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31. 发明申请

US20110152859A1 SURGICAL INSTRUMENT COMPRISING AN ELECTRODE 有权
标题翻译：包含电极的手术仪器
公开(公告)号：US20110152859A1
公开(公告)日：2011-06-23
申请号：US12641837
申请日：2009-12-18
申请人： Gary L. Long , David N. Plescia
发明人： Gary L. Long , David N. Plescia
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B2017/00221 , A61B2018/00083 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2090/065 , A61N1/327
摘要： A surgical instrument can comprise a first electrode, a second electrode, and a retractable sheath. At least one of the electrodes can comprise an insulative jacket extending along the length thereof which can comprise a tissue stop for limiting the progression of the electrode into tissue. In various embodiments, a surgical instrument can comprise a first electrode, a second electrode, and a displaceable arc guard positioned between the electrodes. In certain embodiments, a surgical instrument can comprise an electrode including a flexible mesh configured to conform to the tissue against which it is positioned.
摘要翻译：手术器械可以包括第一电极，第二电极和可缩回护套。电极中的至少一个可以包括沿着其长度延伸的绝缘护套，其可以包括用于限制电极进入组织的进展的组织止动器。在各种实施例中，外科器械可以包括位于电极之间的第一电极，第二电极和可移位的电弧护罩。在某些实施例中，手术器械可以包括电极，其包括被配置为与其所定位的组织一致的柔性网状物。

32. 发明申请

US20100179530A1 ELECTRICAL ABLATION DEVICES 有权
标题翻译：电气设备
公开(公告)号：US20100179530A1
公开(公告)日：2010-07-15
申请号：US12352375
申请日：2009-01-12
申请人： Gary L. Long , Ragae M. Ghabrial , David N. Plescia , Omar J. Vakharia
发明人： Gary L. Long , Ragae M. Ghabrial , David N. Plescia , Omar J. Vakharia
IPC分类号： A61B18/18 , A61B18/14
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要： An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
摘要翻译：电切除装置包括第一和第二电极。每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。能量源耦合到第一和第二电极。能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。第一系列电脉冲的特征在于第一幅度，第一脉冲长度和第一频率。第二系列电脉冲的特征在于第二幅度，第二脉冲长度和第二频率。

33. 发明授权

US07711412B2 Mucosal tissue illuminator and method for use 失效
标题翻译：粘膜组织照明器及使用方法
公开(公告)号：US07711412B2
公开(公告)日：2010-05-04
申请号：US11752536
申请日：2007-05-23
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B17/34
CPC分类号： A61B5/489 , A61B1/313 , A61B5/0084 , A61B5/4238
摘要： An illuminating system scatters light into the mucosal lining of the stomach adjacent to an ulcerated area, an area containing a lesion, or ather area of interest. A light detector positioned on the opposite side of the area of interest uses detected light patterns to identify the location of circulatory structures beneath the mucosal lining adjacent to the area of interest.
摘要翻译：照明系统将光分散到与溃疡区域相邻的胃的粘膜内，包含病变的区域或感兴趣的区域。位于感兴趣区域相对侧的光检测器使用检测到的光图案来识别邻近感兴趣区域的粘膜衬底下面的循环结构的位置。

34. 发明申请

US20090062792A1 ELECTRICAL ABLATION SURGICAL INSTRUMENTS 有权
标题翻译：电动手术器械
公开(公告)号：US20090062792A1
公开(公告)日：2009-03-05
申请号：US12109673
申请日：2008-04-25
申请人： Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
发明人： Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1445 , A61B18/1477 , A61B2018/1266 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455
摘要： An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade is located in the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译：电消融装置包括具有近端和远端的细长柔性构件。钳夹部分位于细长柔性构件的远端。钳夹部分可操作地从打开位置移动到关闭位置。切割刀片位于钳夹部分中。钳夹部分适于耦合到电波形发生器并接收电波形。

