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1. 发明专利

JP2007296323A Intubation instrument for enteral feeding 有权
标题翻译：插入式输入仪器
公开(公告)号：JP2007296323A
公开(公告)日：2007-11-15
申请号：JP2007072924
申请日：2007-03-20
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： STEFANCHIK DAVID , SPIVEY JAMES T , VAKHARIA OMAR , KUHNS JESSE J , APPLEGATE RICK D
IPC分类号： A61M25/02 , A61B1/00
CPC分类号： A61B17/3415 , A61B1/00073 , A61B1/0014 , A61B1/2736 , A61J15/0007 , A61J15/0019 , A61J15/0023 , A61J15/003 , A61J15/0038 , A61J15/0061 , A61J15/0069
摘要： PROBLEM TO BE SOLVED: To provide an intubation instrument for use with a guide apparatus having a track adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. SOLUTION: The intubation instrument 24 comprises an elongated flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation instrument further comprises a tissue bolster 44 disposed on the proximal portion of the tube and deformable between a collapsed configuration and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster 44 is securable against the inner gastric wall when the tissue bolster 44 is in the expanded configuration. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供一种与具有适于与内窥镜相关联的轨道的引导装置使用的插管仪器，使得轨道的弯曲与内窥镜的弯曲基本上脱离。插管器械24包括细长的柔性管和附接到管并且适于滑动地接合内窥镜外部的轨道的配合构件。插管仪器还包括设置在管的近端部分上并且在收缩构型和扩张构型之间变形的组织垫44。管可定位在患者的上胃肠道内，使得管的近端通过患者的胃和腹壁被外部化，并且其中组织垫44在组织垫44上可固定抵靠内胃壁处于扩展配置。版权所有（C）2008，JPO＆INPIT

2. 发明专利

JP2007296351A Tri-bending sphinctertome 有权
标题翻译： TRI-BENDING SPHINCTERTOME
公开(公告)号：JP2007296351A
公开(公告)日：2007-11-15
申请号：JP2007119137
申请日：2007-04-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： VAKHARIA OMAR , LU IFUNG , NOBIS RUDOLPH H , SWAIN CHRISTOPHER PAUL
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B2017/003 , A61B2018/00553 , A61B2018/00601 , A61B2018/144 , A61B2018/1467
摘要： PROBLEM TO BE SOLVED: To provide a surgical cutting device, especially an improved multidirectional cutting device. SOLUTION: Disclosed herein is a device for forming multidirectional cuts in tissue. The tissue cutting device includes a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of each wire is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供一种外科切割装置，特别是改进的多向切割装置。解决方案：本文公开了一种用于在组织中形成多向切割的装置。组织切割装置包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿构件的一部分的至少第一，第二和第三导线。每个线的远端部分被锚定在细长构件的一部分上或内部。当张紧被施加到至少一根电线时，例如通过在装置的近端处的致动器，细长构件弯曲，而线的未约束部分相对于细长构件的相邻部分露出，假定组织切割配置。版权所有（C）2008，JPO＆INPIT

