公开(公告)号：WO2008071625A3

公开(公告)日：2008-06-19

申请号：PCT/EP2007/063456

申请日：2007-12-06

Applicant: ETHICON ENDO-SURGERY, INC. ,  LONGO, Antonio ,  POPOVIC, Drago ,  PASTORELLI, Alessandro ,  D'ARCANGELO, Michele ,  KUHNS, Jesse, J.

Inventor： LONGO, Antonio ,  POPOVIC, Drago ,  PASTORELLI, Alessandro ,  D'ARCANGELO, Michele ,  KUHNS, Jesse, J.

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B17/10 ,  A61B17/32 ,  A61B17/34

Abstract: A surgical stapling instrument (1) for laparoscopic manipulation of tissue in a patients body comprises a support shaft (4), a handle (2) connected to a proximal end (3) of the support shaft (4), a staple fastening assembly (5) connected to a distal end (6) of the support shaft (4) and having a curved cartridge (10) and a curved anvil (11) adapted to cooperate with the cartridge (10) for clamping the tissue and forming the ends of staples exiting from the cartridge (10). The support shaft (4) comprises a curved shaft segment (7) formed between a proximal shaft segment (8) and a distal shaft segment (9) so that a longitudinal axis (D-D) of the distal shaft segment (9) and staple fastening assembly (5) is inclined with respect to a longitudinal axis (P-P) of the proximal shaft segment (8).

公开(公告)号：WO2007104397A8

公开(公告)日：2008-01-24

申请号：PCT/EP2007001168

申请日：2007-02-12

Applicant: ETHICON ENDO SURGERY INC ,  TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  PASTORELLI ALESSANDRO ,  KUHNS JESSE J ,  BILOTTI FEDERICO

Inventor： TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  PASTORELLI ALESSANDRO ,  KUHNS JESSE J ,  BILOTTI FEDERICO

IPC: A61B1/018 ,  A61B17/29

CPC classification number: A61B17/29 ,  A61B1/0014 ,  A61B1/018 ,  A61B90/50 ,  A61B2017/00278 ,  A61B2017/3447

Abstract: A device (1) for manipulating body tissue comprises a base structure (2, 102) and at least one tubular member (3) having a proximal end (4) and an orientable distal end (5) that defines a seat (6) for supporting a surgical instrument (7), in which the tubular member is connected to the base structure. An actuation mechanism (8) is suitable for orientating the distal end of the tubular member to take it into certain operative configurations. The actuation mechanism is also connected to the base structure. Means (23, 24) are also foreseen for the connection of the base structure to a distal end portion (9) of an insertion tube (10) of an endoscope or laparoscope, so that the actuation mechanism and the tubular member are arranged outside the insertion tube. The tubular member interacts with the actuation mechanism so that a movement of an actuation portion of the tubular member with respect to the base structure leads to the orientation of the orientable end.

Abstract translation: 用于操纵身体组织的装置（1）包括基部结构（2,102）和至少一个具有近端（4）和可定向远端（5）的管状构件（3），所述远端用于限定座（6） 支撑外科器械（7），其中管状构件连接到基部结构。 致动机构（8）适于定向管状构件的远端以将其带入某些操作构型。 致动机构也连接到基座结构。 还预见了用于将基部结构连接到内窥镜或腹腔镜的插入管（10）的远端部分（9）的装置（23,24），使得致动机构和管状构件布置在 插管。 管状构件与致动机构相互作用，使得管状构件的致动部分相对于基部结构的运动导致可取向端的取向。

公开(公告)号：WO2007080111A3

公开(公告)日：2007-12-13

申请号：PCT/EP2007000195

申请日：2007-01-11

Applicant: ETHICON ENDO SURGERY INC ,  TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  BILOTTI FEDERICO

Inventor： TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  BILOTTI FEDERICO

IPC: A61B17/11 ,  A61B17/00 ,  A61B17/22 ,  A61B19/00 ,  A61M25/09

CPC classification number: A61B17/1114 ,  A61B17/0643 ,  A61B90/90 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/22038

Abstract: An equipment to approximate tissue portions, which are intended to form an anastomosis comprises a guide means suitable for passing through a first tissue portion (12) and a second tissue portion (14) to be connected by anastomosis. This equipment further comprises an anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide means consists of at least two guide wires (A, B), suitable for passing through the tissue portions to be connected, to receive and drag at least said anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide wires (A, B) are located side by side to each other and are suitable for forming a loop which passes through the tissue portions to be connected.

