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41. 发明申请

WO2010088509A1 EXPANDABLE PORT FOR ACCESSING A BODILY OPENING 审中-公开
标题翻译：用于接近开放的可扩展端口
公开(公告)号：WO2010088509A1
公开(公告)日：2010-08-05
申请号：PCT/US2010/022572
申请日：2010-01-29
申请人： WILSON-COOK MEDICAL, INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/34 , A61B17/00 , A61M25/00 , A61M25/06
CPC分类号： A61B17/34 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61B2017/00278 , A61B2017/3425 , A61B2017/3445 , A61B2017/3488
摘要： Medical systems, devices and methods are provided for accessing a bodily opening. One embodiment of a medical device generally includes a flexible sheath and an expandable member. The flexible sheath has a length suitable for forming the pathway along a longitudinal axis. The expandable member is connected to a distal portion of a sheath. The expandable member is operable between a collapsed configuration and an expanded configuration. The expandable member includes a plurality of longitudinally extending struts connected together by a wire frame. The plurality of struts move radially and circumferentially relative to one another between collapsed and expanded configurations.
摘要翻译：提供医疗系统，设备和方法来访问身体开放。医疗装置的一个实施例通常包括柔性护套和可扩张构件。柔性护套具有适于沿着纵向轴线形成路径的长度。可膨胀构件连接到护套的远侧部分。可膨胀构件可在折叠构型和膨胀构型之间操作。可膨胀构件包括通过线框架连接在一起的多个纵向延伸的支柱。多个支柱在收缩和膨胀构型之间相对于彼此径向和周向地移动。

42. 发明申请

WO2010078163A1 MEDICAL DEVICE WITH PIVOTABLE JAWS 审中-公开
标题翻译：医疗设备与可折叠的伎俩
公开(公告)号：WO2010078163A1
公开(公告)日：2010-07-08
申请号：PCT/US2009/069270
申请日：2009-12-22
申请人： WILSON-COOK MEDICAL, INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/29 , A61B17/22
CPC分类号： A61B17/29 , A61B17/22031 , A61B2017/2943
摘要： A medical device with pivotable jaws and method of use thereof are disclosed. The device includes a pair of jaw members which are capable of being rotated independently of one another and spaced apart up to about 360°. Various gear arrangements are provided for enabling rotation of the jaws. The jaw members are disposed within a flexible slotted housing when advanced to a target tissue site, and thereafter rotated out of the housing a predetermined amount to contact target tissue.
摘要翻译：公开了具有可枢转钳口的医疗装置及其使用方法。该装置包括能够彼此独立地旋转并间隔高达约360°的一对钳口构件。提供各种齿轮布置用于使夹爪能够转动。当前进到目标组织部位时，钳口构件设置在柔性开槽壳体内，然后从壳体旋转预定量以接触目标组织。

43. 发明申请

WO2010051250A1 ENDOSCOPE ENDCAP FOR SUTURING TISSUE 审中-公开
标题翻译：用于服用组织的内窥镜结束
公开(公告)号：WO2010051250A1
公开(公告)日：2010-05-06
申请号：PCT/US2009/062057
申请日：2009-10-26
申请人： WILSON-COOK MEDICAL, INC. , HASHIBA, Kiyoshi , SURTI, Vihar, C.
发明人： HASHIBA, Kiyoshi , SURTI, Vihar, C.
IPC分类号： A61B1/018 , A61B17/04
CPC分类号： A61B17/0401 , A61B1/0008 , A61B1/00087 , A61B1/018 , A61B17/0487 , A61B2017/00296 , A61B2017/0409 , A61B2017/0417
摘要： Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical device generally includes an endcap for use with an endoscope to suture an opening in tissue using a tissue anchor. The endcap has a tubular shape defined by an annular sidewall, and the sidewall defines an interior space. A side port is further defined by the annular sidewall and is in communication with the interior space. The side port is sized to receive and locate the tissue within the interior space for suturing. A support rib is positioned within the interior space and distal to the side port. The support rib and sidewall define a piercing aperture therebetween that supports the tissue being sutured.
摘要翻译：公开了用于缝合组织穿孔的医疗系统，装置和方法，其可以内窥镜和/或腹腔镜使用，并且提供围绕穿孔的简单，可靠和可控的缝合放置以完全封闭。医疗装置的一个实施例通常包括用于与内窥镜一起使用组织锚缝合组织中的开口的端盖。端盖具有由环形侧壁限定的管状形状，并且侧壁限定内部空间。侧端口由环形侧壁进一步限定，并与内部空间连通。侧端口的尺寸适于接收和定位内部空间内用于缝合的组织。支撑肋位于内部空间内并且远离侧端口。支撑肋和侧壁在其间限定穿孔，支撑被缝合的组织。

