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

    Flexible surgical clip applier
    6.
    发明授权
    Flexible surgical clip applier 有权
    灵活的手术夹具

    公开(公告)号：US06824548B2

    公开(公告)日：2004-11-30

    申请号：US10010906

    申请日：2001-12-06

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

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

    IPC分类号： A61B1704

    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. A clip pusher is provided at a distal end of the clip-advancing wire, and 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. The device can push a clip with a force in excess of 1500 grams.

    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。 夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时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。 该装置可以用超过1500克的力推动夹子。

    Endoscopic robotic surgical tools and methods
    8.
    发明授权
    Endoscopic robotic surgical tools and methods 失效
    内窥镜机器人手术工具及方法

    公开(公告)号：US5624398A

    公开(公告)日：1997-04-29

    申请号：US597423

    申请日：1996-02-08

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Charles R. Slater ,  Anthony I. Mazzeo ,  Theodore C. Slack, Jr. ,  Thomas O. Bales

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Charles R. Slater ,  Anthony I. Mazzeo ,  Theodore C. Slack, Jr. ,  Thomas O. Bales

    IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B19/00 ,  B25J3/04 ,  B25J9/06 ,  B25J9/10 ,  B25J15/02 ,  A61M37/00

    CPC分类号： B25J15/02 ,  A61B34/70 ,  A61B34/71 ,  A61B34/76 ,  B25J3/04 ,  B25J9/06 ,  B25J9/104 ,  A61B17/00234 ,  A61B2017/00477 ,  A61B2034/2059

    摘要： The methods and devices of the invention include an encoder, an endoscopic robotic instrument, and an encoder/robotic instrument interface. A preferred embodiment of the encoder has a chest/shoulder plate provided with telescoping tubes and joints. Each joint is provided with a direct drive potentiometer to monitor movement and provide a corresponding signal. The chest plate is preferably adaptable to a large range of human chest sizes and the telescopic segments are strapped to the arms of the practitioner at the elbows. A pistol grip is provided at the wrist end of the telescopic segments. According to the presently preferred embodiment, the encoder encodes flexion and rotation at the shoulder, elbow and wrist of each arm in addition to gripping at each hand. The encoding device is coupled to a circuit which operates a servo system. The servo system includes a series of servo motors. A series of pulleys corresponding to the number of servo motors are arranged in a housing. The robotic instrument preferably comprises two arms mounted at the distal end of a multi-lumen tube. Each arm has rotational and flexional joints corresponding to the shoulder, elbow, and wrist of the practitioner. Tendons are coupled to the pulleys of the servo motors and are fed through the multi-lumen tube to the joints of the two arms.

    摘要翻译： 本发明的方法和装置包括编码器，内窥镜机器人仪器和编码器/机器人仪器接口。 编码器的优选实施例具有设置有伸缩管和接头的胸/肩板。 每个接头都配有一个直接驱动电位器来监控运动并提供相应的信号。 胸板优选适应于大范围的人胸部尺寸，并且伸缩部分在肘部处被绑在医师的手臂上。 在伸缩段的腕端设有手枪式握把。 根据目前优选的实施例，编码器除了在每只手握持之外还编码每个臂的肩部，肘部和手腕的屈曲和旋转。 编码装置耦合到操作伺服系统的电路。 伺服系统包括一系列伺服电机。 与伺服马达的数量对应的一系列滑轮布置在壳体中。 机器人装置优选地包括安装在多腔管的远端处的两个臂。 每个臂具有对应于从业者的肩部，肘部和手腕的旋转和弯曲关节。 肌腱联接到伺服电动机的皮带轮，并通过多腔管馈送到两个臂的关节。

    Helically advanceable endoscopic needle device
    9.
    发明授权
    Helically advanceable endoscopic needle device 有权
    螺旋可推进内窥镜针装置

    公开(公告)号：US06258064B1

    公开(公告)日：2001-07-10

    申请号：US09411856

    申请日：1999-10-04

    申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Charles R. Slater

    发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Charles R. Slater

    IPC分类号： A61M5178

    CPC分类号： A61B17/3478 ,  A61B2017/00367 ,  A61B2090/034

    摘要： An endoscopic needle device includes an outer sheath, an elongate shaft extending through the sheath, a needle rigidly attached to the distal end of the shaft, and a handle assembly having a housing coupled to the proximal end of the sheath and having a syringe port in fluid communication with the sheath and a knob rotatably coupled to the housing. Rotation of the knob relative to the housing causes rotation of the shaft relative to the sheath. The needle and the distal end of the sheath are mated by a threaded connection. As such, rotation of the knob relative to the housing causes precise longitudinal movement and extension of the needle relative to the distal end of the sheath. A set of intermeshing gears are provided between the knob and shaft which function to permit at most one rotation of the knob to cause complete extension and/or retraction of the needle. Furthermore, assemblies are provided with permit the shaft to accommodate movement of the needle relative to the sheath. Moreover, the position of the knob relative to the housing provides an indication of the extension of the needle. As such, the injection needle device of the invention permits controllable and calibrated rotation of the needle to within a few degrees, such that the needle device can be easily, reliably, and precisely operated to advance the needle.

    摘要翻译： 内窥镜针装置包括外护套，延伸穿过护套的细长轴，刚性地附接到轴的远端的针和手柄组件，其具有联接到护套的近端的壳体，并且具有注射器端口 与护套的流体连通和可旋转地联接到壳体的旋钮。 旋钮相对于壳体的旋转导致轴相对于护套的旋转。 针和鞘的远端通过螺纹连接配合。 因此，旋钮相对于壳体的旋转导致针相对于护套的远端的精确的纵向移动和延伸。 一组相互啮合的齿轮设置在旋钮和轴之间，其功能是允许旋钮的至多一个旋转引起针的完全伸展和/或缩回。 此外，组件被设置有允许轴以适应针相对于护套的运动。 此外，旋钮相对于壳体的位置提供针的延伸的指示。 因此，本发明的注射针装置允许可控和校准的针旋转到几度，使得针装置可以容易地，可靠地和精确地操作以推进针。