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21. 发明申请

WO2009111630A1 MEDICAL SYSTEMS FOR ACCESSING AN INTERNAL BODILY OPENING 审中-公开
标题翻译：用于接近内部开放的医疗系统
公开(公告)号：WO2009111630A1
公开(公告)日：2009-09-11
申请号：PCT/US2009/036173
申请日：2009-03-05
申请人： WILSON-COOK MEDICAL, INC. , HASHIBA, Kiyoshi , SURTI, Vihar, C.
发明人： HASHIBA, Kiyoshi , SURTI, Vihar, C.
IPC分类号： A61B17/34
CPC分类号： A61B17/3421 , A61B2017/00278 , A61B2017/3419 , A61B2017/3488
摘要： Medical systems, devices and methods are provided for accessing a bodily- opening that, among other things, are safe and reliable, and facilitate manipulation of a medical instrument. The medical access device (20) generally includes an elongated flexible sheath (22) and a port (30) connected to the distal end of the flexible sheath. The sheath defines a sheath lumen (24) and a longitudinal axis. The port has an interior surface (32) defining a passageway (34) and an exterior (36) surface that is tapered in a distal direction. The passageway is in communication with the sheath lumen. The exterior surface of the port defines a radially opening channel (40) sized to receive at least a portion of the tissue therein.
摘要翻译：提供了用于访问身体开放的医疗系统，装置和方法，其特别是安全可靠，并且便于操纵医疗器械。医疗进入装置（20）通常包括细长的柔性护套（22）和连接到柔性护套的远端的端口（30）。护套限定鞘腔（24）和纵向轴线。该端口具有限定通道（34）的内表面（32）和在远端方向上渐缩的外部（36）表面。通道与鞘腔连通。端口的外表面限定径向开口的通道（40），其尺寸被设计成在其中容纳至少一部分组织。

22. 发明申请

WO2008109527A2 APPARATUS AND METHODS FOR DELAYING GASTRIC EMPTYING TO TREAT OBESITY 审中-公开
标题翻译：延缓胃肠溃疡的装置和方法
公开(公告)号：WO2008109527A2
公开(公告)日：2008-09-12
申请号：PCT/US2008/055665
申请日：2008-03-03
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61F5/00
CPC分类号： A61F5/0079
摘要： Medical devices and methods for the treatment of obesity. The medical devices generally include an attachment portion for attaching the medical devices on or adjacent the pylorus and a limitation portion for limiting the passage of stomach contents through the pylorus to delay emptying the stomach. The limitation portion may be responsive to pressure from stomach contents to substantially close or to open the passageway.
摘要翻译：医疗器械和治疗肥胖的方法。医疗装置通常包括用于将医疗装置连接在幽门上或邻近幽门的附接部分和用于限制胃内容物通过幽门的限制部分，以延迟排空胃。限制部分可以响应于胃内容物的压力，以基本上关闭或打开通道。

23. 发明申请

WO2006135642A1 MEDICAL STAPLER 审中-公开
标题翻译：医疗保健
公开(公告)号：WO2006135642A1
公开(公告)日：2006-12-21
申请号：PCT/US2006/022158
申请日：2006-06-07
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/064 , A61B17/068 , A61B17/00 , A61B17/08
CPC分类号： A61B17/0682 , A61B17/064 , A61B17/0644 , A61B2017/00867 , A61B2017/081
摘要： A stapler for delivering a staple formed from a shape memory material is disclosed. The staple includes a first tine and a second tine connected by a bridge. The staple may be disposed within the stapler in an open position with the first tine distal of the second tine. The stapler is configured to sequentially deliver the first tine and the second tine, respectively, to opposing body tissues. The stapler includes an elongate shaft (e.g., a catheter) having a working lumen and a control mechanism for delivering the staple. A drive cable extends along the working lumen of the elongate shaft. Upon warming up to a temperature at or above a transformation temperature of the shape memory material, the staple may assume a closed position, thus drawing together opposing body tissues and closing an incision.
摘要翻译：公开了一种用于传送由形状记忆材料形成的订书钉的订书机。订书钉包括由桥连接的第一齿和第二齿。订书钉可以在打开位置设置在订书机内，其中第一齿的第一齿远离第二齿。订书机被配置成分别将第一齿和第二齿分别递送到相对的身体组织。订书机包括具有工作内腔的细长轴（例如，导管）和用于输送订书钉的控制机构。驱动电缆沿着细长轴的工作内腔延伸。在升温到形状记忆材料的相变温度以上的温度下，缝合钉可以呈现闭合位置，从而将相对的身体组织拉开并闭合切口。

