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1. 发明授权

US07758591B2 Medical device having linear to rotation control 失效
标题翻译：具有线性到旋转控制的医疗装置
公开(公告)号：US07758591B2
公开(公告)日：2010-07-20
申请号：US10447261
申请日：2003-05-29
申请人： John Griego , Yem Chin , Gary McAlister
发明人： John Griego , Yem Chin , Gary McAlister
IPC分类号： A61B17/32
CPC分类号： A61B17/32056 , A61B2017/00367 , A61B2017/2903 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.
摘要翻译：医疗器械将仪器近端的轴的线性运动转换为仪器的末端执行器的旋转运动。根据一个实施例，医疗器械包括由连接到位于套筒内的轴的圈套环形成的端部执行器。一旦套筒位于患者体内的期望位置附近，则圈套环可以由操作者以轴的线性运动旋转地定位。轴形成有螺纹部分，其匹配形成在固定在套筒内的扭矩传递器元件中的螺纹。轴通过扭矩传感器元件的线性运动导致轴旋转。医疗器械还可以包括用于减小轴和/或离合器组件的扭矩积分的枢转连接器，用于将圈套环的受控转动限制到仅一个方向。

2. 发明授权

US08388629B2 Medical device having linear to rotation control 有权
公开(公告)号：US08388629B2
公开(公告)日：2013-03-05
申请号：US12838944
申请日：2010-07-19
申请人： John Griego , Yem Chin , Gary McAlister
发明人： John Griego , Yem Chin , Gary McAlister
IPC分类号： A61B17/26
CPC分类号： A61B17/32056 , A61B2017/00367 , A61B2017/2903 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.

3. 发明申请

US20100286707A1 Medical Device Having Linear to Rotation Control 有权
标题翻译：具有线性到旋转控制的医疗设备
公开(公告)号：US20100286707A1
公开(公告)日：2010-11-11
申请号：US12838944
申请日：2010-07-19
申请人： John Griego , Yem Chin , Gary McAlister
发明人： John Griego , Yem Chin , Gary McAlister
IPC分类号： A61B17/24
CPC分类号： A61B17/32056 , A61B2017/00367 , A61B2017/2903 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.
摘要翻译：医疗器械将仪器近端的轴的线性运动转换为仪器的末端执行器的旋转运动。根据一个实施例，医疗器械包括由连接到位于套筒内的轴的圈套环形成的端部执行器。一旦套筒位于患者体内的期望位置附近，则圈套环可以由操作者以轴的线性运动旋转地定位。轴形成有螺纹部分，其匹配形成在固定在套筒内的扭矩传递器元件中的螺纹。轴通过扭矩传感器元件的线性运动导致轴旋转。医疗器械还可以包括用于减小轴和/或离合器组件的扭矩积分的枢转连接器，用于将圈套环的受控转动限制到仅一个方向。

4. 发明授权

US06602262B2 Medical device having linear to rotation control 有权
公开(公告)号：US06602262B2
公开(公告)日：2003-08-05
申请号：US09870683
申请日：2001-06-01
申请人： John Griego , Yem Chin , Gary McAlister
发明人： John Griego , Yem Chin , Gary McAlister
IPC分类号： A61B1732
CPC分类号： A61B17/32056 , A61B2017/00367 , A61B2017/2903 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument converts linear movement of a shaft at a proximal end of the instrument to a rotational movement of an end effector of the instrument. According to one embodiment, the medical instrument includes an end effector formed of a snare loop connected to a shaft that is located within a sleeve. Once the sleeve is located near a desired location within a patient, the snare loop may be rotationally positioned with linear movement of the shaft by the operator. The shaft is formed with a threaded portion that matches threads formed in a torque transmitter element fixed within the sleeve. Linear movement of the shaft through the torque transmitter element causes the shaft to rotate. The medical instrument may also include a pivot connector for reducing torque build-up of the shaft and/or a clutch assembly for restricting controlled rotation of the snare loop to only one direction.

