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1. 发明授权

US08728104B2 Devices and methods for fastening tissue layers 有权
标题翻译：用于固定组织层的装置和方法
公开(公告)号：US08728104B2
公开(公告)日：2014-05-20
申请号：US12907172
申请日：2010-10-19
申请人： Robert B DeVries , William J Shaw , Kristian DiMatteo , Gerhard F Buess , Daniel Kalanovic , Marc O Schurr , Roy H Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutileus , Paul DiCesare
发明人： Robert B DeVries , William J Shaw , Kristian DiMatteo , Gerhard F Buess , Daniel Kalanovic , Marc O Schurr , Roy H Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号： A61B17/08 , A61B1/00
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，所述组织紧固件构造成插入所述组织层中以将所述组织层保持在一起;以及紧固头用于将组织紧固件插入组织层中。

2. 发明申请

US20110124963A1 DEVICES AND METHODS FOR FASTENING TISSUE LAYERS 有权
标题翻译：用于紧固组织层的装置和方法
公开(公告)号：US20110124963A1
公开(公告)日：2011-05-26
申请号：US12907172
申请日：2010-10-19
申请人： Robert B. DEVRIES , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, JR. , John Griego , Patrick Gutileus , Paul DiCesare
发明人： Robert B. DEVRIES , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, JR. , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号： A61B1/018
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件，用于将组织紧固件插入组织层中。

3. 发明授权

US07837698B2 Devices and methods for fastening tissue layers 有权
标题翻译：用于固定组织层的装置和方法
公开(公告)号：US07837698B2
公开(公告)日：2010-11-23
申请号：US11471513
申请日：2006-06-21
申请人： Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
发明人： Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件，用于将组织紧固件插入组织层中。

4. 发明授权

US07083630B2 Devices and methods for fastening tissue layers 有权
标题翻译：用于固定组织层的装置和方法
公开(公告)号：US07083630B2
公开(公告)日：2006-08-01
申请号：US10230682
申请日：2002-08-29
申请人： Robert DeVries , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
发明人： Robert DeVries , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译：公开了用于紧固多个组织层的内窥镜装置和方法，例如内窥镜基底层手术。该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端，构造成用于靠近管状构件的远端定位并用于抓握所述多个组织层中的至少一个，联接到所述管状构件的远端的装置，用于将所述多个组织层折叠在一起的组织紧固件，被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件，用于将组织紧固件插入组织层中。

5. 发明申请

US20060241661A1 Devices and methods for fastening tissue layers 有权
公开(公告)号：US20060241661A1
公开(公告)日：2006-10-26
申请号：US11471513
申请日：2006-06-21
申请人： Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
发明人： Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号： A61B17/08
CPC分类号： A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要： Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

6. 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。

7. 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。

8. 发明申请

US20060206145A1 Medical device with deflecting shaft and related methods of manufacture and use 审中-公开
标题翻译：具有偏转轴的医疗装置及相关制造和使用方法
公开(公告)号：US20060206145A1
公开(公告)日：2006-09-14
申请号：US11429080
申请日：2006-05-08
申请人： John Griego , Matthew Whitney
发明人： John Griego , Matthew Whitney
IPC分类号： A61B17/00 , A61B1/00
CPC分类号： A61B10/04 , A61B10/06 , A61B17/29 , A61B2017/003 , A61B2017/00323 , A61B2017/2905 , Y10T29/49826
摘要： Various embodiments of a medical device having a deflecting shaft and related methods of manufacture and use are disclosed. For example, the device may include a proximal handle, a distal assembly for performing a medical procedure and a wire-coil connecting the proximal handle to the distal assembly, wherein actuation of the proximal handle may cause the distal assembly to perform the medical procedure. The wire coil may have a proximal portion comprised of a first wire and a distal portion comprised of a second wire. The second wire may have a diameter less than a diameter of the first wire so that the distal portion of the wire coil may have a flexibility greater than a flexibility of the proximal portion.
摘要翻译：公开了具有偏转轴的医疗装置和相关的制造和使用方法的各种实施例。例如，该装置可以包括近端手柄，用于执行医疗程序的远端组件和将近端手柄连接到远端组件的线圈，其中近侧手柄的致动可导致远端组件执行医疗过程。线圈可以具有包括第一线的近端部分和由第二线构成的远端部分。第二线可以具有小于第一线的直径的直径，使得线圈的远端部分可具有大于近端部分的柔性的柔性。

9. 发明申请

US20060064039A1 Lumen measurement devices and related methods 有权
标题翻译：流明测量装置及相关方法
公开(公告)号：US20060064039A1
公开(公告)日：2006-03-23
申请号：US10946287
申请日：2004-09-22
申请人： John Griego , Luis Maseda , David Yamartino
发明人： John Griego , Luis Maseda , David Yamartino
IPC分类号： A61B5/103 , A61B5/117
CPC分类号： A61B5/1076
摘要： Various embodiments of a measurement device used to measure a size of a lumen and related methods of use are disclosed. For example, the device may include a proximal handle, a distal member including a radially expandable portion, a control member connecting the proximal handle to the distal member, and a measurement indication member for displaying a value indicative of a size of the expandable portion. The radially expandable portion may be configured to expand from a contracted state to an expanded state to measure the size of a lumen.
摘要翻译：公开了用于测量管腔尺寸的测量装置和相关使用方法的各种实施例。例如，该装置可以包括近端手柄，包括径向可扩张部分的远端构件，将近端手柄连接到远端构件的控制构件以及用于显示指示可扩张部分的尺寸的值的测量指示构件。径向可膨胀部分可以被构造成从收缩状态膨胀到膨胀状态以测量管腔的尺寸。

10. 发明申请

US20050080451A1 Device with deflectable distal end and related methods of use 失效
标题翻译：具有偏转远端的装置及相关使用方法
公开(公告)号：US20050080451A1
公开(公告)日：2005-04-14
申请号：US10682197
申请日：2003-10-10
申请人： John Griego
发明人： John Griego
IPC分类号： A61B17/00 , A61B17/28
CPC分类号： A61B17/29 , A61B17/2909 , A61B2017/00269 , A61B2017/003 , A61B2017/2927 , A61B2017/2947
摘要： A deflecting method and deflecting apparatus allows the distal end of device, for example an endoscopic medical device, to be remotely and adjustably deflected from a straight configuration to a deflected configuration. Manipulating a proximal handle causes the deflection, controls actuation of an end effector assembly on the distal end, and straightens the deflecting apparatus back to its original configuration.
摘要翻译：偏转方法和偏转装置允许装置的远端，例如内窥镜医疗装置远程地和可调节地从直的构型偏转到偏转的构造。操纵近端手柄导致偏转，控制末端执行器组件在远端上的致动，并将偏转装置拉回其原始构型。

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