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1. 发明授权

US08262563B2 Endoscopic translumenal articulatable steerable overtube 有权
标题翻译：内窥镜切除术
公开(公告)号：US08262563B2
公开(公告)日：2012-09-11
申请号：US12172782
申请日：2008-07-14
申请人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
发明人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
IPC分类号： A61B1/00 , A61M25/00
CPC分类号： A61B1/005 , A61B1/00135
摘要： An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.
摘要翻译：公开了一种具有沿着纵向轴线延伸的细长中空金属体的装置。中空体限定中心开口并具有预定的壁厚。激光切割狭缝的图案形成在体内。狭缝限定多个可铰接元件。多个可铰接元件使得主体能够在第一平面中主动地铰接并且在与第一平面垂直的平面中的被动偏转。

2. 发明申请

US20100010299A1 ENDOSCOPIC TRANSLUMENAL ARTICULATABLE STEERABLE OVERTUBE 有权
标题翻译：内窥镜翻转式可转换超导体
公开(公告)号：US20100010299A1
公开(公告)日：2010-01-14
申请号：US12172782
申请日：2008-07-14
申请人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
发明人： Gregory J. Bakos , James T. Spivey , William D. Fox , Bernard C. McDermott , Micheal E. Kelly , Michelle M. Guinan
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00135
摘要： An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.
摘要翻译：公开了一种具有沿着纵向轴线延伸的细长中空金属体的装置。中空体限定中心开口并具有预定的壁厚。激光切割狭缝的图案形成在体内。狭缝限定多个可铰接元件。多个可铰接元件使得主体能够在第一平面中主动地铰接并且在与第一平面垂直的平面中的被动偏转。

3. 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。

4. 发明申请

US20090192344A1 SURGICAL DEVICES FOR MANIPULATING TISSUE 审中-公开
标题翻译：用于手术组织的外科手术
公开(公告)号：US20090192344A1
公开(公告)日：2009-07-30
申请号：US12019461
申请日：2008-01-24
申请人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人： Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
IPC分类号： A61N2/10 , A61N2/00
CPC分类号： A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要： A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译：手术套件可用于操纵患者身体内的组织以在身体内产生工作空间，以允许外科医生使用各种手术器械容易地进入身体内并进行工作。手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。该套件还可以包括具有磁体的手术器械，其可用于操纵植入物和与其接合的组织。手术套件可以包括锚固件和悬挂器，其构造成在主体内的不同位置处接合组织，以及与锚固件和悬挂器接合的连接构件，使得连接构件可以被拉动以将锚移向吊架。使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。

5. 发明授权

US07967741B2 Endoscopic guide device 有权
标题翻译：内镜引导装置
公开(公告)号：US07967741B2
公开(公告)日：2011-06-28
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00 , A61F2/00 , A61F13/00 , A61M5/32
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

6. 发明申请

US20110112434A1 KITS AND PROCEDURES FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
标题翻译：自然手术治疗内镜手术的手套和手术
公开(公告)号：US20110112434A1
公开(公告)日：2011-05-12
申请号：US12614143
申请日：2009-11-06
申请人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
发明人： Ragae M. Ghabrial , James T. Spivey , Kurt R. Bally , Duane A. Linenkugel , Gregory J. Bakos , Kempton K. Carroll, II , Omar J. Vakharia , Robert M. Trusty
IPC分类号： A61B17/94 , A61B1/00 , A61B17/06 , A61B17/295 , A61B17/32 , A61B18/14 , A61B17/10 , A61B10/04
CPC分类号： A61B17/3478 , A61B1/00135 , A61B1/00154 , A61B1/018 , A61B17/1285 , A61B17/320016 , A61B17/32056 , A61B17/3421 , A61B17/3423 , A61B18/1442 , A61B2017/00278 , A61B2017/00287 , A61B2017/003 , A61B2017/00336 , A61B2017/00358 , A61B2017/0412 , A61B2017/0417 , A61B2017/0437 , A61B2017/0438 , A61B2017/0464 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936 , A61B2017/2939 , A61B2017/3445 , A61M25/0084 , A61M25/0102 , A61M25/0133 , A61M25/0136 , A61M25/10 , A61M29/02 , A61M2025/0681 , A61M2025/1093
摘要： Various surgical devices, kits, and/or methods are provided herein that may be useful in performing a surgical procedure through a natural orifice. Such a surgical procedure may utilize one or more devices, kits, and/or methods to create an access port to a body cavity of a patient, to perform a specific surgical procedure, and to close the access port. In various embodiments, the specific surgical procedure may comprise a sleeve gastrectomy, a ventral hernia repair, a hybrid transgastric cholecystectomy, and/or a hybrid transgastric appendectomy.
摘要翻译：本文提供的各种手术装置，试剂盒和/或方法可用于通过天然孔进行外科手术。这种外科手术可以利用一个或多个装置，套件和/或方法来创建到患者的体腔的进入端口，以执行特定的外科手术并且关闭进入端口。在各种实施例中，具体的外科手术可以包括套管胃切除术，腹侧疝修补术，混合性经胃胆囊切除术和/或混合性经胃阑尾切除术。