5. 发明申请

US20050101988A1 Low profile emboli capture device 失效
公开(公告)号：US20050101988A1
公开(公告)日：2005-05-12
申请号：US10975851
申请日：2004-10-28
申请人： Ulf Stanford , Yem Chin , John Griego , Sheng-Ping Zhong
发明人： Ulf Stanford , Yem Chin , John Griego , Sheng-Ping Zhong
IPC分类号： A61B17/22 , A61B17/00 , A61F2/01 , A61F2/84 , A61M25/00 , A61M25/01 , B29C53/66 , A61M29/00
CPC分类号： A61F2/013 , A61B2017/00336 , A61F2002/018 , A61F2230/0006 , A61F2230/0008 , A61F2230/0019 , A61F2230/0067 , A61F2230/0097 , A61M25/0119 , B29C53/66
摘要： A low profile emboli capture device is provided for use in angioplasty and other intravascular procedures. A standard guidewire is utilized having a reduced cross-sectional area formed near its distal end. A filter and self-expanding stent are packaged on the reduced cross-sectional area of the guidewire. A movable sleeve extends over the guidewire and holds the self-expanding stent and filter in their retracted positions while the device is being positioned in the artery. The sheath is moved relative to the self-expanding stent and filter, whereupon the self-expanding stent and filter become deployed.

6. 发明授权

US06840950B2 Low profile emboli capture device 有权
标题翻译：薄型栓塞捕获装置
公开(公告)号：US06840950B2
公开(公告)日：2005-01-11
申请号：US09789332
申请日：2001-02-20
申请人： Ulf Harry Stanford , Yem Chin , Sheng-Ping Zhong , John Griego
发明人： Ulf Harry Stanford , Yem Chin , Sheng-Ping Zhong , John Griego
IPC分类号： A61B17/22 , A61B17/00 , A61F2/01 , A61F2/84 , A61M25/00 , A61M25/01 , B29C53/66 , A61M29/00 , A61B5/00 , A61F2/06
CPC分类号： A61F2/013 , A61B2017/00336 , A61F2002/018 , A61F2230/0006 , A61F2230/0008 , A61F2230/0019 , A61F2230/0067 , A61F2230/0097 , A61M25/0119 , B29C53/66
摘要： A low profile emboli capture device is provided for use in angioplasty and other intravascular procedures. A standard guidewire is utilized having a reduced cross-sectional area formed near its distal end. A filter and self-expanding stent are packaged on the reduced cross-sectional area of the guidewire. A movable sleeve extends over the guidewire and holds the self-expanding stent and filter in their retracted positions while the device is being positioned in the artery. The sheath is moved relative to the self-expanding stent and filter, whereupon the self-expanding stent and filter become deployed.
摘要翻译：提供了一种用于血管成形术和其他血管内手术的低调栓塞捕获装置。使用在其远端附近形成的具有减小的横截面积的标准导丝。过滤器和自扩张支架被包装在导丝的减小的横截面面积上。可移动的套筒延伸穿过导丝，并且将自扩张支架和过滤器保持在其缩回位置，同时该装置被定位在动脉中。护套相对于自扩张支架和过滤器移动，随后展开自扩张支架和过滤器。

