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1. 发明授权

US08377095B2 Tissue anchors for purse-string closure of perforations 有权
标题翻译：用于穿孔的钱包关闭的组织锚
公开(公告)号：US08377095B2
公开(公告)日：2013-02-19
申请号：US12630395
申请日：2009-12-03
申请人： Vihar C. Surti , Richard W. Ducharme
发明人： Vihar C. Surti , Richard W. Ducharme
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/00004 , A61B2017/0414 , A61B2017/0417 , A61B2017/0446 , A61B2017/0458 , A61B2017/1142 , Y10T24/3913 , Y10T24/3916
摘要： Medical devices for attaching suture to tissue and that provides reliable and complete closure of perforations and increases the versatility of the device for various other procedures. Embodiments of the medicals devices include a tissue anchor having a crossbar with opposing ends and structure for slidably receiving a suture.
摘要翻译：用于将缝合线附接到组织并且提供穿孔的可靠和完全闭合的医疗装置，并且增加了用于各种其他程序的装置的通用性。医疗装置的实施例包括具有相对端的横杆的组织锚固件和用于可滑动地接收缝合线的结构。

2. 发明申请

US20100145385A1 TISSUE ANCHORS FOR PURSE-STRING CLOSURE OF PERFORATIONS 有权
标题翻译：用于执行执行过程中的组合锚
公开(公告)号：US20100145385A1
公开(公告)日：2010-06-10
申请号：US12630395
申请日：2009-12-03
申请人： VIHAR C. SURTI , Richard W. Ducharme
发明人： VIHAR C. SURTI , Richard W. Ducharme
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/00004 , A61B2017/0414 , A61B2017/0417 , A61B2017/0446 , A61B2017/0458 , A61B2017/1142 , Y10T24/3913 , Y10T24/3916
摘要： Medical devices for attaching suture to tissue and that provides reliable and complete closure of perforations and increases the versatility of the device for various other procedures. Embodiments of the medicals devices include a tissue anchor having a crossbar with opposing ends and structure for slidably receiving a suture.
摘要翻译：用于将缝合线附接到组织并且提供穿孔的可靠和完全闭合的医疗装置，并且增加了用于各种其他程序的装置的通用性。医疗装置的实施例包括具有相对端的横杆的组织锚固件和用于可滑动地接收缝合线的结构。

3. 发明申请

US20130046300A1 Ablation Cap 有权
标题翻译：消融帽
公开(公告)号：US20130046300A1
公开(公告)日：2013-02-21
申请号：US13587637
申请日：2012-08-16
申请人： Kenneth Binmoeller , Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
发明人： Kenneth Binmoeller , Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
IPC分类号： A61B18/14 , A61B17/22
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/00089 , A61B1/00101 , A61B1/00131 , A61B2017/00296 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2090/3983
摘要： An ablation cap and a method of delivering energy to a tissue are provided. An ablation cap includes a tubular body having a proximal portion, a distal portion, a lumen extending therethrough. The ablation cap also includes a cover portion covering a portion of the tubular body, the covering portion having a region at least partially spaced apart from the tubular body and an electrode portion movably positionable relative to the cover portion. The electrode portion has a covered position where the electrode portion is positioned within the cover portion and an exposed position where the electrode portion is exposed relative to the cover portion. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.
摘要翻译：提供消融盖和向组织递送能量的方法。消融盖包括具有近端部分，远侧部分，延伸穿过其中的内腔的管状体。消融盖还包括覆盖管状体的一部分的覆盖部分，覆盖部分具有至少部分地与管状体间隔开的区域和相对于盖部分可移动地定位的电极部分。电极部分具有覆盖位置，其中电极部分位于盖部分内，并且电极部分相对于盖部分露出的暴露位置。本体的近端部分的尺寸和形状适于装配在内窥镜的远端上，并且主体的远端部分延伸到内窥镜远端的远端。

