公开(公告)号：US07083630B2

公开(公告)日：2006-08-01

申请号：US10230682

申请日：2002-08-29

申请人： Robert DeVries ,  William J. Shaw ,  Kristian DiMatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  John Griego ,  Patrick Gutelius ,  Paul DiCesare

发明人： Robert DeVries ,  William J. Shaw ,  Kristian DiMatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  John Griego ,  Patrick Gutelius ,  Paul DiCesare

IPC分类号： A61B17/08

CPC分类号： A61B17/08 ,  A61B1/2736 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06109 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/061 ,  A61B2017/081 ,  A61B2017/306

摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

摘要翻译： 公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件， 用于将组织紧固件插入组织层中。

公开(公告)号：US07837698B2

公开(公告)日：2010-11-23

申请号：US11471513

申请日：2006-06-21

申请人： Robert DeVries ,  William J. Shaw ,  Kristian Dimatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  John Griego ,  Patrick Gutelius ,  Paul DiCesare

发明人： Robert DeVries ,  William J. Shaw ,  Kristian Dimatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  John Griego ,  Patrick Gutelius ,  Paul DiCesare

IPC分类号： A61B17/08

CPC分类号： A61B17/08 ,  A61B1/2736 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06109 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/061 ,  A61B2017/081 ,  A61B2017/306

摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

摘要翻译： 公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件， 用于将组织紧固件插入组织层中。

公开(公告)号：US20110124963A1

公开(公告)日：2011-05-26

申请号：US12907172

申请日：2010-10-19

申请人： Robert B. DEVRIES ,  William J. Shaw ,  Kristian DiMatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, JR. ,  John Griego ,  Patrick Gutileus ,  Paul DiCesare

发明人： Robert B. DEVRIES ,  William J. Shaw ,  Kristian DiMatteo ,  Gerhard F. Buess ,  Daniel Kalanovic ,  Marc O. Schurr ,  Roy H. Sullivan ,  Marc Tassy, JR. ,  John Griego ,  Patrick Gutileus ,  Paul DiCesare

IPC分类号： A61B1/018

CPC分类号： A61B17/08 ,  A61B1/2736 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06109 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00827 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0458 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/061 ,  A61B2017/081 ,  A61B2017/306

摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

摘要翻译： 公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件， 用于将组织紧固件插入组织层中。

公开(公告)号：US08006889B2

公开(公告)日：2011-08-30

申请号：US13009070

申请日：2011-01-19

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matthew S. Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matthew S. Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

摘要翻译： 全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。 装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙 组织接收位置比装订位置大。 提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织 并且刀切割在间隙内接收的组织的一部分。 保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

公开(公告)号：US06179195B2

公开(公告)日：2001-01-30

申请号：US09316674

申请日：1999-05-21

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B1704

CPC分类号： A61B17/07207 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/0725 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

摘要翻译： 全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。 装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙 组织接收位置比装订位置大。 提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织 并且刀切割在间隙内接收的组织的一部分。 保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

公开(公告)号：US20110108604A1

公开(公告)日：2011-05-12

申请号：US13009070

申请日：2011-01-19

申请人： Ronald D. ADAMS ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. ADAMS ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B17/068 ,  A61B17/072

CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

摘要翻译： 全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。 装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙 组织接收位置比装订位置大。 提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织 并且刀切割在间隙内接收的组织的一部分。 保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

公开(公告)号：US07546939B2

公开(公告)日：2009-06-16

申请号：US11411389

申请日：2006-04-25

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.

摘要翻译： 描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。 当装订头处于体腔内的操作位置时，控制单元保持在身体外部。 控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分 砧座和装订机构。 此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。 此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

公开(公告)号：US07896215B2

公开(公告)日：2011-03-01

申请号：US12482574

申请日：2009-06-11

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matthew Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matthew Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.

摘要翻译： 描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。 当装订头处于体腔内的操作位置时，控制单元保持在身体外部。 控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分 砧座和装订机构。 此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。 此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

公开(公告)号：US07059331B2

公开(公告)日：2006-06-13

申请号：US10251192

申请日：2002-09-19

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  George A. Nunez ,  Lauren O. Main ,  Peter K. Kratsch ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B19/00

CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

公开(公告)号：US06343731B1

公开(公告)日：2002-02-05

申请号：US09813944

申请日：2001-03-22

申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matthew S. Solar ,  Gerhard F. Buess ,  Marc O. Schurr

发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matthew S. Solar ,  Gerhard F. Buess ,  Marc O. Schurr

IPC分类号： A61B17068

CPC分类号： A61B17/07207 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/0725 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.