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1. 发明申请

US20090270898A1 TISSUE REMOVAL DEVICE WITH HIGH RECIPROCATION RATE 审中-公开
标题翻译：组织移除装置具有高的接种率
公开(公告)号：US20090270898A1
公开(公告)日：2009-10-29
申请号：US12432702
申请日：2009-04-29
申请人： Albert Chun-Chi Chin , Roy Hewitt Sullivan , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
发明人： Albert Chun-Chi Chin , Roy Hewitt Sullivan , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B1/303 , A61B8/12 , A61B17/29 , A61B17/3201 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320758 , A61B17/320783 , A61B17/3421 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2017/00331 , A61B2017/00685 , A61B2017/00738 , A61B2017/00973 , A61B2017/2905 , A61B2017/320004 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a tissue removal device. The device includes an outer tubular body, an inner tubular body and a cutting edge on the inner tubular body. The outer tubular body includes a window, which may be opened or closed by moving the cutting edge. The cutting edge has a hardness that exceeds the hardness of the material of the inner tube. The cutting edge may have a Rockwell C hardness of at least about 50, while the inner tube has a Rockwell C hardness of no more than about 40. The cutting edge may be formed by a milling step, and the inner tube may be formed by a drawing step. Tissue severed by the cutting edge may be removed at a rate of at least about 1.8 grams per minute through the inner tube, and the outer tubular body may have an outside diameter of no more than about 3.5 mm.
摘要翻译：公开了一种组织去除装置。该装置包括外管状体，内管体和内管体上的切削刃。外管状体包括可以通过移动切割边缘而打开或关闭的窗口。切削刃的硬度超过内管材料的硬度。切削刃可以具有至少约50的洛氏C硬度，而内管具有不超过约40的洛氏C硬度。切削刃可以通过铣削步骤形成，并且内管可以由绘图步骤。通过切割边缘切割的组织可以以至少约1.8克/分钟的速率通过内管去除，并且外管体可以具有不超过约3.5mm的外径。

2. 发明申请

US20110077674A1 TISSUE CUTTER WITH DIFFERENTIAL HARDNESS 审中-公开
标题翻译：具有差异硬度的组织切割机
公开(公告)号：US20110077674A1
公开(公告)日：2011-03-31
申请号：US12972233
申请日：2010-12-17
申请人： Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
发明人： Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
IPC分类号： A61B17/32
CPC分类号： A61B17/42 , A61B17/00234 , A61B17/320016 , A61B17/32002 , A61B17/3201 , A61B17/3205 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320783 , A61B17/3415 , A61B17/3462 , A61B2017/00331 , A61B2017/00398 , A61B2017/00424 , A61B2017/0046 , A61B2017/00526 , A61B2017/00685 , A61B2017/0073 , A61B2017/22078 , A61B2017/22079 , A61B2017/2905 , A61B2017/320004 , A61B2017/320024 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3466 , A61B2017/347 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a tubular cutting element for axial reciprocal movement within an outer tubular sleeve. The cutting element has an elongate tubular body, having a proximal end, a distal end and a cutting tip. The tubular body is formed in a drawing operation and the cutting tip is formed in a milling operation. The tubular body may have a Rockwell C hardness of no more than about 40, and the cutting tip may have a Rockwell C hardness of at least about 50.
摘要翻译：公开了一种用于在外部管状套筒内进行轴向往复移动的管状切割元件。切割元件具有细长的管状体，其具有近端，远端和切割尖端。管状体在拉拔操作中形成，并且切削尖端形成为铣削操作。管状体可以具有不超过约40的洛氏硬度，并且切割尖端可具有至少约50的洛氏硬度。

