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1. 发明申请

US20080200873A1 Methods and Apparatus for Infusing the Interior of a Blood Vessel 审中-公开
标题翻译：用于注射血管内部的方法和装置
公开(公告)号：US20080200873A1
公开(公告)日：2008-08-21
申请号：US11675919
申请日：2007-02-16
申请人： Alejandro Espinosa , Peter K. Kratsch , Eduardo A. Ampuero , William M. Garcia de Quevedo
发明人： Alejandro Espinosa , Peter K. Kratsch , Eduardo A. Ampuero , William M. Garcia de Quevedo
IPC分类号： A61M25/14
CPC分类号： A61M25/0029 , A61M25/0032 , A61M25/007 , A61M25/0075
摘要： An apparatus for treating blood vessels includes an elongate body having a proximal end, a distal end, and an infusion lumen extending there-through, a plurality of infusion holes in valved communication with the infusion lumen, and a valve member which is movable inside the infusion lumen from a first position in which some of the infusion holes are blocked to a second position where fewer of the infusion holes are blocked. According to one embodiment, the valve member is a tube coaxially disposed inside the infusion lumen. According to a second embodiment, the valve member includes a seal coupled to a wire. When the wire is pulled, more holes are unsealed. In both embodiments, an inflatable occlusion balloon is coupled to the distal end of the apparatus and an inflation lumen extends from it to the proximal end of the device. A method of the invention includes determining the length of the blood vessel to be treated and adjusting the valve member to unblock a number of infusion holes corresponding to the length of the vessel to be treated.
摘要翻译：用于治疗血管的装置包括：细长体，其具有近端，远端和在其延伸的输注腔，多个与输液腔连通的输注孔，以及可在内部移动的阀构件其中一些输注孔被阻塞到第二位置的第一位置处，其中较少的输注孔被阻挡。根据一个实施例，阀构件是同轴地设置在输液腔内部的管。根据第二实施例，阀构件包括联接到线的密封件。当拉丝时，更多的孔被开封。在两个实施例中，充气闭塞球囊联接到装置的远端，并且充气腔从其延伸到装置的近端。本发明的方法包括确定要处理的血管的长度，并调整阀构件以解除对应于待治疗血管长度的多个输注孔。

2. 发明申请

US20080200871A1 Valve System For a Medical Device Having an Inflatable Member 审中-公开
标题翻译：具有充气构件的医疗装置的阀系统
公开(公告)号：US20080200871A1
公开(公告)日：2008-08-21
申请号：US11813164
申请日：2006-01-13
申请人： Charles R. Slater , Brett E. Naglreiter , Peter K. Kratsch , Alejandro Espinosa , Scott T. Smith , Scott L. Jahrmarkt
发明人： Charles R. Slater , Brett E. Naglreiter , Peter K. Kratsch , Alejandro Espinosa , Scott T. Smith , Scott L. Jahrmarkt
IPC分类号： A61M29/00
CPC分类号： A61M39/223 , A61M25/0097 , A61M25/10
摘要： Methods and apparatus for treating the interior of a blood vessel include a variety of improved catheter designs, methods and apparatus for accessing and occluding a blood vessel.
摘要翻译：用于治疗血管内部的方法和装置包括各种改进的导管设计，用于进入和闭塞血管的方法和装置。

3. 发明授权

US06478210B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US06478210B2
公开(公告)日：2002-11-12
申请号：US10055306
申请日：2002-01-23
申请人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

4. 发明授权

US6126058A Method and device for full thickness resectioning of an organ 失效
公开(公告)号：US6126058A
公开(公告)日：2000-10-03
申请号：US100393
申请日：1998-06-19
申请人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/32 , A61B17/00 , A61B17/072 , A61B17/115 , A61B17/28 , A61B19/00 , A61B17/04
CPC分类号： A61B17/07207 , A61B17/29 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

