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1. 发明申请

WO2011081837A1 CLIP DEVICES AND SYSTEMS AND METHODS FOR DEPLOYMENT 审中-公开
标题翻译： CLIP设备和系统以及部署方法
公开(公告)号：WO2011081837A1
公开(公告)日：2011-07-07
申请号：PCT/US2010/059805
申请日：2010-12-10
申请人： WILSON-COOK MEDICAL INC. , MCLAWHORN, Tyler, E. , DUCHARME, Richard, W. , SURTI, Vihar, C. , MARTINEZ, Michelle, D.
发明人： MCLAWHORN, Tyler, E. , DUCHARME, Richard, W. , SURTI, Vihar, C. , MARTINEZ, Michelle, D.
IPC分类号： A61B17/122 , A61B17/128
CPC分类号： A61B17/1227 , A61B17/1285
摘要： The present embodiments provide clip devices, along with systems and methods for delivering and deploying the clip devices. An exemplary clip device (20) comprises inner (30) and outer (50) segments, and further has a delivery configuration, a tissue receiving configuration and a deployed configuration. A distal region (60) of the outer segment is movable with respect to a distal region (40) of the inner segment, thereby creating a spacing between the inner and outer segments for surrounding tissue in the tissue receiving configuration. The inner and outer segments may be biased to return to the deployed configuration, and may comprise generally identical shapes in the deployed configuration wherein the outer segment is proportionally larger than the inner segment. In one embodiment, the inner and outer segments each comprise "V" shapes in the unbiased state. Various delivery systems and methods are provided for delivering and deploying the clip devices disclosed.
摘要翻译：本实施例提供剪辑装置以及用于传送和展开剪辑装置的系统和方法。示例性夹持装置（20）包括内部（30）和外部（50）段，并且还具有传送构造，组织接收构造和展开配置。外部段的远端区域（60）可相对于内部区段的远侧区域（40）移动，由此在内部和外部区段之间产生间隔，以在组织接收构型中包围组织。内部和外部段可以被偏置以返回到展开构造，并且在展开构造中可以包括大体上相同的形状，其中外部段成比例地大于内部段。在一个实施例中，内部和外部部分各自包括处于无偏压状态的“V”形。提供各种递送系统和方法用于递送和展开所公开的剪辑装置。

2. 发明申请

WO2010151382A1 LINEAR CLAMPS FOR ANASTOMOSIS 审中-公开
标题翻译：线粒体用于分析
公开(公告)号：WO2010151382A1
公开(公告)日：2010-12-29
申请号：PCT/US2010/034690
申请日：2010-05-13
申请人： WILSON-COOK MEDICAL INC. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , DUCHARME, Richard, W.
发明人： SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , DUCHARME, Richard, W.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/00004 , A61B2017/1139
摘要： The present embodiments provide apparatuses, systems, and methods for rapidly-forming an anastomosis between two viscera, or otherwise connecting two openings in two layers of material. The medical apparatus (18) generally comprises two bases (20, 22) with two clamp members (27, 28) rotatably attached to the bases, the clamp members being capable of compressing tissue. The system generally comprises positioning and then deploying the medical apparatus between and within two stomas via an elongate member. The method generally comprises using an apparatus to connect two openings in two layers of material.
摘要翻译：本实施例提供用于快速形成两个内脏之间的吻合或以其他方式连接两层材料中的两个开口的装置，系统和方法。医疗设备（18）通常包括两个基座（20,22），其具有可旋转地附接到基座的两个夹紧构件（27,28），夹紧构件能够压缩组织。该系统通常包括通过细长构件定位并且然后在两个口腔内部和之间部署医疗装置。该方法通常包括使用装置来连接两层材料中的两个开口。

3. 发明申请

WO2011049795A1 BALLOON-TIPPED ENDOSCOPIC SYSTEM WITH INVERTED SLEEVE 审中-公开
标题翻译：带倒角套筒的气囊内窥镜系统
公开(公告)号：WO2011049795A1
公开(公告)日：2011-04-28
申请号：PCT/US2010/052444
申请日：2010-10-13
申请人： WILSON-COOK MEDICAL INC. , DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
发明人： DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
IPC分类号： A61B17/12 , A61B17/00 , A61B19/00 , A61M25/10
CPC分类号： A61F2/95 , A61B90/40 , A61B2017/00278 , A61F2/958 , A61F2/966 , A61F2002/0072 , A61F2002/9665
摘要： Multi-luminal endoscopic systems for sterilely delivering deployable devices. The system comprises an outer catheter comprising a distal portion and a wall that encloses an outer lumen; an inner catheter movably disposed within the outer lumen and having an inner lumen; a balloon-tipped catheter movably disposed within the inner lumen and having a distal portion and a proximal portion, wherein the distal portion of the balloon- tipped catheter comprises a balloon; a deployable device within the outer lumen; an invertible sleeve within the outer lumen with a first section attached to the distal portion of the outer catheter and a second section attached to a push mechanism that is proximal to the deployable device; and wherein the balloon is expandable to contact the invertible sleeve to provide a seal to prevent bodily fluids from entering the outer lumen.
摘要翻译：用于无菌递送可部署设备的多腔内窥镜系统。该系统包括外导管，其包括远侧部分和封闭外腔的壁; 可移动地设置在所述外腔内并具有内腔的内导管; 可移动地设置在所述内腔内并且具有远端部分和近端部分的球囊状导管，其中所述球囊导管的远端部分包括气囊; 外腔内的可部署装置; 所述外腔内的可逆套筒具有附接到所述外导管的远端部分的第一部分和附接到靠近所述可展开装置的推动机构的第二部分; 并且其中所述气囊可扩张以接触所述可逆套筒以提供密封以防止体液进入所述外腔。