3. 发明申请

US20110034943A1 LOW ADVANCE RATIO, HIGH RECIPROCATION RATE TISSUE REMOVAL DEVICE 审中-公开
标题翻译：低提前比例，高转录率组织去除装置
公开(公告)号：US20110034943A1
公开(公告)日：2011-02-10
申请号：US12917351
申请日：2010-11-01
申请人： William Lucas Churchill , Roy Hewett Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Harwick Gruber , Ronald David Adams
发明人： William Lucas Churchill , Roy Hewett Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Harwick Gruber , Ronald David Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B1/303 , A61B8/12 , A61B17/29 , A61B17/3201 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320758 , A61B17/320783 , A61B17/3421 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2017/00331 , A61B2017/00685 , A61B2017/00738 , A61B2017/00973 , A61B2017/2905 , A61B2017/320004 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a tissue removal device having an outer tube with a resection window and an inner tube disposed within the outer tube. The inner tube is slidable and rotatable relative to the outer tube so that the distal end of the inner tube moves back and forth across the resection window to sever tissue extending therethrough. The inner tube may be driven to rotate at a speed of at least about 1100 rpm, to axially translate at a rate of at least about 1.5 cps, and with an advance ratio of no more than about 0.25. The drive system for controlling axial reciprocation and rotation of the inner tube may be totally mechanical.
摘要翻译：公开了一种组织去除装置，其具有具有切除窗口的外管和设置在外管内的内管。内管可相对于外管滑动和旋转，使得内管的远端通过切除窗前后移动以切断穿过其中的组织。内管可以被驱动以至少约1100rpm的速度旋转，以至少约1.5cps的速率轴向平移，并且提前比不大于约0.25。用于控制内管的轴向往复运动和旋转的驱动系统可以是完全机械的。

4. 发明授权

US07763033B2 System and methods for preventing intravasation during intrauterine procedures 有权
标题翻译：宫内手术期间预防渗透的系统和方法
公开(公告)号：US07763033B2
公开(公告)日：2010-07-27
申请号：US11852116
申请日：2007-09-07
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42 , A61M29/00
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. Distension is achieved mechanically, rather than with liquid distension media, thereby eliminating the risk of intravasation.
摘要翻译：公开了用于执行改进的妇科和泌尿系统程序的系统，方法，装置和装置。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。扩张是机械地实现的，而不是液体膨胀介质，从而消除了渗透的风险。

5. 发明申请

US20100087798A1 SYSTEMS, METHODS AND DEVICES FOR USING A FLOWABLE MEDIUM FOR DISTENDING A HOLLOW ORGAN 审中-公开
标题翻译：使用可流动介质来配置中空机构的系统，方法和设备
公开(公告)号：US20100087798A1
公开(公告)日：2010-04-08
申请号：US12565620
申请日：2009-09-23
申请人： RONALD DAVID ADAMS , WILLIAM HARWICK GRUBER
发明人： RONALD DAVID ADAMS , WILLIAM HARWICK GRUBER
IPC分类号： A61M31/00
CPC分类号： A61K9/0034 , A61B1/303 , A61B17/22004 , A61B17/22012 , A61B17/2202 , A61B17/320758 , A61B17/320783 , A61B17/42 , A61B17/4241 , A61B18/02 , A61B18/14 , A61B18/20 , A61B34/73 , A61B90/361 , A61B90/39 , A61B2017/00075 , A61B2017/00685 , A61B2017/00876 , A61B2017/22067 , A61B2017/22069 , A61B2017/320775 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2034/2051 , A61B2090/064 , A61B2090/065 , A61B2090/304 , A61B2090/309 , A61B2090/373 , A61B2090/378 , A61B2090/3954 , A61F6/204 , A61F6/208 , A61F6/225 , A61M29/02 , A61M31/00 , A61M2025/105
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures using a flowable distension media are disclosed. The system and devices provide simplified use and reduced risk of adverse events. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.
摘要翻译：公开了使用可流动膨胀介质进行改进的妇科和泌尿手术的系统，方法，装置和装置。系统和设备提供简单的使用和降低不良事件的风险。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

6. 发明申请

US20090270895A1 LOW ADVANCE RATIO, HIGH RECIPROCATION RATE TISSUE REMOVAL DEVICE 审中-公开
标题翻译：低提前比例，高转录率组织去除装置
公开(公告)号：US20090270895A1
公开(公告)日：2009-10-29
申请号：US12432675
申请日：2009-04-29
申请人： William Lucas Churchill , Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Harwick Gruber , Ronald David Adams
发明人： William Lucas Churchill , Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Harwick Gruber , Ronald David Adams
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B1/303 , A61B8/12 , A61B17/29 , A61B17/3201 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320758 , A61B17/320783 , A61B17/3421 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2017/00331 , A61B2017/00685 , A61B2017/00738 , A61B2017/00973 , A61B2017/2905 , A61B2017/320004 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a tissue removal device having an outer tube with a resection window and an inner tube disposed within the outer tube. The inner tube is slidable and rotatable relative to the outer tube so that the distal end of the inner tube moves back and forth across the resection window to sever tissue extending therethrough. The inner tube may be driven to rotate at a speed of at least about 1100 rpm, to axially translate at a rate of at least about 1.5 cps, and with an advance ratio of no more than about 0.25. The drive system for controlling axial reciprocation and rotation of the inner tube may be totally mechanical.
摘要翻译：公开了一种组织去除装置，其具有具有切除窗口的外管和设置在外管内的内管。内管可相对于外管滑动和旋转，使得内管的远端通过切除窗前后移动以切断穿过其中的组织。内管可以被驱动以至少约1100rpm的速度旋转，以至少约1.5cps的速率轴向平移，并且提前比不大于约0.25。用于控制内管的轴向往复运动和旋转的驱动系统可以是完全机械的。

