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1. 发明申请

WO2012092329A1 INSTRUMENT HOLDER 审中-公开
标题翻译：仪器夹具
公开(公告)号：WO2012092329A1
公开(公告)日：2012-07-05
申请号：PCT/US2011/067507
申请日：2011-12-28
申请人： BOSTON SCIENTIFIC SCIMED, INC. , KAPPEL, Gary , WEITZNER, Barry , SMITH, Paul , DALY, Erin
发明人： KAPPEL, Gary , WEITZNER, Barry , SMITH, Paul , DALY, Erin
IPC分类号： A61B19/00
CPC分类号： A61B19/201 , A61B1/0014 , A61B1/00149 , A61B17/00234 , A61B50/20 , A61B90/11 , A61B90/50
摘要： A support mechanism for a medical device may include an adjustable support that includes a plurality of elongate members movable relative to one another. The support mechanism may also include a bracket coupled to the adjustable support. The bracket may be adapted to be coupled to a first medical device that extends along a longitudinal axis. The support mechanism may also include an instrument holder that extends along a central axis. The instrument holder may be movably coupled to the bracket and adapted to be coupled to a second medical device. The bracket and the instrument holder may be oriented such that central axis of the instrument holder intersects the longitudinal axis at an angle.
摘要翻译：用于医疗装置的支撑机构可以包括可调节支撑件，其包括可相对于彼此移动的多个细长构件。支撑机构还可以包括联接到可调节支撑件的支架。支架可以适于联接到沿着纵向轴线延伸的第一医疗装置。支撑机构还可以包括沿着中心轴延伸的器械保持器。仪器保持器可以可移动地联接到支架并且适于联接到第二医疗装置。支架和仪器支架可以被定向成使得仪器支架的中心轴线以纵向轴线成一角度相交。

2. 发明申请

WO2008144077A1 DRIVE SYSTEMS AND METHODS OF USE 审中-公开
标题翻译：驱动系统和使用方法
公开(公告)号：WO2008144077A1
公开(公告)日：2008-11-27
申请号：PCT/US2008/050923
申请日：2008-01-11
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： WEITZNER, Barry , SMITH, Paul , BARENBOYN, Michael , KAPPEL, Gary , GOLDEN, John
IPC分类号： A61B19/00 , A61M25/01
CPC分类号： A61M25/0136 , A61B34/70 , A61B34/71 , A61B34/74 , A61B2017/003 , A61B2017/00446 , A61B2034/301 , A61B2034/715 , A61M25/0147
摘要： Drive systems and methods of use are disclosed herein for performing medical procedures on a patient. The drive systems include various handle types and triggers for controlling catheters and end effectors. The various handle types include a flexible handle and ambidextrous handles that can alter the handedness of the handle for particularized use. The handles drive articulation sections of the catheter and end effectors with various degrees of freedom, and include locks for holding the catheter and/or end effector in place. The catheter systems include structures for allowing degrees of freedom, such as notches, mechanical interlocks, and articulation joints. In addition, the catheters articulate via cables or fluids.
摘要翻译：本文公开了驱动系统和使用方法，以对患者执行医疗程序。驱动系统包括用于控制导管和末端执行器的各种手柄类型和触发器。各种手柄类型包括柔性手柄和双手柄，可以改变手柄的特性使用的手感。手柄以不同的自由度驱动导管和末端执行器的关节部分，并且包括用于将导管和/或末端执行器保持在适当位置的锁。导管系统包括用于允许自由度的结构，例如凹口，机械互锁和铰接接头。此外，导管通过电缆或流体进行铰接。

