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1. 发明申请

WO2009032623A2 ELECTRICAL ALBATION SURGICAL INSTRUMENTS 审中-公开
标题翻译：电气手术仪器
公开(公告)号：WO2009032623A2
公开(公告)日：2009-03-12
申请号：PCT/US2008/074299
申请日：2008-08-26
申请人： ETHICON ENDO-SURGERY, INC , LONG, Gary, L. , VAKHARIA, Omar J. , PLESCIA, David N. , BALLY, Kurt R. , ZWOLINSKI, Andrew M. , BAKOS, Gregory J. , HOLCOMB, Matthew D.
发明人： LONG, Gary, L. , VAKHARIA, Omar J. , PLESCIA, David N. , BALLY, Kurt R. , ZWOLINSKI, Andrew M. , BAKOS, Gregory J. , HOLCOMB, Matthew D.
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/1445 , A61B18/1492 , A61B2018/00946 , A61B2018/00952 , A61B2018/1412 , A61B2018/1455 , A61B2018/1475
摘要： A surgical instrument includes an ablation device. The ablation device includes an elongated flexible member having a proximal end and a distal end. The flexible member includes first and second lumens. A first needle electrode is configured to slideably move within the first lumen. A second needle electrode is located within the second lumen. The first and second needle electrodes are adapted to couple to an electrical waveform generator and to receive an electrical waveform sufficient to electrically ablate tissue located between the first and second needle electrodes. A clamp jaw portion may be located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade may be located in the clamp jaw portion. A blunt dissection portion may be formed on the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译：手术器械包括消融装置。消融装置包括具有近端和远端的细长柔性构件。柔性构件包括第一腔和第二腔。第一针电极构造成在第一管腔内可滑动地移动。第二针电极位于第二管腔内。第一和第二针电极适于耦合到电波形发生器并且接收足以电消除位于第一和第二针状电极之间的组织的电波形。钳夹部分可以位于细长柔性构件的远端。钳夹部分可操作地从打开位置移动到关闭位置。切割刀片可以位于钳夹部分中。钝夹层部分可以形成在钳夹部分上。钳夹部分适于耦合到电波形发生器并接收电波形。

2. 发明申请

WO2008115917A1 ELECTRODE DOME AND METHOD OF USE 审中-公开
标题翻译：电极球和使用方法
公开(公告)号：WO2008115917A1
公开(公告)日：2008-09-25
申请号：PCT/US2008/057349
申请日：2008-03-18
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory J. , LONG, Gary L.
发明人： BAKOS, Gregory J. , LONG, Gary L.
IPC分类号： A61B18/12 , A61B18/14
CPC分类号： A61B18/1482 , A61B18/14 , A61B2018/00291 , A61B2018/00577 , A61B2018/1405
摘要： Methods and devices are provided for dissecting tissue. In one embodiment, an electro-surgical device is provided having a housing with a hollow interior adapted to receive tissue, such as an organ. The housing can be adapted to couple to a pressure source for suctioning tissue into the housing, and to an energy source for delivering energy to the tissue. The various elements of the device can be adapted such that the initially dispersed energy is passed through the tissue and is concentrated at a location, e.g., connective tissue, having a surface area that is less than a surface area of the electrode, thereby allowing the connective tissue to be dissected. Exemplary methods for dissecting tissue are also provided.
摘要翻译：提供了解剖组织的方法和装置。在一个实施例中，提供电外科装置，其具有适于接纳诸如器官的组织的具有中空内部的壳体。壳体可以适于联接到用于将组织吸入壳体的压力源，以及用于将能量传递到组织的能量源。装置的各种元件可以适于使得初始分散的能量通过组织并且集中在具有小于电极的表面积的表面积的表面积的位置，例如结缔组织，从而允许要解剖的结缔组织。还提供了用于解剖组织的示例性方法。

