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51. 发明申请

US20170071667A1 Electrosurgical Device for Creating a Channel through a Region of Tissue and Methods of Use thereof 审中-公开
标题翻译：用于通过组织区域创建通道的电外科设备及其使用方法
公开(公告)号：US20170071667A1
公开(公告)日：2017-03-16
申请号：US15359881
申请日：2016-11-23
申请人： Baylis Medical Company Inc.
发明人： Linus Hoi Che Leung , Mahban Samiee-Zafarghandy , Taras Juzkiw , Gareth Davies , Maria Luk , Kelly Albert
IPC分类号： A61B18/14 , A61B90/00
CPC分类号： A61B18/1492 , A61B18/1206 , A61B90/39 , A61B2017/00867 , A61B2018/00083 , A61B2018/00101 , A61B2018/00136 , A61B2018/0041 , A61B2018/00601 , A61B2018/1213 , A61B2090/3966 , C08L2201/12 , C08L2203/206
摘要： A method and apparatus are disclosed for an RF guidewire for applying RF energy to create a channel through a region of tissue within a patient's body. The RF guidewire is configured to have a hydrophilic coating disposed thereon to reduce friction to facilitate traversal through vasculature while maintaining its mechanical, electrical and thermal properties.
摘要翻译：公开了用于RF引导线的方法和装置，用于施加RF能量以通过患者体内的组织区域产生通道。 RF导丝被配置为具有设置在其上的亲水性涂层，以减少摩擦，以便于保持其机械，电和热性能同时通过脉管系统。

52. 发明申请

US20170071656A1 ARTICULATING SURGICAL APPARATUS 审中-公开
标题翻译：辅助手术装置
公开(公告)号：US20170071656A1
公开(公告)日：2017-03-16
申请号：US15341670
申请日：2016-11-02
申请人： COVIDIEN LP
发明人： PETER M. MUELLER
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1445 , A61B17/00 , A61B17/29 , A61B18/1206 , A61B2017/00314 , A61B2017/00327 , A61B2018/00083 , A61B2018/128 , A61B2090/508
摘要： An endoscopic instrument includes a housing having shaft extending therefrom that defines a longitudinal axis therethrough. The shaft includes an articulating section disposed thereon. The articulating section has a central annulus extending therealong and first and second pluralities of bores. The first plurality of bores configured to receive corresponding tendons therethrough and the second plurality of bores configured to receive corresponding conductive leads therethrough. An end effector assembly operatively connected to a distal end of the shaft including a pair of first and second jaw members. The corresponding conductive leads transition from a first state for enabling articulation of the shaft about the articulating section, to a second state for disabling articulation of the shaft about the articulating section.
摘要翻译：内窥镜器械包括具有从其延伸的轴的壳体，其限定穿过其中的纵向轴线。轴包括设置在其上的铰接部。铰接部分具有沿其延伸的中心环形区域以及第一和第二多个孔口。所述第一多个孔被构造成接收通过其中的相应的筋，并且所述第二多个孔被构造成接收通过其中的相应的导电引线。端部执行器组件可操作地连接到轴的远端，包括一对第一和第二钳口构件。相应的导电引线从第一状态转变，以使得关于铰接部分的轴可以铰接到第二状态，用于禁止关于铰接部分的轴的铰接。

53. 发明申请

US20170065342A1 ELECTROSURGICAL SYSTEM 审中-公开
标题翻译：电磁系统
公开(公告)号：US20170065342A1
公开(公告)日：2017-03-09
申请号：US15349785
申请日：2016-11-11
申请人： Cosman Medical Inc.
发明人： Eric Richard Cosman
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B17/3415 , A61B17/3401 , A61B18/1206 , A61B18/1492 , A61B18/18 , A61B2018/00083 , A61B2018/0044 , A61B2018/00577 , A61B2018/00821 , A61B2018/1435 , A61B2218/002 , A61M25/0102 , A61M25/065 , A61M25/0662 , A61M2025/0681 , A61N1/0551 , A61N1/06 , A61N1/36 , A61N5/00
摘要： A system and method involving an electrode system can include a flexible shaft.
摘要翻译：涉及电极系统的系统和方法可以包括柔性轴。