Abstract translation: 用于近似用于形成吻合的组织部分的设备包括适于穿过要通过吻合连接的第一组织部分（12）和第二组织部分（14）的引导装置。 该设备还包括通过吻合近似第一组织部分（12）和第二组织部分（14）的吻合装置（10）。 引导装置由至少两条导线（A，B）组成，适于穿过要连接的组织部分，以至少接收和拖动所述吻合装置（10）以近似第一组织部分（12）和 通过吻合连接的第二组织部分（14）。 导丝（A，B）彼此并排设置，适于形成通过要连接的组织部分的环。

公开(公告)号：WO2007101463A8

公开(公告)日：2007-11-29

申请号：PCT/EP2006011347

申请日：2006-11-27

Applicant: ETHICON ENDO SURGERY INC ,  KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  D ARCANGELO MICHELE ,  BILOTTI FEDERICO ,  THOMPSON BRIAN JAMES

Inventor： KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  D ARCANGELO MICHELE ,  BILOTTI FEDERICO ,  THOMPSON BRIAN JAMES

IPC: A61B1/018 ,  A61B17/00 ,  A61B17/068 ,  A61B17/128 ,  A61B17/28 ,  A61B17/32

CPC classification number: A61B10/06 ,  A61B1/00135 ,  A61B1/018 ,  A61B10/04 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/1285 ,  A61B17/29 ,  A61B17/320016 ,  A61B17/3496 ,  A61B2017/00269 ,  A61B2017/32004 ,  A61B2017/320064

Abstract: Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.

Abstract translation: 用于切除包括远端部分（14a）的组织样本的牵引装置（14），包括至少一个适于固定到要切除的组织的一部分（12）的夹子（20）和近端部分（14b） 适合被牵引。 所述至少一个夹子（20）适于连接到缝合线（22）的远端（22a）以拉动要切除的组织，所述缝合线（22）在所述远端（22a）和近端 端部对应于所述牵引装置（14）的近端部分。 此外，所述至少一个夹子（20）连接到形成在所述缝合线（22）的远端（24a）处的环（24），以拉动要切除的组织。

公开(公告)号：WO2007104397A1

公开(公告)日：2007-09-20

申请号：PCT/EP2007/001168

申请日：2007-02-12

Applicant: ETHICON ENDO-SURGERY, INC. ,  TACCHINO, Roberto ,  D'ARCANGELO, Michele ,  PASTORELLI, Alessandro ,  KUHNS, Jesse, J. ,  BILOTTI, Federico

Inventor： TACCHINO, Roberto ,  D'ARCANGELO, Michele ,  PASTORELLI, Alessandro ,  KUHNS, Jesse, J. ,  BILOTTI, Federico

IPC: A61B1/018 ,  A61B17/29

CPC classification number: A61B17/29 ,  A61B1/0014 ,  A61B1/018 ,  A61B90/50 ,  A61B2017/00278 ,  A61B2017/3447

Abstract: A device (1) for manipulating body tissue comprises a base structure (2, 102) and at least one tubular member (3) having a proximal end (4) and an orientable distal end (5) that defines a seat (6) for supporting a surgical instrument (7), in which the tubular member is connected to the base structure. An actuation mechanism (8) is suitable for orientating the distal end of the tubular member to take it into certain operative configurations. The actuation mechanism is also connected to the base structure. Means (23, 24) are also foreseen for the connection of the base structure to a distal end portion (9) of an insertion tube (10) of an endoscope or laparoscope, so that the actuation mechanism and the tubular member are arranged outside the insertion tube. The tubular member interacts with the actuation mechanism so that a movement of an actuation portion of the tubular member with respect to the base structure leads to the orientation of the orientable end.

