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31. 发明申请

US20100087813A1 ELECTROPORATION ABLATION APPARATUS, SYSTEM, AND METHOD 有权
标题翻译：电气化装置，系统和方法
公开(公告)号：US20100087813A1
公开(公告)日：2010-04-08
申请号：US12635298
申请日：2009-12-10
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/14 , A61B1/018
CPC分类号： A61B18/1492 , A61B1/018 , A61B1/04 , A61B1/06 , A61B18/1482 , A61B2018/00482 , A61B2018/00577 , A61B2018/00613 , A61N1/306 , A61N1/327
摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member comprising first and second channels. First and second probes are disposed within the respective first and second channels, where the first and second probes each define a central axis. First and second electrodes are coupled to distal ends of the respective first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the central axis of the at least one of the first and second probes.
摘要翻译：诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。消融装置包括包括第一和第二通道的细长构件。第一和第二探针设置在相应的第一和第二通道内，其中第一和第二探针各自限定中心轴线。第一和第二电极耦合到相应的第一和第二探针的远端。通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的中心轴线旋转来调节第一和第二电极之间的距离。

32. 发明申请

US20090299362A1 ELECTRICAL ABLATION DEVICE 有权
标题翻译：电气装置
公开(公告)号：US20090299362A1
公开(公告)日：2009-12-03
申请号：US12130010
申请日：2008-05-30
申请人： Gary L. Long , Andrew M. Zwolinski
发明人： Gary L. Long , Andrew M. Zwolinski
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1492 , A61B18/1445 , A61B2017/2215 , A61B2017/2945 , A61B2018/00601 , A61B2018/1213 , A61B2018/1422 , A61B2018/1432 , A61B2018/1475
摘要： An electrical ablation apparatus includes a housing extending along a longitudinal axis. A first electrode and a second electrode are disposed within the housing. The electrodes are configured to connect to electrically conductive wires. The first and second electrodes are separated by a gap. The second electrode includes first and second prongs defining an opening suitable to receive tissue to be ablated therebetween. When the first and second electrodes are energized at a predetermined energy level, an electric current suitable to ablate the tissue flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue. A system includes an energy source to drive the electrical ablation apparatus. A method includes introducing the electrical ablation apparatus into a patient and ablating tissue with the electric arc.
摘要翻译：电切除装置包括沿着纵向轴线延伸的壳体。第一电极和第二电极设置在壳体内。电极被配置成连接到导电线。第一和第二电极被间隙隔开。第二电极包括限定适于接收要在其间被烧蚀的组织的开口的第一和第二插脚。当第一和第二电极以预定能量级供电时，适于消融组织的电流流过间隙，并在第一电极的远端和组织之间形成电弧。一种系统包括用于驱动电消融装置的能量源。一种方法包括将电消融装置引入患者并用电弧消融组织。

33. 发明授权

US07556627B2 Mucosal ablation device 有权
标题翻译：粘膜消融装置
公开(公告)号：US07556627B2
公开(公告)日：2009-07-07
申请号：US10939726
申请日：2004-09-13
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/18
CPC分类号： A61B18/1477 , A61B18/1492 , A61B2018/00291 , A61B2018/00482
摘要： A medical device for performing a therapeutic procedure on a patient. The device includes a body that is sized and shaped to engage a working end of an endoscope. The body has a recess therein. The device also includes an electrode positioned on the body and communicative with an energy source for delivering energy to the electrode when performing the Therapeutic procedure on the patient. The device further includes an infection needle positioned in the recess and communicative with a fluid source for delivering fluid to the needle when performing the therapeutic procedure on the patient.
摘要翻译：一种用于对患者执行治疗程序的医疗装置。该装置包括尺寸和形状以接合内窥镜的工作端的主体。身体内有凹槽。该装置还包括位于身体上并与能量源通信的电极，用于在对患者执行治疗过程时将能量传递到电极。该装置还包括定位在凹槽中并与流体源连通的感染针，用于在对患者执行治疗过程时将流体输送到针。