3. 发明专利

JP2007296350A Flexible endoscopic safety needle 有权
标题翻译：灵活的内窥镜安全针
公开(公告)号：JP2007296350A
公开(公告)日：2007-11-15
申请号：JP2007119131
申请日：2007-04-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： CONLON SEAN P , VAKHARIA OMAR , LINENKUGEL DUANE
IPC分类号： A61B17/34 , A61B1/00
CPC分类号： A61B17/3478 , A61B18/1492 , A61B2017/00278 , A61B2017/320048 , A61B2017/320064 , A61B2017/3488
摘要： PROBLEM TO BE SOLVED: To provide various methods and devices for penetrating tissue. SOLUTION: In one embodiment, a tissue penetrating device is provided including a flexible hollow shaft having a tissue penetrating tip at a distal end, and a plunger disposed within the tissue penetrating tip. The plunger is movable relative to the tissue penetrating tip between a distal position in which the plunger is distal of the tissue penetrating tip to prevent tissue penetration, and a proximal position in which the plunger is proximal of the tissue penetrating tip to allow the tip to penetrate tissue. The plunger can be adapted to move from the distal position to the proximal position when the plunger is advanced into a tissue surface. The tissue penetrating device can also include an energizing element coupled to the plunger and adapted to energize the plunger to the distal position. The energizing element can be coupled between a distal end of a stylet that extends through the hollow elongate shaft, and a proximal end of the plunger. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供用于穿透组织的各种方法和装置。解决方案：在一个实施例中，提供了组织穿透装置，其包括在远端具有组织穿透尖端的柔性中空轴和设置在组织穿透尖端内的柱塞。活塞可相对于组织穿透尖端移动，所述远端位置在其中柱塞远离组织穿透尖端的远端位置以防止组织穿透;以及近端位置，柱塞在组织穿透尖端的近侧，以允许尖端穿透组织。当柱塞进入组织表面时，柱塞可以适于从远侧位置移动到近侧位置。组织穿透装置还可以包括联接到柱塞并且适于将柱塞激励到远端位置的激励元件。激励元件可以连接在延伸穿过中空细长轴的探针的远端和柱塞的近端之间。版权所有（C）2008，JPO＆INPIT

4. 发明专利

JP2007296342A Medical instrument having end/effector-associated member 有权
标题翻译：具有结束/有影响的成员的医疗器械
公开(公告)号：JP2007296342A
公开(公告)日：2007-11-15
申请号：JP2007118985
申请日：2007-04-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： LU IFUNG , NOBIS RUDOLPH H , VAKHARIA OMAR
IPC分类号： A61B17/28 , A61B1/00 , A61B18/14
CPC分类号： A61B17/29 , A61B1/018 , A61B18/1477 , A61B2017/00292 , A61B2017/003 , A61B2017/2905 , A61B2018/1425
摘要： PROBLEM TO BE SOLVED: To provide a medical instrument having an end/effector-associated member. SOLUTION: The medical instrument includes a medical end/effector-associated member and resiliently flexible first, second, and third elongate members. The medical end/effector-associated member has a rigid portion positionable within the body of a patient. The first, second, and third elongate members each have a proximal end portion and a distal end portion. The distal end portions of the first, second, and third elongate members are attached to the rigid portion of the medical end/effector-associated member. Relative lengthwise translation of the proximal end portions of the first, second, and third elongate members articulates the rigid portion of the medical end/effector-associated member. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供具有端部/效应器相关联构件的医疗器械。解决方案：医疗器械包括医疗端/效应器相关联的构件和弹性柔性的第一，第二和第三细长构件。医疗末端/效应器相关部件具有可定位在患者体内的刚性部分。第一，第二和第三细长构件各自具有近端部分和远端部分。第一，第二和第三细长构件的远端部分附接到医疗端/效应器相关联构件的刚性部分。第一，第二和第三细长构件的近端部分的相对纵向平移将医疗端/效应器相关构件的刚性部分铰接。版权所有（C）2008，JPO＆INPIT

5. 发明专利

JP2008012309A Band ligation and coagulation 有权
标题翻译：绑带和凝聚
公开(公告)号：JP2008012309A
公开(公告)日：2008-01-24
申请号：JP2007170944
申请日：2007-06-28
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： COE JONATHAN , VAKHARIA OMAR , LONG GARY , NOBIS RUDOLPH
IPC分类号： A61B17/12 , A61B18/12
CPC分类号： A61B18/14 , A61B17/12013 , A61B2017/00296 , A61B2017/12018 , A61B2017/306 , A61B2018/00291 , A61B2018/00488 , A61B2018/00589
摘要： PROBLEM TO BE SOLVED: To provide an implement and a method which ligate to coagulate a tissue. SOLUTION: One embodiment provides an implement which is constructed to approach an operation site to treat and has an end effector capable of ligating to coagulate an object tissue, wherein the end effector may comprise at least one ligating band which is detachably disposed to deliver itself to a part of the end effector and can be released from the end effector to engage with the tissue: the end effector may comprise a pair of electrodes which are disposed at an interval to adjoin the tissue contact area of the end effector to each other. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：待解决的问题：提供连接以凝固组织的工具和方法。解决方案：一个实施例提供了一种构造成接近操作部位以治疗并具有能够结扎以凝固物体组织的末端执行器的器具，其中末端执行器可以包括至少一个连接带，其可拆卸地设置在将其自身递送到末端执行器的一部分并且可以从端部执行器释放以与组织接合：末端执行器可以包括一对电极，其间隔设置成与末端执行器的组织接触区域相邻以连接到每个其他。版权所有（C）2008，JPO＆INPIT