3. 发明申请

WO2009091696A1 IN-LINE ELECTROSURGICAL FORCEPS 审中-公开
标题翻译：在线静电力
公开(公告)号：WO2009091696A1
公开(公告)日：2009-07-23
申请号：PCT/US2009/030747
申请日：2009-01-12
申请人： ETHICON ENDO-SURGERY, INC. , LONG, Gary L. , VAKHARIA, Omar J. , BAKOS, Gregory J.
发明人： LONG, Gary L. , VAKHARIA, Omar J. , BAKOS, Gregory J.
IPC分类号： A61B18/14
CPC分类号： A61B18/1447 , A61B2018/00404 , A61B2018/00601 , A61B2018/1422
摘要： An electrosurgical apparatus, system, and method are disclosed. The apparatus, includes an elongate member defines a longitudinal opening. An elongate actuator member is slideably movable within the longitudinal opening. A proximal jaw member having a proximal portion is fixedly coupled to a distal end of the elongate flexible member. A distal jaw member has a proximal portion fixedly coupled to a distal end of the elongate actuator member. A first aperture is defined between the distal portion of the distal jaw member and the proximal portion of the distal jaw member. The distal jaw member is slideably movable relative to the proximal jaw member. The system includes a handle portion to receive a proximal end of the elongate actuator member of the apparatus. A method includes preparing the apparatus for surgery.
摘要翻译：公开了电外科设备，系统和方法。该装置包括细长构件限定纵向开口。细长致动器构件可在纵向开口内可滑动地移动。具有近侧部分的近侧颚构件固定地联接到细长柔性构件的远端。远侧钳口构件具有固定地联接到细长致动器构件的远端的近端部分。第一孔限定在远端钳口构件的远侧部分和远端钳口构件的近端部分之间。远端钳口构件可相对于近端钳口构件可滑动地移动。该系统包括用于接收该装置的细长致动器构件的近端的手柄部分。一种方法包括准备手术装置。

4. 发明申请

WO2011084411A1 SELECTIVELY POSITIONABLE CAMERA FOR SURGICAL GUIDE TUBE ASSEMBLY 审中-公开
标题翻译：用于手术导管组件的选择性定位摄像机
公开(公告)号：WO2011084411A1
公开(公告)日：2011-07-14
申请号：PCT/US2010/060242
申请日：2010-12-14
申请人： ETHICON ENDO-SURGERY, INC. , KARL STORZ ENDOVISION, INC. , TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
发明人： TRUSTY, Robert M. , BAKOS, Gregory J. , SPIVEY, James T. , VAKHARIA, Omar J. , BIRNKRANT, Dashiell A. , ELLIOTT, John J.
IPC分类号： A61B1/005 , G02B23/24
CPC分类号： A61B1/0052 , A61B1/00105 , A61B1/00135 , A61B1/045 , G02B23/2476
摘要： A selectively positionable camera assembly for use in connection with a guide tube assembly that has a guide tube handle portion and at least one guide tube protruding therefrom. In various embodiments, the camera includes an elongated flexible camera portion that is sized to operably extend through at least one of the guide tubes of the guide tube assembly. A camera handle is operably coupled to the elongated flexible camera portion such that the handle is movably supported by at least a portion of the guide tube handle portion. At least one retainer is provided on the guide tube handle and/or the camera handle for releasably retaining the camera handle in any one of a plurality of orientations relative to the portion of the guide tube handle.
摘要翻译：一种用于与导管组件结合使用的选择性定位的相机组件，其具有引导管手柄部分和至少一个从其突出的引导管。在各种实施例中，相机包括细长柔性相机部分，其尺寸设计成可操作地延伸穿过导管组件的至少一个导向管。相机手柄可操作地联接到细长的柔性相机部分，使得手柄由导管手柄部分的至少一部分可移动地支撑。至少一个保持器设置在引导管手柄和/或相机手柄上，用于将相机手柄可释放地保持在相对于导管手柄的部分的多个取向中的任何一个中。

5. 发明申请

WO2009058967A1 DETACHABLE DISTAL OVERTUBE SECTION AND METHODS FOR FORMING A SEALABLE OPENING IN THE WALL OF AN ORGAN 审中-公开
标题翻译：可拆卸的超立方体部分和方法，用于在有机体的墙壁上形成可开封
公开(公告)号：WO2009058967A1
公开(公告)日：2009-05-07
申请号：PCT/US2008/081736
申请日：2008-10-30
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory J.
发明人： BAKOS, Gregory J.
IPC分类号： A61B1/01 , A61B17/34 , A61B17/02 , A61M39/02 , A61B1/313
CPC分类号： A61B17/3423 , A61B1/00087 , A61B1/00101 , A61B1/00135 , A61B1/313 , A61B2017/00278 , A61B2017/3425 , A61B2017/3488 , A61B2017/349 , A61M2039/1016 , A61M2210/1053
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a hollow tubular member that has an implantable tip detachably affixed to a distal end thereof. The implantable tip may have at least one retention member formed thereon to retain the tip within an organ wall. The implantable tip may further have a lumen extending therethrough to form a passageway through the organ wall. A plug member may be provided to selectively seal off the lumen within the implantable tip.
摘要翻译：用于内镜手术器械的外套管。在各种实施例中，外套管可以包括中空管状构件，其具有可拆卸地固定到其远端的可植入尖端。可植入尖端可以具有形成在其上的至少一个保持构件，以将尖端保持在器官壁内。可植入尖端还可以具有延伸穿过其中的内腔以形成穿过器官壁的通道。可以提供插塞构件以选择性地密封可植入尖端内的内腔。