3. 发明申请

WO2015006083A1 TISSUE GRASPING AND WOUND CLOSING CLIPPING DEVICE 审中-公开
标题翻译：组织成形和封闭封闭装置
公开(公告)号：WO2015006083A1
公开(公告)日：2015-01-15
申请号：PCT/US2014/044933
申请日：2014-06-30
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： KAPPEL, Gary , CROWLEY, Peter
IPC分类号： A61B17/08 , A61B17/10 , A61B17/122 , A61B17/128
CPC分类号： A61B17/12013 , A61B17/083 , A61B17/122 , A61B17/1285 , A61B2017/0641 , A61B2017/12004 , A61B2017/12018
摘要： A device for clipping tissue includes a clip including first and second arms, a pusher member received over a proximal end of the clip, an outer sleeve distal of the pusher member and received over the first and second arms and being pushed distally over the clip by the pusher member from a first position in which the first and second arms are unconstrained by the outer sleeve in a tissue receiving configuration to a second position in which the first and second arms move to a closed tissue gripping configuration. A clip holder has first and second fingers which are held by the pusher member against corresponding cuts on a proximal end of the clip to couple the clip to the device. When the pusher member is moved distally to the second position, the first and second fingers move radially outward releasing the clip.
摘要翻译：用于夹紧组织的装置包括夹子，该夹子包括第一和第二臂，被夹持在夹子的近端上的推动器构件，位于推动器构件的远侧的外部套筒，并被接收在第一和第二臂上方并被向远侧推压在夹子上方所述推动器构件从第一位置开始，所述第一位置和所述第二臂在所述组织接收构造中被所述外套筒约束到所述第一和第二臂移动到封闭的组织夹持构造的第二位置。夹持器具有第一和第二指状物，第一和第二指状物由推动器构件抵靠在夹子的近端上的相应切口以将夹子耦合到装置。当推动器构件向远侧移动到第二位置时，第一和第二指状件径向向外移动释放夹子。

4. 发明申请

WO2008098124A1 ATTACHMENT CLAMP 审中-公开
标题翻译：附件夹
公开(公告)号：WO2008098124A1
公开(公告)日：2008-08-14
申请号：PCT/US2008/053313
申请日：2008-02-07
申请人： BOSTON SCIENTIFIC SCIMED, INC. , GOLDEN, John, B. , McWEENEY, John, O. , BENNING, Christopher, A. , CASTOLDI, Robert , HOWARD, John, F. , INTOCCIA, Brian , KAPPEL, Gary , CHURCHILL, William, Lucas
发明人： GOLDEN, John, B. , McWEENEY, John, O. , BENNING, Christopher, A. , CASTOLDI, Robert , HOWARD, John, F. , INTOCCIA, Brian , KAPPEL, Gary , CHURCHILL, William, Lucas
IPC分类号： A61B1/00
CPC分类号： A61B1/00128 , A61B1/0014 , A61B1/018 , F16B2/08 , F16B2/10 , F16B2/12 , F16B2/185 , F16B2/22 , Y10T24/1482 , Y10T24/44017
摘要： Various apparatuses to attach a first medical device to a second medical device are described that allow the physician to grasp only a single device while the other device remains securely attached to the one being grasped. The apparatuses, once they are attached to the first medical device, are designed to be easily and quickly attached and detached to a second medical device, normally only requiring the use of one hand. Furthermore, the apparatuses oftentimes include a base that can easily couple and decouple from the portion that is attached to the second medical device so that if the need arises to separately use the second medical device, it can be decoupled from the first medical device without completely removing the apparatus from the second medical device.
摘要翻译：描述了将第一医疗装置附接到第二医疗装置的各种装置，其允许医师仅抓住单个装置，而另一装置保持牢固地附接到被抓握的装置。这些设备一旦连接到第一医疗设备，被设计成容易且快速地附接到第二医疗设备上，通常只需要使用一只手。此外，这些装置通常包括可以容易地从附接到第二医疗装置的部分耦合和解耦的基座，使得如果需要单独使用第二医疗装置，则可以不完全地从第一医疗装置分离从第二医疗设备移除设备。

5. 发明申请

WO2014123914A1 MULTI-FUNCTIONAL MEDICAL DEVICE AND RELATED METHODS OF USE 审中-公开
标题翻译：多功能医疗装置及相关使用方法
公开(公告)号：WO2014123914A1
公开(公告)日：2014-08-14
申请号：PCT/US2014/014689
申请日：2014-02-04
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： KAPPEL, Gary
IPC分类号： A61B17/29
CPC分类号： A61B17/00234 , A61B17/29 , A61B2017/2936
摘要： A medical device may include an elongate member having a proximal end, a distal end, and a lumen extending therebetween. In addition an end-effector may be disposed at the distal end of the elongate member, the end-effector may include a first arm and a second arm. Additionally, the first arm may define a first slot and a second slot. Further, the medical device may include an actuating member, the actuating member may include a plurality pins, and wherein each of the pins may slideably engage the first and second slots.
摘要翻译：医疗装置可以包括具有近端，远端和在其间延伸的内腔的细长构件。此外，末端执行器可以设置在细长构件的远端处，端部执行器可以包括第一臂和第二臂。另外，第一臂可以限定第一狭槽和第二狭槽。此外，医疗装置可以包括致动构件，致动构件可以包括多个销，并且其中每个销可以可滑动地接合第一槽和第二槽。