7. 发明申请

US20110118544A1 ACCESS SYSTEM WITH REMOVABLE OUTFLOW CHANNEL 审中-公开
标题翻译：具有可拆卸输出通道的接入系统
公开(公告)号：US20110118544A1
公开(公告)日：2011-05-19
申请号：US12956974
申请日：2010-11-30
申请人： Ronald David Adams , Eric Karl Litscher
发明人： Ronald David Adams , Eric Karl Litscher
IPC分类号： A61B1/018 , A61B1/012
CPC分类号： A61B1/015 , A61B1/303 , A61B17/32002 , A61B17/3462
摘要： A surgical access device can comprise a working channel providing a first lumen having an axial opening for insertion of a surgical instrument having an outflow channel, the first lumen having a fluid inlet for allowing fluid flow through the working channel and into the body, wherein fluid flows out of the body through the outflow channel of the surgical instrument; and a optical channel providing a second lumen for a visualization element and a light source, wherein the working channel comprises a larger cross-sectional area than the cross-sectional area of the optical channel. The surgical access device can further comprise a seal apparatus coupled to the working channel and configured to receive the surgical instrument, the seal apparatus comprising a first seal portion and a second seal portion, the first seal portion configured to close the fluid path into the seal apparatus, and the second seal portion configured to form a seal with the surgical instrument.
摘要翻译：外科进入装置可以包括工作通道，其提供具有用于插入具有流出通道的外科器械的轴向开口的第一管腔，第一管腔具有用于允许流体流过工作通道并进入体内的流体入口，其中流体通过手术器械的流出通道流出身体; 以及提供用于可视化元件和光源的第二内腔的光学通道，其中所述工作通道包括比所述光学通道的横截面积更大的横截面面积。外科进入装置还可以包括联接到工作通道并被配置为接收外科器械的密封装置，密封装置包括第一密封部分和第二密封部分，第一密封部分构造成将流体通道封闭到密封件装置，并且第二密封部分被配置为与外科器械形成密封。

8. 发明申请

US20090270897A1 METHODS OF HIGH RATE, LOW PROFILE TISSUE REMOVAL 有权
标题翻译：高速率，低剖面组织去除方法
公开(公告)号：US20090270897A1
公开(公告)日：2009-10-29
申请号：US12432691
申请日：2009-04-29
申请人： Ronald David Adams , Albert Chun-Chi Chin , Roy Hewitt Sullivan , Eric Karl Litscher , William Lucas Churchill , William Harwick Gruber
发明人： Ronald David Adams , Albert Chun-Chi Chin , Roy Hewitt Sullivan , Eric Karl Litscher , William Lucas Churchill , William Harwick Gruber
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B1/303 , A61B8/12 , A61B17/29 , A61B17/3201 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320758 , A61B17/320783 , A61B17/3421 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2017/00331 , A61B2017/00685 , A61B2017/00738 , A61B2017/00973 , A61B2017/2905 , A61B2017/320004 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed are methods and devices for removing tissue from a site in a hollow organ, where the device has a low crossing profile and is capable of removing tissue at a high rate of speed. The device includes an elongate outer tube with a side opening and an inner tube moveably coaxially positioned within the outer tube. Tissue drawn into the side opening can be severed by moving the inner tube across the opening. Tissue may be removed through the device at a rate of at least about 1.4 cc per minute, through a lumen having a cross-sectional area of no greater than about 12.02 mm. Cutting may be accomplished by rotating the inner tube at a speed of at least about 4000 rpm, and axially reciprocating the inner tube at a rate of at least about 1.5 cycles per second. The window may have a rho value of no more than about 1, and the outside diameter of the device may be no more than about 3 mm.
摘要翻译：公开了用于从中空器官中的部位去除组织的方法和装置，其中该装置具有低交叉分布并且能够以高速率去除组织。该装置包括具有侧开口的细长外管和可移动地同轴地定位在外管内的内管。通过移动内管穿过开口可以切断拉入侧开口的组织。组织可以以至少约1.4cc /分钟的速率穿过装置通过具有不大于约12.02mm的横截面面积的内腔去除。可以通过以至少约4000rpm的速度旋转内管并以每秒至少约1.5个循环的速率轴向往复运动内管来实现切割。窗口的rho值可以不大于约1，并且装置的外径可以不大于约3mm。

