃肠和胃食管胃食管反射。 夹子包括通过桥连接以形成大致U形的第一臂和第二臂。 臂设置有第一结构，其适于在夹子被施加到组织之后防止夹子在垂直于夹子的纵向轴线的方向上移动。 此外，夹子优选地还包括适于在夹子被施加到组织之后防止夹子围绕夹子的纵向轴线旋转的第二结构。
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9.发明授权Methods and apparatus for on-endoscope instruments having end effectors and combinations of on-endoscope and through-endoscope instruments 失效具有末端执行器的内窥镜仪器的方法和装置以及内窥镜和内窥镜仪器的组合公开(公告)号：US06808491B2
公开(公告)日：2004-10-26
申请号：US10151503
申请日：2002-05-20
IPC分类号： A61B1018
CPC分类号： A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/1227 , A61B17/1285 , A61B18/1445 , A61B2017/00292 , A61B2017/00296 , A61B2017/00464 , A61B2017/2936 , A61B2017/2945 , A61B2017/320064 , A61B2018/00494 , A61B2018/00607 , A61B2018/00982 , A61B2018/1432 , A61B2018/1495 , A61B2090/306 , A61B2090/3614
摘要： A surgical system includes an endoscope, a pair of end effectors provided on the outside of the distal end of a endoscope (“on-scope”), in which one end effector is rotatable or otherwise movable relative to the second end effector and in which such movement is effected via controls elements which do not extend through a lumen of the endoscope, and another instrument extending through the lumen of the endoscope (“through-scope”), and which preferably also has a pair of end effectors. The on-scope device may be clamping jaws, needle passers, clip appliers, cautery devices, staplers, and releasable hemoclips, among other end devices. The through-scope end effectors may be graspers and clip appliers, among other end effectors.
摘要翻译： 外科系统包括内窥镜，设置在内窥镜的远端的外侧（“在范围”）上的一对末端执行器，其中一个末端执行器可相对于第二末端执行器旋转或以其它方式移动，其中 这样的运动通过不延伸通过内窥镜的内腔的控制元件和延伸穿过内窥镜的内腔（“通过范围”）的另一仪器实现，并且其优选地还具有一对末端执行器。 与其他终端设备相比，该示范设备可以是夹钳爪，针通路器，夹具装置，烧灼装置，缝合器和可释放的血液透镜。 通过范围的末端执行器可以是抓取器和夹子施放器，以及其他终端执行器。
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公开(公告)号：US07083617B2
公开(公告)日：2006-08-01
申请号：US10419666
申请日：2003-04-21
CPC分类号： A61B18/1445 , A61B10/06 , A61B17/1285 , A61B2017/00296 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126 , A61B2018/1495
摘要： A surgical tool attaches to the distal end of an endoscope and provides a rotatable treating element. According to one embodiment of the invention, the treating element is a pair of jaws provided with cautery capability. According to an aspect of the invention, the treating element is capable of multiple movements from a first closed position, to an open position, to a second closed position and back to the first closed position via a single controller with a single linear movement.
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