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1. 发明申请

WO2006033671A2 ENDOSCOPIC SURGICAL ACCESS DEVICES AND METHODS OF ARTICULATING AN EXTERNAL ACCESSORY CHANNEL 审中-公开
标题翻译：内窥镜手术访问装置及其外部附件通道的方法
公开(公告)号：WO2006033671A2
公开(公告)日：2006-03-30
申请号：PCT/US2005/012874
申请日：2005-04-15
申请人： WILSON-COOK MEDICAL INC. , DEVIERRE, Jacques , KENNEDY, Kenneth, C., II
发明人： DEVIERRE, Jacques , KENNEDY, Kenneth, C., II
IPC分类号： A61B1/018 , A61B1/00
CPC分类号： A61B1/0014 , A61B1/00087 , A61B1/00098 , A61B1/00101 , A61B1/00128 , A61B1/018
摘要： Devices and methods for detachably engaging an insertion section of an endoscope and selectively articulating an endoscopic surgical access channel are provided. A device (10, 70, 80) comprises an articulating main body (30) having a stationary first body (31, 71, 81), an articulatable second body (32, 72, 82, 92, 112) and coupler (19) having a mounting member (37, 43, 77, 84) and an articulation link member (36, 44, 76, 78, 85) configured to articulatively couple the second body to the first body. The stationary first body has a distal end (31'), a proximal end (31"), and a first longitudinal axis (39). The articulatable second body has a proximal opening (34, 74, 84) and a distal opening (35, 75, 85) defining an accessory channel member passageway (33, 73, 83), the distal opening having a second longitudinal axis (38, 89) oriented toward a space exterior to the first body distal end, wherein the second body longitudinal axis is capable of articulating relative to the first body longitudinal axis. The devices and methods, as taught herein, provide control over the position and/or orientation of a diagnostic, monitoring, scope, sewing device, cutting device, suturing device, forceps, grabbing device, instrument, or other tool within the visual field beyond the distal opening of the endoscope.
摘要翻译：提供了用于可拆卸地接合内窥镜的插入部分并且选择性地关联内窥镜手术进入通道的装置和方法。一种装置（10,70,80）包括具有固定的第一主体（31,71,81），可铰接的第二主体（32,72,82,92,112）和联接器（19）的铰接主体（30）具有安装构件（37,43,77,84）和铰接连接构件（36,44,76,78,85），其构造成将所述第二主体铰接地联接到所述第一主体。所述固定的第一主体具有远端（31'），近端（31“）和第一纵向轴线（39），所述可铰接的第二主体具有近端开口（34,74,84）和远端开口限定附件通道构件通道（33,73,83），所述远端开口具有朝向所述第一身体远端外部的空间定向的第二纵向轴线（38,89），其中所述第二身体纵向如本文教导的装置和方法提供对诊断，监测，范围，缝合装置，切割装置，缝合装置，镊子等的位置和/或取向的控制，所述装置和方法能够相对于第一身体纵向轴线铰接。抓取装置，仪器或视野内的其它工具超出内窥镜的远端开口。

2. 发明申请

WO2008002417A3 IMPROVED HANDLE FOR LITHOTRIPSY BASKET DEVICE 审中-公开
公开(公告)号：WO2008002417A3
公开(公告)日：2008-01-03
申请号：PCT/US2007/014255
申请日：2007-06-19
申请人： WILSON-COOK MEDICAL INC. , KENNEDY, Kenneth, C., II
发明人： KENNEDY, Kenneth, C., II
IPC分类号： A61B17/22
摘要： A lithotriptor system and method configured to provide both direct compressive force and a compressive force with mechanical advantage by providing at least one lever mechanism.

