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81. 发明申请

US20110106020A1 Catheter For Deactivating At Least A Portion of the Digestive Enzymes In An Amount Of Bile 审中-公开
标题翻译：导管至少一部分消化酶在一定量的胆汁中停用
公开(公告)号：US20110106020A1
公开(公告)日：2011-05-05
申请号：US12835005
申请日：2010-07-13
申请人： Lucas B. Elmer , Mark D. Overmyer , Alessandro Pastorelli , Frederick E. Shelton, IV , Galen C. Robertson , Jeffrey D. Messerly
发明人： Lucas B. Elmer , Mark D. Overmyer , Alessandro Pastorelli , Frederick E. Shelton, IV , Galen C. Robertson , Jeffrey D. Messerly
IPC分类号： A61M25/00 , A61B18/04
CPC分类号： A61F5/0013 , A61M27/002 , A61M2210/1057
摘要： The present invention generally provides for a catheter for surgically treating a patient. The catheter has an inlet catheter having a proximal end and an open distal end, and first and second branch sections having proximal ends attached to the open distal end of the inlet lumen. The first and second branch sections and distal ends terminating at an open proximal end of an outlet lumen. The first passageway lumen has a device for deactivating at least a portion of the digestive enzymes in an amount of bile.
摘要翻译：本发明通常提供用于手术治疗患者的导管。导管具有入口导管，其具有近端和敞开的远端，第一和第二分支部分具有附接到入口腔的开口远端的近端。第一和第二分支部分和远端终止于出口腔的开放近端。第一通道腔具有用于使一定量胆汁的至少一部分消化酶失活的装置。

82. 发明申请

US20110105985A1 Treatment For Metabolic Disorders By Diverting Bile To the Circulatory System 审中-公开
标题翻译：通过将胆汁转移到循环系统来治疗代谢紊乱
公开(公告)号：US20110105985A1
公开(公告)日：2011-05-05
申请号：US12835034
申请日：2010-07-13
申请人： Lucas B. Elmer , Mark D. Overmyer , Alessandro Pastorelli , Frederick E. Shelton, IV , Galen C. Robertson , Jeffrey D. Messerly , Stephen J. Balek , Mark S. Ortiz
发明人： Lucas B. Elmer , Mark D. Overmyer , Alessandro Pastorelli , Frederick E. Shelton, IV , Galen C. Robertson , Jeffrey D. Messerly , Stephen J. Balek , Mark S. Ortiz
IPC分类号： A61F2/04
CPC分类号： A61F5/0013 , A61M27/002 , A61M2210/1057
摘要： The present invention generally provides for a method for diverting a portion of the bilopancreatic secretions of a patient to the circulatory system. The method involves placing a proximal end catheter adjacent the sphincter of oddi and diverting bilopancreatic secretions into the catheter. The method further involves placing a distal end of the catheter within the lumen of the circulatory system of a patient.
摘要翻译：本发明通常提供了将患者的一部分生物胰腺分泌物转移到循环系统的方法。该方法包括将近端导管邻近括号和转移生物胰腺分泌物的括约肌放置在导管中。该方法还包括将导管的远端放置在患者的循环系统的内腔内。

83. 发明申请

US20110071558A1 IMPLANTABLE RESTRICTION SYSTEM TENSION RELEASE MECHANISM 有权
标题翻译：可伸缩限制系统张力释放机制
公开(公告)号：US20110071558A1
公开(公告)日：2011-03-24
申请号：US12562267
申请日：2009-09-18
申请人： Daniel F. Dlugos, JR. , Randal T. Byrum , Toralf Bork , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Richard W. Timm , Eric W. Thompson , Lauren S. Weaner
发明人： Daniel F. Dlugos, JR. , Randal T. Byrum , Toralf Bork , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Richard W. Timm , Eric W. Thompson , Lauren S. Weaner
IPC分类号： A61B17/122 , A61F2/04
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A tension release mechanism is associated with the tension element.
摘要翻译：用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。紧固件设置在细长构件的第一端上。紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。张力元件设置成在细长构件内移动。驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。张力释放机构与张力元件相关联。

