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    Method and device for full thickness resectioning of an organ
    2.
    发明授权
    Method and device for full thickness resectioning of an organ 有权
    器官全面切除的方法和装置

    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。

    Method and device for full-thickness resectioning of an organ
    8.
    发明授权
    Method and device for full-thickness resectioning of an organ 有权
    器官全层切除术的方法和装置

    公开(公告)号：US06241140B1

    公开(公告)日：2001-06-05

    申请号：US09694894

    申请日：2000-10-25

    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： 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.

    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，并且其中形成在钉钉头和砧座之间的间隙 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。

    Device for full thickness resectioning of an organ
    9.
    发明授权
    Device for full thickness resectioning of an organ 失效
    器官全切割器具

    公开(公告)号：US08663241B2

    公开(公告)日：2014-03-04

    申请号：US10347648

    申请日：2003-01-17

    申请人： Ronald D. Adams ,  Roy H. Sullivan ,  Gerhard F. Buess ,  Marc O. Schurr

    发明人： Ronald D. Adams ,  Roy H. Sullivan ,  Gerhard F. Buess ,  Marc O. Schurr

    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。

    Device for full-thickness resectioning of an organ
    10.
    发明授权
    Device for full-thickness resectioning of an organ 有权
    器官全层切除装置

    公开(公告)号：US06544271B1

    公开(公告)日：2003-04-08

    申请号：US09620391

    申请日：2000-07-18

    申请人： Ronald D. Adams ,  Roy H. Sullivan ,  Gerhard F. Buess ,  Marc O. Schurr

    发明人： Ronald D. Adams ,  Roy H. Sullivan ,  Gerhard F. Buess ,  Marc O. Schurr

    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。