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1. 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。

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

US20090326561A1 SURGICAL SUTURE ARRANGEMENT 有权
标题翻译：手术方案
公开(公告)号：US20090326561A1
公开(公告)日：2009-12-31
申请号：US12163255
申请日：2008-06-27
申请人： Kempton K. Carroll, II , James T. Spivey , Duane A. Linenkugel
发明人： Kempton K. Carroll, II , James T. Spivey , Duane A. Linenkugel
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0034 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/06052
摘要： A surgical instrument may comprise a shaft having proximal and distal ends defining an axis therebetween. The shaft may be flexible and sized for insertion into the working channel of a flexible endoscope. The shaft may be configured to be used in conjunction with various suture anchor applicators. One suture anchor applicator may have a first tube with a first channel and a tissue penetrating tip. The first channel may be adapted to retain a second tube. The second tube may have a second channel and a blunt tip. The second channel may be adapted to retain at least one suture anchor and may include an exit port adapted for ejecting suture anchors. An alternative suture anchor applicator may comprise a first tube and a second tube with a tissue penetrating tip. The second channel is adapted to retain at least one suture anchor.
摘要翻译：外科器械可以包括具有限定其间的轴线的近端和远端的轴。轴可以是柔性的并且尺寸适于插入到柔性内窥镜的工作通道中。轴可以被配置为与各种缝合锚固施加器结合使用。一个缝合锚定施加器可以具有带有第一通道和组织穿透尖端的第一管。第一通道可适于保持第二管。第二管可以具有第二通道和钝头。第二通道可以适于保持至少一个缝合锚，并且可以包括适于弹出缝线锚的出口。替代的缝合锚定施加器可以包括第一管和具有组织穿透尖端的第二管。第二通道适于保持至少一个缝合锚。

4. 发明授权

US08361112B2 Surgical suture arrangement 有权
标题翻译：手术缝合布置
公开(公告)号：US08361112B2
公开(公告)日：2013-01-29
申请号：US12163255
申请日：2008-06-27
申请人： Kempton K. Carroll, II , James T. Spivey , Duane A. Linenkugel
发明人： Kempton K. Carroll, II , James T. Spivey , Duane A. Linenkugel
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0034 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/06052
摘要： A surgical instrument may comprise a shaft having proximal and distal ends defining an axis therebetween. The shaft may be flexible and sized for insertion into the working channel of a flexible endoscope. The shaft may be configured to be used in conjunction with various suture anchor applicators. One suture anchor applicator may have a first tube with a first channel and a tissue penetrating tip. The first channel may be adapted to retain a second tube. The second tube may have a second channel and a blunt tip. The second channel may be adapted to retain at least one suture anchor and may include an exit port adapted for ejecting suture anchors. An alternative suture anchor applicator may comprise a first tube and a second tube with a tissue penetrating tip. The second channel is adapted to retain at least one suture anchor.
摘要翻译：外科器械可以包括具有限定其间的轴线的近端和远端的轴。轴可以是柔性的并且尺寸适于插入到柔性内窥镜的工作通道中。轴可以被配置为与各种缝合锚固施加器结合使用。一个缝合锚定施加器可以具有带有第一通道和组织穿透尖端的第一管。第一通道可适于保持第二管。第二管可以具有第二通道和钝头。第二通道可以适于保持至少一个缝合锚，并且可以包括适于弹出缝线锚的出口。替代的缝合锚定施加器可以包括第一管和具有组织穿透尖端的第二管。第二通道适于保持至少一个缝合锚。

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。

7. 发明申请

US20070270643A1 Lumen stabilizer for endoscopic mucosal resection 审中-公开
标题翻译：用于内窥镜粘膜切除的流明稳定剂
公开(公告)号：US20070270643A1
公开(公告)日：2007-11-22
申请号：US11438131
申请日：2006-05-19
申请人： Ifung Lu , Rudolph H. Nobis , Duane A. Linenkugel
发明人： Ifung Lu , Rudolph H. Nobis , Duane A. Linenkugel
IPC分类号： A61B1/00
CPC分类号： A61B17/0218 , A61B17/0206 , A61B2017/00269 , A61B2090/306 , A61B2090/3614
摘要： An endoscopic instrument having a lumen stabilizing feature, including a flexible shaft having a first distal end for insertion into the gastrointestinal tract of a patient, a plurality of arm housings disposed about the periphery of the distal end, a plurality of arms retained within the arm housings, wherein the arms may be extended from and retracted into the arm housings; and a finger connected to an arm, wherein the finger may be rotated with respect to a lateral axis of the arm. Lumen stabilizing accessories for flexible endoscopic instruments are also disclosed.
摘要翻译：一种具有内腔稳定特征的内窥镜器械，包括具有用于插入患者的胃肠道的第一远端的柔性轴，围绕远端的周边设置的多个臂壳体，保持在臂内的多个臂壳体，其中臂可以从臂壳体伸出并缩回到臂壳体中; 以及连接到臂的手指，其中手指可以相对于臂的横向轴线旋转。还公开了用于柔性内窥镜仪器的流明稳定附件。

8. 发明授权

US07850712B2 Self-shielding suture anchor 有权
标题翻译：自屏缝合锚
公开(公告)号：US07850712B2
公开(公告)日：2010-12-14
申请号：US11274352
申请日：2005-11-15
申请人： Sean P. Conlon , Duane A. Linenkugel
发明人： Sean P. Conlon , Duane A. Linenkugel
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0412 , A61B2017/0417 , A61B2017/0427 , A61B2017/0435 , A61B2017/0437 , A61B2017/0438 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/06052 , A61B2090/036
摘要： A self-shielding suture anchor is provided and includes a body having a proximal end and a distal end, the distal end including a penetrating tip. The suture anchor also includes a shielding element movable relative to the distal end between a shielding position, wherein the shielding element is distal to the penetrating tip, and a retracted position, wherein the shielding element is proximal to the penetrating tip. The suture anchor also includes a spring element operatively connected to the shielding element to bias the shielding element to the shielding position.
摘要翻译：提供自屏蔽缝合锚固件并且包括具有近端和远端的本体，所述远端包括穿透尖端。缝合锚固件还包括屏蔽元件，该屏蔽元件可在屏蔽位置（其中屏蔽元件远离穿透尖端）和缩回位置之间相对于远端移动，其中屏蔽元件靠近穿透尖端。缝合锚还包括可操作地连接到屏蔽元件以将屏蔽元件偏置到屏蔽位置的弹簧元件。

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