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81. 发明授权

US6106519A Capacitively coupled electrosurgical trocar 失效
标题翻译：电容耦合电外套管
公开(公告)号：US6106519A
公开(公告)日：2000-08-22
申请号：US885458
申请日：1997-06-30
申请人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
发明人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02 , A61B18/00 , A61B18/14 , A61B17/36
CPC分类号： A61B18/1487 , A61B17/3417 , A61B18/14 , A61B18/1442 , A61B18/1485 , A61B2017/00477 , A61B2018/00178
摘要： In the present invention, a surgical trocar is adapted to capacitively couple electrosurgical energy to specially adapted cordless electrosurgical instruments. In one embodiment of the present invention, an electrosurgical trocar includes a cannula, a capacitive electrosurgical adapter and a locking connector adapted to connect the cannula to the capacitive electrosurgical adapter. The cannula is an elongated tube which may be inserted into a body cavity, duct or vessel. The electrosurgical adapter includes a housing with an elongated central aperture, an adapter proximal capacitor plate and an adapter distal capacitor plate positioned in and extending axially along the elongated aperture, first and second electrical conductors, first and second external conductors, a compression mechanism, an outer housing and an electrical cord.
摘要翻译：在本发明中，外科用套管针适于将电外科能量电容耦合到特别适应的无绳电外科器械。在本发明的一个实施例中，电外科套管针包括插管，电容式电外科适配器和适于将套管连接到电容式电外科适配器的锁定连接器。插管是可以插入体腔，导管或容器中的细长管。电外科适配器包括具有细长中心孔的壳体，适配器近端电容器板和适配器远端电容器板，其位于并沿着细长孔轴向延伸，第一和第二电导体，第一和第二外部导体，压缩机构，外壳和电线。

82. 发明授权

US5961514A Cordless electrosurgical instrument 失效
标题翻译：无绳电外科器械
公开(公告)号：US5961514A
公开(公告)日：1999-10-05
申请号：US877715
申请日：1997-06-18
申请人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
发明人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
IPC分类号： A61B17/02 , A61B17/34 , A61B18/00 , A61B18/14 , A61B17/39
CPC分类号： A61B17/34 , A61B17/3417 , A61B18/1487 , A61B17/3476 , A61B18/14 , A61B18/1442 , A61B18/1482 , A61B2018/00178 , H01R2201/12 , H01R35/04
摘要： An improved electrosurgical instrument for use with a specially adapted electrosurgical trocar. The improved electrosurgical instrument including a handle, an end effector and an elongated closure tube connecting the handle to the end effector. The elongated closure tube including one or more electrical contacts adapted to provide electrical contact to the interior of a trocar cannula as the electrosurgical instrument is passed through the cannula. The contacts being electrically connected to the end effector of the electrosurgical instrument such that electrosurgical energy passes through the contacts to the end effector.
摘要翻译：一种改进的电外科手术器械，用于特别适用的电外科套管针。改进的电外科器械包括手柄，末端执行器和将手柄连接到末端执行器的细长闭合管。细长闭合管包括一个或多个电触头，其适于在电外科器械通过套管时提供与套管针套管内部的电接触。触头电连接到电外科器械的末端执行器，使得电外科能量通过触头到端部执行器。

83. 发明授权

US5951552A Capacitively coupled cordless electrosurgical instrument 失效
标题翻译：电容耦合无绳电外科器械
公开(公告)号：US5951552A
公开(公告)日：1999-09-14
申请号：US884949
申请日：1997-06-30
申请人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
发明人： Gary L. Long , Lynetta J. Freeman , Bryan D. Knodel
IPC分类号： A61B17/072 , A61B17/34 , A61B18/12 , A61B18/14 , A61B17/36
CPC分类号： A61B18/1487 , A61B17/07207 , A61B17/3417 , A61B18/14 , A61B2018/00178
摘要： In the present invention, a cordless capacitively coupled electrosurgical instrument is adapted to receive electrosurgical energy from a specially designed trocar or trocar adapter. In one embodiment of the present invention, a capacitively coupled electrosurgical instrument includes a handle, an elongated tube and an electrosurgical end effector. The handle may include an actuator such as a trigger which is operatively connected to the end effector through the elongated tube. The elongated tube may be a closure tube which is adapted to close the end effector when the handle actuator is moved. Alternatively, the closure tube may include a mechanism connecting the handle actuator to the end effector, which mechanism acts to close the end effector when the handle actuator is moved. The electrosurgical end effector is adapted to apply electrosurgical energy to biological tissue in order to effect treatment of the tissue. The elongated closure tube includes one or more capacitor plates adapted to couple electrosurgical energy to the end effector. The capacitor plates are connected to the end effector through one or more electrical conductors.
摘要翻译：在本发明中，无绳电容耦合的电外科器械适于从专门设计的套管针或套管针接头接收电外科能量。在本发明的一个实施例中，电容耦合电外科器械包括手柄，细长管和电外科末端执行器。手柄可以包括诸如触发器的致动器，其通过细长管可操作地连接到端部执行器。细长管可以是闭合管，其适于当手柄致动器移动时闭合末端执行器。或者，闭合管可以包括将手柄致动器连接到端部执行器的机构，当手柄致动器移动时，该机构用于闭合端部执行器。电外科末端执行器适于将电外科能量施加到生物组织以便实现对组织的治疗。细长闭合管包括适于将电外科能量耦合到端部执行器的一个或多个电容器板。电容器板通过一个或多个电导体连接到末端执行器。