4. 发明申请

WO2011075380A1 SYSTEM AND METHOD FOR FIDUCIAL DEPLOYMENT 审中-公开
标题翻译：系统和方法用于制造部署
公开(公告)号：WO2011075380A1
公开(公告)日：2011-06-23
申请号：PCT/US2010/059641
申请日：2010-12-09
申请人： WILSON-COOK MEDICAL INC. , COOK IRELAND LIMITED , DUCHARME, Richard, W. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , SKELTON, Eugene, E. , BRUGGEMAN, Martin, J.
发明人： DUCHARME, Richard, W. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E. , SKELTON, Eugene, E. , BRUGGEMAN, Martin, J.
IPC分类号： A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3468 , A61B17/3478 , A61B90/39 , A61B2017/0034 , A61B2090/062 , A61B2090/0811 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069
摘要： Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial (400) may include one or more protuberances configured to engage one or more slots in a needle (1614) of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages. The handle may include structures (1676) configured for incrementally or otherwise controlledly deploying one or more fiducials by advancing a stylet through and/or retracting the body of a needle in which fiducials are disposed.
摘要翻译：实施例包括具有被配置为用于致动其的手柄的基准部署系统。基准（400）可以包括被配置为接合系统的针（1614）中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施方案中，基准的回声放置可能具有某些优点。手柄可以包括构造成通过使探针穿过其中设置有基准的针的身体和/或缩回其中的基部的主体而逐渐地或以其他方式可控地展开一个或多个基准的结构（1676）。

5. 发明申请

WO2011053645A1 APPARATUS FOR MAINTAINING A FORCE UPON TISSUE USING A LOOP MEMBER 审中-公开
标题翻译：使用循环会员维护强力组织的装置
公开(公告)号：WO2011053645A1
公开(公告)日：2011-05-05
申请号：PCT/US2010/054284
申请日：2010-10-27
申请人： WILSON-COOK MEDICAL INC. , BINMOELLER, M.D., Kenneth , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
发明人： BINMOELLER, M.D., Kenneth , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
IPC分类号： A61B17/04 , A61B17/12 , A61B17/3205
CPC分类号： A61B17/32056 , A61B17/0487 , A61B17/12013 , A61B17/1285 , A61B2017/0488 , A61B2017/12004 , A61B2017/320064
摘要： The present embodiments provide apparatus and methods for treating tissue by applying a force to the tissue. In one embodiment, the apparatus comprises a deployable segment having proximal and distal regions, a main body extending therebetween, and a loop member formed at the distal region of the deployable segment. A cannula having a bore is dimensioned to circumferentially surround at least a portion of the main body at a location proximal to the loop member, and a spring member is disposed between the cannula and the loop member. The proximal end of the spring member is affixed to the cannula, and the distal end of the spring member is movable to apply a compressive force to adjust the size of the opening of the loop member and compress tissue disposed within the opening of the loop member. In an alternative embodiment, the cannula is omitted, and a diameter of the loop member is configured to be reduced and increased any number of times before final deployment of the deployable segment.
摘要翻译：本实施例提供了通过向组织施加力来治疗组织的装置和方法。在一个实施例中，该装置包括具有近端区域和远侧区域的可展开区段，其间延伸的主体以及形成在可部署区段的远侧区域处的环构件。具有孔的套管的尺寸被设计成在靠近环构件的位置周向围绕主体的至少一部分，并且弹簧构件设置在套管和环构件之间。弹簧构件的近端固定到套管上，并且弹簧构件的远端可移动以施加压缩力以调节环构件的开口的尺寸并压缩设置在环构件的开口内的组织。在替代实施例中，省略套管，并且环形构件的直径被配置为在最终部署可展开段之前减少并增加任何次数。