54. 发明申请

US20170065333A1 ASYMMETRICAL ELECTRODES FOR BIPOLAR VESSEL SEALING 有权
标题翻译：用于双极管密封的不对称电极
公开(公告)号：US20170065333A1
公开(公告)日：2017-03-09
申请号：US15356900
申请日：2016-11-21
申请人： COVIDIEN LP
发明人： Gary M. Couture , Rebecca Coulson
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00526 , A61B2018/00083 , A61B2018/00178 , A61B2018/00404 , A61B2018/00428 , A61B2018/00595 , A61B2018/00607 , A61B2018/0063 , A61B2018/00702 , A61B2018/00732 , A61B2018/00761 , A61B2018/126 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861 , A61B2090/3937
摘要： Bipolar electrosurgical instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes an outer housing, and an inner tissue engaging surface corresponding to the inner tissue engaging surface of the opposing jaw. The instruments includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The jaws include asymmetrical electrodes disposed on the inner tissue engaging surfaces. A first contact region of the electrode has a greater surface area than that of the second contact region. During resection procedures wider electrodes impart improved sealing energy to the patient-side vessel while providing sufficient energy to resected tissue to effect hemostasis.
摘要翻译：双极电外科器械在其远端处具有第一和第二相对的钳口构件，其中每个钳口构件包括外壳体和与相对的钳口的内部组织接合表面相对应的内部组织接合表面。这些仪器包括将钳口构件相对于彼此从第一位置移动的能力，其中钳口构件相对于彼此间隔开地设置到第二位置，其中钳口构件协作以抓住组织。夹爪包括设置在内部组织接合表面上的不对称电极。电极的第一接触区域具有比第二接触区域更大的表面积。在切除过程中，较宽的电极对患者侧血管提供改善的密封能量，同时向切除的组织提供足够的能量以进行止血。

55. 发明申请

US20170056102A1 TISSUE RESECTING DEVICE AND METHODS 审中-公开
标题翻译：组织检查设备和方法
公开(公告)号：US20170056102A1
公开(公告)日：2017-03-02
申请号：US15245586
申请日：2016-08-24
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： Aaron Germain , Michael D. Walker , Jacob Roland , Jan Echeverry
IPC分类号： A61B18/14
CPC分类号： A61B18/1485 , A61B2017/320028 , A61B2017/4216 , A61B2018/00083 , A61B2018/00166 , A61B2018/00196 , A61B2018/00559 , A61B2018/00601 , A61B2018/00982 , A61B2018/142 , A61B2018/162 , A61B2218/002 , A61B2218/007
摘要： Devices, systems, and methods for resecting tissue are disclosed. In some embodiments, a tissue resecting device may comprise an elongated structure having a longitudinal axis, the elongated structure comprising an outer sleeve with a distal window configured to receive uterine polyp tissue and an inner sleeve configured to move between a proximal position and a distal position relative to the window. In some further embodiments, the device may also comprise an electrode element coupled to the inner sleeve. In some even further embodiments, the device may include an insulative layer covering at least a portion of the inner sleeve, wherein the tissue resecting device is configured to fail when used to resect tissue more fibrous than uterine polyp tissue.
摘要翻译：公开了用于切除组织的装置，系统和方法。在一些实施例中，组织切除装置可以包括具有纵向轴线的细长结构，所述细长结构包括具有构造成接收子宫息肉组织的远端窗口的外套筒和构造成在近端位置和远端位置之间移动的内套筒相对于窗口。在一些另外的实施例中，装置还可以包括联接到内套筒的电极元件。在一些甚至进一步的实施例中，该装置可以包括覆盖内套筒的至少一部分的绝缘层，其中组织切除装置被配置为在用于切除比子宫息肉组织更纤维的组织时失败。

