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    Method for Fastening a Hinged Surgical Fastener on Tissue
    1.
    发明申请
    Method for Fastening a Hinged Surgical Fastener on Tissue 有权
    在组织上固定铰链手术紧固件的方法

    公开(公告)号：US20120143247A1

    公开(公告)日：2012-06-07

    申请号：US13158771

    申请日：2011-06-13

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, JR.

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, JR.

    IPC分类号： A61B17/064

    CPC分类号： A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B2017/00349 ,  A61B2017/00827

    摘要： A method for fastening a two-piece surgical fastener to bodily tissue whereby the surgical fastener has a safety position. The method comprises inserting first and second piercing posts through at least two layers of tissue and attaching a receiving portion to the coupling ends of the first and second piercing posts. Each of the first and second piercing posts have a fixed end and a coupling end, the first piercing post being fixedly-attached at its fixed end to a first base portion, the second piercing post being fixedly-attached at its fixed end to a second base portion, the first and second base portions being foldably coupled to one another by a hinge, where a bias device imparts a bias force on at least one of the first base portion and the second base portion in a direction toward the other and substantially perpendicular to a longitudinal axis of the hinge.

    摘要翻译： 一种用于将两件式手术紧固件紧固到身体组织的方法，由此手术紧固件具有安全位置。 该方法包括将第一和第二刺穿柱穿过至少两层纸巾，并将接收部分附接到第一和第二穿刺柱的联接端。 第一穿刺柱和第二穿刺柱中的每一个具有固定端和联接端，第一穿刺柱在其固定端处固定地附接到第一基部，第二穿刺柱在其固定端固定地附接到第二穿孔 所述第一基部和第二基部通过铰链彼此可折叠地连接，偏置装置在朝向另一基部和第二基部的至少一个的方向上施加偏压力并且基本垂直 到铰链的纵向轴线。

    Rotational, translational and torqueing control members for an endoscopic instrument
    2.
    发明授权
    Rotational, translational and torqueing control members for an endoscopic instrument 有权
    用于内窥镜仪器的旋转，平移和扭矩控制构件

    公开(公告)号：US07862503B2

    公开(公告)日：2011-01-04

    申请号：US11924778

    申请日：2007-10-26

    申请人： Kevin W. Smith ,  Jose Luis Francese ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    发明人： Kevin W. Smith ,  Jose Luis Francese ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    IPC分类号： A61B1/00

    CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

    摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

    摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

    Flexible surgical device having a rotatable end effector assembly
    5.
    发明授权
    Flexible surgical device having a rotatable end effector assembly 有权
    柔性手术装置具有可旋转的端部执行器组件

    公开(公告)号：US06743240B2

    公开(公告)日：2004-06-01

    申请号：US10010904

    申请日：2001-12-06

    申请人： Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach

    发明人： Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach

    IPC分类号： A61B1710

    CPC分类号： G01B7/10 ,  A61B17/0644 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/2905 ,  A61B2017/2946 ,  A61B2017/320064 ,  Y10T24/44752

    摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. The clip-advancing wire includes a clip pusher which advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. Rotation of the clip-advancing wire effects rotation of the jaws are rotatable about a longitudinal axis of the device.

    摘要翻译： 柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。 夹子室限定在线圈的远端。 夹子前进线包括夹子推动器，当夹子前进的线向远侧移动时，夹子推动器将夹子推进到夹爪中。 夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持 在夹紧的组织上。 夹子前进线的旋转实现夹爪的旋转可围绕装置的纵向轴线旋转。

    Methods for the surgical application of a fastener and the endoluminal treatment of gastroesophageal reflux disease (GERD)
    6.
    发明授权
    Methods for the surgical application of a fastener and the endoluminal treatment of gastroesophageal reflux disease (GERD) 有权
    方法外科应用紧固件和腔内治疗胃食管反流病（GERD）

    公开(公告)号：US08080020B2

    公开(公告)日：2011-12-20

    申请号：US12689772

    申请日：2010-01-19

    申请人： Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Kevin W. Smith

    发明人： Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Kevin W. Smith

    IPC分类号： A61B17/10

    CPC分类号： A61B17/0643 ,  A61B17/068 ,  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。

    Clip ejector for endoscopic clip applier
    8.
    发明授权
    Clip ejector for endoscopic clip applier 有权
    夹子用于内窥镜夹子施放器

    公开(公告)号：US07357806B2

    公开(公告)日：2008-04-15

    申请号：US10867413

    申请日：2004-06-14

    申请人： Carlos Rivera ,  Kevin W. Smith ,  Thomas O. Bales ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Arp

    发明人： Carlos Rivera ,  Kevin W. Smith ,  Thomas O. Bales ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Scott Arp

    IPC分类号： A61B17/10

    CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

    摘要： A flexible endoscopic clip applier includes a flexible coil, a manual actuator coupled to one end and a jaw assembly coupled to the other. A store of clips is arranged adjacent to the jaw assembly and a clip pusher adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a portion. The threaded portion engages a threaded member near the pusher such that rotation of the second control member by the crank causes the pusher to be moved distally.

    摘要翻译： 灵活的内窥镜施夹器包括柔性线圈，联接到一端的手动致动器和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件通过线圈延伸到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着一部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件，使得第二控制构件通过曲柄的旋转使得推动器向远侧移动。

    Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD)
    9.
    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。

    Surgical fastener
    10.
    发明授权
    Surgical fastener 有权
    手术紧固件

    公开(公告)号：US07985241B2

    公开(公告)日：2011-07-26

    申请号：US11931351

    申请日：2007-10-31

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B2017/00349 ,  A61B2017/00827

    摘要： A surgical fastener with a safety position includes a lower base having piercing posts each having fixed and coupling ends, first and second base portions respectively attached to the posts, a hinge coupling the base portions, and a bias device imparting force on at least one base portion toward the other and at an angle to the hinge axis. Also provided is an upper fastening portion receiving and selectively coupling the posts. The lower base has a piercing position for coupling with the upper fastener portion where the posts are substantially parallel and a folded position where a distance between a coupling end of the first piercing post and the coupling end of the second piercing post is less than a distance between the fixed end of the first piercing post and the fixed end of the second piercing post.

    摘要翻译： 具有安全位置的外科紧固件包括具有穿刺柱的下基部，每个具有固定和联接端，分别附接到柱的第一和第二基部，联接基部的铰链和在至少一个基部上施加力的偏置装置 部分朝向另一个并且与铰链轴线成一定角度。 还提供了接收并选择性地联接柱的上紧固部分。 下基座具有穿刺位置，用于与上部紧固件部分联接，其中柱基本上平行，并且折叠位置，其中第一穿刺柱的联接端和第二穿刺柱的联接端之间的距离小于距离 在第一穿刺柱的固定端和第二穿孔柱的固定端之间。