6. 发明申请

WO2009058953A2 ENDOSCOPIC OVERTUBES 审中-公开
标题翻译：内镜超级防护
公开(公告)号：WO2009058953A2
公开(公告)日：2009-05-07
申请号：PCT/US2008/081717
申请日：2008-10-30
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory J. , GHABRIAL, Ragae , STEFANCHIK, David , VAKHARIA, Omar J.
发明人： BAKOS, Gregory J. , GHABRIAL, Ragae , STEFANCHIK, David , VAKHARIA, Omar J.
IPC分类号： A61B1/005
CPC分类号： A61B1/00078 , A61B1/00135 , A61B1/0052
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a substantially flexible helically wound continuous member forming a series of helical coils that define a hollow passage sized to receive a portion of the endoscopic surgical instrument therethrough. The coils may be configured to selectively interlock with each other to stiffen the overtube. An actuation system may be employed to steer the overtube and selectively stiffen it. Some embodiments include a second substantially flexible helically wound member that may be selectively wound between the first substantially flexible helically wound member or segments thereof.
摘要翻译：用于内窥镜手术器械的外套管。在各种实施例中，外套管可以包括基本柔性的螺旋缠绕的连续构件，其形成一系列螺旋形线圈，所述一系列螺旋形线圈限定中空通道，所述中空通道的尺寸被设定为容纳穿过其中的内窥镜手术器械的一部分。线圈可以被配置成选择性地彼此互锁以加强外套管。可以采用致动系统来转向外套管并选择性地加固外套管。一些实施例包括第二基本上柔性的螺旋缠绕构件，其可以选择性地缠绕在第一基本柔性螺旋缠绕构件或其部分之间。

7. 发明申请

WO2010009070A1 ENDOSCOPIC TRANSLUMENAL ARTICULATABLE AND STEERABLE FLEXIBLE OVERTUBE 审中-公开
标题翻译：内镜透视可弯曲和可变柔性超音波
公开(公告)号：WO2010009070A1
公开(公告)日：2010-01-21
申请号：PCT/US2009/050451
申请日：2009-07-14
申请人： ETHICON ENDO-SURGERY, INC. , BAKOS, Gregory J. , FOX, William D. , SPIVEY, James T. , MCDERMOTT, Bernard C. , KELLY, Micheal E. , GUINAN, Michelle M.
发明人： BAKOS, Gregory J. , FOX, William D. , SPIVEY, James T. , MCDERMOTT, Bernard C. , KELLY, Micheal E. , GUINAN, Michelle M.
IPC分类号： A61B1/005 , A61B1/313 , A61B17/34
CPC分类号： A61B1/3132 , A61B1/00135 , A61B1/00137 , A61B1/00154 , A61B1/005 , A61B1/015 , A61B17/3478 , A61B2017/00278 , A61B2017/003 , A61B2017/3452 , A61B2017/3486 , A61B2017/3488
摘要： Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube (12) having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope (14) therein. The proximal end (17a) of the flexible overtube is configured to remain outside of a patient and the distal end (17b) is configured to enter the patient through a natural orifice. At least one fluid tight seal (26) is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.
摘要翻译：公开了一种用于内窥镜的装置，系统和方法。具有近端和远端的柔性外套管（12）在其间限定中空管腔，以在其中容纳内窥镜（14）的柔性轴部分。柔性外套管的近端（17a）构造成保持在患者体外，并且远端（17b）构造成通过自然孔进入患者。至少一个流体密封密封件（26）位于柔性外套管的近端处，以防止当内窥镜的柔性轴定位在柔性外套管内时流体在内窥镜的柔性轴上的泄漏。该系统还包括柔性内窥镜。公开了一种具有沿着纵向轴线延伸的细长中空金属体的装置。中空体限定中心开口并具有预定的壁厚。激光切割狭缝的图案形成在体内。狭缝限定多个可铰接元件。多个可铰接元件使得主体能够在第一平面中主动地铰接并且在与第一平面垂直的平面中的被动偏转。

