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1. 发明申请

WO2007011928A3 ENDOSCOPE RETRIEVAL INSTRUMENT ASSEMBLY 审中-公开
标题翻译：内窥镜检查仪器组件
公开(公告)号：WO2007011928A3
公开(公告)日：2009-04-16
申请号：PCT/US2006027814
申请日：2006-07-14
申请人： GRANIT MEDICAL INNOVATIONS LLC , NAKAO NAOMI L
发明人： NAKAO NAOMI L
IPC分类号： A61B17/24
CPC分类号： A61B17/221 , A61B17/32056 , A61B2017/00269 , A61B2017/00287 , A61B2017/2212
摘要： A medical instrument includes an elongate tubular introducer member, an elongate slider member disposed at least partially inside the tubular member, a loop provided at a distal end of the slider member, a pouch connected to the loop so that the loop defines a mouth opening of the pouch and so that the pouch is slidable along at least a proximal portion of the loop, and a tether connected to the pouch at a proximal side thereof. The tether extends into the tubular member and is fastened to the tubular member at a location spaced by a distance from a distal tip of the tubular member. The tether has a length from the fastening location to the pouch that is less than the distance between the location and the tip of the tubular member.
摘要翻译：医疗器械包括细长管状导引器构件，至少部分地设置在管状构件内部的细长滑动构件，设置在滑动构件的远端处的环，连接到环的袋，使得环限定开口并且使得袋可以沿着环的至少近端部分滑动，并且在其近侧连接到小袋的系绳。系绳延伸到管状构件中并且在与管状构件的远侧尖端间隔开一定距离的位置处紧固到管状构件。系绳具有从紧固位置到小袋的长度小于管状构件的位置和尖端之间的距离。

2. 发明申请

WO2007011837A3 ENDOSCOPE CUTTING AND RETRIEVING SNARE INSTRUMENT 审中-公开
标题翻译：内窥镜切割和检索套筒仪器
公开(公告)号：WO2007011837A3
公开(公告)日：2007-09-27
申请号：PCT/US2006027603
申请日：2006-07-14
申请人： GRANIT MEDICAL INNOVATIONS LLC , NAKAO NAOMI L
发明人： NAKAO NAOMI L
IPC分类号： A61B17/26 , A61B17/24
CPC分类号： A61B17/32056 , A61B17/221 , A61B2017/00287 , A61B2017/2212
摘要： An endoscopic cutting and retrieval instrument includes an elongate electrically conductive wire and an inner loop and an outer loop both connected to a distal end of the wire. The inner loop and the outer loop have a common proximal loop portion and different distal loop portions. The distal loop portion of the outer loop is longer than the distal loop portion of the inner loop so that the outer loop is larger than the inner loop. A net attached to the outer loop forms a retrieval basket for capturing severed polyps and other tissues masses.
摘要翻译：内窥镜切割和取回器械包括细长的导电线以及均连接到线的远端的内环和外环。内环和外环具有共同的近侧环部分和不同的远侧环部分。外环的远侧环部分比内环的远侧环部分长，使得外环比内环大。连接到外环的网形成用于捕获切断的息肉和其他组织块的取出篮。

3. 发明申请

WO2007011928A2 ENDOSCOPE RETRIEVAL INSTRUMENT ASSEMBLY 审中-公开
标题翻译：内窥镜检查仪器组件
公开(公告)号：WO2007011928A2
公开(公告)日：2007-01-25
申请号：PCT/US2006/027814
申请日：2006-07-14
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi, L.
发明人： NAKAO, Naomi, L.
IPC分类号： A61B17/26
CPC分类号： A61B17/221 , A61B17/32056 , A61B2017/00269 , A61B2017/00287 , A61B2017/2212
摘要： A medical instrument includes an elongate tubular introducer member, an elongate slider member disposed at least partially inside the tubular member, a loop provided at a distal end of the slider member, a pouch connected to the loop so that the loop defines a mouth opening of the pouch and so that the pouch is slidable along at least a proximal portion of the loop, and a tether connected to the pouch at a proximal side thereof. The tether extends into the tubular member and is fastened to the tubular member at a location spaced by a distance from a distal tip of the tubular member. The tether has a length from the fastening location to the pouch that is less than the distance between the location and the tip of the tubular member.
摘要翻译：医疗器械包括细长管状导引器构件，至少部分地设置在管状构件内部的细长滑动构件，设置在滑动构件的远端处的环，连接到环的袋，使得环限定开口并且使得袋可以沿着环的至少近端部分滑动，并且在其近侧连接到小袋的系绳。系绳延伸到管状构件中并且在与管状构件的远侧尖端间隔开一定距离的位置处紧固到管状构件。系绳具有从紧固位置到小袋的长度小于管状构件的位置和尖端之间的距离。