5. 发明授权

US08328865B2 Highly flexible stent and method of manufacture 有权
标题翻译：高度灵活的支架和制造方法
公开(公告)号：US08328865B2
公开(公告)日：2012-12-11
申请号：US12526690
申请日：2008-02-07
申请人： Thomas O. Bales, Jr. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
发明人： Thomas O. Bales, Jr. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
IPC分类号： A61F2/06
CPC分类号： A61F2/915 , A61F2/88 , A61F2002/91541 , A61F2002/91558 , A61F2002/91575 , A61F2230/0054 , A61F2250/0036 , A61F2250/0098 , B21F45/00
摘要： Preferred embodiments of a stent with a high degree of flexibility are shown and described. The stent can include a continuous helical winding having interconnected struts joined at vertices, and having bridges connecting sections of the helical winding to each other. An annular ring can be provided at one or both ends of the helical winding, and the annular ring can have extensions extending to connect to the helical winding. One of the extensions can connect to a bridge and another extension can connect to a vertex. The struts at the ends of the helical winding can have strut lengths that differ from the strut lengths of the struts in a central portion of the winding between the ends of the winding.
摘要翻译：显示和描述了具有高度柔性的支架的优选实施例。支架可以包括具有在顶点处连接的互连的支柱的连续的螺旋绕组，并且具有将螺旋形绕组的部分彼此连接的桥。环形环可以设置在螺旋绕组的一端或两端，并且环形环可以具有延伸以连接到螺旋绕组的延伸部。其中一个扩展可以连接到一个网桥，另一个扩展可以连接到一个顶点。在螺旋绕组的端部处的支柱可以具有与绕组端部之间的绕组的中心部分中的支柱的支柱长度不同的支柱长度。

6. 发明申请

US20110166641A1 HIGHLY FLEXIBLE STENT AND METHOD OF MANUFACTURE 有权
标题翻译：高灵活性和制造方法
公开(公告)号：US20110166641A1
公开(公告)日：2011-07-07
申请号：US12526690
申请日：2008-02-07
申请人： Thomas O. Bales, JR. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
发明人： Thomas O. Bales, JR. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
IPC分类号： A61F2/82 , B21F45/06
CPC分类号： A61F2/915 , A61F2/88 , A61F2002/91541 , A61F2002/91558 , A61F2002/91575 , A61F2230/0054 , A61F2250/0036 , A61F2250/0098 , B21F45/00
摘要： Preferred embodiments of a stent with a high degree of flexibility are shown and described. The stent can include a continuous helical winding having interconnected struts joined at vertices, and having bridges connecting sections of the helical winding to each other. An annular ring can be provided at one or both ends of the helical winding, and the annular ring can have extensions extending to connect to the helical winding. One of the extensions can connect to a bridge and another extension can connect to a vertex. The struts at the ends of the helical winding can have strut lengths that differ from the strut lengths of the struts Po. in a central portion of the winding between the ends of the winding.
摘要翻译：显示和描述了具有高度柔性的支架的优选实施例。支架可以包括具有在顶点处连接的互连的支柱的连续的螺旋绕组，并且具有将螺旋形绕组的部分彼此连接的桥。环形环可以设置在螺旋绕组的一端或两端，并且环形环可以具有延伸以连接到螺旋绕组的延伸部。其中一个扩展可以连接到一个网桥，另一个扩展可以连接到一个顶点。螺旋绕组端部的支柱可以具有与支柱Po的支柱长度不同的支柱长度。在卷绕端部之间的绕组的中心部分。

7. 发明申请

US20090312775A1 Endoscopic Suturing System 有权
标题翻译：内窥镜缝合系统
公开(公告)号：US20090312775A1
公开(公告)日：2009-12-17
申请号：US12485576
申请日：2009-06-16
申请人： J. Landon Gilkey , Brett E. Naglreiter , Peter K. Kratsch , Donald K. Jones
发明人： J. Landon Gilkey , Brett E. Naglreiter , Peter K. Kratsch , Donald K. Jones
IPC分类号： A61B17/04 , A61B1/04 , A61B1/00
CPC分类号： A61B17/0469 , A61B1/018 , A61B17/00234 , A61B17/0487 , A61B17/06123 , A61B17/0625 , A61B17/068 , A61B2017/00296 , A61B2017/00349 , A61B2017/0417 , A61B2017/0464 , A61B2017/0496 , A61B2017/06047 , A61B2017/0608 , A61B2017/0649 , A61B2017/2912
摘要： An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue.
摘要翻译：公开了内窥镜缝合系统和方法，用于与系统和方法一起使用的装置，例如缝合分配器，束带装置和组织抓紧器。在一个实施例中，缝合系统包括布置在内窥镜或引导构件的远端部分处的帽组件，帽组件包括可旋转的针保持器。针保持器通过延伸到内窥镜或引导构件外部的传动元件致动。可以通过内窥镜或引导构件的通道插入针捕获装置，以便当针保持器旋转时捕获保持在针保持器中的针，使得针刺穿组织。

