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31. 发明授权

US08083769B2 Wired sutures 有权
标题翻译：有线缝线
公开(公告)号：US08083769B2
公开(公告)日：2011-12-27
申请号：US11555568
申请日：2006-11-01
申请人： Nathan Cauldwell , Gregory R. Whittaker , Gary McAlister , Jose E. Lizardi , Jason Hamilton , Frank Capuano
发明人： Nathan Cauldwell , Gregory R. Whittaker , Gary McAlister , Jose E. Lizardi , Jason Hamilton , Frank Capuano
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/06166 , A61B17/888 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/0427 , A61B2017/044 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , A61B2017/0459 , A61B2017/0496 , A61B2017/0619
摘要： Methods and devices are provided for anchoring suture to bone. In one exemplary embodiment, a cannulated suture anchor is provided and it includes a suture-engaging member formed therein and configured to receive a suture therearound such that trailing ends of the suture can extend through the suture anchor. The present invention also provides exemplary sutures and drivers that can be used with the various methods and devices disclosed herein, or with other methods and devices known in the art.
摘要翻译：提供了将缝合线锚定到骨头上的方法和装置。在一个示例性实施例中，提供了一种插管缝合锚，并且其包括形成在其中的缝合线接合构件，并且构造成在其周围接收缝合线，使得缝合线的后端可延伸穿过缝合线锚。本发明还提供可以与本文公开的各种方法和装置一起使用的示例性缝线和驱动器，或与本领域已知的其它方法和装置一起使用。

32. 发明授权

US07828745B2 Multiple biopsy apparatus and related method of use 有权
标题翻译：多次活检装置及相关使用方法
公开(公告)号：US07828745B2
公开(公告)日：2010-11-09
申请号：US11256683
申请日：2005-10-24
申请人： Gary McAlister , Paul Sanders
发明人： Gary McAlister , Paul Sanders
IPC分类号： A61B10/00
CPC分类号： A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B2010/0225
摘要： An endoluminal biopsy device is provided with a proximal actuation mechanism attached to a distal sampler by at least one elongate member. The distal sampler includes a distal inner portion defining a plurality of chambers, each configured to receive a tissue sample, and a distal outer portion defining a cutting mechanism opening having a cutting edge adjacent the cutting mechanism opening. The distal outer portion is configured so that, when the cutting mechanism opening aligns with one of the plurality of chambers, the distal outer portion covers the remaining chambers. A related method for the use of such an endoluminal biopsy device also is provided.
摘要翻译：腔内活检装置设置有通过至少一个细长构件附接到远端取样器的近侧致动机构。远端采样器包括限定多个室的远侧内部部分，每个室被构造成容纳组织样本，远侧外部部分限定切割机构开口，该切割机构开口具有与切割机构开口相邻的切割边缘。远端外部部分构造成使得当切割机构开口与多个腔室中的一个对准时，远侧外部部分覆盖剩余的腔室。还提供了使用这种腔内活检装置的相关方法。

33. 发明授权

US07758591B2 Medical device having linear to rotation control 失效
标题翻译：具有线性到旋转控制的医疗装置
公开(公告)号：US07758591B2
公开(公告)日：2010-07-20
申请号：US10447261
申请日：2003-05-29
申请人： John Griego , Yem Chin , Gary McAlister
发明人： John Griego , Yem Chin , Gary McAlister
IPC分类号： A61B17/32
CPC分类号： A61B17/32056 , A61B2017/00367 , A61B2017/2903 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.
摘要翻译：医疗器械将仪器近端的轴的线性运动转换为仪器的末端执行器的旋转运动。根据一个实施例，医疗器械包括由连接到位于套筒内的轴的圈套环形成的端部执行器。一旦套筒位于患者体内的期望位置附近，则圈套环可以由操作者以轴的线性运动旋转地定位。轴形成有螺纹部分，其匹配形成在固定在套筒内的扭矩传递器元件中的螺纹。轴通过扭矩传感器元件的线性运动导致轴旋转。医疗器械还可以包括用于减小轴和/或离合器组件的扭矩积分的枢转连接器，用于将圈套环的受控转动限制到仅一个方向。