84. 发明授权

US07810692B2 Disposable loading unit with firing indicator 有权
标题翻译：带点火指示灯的一次性装载单元
公开(公告)号：US07810692B2
公开(公告)日：2010-10-12
申请号：US12031618
申请日：2008-02-14
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A65B17/065
CPC分类号： A61B17/07207 , A61B2017/00199 , A61B2017/00907 , A61B2017/07214 , A61B2017/07271 , A61B2017/07278 , A61B2090/064 , A61B2090/0811
摘要： A disposable loading unit for operable attachment to a surgical stapling apparatus. The disposable loading unit may have a carrier that supports a staple cartridge therein, an anvil assembly that is movably coupled to the carrier, and an axial drive assembly that is constructed to move in a distal direction from a start position to an end position through the staple cartridge in response to a drive motion imparted to the axial drive assembly from the surgical stapling apparatus. A firing indicator is provided on at least one of the anvil assembly and housing for indicating a position of the axial drive assembly as the axial drive assembly is driven from the start position to the end position.
摘要翻译：一种用于可操作地附接到外科缝合装置的一次性装载单元。一次性装载单元可以具有在其中支撑钉仓的托架，可移动地联接到托架的砧座组件，以及轴向驱动组件，其被构造成在远端方向上从起始位置移动到终点位置响应于从外科缝合装置向轴向驱动组件传递的驱动运动，钉仓。在砧座组件和壳体中的至少一个上提供击发指示器，用于当轴向驱动组件从起始位置被驱动到结束位置时指示轴向驱动组件的位置。

85. 发明申请

US20100256490A1 MEDICAL SYSTEM HAVING AN ULTRASOUND SOURCE AND AN ACOUSTIC COUPLING MEDIUM 审中-公开
标题翻译：具有超声波源和声学耦合介质的医疗系统
公开(公告)号：US20100256490A1
公开(公告)日：2010-10-07
申请号：US12818261
申请日：2010-06-18
申请人： Inder Raj S. Makin , T. Douglas Mast , Michael H. Slayton , Peter G. Barthe , Jeffrey D. Messerly , Waseem Faidi , Megan M. Runk
发明人： Inder Raj S. Makin , T. Douglas Mast , Michael H. Slayton , Peter G. Barthe , Jeffrey D. Messerly , Waseem Faidi , Megan M. Runk
IPC分类号： A61N7/00 , A61B8/00
CPC分类号： A61B8/4272 , A61B8/12 , A61B8/4281 , A61B8/4444 , A61B8/546 , A61B2017/2253 , A61N7/00 , A61N7/022 , A61N2007/0052
摘要： An ultrasound medical system has an end effector including a medical ultrasound transducer and an acoustic coupling medium. The acoustic coupling medium has a transducer-proximal surface and a transducer-distal surface. The medical ultrasound transducer is positioned to emit medical ultrasound through the acoustic coupling medium from the transducer-proximal surface to the transducer-distal surface. The end effector is adapted to change a property (such as the shape and/or the temperature) of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient. In one example, such changes are used to change the focus and/or beam angle of the emitted ultrasound during the medical procedure.
摘要翻译：超声波医疗系统具有包括医用超声波换能器和声耦合介质的末端执行器。声耦合介质具有换能器近侧表面和换能器远侧表面。医疗超声换能器被定位成通过声耦合介质从换能器近端表面到换能器远侧表面发射医用超声波。端部执行器适于在医疗超声波换能器在患者的医疗过程期间改变声学耦合介质在发射期间和/或发射之间的医疗超声波的性质（例如形状和/或温度）。在一个示例中，这样的改变用于在医疗过程期间改变发射的超声的焦点和/或束角。