35. 发明申请

US20080243106A1 DETACHABLE END EFFECTORS 有权
标题翻译：可分离的终端效应
公开(公告)号：US20080243106A1
公开(公告)日：2008-10-02
申请号：US11693976
申请日：2007-03-30
申请人： Jonathan A. Coe , James W. Voegele , Gary L. Long , Andrew M. Zwolinski , Kyle P. Moore , Robert P. Gill
发明人： Jonathan A. Coe , James W. Voegele , Gary L. Long , Andrew M. Zwolinski , Kyle P. Moore , Robert P. Gill
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/00 , A61B17/00234 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931
摘要： Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. For example, a surgeon can actuate an actuation mechanism on the proximal end of the shaft to mate one of the end effectors to the distal end of the shaft without assistance from other tools and devices. After use of the end effector, the end effector can be released and another end effector can be remotely attached to the distal end of the shaft.
摘要翻译：提供了用于使用可互换的末端执行器执行各种过程的方法和装置。通常，所述方法和装置允许外科医生远程地和选择性地将各种可互换的手术端部执行器附接到位于患者体内的轴，从而允许外科医生执行各种程序，而不需要从患者身体移除轴。在示例性实施例中，可以将多个端部执行器引入体腔中。末端执行器可以彼此分离或分离，使得它们在体腔内浮动。轴的远端可以定位在体腔内，并且其可以用于选择性地接合末端执行器中的一个。特别地，该装置可以构造成允许每个端部执行器远离该轴远端附接和分离。例如，外科医生可以致动在轴的近端上的致动机构，以便在其他工具和装置的帮助下将端部执行器中的一个配合到轴的远端。在使用末端执行器之后，端部执行器可以被释放，而另一端部执行器可以远程连接到轴的远端。

36. 发明申请

US20080167546A1 METHODS FOR IMAGING THE ANATOMY WITH AN ANATOMICALLY SECURED SCANNER ASSEMBLY 有权
标题翻译：用解剖图像扫描仪组装成像解剖的方法
公开(公告)号：US20080167546A1
公开(公告)日：2008-07-10
申请号：US11749188
申请日：2007-05-16
申请人： David C. Youmans , Jane A. Sheetz , Gary L. Long , Paul G. Ritchie , Michael S. Cropper , Jere J. Brophy , Bradley E. White
发明人： David C. Youmans , Jane A. Sheetz , Gary L. Long , Paul G. Ritchie , Michael S. Cropper , Jere J. Brophy , Bradley E. White
IPC分类号： A61B5/00
CPC分类号： A61B1/041 , A61B1/0008 , A61B1/00096 , A61B1/00147 , A61B1/00158 , A61B1/00172 , A61B1/00183 , A61B1/0638 , A61B1/07 , A61B5/6882 , A61B2562/028
摘要： A method for viewing a portion of a patient's anatomy that comprises placing a scanner assembly including an oscillating reflector in the anatomy, securing the scanner assembly to an anatomical structure, scanning the anatomy with the scanner assembly secured to the anatomical structure, collecting radiation returned from the scanned anatomy, and generating a displayable image of the anatomy.
摘要翻译：一种用于观察患者解剖结构的一部分的方法，包括将包括振荡反射器的扫描器组件放置在解剖结构中，将扫描器组件固定到解剖结构上，用固定到解剖结构的扫描仪组件扫描解剖结构，收集从扫描的解剖结构，并生成解剖结构的可显示图像。

37. 发明申请

US20080064920A1 Medical drive system for providing motion to at least a portion of a medical apparatus 审中-公开
标题翻译：用于向医疗设备的至少一部分提供运动的医疗驱动系统
公开(公告)号：US20080064920A1
公开(公告)日：2008-03-13
申请号：US11518606
申请日：2006-09-08
申请人： Gregory J. Bakos , James T. Spivey , Gary L. Long
发明人： Gregory J. Bakos , James T. Spivey , Gary L. Long
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00133 , A61M25/0113 , A61M25/09041
摘要： Several medical drive systems each include a drive system assembly adapted to engage and move at least a portion of a medical apparatus. The medical drive system assemblies each are variously described in expressions such as an assembly adapted to engagingly slide onto a catheter, an assembly adapted to surroundingly attach to a catheter, an assembly adapted to engagingly slide onto a working channel entrance of an endoscope wherein the medical apparatus is insertable into the working channel entrance, an assembly including a spur gear and a nut gear wherein the nut gear includes external teeth engaged by the spur gear, an assembly insertable into a working channel of a flexible insertion tube of an endoscope, and/or an assembly including a drive shaft and a nut gear fixedly attached thereto wherein the drive shaft has at least a hollow portion and the medical apparatus is positionable in the hollow portion.
摘要翻译：几个医疗驱动系统各自包括适于接合和移动医疗设备的至少一部分的驱动系统组件。医疗驱动系统组件各自以表达方式进行各种描述，例如适于啮合地滑动到导管上的组件，适于围绕附接到导管的组件，适于啮合地滑动到内窥镜的工作通道入口上的组件，其中医疗装置可插入工作通道入口，包括正齿轮和螺母齿轮的组件，其中螺母齿轮包括由正齿轮啮合的外齿，可插入到内窥镜的柔性插入管的工作通道中的组件和/ 或包括固定地附接到其上的驱动轴和螺母齿轮的组件，其中所述驱动轴至少具有中空部分，并且所述医疗装置可定位在所述中空部分中。