34. 发明申请

US20090204081A1 COMPRESSION EXPANDED CANNULA 审中-公开
标题翻译：压缩性膨胀性肛门
公开(公告)号：US20090204081A1
公开(公告)日：2009-08-13
申请号：US12030590
申请日：2008-02-13
申请人： Gregory R. Whittaker , Gary McAlister , Jason Hamilton
发明人： Gregory R. Whittaker , Gary McAlister , Jason Hamilton
IPC分类号： A61M25/00
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3421 , A61B17/3439 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435 , A61B2017/3458 , A61B2017/3484 , A61B2017/349
摘要： Various methods and devices are provided for accessing an interior surgical site using an access portal which can be inserted and removed with minimal tissue damage and which can form a seal with tissue while inserted. Generally, a device is provided having a rigid elongate surgical access member with a lumen extending therethrough that is configured to receive a surgical tool. The device can also include a flexible sleeve having a lumen extending therethrough that is configured to receive the elongate surgical access member. A substantially rigid collar is provided disposed adjacent to a proximal end of the flexible sleeve and having a lumen extending therethrough that is configured to receive the elongate surgical access member. In an exemplary embodiment, the collar is movable relative to the elongate surgical access member to selectively configure the flexible sleeve in a relaxed condition in which the flexible sleeve has a relatively smooth outer tissue-contacting surface and a compressed condition in which the flexible sleeve has a plurality of protrusions formed on the outer tissue-contacting surface that are configured to create a seal between the outer tissue-contacting surface and tissue.
摘要翻译：提供各种方法和装置，用于使用入口入口访问内部手术部位，该入口可以以最小的组织损伤插入和移除，并且其可以在插入时与组织形成密封。通常，提供具有刚性细长手术进入构件的装置，其具有延伸穿过其中的内腔，构造成容纳外科手术工具。该装置还可以包括具有延伸穿过其中的内腔的柔性套管，其被构造成容纳细长的外科进入构件。提供邻近柔性套管的近端设置的基本上刚性的环，并且具有延伸穿过其中的内腔，其构造成容纳细长的外科进入构件。在一个示例性实施例中，套环可相对于细长的外科进入构件移动，以在松弛状态下选择性地构造柔性套管，其中柔性套管具有相对光滑的外部组织接触表面和压缩状态，其中柔性套管形成在外部组织接触表面上的多个突起，其构造成在外部组织接触表面和组织之间产生密封。

35. 发明授权

US06986748B2 Multiple biopsy apparatus and related method of use 有权
标题翻译：多次活检装置及相关使用方法
公开(公告)号：US06986748B2
公开(公告)日：2006-01-17
申请号：US10411146
申请日：2003-04-11
申请人： Gary McAlister , Paul Sanders
发明人： Gary McAlister , Paul Sanders
IPC分类号： A61B10/00
CPC分类号： A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B2010/0225
摘要： An endoluminal biopsy device is provided with a proximal actuation mechanism attached to a distal sampler by at least one elongate member. The distal sampler includes a distal inner portion defining a plurality of chambers, each configured to receive a tissue sample, and a distal outer portion defining a cutting mechanism opening having a cutting edge adjacent the cutting mechanism opening. The distal outer portion is configured so that, when the cutting mechanism opening aligns with one of the plurality of chambers, the distal outer portion covers the remaining chambers. A related method for the use of such an endoluminal biopsy device also is provided.
摘要翻译：腔内活检装置设置有通过至少一个细长构件附接到远端取样器的近侧致动机构。远端采样器包括限定多个室的远侧内部部分，每个室被构造成容纳组织样本，远侧外部部分限定切割机构开口，该切割机构开口具有与切割机构开口相邻的切割边缘。远端外部部分构造成使得当切割机构开口与多个腔室中的一个对准时，远侧外部部分覆盖剩余的腔室。还提供了使用这种腔内活检装置的相关方法。