34. 发明申请

US20090131932A1 Bipolar forceps having a cutting element 有权
标题翻译：具有切割元件的双极镊子
公开(公告)号：US20090131932A1
公开(公告)日：2009-05-21
申请号：US11986489
申请日：2007-11-21
申请人： Omar J. Vakharia , Gary L. Long , Kurt R. Bally , Andrew M. Zwolinski
发明人： Omar J. Vakharia , Gary L. Long , Kurt R. Bally , Andrew M. Zwolinski
IPC分类号： A61B18/14 , A61L2/00
CPC分类号： A61L2/08 , A61B18/1445 , A61B2018/1412 , A61B2018/1455 , A61L2/07 , A61L2/206
摘要： In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel.
摘要翻译：在各种手术技术中，可以使用双极镊子将容器密封在两个位置，使得容器可以在位于两个密封位置之间的位置切开。双极镊子可以包括切割元件，该切割元件可配置成切割血管。在各种实施例中，切割元件可以包括相对于容器移动的尖锐边缘。在至少一个实施例中，切割元件可以电连接到能量源。双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极，其中至少一个钳口构件可以包括基本上锥形的轮廓，并且可以构造成将容器拉离周围的软组织。这种钳口构件可以包括构造成夹持软组织和/或血管的脊，齿和/或织构化的外表面。

35. 发明申请

US20090062788A1 Electrical ablation surgical instruments 审中-公开
标题翻译：电消融手术器械
公开(公告)号：US20090062788A1
公开(公告)日：2009-03-05
申请号：US11897676
申请日：2007-08-31
申请人： Gary L. Long , Omer J. Vakharia , David N. Plescia
发明人： Gary L. Long , Omer J. Vakharia , David N. Plescia
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/14 , A61B18/1445 , A61B18/148 , A61B2018/00333 , A61B2018/00398 , A61B2018/1266 , A61B2018/1425 , A61B2018/1475
摘要： A surgical instrument includes an ablation device. The ablation device includes an elongated flexible member having a proximal end and a distal end. The flexible member includes first and second lumens. A first needle electrode is configured to slideably move within the first lumen. A second needle electrode is located within the second lumen. The first and second needle electrodes are adapted to couple to an electrical waveform generator and to receive an electrical waveform sufficient to electrically ablate tissue located between the first and second needle electrodes.
摘要翻译：手术器械包括消融装置。消融装置包括具有近端和远端的细长柔性构件。柔性构件包括第一和第二腔。第一针电极构造成在第一管腔内可滑动地移动。第二针电极位于第二管腔内。第一和第二针电极适于耦合到电波形发生器并且接收足以电消除位于第一和第二针状电极之间的组织的电波形。

36. 发明申请

US20090021818A1 MEDICAL SCANNING ASSEMBLY WITH VARIABLE IMAGE CAPTURE AND DISPLAY 审中-公开
标题翻译：医疗扫描装置与可变图像捕获和显示
公开(公告)号：US20090021818A1
公开(公告)日：2009-01-22
申请号：US11780950
申请日：2007-07-20
申请人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
发明人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
IPC分类号： G02B26/08 , H04N3/08
CPC分类号： G02B26/105 , A61B1/00096 , A61B1/00172 , A61B1/0019 , A61B5/0062 , A61B5/0084 , A61B5/7207 , H04N5/2256
摘要： A scanned beam imaging system including a housing suitable for insertion into a body and a radiation source configured to direct a beam of radiation into or through the housing and onto an area within the body. The scanned beam imaging system further includes an adjustable element inside the housing and positioned to reflect the beam of radiation or to receive the beam of radiation therethrough, wherein the adjustable element is physically adjustable to vary a property of the beam of radiation that is reflected thereby or received therethrough. The scanned beam imaging system further includes a collector configured to receive radiation returned from the area within the body.
摘要翻译：一种扫描光束成像系统，包括适于插入体内的壳体和被配置成将辐射束引导入或穿过壳体并进入体内的区域的辐射源。扫描光束成像系统还包括壳体内部的可调节元件并且被定位成反射辐射束或者接收通过其的辐射束，其中可调节元件物理上可调节以改变由此反射的辐射束的特性或通过其接收。扫描光束成像系统还包括收集器，其被配置为接收从身体内的区域返回的辐射。

37. 发明申请

US20080294009A1 MUCOSAL TISSUE ILLUMINATOR AND METHOD FOR USE 失效
标题翻译：粘膜组织照射器和使用方法
公开(公告)号：US20080294009A1
公开(公告)日：2008-11-27
申请号：US11752536
申请日：2007-05-23
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B1/06
CPC分类号： A61B5/489 , A61B1/313 , A61B5/0084 , A61B5/4238
摘要： An illuminating system scatters light into the mucosal lining of the stomach adjacent to an ulcerated area, an area containing a lesion, or ather area of interest. A light detector positioned on the opposite side of the area of interest uses detected light patterns to identify the location of circulatory structures beneath the mucosal lining adjacent to the area of interest.
摘要翻译：照明系统将光分散到与溃疡区域相邻的胃的粘膜内，包含病变的区域或感兴趣的区域。位于感兴趣区域相对侧的光检测器使用检测到的光图案来识别邻近感兴趣区域的粘膜下面的循环结构的位置。