8. 发明申请

US20090242612A1 Method and Device for Full Thickness Resectioning of an Organ 有权
标题翻译：器官全层切除术的方法与装置
公开(公告)号：US20090242612A1
公开(公告)日：2009-10-01
申请号：US12482574
申请日：2009-06-11
申请人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

9. 发明授权

US06273882B1 Snap handle assembly for an endoscopic instrument 失效
标题翻译：用于内窥镜仪器的卡扣手柄组件
公开(公告)号：US06273882B1
公开(公告)日：2001-08-14
申请号：US09099423
申请日：1998-06-18
申请人： John Whittier , Peter K. Kratsch
发明人： John Whittier , Peter K. Kratsch
IPC分类号： A61B1700
CPC分类号： A61B10/06 , A61B17/29 , A61B2017/00477
摘要： An endoscopic instrument having an end effector assembly at a distal end, a flexible member connected to and extending from the end effector assembly and a handle assembly connected to the flexible member. The handle assembly includes a handle member, a nose member and a biasing element. The handle member has an inner bore. The hollow nose member has a shank configured for insertion into the inner bore. The biasing element is located within the inner bore and biases the flexible member relative to the handle member. The handle member may have a keyway or a projection configured for insertion into a keyway, and the nose member may have the other of the keyway or the projection. The flexible member has a retaining element affixed to its proximal end. The flexible member is inserted through the nose member with the retaining element located proximate the proximal end of the nose member and thereby retained between the handle member and the nose member. Relative axial movement between the handle member and the flexible member is minimized.
摘要翻译：一种内窥镜器械，其具有在远端的端部执行器组件，连接到端部执行器组件并且从端部执行器组件延伸的柔性构件以及连接到柔性构件的手柄组件。手柄组件包括手柄构件，鼻构件和偏置元件。手柄构件具有内孔。中空的鼻部构件具有构造成用于插入到内孔中的柄。偏置元件位于内孔内并相对于手柄构件偏置柔性构件。手柄构件可以具有构造成用于插入键槽的键槽或突起，并且鼻构件可以具有键槽或突起中的另一个。柔性构件具有固定到其近端的保持元件。柔性构件通过鼻部构件插入，保持元件位于鼻部构件的近端附近，从而保持在把手构件和鼻部构件之间。把手构件和柔性构件之间的相对轴向运动最小化。

10. 发明授权

US5947983A Tissue cutting and stitching device and method 失效
标题翻译：组织切割和缝合装置及方法
公开(公告)号：US5947983A
公开(公告)日：1999-09-07
申请号：US39249
申请日：1998-03-16
申请人： Matthew S. Solar , Peter K. Kratsch
发明人： Matthew S. Solar , Peter K. Kratsch
IPC分类号： A61B17/04 , A61B17/06 , A61B17/22 , A61B17/062 , A61B17/32
CPC分类号： A61B17/0469 , A61B17/320783 , A61B2017/06052 , A61B2017/06076
摘要： A device for cutting tissue, the device comprising a first tube having a side window; a second tube positioned within the first tube, the second tube having a side window and being movable within the first tube; a third tube positioned within the second tube, the third tube having a side window and being movable within the second tube; and a needle insertable within the second tube, the needle housing a suture. The windows in the first, second, and third tubes are alignable with each other. The invention includes methods for the cutting and suturing of tissue by using the device.
摘要翻译：一种用于切割组织的装置，该装置包括具有侧窗的第一管; 位于所述第一管内的第二管，所述第二管具有侧窗并且可在所述第一管内移动; 位于所述第二管内的第三管，所述第三管具有侧窗并且可在所述第二管内移动; 以及可插入第二管内的针，所述针容纳缝合线。第一，第二和第三管中的窗口彼此对准。本发明包括通过使用该装置切割和缝合组织的方法。

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