3. 发明申请

WO2007095252A1 CATHETER APERTURE WITH ATTACHABLE STRUCTURE 审中-公开
标题翻译：具有连接结构的导管孔
公开(公告)号：WO2007095252A1
公开(公告)日：2007-08-23
申请号：PCT/US2007/003836
申请日：2007-02-12
申请人： WILSON-COOK MEDICAL INC. , KENNEDY, Kenneth, C., II
发明人： KENNEDY, Kenneth, C., II
IPC分类号： A61M25/00
CPC分类号： A61M25/0015 , A61M25/00 , A61M25/0029 , A61M25/0045 , A61M25/007 , A61M2025/0037 , A61M2025/018 , A61M2025/0183
摘要： An elongate catheter shaft (600) is provided, having a side port aperture (606) through a side wall of the catheter shaft between proximal and distal ends of the shaft. The side port aperture is open to a lumen (610) . Embodiments of the present invention are directed to attached structures (602) disposed in the side port aperture. The attached structures described herein are directed to biasing the catheter shaft in the region of a side port aperture in a straight or curved configuration that resists undesired flexure in the region of the side port aperture and to providing ease of wire guide passage .
摘要翻译：提供细长的导管轴（600），其具有通过导管轴的侧壁在轴的近端和远端之间的侧端口孔（606）。侧端口孔向开口（610）开口。本发明的实施例涉及设置在侧端口孔中的附接结构（602）。本文所述的附接结构旨在以直线或弯曲构造在侧端口孔的区域中偏压导管轴，以抵抗侧端口孔的区域中的不期望的弯曲并提供导线通道的容易性。

4. 发明申请

WO2006094044A1 ECHOGENIC MARKERS ON GI MEDICAL DEVICES 审中-公开
标题翻译：胃肠道医学设备的生物标志物
公开(公告)号：WO2006094044A1
公开(公告)日：2006-09-08
申请号：PCT/US2006/007240
申请日：2006-02-27
申请人： WILSON-COOK MEDICAL INC. , HARDIN, David , KENNEDY, Kenneth, C., II , RUCKER, Brian, K. , SKERVEN, Gregory, J.
发明人： HARDIN, David , KENNEDY, Kenneth, C., II , RUCKER, Brian, K. , SKERVEN, Gregory, J.
IPC分类号： A61B10/00 , A61B19/00 , A61B17/22 , A61B17/34
CPC分类号： A61B10/04 , A61B1/2736 , A61B8/0833 , A61B8/12 , A61B8/445 , A61B17/221 , A61B17/3478 , A61B2010/0216 , A61B2017/22042 , A61B2017/2212 , A61B2090/062 , A61B2090/3784 , A61B2090/3925
摘要： An endoscopic ultrasound-guided system and method for monitoring the location of a device contained within intraluminal and extraluminal regions of a patient is described. The endoscopic ultrasound-guided system includes a linear echoendoscope, a device, and a wire guide. The device and wire guide contain echogenic surfaces which enable transducers placed at the distal end of the linear echoendoscope to ultrasonically monitor the location of the devices. When the echogenic surface of the device encounters incident ultrasound waves emitted from a series of linear array transducers, a real-time ultrasonic image of the device is generated as the incident ultrasound waves reflect off the echogenic surfaces and propagate back towards the transducers. The surgeon receives the real-time ultrasonic image of the device and then can determine the location of the device within the intraluminal or extraluminal region of the patient. After determining the location of the device, the surgeon can adjust the path of the device to ensure it is guided to the target site.
摘要翻译：描述了内窥镜超声引导系统和用于监测包含在患者的腔内和腔外区域内的装置的位置的方法。内窥镜超声引导系统包括线性回声内窥镜，装置和线引导件。该装置和导线导轨包含回声表面，使得放置在线性回声内窥镜的远端处的换能器能够超声监视装置的位置。当设备的回波表面遇到从一系列线性阵列换能器发射的入射超声波时，随着入射超声波从回波表面反射并向换能器传播，产生该装置的实时超声波图像。外科医生接收设备的实时超声波图像，然后可以确定装置在患者的腔内或管腔内的位置。在确定设备的位置后，外科医生可以调整设备的路径，以确保其被引导到目标位置。

5. 发明申请

WO2006058123A3 SPHINCTEROTOME IMPROVEMENT 审中-公开
公开(公告)号：WO2006058123A3
公开(公告)日：2006-06-01
申请号：PCT/US2005/042542
申请日：2005-11-21
申请人： WILSON-COOK MEDICAL, INC. , KENNEDY, Kenneth, C., II
发明人： KENNEDY, Kenneth, C., II
IPC分类号： A61B18/14 , A61M25/01 , A61B17/00
摘要： A sphincterotome comprising a tensioning mechanism to adjust relative tension between a filament and shaft thereof. In one embodiment, the tensioning mechanism adjusts relative tension and or length at a connection of the sphincterotome handle assembly to one or both of the shaft and filament. In another embodiment, the tensioning mechanism adjusts relative tension and or length where it is disposed along the filament.