38. 发明授权

US07288074B2 Guide wire structure for insertion into an internal space 有权
标题翻译：引导线结构插入内部空间
公开(公告)号：US07288074B2
公开(公告)日：2007-10-30
申请号：US10409270
申请日：2003-04-08
申请人： Paul Christopher Swain , Gary L. Long
发明人： Paul Christopher Swain , Gary L. Long
IPC分类号： A61B5/00 , A61M25/00
CPC分类号： A61M25/09025 , A61B1/31 , A61B2017/003 , A61M25/09 , A61M2025/09133 , A61M2025/09175
摘要： A method is described of inserting guide wires into a lumen, for example into the human gastrointestinal tract. A guide wire structure is employed which comprises at least two guide wires each having a leading end portion which terminates in a leading end, the guide wires being connected to one another by a junction at or adjacent their leading ends, the guide wires have a first position in which the leading end portions are substantially parallel to one another, a second position in which the leading end portions are curved, and a third position in which at least one of the leading end portions forms a loop. The guide wire structure is steered through the gastrointestinal tract by selectively advancing or retracting a single guide wire or advancing more than one guide wire simultaneously, according to the path which is required to be followed.
摘要翻译：描述了将引导线插入管腔，例如插入人胃肠道中的方法。引导线结构包括至少两条引导线，每条引导线的前端部终止于前端，引导线通过其前端处或相邻的连接处彼此连接，引导线具有第一前端部基本上彼此平行的位置，前端部弯曲的第二位置和至少一个前端部形成环状的第三位置。根据需要遵循的路径，引导线结构通过选择性地前进或后退单根导丝或同时推进多根导丝而转向胃肠道。

39. 发明授权

US07097644B2 Medical device with improved wall construction 有权
公开(公告)号：US07097644B2
公开(公告)日：2006-08-29
申请号：US10394285
申请日：2003-03-21
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00269 , A61B2017/00296 , A61B2018/00291 , A61B2018/00482 , A61B2018/00488 , A61B2018/00494 , A61B2018/00982 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61B2090/3614
摘要： A medical device having a laminate elongate hollow member is disclosed. The laminate member provides torsional stiffness for controlling positioning of the distal end of the device, and provides bending flexibility for assisting in insertion of the device in the patient's esophagus or other body lumen.

40. 发明授权

US06918906B2 Endoscopic ablation system with improved electrode geometry 有权
标题翻译：内镜消融系统具有改善的电极几何形状
公开(公告)号：US06918906B2
公开(公告)日：2005-07-19
申请号：US10105722
申请日：2002-03-25
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/12 , A61B1/00 , A61B18/00 , A61B18/14 , A61B18/18
CPC分类号： A61B18/1492 , A61B18/1815 , A61B2017/00296 , A61B2018/00083 , A61B2018/00291 , A61B2018/00488 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2018/1497
摘要： An endoscopic ablation system is provided for use with a flexible endoscope for the ablative treatment of diseased tissue on the interior lining a body lumen. The endoscopic ablation system includes a support member for supporting at least two electrodes that are electrically connected to a RF generator. The electrodes have a shape, size, and spacing that provide ablation between the electrodes, while minimizing ablation of tissue directly underneath the electrodes. The endoscopic ablation system can also include a sheath that fits over a flexible endoscope. A flexible coupling can join the support member to the sheath to facilitate intubation. The support member can include a side opening, and the sheath can include a seal, so that the aspiration means of the endoscope may be used to evacuate the air from inside the body lumen and pull the tissue to be treated into intimate contact with the electrodes.
摘要翻译：内窥镜消融系统被提供用于与柔性内窥镜一起使用，用于在衬里体腔内部的患病组织的烧蚀治疗。内窥镜消融系统包括用于支撑电连接到RF发生器的至少两个电极的支撑构件。电极具有在电极之间提供消融的形状，尺寸和间隔，同时最小化直接在电极下方的组织的消融。内窥镜消融系统还可以包括装配在柔性内窥镜上的护套。柔性联接件可以将支撑构件连接到护套以便于插管。支撑构件可以包括侧开口，并且护套可以包括密封件，使得内窥镜的抽吸装置可以用于从体腔内部排出空气并且将待处理的组织拉到与电极紧密接触。

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