4. 发明申请

WO2006112813A1 MEDICAL INSTRUMENT WITH INDENTED LOOP AND ASSOCIATED METHOD 审中-公开
标题翻译：具有开环和相关方法的医用仪器
公开(公告)号：WO2006112813A1
公开(公告)日：2006-10-26
申请号：PCT/US2005/012249
申请日：2005-04-12
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi
发明人： NAKAO, Naomi
IPC分类号： A61B18/18
CPC分类号： A61B18/14 , A61B10/02 , A61B17/32056 , A61B18/1492 , A61B2017/00287 , A61B2017/2212 , A61B2017/320064 , A61B2018/1407 , A61B2018/141
摘要： A medical cauterization snare includes a tubular member (12) such as a catheter, a rod or wire disposed at least partially inside the tubular member, and a resilient loop (18) of a first size attached to a distal end of the rod or wire. The loop includes a nose on a side of the loop opposite the wire. The loop further includes two loop sections (28,30) each extending between the wire and the nose. The loop sections are each formed with a respective notch or dent (32,34) for enabling a use of the loop in a second size smaller than the first size. Positioning the loop relative to the tubular member so that the notches or dents are disposed at a mouth opening of the tubular member generates this secondary deployment configuration.
摘要翻译：医疗烧灼圈套包括诸如导管的管状构件（12），至少部分地设置在管状构件内部的杆或线，以及附接到杆或线的远端的第一尺寸的弹性环（18）。该回路包括一个与电线相对的一侧的鼻子。该回路还包括两个在电线和鼻子之间延伸的环形部分（28,30）。环形部分各自形成有相应的凹口（32,34），用于使得能够以小于第一尺寸的第二尺寸使用环。相对于管状构件定位环，使得凹口或凹口设置在管状构件的开口处，产生这种二次展开构型。

5. 发明申请

WO2006058328A3 ROTATING FINE NEEDLE FOR CORE TISSUE SAMPLING 审中-公开
公开(公告)号：WO2006058328A3
公开(公告)日：2006-06-01
申请号：PCT/US2005/043098
申请日：2005-11-29
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi, L.
发明人： NAKAO, Naomi, L.
IPC分类号： A61B10/00 , A61B17/32
摘要： A medical instrument usable with an ultrasound-endoscope for performing a needle biopsy on a patient's internal body tissues usable at a surgical site not visible to the unaided eye or viewed endoscopically, comprises an elongate tubular member with a hollow needle element connected at its distal end, a sheath member housing said tubular member and needle element, an actuator subassembly with a shifter member operatively connected to elongate tubular member's proximal end, and a distal camming subassembly, said subassembly enabling a rotating motion of said needle member while handle actuator is moved in the forward direction. Upon inserting an ultrasound-endoscope into a patient and locating a mass, the fine needle with sharply pointed spoon shaped distal end is inserted into the mass aided by endoscopic and ultrasonographic guidance. Once in the mass, a camming action is initiated, causing rotation of the fine needle within the mass, resulting in a scooped out core biopsy. This instrument enables the performance of a fine needle aspiration requiring only one or two needle introductions, with a resultant core biopsy substantial enough for diagnostic purposes.

