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1. 发明授权

US08328836B2 Flexible endoscopic safety needle 有权
标题翻译：柔性内窥镜安全针
公开(公告)号：US08328836B2
公开(公告)日：2012-12-11
申请号：US11380958
申请日：2006-05-01
申请人： Sean P. Conlon , Omar Vakharia , Duane Linenkugel
发明人： Sean P. Conlon , Omar Vakharia , Duane Linenkugel
IPC分类号： A61B17/34
CPC分类号： A61B17/3478 , A61B18/1492 , A61B2017/00278 , A61B2017/320048 , A61B2017/320064 , A61B2017/3488
摘要： Various methods and devices are provided for penetrating tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible hollow elongate shaft having a tissue-penetrating tip at a distal end thereof, and a plunger disposed within the tissue-penetrating tip. The plunger can be movable relative to the tissue-penetrating tip between a distal position in which the plunger is distal of the tissue-penetrating tip to prevent tissue penetration, and a proximal position in which the plunger is proximal of the tissue-penetrating tip to allow the tip to penetrate tissue. The plunger can be adapted to move from the distal position to the proximal position when the plunger is advanced into a tissue surface. The device can also include a biasing element coupled to the plunger that can be adapted to bias the plunger to the distal position. The biasing element can be coupled between a distal end of a stylet that extends through the hollow elongate shaft, and a proximal end of the plunger.
摘要翻译：提供用于穿透组织的各种方法和装置。在一个实施例中，提供组织穿透装置，并且包括柔性中空细长轴，其具有在其远端处的组织穿透尖端，以及设置在组织穿透尖端内的柱塞。柱塞可以相对于组织穿透尖端在远侧位置之间移动，远端位置之间的柱塞远离组织穿透尖端以防止组织穿透;以及近端位置，柱塞在组织穿透尖端的近侧到允许尖端穿透组织。当柱塞进入组织表面时，柱塞可以适于从远侧位置移动到近侧位置。该装置还可以包括联接到柱塞的偏置元件，该偏置元件可适于将柱塞偏压到远端位置。偏置元件可以联接在延伸穿过中空细长轴的探针的远端和柱塞的近端之间。

2. 发明申请

US20050256374A1 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：US20050256374A1
公开(公告)日：2005-11-17
申请号：US11128108
申请日：2005-05-12
申请人： Gary Long , Gregory Bakos , David Stefanchik , Omar Vakharia , Duane Linenkugel
发明人： Gary Long , Gregory Bakos , David Stefanchik , Omar Vakharia , Duane Linenkugel
IPC分类号： A61B17/00 , A61M25/01 , A61M25/09 , A61M31/00 , A61M37/00
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。

3. 发明申请

US20070255306A1 Flexible Endoscopic Safety Needle 有权
标题翻译：柔性内窥镜安全针
公开(公告)号：US20070255306A1
公开(公告)日：2007-11-01
申请号：US11380958
申请日：2006-05-01
申请人： Sean Conlon , Omar Vakharia , Duane Linenkugel
发明人： Sean Conlon , Omar Vakharia , Duane Linenkugel
IPC分类号： A61M29/00 , A61B1/04 , A61M5/178 , A61M31/00
CPC分类号： A61B17/3478 , A61B18/1492 , A61B2017/00278 , A61B2017/320048 , A61B2017/320064 , A61B2017/3488
摘要： Various methods and devices are provided for penetrating tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible hollow elongate shaft having a tissue-penetrating tip at a distal end thereof, and a plunger disposed within the tissue-penetrating tip. The plunger can be movable relative to the tissue-penetrating tip between a distal position in which the plunger is distal of the tissue-penetrating tip to prevent tissue penetration, and a proximal position in which the plunger is proximal of the tissue-penetrating tip to allow the tip to penetrate tissue. The plunger can be adapted to move from the distal position to the proximal position when the plunger is advanced into a tissue surface. The device can also include a biasing element coupled to the plunger that can be adapted to bias the plunger to the distal position. The biasing element can be coupled between a distal end of a stylet that extends through the hollow elongate shaft, and a proximal end of the plunger.
摘要翻译：提供用于穿透组织的各种方法和装置。在一个实施例中，提供组织穿透装置，并且包括柔性中空细长轴，其具有在其远端处的组织穿透尖端，以及设置在组织穿透尖端内的柱塞。柱塞可以相对于组织穿透尖端在远侧位置之间移动，远端位置之间的柱塞远离组织穿透尖端以防止组织穿透;以及近端位置，柱塞在组织穿透尖端的近侧到允许尖端穿透组织。当柱塞进入组织表面时，柱塞可以适于从远侧位置移动到近侧位置。该装置还可以包括联接到柱塞的偏置元件，该偏置元件可适于将柱塞偏压到远端位置。偏置元件可以联接在延伸穿过中空细长轴的探针的远端和柱塞的近端之间。