7. 发明申请

US20080064920A1 Medical drive system for providing motion to at least a portion of a medical apparatus 审中-公开
标题翻译：用于向医疗设备的至少一部分提供运动的医疗驱动系统
公开(公告)号：US20080064920A1
公开(公告)日：2008-03-13
申请号：US11518606
申请日：2006-09-08
申请人： Gregory J. Bakos , James T. Spivey , Gary L. Long
发明人： Gregory J. Bakos , James T. Spivey , Gary L. Long
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00133 , A61M25/0113 , A61M25/09041
摘要： Several medical drive systems each include a drive system assembly adapted to engage and move at least a portion of a medical apparatus. The medical drive system assemblies each are variously described in expressions such as an assembly adapted to engagingly slide onto a catheter, an assembly adapted to surroundingly attach to a catheter, an assembly adapted to engagingly slide onto a working channel entrance of an endoscope wherein the medical apparatus is insertable into the working channel entrance, an assembly including a spur gear and a nut gear wherein the nut gear includes external teeth engaged by the spur gear, an assembly insertable into a working channel of a flexible insertion tube of an endoscope, and/or an assembly including a drive shaft and a nut gear fixedly attached thereto wherein the drive shaft has at least a hollow portion and the medical apparatus is positionable in the hollow portion.
摘要翻译：几个医疗驱动系统各自包括适于接合和移动医疗设备的至少一部分的驱动系统组件。医疗驱动系统组件各自以表达方式进行各种描述，例如适于啮合地滑动到导管上的组件，适于围绕附接到导管的组件，适于啮合地滑动到内窥镜的工作通道入口上的组件，其中医疗装置可插入工作通道入口，包括正齿轮和螺母齿轮的组件，其中螺母齿轮包括由正齿轮啮合的外齿，可插入到内窥镜的柔性插入管的工作通道中的组件和/ 或包括固定地附接到其上的驱动轴和螺母齿轮的组件，其中所述驱动轴至少具有中空部分，并且所述医疗装置可定位在所述中空部分中。

8. 发明授权

US08496574B2 Selectively positionable camera for surgical guide tube assembly 有权
标题翻译：用于外科导管组件的可选定位相机
公开(公告)号：US08496574B2
公开(公告)日：2013-07-30
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。

9. 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。

10. 发明申请

US20080275297A1 ENDOSCOPIC GUIDE DEVICE 有权
标题翻译：内窥镜指导装置
公开(公告)号：US20080275297A1
公开(公告)日：2008-11-06
申请号：US11742948
申请日：2007-05-01
申请人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人： Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
IPC分类号： A61B1/00
CPC分类号： A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要： Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译：提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。在一个实施例中，提供锚定构件用于将装置或身体部分锚定到组织，例如体腔的内壁。该装置可以是例如内窥镜装置，耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。锚定构件可以包括或形成开口，通过该开口可以插入装置。锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入，通过装置插入的工具和/或由装置或工具抓住的器官。

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