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公开(公告)号:US20140222051A1
公开(公告)日:2014-08-07
申请号:US13756786
申请日:2013-02-01
Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
Inventor: Manabu MIYAMOTO , Takayasu MIKKAICHI
IPC: A61B17/3205
CPC classification number: A61B17/3205 , A61B1/00087 , A61B1/00131 , A61B17/07207 , A61B90/361 , A61B2017/00269 , A61B2017/00353 , A61B2017/00818 , A61B2017/07214 , A61B2090/309
Abstract: Provided is a tissue excision method that excises a partial tissue within an excision region set in a hollow organ over an entire thickness direction. The tissue excision method includes a first process of gripping a peripheral edge portion of the excision region from the inside of the hollow organ; a second process of moving the portion and drawing the folded hollow organ into a slit with a predetermined width; a third process of suturing a part located outside the excision region so as to be integral over the thickness direction; and a fourth process of cutting the portion of the drawn hollow organ along the peripheral edge of the excision region. In the second process, a portion of a fluid within the hollow organ is moved out of the hollow organ to keep the internal pressure within a fixed range while drawing the portion of the hollow organ.
Abstract translation: 提供一种组织切除方法,其在整个厚度方向上切除设置在中空器官中的切除区域内的部分组织。 组织切除方法包括从中空器官的内部夹持切除区域的周缘部的第一工序; 将所述部分移动并将所述折叠的中空器官拉伸成具有预定宽度的狭缝的第二过程; 缝合位于切除区域外部的部分以在厚度方向上成一体的第三种方法; 以及沿着切除区域的周缘切割拉出的中空器官的一部分的第四过程。 在第二过程中,将中空器官内的一部分流体从中空器官移出,以在拉伸中空器官的一部分的同时将内部压力保持在固定范围内。
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公开(公告)号:US20140214063A1
公开(公告)日:2014-07-31
申请号:US13755669
申请日:2013-01-31
Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
Inventor: Manabu MIYAMOTO , Kazuo BANJU , Shotaro TAKEMOTO , Shinji TAKAHASHI , Takayasu MIKKAICHI
IPC: A61B17/3205
CPC classification number: A61B17/3205 , A61B17/07207 , A61B17/122 , A61B2017/00269 , A61B2017/00349
Abstract: Full-thickness excision of tissue of a lesion in a lumen is performed through a natural orifice. Specifically, the tissue surrounding the lesion that is in a folded state is joined and severed using a linear stapler. The linear stapler includes a cutter and is inserted into the lumen. Joining and cutting is performed while organs outside of the lumen are pushed in a direction away from the lesion with the tip of the linear stapler. As a result of these steps being repeatedly performed along the periphery of the lesion, the lesion is excised.
Abstract translation: 通过自然孔口进行腔内病变组织的全层切除。 具体地,使用线性吻合器将处于折叠状态的病变周围的组织接合并切断。 线性吻合器包括切割器并插入到内腔中。 执行连接和切割,同时使用线性吻合器的尖端沿远离病变的方向将管腔外的器官推动。 由于这些步骤沿着病变的周围重复进行,切除了病变。
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公开(公告)号:US20130304115A1
公开(公告)日:2013-11-14
申请号:US13866653
申请日:2013-04-19
Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
Inventor: Manabu MIYAMOTO
IPC: A61B17/29
CPC classification number: A61B17/2909 , A61B17/28 , A61B2017/2916 , A61B2017/2925 , A61B2017/2936 , A61B2017/2944
Abstract: A treatment tool includes a long shaft member, a pair of grasping members installed at a distal end portion of the long shaft member, a driving force transmission member connected to the pair of grasping member, a driving manipulation member, and a switch unit having a first sliding section and a second sliding section, and configured to switch a ratio of a magnitude of a force for moving the driving force transmission member with respect to a magnitude of a force for moving the driving manipulation member when the driving manipulation member is manipulated to be moved by switching a position at which the driving manipulation member is slid between the first sliding section and the second sliding section.