56. 发明授权

US09545245B2 Articulating surgical apparatus 有权
标题翻译：铰接手术器械
公开(公告)号：US09545245B2
公开(公告)日：2017-01-17
申请号：US14691773
申请日：2015-04-21
申请人： COVIDIEN LP
发明人： Peter M. Mueller
IPC分类号： A61B18/18 , A61B17/00 , A61B17/29 , A61B18/14
CPC分类号： A61B18/1445 , A61B17/00 , A61B17/29 , A61B18/1206 , A61B2017/00314 , A61B2017/00327 , A61B2018/00083 , A61B2018/128 , A61B2090/508
摘要： An endoscopic instrument includes a housing having shaft extending therefrom that defines a longitudinal axis therethrough. The shaft includes an articulating section disposed thereon. The articulating section has a central annulus extending therealong and first and second pluralities of bores. The first plurality of bores configured to receive corresponding tendons therethrough and the second plurality of bores configured to receive corresponding conductive leads therethrough. An end effector assembly operatively connected to a distal end of the shaft including a pair of first and second jaw members. The corresponding conductive leads transition from a first state for enabling articulation of the shaft about the articulating section, to a second state for disabling articulation of the shaft about the articulating section.
摘要翻译：内窥镜器械包括具有从其延伸的轴的壳体，其限定穿过其中的纵向轴线。轴包括设置在其上的铰接部。铰接部分具有沿其延伸的中心环形区域以及第一和第二多个孔口。所述第一多个孔被构造成接收通过其中的相应的筋，并且所述第二多个孔被构造成接收通过其中的相应的导电引线。端部执行器组件可操作地连接到轴的远端，包括一对第一和第二钳口构件。相应的导电引线从第一状态转变，以使得关于铰接部分的轴可以铰接到第二状态，用于禁止关于铰接部分的轴的铰接。

57. 发明申请

US20170007315A1 MANUAL ELECTROCAUTERY DEVICE 审中-公开
标题翻译：手动电动装置
公开(公告)号：US20170007315A1
公开(公告)日：2017-01-12
申请号：US14792812
申请日：2015-07-07
申请人： RAYMED LLC
发明人： Rachel Mary Bender
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B2017/00438 , A61B2017/00973 , A61B2017/320069 , A61B2017/320082 , A61B2018/00083 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/126
摘要： An electrocautery device includes two wearable cauterizers, each wearable cauterizer comprising a front bridge structure positioned above a knuckle on a top side of a hand, a back bridge structure positioned below the knuckle on the top side of the hand, at least one connecting member disposed between the front bridge structure and the back bridge structure, a cutting electrode disposed between the front bridge structure and the back bridge structure, and an insulator disposed between the cutting electrode and a finger, and a power unit.
摘要翻译：一种电灼装置包括两个可佩戴的烧灼器，每个可佩戴的烧灼器包括位于手的上侧的转向节上方的前桥结构，位于手的顶侧的转向节下方的后桥结构，至少一个连接构件在前桥结构和后桥结构之间，设置在前桥结构和后桥结构之间的切割电极以及设置在切割电极和手指之间的绝缘体和电源单元。

58. 发明申请

US20170000556A1 GRIPPING UNIT AND BIPOLAR TREATMENT INSTRUMENT 有权
标题翻译：运输单位和双极治疗仪器
公开(公告)号：US20170000556A1
公开(公告)日：2017-01-05
申请号：US15265626
申请日：2016-09-14
申请人： OLYMPUS CORPORATION
发明人： Kazuhiro MORISAKI
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1445 , A61B17/320092 , A61B18/1206 , A61B2017/2825 , A61B2018/00077 , A61B2018/00083 , A61B2018/00994 , A61B2018/126
摘要： A gripping unit includes a supporting section in which at least its entire surface is made of an insulating material, and a swing section swingable about a swing axis relative to the supporting section. The swing section includes a jaw-side facing surface opposed to a treatment section, and a jaw-side electrode section functioning as an electrode when high-frequency energy is transmitted. The support member covers the swing section from a distal direction, both of width directions, and an open direction of the jaw, and the swing section is externally exposed only on the jaw-side facing surface.
摘要翻译：夹持单元包括至少其整个表面由绝缘材料制成的支撑部分和围绕摆动轴线相对于支撑部分摆动的摆动部分。摆动部分包括与治疗部分相对的钳口侧面向表面，以及当发射高频能量时用作电极的钳口侧电极部分。所述支撑部件从所述钳口的宽度方向和开放方向的远端方向覆盖所述摆动部，所述摆动部仅在所述钳夹侧面上露出。