6. 发明申请

WO2005096958A3 ENDOSCOPIC FASTENING SYSTEM WITH MULTIPLE FASTENERS 审中-公开
标题翻译：具有多个紧固件的内窥镜紧固系统
公开(公告)号：WO2005096958A3
公开(公告)日：2006-02-16
申请号：PCT/US2005010115
申请日：2005-03-28
申请人： GRANIT MEDICAL INNOVATIONS LLC , NAKAO NAOMI
发明人： NAKAO NAOMI
IPC分类号： A61B17/064 , A61B17/068 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/128
CPC分类号： A61B17/122 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/083 , A61B17/10 , A61B17/1285
摘要： An endoscopic fastening system having a diameter sufficiently small so that the fastening system is slidably insertable into a working channel of a flexible or rigid endoscope for performing a stapling, clipping, or other fastening operation, comprises one or more surgical fasteners, and a fastener delivery and deployment assembly. One or more fasteners being disposed in a substantially closed prefiring configuration inside the fastener delivery and deployment system are configured for being delivered and deployed into a target tissue while remaining in a substantially closed configuration throughout the entire operation. Other related embodiments of fasteners and their respective delivery and deployment assemblies enabling fastening operations in conjunction with a flexible or rigid endoscope are described.
摘要翻译：一种具有足够小的直径的内窥镜紧固系统，使得紧固系统可滑动地插入柔性或刚性内窥镜的工作通道中，以执行缝合，夹紧或其它紧固操作，包括一个或多个外科紧固件和紧固件递送和部署组件。配置在紧固件传送和展开系统内部的基本封闭的预配置结构中的一个或多个紧固件构造成在整个操作过程中保持基本上封闭的结构，被传送和展开到目标组织中。描述了紧固件及其相应的递送和展开组件的其他相关实施例，其使得能够结合柔性或刚性内窥镜进行紧固操作。

7. 发明申请

WO2005096958A2 ENDOSCOPIC FASTENING SYSTEM WITH MULTIPLE FASTENERS 审中-公开
标题翻译：具有多个紧固件的内窥镜紧固系统
公开(公告)号：WO2005096958A2
公开(公告)日：2005-10-20
申请号：PCT/US2005/010115
申请日：2005-03-28
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi
发明人： NAKAO, Naomi
IPC分类号： A61B17/10
CPC分类号： A61B17/122 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/083 , A61B17/10 , A61B17/1285
摘要： An endoscopic fastening system having a diameter sufficiently small so that the fastening system is slidably insertable into a working channel of a flexible or rigid endoscope for performing a stapling, clipping, or other fastening operation, comprises one or more surgical fasteners, and a fastener delivery and deployment assembly. One or more fasteners being disposed in a substantially closed prefiring configuration inside the fastener delivery and deployment system are configured for being delivered and deployed into a target tissue while remaining in a substantially closed configuration throughout the entire operation. Other related embodiments of fasteners and their respective delivery and deployment assemblies enabling fastening operations in conjunction with a flexible or rigid endoscope are described.
摘要翻译：一种具有足够小的直径的内窥镜紧固系统，使得紧固系统可滑动地插入柔性或刚性内窥镜的工作通道中，以执行缝合，夹紧或其它紧固操作，包括一个或多个外科紧固件和紧固件递送和部署组件。配置在紧固件传送和展开系统内部的基本封闭的预配置结构中的一个或多个紧固件构造成在整个操作过程中保持基本上封闭的结构，被传送和展开到目标组织中。描述了紧固件及其相应的递送和展开组件的其他相关实施例，其使得能够结合柔性或刚性内窥镜进行紧固操作。