4. 发明申请

US20060025819A1 T-type suture anchoring devices and methods of using same 有权
公开(公告)号：US20060025819A1
公开(公告)日：2006-02-02
申请号：US11127513
申请日：2005-05-12
申请人： Rudolph Nobis , Frank Jankoski , Omar Vakharia , John Faux , Gregory Bakos , Duane Linenkugel , Christopher Swain
发明人： Rudolph Nobis , Frank Jankoski , Omar Vakharia , John Faux , Gregory Bakos , Duane Linenkugel , Christopher 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.

5. 发明申请

US20060258902A1 Apparatus useful for positioning a device on an endoscope 有权
标题翻译：用于将装置定位在内窥镜上的装置
公开(公告)号：US20060258902A1
公开(公告)日：2006-11-16
申请号：US11128704
申请日：2005-05-13
申请人： James Spivey , David Stefanchik , Omar Vakharia , Rick Applegate
发明人： James Spivey , David Stefanchik , Omar Vakharia , Rick Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00073 , A61B1/00135 , A61B1/0014 , A61B1/012 , A61B2017/00296
摘要： A medical apparatus and method useful for positioning a device, such as an endcap, on an end of an endoscope, is disclosed. The apparatus can exert a pulling force on the endoscope through the endcap while a pushing force is applied to the endcap. The apparatus can be used to press an endcap onto the distal end of an endoscope without grasping by hand a sheath in those applications where the endoscope is disposed in a sheath.
摘要翻译：公开了一种用于将诸如端盖的装置定位在内窥镜的端部上的医疗装置和方法。该装置可以通过端盖在内窥镜上施加拉力，同时向端盖施加推力。该装置可用于在将内窥镜设置在护套中的那些应用中用手将护套按压到内窥镜的远端而不用手抓住。

6. 发明申请

US20050277957A1 Devices and methods of locking and cutting a suture in a medical procedure 有权
标题翻译：在医疗过程中锁定和切割缝线的装置和方法
公开(公告)号：US20050277957A1
公开(公告)日：2005-12-15
申请号：US11127515
申请日：2005-05-12
申请人： Jesse Kuhns , Christopher Swain , Charles Mosse , Omar Vakharia , Rudolph Nobis
发明人： Jesse Kuhns , Christopher Swain , Charles Mosse , Omar Vakharia , Rudolph Nobis
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： Devices and methods are provided which may be used for suturing, including performing a totally transoral surgical procedure, such as a posterior gastropexy procedure. A suture lock and cut assembly is provided to lock and cut one or more sutures in one motion, which motion can be a non-curved, non rotational linear motion. The suture lock and cut assembly with one or more sutures threaded therethrough may be pushed through, for example, a patient's esophagus and into the stomach by the tip of an endoscope, or alternatively, sized to be fed through the working channel of the endoscope.
摘要翻译：提供了可以用于缝合的装置和方法，包括完成全面的手术操作，例如胃后路手术。提供缝合线锁和切割组件以在一个运动中锁定和切割一个或多个缝合线，该运动可以是非弯曲的非旋转线性运动。具有穿过其中的一个或多个缝合线的缝合线锁定和切割组件可以被推送通过例如患者的食道并且通过内窥镜的尖端被推入胃部，或者可选地尺寸设置成被馈送通过内窥镜的工作通道。

7. 发明申请

US20050256504A1 Medical instrument having a catheter and a medical guidewire 有权
标题翻译：具有导管和医疗导丝的医疗器械
公开(公告)号：US20050256504A1
公开(公告)日：2005-11-17
申请号：US11128012
申请日：2005-05-12
申请人： Gary Long , Gregory Bakos , Omar Vakharia
发明人： Gary Long , Gregory Bakos , Omar Vakharia
IPC分类号： A61B17/00 , A61M25/01 , A61M25/09 , A61M31/00 , A61M37/00
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 having a distal end which has a substantially bullet-nose shape, which is insertable into a body lumen of a patient, and which has at least one guidewire passageway opening. The first medical instrument also includes a medical guidewire having a working portion extendable beyond the at-least-one guidewire passageway opening. A second medical instrument includes a flexible catheter, a medical guidewire having a working portion extendable beyond the distal end of the catheter, and at least one wire length counter which is operably connectable to the medical guidewire to measure a length of the working portion being extended beyond the distal end of the catheter. A third medical instrument includes a flexible catheter, a medical guidewire, and a force/torque-limiting clutch operatively connectable to the medical guidewire.
摘要翻译：第一医疗器械包括柔性导管，其具有远端，其具有基本上子弹鼻形状，其可插入患者的体腔中，并且具有至少一个导丝通道开口。第一医疗器械还包括具有可延伸超过至少一个导丝通道开口的工作部分的医疗导丝。第二医疗器械包括柔性导管，具有可延伸超过导管远端的工作部分的医疗导线，以及可操作地连接到医用导线的至少一个导线长度计数器，以测量延伸的工作部分的长度超出导管的远端。第三医疗器械包括柔性导管，医疗导线和可操作地连接到医疗导线的力/扭矩限制离合器。

