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41. 发明授权

US08480686B2 Methods and devices for delivering and applying suture anchors 有权
标题翻译：用于交付和应用缝合锚的方法和装置
公开(公告)号：US08480686B2
公开(公告)日：2013-07-09
申请号：US12237877
申请日：2008-09-25
申请人： Gregory J. Bakos , William D. Fox , Duane Linenkugel , Sean P. Conlon
发明人： Gregory J. Bakos , William D. Fox , Duane Linenkugel , Sean P. Conlon
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0417 , A61B2090/034 , A61B2090/036
摘要： Methods and devices are provided for deploying and applying a suture anchor. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body and to deliver a suture anchor with a coil of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use.
摘要翻译：提供了用于部署和应用缝合锚的方法和装置。在一个实施例中，提供了一种手术装置，其具有构造成被引入到身体中并且将具有附接到其上的线圈的线圈的缝合锚锚输送到组织的轴。轴可以构造成将缝合线锚定件穿过组织展开并将缝合线输送到体腔中，使得从线圈延伸的缝合线延伸穿过组织以允许锚固体接合组织。线圈可以保留在体腔中以备后续使用。

42. 发明授权

US08480657B2 Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ 有权
公开(公告)号：US08480657B2
公开(公告)日：2013-07-09
申请号：US11981070
申请日：2007-10-31
申请人： Gregory J. Bakos
发明人： Gregory J. Bakos
IPC分类号： A61B17/00 , A61B1/04 , A61F2/02 , A61M5/32
CPC分类号： A61B17/3423 , A61B1/00087 , A61B1/00101 , A61B1/00135 , A61B1/313 , A61B2017/00278 , A61B2017/3425 , A61B2017/3488 , A61B2017/349 , A61M2039/1016 , A61M2210/1053
摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a hollow tubular member that has an implantable tip detachably affixed to a distal end thereof. The implantable tip may have at least one retention member formed thereon to retain the tip within an organ wall. The implantable tip may further have a lumen extending therethrough to form a passageway through the organ wall. A plug member may be provided to selectively seal off the lumen within the implantable tip.

43. 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。

44. 发明授权

US08100882B2 Guidewire structure 有权
标题翻译：导丝结构
公开(公告)号：US08100882B2
公开(公告)日：2012-01-24
申请号：US11128084
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： A61M25/00
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first guidewire structure includes a medical guidewire extendable beyond a distal end of a medical instrument and having 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 guidewire structure includes a medical guidewire extendable beyond a distal end of a medical instrument having a mechanized guidewire drive assembly. 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：第一导丝结构包括可延伸超过医疗器械的远端的医疗导丝，并且具有第一和第二段，其中第一段的弯曲转动惯量小于第二段的弯曲转动惯量。第二导丝结构包括可延伸超过具有机械化导丝驱动组件的医疗器械的远端的医疗导丝。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。

45. 发明授权

US07967842B2 Integrated securement and closure apparatus 失效
标题翻译：集成固定和关闭装置
公开(公告)号：US07967842B2
公开(公告)日：2011-06-28
申请号：US11756914
申请日：2007-06-01
申请人： Gregory J. Bakos
发明人： Gregory J. Bakos
IPC分类号： A61B17/04 , A61B1/00
CPC分类号： A61B17/0057 , A61B2017/00637 , A61B2017/00663 , A61M25/04
摘要： An integrated securement and closure apparatus uses mechanical fasteners disposed in access lumens located radially outwardly from a centrally disposed opening for an endoscope. The mechanical fasteners are used to secure the distal end of an overtube against and isolate a target area of tissue inside a patient. An incision is made in the isolated target and the mechanical fasteners are used to approximate the tissue of the incision following and surgical intervention.
摘要翻译：集成的固定和关闭装置使用设置在从用于内窥镜的居中设置的开口径向向外定位的通路腔中的机械紧固件。机械紧固件用于固定外套管的远端抵靠并隔离患者体内的组织的目标区域。在分离的靶中进行切口，并且使用机械紧固件来近似切口的组织和手术干预。

46. 发明申请

US20110152612A1 SELECTIVELY POSITIONABLE CAMERA FOR SURGICAL GUIDE TUBE ASSEMBLY 有权
标题翻译：用于手术导管组件的选择性定位摄像机
公开(公告)号：US20110152612A1
公开(公告)日：2011-06-23
申请号：US12640476
申请日：2009-12-17
申请人： Robert M. Trusty , Gregory J. Bakos , James T. Spivey , Omar J. Vakharia , Dashiell A. Birnkrant , John J. Elliott, JR.
发明人： Robert M. Trusty , Gregory J. Bakos , James T. Spivey , Omar J. Vakharia , Dashiell A. Birnkrant , John J. Elliott, JR.
IPC分类号： A61B1/04
CPC分类号： A61B1/0052 , A61B1/00105 , A61B1/00135 , A61B1/045 , G02B23/2476
摘要： A selectively positionable camera assembly for use in connection with a guide tube assembly that has a guide tube handle portion and at least one guide tube protruding therefrom. In various embodiments, the camera includes an elongated flexible camera portion that is sized to operably extend through at least one of the guide tubes of the guide tube assembly. A camera handle is operably coupled to the elongated flexible camera portion such that the handle is movably supported by at least a portion of the guide tube handle portion. At least one retainer is provided on the guide tube handle and/or the camera handle for releasably retaining the camera handle in any one of a plurality of orientations relative to the portion of the guide tube handle.
摘要翻译：一种用于与具有引导管手柄部分和从其突出的至少一个引导管的导管组件结合使用的可选择性定位的相机组件。在各种实施例中，相机包括细长的柔性相机部分，其尺寸设计成可操作地延伸穿过导管组件的至少一个导向管。相机手柄可操作地联接到细长的柔性相机部分，使得手柄由导管手柄部分的至少一部分可移动地支撑。至少一个保持器设置在引导管手柄和/或相机手柄上，用于将相机手柄可释放地保持在相对于导管手柄的部分的多个取向中的任何一个中。