6. 发明申请

WO2013116444A1 MEDICAL DEVICE HAVING A TENSIONABLE COUPLING 审中-公开
标题翻译：具有可张力耦合的医疗装置
公开(公告)号：WO2013116444A1
公开(公告)日：2013-08-08
申请号：PCT/US2013/024020
申请日：2013-01-31
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： STANTON, Larry , GOLDEN, John , KAPPEL, Gary , WOOD, Mark , DURR, Bernadette , ZALEWSKI, Brandon , KEENE, Kenneth , WEITZNER, Barry
IPC分类号： A61B17/00
CPC分类号： A61B17/00 , A61B17/00234 , A61B2017/00323
摘要： This invention is directed to a medical device having an elongate shaft having a distal end and a controller coupled to the shaft. A control member can extend through at least part of the elongate shaft and at least part of the controller, wherein the control member in a tensioned configuration can be moveable by the controller to control the distal end of the shaft and the control member can be slack in an untensioned configuration. A tensioning mechanism can be configured to move relative to at least one of the elongate shaft and the controller to tension the control member and automatically lock the control member in the tensioned configuration.
摘要翻译：本发明涉及一种具有细长轴的医疗装置，其具有远端和耦合到该轴的控制器。控制构件可延伸穿过细长轴的至少一部分和控制器的至少一部分，其中处于张紧构型的控制构件可由控制器移动以控制轴的远端，并且控制构件可以松弛在未张紧的配置中。张紧机构可以被构造成相对于细长轴和控制器中的至少一个移动以张紧控制构件并且将控制构件自动地锁定在张紧构型中。

7. 发明申请

WO2012106186A1 ARTICULATION JOINTS FOR TORQUE TRANSMISSION 审中-公开
标题翻译：用于扭矩变速器的连接接头
公开(公告)号：WO2012106186A1
公开(公告)日：2012-08-09
申请号：PCT/US2012/022835
申请日：2012-01-27
申请人： BOSTON SCIENTIFIC SCIMED, INC. , GOLDEN, John , SMITH, Paul , BARNER, Paul , CAMPBELL, Andrew , KAPPEL, Gary
发明人： GOLDEN, John , SMITH, Paul , BARNER, Paul , CAMPBELL, Andrew , KAPPEL, Gary
IPC分类号： A61B1/005 , A61B1/008
CPC分类号： A61B1/0055 , A61B1/008
摘要： Embodiments of the invention can include an articulation link having a body defining a longitudinal axis and a transverse plane extending substantially perpendicular to the longitudinal axis, the body having a first surface located proximate a first end of the body and a second surface located proximate a second end of the body opposite the first end. A cavity can extend from the first surface to a cavity contact surface located between the first surface and the second surface, wherein the cavity contact surface can extend substantially parallel to the transverse plane. The articulation link can also include a protrusion extending from the second surface away from the first surface to a protrusion contact surface, wherein the protrusion contact surface can be generally curved and configured to engage a cavity contact surface of an adjacent link, and wherein the cavity can include a cavity sidewall extending substantially perpendicular to the transverse plane, and the protrusion can include a protrusion sidewall configured to engage a cavity sidewall of the adjacent link.
摘要翻译：本发明的实施例可以包括具有限定纵向轴线的主体和基本上垂直于纵向轴线延伸的横向平面的关节连杆，所述主体具有邻近主体的第一端定位的第一表面和邻近主体的第二表面身体的第一端对面的一端。空腔可以从第一表面延伸到位于第一表面和第二表面之间的空腔接触表面，其中空腔接触表面可以基本上平行于横向平面延伸。铰接连杆还可以包括从第二表面延伸离开第一表面到突出接触表面的突起，其中突出接触表面可以大致弯曲并且被配置为接合相邻连杆的空腔接触表面，并且其中腔可以包括基本上垂直于横向平面延伸的空腔侧壁，并且突起可以包括被配置为接合相邻链节的空腔侧壁的突出侧壁。