8. 发明授权

US07955328B2 Tissue dissector and/or coagulator with a slit in an insulating tip to control the direction of energy 有权
标题翻译：组织解剖器和/或凝结器，其在绝缘尖端中具有狭缝以控制能量的方向
公开(公告)号：US07955328B2
公开(公告)日：2011-06-07
申请号：US11558623
申请日：2006-11-10
申请人： Gary Long , Gregory J. Bakos , Omar Vakharia
发明人： Gary Long , Gregory J. Bakos , Omar Vakharia
IPC分类号： A61B18/18
CPC分类号： A61B18/148 , A61B18/1482 , A61B18/1485 , A61B2018/00083 , A61B2018/00101 , A61B2018/00589 , A61B2018/00601 , A61B2018/1422 , A61B2018/1472 , A61B2018/1497 , A61B2018/1861 , A61B2218/002
摘要： Various devices and methods for dissecting and/or coagulating tissue are provided. In one embodiment, a surgical device is provided that includes an elongate member having proximal and distal ends, an energy emitter coupled to the distal end of the elongate member, and an insulating element that is disposed around the energy emitter. The insulating element can have an opening for receiving energy from the energy emitter, and the opening can be shaped to control a direction of energy emitted from the energy emitter.
摘要翻译：提供了用于解剖和/或凝固组织的各种装置和方法。在一个实施例中，提供了一种手术装置，其包括具有近端和远端的细长构件，耦合到细长构件的远端的能量发射器和围绕能量发射器设置的绝缘元件。绝缘元件可以具有用于从能量发射器接收能量的开口，并且开口可以被成形为控制从能量发射器发射的能量的方向。

9. 发明申请

US20080188879A1 Tri-Bending Sphinctertome 有权
标题翻译：三弯矫形手术
公开(公告)号：US20080188879A1
公开(公告)日：2008-08-07
申请号：US11381006
申请日：2006-05-01
申请人： Omar Vakharia , Ifung Lu , Rudolph H. Nobis , Christopher Paul Swain
发明人： Omar Vakharia , Ifung Lu , Rudolph H. Nobis , Christopher Paul Swain
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B2017/003 , A61B2018/00553 , A61B2018/00601 , A61B2018/144 , A61B2018/1467
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译：本文公开了用于在组织中形成多向切割的装置和方法。本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿着构件的一部分的至少第一，第二和第三导线。电线的远端部分锚定在细长构件的一部分上或内部。当张紧被施加到至少一根电线时，例如通过设备近端处的致动器，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假定组织切割配置。

10. 发明申请

US20070255312A1 Medical instrument having an end-effector-associated member 审中-公开
标题翻译：医疗器械具有末端执行器相关联的构件
公开(公告)号：US20070255312A1
公开(公告)日：2007-11-01
申请号：US11415451
申请日：2006-05-01
申请人： Ifung Lu , Rudolph Nobis , Omar Vakharia
发明人： Ifung Lu , Rudolph Nobis , Omar Vakharia
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B1/018 , A61B18/1477 , A61B2017/00292 , A61B2017/003 , A61B2017/2905 , A61B2018/1425
摘要： A medical instrument includes a medical-end-effector-associated member and resiliently flexible first, second and third elongate members. The medical-end-effector-associated member has a rigid portion positionable within a patient. The first, second and third elongate members each have a proximal end portion and a distal end portion. The distal end portions of the first, second and third elongate members are attached to the rigid portion of the medical-end-effector-associated member. Relative lengthwise translation of the proximal end portions of the first, second and third elongate members articulates the rigid portion of the medical-end-effector-associated member.
摘要翻译：医疗器械包括医疗末端执行器相关联的构件和弹性柔性的第一，第二和第三细长构件。医疗末端执行器相关联的构件具有可定位在患者体内的刚性部分。第一，第二和第三细长构件各自具有近端部分和远端部分。第一，第二和第三细长构件的远端部分附接到医疗末端执行器相关联构件的刚性部分。第一，第二和第三细长构件的近端部分的相对纵向平移将医疗末端执行器相关构件的刚性部分铰接。

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