38. 发明申请

US20070270649A1 Medical instrument including a catheter having a catheter stiffener and method for using 有权
标题翻译：医疗器械包括具有导管加强件的导管和使用方法
公开(公告)号：US20070270649A1
公开(公告)日：2007-11-22
申请号：US11436397
申请日：2006-05-18
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B1/00
CPC分类号： A61B1/31 , A61B1/00078 , A61B1/0053 , A61B5/065 , A61M2025/0063
摘要： A medical instrument including a medical catheter having a distal end insertable within a body lumen of a patient, having a first flexible catheter segment, and having a second flexible catheter segment located distal the first flexible catheter segment. The first flexible catheter segment includes a first loop sensor and includes an active first catheter stiffener adapted to stiffen and un-stiffen substantially only the first flexible catheter segment. The second flexible catheter segment includes a second loop sensor and includes an active second catheter stiffener adapted to stiffen and un-stiffen substantially only the second flexible catheter segment. A method for using the medical instrument is also presented.
摘要翻译：一种医疗器械，包括具有可插入患者体腔内的远端的医疗导管，具有第一柔性导管段，并且具有位于第一柔性导管段远侧的第二柔性导管段。第一柔性导管部分包括第一环传感器，并且包括适于仅基本上仅硬化第一柔性导管部分而不加硬的活动的第一导管加强件。第二柔性导管段包括第二环路传感器，并且包括活动的第二导管加强件，其适于基本上只硬化和不加固第二柔性导管段。还提出了使用该医疗器械的方法。

39. 发明申请

US20070270639A1 Medical instrument having a catheter and having a catheter accessory device and method for using 审中-公开
标题翻译：具有导管并具有导管附件装置和使用方法的医疗器械
公开(公告)号：US20070270639A1
公开(公告)日：2007-11-22
申请号：US11435551
申请日：2006-05-17
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B1/00
CPC分类号： A61M25/0116 , A61B1/00133 , A61B1/00158 , A61B1/018 , A61B17/29 , A61B17/320016 , A61B17/32056 , A61B2017/00292 , A61B2017/003 , A61B2017/00398 , A61B2017/00876 , A61M25/0127
摘要： A medical instrument includes a flexible catheter and a catheter accessory device. The catheter has a distal end insertable within a body lumen of a patient. The device is slidably engagable with the catheter. One of the catheter and the device includes magnetic material, and the other of the catheter and the device includes electrically-energizable windings. The catheter and the device are adapted to operate as a linear motor wherein controllably electrically energizing the windings while immobilizing one of the catheter and the device slidingly moves the other of the catheter and the device. A method for using the medical instrument, wherein the medical instrument also includes a controller operatively connected to the windings, includes inserting the distal end within the body lumen, immobilizing one of the catheter and the device, and activating the controller to advance the other of the catheter and the device within the body lumen.
摘要翻译：医疗器械包括柔性导管和导管附件装置。导管具有可插入患者体腔内的远端。该装置可滑动地与导管接合。导管和装置中的一个包括磁性材料，并且导管和装置中的另一个包括电可激励绕组。导管和装置适于作为线性电动机操作，其中可固定地电激励绕组，同时固定导管和装置中的一个可滑动地移动导管和装置中的另一个。一种使用医疗器械的方法，其中所述医疗器械还包括可操作地连接到所述绕组的控制器，包括将所述远端插入所述体腔内，固定所述导管和所述装置中的一个，以及激活所述控制器以推进所述另一个导管和体内的装置。

40. 发明授权

US07261728B2 Biopsy forceps device and method 有权
标题翻译：活检钳装置及方法
公开(公告)号：US07261728B2
公开(公告)日：2007-08-28
申请号：US10099086
申请日：2002-03-15
申请人： Gary L. Long , David Stefanchik , James A. Craft
发明人： Gary L. Long , David Stefanchik , James A. Craft
IPC分类号： A61B10/06 , A61B17/29
CPC分类号： A61B10/04 , A61B10/0283 , A61B10/06 , A61B18/042 , A61B18/14 , A61B2090/306
摘要： An apparatus and method for providing a biopsy device at the distal end of a medical device, such as an endoscope, are disclosed. The apparatus can include a device attached to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel.
摘要翻译：公开了一种用于在诸如内窥镜的医疗装置的远端处提供活检装置的装置和方法。该装置可以包括附接到内窥镜以引导器械端部的位置的装置，例如通过约束器械以预定的方式弯曲，或以其它方式引导从远端的远端延伸的器械的远端仪器通道。

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