8. 发明申请

WO2007021565A3 ENDOSCOPIC INSTRUMENT ASSEMBLY WITH SEPARABLE OPERATIVE TIP AND ASSOCIATED MEDICAL METHOD 审中-公开
标题翻译：具有可分离操作尖端的内窥镜器械组件及相关医学方法
公开(公告)号：WO2007021565A3
公开(公告)日：2007-05-03
申请号：PCT/US2006030275
申请日：2006-08-04
申请人： GRANIT MEDICAL INNOVATIONS LLC , NAKAO NAOMI L
发明人： NAKAO NAOMI L
IPC分类号： A61B17/26
CPC分类号： A61B17/0469 , A61B17/062 , A61B17/0625 , A61B17/32056 , A61B18/02 , A61B18/1492 , A61B2017/00269 , A61B2017/00296 , A61B2017/00473 , A61B2017/00827 , A61B2018/1407 , A61B2018/144
摘要： In an insertion configuration, an endoscope assembly includes an insertion member with a distal end face and a working channel and further includes an instrument shaft extending through the working channel and an operative tip connected to the instrument shaft and extending in a plane oriented perpendicularly to the instrument shaft. The operative tip is positioned along the distal end face of the endoscope insertion member. The operative tip is separable from the distal end face of the endoscope insertion member by a distally directed motion of the instrument shaft along the working channel.
摘要翻译：在插入配置中，内窥镜组件包括具有远端面和工作通道的插入构件，并且还包括穿过工作通道延伸的器械杆和连接到器械杆并且在垂直于仪器轴。操作尖端沿着内窥镜插入构件的远端面定位。通过器械轴沿工作通道的远端定向运动，操作尖端可与内窥镜插入构件的远端面分离。

9. 发明申请

WO2007021565A2 ENDOSCOPIC INSTRUMENT ASSEMBLY WITH SEPARABLE OPERATIVE TIP AND ASSOCIATED MEDICAL METHOD 审中-公开
标题翻译：具有可分离操作提示和相关医疗方法的内窥镜检查装置
公开(公告)号：WO2007021565A2
公开(公告)日：2007-02-22
申请号：PCT/US2006/030275
申请日：2006-08-04
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi, L.
发明人： NAKAO, Naomi, L.
IPC分类号： A61B17/26
CPC分类号： A61B17/0469 , A61B17/062 , A61B17/0625 , A61B17/32056 , A61B18/02 , A61B18/1492 , A61B2017/00269 , A61B2017/00296 , A61B2017/00473 , A61B2017/00827 , A61B2018/1407 , A61B2018/144
摘要： In an insertion configuration, an endoscope assembly includes an insertion member with a distal end face and a working channel and further includes an instrument shaft extending through the working channel and an operative tip connected to the instrument shaft and extending in a plane oriented perpendicularly to the instrument shaft. The operative tip is positioned along the distal end face of the endoscope insertion member. The operative tip is separable from the distal end face of the endoscope insertion member by a distally directed motion of the instrument shaft along the working channel.
摘要翻译：在插入构造中，内窥镜组件包括具有远端面和工作通道的插入构件，还包括延伸穿过工作通道的器械轴和连接到仪器轴的操作尖端，并且在垂直于仪表轴。操作尖端沿着内窥镜插入构件的远端面定位。操作尖端通过仪器轴沿着工作通道的远侧定向运动而与内窥镜插入构件的远端面分离。

10. 发明申请

WO2007011837A2 ENDOSCOPE CUTTING AND RETRIEVING SNARE INSTRUMENT 审中-公开
标题翻译：内窥镜切割和检索仪器
公开(公告)号：WO2007011837A2
公开(公告)日：2007-01-25
申请号：PCT/US2006/027603
申请日：2006-07-14
申请人： GRANIT MEDICAL INNOVATIONS, LLC , NAKAO, Naomi, L.
发明人： NAKAO, Naomi, L.
IPC分类号： A61B17/26
CPC分类号： A61B17/32056 , A61B17/221 , A61B2017/00287 , A61B2017/2212
摘要： An endoscopic cutting and retrieval instrument includes an elongate electrically conductive wire and an inner loop and an outer loop both connected to a distal end of the wire. The inner loop and the outer loop have a common proximal loop portion and different distal loop portions. The distal loop portion of the outer loop is longer than the distal loop portion of the inner loop so that the outer loop is larger than the inner loop. A net attached to the outer loop forms a retrieval basket for capturing severed polyps and other tissues masses.
摘要翻译：内窥镜切割和取回仪器包括细长的导电线，以及连接到线的远端的内环和外环。内环和外环具有共同的近端环部分和不同的远端环部分。外环的远端环部比内环的远端环部长，使得外环比内环大。连接到外环的网形成用于捕获切断的息肉和其他组织块的检索篮。

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