6. 发明申请

WO2012030508A1 ABLATION OVERTUBE 审中-公开
标题翻译：消除超越
公开(公告)号：WO2012030508A1
公开(公告)日：2012-03-08
申请号：PCT/US2011/047708
申请日：2011-08-15
申请人： COOK MEDICAL TECHNOLOGIES LLC , DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
发明人： DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
IPC分类号： A61B1/012 , A61B1/273 , A61B18/14 , A61B1/00
CPC分类号： A61B18/1492 , A61B1/00135 , A61B1/012 , A61B1/2736 , A61B18/1206 , A61B2018/00196 , A61B2018/00291 , A61B2018/00577 , A61B2018/126 , A61B2018/1437 , A61B2018/1472 , A61B2018/1475 , A61B2018/1495
摘要： An energy delivery system and a method of delivering energy to a tissue are provided. The energy delivery system includes an overtube. The overtube includes a body having a proximal portion, a distal portion and a lumen extending at least partially therethrough. The proximal portion is adapted to be positioned over a distal portion of an endoscope. The body also includes a first plurality of openings formed in the body and connected to the lumen and an electrode operably connected to the body and extending over at least a portion of a surface of the body. The lumen is operably connectable to a vacuum source and the electrode is operably connectable to a power source.
摘要翻译：提供能量输送系统和向组织递送能量的方法。能量输送系统包括一个外套管。外套管包括具有近端部分，远侧部分和至少部分延伸穿过其的内腔的主体。近端部分适于定位在内窥镜的远侧部分上方。主体还包括形成在主体中并连接到内腔的第一多个开口和可操作地连接到主体并且在主体的表面的至少一部分上延伸的电极。管腔可操作地连接到真空源并且电极可操作地连接到电源。

7. 发明申请

WO2013028425A1 ABLATION CAP 审中-公开
标题翻译：扣除帽
公开(公告)号：WO2013028425A1
公开(公告)日：2013-02-28
申请号：PCT/US2012/050899
申请日：2012-08-15
申请人： COOK MEDICAL TECHNOLOGIES LLC , BINMOELLER, Kenneth , DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
发明人： BINMOELLER, Kenneth , DUCHARME, Richard, W. , MCLAWHORN, Tyler, E. , SURTI, Vihar, C.
IPC分类号： A61B18/14 , A61B1/00
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/00089 , A61B1/00101 , A61B1/00131 , A61B2017/00296 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2090/3983
摘要： An ablation cap and a method of delivering energy to a tissue are provided. An ablation cap includes a tubular body having a proximal portion, a distal portion, a lumen extending therethrough. The ablation cap also includes a cover portion covering a portion of the tubular body, the covering portion having a region at least partially spaced apart from the tubular body and an electrode portion movably positionable relative to the cover portion. The electrode portion has a covered position where the electrode portion is positioned within the cover portion and an exposed position where the electrode portion is exposed relative to the cover portion. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.
摘要翻译：提供消融盖和向组织递送能量的方法。消融盖包括具有近端部分，远侧部分，延伸穿过其中的内腔的管状体。消融盖还包括覆盖管状体的一部分的覆盖部分，覆盖部分具有至少部分地与管状体间隔开的区域和相对于盖部分可移动地定位的电极部分。电极部分具有覆盖位置，其中电极部分位于盖部分内，并且电极部分相对于盖部分露出的暴露位置。本体的近端部分的尺寸和形状适于装配在内窥镜的远端上，并且主体的远端部分延伸到内窥镜远端的远端。

8. 发明申请

WO2011123486A1 REMOVABLE MEDICAL DEVICE HAVING AT LEAST ONE PATCH MEMBER 审中-公开
标题翻译：具有至少一个配对会员的可拆卸医疗设备
公开(公告)号：WO2011123486A1
公开(公告)日：2011-10-06
申请号：PCT/US2011/030421
申请日：2011-03-30
申请人： DUCHARME, Richard, W. , MARTINEZ, Michelle, D. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E.
发明人： DUCHARME, Richard, W. , MARTINEZ, Michelle, D. , SURTI, Vihar, C. , MCLAWHORN, Tyler, E.
IPC分类号： A61F2/06
CPC分类号： A61F2/07 , A61B17/0057 , A61B2017/00292 , A61B2017/00597 , A61B2017/00659 , A61F2/89 , A61F2002/075 , A61F2002/9528 , A61F2230/0067
摘要： The present embodiments provide a removable medical device (20), comprising a sleeve (30) having proximal and distal ends and a lumen extending therebetween. At least one support member (50) having an expanded deployed configuration is coupled to the sleeve using at least one permanent connector. A patch member (90) comprising a resorbable material is coupled to at least a portion of an outer surface of the sleeve using at least one temporary connector (86). In use, when the support member is in the expanded deployed configuration, at least a portion of the patch member contacts the target site and fluid flows through the lumen of the sleeve. In a separate procedure, a retrieval member is operable to facilitate removal of the sleeve and support member while leaving the patch member disposed within the bodily passageway.
摘要翻译：本实施例提供一种可拆卸的医疗装置（20），其包括具有近端和远端的套筒（30）和在其间延伸的内腔。具有扩展展开构型的至少一个支撑构件（50）使用至少一个永久连接器联接到套筒。包括可再吸收材料的贴片构件（90）使用至少一个临时连接器（86）联接到套筒的外表面的至少一部分。在使用中，当支撑构件处于扩展展开构型时，补片构件的至少一部分接触目标部位，并且流体流过套管的内腔。在单独的过程中，取回构件可操作以便于在离开配置在身体通道内的贴片构件时移除套筒和支撑构件。

