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1. 发明申请

WO2005072445A2 APPARATUS AND METHOD FOR FACILITATING TREATMENT OF TISSUE VIA IMPROVED DELIVERY OF ENERGY BASED AND NON-ENERGY BASED MODALITIES 审中-公开
标题翻译：通过改进基于能源和非能源的模式的交付来促进组织治疗的装置和方法
公开(公告)号：WO2005072445A2
公开(公告)日：2005-08-11
申请号：PCT/US2005/003140
申请日：2005-01-28
申请人： NEOGUIDE SYSTEMS, INC. , BELSON, Amir , OHLINE, Matt
发明人： BELSON, Amir , OHLINE, Matt
IPC分类号： A61B1/005 , A61B1/05 , A61B1/31 , A61B17/00 , A61B18/02 , A61B18/14 , A61B18/22 , G02B23/24
CPC分类号： A61B1/0055 , A61B1/0051 , A61B1/0052 , A61B1/0053 , A61B1/0058 , A61B1/0125 , A61B1/018 , A61B1/05 , A61B1/31 , A61B18/02 , A61B18/1492 , A61B18/22 , A61B2017/00296 , A61B2017/003 , A61B2018/00351 , A61B2018/00446 , A61B2018/0212 , A61B2034/301 , G02B23/2469 , G02B23/2476 , G02B23/2484
摘要： Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by "straight-line" requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.
摘要翻译：本文公开了用于进入和处理身体区域的方法和装置。使用具有自动控制的近侧和可选择性可操纵的远端部分的内窥镜装置，该装置通常可以通过开口进入身体。远侧部分被选择性地转向以沿着主体内的期望路径呈现出选择的曲线，其避免与组织的接触，而近端部分被自动控制以呈现远端部分的选定曲线。然后可以使用内窥镜装置来访问身体的各个区域，这些区域通常难以通过常规手术技术进行治疗，因为该装置不受“直线”要求的约束。各种应用可以包括进入脑，胸腔的区域，包括心脏内的区域，腹膜腔等，其使用常规的外科手术难以达到。

2. 发明申请

WO2004049957A2 APPARATUS AND METHODS FOR MINIMALLY INVASIVE HARVESTING OF A VASCULAR CONDUIT 审中-公开
标题翻译：一种用于微型入口收集血管的装置和方法
公开(公告)号：WO2004049957A2
公开(公告)日：2004-06-17
申请号：PCT/US2003/038618
申请日：2003-12-04
申请人： OSIRO VASCULAR , BELSON, Amir , ANDERSON, Scott, C. , JULIAN, Christopher, A. , VAN BLADEL, Kevin, H. , OHLINE, Matt
发明人： BELSON, Amir , ANDERSON, Scott, C. , JULIAN, Christopher, A. , VAN BLADEL, Kevin, H. , OHLINE, Matt
IPC分类号： A61B17/00
CPC分类号： A61B17/00008 , A61B17/122 , A61B17/1285 , A61B17/320016 , A61B18/1442 , A61B2017/00969 , A61B2017/320044 , A61B2017/320048 , A61B2018/00404 , A61B2018/00601 , A61B2018/146 , A61B2090/306 , A61B2217/005
摘要： The vessel harvesting apparatus includes a balloon catheter, a coaxial cannula with a vessel dissecting and sidebranch separating mechanism and a visualization subsystem. The balloon catheter serves as a guide for the cannula to facilitate removal of the vessel. The balloon catheter is first inserted into the vessel to be removed and the balloon is inflated to hold the vessel. The cannula portion of the apparatus is positioned coaxially over the balloon catheter. The cannula is positioned around the outside of the vessel and can be independently rotated around the vessel. The cannula is advanced to separate the main vessel from the surrounding tissue. Optionally, the cannula may include a dissecting mechanism to assist in separating main vessel from the surrounding tissue. The cannula rotates, trapping sidebranches within its cutting jaws as the cannula moves forward around the outside of the vessel. The visualization subsystem is preferably positioned to view the cutting jaws to assure the physician that the jaws are indeed cutting the correct part of the vessel. The cannula applies a metal clip, a ligating suture and/or electrocautery to the sidebranch and severs it from the harvest vessel. The cannula moves down the entire length of the vessel using the balloon catheter as a guide. This light could indicate the location of the vein to the surgeon so only a tiny cut would need to be made to cut the distal part of the vein in order to free it. Procedure time is reduced dramatically due to the ease in finding and removing sidebranches from the harvest vessel.
摘要翻译：血管收集装置包括气囊导管，具有血管解剖和侧分支分离机构的同轴插管和可视化子系统。气囊导管用作插管的引导件以便于移除容器。首先将气囊导管插入容器中以将其移除并且使气囊膨胀以保持容器。装置的插管部分同轴地位于气囊导管上。套管围绕容器的外部定位，并且可以独立地围绕容器旋转。推进套管以将主容器与周围组织分开。任选地，套管可以包括解剖机构，以帮助将主容器与周围组织分离。套管旋转时，当套管沿着容器的外部向前移动时，将侧分支捕获在其切割爪内。可视化子系统优选地定位成观察切割钳口，以确保医生钳口确切地切割血管的正确部分。套管将金属夹子，结扎缝合线和/或电烙术施加到侧分支并从收获容器中切割。套管使用气囊导管作为引导件向下移动血管的整个长度。这种光可以指示静脉对外科医生的位置，因此只需要进行微小的切割以切割静脉的远端以便释放静脉。由于容易从收获容器中找到和去除侧分支，因此程序时间显着减少。

3. 发明公开

EP1748723A2 APPARATUS AND METHOD FOR FACILITATING TREATMENT OF TISSUE VIA IMPROVED DELIVERY OF ENERGY BASED AND NON-ENERGY BASED MODALITIES 有权转让
标题翻译：装置和方法，以促进组织的治疗上，不附带电源基地安排供应改善
公开(公告)号：EP1748723A2
公开(公告)日：2007-02-07
申请号：EP05712548.6
申请日：2005-01-28
申请人： NEOGUIDE SYSTEMS, INC.
发明人： BELSON, Amir , OHLINE, Matt
IPC分类号： A61B1/005
摘要： Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

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