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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。
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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。
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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。
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公开(公告)号:US09226652B2
公开(公告)日:2016-01-05
申请号:US13176172
申请日:2011-07-05
申请人: Robert B. DeVries , Roy H. Sullivan , Marc Tassy, Jr. , Kristian DiMatteo , Tak Kwan , William J. Shaw
发明人: Robert B. DeVries , Roy H. Sullivan , Marc Tassy, Jr. , Kristian DiMatteo , Tak Kwan , William J. Shaw
IPC分类号: A61M5/00 , A61M25/00 , A61B1/00 , A61B1/04 , A61B1/32 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/128 , A61B17/11 , A61B17/29 , A61B17/30
CPC分类号: A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/1114 , A61B17/1285 , A61B17/29 , A61B2017/00336 , A61B2017/00557 , A61B2017/00827 , A61B2017/0419 , A61B2017/306 , A61B2017/308
摘要: Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
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公开(公告)号:US20120004505A1
公开(公告)日:2012-01-05
申请号:US13176172
申请日:2011-07-05
申请人: Robert B. DeVRIES , Roy H. Sullivan , Marc Tassy, JR. , Kristian Dimatteo , Tak Kwan , William J. Shaw
发明人: Robert B. DeVRIES , Roy H. Sullivan , Marc Tassy, JR. , Kristian Dimatteo , Tak Kwan , William J. Shaw
IPC分类号: A61B1/00
CPC分类号: A61B1/32 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/1114 , A61B17/1285 , A61B17/29 , A61B2017/00336 , A61B2017/00557 , A61B2017/00827 , A61B2017/0419 , A61B2017/306 , A61B2017/308
摘要: Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.
摘要翻译: 公开了在例如内窥镜下眼底切开手术期间用于入侵组织的手术装置和方法。 该装置包括细长管,该细长管具有构造成延伸到主体外部的近端,以及被配置为延伸到待入侵的组织附近的远端,以及联接到管的远端的远侧构件。 远端构件被构造成保持或抓住要入侵的组织。 装置可以包括保护性远端套管。
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公开(公告)号:US08663241B2
公开(公告)日:2014-03-04
申请号:US10347648
申请日:2003-01-17
IPC分类号: A61B17/10
CPC分类号: A61B17/07207 , A61B17/320016 , A61B2017/00539 , A61B2017/00827 , A61B2017/07214 , A61B2017/07278 , A61B2017/2905
摘要: A full-thickness resection system is disclosed. In an embodiment for the resection system, the system may include a flexible shaft, a flexible guide member disposed within the flexible shaft, a stapling mechanism disposed around the flexible guide member, and a grasper. The stapling mechanism has an elongated portion that is at least partially disposed within the flexible shaft. The stapling mechanism includes a stapling arm and an anvil arm. The stapling arm has a longitudinal axis and includes a stapling head having a longitudinal axis. The anvil includes an anvil head. The stapling arm and anvil arm extend from the elongated portion of the stapling mechanism and are moveable with respect to each other between a tissue receiving position and a stapling position. The grasper extends through the flexible shaft and is adapted to grasp a portion of a tissue that is to be excised from an organ in the patient's body. The grasper is movable on an axis that is perpendicular to the longitudinal axis of the stapling head.
摘要翻译: 公开了全厚度切除系统。 在切除系统的实施例中,系统可以包括柔性轴,设置在柔性轴内的柔性引导构件,围绕柔性引导构件设置的缝合机构和抓紧器。 缝合机构具有至少部分地设置在柔性轴内的细长部分。 装订机构包括装订臂和砧座臂。 装订臂具有纵向轴线并且包括具有纵向轴线的装订头部。 铁砧包括砧头。 装订臂和砧座臂从缝合机构的细长部分延伸,并可在组织接收位置和缝合位置之间相对于彼此移动。 抓紧器延伸穿过柔性轴,并且适于抓住要从患者身体中的器官切除的组织的一部分。 抓紧器可在垂直于装订头的纵向轴线的轴上移动。
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公开(公告)号:US06544271B1
公开(公告)日:2003-04-08
申请号:US09620391
申请日:2000-07-18
IPC分类号: A61B1710
CPC分类号: A61B17/07207 , A61B17/320016 , A61B2017/00539 , A61B2017/00827 , A61B2017/07214 , A61B2017/07278 , A61B2017/2905
摘要: A full-thickness resection system is disclosed. In an embodiment for the resection system, the system may include a flexible shaft, a flexible guide member disposed within the flexible shaft, a stapling mechanism disposed around the flexible guide member, and a grasper. The stapling mechanism has an elongated portion that is at least partially disposed within the flexible shaft. The stapling mechanism includes a stapling arm and an anvil arm. The stapling arm has a longitudinal axis and includes a stapling head having a longitudinal axis. The anvil includes an anvil head. The stapling arm and anvil arm extend from the elongated portion of the stapling mechanism and are moveable with respect to each other between a tissue receiving position and a stapling position. The grasper extends through the flexible shaft and is adapted to grasp a portion of a tissue that is to be excised from an organ in the patient's body. The grasper is movable on an axis that is perpendicular to the longitudinal axis of the stapling head.