Abstract translation: 用于操纵身体组织的装置（1）包括基部结构（2,102）和至少一个具有近端（4）和可定向远端（5）的管状构件（3），所述远端用于限定座（6） 支撑外科器械（7），其中管状构件连接到基部结构。 致动机构（8）适于定向管状构件的远端以将其带入某些操作构型。 致动机构也连接到基座结构。 还预见了用于将基部结构连接到内窥镜或腹腔镜的插入管（10）的远端部分（9）的装置（23,24），使得致动机构和管状构件布置在 插管。 管状构件与致动机构相互作用，使得管状构件的致动部分相对于基部结构的运动导致可取向端的取向。

公开(公告)号：WO2006046263A1

公开(公告)日：2006-05-04

申请号：PCT/IT2005/000345

申请日：2005-06-16

Applicant: ETHICON ENDO-SURGERY, INC. ,  LONGO, Antonio ,  KUHNS, Jesse, J. ,  BILOTTI, Federico ,  D'ARCANGELO, Michele ,  HESS, Christopher, J. ,  WEISENBURGH, William, Bruce, II

Inventor： LONGO, Antonio ,  KUHNS, Jesse, J. ,  BILOTTI, Federico ,  D'ARCANGELO, Michele ,  HESS, Christopher, J. ,  WEISENBURGH, William, Bruce, II

IPC: A61B1/31

CPC classification number: A61B1/0008 ,  A61B1/31 ,  A61B1/32

Abstract: A diagnostic device (10) for pathologies of tubular anatomical structures comprises a tubular elongated structure (12, 28) developing between a proximal end and a distal end and is suitable to be inserted in the tubular anatomical structure, means (22, 32) for locally dilating the walls of the tubular anatomical structure that are associated with the distal end of said elongated structure, said means for locally dilating being movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology, and control means being associated with the proximal end of the elongated structure, said control means being operatively connected to said means for locally dilating, in order to move them between the closed position and the open position, and vice versa.

Abstract translation: 用于管状解剖结构病理的诊断装置（10）包括在近端和远端之间形成的管状细长结构（12,28），并且适合于插入管状解剖结构中，用于 局部扩张与所述细长结构的远端相关联的管状解剖结构的壁，所述用于局部扩张的装置可在用于引入装置的关闭位置和用于观察和评估病理的至少一个打开位置之间移动，以及 控制装置与细长结构的近端相关联，所述控制装置可操作地连接到所述用于局部扩张的装置，以便在关闭位置和打开位置之间移动它们，反之亦然。

公开(公告)号：WO2007080111A8

公开(公告)日：2007-11-01

申请号：PCT/EP2007000195

申请日：2007-01-11

Applicant: ETHICON ENDO SURGERY INC ,  TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  BILOTTI FEDERICO

Inventor： TACCHINO ROBERTO ,  D ARCANGELO MICHELE ,  KUHNS JESSE J ,  PASTORELLI ALESSANDRO ,  BILOTTI FEDERICO

IPC: A61B17/11 ,  A61B17/22 ,  A61B19/00 ,  A61M25/09

CPC classification number: A61B17/1114 ,  A61B17/0643 ,  A61B90/90 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/22038

Abstract: An equipment to approximate tissue portions, which are intended to form an anastomosis comprises a guide means suitable for passing through a first tissue portion (12) and a second tissue portion (14) to be connected by anastomosis. This equipment further comprises an anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide means consists of at least two guide wires (A, B), suitable for passing through the tissue portions to be connected, to receive and drag at least said anastomotic device (10) to approximate the first tissue portion (12) and the second tissue portion (14) to be connected by anastomosis. The guide wires (A, B) are located side by side to each other and are suitable for forming a loop which passes through the tissue portions to be connected.