Abstract translation: 一种处理工具包括长轴构件,安装在长轴构件的远端部分的一对把持构件,连接到该一对把持构件的驱动力传递构件,驱动操作构件和具有 第一滑动部分和第二滑动部分,被配置为当驱动操作部件被操纵时,相对于用于使驾驶操作部件移动的力的大小来切换用于使驱动力传递部件移动的力的大小的比率 通过切换驱动操作部件在第一滑动部分和第二滑动部分之间滑动的位置来移动。
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公开(公告)号:US20140021240A1
公开(公告)日:2014-01-23
申请号:US13915995
申请日:2013-06-12
Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
Inventor: Manabu MIYAMOTO
IPC: A61B17/072
CPC classification number: A61B17/07207 , A61B34/70 , A61B34/71 , A61B2017/07257 , A61B2017/07271 , A61B2017/2939 , A61B2017/294 , A61B2017/2941
Abstract: A medical instrument includes a first grasping member and a second grasping member that approach and separate from each other, a rotating body that is rotatably installed on a rotation shaft fixed to the first grasping member, an open-close link whose first end is rotatably connected to a first rotation shaft provided on the second grasping member and whose second end is rotatably connected to a second rotation shaft provided on the rotating body at a distance from the rotation shaft, and a manipulating member rotating the rotating body. When the rotating body is rotated in a predetermined direction, the first grasping member and the second grasping member approach each other while the second rotation shaft approaches an imaginary straight line connecting axes of the rotation shaft and the first rotation shaft.
Abstract translation: 一种医疗器械,包括:第一把持部件和第二把持部件,其彼此接近分离;旋转体,其可旋转地安装在固定于所述第一抓持部件的旋转轴上;开闭连杆,其第一端部可旋转地连接 涉及设置在所述第二把持部件上的第一旋转轴,其第二端部与设置在所述旋转体上的距离所述旋转轴一定距离的第二旋转轴可旋转地连接,所述操作部件旋转所述旋转体。 当旋转体沿预定方向旋转时,第一抓握构件和第二抓握构件彼此靠近,同时第二旋转轴接近连接旋转轴和第一旋转轴的轴线的假想直线。
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公开(公告)号:US20150150620A1
公开(公告)日:2015-06-04
申请号:US14542050
申请日:2014-11-14
Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
Inventor: Manabu MIYAMOTO , Kazuo BANJU , Shotaro TAKEMOTO , Shinji TAKAHASHI , Takayasu MIKKAICHI , Satoko SUZUKI
IPC: A61B18/08 , A61B17/3209 , A61B17/10 , A61B17/068
CPC classification number: A61B18/085 , A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/29 , A61B17/3209 , A61B18/1445 , A61B90/361 , A61B2017/00269 , A61B2017/07214 , A61B2017/07228 , A61B2017/07278 , A61B2017/07285 , A61B2017/320052 , A61B2018/0063 , A61B2090/309
Abstract: A tissue resection apparatus includes a pair of grasping members that holds a tissue; and a cartridge that is replaceably attached to the pair of grasping members. The cartridge includes a cartridge body that has a longitudinal axis and a slot extending along the longitudinal axis, guides a cutting member cutting a tissue by the slot, and defines a movement range of the cutting member; a pair of sealing portions that are provided on both sides of the slot so as to sandwich the slot and extend parallel to the slot, respectively; and a tissue sealing portion that is located closer to a distal end side than the slot and is provided on an extension line of the slot.
Abstract translation: 组织切除装置包括一对夹持组织的把持部件; 以及可更换地附接到所述一对抓握构件的盒。 所述盒包括具有纵向轴线和沿所述纵向轴线延伸的狭槽的盒主体,引导切割构件通过所述狭槽切割组织,并限定所述切割构件的运动范围; 一对密封部,其设置在所述槽的两侧,以分别夹住所述槽并平行于所述槽延伸; 以及组织密封部,其位于比所述狭缝更靠近前端侧并且设置在所述狭槽的延长线上。
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