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1. 发明授权

US07785269B2 Medical instrument having a guidewire and an add-to catheter 有权
标题翻译：具有导丝和附加导管的医疗器械
公开(公告)号：US07785269B2
公开(公告)日：2010-08-31
申请号：US11128108
申请日：2005-05-12
申请人： Gary L. Long , Gregory J. Bakos , David Stefanchik , Omar J. Vakharia , Duane A. Linenkugel
发明人： Gary L. Long , Gregory J. Bakos , David Stefanchik , Omar J. Vakharia , Duane A. Linenkugel
IPC分类号： A61B10/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译：第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。导管适于可滑动地容纳辅助医疗装置的轨道联接部分。医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。导管适于可滑动地容纳辅助医疗装置的轨道联接部分。医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。表面高程特征的一个例子是外部线程。间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。

2. 发明授权

US07615005B2 Medical apparatus for use with an endoscope 有权
标题翻译：用于内窥镜的医疗设备
公开(公告)号：US07615005B2
公开(公告)日：2009-11-10
申请号：US10440957
申请日：2003-05-16
申请人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane A. Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译：公开了一种用于内窥镜的引导系统和使用方法。引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。可以设置端盖以相对于内窥镜的远端支撑轨道。

3. 发明申请

US20090192344A1 SURGICAL DEVICES FOR MANIPULATING TISSUE 审中-公开
标题翻译：用于手术组织的外科手术
公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
IPC分类号： A61N2/10 , A61N2/00
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译：手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。

4. 发明申请

US20110112434A1 KITS AND PROCEDURES FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：自然手术治疗内镜手术的手套和手术
公开(公告)号：US20110112434A1
公开(公告)日：2011-05-12
申请号：US12614143
申请日：2009-11-06
申请人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
发明人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
IPC分类号： A61B17/94 , A61B1/00 , A61B17/06 , A61B17/295 , A61B17/32 , A61B18/14 , A61B17/10 , A61B10/04
CPC分类号： A61B17/3478 , A61B1/00135 , A61B1/00154 , A61B1/018 , A61B17/1285 , A61B17/320016 , A61B17/32056 , A61B17/3421 , A61B17/3423 , A61B18/1442 , A61B2017/00278 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/00358 , A61B2017/0412 , A61B2017/0417 , A61B2017/0437 , A61B2017/0438 , A61B2017/0464 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939 , A61B2017/3445 , A61M25/0084 , A61M25/0102 , A61M25/0133 , A61M25/0136 , A61M25/10 , A61M29/02 , A61M2025/0681 , A61M2025/1093
摘要： Various surgical devices, kits, and/or methods are provided herein that may be useful in performing a surgical procedure through a natural orifice. Such a surgical procedure may utilize one or more devices, kits, and/or methods to create an access port to a body cavity of a patient, to perform a specific surgical procedure, and to close the access port. In various embodiments, the specific surgical procedure may comprise a sleeve gastrectomy, a ventral hernia repair, a hybrid transgastric cholecystectomy, and/or a hybrid transgastric appendectomy.
摘要翻译：本文提供的各种手术装置，试剂盒和/或方法可用于通过天然孔进行外科手术。这种外科手术可以利用一个或多个装置，套件和/或方法来创建到患者的体腔的进入端口，以执行特定的外科手术并且关闭进入端口。在各种实施例中，具体的外科手术可以包括套管胃切除术，腹侧疝修补术，混合性经胃胆囊切除术和/或混合性经胃阑尾切除术。