84. 发明授权

US09572623B2 Reusable electrode and disposable sheath 有权
标题翻译：可重复使用的电极和一次性护套
公开(公告)号：US09572623B2
公开(公告)日：2017-02-21
申请号：US13565319
申请日：2012-08-02
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/18 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1477 , A61B18/148 , A61B2018/00178 , A61B2018/00202 , A61B2018/1475 , A61B2018/1495 , A61B2560/0285
摘要： A surgical instrument, such as an electrical ablation device, including a first elongate body having an insert and a second elongate body having an electrically insulative sheath that defines a bore. A mating element mates the elongate bodies when at least a portion of the insert is received within the bore. The second elongate body is configured to receive electrical energy from the first elongate body and transmit the electrical energy to an electrode. In certain embodiments, the electrical ablation device may include first and second elongate bodies. The first includes an electrically conductive insert configured to electrically couple to an energy source and apply the electrical energy to tissue, and the second includes an electrically insulative sheath defining a bore configured to receive the insert therethrough and move proximally or distally relative to the insert.
摘要翻译：一种外科器械，例如电消融装置，包括具有插入件的第一细长体和具有限定孔的电绝缘鞘的第二细长体。当插入件的至少一部分容纳在孔内时，配合元件将细长体配合。第二细长体构造成从第一细长体接收电能并将电能传递到电极。在某些实施例中，电消融装置可以包括第一和第二细长体。第一种包括导电插入物，其构造成电耦合到能量源并将电能施加到组织，并且第二包括电绝缘鞘，其限定被配置为接收插入件的孔，并相对于插入件向近侧或远端移动。

85. 发明申请

US20140039492A1 REUSABLE ELECTRODE AND DISPOSABLE SHEATH 有权
标题翻译：可重复使用的电极和可剥离的皮肤
公开(公告)号：US20140039492A1
公开(公告)日：2014-02-06
申请号：US13565319
申请日：2012-08-02
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/18
CPC分类号： A61B18/1477 , A61B18/148 , A61B2018/00178 , A61B2018/00202 , A61B2018/1475 , A61B2018/1495 , A61B2560/0285
摘要： A surgical instrument, such as an electrical ablation device, including a first elongate body having an insert and a second elongate body having an electrically insulative sheath that defines a bore. A mating element mates the elongate bodies when at least a portion of the insert is received within the bore. The second elongate body is configured to receive electrical energy from the first elongate body and transmit the electrical energy to an electrode. In certain embodiments, the electrical ablation device may include first and second elongate bodies. The first includes an electrically conductive insert configured to electrically couple to an energy source and apply the electrical energy to tissue, and the second includes an electrically insulative sheath defining a bore configured to receive the insert therethrough and move proximally or distally relative to the insert.
摘要翻译：一种外科器械，例如电消融装置，包括具有插入件的第一细长体和具有限定孔的电绝缘鞘的第二细长体。当插入件的至少一部分被容纳在孔内时，配合元件将细长体配合。第二细长体构造成从第一细长体接收电能并将电能传递到电极。在某些实施例中，电消融装置可以包括第一和第二细长体。第一种包括导电插入物，其构造成电耦合到能量源并将电能施加到组织，并且第二包括电绝缘鞘，其限定被配置为接收插入件的孔，并相对于插入件向近侧或远端移动。

86. 发明授权

US08377044B2 Detachable end effectors 有权
标题翻译：可拆卸的末端执行器
公开(公告)号：US08377044B2
公开(公告)日：2013-02-19
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。