6. 发明申请

WO2009009474A1 BALLOON CATHETER WITH DEFLATION MECHANISM 审中-公开
标题翻译：带缺陷机构的气球导管
公开(公告)号：WO2009009474A1
公开(公告)日：2009-01-15
申请号：PCT/US2008/069306
申请日：2008-07-07
申请人： WILSON-COOK MEDICAL INC. , CARTER, Matthew, P. , KENNEDY, Kenneth, C., II
发明人： CARTER, Matthew, P. , KENNEDY, Kenneth, C., II
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/1025 , A61M25/1027 , A61M25/1034 , A61M2025/1004 , A61M2025/1052 , A61M2025/1061 , A61M2025/1093
摘要： A balloon catheter including an inflatable balloon affixed to a catheter. The proximal end of the balloon is fixedly connected to the distal end of the catheter, and the distal end of the balloon is supported by stiffening member that extends distally from the distal end of the catheter and through the interior of the balloon. The distal end of the catheter comprises one or more apertures that are in fluid communication with an inflation lumen extending through the catheter. A deflation mechanism is disposed about the stiffening member and is configured to facilitate the flow of an inflation fluid through the interior volume of the balloon and towards the aperture.
摘要翻译：气囊导管，其包括固定在导管上的可膨胀气囊。球囊的近端固定地连接到导管的远端，并且球囊的远端由从导管的远端向远端延伸并通过气囊内部的加强构件支撑。导管的远端包括与延伸穿过导管的充气腔流体连通的一个或多个孔。放气机构围绕加强构件设置，并且构造成便于充气流体流过气囊的内部空间并朝向孔径的流动。

7. 发明申请

WO2006062873A1 CATHETER APERTURE WITH RELATED STRUCTURES AND METHOD 审中-公开
标题翻译：具有相关结构和方法的导管孔
公开(公告)号：WO2006062873A1
公开(公告)日：2006-06-15
申请号：PCT/US2005/043846
申请日：2005-12-06
申请人： WILSON-COOK MEDICAL INC. , CARTER, Matthew, P. , KENNEDY, Kenneth, C., II , HALLER, Frederick, B. , HARDIN, David, M., Jr. , MATNEY, Cheri, L. , RUCKER, Brian, K. , WALLER, David, F. , DEVIERE, Jacques , CHILTON, Patricia, J.
发明人： CARTER, Matthew, P. , KENNEDY, Kenneth, C., II , HALLER, Frederick, B. , HARDIN, David, M., Jr. , MATNEY, Cheri, L. , RUCKER, Brian, K. , WALLER, David, F. , DEVIERE, Jacques , CHILTON, Patricia, J.
IPC分类号： A61M25/00
CPC分类号： A61M25/007 , A61M25/0015 , A61M25/0043 , A61M25/0052 , A61M2025/018 , A61M2025/0183
摘要： An elongate catheter shaft having a side port aperture through a side wall of the catheter shaft between proximal and distal ends of the shaft. The side port aperture is open to a lumen. Embodiments of the present invention are directed to stiffening structure disposed in the immediate vicinity of the side port aperture. The stiffening structures may be disposed on or be continuous with, for example, an exterior surface, an interior lumenal surface, within a wall of the catheter shaft, or some combination thereof. The stiffening structures described herein are directed to biasing the catheter shaft in the region of a side port aperture in a straight or curved configuration that resists undesired flexure in the region of the side port aperture.
摘要翻译：细长导管轴，其具有穿过导管轴的侧壁的侧端口孔，其在轴的近端和远端之间。侧端口孔向开口开口。本发明的实施例涉及设置在侧端口孔附近的加强结构。加强结构可以布置在例如导管轴的壁内的例如外表面，内腔表面或与其连接，或其一些组合。本文所述的加强结构旨在以直线或弯曲构造偏压侧端口孔区域中的导管轴，以抵抗侧端口孔的区域中的不期望的弯曲。

8. 发明申请

WO2006015323A3 CATHETER WITH SPLITTABLE WALL SHAFT AND PEEL TOOL 审中-公开
公开(公告)号：WO2006015323A3
公开(公告)日：2006-02-09
申请号：PCT/US2005/027286
申请日：2005-07-29
申请人： WILSON-COOK MEDICAL INC. , KENNEDY, Kenneth, C., II , CARTER, Matthew, P. , HALLER, Frederick, B. , HARDIN, David, M., Jr. , WALLER, David, F. , KARPIEL, John, A.
发明人： KENNEDY, Kenneth, C., II , CARTER, Matthew, P. , HALLER, Frederick, B. , HARDIN, David, M., Jr. , WALLER, David, F. , KARPIEL, John, A.
IPC分类号： A61M25/01 , A61M25/00 , A61M25/06
摘要： An apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft (212) having a wire guide lumen (214) extending there through, wherein the material (216) surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material (218). The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.