59. 发明申请

US20170000515A1 TREATMENT DEVICE 审中-公开
标题翻译：治疗装置
公开(公告)号：US20170000515A1
公开(公告)日：2017-01-05
申请号：US15269175
申请日：2016-09-19
申请人： OLYMPUS CORPORATION
发明人： Tsunetaka AKAGANE
IPC分类号： A61B17/32 , A61N7/02
CPC分类号： A61B17/320068 , A61B18/1402 , A61B18/1477 , A61B18/149 , A61B2017/320069 , A61B2017/320082 , A61B2018/00083 , A61B2018/00107 , A61B2018/00136 , A61B2018/00607 , A61B2018/00994 , A61B2018/1412 , A61B2018/142 , A61B2018/1422
摘要： A treatment device includes, a probe that conveys ultrasonic vibration and a high-frequency current; a treatment section that comprises a first treatment surface provided at a distal end of the probe for treating body tissue and a second treatment surface opposed to the first treatment surface, and treats the body tissue with the ultrasonic vibration and the high-frequency current conveyed to the first treatment surface and the second treatment surface via the probe; and an electrically-insulating coating portion that covers at least one of the first treatment surface and the second treatment surface.
摘要翻译：治疗装置包括：传送超声波振动和高频电流的探针; 治疗部，其包括设置在所述探针的远端的用于治疗身体组织的第一处理面和与所述第一处理面相对的第二处理面，并且将所述身体组织用超声波振动和高频电流输送到经由探针的第一处理表面和第二处理表面; 以及覆盖所述第一处理表面和所述第二处理表面中的至少一个的电绝缘涂覆部分。

60. 发明授权

US09517103B2 Medical instruments with multiple temperature sensors 有权
标题翻译：带多个温度传感器的医疗仪器
公开(公告)号：US09517103B2
公开(公告)日：2016-12-13
申请号：US15179655
申请日：2016-06-10
申请人： Advanced Cardiac Therapeutics, Inc.
发明人： Dorin Panescu , Josef Vincent Koblish , Eric Andrew Schultheis , Jessi E. Johnson
IPC分类号： A61B18/14 , A61B5/042 , A61B5/15 , A61B18/12 , A61B18/00
CPC分类号： A61B18/1492 , A61B5/01 , A61B5/0422 , A61B5/068 , A61B5/150954 , A61B5/6852 , A61B18/1206 , A61B2018/00023 , A61B2018/00029 , A61B2018/00083 , A61B2018/00101 , A61B2018/0016 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00642 , A61B2018/00672 , A61B2018/00678 , A61B2018/00702 , A61B2018/00714 , A61B2018/00761 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/00839 , A61B2018/00875 , A61B2018/128 , A61B2018/1467 , A61B2217/007 , A61B2218/002 , A61B2562/046
摘要： According to some embodiments, a medical instrument (for example, an ablation device) comprises an elongate body having a proximal end and a distal end, an energy delivery member positioned at the distal end of the elongate body, a first plurality of temperature-measurement devices carried by or positioned within the energy delivery member, the first plurality of temperature-measurement devices being thermally insulated from the energy delivery member, and a second plurality of temperature-measurement devices positioned proximal to a proximal end of the energy delivery member, the second plurality of temperature-measurement devices being thermally insulated from the energy delivery member.
摘要翻译：根据一些实施例，医疗器械（例如，消融装置）包括具有近端和远端的细长体，位于细长体远端的能量传递构件，第一多个温度测量由能量输送构件承载或定位的装置，第一多个温度测量装置与能量传递构件热绝缘;以及第二多个温度测量装置，其位于能量传递构件的近端附近，第二多个温度测量装置与能量传递构件热绝缘。

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