47. 发明授权

US07896862B2 Medical instrument having a controlled guidewire drive 有权
标题翻译：医疗仪器具有受控的导丝驱动
公开(公告)号：US07896862B2
公开(公告)日：2011-03-01
申请号：US11128023
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 medical instrument includes a flexible catheter, a medical guidewire, and a mechanized guidewire drive assembly. The catheter has a distal end insertable into a body lumen of a patient. The mechanized guidewire drive assembly is adapted for operable engagement with the medical guidewire. The mechanized guidewire drive assembly includes a motor and includes a controller which drives the motor with a driving force. The driving force has a predetermined upper limit.
摘要翻译：医疗器械包括柔性导管，医疗导丝和机械化导丝驱动组件。导管具有可插入患者体腔的远端。机械化导丝驱动组件适于与医疗导线可操作地接合。机械化导丝驱动组件包括马达并且包括用驱动力驱动马达的控制器。驱动力具有预定的上限。

48. 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。

49. 发明申请

US20100010298A1 ENDOSCOPIC TRANSLUMENAL FLEXIBLE OVERTUBE 审中-公开
标题翻译：内窥镜翻转软组织
公开(公告)号：US20100010298A1
公开(公告)日：2010-01-14
申请号：US12172752
申请日：2008-07-14
申请人： Gregory J. Bakos , William D. Fox , James T. Spivey , Bernard C. McDermott , Micheal E. Kelly
发明人： Gregory J. Bakos , William D. Fox , James T. Spivey , Bernard C. McDermott , Micheal E. Kelly
IPC分类号： A61B1/01 , A61B1/015
CPC分类号： A61B1/00142 , A61B1/00082 , A61B1/00087 , A61B1/00135 , A61B1/00137 , A61B1/0055 , A61B1/015
摘要： Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope therein. The proximal end of the flexible overtube is configured to remain outside of a patient and the distal end is configured to enter the patient through a natural orifice. At least one fluid tight seal is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. The method includes introducing the system into a patient though a natural orifice of the patient and performing an endoscopic translumenal procedure.
摘要翻译：公开了一种用于内窥镜的装置，系统和方法。具有近端和远端的柔性外套管在其间限定中空腔，以在其中容纳内窥镜的柔性轴部分。柔性外套管的近端构造成保持在患者体外，并且远端构造成通过自然孔进入患者。至少一个流体密封密封件位于柔性外套管的近端处，以防止当内窥镜的柔性轴定位在柔性外套管内时流体在内窥镜的柔性轴上的泄漏。该系统还包括柔性内窥镜。该方法包括通过患者的自然孔口将系统引入患者并执行内窥镜平均程序。

50. 发明申请

US20090287236A1 ENDOSCOPIC ROTARY ACCESS NEEDLE 审中-公开
标题翻译：内窥镜旋转接触针
公开(公告)号：US20090287236A1
公开(公告)日：2009-11-19
申请号：US12122031
申请日：2008-05-16
申请人： Gregory J. Bakos , William D. Fox , John M. Mugan , Damien J. Ryan
发明人： Gregory J. Bakos , William D. Fox , John M. Mugan , Damien J. Ryan
IPC分类号： A61B17/32 , A61L2/00
CPC分类号： A61B17/320016 , A61B1/018 , A61B1/04 , A61B17/32002 , A61B17/32053 , A61B17/3415 , A61B2017/00278 , A61B2017/306 , A61B2017/320044
摘要： Various methods and devices are provided for cutting an opening through tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible elongate needle shaft that has a distal end with a circumferentially extending tissue-cutting edge formed thereon. A proximal end of the elongate needle shaft interfaces with a rotary control member for selectively applying a rotary motion to the elongate needle shaft. When the rotating tissue-cutting edge is brought into contact with target tissue, the tissue-cutting edge cuts an opening through the tissue. The device may have a stylet that has a blunt end that can be adjusted to protrude out of the distal end of the elongate needle shaft out beyond the tissue-cutting edge and is biased inward into the elongate needle shaft when the blunt end is brought into contact with the tissue to expose the tissue-cutting edge to the tissue. The stylet may be used as a guide wire after the hole has been cut through the tissue. An outer sheath may be provided to selectively cover the distal end of the elongate needle shaft and blunt end of the stylet. The outer sheath may have a selectively expandable member thereon that may be used to expand the cut hole
摘要翻译：提供各种方法和装置来切割通过组织的开口。在一个实施例中，提供组织穿透装置，并且包括柔性细长针轴，其具有形成在其上的周向延伸的组织切割刃的远端。细长针轴的近端与旋转控制构件接合，用于选择性地向细长针轴施加旋转运动。当旋转的组织切割边缘与目标组织接触时，组织切割边缘切割穿过组织的开口。该装置可以具有一个具有钝头的探针，其可以被调节以从细长针轴的远端突出超出组织切割边缘，并且当钝端进入时被向内偏压到细长的针轴中与组织接触以将组织切割边缘暴露于组织。孔穿过组织后，探针可用作导丝。可以设置外护套以选择性地覆盖细长针轴的远端和探针的钝端。外护套可以在其上具有可选择性地可扩张的构件，其可以用于扩大切割孔

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