9. 发明申请

US20090270896A1 TISSUE CUTTER WITH DIFFERENTIAL HARDNESS 有权
标题翻译：具有差异硬度的组织切割机
公开(公告)号：US20090270896A1
公开(公告)日：2009-10-29
申请号：US12432686
申请日：2009-04-29
申请人： Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
发明人： Roy Hewitt Sullivan , Albert Chun-Chi Chin , Eric Karl Litscher , William Lucas Churchill , Ronald David Adams , William Harwick Gruber , David Jacobs
IPC分类号： A61B17/32
CPC分类号： A61B17/42 , A61B17/00234 , A61B17/320016 , A61B17/32002 , A61B17/3201 , A61B17/3205 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320783 , A61B17/3415 , A61B17/3462 , A61B2017/00331 , A61B2017/00398 , A61B2017/00424 , A61B2017/0046 , A61B2017/00526 , A61B2017/00685 , A61B2017/0073 , A61B2017/22078 , A61B2017/22079 , A61B2017/2905 , A61B2017/320004 , A61B2017/320024 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3466 , A61B2017/347 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a tubular cutting element for axial reciprocal movement within an outer tubular sleeve. The cutting element has an elongate tubular body, having a proximal end, a distal end and a cutting tip. The tubular body is formed in a drawing operation and the cutting tip is formed in a milling operation. The tubular body may have a Rockwell C hardness of no more than about 40, and the cutting tip may have a Rockwell C hardness of at least about 50.
摘要翻译：公开了一种用于在外部管状套筒内进行轴向往复移动的管状切割元件。切割元件具有细长的管状体，其具有近端，远端和切割尖端。管状体在拉拔操作中形成，并且切削尖端形成为铣削操作。管状体可以具有不超过约40的洛氏硬度，并且切割尖端可具有至少约50的洛氏硬度。

10. 发明申请

US20090270812A1 ACCESS DEVICE WITH ENHANCED WORKING CHANNEL 审中-公开
标题翻译：具有增强工作通道的访问设备
公开(公告)号：US20090270812A1
公开(公告)日：2009-10-29
申请号：US12432647
申请日：2009-04-29
申请人： Eric Karl Litscher , Danny Macari , Albert Chun-Chi Chin , Ronald David Adams , William Harwick Gruber
发明人： Eric Karl Litscher , Danny Macari , Albert Chun-Chi Chin , Ronald David Adams , William Harwick Gruber
IPC分类号： A61B17/34
CPC分类号： A61B17/32002 , A61B1/303 , A61B8/12 , A61B17/29 , A61B17/3201 , A61B17/32053 , A61B17/32056 , A61B17/320725 , A61B17/320758 , A61B17/320783 , A61B17/3421 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B17/42 , A61B90/30 , A61B2010/0208 , A61B2017/00331 , A61B2017/00685 , A61B2017/00738 , A61B2017/00973 , A61B2017/2905 , A61B2017/320004 , A61B2017/320028 , A61B2017/320064 , A61B2017/320775 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/4216 , A61B2018/1407 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： Disclosed is a surgical access device for providing at least one auxiliary lumen for the insertion of a surgical instrument or other therapeutic device into a patient's body. The device comprises a first working channel, a second working channel and at least one additional lumen for infusion of a distension media. The surgical access device comprises an outer diameter, and the ratio of the outer diameter to the inside diameter of the working channel is preferably less than about 2.25.
摘要翻译：公开了一种外科进入装置，用于提供用于将外科器械或其他治疗装置插入患者体内的至少一个辅助腔。该装置包括第一工作通道，第二工作通道和用于输注膨胀介质的至少一个附加内腔。外科进入装置包括外径，并且工作通道的外径与内径之比优选小于约2.25。

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