5. 发明授权

US08388653B2 T-type suture anchoring devices and methods of using same 有权
标题翻译： T型缝合线锚固装置及其使用方法
公开(公告)号：US08388653B2
公开(公告)日：2013-03-05
申请号：US11127513
申请日：2005-05-12
申请人： Rudolph H. Nobis , Frank Jankoski , Omar J. Vakharia , John A. Faux , Gregory J. Bakos , Duane A. Linenkugel , Christopher Paul Swain
发明人： Rudolph H. Nobis , Frank Jankoski , Omar J. Vakharia , John A. Faux , Gregory J. Bakos , Duane A. Linenkugel , Christopher Paul Swain
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/06166 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052
摘要： Suture anchoring devices are disclosed, including a T-tag anchoring device that is suitably small enough to fit into the hollow tip of a needle and, furthermore, provide protection to the suture against being cut or otherwise damaged by the sharp edge of the needle tip. One disclosed device includes a slot for providing a pivot point between the suture and the body when deployed, which can be employed to form a T-tag.
摘要翻译：公开了缝合线锚定装置，其包括T形锚定装置，其适当地足够小以适合于针的中空尖端，并且此外，为缝合线提供保护以免被针尖的尖锐边缘切割或以其它方式损伤。一个公开的装置包括用于在展开时在缝合线和主体之间提供枢轴点的槽，其可用于形成T形标签。

6. 发明申请

US20090062792A1 ELECTRICAL ABLATION SURGICAL INSTRUMENTS 有权
标题翻译：电动手术器械
公开(公告)号：US20090062792A1
公开(公告)日：2009-03-05
申请号：US12109673
申请日：2008-04-25
申请人： Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
发明人： Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1445 , A61B18/1477 , A61B2018/1266 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455
摘要： An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is 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 is located in 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：电消融装置包括具有近端和远端的细长柔性构件。钳夹部分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。切割刀片位于钳夹部分中。钳夹部分适于耦合到电波形发生器并接收电波形。

7. 发明授权

US07828791B2 Medical instrument having a guidewire and articulated catheter 有权
标题翻译：具有导丝和关节导管的医疗器械
公开(公告)号：US07828791B2
公开(公告)日：2010-11-09
申请号：US11128072
申请日：2005-05-12
申请人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号： A61M25/01
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The catheter has an articulated section. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The catheter has an articulated section. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译：第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。导管具有铰接部分。医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。导管具有铰接部分。医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。表面高程特征的一个例子是外部线程。间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。

8. 发明授权

US07758564B2 Medical instrument having a catheter and a medical guidewire 有权
标题翻译：具有导管和医疗导丝的医疗器械
公开(公告)号：US07758564B2
公开(公告)日：2010-07-20
申请号：US11128012
申请日：2005-05-12
申请人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号： A61M25/01
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter having a distal end which has a substantially bullet-nose shape, which is insertable into a body lumen of a patient, and which has at least one guidewire passageway opening. The first medical instrument also includes a medical guidewire having a working portion extendable beyond the at-least-one guidewire passageway opening. A second medical instrument includes a flexible catheter, a medical guidewire having a working portion extendable beyond the distal end of the catheter, and at least one wire length counter which is operably connectable to the medical guidewire to measure a length of the working portion being extended beyond the distal end of the catheter. A third medical instrument includes a flexible catheter, a medical guidewire, and a force/torque-limiting clutch operatively connectable to the medical guidewire.
摘要翻译：第一医疗器械包括柔性导管，其具有远端，其具有基本上子弹鼻形状，其可插入患者的体腔中，并且具有至少一个导丝通道开口。第一医疗器械还包括具有可延伸超过至少一个导丝通道开口的工作部分的医疗导丝。第二医疗器械包括柔性导管，具有可延伸超过导管远端的工作部分的医疗导线，以及可操作地连接到医用导线的至少一个导线长度计数器，以测量延伸的工作部分的长度超出导管的远端。第三医疗器械包括柔性导管，医疗导线和可操作地连接到医疗导线的力/扭矩限制离合器。

9. 发明申请

US20090182332A1 IN-LINE ELECTROSURGICAL FORCEPS 审中-公开
标题翻译：在线静电力
公开(公告)号：US20090182332A1
公开(公告)日：2009-07-16
申请号：US12014417
申请日：2008-01-15
申请人： Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
发明人： Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
IPC分类号： A61B18/18 , A61B18/04 , A61B17/00
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。

10. 发明授权

US07527620B2 Medical instrument having a medical guidewire 有权
标题翻译：具有医疗导线的医疗器械
公开(公告)号：US07527620B2
公开(公告)日：2009-05-05
申请号：US11128036
申请日：2005-05-12
申请人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人： Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号： A61M25/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The medical guidewire has first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.
摘要翻译：第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。表面高程特征的一个例子是外部线程。间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。

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