36. 发明申请

US20050096668A1 Retrieval device made of precursor alloy cable 有权
标题翻译：由前体合金电缆制成的检测装置
公开(公告)号：US20050096668A1
公开(公告)日：2005-05-05
申请号：US10957685
申请日：2004-10-05
申请人： Gary McAlister
发明人： Gary McAlister
IPC分类号： A61B17/221 , A61B17/00 , A61B17/22 , A61L29/00 , A61L31/00
CPC分类号： A61B17/221 , A61B2017/00867 , A61B2017/2212
摘要： A medical retrieval device for retrieving foreign objects from a patient and the method of constructing the device are disclosed. The device incorporates a wire cable composed of a precursor alloy to a superelastic material to improve durability of the device. Because precursor alloys exhibit a linear stress-strain relationship and a yield point associated with a relatively high stress level, the device transfers greater stresses before experiencing deformation. Thus, greater crushing forces can be achieved using a device of this type. These crushing forces may be needed when the foreign object is too large to remove intact. This property also facilitates the device in dilating ducts to retrieve foreign objects. Using the precursor alloy additionally eliminates the need for heat treatment of the cables used in constructing the device. A retrieval device made of precursor alloy cable also is less susceptible to permanent deformation and unwinding during use.
摘要翻译：公开了一种用于从患者检索异物的医疗检索装置和构造该装置的方法。该装置将由前体合金构成的电线与超弹性材料结合，以提高装置的耐久性。因为前体合金表现出线性应力 - 应变关系和与较高应力水平相关联的屈服点，所以器件在经历变形之前传递更大的应力。因此，可以使用这种类型的装置来实现更大的破碎力。当异物太大而不能完整清除时，可能需要这些破碎力。该属性还便于扩张管道中的装置检索异物。使用前体合金另外消除了对用于构造装置的电缆进行热处理的需要。由前体合金电缆制成的检索装置在使用过程中也不易受到永久变形和退绕的影响。

37. 发明授权

US6007522A Single operator exchange biliary catheter 失效
标题翻译：单手术器交换胆管导管
公开(公告)号：US6007522A
公开(公告)日：1999-12-28
申请号：US926200
申请日：1997-09-09
申请人： Mark Agro , Charles Warich , Gary McAlister , Gordon Nelson , Daniel Brillo , Ronald Paille
发明人： Mark Agro , Charles Warich , Gary McAlister , Gordon Nelson , Daniel Brillo , Ronald Paille
IPC分类号： A61B1/00 , A61M25/00 , A61M25/01 , A61M29/02 , A61M5/00
CPC分类号： A61M25/0169 , A61M25/0097 , A61M2025/0183 , A61M2025/09125
摘要： Catheter for use in biliary procedures, including a shaft having a proximal end and a distal end. A guide wire lumen is carried by the shaft extending from a location proximal the distal end of the shaft to a location proximate the distal end of the shaft. A channel extending longitudinally between a first end and a second end is included for accessing the guide wire lumen from a location exterior the catheter shaft located distal the proximal end of the shaft. The catheter may be used in rapid exchange catheter procedures. The channel may be U-shaped, containing the guide wire yet allowing radial removal of the guide wire from the channel. The catheter may also be part of a device including an endoscope exchange sheath for constraining guide wire movement to the catheter channel while inside a large endoscope working channel.
摘要翻译：用于胆道手术的导管，包括具有近端和远端的轴。引导丝腔由轴承载，该轴从轴的远端附近的位置延伸到靠近轴的远端的位置。包括在第一端和第二端之间纵向延伸的通道，用于从远离轴的近端的导管轴外部的位置进入导丝管腔。导管可用于快速交换导管手术。通道可以是U形的，包含引导线，但允许引导线从通道径向移除。导管还可以是包括内窥镜交换护套的装置的一部分，所述内窥镜交换护套用于在大的内窥镜工作通道的内部限制导丝移动到导管通道。

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