7. 发明申请

US20070032809A1 Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy 有权
标题翻译：可导向括约肌切开术和插管，乳头切开术和括约肌切开术的方法
公开(公告)号：US20070032809A1
公开(公告)日：2007-02-08
申请号：US11525826
申请日：2006-09-25
申请人： John Griego , Yem Chin
发明人： John Griego , Yem Chin
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/32056 , A61B2017/003 , A61B2017/320032 , A61B2018/00166 , A61B2018/00553 , A61B2018/00601 , A61B2018/1407 , A61B2018/1437 , A61B2018/144 , A61B2018/1861
摘要： The present invention relates to methodology of and apparatus for accurately positioning devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. The sphincterotome with a steerable or adjustable distal segment of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to one embodiment of the present invention, a threaded portion of a cable assembly cooperates with a torque transmission element and a cog to enable the operator to rotate a cutting wire into a desired position relative to the catheter. Alternate embodiments allow the operator to fix the depth of a needle knife while allowing, if desired, accurate rotational positioning of the associated catheter. Threaded stabilizing elements, pivot elements and a steering wire may be used together or individually to accomplish these features. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
摘要翻译：本发明涉及用于精确定位用于进行内窥镜插管，乳头切开术和括约肌切开术的装置的方法和装置。具有本发明的可转向或可调节的远端段的括约肌切片机允许医师独立于内窥镜来控制装置的远侧末端的位置，并且针对装置和解剖结构中的不一致性进行调整。根据本发明的一个实施例，电缆组件的螺纹部分与转矩传递元件和齿轮协作，以使操作者能够将切割线相对于导管旋转到期望的位置。替代实施例允许操作者固定针刀的深度，同时允许相关导管的精确的旋转定位。螺纹稳定元件，枢转元件和操纵线可以一起使用或单独使用以实现这些特征。目前可以根据本发明进行修改的产品包括但不限于波士顿科学耳鼻喉科和针刀。

8. 发明申请

US20090005637A1 Method and Apparatus for Measuring and Controlling Blade Depth of a Tissue Cutting Apparatus in an Endoscopic Catheter 审中-公开
标题翻译：用于测量和控制内窥镜导管中组织切割装置的刀片深度的方法和装置
公开(公告)号：US20090005637A1
公开(公告)日：2009-01-01
申请号：US12147804
申请日：2008-06-27
申请人： Yem Chin , John Griego
发明人： Yem Chin , John Griego
IPC分类号： A61B1/012 , A61B1/015
CPC分类号： A61B17/3478 , A61B17/22032 , A61B17/320016 , A61B17/32056 , A61B17/320725 , A61B18/149 , A61B18/1492 , A61B90/39 , A61B2017/22067 , A61B2017/22082 , A61B2018/00535 , A61B2018/00601 , A61B2018/00738 , A61B2018/1407 , A61B2018/144 , A61B2090/034 , A61B2090/061 , A61B2090/3937 , A61B2090/397 , A61B2090/3983
摘要： According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and/or sphincterotomy of the Papilla of Vater and/or the Sphincter of Oddi is accomplished by advancing a sphincterotome (or papillotome or cannulotome) into an endoscope/duodenoscope so that the distal tip of the sphincterotome exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the sphincterotome to the desired position for proper cannulation of the duct. Accurate and consistent control of the length of the exposed blade is made difficult due to a number of factors. These factors include: 1) differences in the inside diameters of the outer tube and the needle knife wire, 2) the orientation of the needle knife wire within the outer tube, 3) the mismatch of tolerance of the needle knife wire and the inside diameter of the extrusion, 4) anatomy, and 5) endoscope manipulation. A sphincterotome incorporating the present invention will provide the user with an indication of the exposed blade length and will allow the physician to control the length of the exposed blade. According to one embodiment of the present invention, various visual indications are presented to the user as the needle knife is advanced from its outer sheath. These visual indications, combined with a mechanical method to hold the knife in position during catheter placement allows the user to perform precise incisions. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.
摘要翻译：根据现有技术，通过将括约肌切开术（或乳头切开术或插管切除术）前进到内窥镜/外科手术中来实现Vater和/或Oddi括约肌的胆总管和乳头切开术和/或括约肌切开术的内窥镜插管，十二指肠镜，使得括约肌切开术的远端在Vater的Papilla处离开括约肌的内窥镜。然后操作内窥镜机构以将括约肌切开的远端定向到期望的位置，以适当地插管管道。由于许多因素，使得暴露的叶片的长度的精确和一致的控制变得困难。这些因素包括：1）外管和针刀线内径的差异，2）外针管针线的取向，3）针刀线公差与内径不匹配的挤压，4）解剖学，和5）内窥镜操纵。结合本发明的括约肌切开术将为使用者提供暴露的刀片长度的指示，并且将允许医师控制暴露刀片的长度。根据本发明的一个实施例，当针刀从其外护套前进时，向用户呈现各种视觉指示。这些视觉指征与在导管放置期间将刀保持在适当位置的机械方法相结合允许用户执行精确的切口。目前可以根据本发明进行修改的产品包括但不限于波士顿科学耳鼻喉科和针刀。