9. 发明申请

WO2009009472A1 BALLOON FOLDING CONTROL MECHANISM 审中-公开
标题翻译：气球折叠控制机构
公开(公告)号：WO2009009472A1
公开(公告)日：2009-01-15
申请号：PCT/US2008/069304
申请日：2008-07-07
申请人： WILSON-COOK MEDICAL INC. , CARTER, Matthew, P. , KENNEDY, Kenneth, C., II
发明人： CARTER, Matthew, P. , KENNEDY, Kenneth, C., II
IPC分类号： A61M25/10
CPC分类号： A61M25/10 , A61M25/1027 , A61M25/1029 , A61M25/1038 , A61M2025/1004 , A61M2025/1047 , A61M2025/1068 , A61M2025/1084 , A61M2025/1093
摘要： A balloon catheter (100) including an inflatable balloon affixed to a catheter. A stiffening member extends distally of the distal end of the catheter and forms a slip joint connection with the distal end of the balloon to permit the distal end of the balloon to axially move or translate relative to the distal end of the catheter. The slip joint allows the axial length of balloon to change during inflation or deflation without transferring tensile or compressive forces between the balloon and the catheter. A balloon folding control mechanism (130) is disposed about the portion of the stiffening member traversing the interior of the balloon, and is configured to promote refolding of the balloon into a predetermined and desired folding configuration upon deflation.
摘要翻译：气囊导管（100），其包括固定在导管上的可膨胀气囊。加强构件在导管的远端的远侧延伸并且与气囊的远端形成滑动关节连接，以允许气囊的远端相对于导管的远端轴向移动或平移。滑动关节允许气囊的轴向长度在充气或放气期间改变，而不会在气囊和导管之间传递拉伸或压缩力。气球折叠控制机构（130）围绕穿过气囊内部的加强构件的部分设置，并且被构造成在放气时促进气囊重折叠成预定和期望的折叠构型。

10. 发明申请

WO2006122019A2 INTRAGASTRIC DEVICE FOR TREATING OBESITY 审中-公开
标题翻译：用于治疗肥胖的内脏装置
公开(公告)号：WO2006122019A2
公开(公告)日：2006-11-16
申请号：PCT/US2006/017704
申请日：2006-05-08
申请人： WILSON-COOK MEDICAL, INC. , HASHIBA, Kiyoshi , JONES, Brian, K. , KENNEDY, Kenneth, C., II , SURTI, Vihar, C.
发明人： HASHIBA, Kiyoshi , JONES, Brian, K. , KENNEDY, Kenneth, C., II , SURTI, Vihar, C.
IPC分类号： A61F5/00
CPC分类号： A61F5/0036
摘要： An apparatus comprising an intragastric member re-configurable from a first configuration to a second configuration, the first configuration being sufficiently small to permit introduction of said intragastric member into a gastric lumen of a mammal, the second configuration being sufficiently large to prevent said intragastric device from passing through the mammal's pylorus, wherein said intragastric member comprises a plurality of spaced apart openings. The intragastric member comprises an elongate member having a proximal end and a distal end, wherein the elongate member is threaded through the openings of the intragastric member, and the intragastric member is disposed between the proximal end and the distal end of the elongate member. The apparatus also comprises a proximal stopper engaged to the distal end of the elongate member and a proximal stopper engaged to the proximal end of the elongate member for securing the intragastric member upon delivery into the gastric lumen of the patient. The elongate member can also comprise a cinching member to facilitate delivery of the intragastric member into the gastric lumen of the patient.
摘要翻译：一种包括可从第一配置重新配置到第二配置的胃内成员的装置，所述第一配置足够小以允许将所述胃内部件引入哺乳动物的胃腔，所述第二配置足够大以防止所述胃内装置通过哺乳动物的幽门，其中所述胃内构件包括多个间隔开的开口。胃内构件包括具有近端和远端的细长构件，其中细长构件穿过胃内构件的开口，并且胃内构件设置在细长构件的近端和远端之间。该装置还包括接合到细长构件的远端的近侧止动件和接合到细长构件的近端的近侧止动件，用于在输送到患者的胃腔中时固定胃内构件。细长构件还可以包括收紧构件以便于将胃内构件递送到患者的胃腔中。

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