8. 发明申请

WO2008109319A1 TISSUE ENGAGING HEMOSTASIS DEVICE 审中-公开
标题翻译：组织联合HEMOSTASIS设备
公开(公告)号：WO2008109319A1
公开(公告)日：2008-09-12
申请号：PCT/US2008/055235
申请日：2008-02-28
申请人： ETHICON ENDO-SURGERY, INC , BAKOS, Gregory J.
发明人： BAKOS, Gregory J.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00595 , A61B2018/1435 , A61B2018/1467 , A61B2090/032
摘要： Various methods and devices are provided for cauterizing tissue. In one embodiment, a device for cauterizing tissue is provided and includes an elongate shaft adapted to be inserted through a body lumen, and a bipolar hemostasis probe disposable through the flexible elongate shaft and having a distal end adapted to cauterize tissue. An articulating jaw can be movably coupled to a distal end of the elongate shaft such that the articulating jaw and the distal end of the probe are adapted to grasp tissue therebetween. The probe can have at least one electrode disposed on a distal end thereof, and a proximal end of the probe can be adapted to couple to an energy source for delivering energy to the distal end of the probe to facilitate cauterization of tissue.
摘要翻译：提供烧灼组织的各种方法和装置。在一个实施例中，提供了一种用于灼烧组织的装置，并且包括适于插入穿过体腔的细长轴和通过柔性细长轴一次性的双极止血探针，并且具有适于烧灼组织的远端。铰接钳口可以可移动地联接到细长轴的远端，使得铰接钳口和探头的远端适于抓住它们之间的组织。探针可以具有设置在其远端上的至少一个电极，并且探针的近端可以适于耦合到能量源，以将能量传递到探针的远端，以促进组织的烧灼。

9. 发明申请

WO2008060895A1 TISSUE DISSECTOR AND/OR COAGULATOR 审中-公开
标题翻译：组织分离器和/或凝固器
公开(公告)号：WO2008060895A1
公开(公告)日：2008-05-22
申请号：PCT/US2007/083718
申请日：2007-11-06
申请人： ETHICON ENDO-SURGERY, INC , LONG, Gary , BAKOS, Gregory J. , VAKHARIA, Omar
发明人： LONG, Gary , BAKOS, Gregory J. , VAKHARIA, Omar
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/1482 , A61B18/1485 , A61B2018/00083 , A61B2018/00101 , A61B2018/00589 , A61B2018/00601 , A61B2018/1422 , A61B2018/1472 , A61B2018/1497 , A61B2018/1861 , A61B2218/002
摘要： Various devices and methods for dissecting and/or coagulating tissue are provided. In one embodiment, a surgical device is provided that includes an elongate member having proximal and distal ends, an energy emitter coupled to the distal end of the elongate member, and an insulating element that is disposed around the energy emitter. The insulating element can have an opening for receiving energy from the energy emitter, and the opening can be shaped to control a direction of energy emitted from the energy emitter.
摘要翻译：提供了用于解剖和/或凝固组织的各种装置和方法。在一个实施例中，提供了一种手术装置，其包括具有近端和远端的细长构件，耦合到细长构件的远端的能量发射器和围绕能量发射器设置的绝缘元件。绝缘元件可以具有用于从能量发射器接收能量的开口，并且开口可以被成形为控制从能量发射器发射的能量的方向。

10. 发明申请

WO2014172194A1 METHOD AND APPARATUS FOR JOINING HOLLOW ORGAN SECTIONS IN ANASTOMOSIS 审中-公开
标题翻译：方法和装置在分析中加入中空组织部分
公开(公告)号：WO2014172194A1
公开(公告)日：2014-10-23
申请号：PCT/US2014/033779
申请日：2014-04-11
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BAKOS, Gregory J. , FOX, William D. , SHERRILL, Justin W. , DUNKI-JACOBS, Adam R. , ZEINER, Mark S.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/00862 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139
摘要： An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue.
摘要翻译：一种装置可操作地提供联接两个中空器官如十二指肠和回肠的吻合。该装置包括通过第一中空器官中的肠切开术插入的第一部件和穿过第二中空器官中的肠切开术插入的第二部件。将第一和第二部件组合在一起以便对齐肠切开术并压缩与肠切开术相邻的组织层。压缩的组织最终坏死，并且装置可以被去除或简单地通过中空器官。每个部件可以包括一组枢转连接件和一个弹性部件，该弹性部件构造成将连接件偏压到扩张构型并且夹紧邻近肠切除术的组织。这些部件可以包括固定部件相对于彼此的定位的磁体，并且在附着的组织上提供压缩力。

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