9. 发明申请

WO2010078077A1 BALLOON-TIPPED ENDOSCOPIC SYSTEM 审中-公开
标题翻译：气管内窥镜系统
公开(公告)号：WO2010078077A1
公开(公告)日：2010-07-08
申请号：PCT/US2009/068728
申请日：2009-12-18
申请人： WILSON-COOK MEDICAL INC. , DUCHARME, Richard, W. , MCLAWHORN, Tyler, E.
发明人： DUCHARME, Richard, W. , MCLAWHORN, Tyler, E.
IPC分类号： A61M25/10 , A61B17/12 , A61B18/14 , A61B1/12 , A61F2/84 , A61F2/00 , A61D1/00
CPC分类号： A61M25/10 , A61B18/1492 , A61B2018/00214 , A61F2/95 , A61F2/958 , A61F2/966 , A61F2002/9665 , A61M25/1002 , A61M2025/1052 , A61M2025/1081
摘要： Multi-luminal endoscopic systems (10) for sterilely delivering deployable devices (30) or obtaining bodily tissues. The system comprise an outer catheter (24) comprising a wall that encloses an outer lumen (5); an inner catheter (20) movably disposed within the outer lumen and having an inner lumen (7); a balloon-tipped catheter (26) movably disposed within the inner lumen and having a distal end and a proximal end, wherein the distal end of the balloon- tipped catheter comprises a balloon tip (15) that can be expanded to contact the wall of the outer catheter to provide a seal to prevent bodily fluids from entering the outer lumen; and a push catheter having a lumen and is located within the outer lumen. The delivery systems can comprise concentric catheters. Systems used for tissue collecting can comprise catheters with different common center.
摘要翻译：用于无菌递送部署装置（30）或获得身体组织的多腔内窥镜系统（10）。该系统包括外导管（24），其包括围绕外腔（5）的壁; 可移动地设置在所述外腔内并具有内腔（7）的内导管（20）; 可移动地设置在所述内腔内且具有远端和近端的球囊状导管（26），其中所述球囊导管的远端包括球囊末端（15），其可以被扩张以接触所述外导管提供密封以防止体液进入所述外腔; 以及具有内腔并位于外腔内的推动导管。递送系统可以包括同心导管。用于组织收集的系统可以包括具有不同公共中心的导管。

10. 发明申请

WO2010077608A1 APPARATUS AND METHODS FOR CONTROLLED RELEASE OF TACKING DEVICES 审中-公开
标题翻译：用于控制释放装置的装置和方法
公开(公告)号：WO2010077608A1
公开(公告)日：2010-07-08
申请号：PCT/US2009/066992
申请日：2009-12-07
申请人： WILSON-COOK MEDICAL INC. , MCLAWHORN, Tyler, E.
发明人： MCLAWHORN, Tyler, E.
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0057 , A61B2017/00862 , A61B2017/00867 , A61B2017/0411 , A61B2017/0412 , A61B2017/0414 , A61B2017/0437 , A61B2017/0464 , A61B2017/06052 , A61B2017/0641
摘要： The present embodiments provide a tacking device for engaging tissue, which may be useful for facilitating closure of a bodily opening. The tacking device comprises a main body having proximal and distal ends, and at least one distal deployable member having contracted and expanded states that extends distally from the distal end of the main body. In use, after the distal deployable members have been at least partially expanded at a preliminary location, the distal deployable members may be contracted to permit repositioning at a different, final location. In one exemplary method, at least two tacking devices may be deployed to at least partially surround an opening in tissue, and a suture coupled to the first and second tacking devices may be actuated to facilitate closure of the opening.
摘要翻译：本实施例提供了用于接合组织的固定装置，其可有助于关闭身体开口。固定装置包括具有近端和远端的主体，以及具有从主体的远端向远侧延伸的收缩和膨胀状态的至少一个远端展开构件。在使用中，在可远程展开的构件已经在初步位置处至少部分地扩展之后，可远端展开的构件可以收缩以允许在不同的最终位置处的重新定位。在一个示例性方法中，可以部署至少两个固定装置以至少部分地围绕组织中的开口，并且可以致动联接到第一和第二固定装置的缝合线以便于关闭开口。

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