6. 发明专利

JP2007296348A Folding sphincter incision tool 有权
标题翻译：折叠刺绣工具
公开(公告)号：JP2007296348A
公开(公告)日：2007-11-15
申请号：JP2007119111
申请日：2007-04-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： VAKHARIA OMAR , NOBIS RUDOLPH H , SWAIN CHRISTOPHER PAUL , IKEDA KEIICHI , MOSSE CHARLES A
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/32056 , A61B2017/00278 , A61B2017/003 , A61B2018/1407 , A61B2018/144 , A61B2018/1467 , A61B2018/1475
摘要： PROBLEM TO BE SOLVED: To provide a surgical cutting instrument, especially an improved multidirectional cutting instrument. SOLUTION: The instrument and method are disclosed which are employed to form multidirectional cuts in tissue. The tissue incision instrument is generally a flexible slender member and includes a slender member having at least first and second wires partially restricted in or along a partial interior of the slender member. The distal end portions of the wires are fixed onto or into the part of the slender member. When a tensile force is applied to one of the wires by an actuator at the proximal end of the instrument for example, the slender member flexes and simultaneously the unrestricted portion of the one wire is exposed to the adjacent portion of the slender member and takes a tissue incision form. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供外科切割仪器，特别是改进的多向切割仪器。公开了用于在组织中形成多向切割的仪器和方法。组织切开仪器通常是柔性细长构件，并且包括细长构件，细长构件具有至少第一和第二丝线部分地限制在细长构件的部分内部中或沿着细长构件的局部内部。电线的远端部分固定在细长构件的一部分上或其中。当通过例如仪器近端处的致动器向一根电线施加张力时，细长构件弯曲，并且同时将一根电线的不受限制的部分暴露于细长构件的相邻部分，并取出组织切口形式。版权所有（C）2008，JPO＆INPIT

7. 发明专利

JP2007289667A Intubation system for use with endoscope 有权
标题翻译：内窥镜使用的内窥镜系统
公开(公告)号：JP2007289667A
公开(公告)日：2007-11-08
申请号：JP2007072941
申请日：2007-03-20
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： STEFANCHIK DAVID , SPIVEY JAMES T , VAKHARIA OMAR , KUHNS JESSE J , APPLEGATE RICK D
IPC分类号： A61J15/00 , A61B1/00 , A61B17/00 , A61M1/00 , G02B23/24
CPC分类号： A61B1/00073 , A61B1/00154
摘要： PROBLEM TO BE SOLVED: To provide improved devices and methods that are adapted for use with a flexible endoscope, and that provide improved endoscopic access to the tissue of interest with medical devices for numerous medical purposes, including performing diagnostic and therapeutic procedures, supplying fluid nutrients into the gastrointestinal tract, removing diseased tissue and releasing gas. SOLUTION: An intubation system is provided for use with the endoscope. The intubation system includes a guide apparatus having a track that is adapted to be associated with the endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation system also includes a positioning device having a first coupling member on the distal end and an intubation device having a second coupling member on the proximal end. The intubation device and the positioning device each include a mating member that is adapted to slidingly engage the track external of the endoscope, whereby the first and second coupling members may be releasably attached together. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：为了提供适于与柔性内窥镜一起使用的改进的装置和方法，并且为包括执行诊断和治疗程序的医疗装置提供改进的对目标组织的内窥镜访问，向胃肠道供应流体营养物质，去除病变组织和释放气体。
解决方案：提供用于内窥镜的插管系统。插管系统包括具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲与内窥镜的弯曲基本上脱离。所述插管系统还包括具有在远端上的第一联接构件的定位装置和在近端具有第二联接构件的插管装置。插管装置和定位装置各自包括配合构件，其适于滑动地接合内窥镜外部的轨道，由此第一和第二联接构件可以可释放地附接在一起。版权所有（C）2008，JPO＆INPIT