9. 发明申请

US20050113845A1 Self-orienting polypectomy snare device 有权
标题翻译：自定义息肉切除圈套装置
公开(公告)号：US20050113845A1
公开(公告)日：2005-05-26
申请号：US10717775
申请日：2003-11-20
申请人： John Griego , Yem Chin
发明人： John Griego , Yem Chin
IPC分类号： A61B17/32 , A61B18/14 , A61B19/00 , A61B17/24
CPC分类号： A61B17/32056 , A61B18/1492 , A61B90/39 , A61B2018/00214 , A61B2018/1407
摘要： A snare device and methods of making and using the same. The snare device may include a sheath having a proximal end region, a distal end region, and a shaft slidably disposed therein. A handle may be coupled to the shaft and disposed adjacent the proximal end region. The snare device may also include a swivel disposed adjacent the distal end region of the sheath and coupled to the shaft and to a snare loop.
摘要翻译：圈套装置及其使用方法。圈套装置可以包括具有近端区域，远端区域和可滑动地设置在其中的轴的护套。手柄可以联接到轴并且邻近近端区域设置。圈套装置还可以包括邻近护套的远端区域设置并连接到轴和圈套环的旋转件。

10. 发明授权

US07985214B2 Intravascular catheter with composite reinforcement 有权
标题翻译：血管内导管与复合增强
公开(公告)号：US07985214B2
公开(公告)日：2011-07-26
申请号：US11040018
申请日：2005-01-19
申请人： Robert J. Garabedian , John Griego , Earl Bardsley , Dean A. Schaefer , Cang D. Dao , Steven M. Anderson
发明人： Robert J. Garabedian , John Griego , Earl Bardsley , Dean A. Schaefer , Cang D. Dao , Steven M. Anderson
IPC分类号： A61M25/00
CPC分类号： A61M25/005 , A61M25/0053
摘要： An intravascular catheter that exhibits the combined features of superior flexibility, softness, radiopacity and oval/kink resistance. The catheter includes an elongate shaft having a proximal region, a distal region and a lumen extending therethrough. The proximal region of the shaft includes an inner lubricious polymer layer, a reinforcement layer and an outer layer. The reinforcement layer comprises a braid having one or more metallic members and a plurality of polymer members wherein each polymer member comprises a plurality of monofilaments, preferably formed of LCP. The polymer members of the braid provide improved flexibility and softness in addition to high burst pressure. The metallic member(s) of the braid provide improved radiopacity and oval/kink resistance. The catheter may also include a longitudinal member extending along the reinforcement layer.
摘要翻译：一种血管内导管，其具有优异的柔韧性，柔软性，不透射线性和椭圆形/扭结阻力的组合特征。导管包括细长轴，其具有近端区域，远侧区域和延伸穿过其中的内腔。轴的近侧区域包括内部光滑聚合物层，加强层和外层。加强层包括具有一个或多个金属构件和多个聚合物构件的编织物，其中每个聚合物构件包括多个单丝，优选由LCP形成。除了高爆裂压力之外，编织物的聚合物构件提供了改善的柔韧性和柔软性。编织物的金属构件提供了改善的射线不透性和椭圆形/扭结阻力。导管还可以包括沿加强层延伸的纵向构件。

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