44. 发明申请

WO2010030842A2 METHODS FOR FACILITATING CLOSURE OF A BODILY OPENING USING ONE OR MORE TACKING DEVICES 审中-公开
标题翻译：使用一个或更多个打包装置来促进打开开关的闭合的方法
公开(公告)号：WO2010030842A2
公开(公告)日：2010-03-18
申请号：PCT/US2009/056604
申请日：2009-09-11
申请人： WILSON-COOK MEDICAL INC. , KOCHMAN, Michael, L. , SURTI, Vihar, C.
发明人： KOCHMAN, Michael, L. , SURTI, Vihar, C.
IPC分类号： A61B17/08
CPC分类号： A61B17/0401 , A61B17/0466 , A61B17/0487 , A61B17/0644 , A61B17/068 , A61B17/1114 , A61B2017/00867 , A61B2017/0409 , A61B2017/0414 , A61B2017/0437 , A61B2017/0464 , A61B2017/0496 , A61B2017/0641 , A61B2017/0645 , A61B2017/1107
摘要： The present embodiments provide methods for facilitating closure of a bodily opening. In one exemplary method, at least a portion of a first tacking device is disposed through at least a portion of tissue at a first location in a vicinity of an opening in the tissue. Then, at least a portion of a second tacking device is disposed through at least a portion of tissue at a second location in the vicinity of an opening in the tissue. A closure member having at least one loop portion is advanced towards the first and second tacking devices, and the loop portion is positioned around at least a portion of the first tacking device and at least a portion of the second tacking device. The closure member then is actuated to urge the first tacking device towards the second tacking device to provide a compressive force upon the opening.
摘要翻译：本实施例提供了便于关闭身体开口的方法。在一个示例性方法中，第一定位装置的至少一部分在组织中的开口附近的第一位置穿过组织的至少一部分。然后，在组织中的开口附近的第二位置处，至少部分第二定位装置穿过组织的至少一部分。具有至少一个环部分的封闭构件朝向第一和第二固定装置前进，并且环部分围绕第一固定装置的至少一部分和第二固定装置的至少一部分定位。然后，关闭构件被致动以将第一固定装置推向第二固定装置以在开口处提供压缩力。

45. 发明申请

WO2010030778A1 METHODS FOR ACHIEVING SEROSA-TO-SEROSA CLOSURE OF A BODILY OPENING USING ONE OR MORE TACKING DEVICES 审中-公开
标题翻译：使用一个或多个按钮装置实现打开的开关序列的SEROSA-to-SEROSA闭合的方法
公开(公告)号：WO2010030778A1
公开(公告)日：2010-03-18
申请号：PCT/US2009/056512
申请日：2009-09-10
申请人： WILSON-COOK MEDICAL INC. , KOCHMAN, Michael, L. , SURTI, Vihar, C.
发明人： KOCHMAN, Michael, L. , SURTI, Vihar, C.
IPC分类号： A61B17/04 , A61B17/064 , A61B17/08 , A61B17/10 , A61B17/128 , A61B17/00
CPC分类号： A61B17/064 , A61B17/0057 , A61B17/0644 , A61B17/068 , A61B2017/0061 , A61B2017/00668 , A61B2017/00818 , A61B2017/00867 , A61B2017/0408 , A61B2017/0419 , A61B2017/0496 , A61B2017/0647 , A61B2017/081 , A61B2090/3983 , A61F2/0063
摘要： The present embodiments provide methods for facilitating closure of a bodily opening. In one exemplary method, a compressive force is imposed upon first and second tissue segments that at least partially surround an opening in tissue. The first and second tissue segments are positioned in a manner where a first serosal tissue region of the first tissue segment is compressed against a second serosal tissue region of the second tissue segment to facilitate sealing of the opening. At least one tacking device having proximal and distal deployable members may be deployed using a suitable insertion tool to impose a compressive force to hold the first serosal tissue region in a sealing relationship against the second serosal tissue region.
摘要翻译：本实施例提供了便于关闭身体开口的方法。在一个示例性方法中，对至少部分地围绕组织中的开口的第一和第二组织片段施加压缩力。第一和第二组织片段以这样一种方式定位，其中第一组织片段的第一浆膜组织区域被压缩抵抗第二组织片段的第二浆膜组织区域，以便于密封开口。具有近端和远端可部署构件的至少一个固定装置可以使用合适的插入工具来展开，以施加压缩力以将第一浆膜组织区域保持在与第二浆膜组织区域的密封关系中。