24. 发明申请

WO2011087723A1 MEDICAL DEVICES WITH DETACHABLE PIVOTABLE JAWS 审中-公开
标题翻译：医疗设备与可拆卸可拆卸的JAWS
公开(公告)号：WO2011087723A1
公开(公告)日：2011-07-21
申请号：PCT/US2010/061077
申请日：2010-12-17
申请人： WILSON-COOK MEDICAL, INC. , SURTI, Vihar, C. , MARTINEZ, Michelle, D.
发明人： SURTI, Vihar, C. , MARTINEZ, Michelle, D.
IPC分类号： A61B17/122 , A61B17/128
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/29 , A61B2017/00473 , A61B2017/12004 , A61B2017/2902 , A61B2017/2931 , A61B2017/2936 , A61B2017/2943 , A61B2017/2944
摘要： Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system (20) including a housing (42), first and second jaws (44,46) rotatable relative to the housing, a driver (48), and an elongate drive wire (22). The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.
摘要翻译：提供了用于接合组织的医疗系统，装置和方法，例如，用于剪切组织，闭合穿孔或进行止血。通常，医疗系统（20）包括壳体（42），相对于壳体可旋转的第一和第二钳口（44,46），驱动器（48）和细长的驱动线（22）。细长的驱动线可以与驱动器，第一和第二钳口以及与体内接合的组织脱离壳体。

25. 发明申请

WO2010138579A1 TACKING DEVICE AND METHODS OF DEPLOYMENT 审中-公开
标题翻译：扣除装置和部署方法
公开(公告)号：WO2010138579A1
公开(公告)日：2010-12-02
申请号：PCT/US2010/036188
申请日：2010-05-26
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/00 , A61B17/064
CPC分类号： A61B17/064 , A61B2017/00862 , A61B2017/00867 , A61B2017/0649
摘要： The present embodiments provide apparatus and methods suitable for coupling a graft member to tissue, closing a bodily opening, and the like. In one embodiment, a tacking device comprises a wire having first and second ends, and further having delivery and deployed states. In the contracted state, the wire comprises an elongated configuration that is substantially parallel to a central longitudinal axis. In the expanded state, the wire comprises a head region and a body region, the head region comprising at least one full turn having a first diameter, and the body region comprising at least two full turns having a second diameter, wherein the first diameter is greater than the second diameter. One or more of the tacking devices may be delivered using a laparoscopic, endoscopic or percutaneous approach.
摘要翻译：本实施例提供适于将移植物件联接到组织，闭合身体开口等的装置和方法。在一个实施例中，固定装置包括具有第一端和第二端的导线，并且还具有传送和展开状态。在收缩状态下，线包括基本上平行于中心纵向轴线的细长结构。在扩展状态下，线包括头部区域和身体区域，头部区域包括具有第一直径的至少一个完整匝，并且主体区域包括具有第二直径的至少两个完整匝，其中第一直径为大于第二直径。可以使用腹腔镜，内窥镜或经皮方法递送一个或多个定位装置。