86. 发明申请

US20090206140A1 END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT 有权
标题翻译：外科切割和装订仪器的终端效果
公开(公告)号：US20090206140A1
公开(公告)日：2009-08-20
申请号：US12031873
申请日：2008-02-15
申请人： Charles J. Scheib , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Gregory B. Blair
发明人： Charles J. Scheib , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Gregory B. Blair
IPC分类号： A61B17/068 , A61B17/064
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/07214 , A61B2017/320052
摘要： In various embodiments, an anvil of a disposable loading unit including a first member having staple pockets for deforming staples, a first cover plate secured to the first member, and a second cover plate secured to at least one of the first member and the first cover plate, wherein the first and second cover plates can be configured to support the first member. In at least one embodiment, an anvil can include a first member inserted into a second member, where at least one of the first and second members can be deformed to retain one to the other. In various embodiments, a surgical stapling instrument can include a disposable loading unit comprising a staple cartridge, an anvil, and a sleeve, wherein the sleeve can be configured to be slid relative to the staple cartridge and the anvil to hold the anvil in a closed position.
摘要翻译：在各种实施例中，一次性加载单元的砧座包括具有用于使订书钉变形的订书钉仓的第一构件，固定到第一构件的第一盖板和固定到第一构件和第一盖板中的至少一个的第二盖板板，其中第一和第二盖板可被配置为支撑第一构件。在至少一个实施例中，砧可以包括插入第二构件中的第一构件，其中第一构件和第二构件中的至少一个可以变形以保持彼此。在各种实施例中，外科缝合器械可以包括一次性加载单元，其包括钉仓，砧座和套筒，其中所述套筒可以被构造成相对于钉仓和砧座滑动以将砧座保持在闭合状态位置。

87. 发明申请

US20090206137A1 DISPOSABLE LOADING UNITS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT 审中-公开
标题翻译：手术切割和装订仪器的可替换装载单元
公开(公告)号：US20090206137A1
公开(公告)日：2009-08-20
申请号：US12031814
申请日：2008-02-15
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Frederick E. Shelton, IV , Gregory B. Blair
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Geoffrey C. Hueil , Mark S. Ortiz , Douglas B. Hoffman , Patrick A. Weizman , Dean B. Bruewer , Frederick E. Shelton, IV , Gregory B. Blair
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/0023 , A61B2017/07214
摘要： In various embodiments, a disposable loading unit for a surgical stapling instrument can include an anvil, a staple cartridge, a staple cartridge channel for operably supporting the staple cartridge, and a connector for removably attaching the disposable loading unit to the surgical instrument. In at least one embodiment, a first staple cartridge can be replaced with another staple cartridge after the first staple cartridge has been at least partially expended. In various embodiments, a staple cartridge can include a staple driver for deploying staples from the staple cartridge and a cutting member for incising tissue, wherein a new staple driver and a new cutting member can be provided with each new staple cartridge. The anvil can be removably attachable to the disposable loading unit such that a new anvil can be utilized with a new staple cartridge.
摘要翻译：在各种实施例中，用于外科缝合器械的一次性装载单元可以包括砧座，钉仓，用于可操作地支撑钉仓的钉仓通道，以及用于可拆卸地将一次性装载单元附接到手术器械的连接器。在至少一个实施例中，在第一订书钉盒至少部分消耗之后，第一订书钉盒可以被另一个订书钉盒更换。在各种实施例中，钉仓可以包括用于从钉仓展开订书针的钉驱动器和用于切割组织的切割构件，其中可以为每个新的钉仓提供新的订书钉驱动器和新的切割构件。砧座可以可拆卸地附接到一次性装载单元，使得新的砧座可以用于新的钉仓。

88. 发明申请

US20090206130A1 SURGICAL STAPLING APPARATUS WITH INTERLOCKABLE FIRING SYSTEM 有权
标题翻译：具有可互锁启动系统的外科手术装置
公开(公告)号：US20090206130A1
公开(公告)日：2009-08-20
申请号：US12031326
申请日：2008-02-14
申请人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
发明人： Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/115 , A61B50/30 , A61B2017/00371 , A61B2017/00398 , A61B2017/00473 , A61B2017/00946 , A61B2017/07214 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/320052 , A61B2090/0813
摘要： A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.
摘要翻译：外科缝合装置。各种实施例包括手柄组件，该手柄组件具有可移动的手柄，其可通过相对于固定手柄壳体的致动冲程移动。致动是至少部分地在固定手柄壳体内支撑的轴，并且可响应于可移动手柄的操纵而移动。各种实施例还包括击发锁定组件，其被构造成选择性地防止致动轴在远侧方向上的纵向移动。触发释放触发器被支撑在可移动手柄上以与之一起行进，并被配置为与击发锁定组件相接合，以选择性地释放击发锁定组件，以允许致动轴在可移动手柄的操纵时沿远侧方向纵向移动。