4. 发明申请

US20110245851A1 REMOVABLE MEDICAL DEVICE HAVING AT LEAST ONE PATCH MEMBER 审中-公开
标题翻译：具有至少一个配对会员的可拆卸医疗设备
公开(公告)号：US20110245851A1
公开(公告)日：2011-10-06
申请号：US13074109
申请日：2011-03-29
申请人： Richard W. Ducharme , Michelle D. Martinez , Vihar C. Surti , Tyler E. McLawhorn
发明人： Richard W. Ducharme , Michelle D. Martinez , Vihar C. Surti , Tyler E. McLawhorn
IPC分类号： A61B17/00
CPC分类号： A61F2/07 , A61B17/0057 , A61B2017/00292 , A61B2017/00597 , A61B2017/00659 , A61F2/89 , A61F2002/075 , A61F2002/9528 , A61F2230/0067
摘要： The present embodiments provide a removable medical device, comprising a sleeve having proximal and distal ends and a lumen extending therebetween. At least one support member having an expanded deployed configuration is coupled to the sleeve using at least one permanent connector. A patch member comprising a resorbable material is coupled to at least a portion of an outer surface of the sleeve using at least one temporary connector. In use, when the support member is in the expanded deployed configuration, at least a portion of the patch member contacts the target site and fluid flows through the lumen of the sleeve. In a separate procedure, a retrieval member is operable to facilitate removal of the sleeve and support member while leaving the patch member disposed within the bodily passageway.
摘要翻译：本实施例提供一种可拆卸的医疗装置，其包括具有近端和远端以及在其间延伸的内腔的套管。具有扩展展开构型的至少一个支撑构件使用至少一个永久连接器联接到套筒。包括可再吸收材料的贴片构件使用至少一个临时连接器联接到套筒的外表面的至少一部分。在使用中，当支撑构件处于扩展展开构型时，补片构件的至少一部分接触目标部位，并且流体流过套管的内腔。在单独的过程中，取回构件可操作以便于在离开配置在身体通道内的贴片构件时移除套筒和支撑构件。

5. 发明申请

US20110152611A1 SYSTEM AND METHOD FOR FIDUCIAL DEPLOYMENT 有权
标题翻译：系统和方法用于制造部署
公开(公告)号：US20110152611A1
公开(公告)日：2011-06-23
申请号：US12964062
申请日：2010-12-09
申请人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
发明人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
IPC分类号： A61B1/00
CPC分类号： A61B17/3468 , A61B1/018 , A61B17/00234 , A61B17/0401 , A61B17/06166 , A61B17/3478 , A61B90/39 , A61B2017/00407 , A61B2017/0417 , A61B2017/0649 , A61B2017/347 , A61B2018/00273 , A61B2090/034 , A61B2090/062 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069 , A61N5/1001 , A61N5/1049
摘要： Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages. The handle may include structures configured for incrementally or otherwise controlledly deploying one or more fiducials by advancing a stylet through and/or retracting the body of a needle in which fiducials are disposed.
摘要翻译：实施例包括具有构造成用于致动其的手柄的基准部署系统。基准可以包括被配置为接合系统的针中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施例中，基准的回声放置可以具有某些优点。手柄可以包括被构造成通过使探针穿过其中设置基准的针的身体和/或缩回其中的基准体逐渐地或以其他方式受控地展开一个或多个基准的结构。

6. 发明申请

US20110144662A1 CLIP DEVICES AND SYSTEMS AND METHODS FOR DEPLOYMENT 审中-公开
标题翻译： CLIP设备和系统以及部署方法
公开(公告)号：US20110144662A1
公开(公告)日：2011-06-16
申请号：US12964920
申请日：2010-12-10
申请人： Tyler E. McLawhorn , Richard W. Ducharme , Vihar C. Surti , Michelle D. Martinez
发明人： Tyler E. McLawhorn , Richard W. Ducharme , Vihar C. Surti , Michelle D. Martinez
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/1227 , A61B17/1285
摘要： The present embodiments provide clip devices, along with systems and methods for delivering and deploying the clip devices. An exemplary clip device comprises inner and outer segments, and further has a delivery configuration, a tissue receiving configuration and a deployed configuration. A distal region of the outer segment is movable with respect to a distal region of the inner segment, thereby creating a spacing between the inner and outer segments for surrounding tissue in the tissue receiving configuration. The inner and outer segments may be biased to return to the deployed configuration, and may comprise generally identical shapes in the deployed configuration wherein the outer segment is proportionally larger than the inner segment. In one embodiment, the inner and outer segments each comprise “V” shapes in the unbiased state. Various delivery systems and methods are provided for delivering and deploying the clip devices disclosed.
摘要翻译：本实施例提供剪辑装置以及用于传送和展开剪辑装置的系统和方法。示例性的夹持装置包括内部和外部部分，并且还具有传送构造，组织接收构造和展开配置。外部段的远侧区域可相对于内部区段的远侧区域移动，从而在内部和外部区段之间产生间隔，以在组织接收构型中围绕组织。内部和外部段可以被偏置以返回到展开构造，并且在展开构造中可以包括大体上相同的形状，其中外部段成比例地大于内部段。在一个实施例中，内部和外部部分各自包括处于无偏状态的“V”形状。提供各种递送系统和方法用于递送和展开所公开的剪辑装置。