46. 发明申请

WO2009132111A1 TACKING DEVICE 审中-公开
标题翻译：打包装置
公开(公告)号：WO2009132111A1
公开(公告)日：2009-10-29
申请号：PCT/US2009/041415
申请日：2009-04-22
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/064 , A61B17/068
CPC分类号： A61B17/064 , A61B17/068 , A61B90/39 , A61B2017/00867 , A61B2017/0414 , A61B2017/0647
摘要： The present embodiments provide apparatus and methods suitable for coupling a graft member to tissue, closing a bodily opening, and the like. At least one proximal deployable member and at least one distal deployable member are provided, each having a contracted state suitable for delivery and further comprising an expanded state. In the expanded state, the proximal and distal deployable members are configured to secure the graft member to the tissue. Optionally, a loop member may be provided for receiving a suture for further securing the graft member to the tissue.
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。提供至少一个近端可展开构件和至少一个远侧可展开构件，每个具有适合于递送的收缩状态并且进一步包括膨胀状态。在展开状态下，近端和远端可展开构件构造成将移植物固定到组织上。可选地，可以提供环构件用于接收缝合线以进一步将移植物构件固定到组织。

47. 发明申请

WO2009021030A1 DISTAL TIP FOR AN ENDOSCOPE 审中-公开
标题翻译：内窥镜的距离
公开(公告)号：WO2009021030A1
公开(公告)日：2009-02-12
申请号：PCT/US2008/072323
申请日：2008-08-06
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B1/00 , A61B1/273
CPC分类号： A61B1/018 , A61B1/0008 , A61B1/2736 , A61B2017/00473
摘要： A system configured for endoscopic treatment of tissue is provided. The system includes an elongate shaft having a proximal portion, a distal portion and a working channel extending at least partially through the shaft. The elongate shaft further includes a longitudinally extending central axis. A distal end of the distal portion of the elongate shaft includes a distal tip having a curvilinear portion. The curvilinear portion is configured to dilate a stricture in a gastrointestinal tract for passing a portion of the system through the stricture to the tissue. The distal tip includes a working channel port connected to the working channel.
摘要翻译：提供了一种配置用于组织内镜治疗的系统。该系统包括细长轴，其具有近端部分，远侧部分和至少部分延伸穿过轴的工作通道。细长轴还包括纵向延伸的中心轴线。细长轴的远端部分的远端包括具有曲线部分的远端。曲线部分构造成在胃肠道中扩张狭窄，以使系统的一部分通过狭窄到组织。远端包括连接到工作通道的工作通道端口。

