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1. 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。

2. 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。

3. 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。

4. 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。

5. 发明申请

US20090112063A1 Endoscopic overtubes 审中-公开
标题翻译：内窥镜超声波管
公开(公告)号：US20090112063A1
公开(公告)日：2009-04-30
申请号：US11981134
申请日：2007-10-31
申请人： Gregory J. Bakos , Ragae Ghabrial , David Stefanchik , Omar J. Vakharia
发明人： Gregory J. Bakos , Ragae Ghabrial , David Stefanchik , Omar J. Vakharia
IPC分类号： A61B1/01 , A61L2/00 , B65D69/00
CPC分类号： A61B1/00078 , A61B1/00135 , A61B1/0052
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a substantially flexible helically wound continuous member forming a series of helical coils that define a hollow passage sized to receive a portion of the endoscopic surgical instrument therethrough. The coils may be configured to selectively interlock with each other to stiffen the overtube. An actuation system may be employed to steer the overtube and selectively stiffen it. Some embodiments include a second substantially flexible helically wound member that may be selectively wound between the first substantially flexible helically wound member or segments thereof.
摘要翻译：用于内镜手术器械的外套管。在各种实施例中，外套管可以包括形成一系列螺旋线圈的基本上柔性的螺旋形缠绕的连续构件，所述螺旋线圈限定了尺寸适于容纳内窥镜手术器械的一部分的中空通道。线圈可以被配置为选择性地互锁以加强外套管。可以使用致动系统来引导外套管并选择性地加强它。一些实施例包括可以选择性地缠绕在第一基本上柔性的螺旋形缠绕构件或其段之间的第二基本柔性的螺旋缠绕构件。

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

US07815565B2 Endcap for use with an endoscope 有权
标题翻译：内窥镜使用的端盖
公开(公告)号：US07815565B2
公开(公告)日：2010-10-19
申请号：US10440956
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/04
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。

9. 发明申请

US20130085494A1 LAPAROSCOPIC DEVICE WITH THREE JAWS 有权
标题翻译：具有三个法律的LAPAROSCOPIC设备
公开(公告)号：US20130085494A1
公开(公告)日：2013-04-04
申请号：US13250272
申请日：2011-09-30
申请人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
发明人： William B. Weisenburgh, II , Gregory J. Bakos , Omar J. Vakharia , David Stefanchik
IPC分类号： A61B17/29 , A61B18/12
CPC分类号： A61B17/29 , A61B17/0469 , A61B17/062 , A61B18/085 , A61B18/1445 , A61B2017/2926 , A61B2017/2938 , A61B2017/2945
摘要： Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.
摘要翻译：使用具有可移动地联接到其上的三个钳口的端部执行器来提供方法和装置，以用于抓握和/或解剖组织。在一个实施例中，三个钳口中的每一个可以在三个钳口的远端彼此间隔开的打开位置和闭合位置之间移动，其中远端彼此直接接触。当夹爪处于关闭位置时，夹爪可以在其间限定开口。

10. 发明申请

US20110152609A1 USER INTERFACE SUPPORT DEVICES FOR ENDOSCOPIC SURGICAL INSTRUMENTS 有权
标题翻译：用于内窥镜手术器械的用户界面支持装置
公开(公告)号：US20110152609A1
公开(公告)日：2011-06-23
申请号：US12640469
申请日：2009-12-17
申请人： Robert M. Trusty , Omar J. Vakharia , Gregory J. Bakos
发明人： Robert M. Trusty , Omar J. Vakharia , Gregory J. Bakos
IPC分类号： A61B1/00
CPC分类号： A61B1/00149 , A61B1/00154 , A61B17/29 , A61B34/70 , A61B90/50 , A61B2017/003
摘要： An interface system for interfacing between at least one endoscopic surgical instrument and a cable-controlled guide tube system. Various embodiments may include a tool docking assembly that is supportable relative to the cable-controlled guide system. The tool docking assembly may comprise one or more tool docking stations for retainingly supporting at least one endoscopic surgical instrument for selective pivotal travel about transverse axes. The system may further include cable attachment arrangements for coupling steering cables from the guide tube assembly to the various tool docking stations.
摘要翻译：一种用于在至少一个内窥镜手术器械和电缆控制的导管系统之间进行接口的接口系统。各种实施例可以包括可相对于电缆控制的引导系统支撑的工具对接组件。工具对接组件可以包括一个或多个工具对接站，用于保持支撑至少一个内窥镜手术器械，用于围绕横向轴线的选择性枢转行进。该系统还可以包括用于将导向管组件的转向电缆耦合到各种工具对接站的电缆连接装置。

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