87. 发明授权

US08273015B2 Methods for imaging the anatomy with an anatomically secured scanner assembly 有权
标题翻译：用解剖学上安全的扫描器组件对解剖结构进行成像的方法
公开(公告)号：US08273015B2
公开(公告)日：2012-09-25
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： A61B1/06 , G02B6/06
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。

88. 发明申请

US20110306971A1 ELECTROPORATION ABLATION APPARATUS, SYSTEM, AND METHOD 有权
标题翻译：电气化装置，系统和方法
公开(公告)号：US20110306971A1
公开(公告)日：2011-12-15
申请号：US13218221
申请日：2011-08-25
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B1/018 , A61B1/04 , A61B1/06 , A61B18/1482 , A61B2018/00482 , A61B2018/00577 , A61B2018/00613 , A61N1/306 , A61N1/327
摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member having first and second channels. First and second probes are disposed within the respective first and second channels. The first and second probes each define a central axis. The first and second probes each have substantially straight distal ends protruding from the distal ends of the respective first and second channels. The substantially straight distal ends define an outer surface. First and second electrodes are attached to a portion of the outer surface of the substantially straight distal ends of the respective first and second probes. The first and second electrodes are positioned in juxtaposed relationship with the central axis of the first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the respective central axis of the at least one of the first and second probes.
摘要翻译：诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。消融装置包括具有第一和第二通道的细长构件。第一和第二探针设置在相应的第一和第二通道内。第一和第二探针均限定中心轴。第一和第二探头各自具有从相应的第一和第二通道的远端突出的基本上直的远端。基本上直的远端限定外表面。第一和第二电极附接到相应的第一和第二探针的基本上直的远端的外表面的一部分。第一和第二电极与第一和第二探针的中心轴线并置放置。第一和第二电极之间的距离可通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的相应中心轴旋转来调节。

89. 发明授权

US08029504B2 Electroporation ablation apparatus, system, and method 有权
标题翻译：电穿孔消融装置，系统及方法
公开(公告)号：US08029504B2
公开(公告)日：2011-10-04
申请号：US12635298
申请日：2009-12-10
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/04 , A61B1/00
CPC分类号： A61B18/1492 , A61B1/018 , A61B1/04 , A61B1/06 , A61B18/1482 , A61B2018/00482 , A61B2018/00577 , A61B2018/00613 , A61N1/306 , A61N1/327
摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member comprising first and second channels. First and second probes are disposed within the respective first and second channels, where the first and second probes each define a central axis. First and second electrodes are coupled to distal ends of the respective first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the central axis of the at least one of the first and second probes.
摘要翻译：诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。消融装置包括包括第一和第二通道的细长构件。第一和第二探针设置在相应的第一和第二通道内，其中第一和第二探针各自限定中心轴线。第一和第二电极耦合到相应的第一和第二探针的远端。通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的中心轴线旋转来调节第一和第二电极之间的距离。

90. 发明申请

US20110098694A1 METHODS AND INSTRUMENTS FOR TREATING CARDIAC TISSUE THROUGH A NATURAL ORIFICE 审中-公开
标题翻译：通过自然疗法治疗心脏组织的方法和仪器
公开(公告)号：US20110098694A1
公开(公告)日：2011-04-28
申请号：US12607388
申请日：2009-10-28
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/02 , A61B18/14 , A61B18/18
CPC分类号： A61B18/02 , A61B18/1492 , A61B2018/00214 , A61B2018/00291 , A61B2018/00351 , A61B2018/00357 , A61B2018/00898 , A61B2018/0212
摘要： Ablation probes for ablating cardiac tissue through a patient's natural orifice and methods for ablating cardiac tissue through a patient's natural orifice. In some embodiments, an ablation probe, which may include electrodes, a radio frequency probe or a cryoprobe, is inserted through an incision made through the patient's esophagus. A balloon catheter may be inserted through the incision after it has been made to expand the area between the heart and the esophagus. The ablation probe is then brought into contact with the cardiac tissue and activated to irreversibly damage the tissue. The ablation probes may employ vacuum to retain the tissue in contact with the probe during ablation.
摘要翻译：用于通过患者自然孔切除心脏组织的消融探针和通过患者的天然孔消融心脏组织的方法。在一些实施例中，可以包括电极，射频探针或冷冻探针的消融探针插入通过患者食道制成的切口。在气囊导管被制成扩大心脏和食道之间的区域之后，气囊导管可插入穿过切口。然后将消融探针与心脏组织接触并激活以不可逆地损伤组织。消融探针可以在消融期间使用真空来保持组织与探针接触。

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