摘要翻译: 公开了全厚度切除系统。 在切除系统的实施例中,系统可以包括柔性轴,设置在柔性轴内的柔性引导构件,围绕柔性引导构件设置的缝合机构和抓紧器。 缝合机构具有至少部分地设置在柔性轴内的细长部分。 装订机构包括装订臂和砧座臂。 装订臂具有纵向轴线并且包括具有纵向轴线的装订头部。 铁砧包括砧头。 装订臂和砧座臂从缝合机构的细长部分延伸,并可在组织接收位置和缝合位置之间相对于彼此移动。 抓紧器延伸穿过柔性轴,并且适于抓住要从患者身体中的器官切除的组织的一部分。 抓紧器可在垂直于装订头的纵向轴线的轴上移动。
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公开(公告)号:US08286845B2
公开(公告)日:2012-10-16
申请号:US10964007
申请日:2004-10-12
申请人: Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人: Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号: B27F7/00
CPC分类号: A61B17/2909 , A61B17/07207 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要: A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译: 一种用于切除装置的控制机构,包括联接到柔性驱动轴的第一致动器,用于当沿第一方向操作时用于致动第一机构,并且当在第二方向上操作时,致动第二机构和第一闭锁机构, 在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。 此外,提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。
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公开(公告)号:US06821282B2
公开(公告)日:2004-11-23
申请号:US09957901
申请日:2001-09-20
申请人: Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
发明人: Stephen J. Perry , Paul DiCesare , Patrick Gutelius , Mark Monroe , Jeffrey Radziunas , Roy H. Sullivan
IPC分类号: A61B1704
CPC分类号: A61B17/11 , A61B17/07207 , A61B17/115 , A61B17/2909 , A61B17/320016 , A61B2017/0725 , A61B2017/2905 , A61B2017/2923 , A61B2017/320032
摘要: A control mechanism for a resectioning device, comprises a first actuator coupled to a flexible drive shaft for actuating a first mechanism when operated in a first direction and for actuating, when operated in a second direction, a second mechanism and a first lockout mechanism coupled to the first actuator for preventing actuation of the first actuator in the second direction before a predetermined amount of actuation in the first direction has been completed. Furthermore, mechanisms are provided to control the release during operation in a second direction of torsional energy stored in a flexible drive shaft during operation in a first direction.
摘要翻译: 一种用于切除装置的控制机构,包括联接到柔性驱动轴的第一致动器,用于当沿第一方向操作时用于致动第一机构,并且当在第二方向上操作时,致动第二机构和第一闭锁机构, 在第一方向上的预定的致动量已经完成之前用于防止第一致动器在第二方向上的致动的第一致动器。 此外,提供机构以在第一方向的操作期间在存储在柔性驱动轴中的扭转能的第二方向上操作期间的释放。
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公开(公告)号:US20130046316A1
公开(公告)日:2013-02-21
申请号:US13589003
申请日:2012-08-17
申请人: Roy H. Sullivan , Ronald D. Adams , Andrew Barnes , Jeffrey Radziunas , Jo Paul , Paul DiCesare
发明人: Roy H. Sullivan , Ronald D. Adams , Andrew Barnes , Jeffrey Radziunas , Jo Paul , Paul DiCesare
IPC分类号: A61B17/42
CPC分类号: A61B10/0291 , A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B17/320016 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2010/0225 , A61B2017/00389 , A61B2017/00685 , A61B2017/320028 , A61B2017/32004 , A61B2017/320064 , A61B2017/4216 , A61B2217/005 , A61B2217/007 , A61M1/0047
摘要: A tissue removal device includes an outer tubular member coupled to a housing and a having a tissue resection window, an inner tubular member slidably disposed within the outer tubular member, a tissue trap having a sealed interior in fluid communication with a vacuum chamber, an open proximal end of the inner tubular member being disposed within the tissue trap interior, and an actuator moveably coupled to the housing and operatively connected to a movable piston in the vacuum chamber, such that movement of the actuator relative to the housing generates a vacuum in the tissue trap.
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