89. 发明授权

US07473250B2 Ultrasound medical system and method 有权
标题翻译：超声医疗系统及方法
公开(公告)号：US07473250B2
公开(公告)日：2009-01-06
申请号：US10850984
申请日：2004-05-21
申请人： Inder Raj S. Makin , T. Douglas Mast , Michael H. Slayton , Peter G. Barthe , Jeffrey D. Messerly , Waseem Faidi , Megan M. Runk , Brian D. O'Connor , Christopher J. Park , Paul M. Jaeger
发明人： Inder Raj S. Makin , T. Douglas Mast , Michael H. Slayton , Peter G. Barthe , Jeffrey D. Messerly , Waseem Faidi , Megan M. Runk , Brian D. O'Connor , Christopher J. Park , Paul M. Jaeger
IPC分类号： A61B18/18
CPC分类号： A61B5/4836 , A61B5/053 , A61B8/13 , A61B8/4281 , A61B8/4483 , A61B17/2202 , A61B18/06 , A61B18/08 , A61B18/12 , A61B18/1815 , A61B2090/378 , A61N7/00
摘要： An ultrasound medical system includes an interstitial end effector. The interstitial end effector is interstitially insertable into patient tissue, includes at least one medical-treatment ultrasound transducer, and includes at least one end-effector-tissue-track ablation device. One method for ultrasonically treating a lesion in a patient includes the steps of obtaining the interstitial end effector and inserting it into the patient creating a tissue track which is surrounded by patient tissue and which ends at the distal end of the inserted interstitial end effector. Other steps include ultrasonically ablating the lesion using the at-least-one medical-treatment ultrasound transducer, using the at-least-one end-effector-tissue-track ablation device to ablate the patient tissue surrounding the tissue track along substantially the entire tissue track, and withdrawing the end effector from the patient.
摘要翻译：超声波医疗系统包括间质末端执行器。间质末端效应器在间质中可插入患者组织中，包括至少一个医疗超声换能器，并且包括至少一个末端效应器 - 组织 - 轨道消融装置。用于超声治疗患者病变的一种方法包括以下步骤：获得间隙末端执行器并将其插入患者中，从而产生组织轨迹，所述组织轨道被患者组织包围，并且在组织轨迹的末端处被插入插入的末端执行器。其他步骤包括使用至少一个医疗超声换能器超声波消融损伤，使用至少一个末端效应器 - 组织道消融装置沿着基本上整个组织消融围绕组织轨迹的患者组织跟踪并从患者中取出末端执行器。

90. 发明申请

US20080300461A1 Endoscopic Device 审中-公开
标题翻译：内窥镜装置
公开(公告)号：US20080300461A1
公开(公告)日：2008-12-04
申请号：US11755926
申请日：2007-05-31
申请人： William D. Shaw , Jeffrey D. Messerly , Gary W. Knight , Jessica Fox
发明人： William D. Shaw , Jeffrey D. Messerly , Gary W. Knight , Jessica Fox
IPC分类号： A61B1/008
CPC分类号： A61B1/0052
摘要： An endoscopic surgical instrument for performing a procedure inside a patient. The instrument includes a handle assembly including a grip for holding the instrument and controls for controlling movement of the instrument. An elongate shaft having a grip end is mounted on the handle assembly. The shaft has a working end opposite the grip end. The shaft has a proximal portion adjacent the grip end and a distal portion adjacent the working end. The proximal portion has a centerline and is selectively rotatable with respect to the handle assembly. The distal portion has a centerline and is selectively articulatable relative to the proximal portion of the shaft. The instrument includes an end effector mounted on the working end of the elongate shaft. The end effector is selectively rotatable about the distal portion of the shaft.
摘要翻译：一种用于在患者体内进行手术的内镜手术器械。仪器包括手柄组件，其包括用于保持仪器的手柄和用于控制仪器运动的控制。具有握持端的细长轴安装在手柄组件上。轴具有与抓地端相对的工作端。轴具有邻近抓握端的近端部分和与工作端相邻的远端部分。近端部分具有中心线并且可相对于把手组件选择性地旋转。远侧部分具有中心线并且可相对于轴的近端部分选择性地关节运动。仪器包括安装在细长轴的工作端上的端部执行器。端部执行器可围绕轴的远端部分选择性地旋转。

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