48. 发明申请

WO2008147875A1 SUTURE LOCK 审中-公开
标题翻译：舒服锁
公开(公告)号：WO2008147875A1
公开(公告)日：2008-12-04
申请号：PCT/US2008/064513
申请日：2008-05-22
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： A61B17/0487 , A61B17/0401 , A61B2017/0414 , A61B2017/0488
摘要： Sutures Locks, as well as related systems and methods, are provided for fixing strands of one or more sutures relative to tissue. The suture locks, systems and methods are simple and reliable in use, facilitate complete perforation closure and adjustment of the suture strands, and are adaptable to a variety of suture fixation and perforation closure situations. The suture lock includes a locking pin and a retaining sleeve. The locking pin has a main body and a grip. The retaining sleeve has a tubular body with an internal wall defining an internal passageway sized to receive the locking pin therein. The suture lock is operable between a locked configuration and unlocked configuration. In the locked configuration, the suture strands are compressed between the grip and the internal wall of the tubular body.
摘要翻译：缝线锁以及相关的系统和方法被提供用于固定相对于组织的一个或多个缝合线。缝合线锁，系统和方法在使用中简单可靠，便于缝合线完成穿孔闭合和调整，适用于各种缝线固定和穿孔闭合情况。缝合锁包括锁定销和保持套。锁定销具有主体和手柄。保持套筒具有一个带有内壁的管体，该内壁限定了一个内部通道，该内部通道的尺寸被设计成可将锁定销接纳在其中。缝合锁可在锁定配置和解锁配置之间操作。在锁定构造中，缝合线股在手柄与管状体的内壁之间被压缩。

49. 发明申请

WO2008147871A1 MEDICAL DEVICES, SYSTEMS AND METHODS FOR CLOSING PERFORATIONS 审中-公开
标题翻译：医疗设备，系统和关闭执行的方法
公开(公告)号：WO2008147871A1
公开(公告)日：2008-12-04
申请号：PCT/US2008/064508
申请日：2008-05-22
申请人： WILSON-COOK MEDICAL, INC. , SURTI, Vihar, C.
发明人： SURTI, Vihar, C.
IPC分类号： A61B17/00 , A61B17/04
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472
摘要： Medical devices, systems and methods for placing tissue fixation devices are provided. The medical device includes a plurality of elongate delivery devices, a plurality of elongate tubes, and a distal tip. Each delivery device defines a delivery lumen sized to receive a tissue fixation device. Each elongate tube defines a tube lumen sized to receive one of the delivery devices. Each tube lumen has a distal port. The distal tip is connected to the plurality of elongate tubes and defines a guide surface positioned distally of the distal ports. The guide surface is structured to redirect the plurality of delivery devices radially outwardly as the plurality of delivery devices are distally translated through the tube lumens and the distal ports of the plurality of elongate tubes. A medical system is formed by an endoscope that is selectively attachable to the medical device.
摘要翻译：提供了用于放置组织固定装置的医疗装置，系统和方法。医疗装置包括多个细长递送装置，多个细长管和远侧末端。每个递送装置限定尺寸适于接收组织固定装置的递送腔。每个细长管限定了管腔，其尺寸设置成接收一个输送装置。每个管腔具有远端口。远侧末端连接到多个细长管并且限定位于远端端口远端的引导表面。引导表面构造成当多个输送装置通过管腔和多个细长管的远端端口向远侧平移时径向向外地重定向多个递送装置。医疗系统由可选择性地附接到医疗装置的内窥镜形成。

50. 发明申请

WO2008106279A1 INTESTINAL BYPASS USING MAGNETS 审中-公开
标题翻译：使用磁铁的INTESTINAL BYPASS
公开(公告)号：WO2008106279A1
公开(公告)日：2008-09-04
申请号：PCT/US2008/053011
申请日：2008-02-05
申请人： WILSON-COOK MEDICAL, INC. , SURTI, Vihar, C. , DILLON, Travis, E.
发明人： SURTI, Vihar, C. , DILLON, Travis, E.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/003 , A61B2017/00876 , A61B2017/1103 , A61B2017/1117 , A61B2017/1139
摘要： Medical devices and methods are provided for forming an intestinal bypass anastomosis, such as for treatment of obesity. The medical devices and methods are minimally invasive and reduce complications. Two magnet assemblies are deployed in a spaced apart relationship, and are transluminal^ brought together to approximate the tissue and form an anastomosis therebetween.
摘要翻译：提供用于形成肠旁路吻合术的医疗装置和方法，例如用于治疗肥胖症。医疗器械和方法是微创和减少并发症。两个磁体组件以间隔开的关系展开，并且是经过管腔的组合以近似于组织并在其间形成吻合。

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