7. 发明申请

US20110082370A1 ENDOSCOPIC FASCIA TUNNELING 审中-公开
标题翻译：内镜FASCIA隧道
公开(公告)号：US20110082370A1
公开(公告)日：2011-04-07
申请号：US12896365
申请日：2010-10-01
申请人： Richard W. Ducharme , Vihar C. Surti , Tyler Evans McLawhorn
发明人： Richard W. Ducharme , Vihar C. Surti , Tyler Evans McLawhorn
IPC分类号： A61B17/32 , A61B8/00 , A61B19/00 , A61B1/06
CPC分类号： A61B17/00234 , A61B1/32 , A61B17/0281 , A61B17/29 , A61B17/32093 , A61B2017/0034 , A61B2017/00876 , A61B2017/320048 , A61B2017/320056 , A61B2090/309
摘要： Medical systems and methods are provided for accessing a bodily cavity, such as the peritoneal cavity or the thoracic cavity, and for supporting diagnoses or procedures within or adjacent to such cavities. According to one embodiment, a method is provided for accessing an internal bodily cavity of patient, the bodily cavity defined by a cavity membrane, the patient having multiple tissue layers adjacent the bodily cavity including at least a skin layer and a fascia layer. An opening is formed through the skin layer and the fascia layer. An elongate medical device is inserted through the opening and between the fascia layer and the cavity membrane to form a tunnel communicating with the opening. Various medical instruments may then be used within the tunnel, and related medical kits and systems are described.
摘要翻译：提供用于进入诸如腹膜腔或胸腔的身体腔的医疗系统和方法，以及用于在这些腔内或附近支撑诊断或手术。根据一个实施例，提供了一种用于访问患者的内部身体腔的方法，所述身体腔由腔膜限定，所述患者具有与身体腔相邻的多个组织层，其包括至少皮肤层和筋膜层。通过皮肤层和筋膜层形成开口。细长的医疗装置通过开口插入在面板层和腔膜之间以形成与开口连通的隧道。然后可以在隧道内使用各种医疗器械，并且描述相关的医疗包和系统。

8. 发明授权

US10456195B2 Ablation overtube 有权
公开(公告)号：US10456195B2
公开(公告)日：2019-10-29
申请号：US13209763
申请日：2011-08-15
申请人： Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
发明人： Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
IPC分类号： A61B18/14 , A61B1/00 , A61B1/012 , A61B1/273 , A61B18/12 , A61B18/00
摘要： An energy delivery system and a method of delivering energy to a tissue are provided. The energy delivery system includes an overtube. The overtube includes a body having a proximal portion, a distal portion and a lumen extending at least partially therethrough. The proximal portion is adapted to be positioned over a distal portion of an endoscope. The body also includes a first plurality of openings formed in the body and connected to the lumen and an electrode operably connected to the body and extending over at least a portion of a surface of the body. The lumen is operably connectable to a vacuum source and the electrode is operably connectable to a power source.

9. 发明授权

US09072542B2 System and method for fiducial deployment 有权
标题翻译：用于基准部署的系统和方法
公开(公告)号：US09072542B2
公开(公告)日：2015-07-07
申请号：US12964062
申请日：2010-12-09
申请人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
发明人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
IPC分类号： A61B1/00 , A61B17/34 , A61B19/00 , A61M37/00 , A61B17/04 , A61B18/00 , A61B17/064 , A61B1/018 , A61B17/00 , A61B17/06 , A61N5/10
CPC分类号： A61B17/3468 , A61B1/018 , A61B17/00234 , A61B17/0401 , A61B17/06166 , A61B17/3478 , A61B90/39 , A61B2017/00407 , A61B2017/0417 , A61B2017/0649 , A61B2017/347 , A61B2018/00273 , A61B2090/034 , A61B2090/062 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069 , A61N5/1001 , A61N5/1049
摘要： Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages. The handle may include structures configured for incrementally or otherwise controlledly deploying one or more fiducials by advancing a stylet through and/or retracting the body of a needle in which fiducials are disposed.
摘要翻译：实施例包括具有构造成用于致动其的手柄的基准部署系统。基准可以包括被配置为接合系统的针中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施例中，基准的回声放置可以具有某些优点。手柄可以包括被构造成通过使探针穿过其中设置基准的针的身体和/或缩回其中的基准体逐渐地或以其他方式受控地展开一个或多个基准的结构。

10. 发明授权

US09042964B2 System and method for fiducial deployment via slotted needle 有权
标题翻译：通过开针针对基准部署的系统和方法
公开(公告)号：US09042964B2
公开(公告)日：2015-05-26
申请号：US12764432
申请日：2010-04-21
申请人： Richard W. Ducharme , Vihar C. Surti
发明人： Richard W. Ducharme , Vihar C. Surti
IPC分类号： A61B5/05 , A61B17/34 , A61B19/00 , A61M37/00 , A61B1/018 , A61B17/00 , A61B17/06 , A61B17/04 , A61N5/10
CPC分类号： A61B17/3468 , A61B1/018 , A61B5/05 , A61B17/00234 , A61B17/06166 , A61B90/39 , A61B2017/0417 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069 , A61N5/1001 , A61N5/1049
摘要： Embodiments include a fiducial deployment system and method for use thereof. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages.
摘要翻译：实施例包括基准部署系统及其使用方法。基准可以包括被配置为接合系统的针中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施例中，基准的回声放置可以具有某些优点。

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