8. 发明专利

ES2403169T3 Dispositivo de intubación para alimentación enteral 未知
公开(公告)号：ES2403169T3
公开(公告)日：2013-05-14
申请号：ES07251197
申请日：2007-03-21
申请人： ETHICON ENDO SURGERY INC
发明人： STEFANCHIK DAVID , SPIVEY JAMES T , VAKHARIA OMAR , KUHNS JESSE J , APPLEGATE RICK D
IPC分类号： A61B17/34 , A61B1/012 , A61B1/018 , A61J15/00
摘要： Un dispositivo de intubación (24) para su uso con Un dispositivo de intubación (24) para su uso con un aparato guía (10) que tiene un recorrido alargaun aparato guía (10) que tiene un recorrido alargado (16)dispuesto sobre el mismo, comprendiendo dicdo (16)dispuesto sobre el mismo, comprendiendo dicho dispositivo de intubación: un tubo generalmenteho dispositivo de intubación: un tubo generalmente flexible (34) que tiene un canal alargado (38) qu flexible (34) que tiene un canal alargado (38) que se extiende a través del mismo; una vía (32) cone se extiende a través del mismo; una vía (32) conectada a dicho tubo, donde dicha vía está generalmectada a dicho tubo, donde dicha vía está generalmente alineada con dicho canal alargado; y un suporente alineada con dicho canal alargado; y un suporte del tejido (44) dispuesto sobre dicho tubo y cate del tejido (44) dispuesto sobre dicho tubo y cambiable entre una configuración plegada y unaconfimbiable entre una configuración plegada y unaconfiguración expandida; donde dicho soporte de tejido guración expandida; donde dicho soporte de tejido (44) incluye un primer extremo (48), un segundo ex(44) incluye un primer extremo (48), un segundo extremo (50) y una pluralidad debrazos (46) separadotremo (50) y una pluralidad debrazos (46) separados periféricamente alrededor de dicho tubo (34) y cs periféricamente alrededor de dicho tubo (34) y conectando dicho primer y segundo extremo, ydonde donectando dicho primer y segundo extremo, ydonde dicho primer extremo está unido a dicho tubo y dichicho primer extremo está unido a dicho tubo y dicho segundo extremo está retenido de manera corredizo segundo extremo está retenido de manera corredizasobre dicho tubo y proximal a dicho primer extremasobre dicho tubo y proximal a dicho primer extremo; y donde dicha pluralidad de brazos (46) son geno; y donde dicha pluralidad de brazos (46) son generalmente planos en relación con dicho tubo (34) ceralmente planos en relación con dicho tubo (34) cuando dichosoporte del tejido (44) está en dicha cuando dichosoporte del tejido (44) está en dicha configuración plegada y dichos brazos están generalonfiguración plegada y dichos brazos están generalmente doblados y seextienden radialmente desde dicmente doblados y seextienden radialmente desde dicho tubo cuando dicho soporte del tejido está en diho tubo cuando dicho soporte del tejido está en dicha configuración expandida. cha configuración expandida.

9. 发明专利

CA2586502C DUAL-BENDING SPHINCTERTOME 未知
公开(公告)号：CA2586502C
公开(公告)日：2012-10-02
申请号：CA2586502
申请日：2007-04-27
申请人： ETHICON ENDO SURGERY INC
发明人： VAKHARIA OMAR , NOBIS RUDOLPH H , SWAIN CHRISTOPHER PAUL , IKEDA KEIICHI , MOSSE CHARLES A
IPC分类号： A61B17/32 , A61B18/04
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first and second wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.

10. 发明专利

AU2007201672B2 Tri-bending sphinctertome 未知
公开(公告)号：AU2007201672B2
公开(公告)日：2012-03-29
申请号：AU2007201672
申请日：2007-04-16
申请人： ETHICON ENDO SURGERY INC
发明人： LU IFUNG , SWAIN CHRISTOPHER PAUL , VAKHARIA OMAR , NOBIS RUDOLPH H
IPC分类号： A61B17/3211 , A61B17/32
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.

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