26. 发明申请

WO2009085747A1 DELIVERY SYSTEM FOR INTRAGASTRIC BAG 审中-公开
标题翻译：内装袋装运系统
公开(公告)号：WO2009085747A1
公开(公告)日：2009-07-09
申请号：PCT/US2008/086975
申请日：2008-12-16
申请人： WILSON-COOK MEDICAL INC. , DILLON, Travis, E. , SURTI, Vihar, C.
发明人： DILLON, Travis, E. , SURTI, Vihar, C.
IPC分类号： A61F5/00
CPC分类号： A61F5/0089 , A61F5/0036
摘要： A delivery system (100) for introducing a bundled intragastric bag (130) into a gastric lumen (150) are described. The delivery system includes a pushing mechanism movable between an unexpanded and expanded configuration. The pushing mechanism (196) in its expanded configuration pushes each of the bundles (310) of the bag into the gastric lumen. A suture (170, 180) strand is periodically pulled during the procedure to help create doughnut- shaped bundles. Another suture strand extends between a proximal button and distal button of the deployed assembly to maintain the doughnut- shaped bundle structure.
摘要翻译：描述了用于将捆扎的胃内袋（130）引入胃腔（150）的输送系统（100）。输送系统包括可在未膨胀和膨胀构型之间移动的推动机构。其推出机构（196）处于其扩张构型中将袋中的每个束（310）推入胃腔。在该过程期间周期性地拉伸缝合线（170,180），以帮助形成面团形束。另一条缝合线在展开的组件的近侧按钮和远端按钮之间延伸，以保持面团状的束结构。

27. 发明申请

WO2009042598A1 MEDICAL DEVICES, SYSTEMS, AND METHODS FOR USING TISSUE ANCHORS 审中-公开
标题翻译：医疗设备，系统和使用组织锚固件的方法
公开(公告)号：WO2009042598A1
公开(公告)日：2009-04-02
申请号：PCT/US2008/077382
申请日：2008-09-23
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0417
摘要： Medical devices (20), systems and related methods for delivering a tissue anchor (26). One embodiment of such a medical device generally comprises a needle (22) and a sheath (24) that assist in retaining the tissue anchor, connected to a suture (40) at the distal end (42) of the needle during manipulation of the medical device. The needle has a needle lumen (32) sized to slidably receive the tissue anchor. The sheath has a sheath lumen (44) sized to slidably receive the needle. A distal end of the sheath defines a sheath slot (48) sized to receive the suture (40) therein. The medical systems include one or more tissue anchors in conjunction with one of the medical devices.
摘要翻译：用于递送组织锚（26）的医疗装置（20），系统和相关方法。这种医疗装置的一个实施例通常包括针（22）和护套（24），其在医疗操作期间有助于保持连接到针的远端（42）处的缝合线（40）的组织锚固件设备。针具有尺寸适于可滑动地容纳组织锚的针腔（32）。护套具有尺寸适于可滑动地容纳针的鞘腔（44）。护套的远端限定了尺寸适于在其中容纳缝合线（40）的护套狭槽（48）。医疗系统包括与医疗装置之一结合的一个或多个组织锚。

28. 发明申请

WO2009029744A1 MEDICAL IMPLANT HAVING IMPROVED DRUG ELUTING FEATURES 审中-公开
标题翻译：具有改进药物特性的医用植入物
公开(公告)号：WO2009029744A1
公开(公告)日：2009-03-05
申请号：PCT/US2008/074721
申请日：2008-08-29
申请人： WILSON-COOK MEDICAL, INC. , KENNEDY III, Kenneth, C. , LU, Wenfeng , RUCKER, Brian, K. , SURTI, Vihar, C.
发明人： KENNEDY III, Kenneth, C. , LU, Wenfeng , RUCKER, Brian, K. , SURTI, Vihar, C.
IPC分类号： A61F2/94
CPC分类号： A61L27/34 , A61F2/94 , A61F2002/041 , A61F2250/0056 , A61F2250/0067 , A61L27/50 , A61L31/10 , A61L31/14 , A61L31/18 , A61M25/0045 , A61M27/002 , A61M27/008
摘要： An implantable drainage device (10) for treatment of a stricture of a body- vessel is disclosed. The device comprises a drainage tube (16) including an inlet (14) and extending to an outlet (12) to define a drainage lumen (18) formed through the inlet and the outlet. The drainage tube includes a swell layer and a cast layer formed about the swell layer. The swell layer has a first agent dispersed thereabout for regulated drug elution through the cast layer.- The cast layer has a second agent disposed thereabout for drug elution therefrom.
摘要翻译：公开了一种用于治疗体液管狭窄的植入式排液装置（10）。该装置包括排水管（16），其包括入口（14）并延伸到出口（12）以限定通过入口和出口形成的排水腔（18）。引流管包括溶胀层和围绕溶胀层形成的流延层。溶胀层具有分散在其中的第一试剂，以通过流延层进行调节药物洗脱。 - 浇铸层具有设置在其周围的药物洗脱的第二药剂。