Abstract translation: 旨在形成吻合的用于接近组织部分的设备包括适于穿过将通过吻合连接的第一组织部分（12）和第二组织部分（14）的引导装置。 该设备还包括吻合装置（10），以近似第一组织部分（12）和第二组织部分（14）以通过吻合连接。 引导装置由适于穿过待连接的组织部分的至少两根导丝（A，B）组成，以接收和拖曳至少所述吻合装置（10）以接近第一组织部分（12），并且 第二组织部分（14）通过吻合连接。 导丝（A，B）彼此并排设置并适合于形成穿过要连接的组织部分的环。

公开(公告)号：WO2007101463A1

公开(公告)日：2007-09-13

申请号：PCT/EP2006/011347

申请日：2006-11-27

Applicant: ETHICON ENDO-SURGERY, INC. ,  KUHNS, Jesse, J. ,  PASTORELLI, Alessandro ,  D'ARCANGELO, Michele ,  BILOTTI, Federico ,  THOMPSON, Brian, James

Inventor： KUHNS, Jesse, J. ,  PASTORELLI, Alessandro ,  D'ARCANGELO, Michele ,  BILOTTI, Federico ,  THOMPSON, Brian, James

IPC: A61B1/018 ,  A61B17/128 ,  A61B17/32 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28

CPC classification number: A61B10/06 ,  A61B1/00135 ,  A61B1/018 ,  A61B10/04 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/1285 ,  A61B17/29 ,  A61B17/320016 ,  A61B17/3496 ,  A61B2017/00269 ,  A61B2017/32004 ,  A61B2017/320064

Abstract: Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.

Abstract translation: 用于切除包括远侧部分（14a）的组织样本的牵引装置（14）包括至少一个适于固定到组织的至少一部分（12）的夹子（20） 切除的以及适合于经受牵引的近侧部分（14b）。 所述至少一个夹子（20）适于连接到缝合线（22）的远端（22a）以拉动要切除的组织，所述缝合线（22）在所述远端（22a）和近端 端部对应于所述牵引装置（14）的近端部分。 此外，所述至少一个夹子（20）连接到形成在所述缝合线（22）的远端（24a）处的环（24），以拉动要切除的组织。

公开(公告)号：WO2007080112A1

公开(公告)日：2007-07-19

申请号：PCT/EP2007/000196

申请日：2007-01-11

Applicant: ETHICON ENDO-SURGERY, INC. ,  D'ARCANGELO, Michele ,  TACCHINO, Roberto ,  KUHNS, Jesse, J. ,  PASTORELLI, Alessandro ,  BILOTTI, Federico

Inventor： D'ARCANGELO, Michele ,  TACCHINO, Roberto ,  KUHNS, Jesse, J. ,  PASTORELLI, Alessandro ,  BILOTTI, Federico

IPC: A61B17/11 ,  A61B17/22

CPC classification number: A61B17/0643 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/22038

Abstract: A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50) . A head (52) of the positioning device is suitable to be interference- inserted on a distal end of the elongated structure (50) . The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).

Abstract translation: 一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着 包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。 定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。 头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。 头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

公开(公告)号：WO2006048905A1

公开(公告)日：2006-05-11

申请号：PCT/IT2005/000348

申请日：2005-06-17

Applicant: ETHICON ENDO-SURGERY, INC. ,  BILOTTI, Federico ,  D'ARCANGELO, Michele ,  TACCHINNO, Roberto ,  KUHNS, Jesse, J.

Inventor： BILOTTI, Federico ,  D'ARCANGELO, Michele ,  TACCHINNO, Roberto ,  KUHNS, Jesse, J.

IPC: A61B17/115

CPC classification number: A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/1103 ,  A61B2017/1135

Abstract: An anastomotic device, particularly a circular stapler (10), comprises a handle (12) and a stem (14). A channel suitable to receive a guide wire at least partially develops along the length of the stapler. The stem (14) is made of a flexible material, such as to facilitate reaching the site requiring anastomosis. The circular stapler (10) comprises an anvil (16) suitable to be introduced on the free end of the stem (14). The anvil (16) comprises a channel (22) suitable to receive a guide wire (66) and extending along the anvil, and a portion (20) suitable to act as a striker against the wall of one of the portion (A; B) of the tissues to be joined.

Abstract translation: 吻合装置，特别是圆形缝合器（10），包括手柄（12）和杆（14）。 适于接收导丝的通道沿着缝合器的长度至少部分地形成。 杆（14）由柔性材料制成，以便于到达需要吻合的部位。 圆形订书机（10）包括适于引入杆（14）的自由端的砧座（16）。 砧座（16）包括适于容纳导丝（66）并沿着砧座延伸的通道（22），以及适于作为撞击器抵靠所述部分（A; B ）要接合的组织。