29. 发明申请

WO2009012250A1 RIVET INTRODUCTION SYSTEM 审中-公开
标题翻译： RIVET引言系统
公开(公告)号：WO2009012250A1
公开(公告)日：2009-01-22
申请号：PCT/US2008/070046
申请日：2008-07-15
申请人： WILSON-COOK MEDICAL INC. , SAEED, Zahid, A. , SURTI, Vihar, C. , KENNEDY, Kenneth, C.
发明人： SAEED, Zahid, A. , SURTI, Vihar, C. , KENNEDY, Kenneth, C.
IPC分类号： A61B17/04 , A61B17/08 , A61B17/10 , A61B17/11
CPC分类号： A61B17/0401 , A61B17/0644 , A61B17/08 , A61B17/10 , A61B17/11 , A61B17/1114 , A61B2017/0408 , A61B2017/1103 , A61B2017/1135
摘要： A rivet, rivet introduction device, and method therefor. The rivet is configured for deployment from a rivet introduction device to provide for connection of tissue. The rivet preferably includes two expansion zones configured to secure tissue therebetween, with the expansion zones being either self-expanding or expandable by use of a mandrel. The rivet introduction device preferably is configured to provide for introduction of a rivet with access only to one side of the tissue to be connected.
摘要翻译：铆钉，铆钉引入装置及其方法。铆钉被配置为从铆钉引入装置展开以提供组织的连接。铆钉优选地包括两个膨胀区，其被构造成在两者之间固定组织，其中膨胀区可以通过使用心轴自扩展或扩展。铆钉引入装置优选地被配置为提供铆钉的引入，该铆钉仅接近待连接的组织的一侧。

30. 发明申请

WO2008016592A2 IMPROVED SYSTEM AND METHOD FOR ENDOSCOPIC TREATMENT OF TISSUE 审中-公开
标题翻译：用于组织内镜治疗的改进系统和方法
公开(公告)号：WO2008016592A2
公开(公告)日：2008-02-07
申请号：PCT/US2007/017086
申请日：2007-07-31
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C. , INGRAM, Kimberly, K. , YOUNT, Marcie, G. , HARDIN, David, M. , BROWN, Hilbert, D. , KENNEDY, Kenneth, C., II , WALLER, David, F. , CHILTON, Patricia, J.
发明人： SURTI, Vihar, C. , INGRAM, Kimberly, K. , YOUNT, Marcie, G. , HARDIN, David, M. , BROWN, Hilbert, D. , KENNEDY, Kenneth, C., II , WALLER, David, F. , CHILTON, Patricia, J.
IPC分类号： A61B17/12
CPC分类号： A61B17/12013 , A61B2017/00296 , A61B2017/12018
摘要： An improved Iigating system with a Iigating barrel having an adjustable diameter for use with endoscopes of varying sizes is disclosed. The adjustable diameter may be provided by a collet, a flexible helical band, a plurality of screws, or a tapered elastomeric section.
摘要翻译：公开了一种改进的具有可调节直径的用于具有不同尺寸的内窥镜的引导桶的调音桶系统。可调直径可以由夹头，柔性螺旋带，多个螺钉或锥形弹性体部分提供。

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