8. 发明申请

WO2012106187A1 MEDICAL DEVICES HAVING RELEASABLE COUPLING 审中-公开
标题翻译：具有可释放耦合的医疗器械
公开(公告)号：WO2012106187A1
公开(公告)日：2012-08-09
申请号：PCT/US2012/022837
申请日：2012-01-27
申请人： BOSTON SCIENTIFIC SCIMED, INC. , SUON, Naroun , BACON, Dan , NAM, Ra , SMITH, Paul , GOLDEN, John , WEITZNER, Barry , KAPPEL, Gary
发明人： SUON, Naroun , BACON, Dan , NAM, Ra , SMITH, Paul , GOLDEN, John , WEITZNER, Barry , KAPPEL, Gary
IPC分类号： A61B17/29
CPC分类号： A61M25/0043 , A61B17/2909 , A61B2017/003 , A61B2017/00323 , A61B2017/0046 , A61B2017/2905 , A61B2017/291 , A61B2017/292 , A61B2017/2929 , A61M25/0009 , A61M25/0113 , A61M25/0133 , A61M25/0136 , A61M25/0147 , Y10T29/49826
摘要： This invention is directed to a medical device having a longitudinal axis, and including a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section, wherein the catheter control member can be configured to move relative to the shaft to move the steering section relative to the longitudinal axis. The medical device can also include a securing member configured to move relative to at least one of the handle and the catheter to releasably couple the handle control member to the catheter control member.
摘要翻译：本发明涉及具有纵向轴线并且包括手柄和导管的医疗装置。手柄可以包括具有近端和远端的主体，可移动地联接到主体的致动器以及联接到致动器的手柄控制构件，其中致动器可被配置成相对于主体移动以移动手柄控制会员。导管可以包括具有近端和远端的轴，其中轴的近端和主体的远端可以被配置为可释放的联接。导管还可以包括沿着轴定位的转向部分和联接到转向部分的导管控制部件，其中导管控制部件可以构造成相对于轴移动以使转向部分相对于纵向轴线移动。医疗装置还可以包括被配置为相对于手柄和导管中的至少一个移动以将手柄控制构件可释放地联接到导管控制构件的固定构件。

9. 发明申请

WO2012106045A2 ENDOSCOPIC MEDICAL DEVICE WITH ARTICULATING JOINTS 审中-公开
标题翻译：具有连接接头的内窥镜医疗装置
公开(公告)号：WO2012106045A2
公开(公告)日：2012-08-09
申请号：PCT/US2011/067802
申请日：2011-12-29
申请人： BOSTON SCIENTIFIC SCIMED, INC. , SMITH, Paul , KAPPEL, Gary , GOLDEN, John , WEITZNER, Barry
发明人： SMITH, Paul , KAPPEL, Gary , GOLDEN, John , WEITZNER, Barry
IPC分类号： A61B17/00
CPC分类号： A61B1/0055 , A61B1/0057 , A61B17/3478 , A61B2017/00305 , A61B2017/00314 , A61B2017/00323 , A61M25/0105 , A61M25/0133
摘要： An endoscopic device may include an elongate section extending from a proximal end to a distal end along a longitudinal axis. The elongate section may be configured to transmit a desired torque about the longitudinal axis without relative rotation between the proximal end and the distal end. The device may also include a plurality of bend elements positioned on the elongate section. The plurality of bend elements may include a first articulating joint configured to bend the elongate section in a first bending plane, and a second articulating joint configured to bend the elongate section in a second bending plane different from the first bending plane.
摘要翻译：内窥镜装置可以包括沿着纵向轴线从近端延伸到远端的细长部分。细长部分可以构造成围绕纵向轴线传递期望的扭矩，而不会在近端和远端之间相对转动。该装置还可以包括定位在细长部分上的多个弯曲元件。多个弯曲元件可以包括构造成在第一弯曲平面中弯曲细长部分的第一铰接接头，以及构造成在不同于第一弯曲平面的第二弯曲平面中弯曲细长部分的第二铰接接头。

10. 发明申请

WO2012091953A2 SNARE WITH RETRACTABLE ENGAGING MEMBERS 审中-公开
标题翻译：与可伸缩的参与成员的网球
公开(公告)号：WO2012091953A2
公开(公告)日：2012-07-05
申请号：PCT/US2011/065352
申请日：2011-12-16
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： KAPPEL, Gary , STANTON, Larry , CHENG, Ruth , KEENE, Ken , HELLER, Gerald , NGUYEN, Man
IPC分类号： A61B17/3205
CPC分类号： A61B17/32056 , A61B17/221 , A61B18/1492 , A61B2017/00269 , A61B2017/320064 , A61B2018/00601 , A61B2018/141
摘要： A snare for retrieving foreign objects within the body of a patient including a hollow elongate tubular member comprising an inner surface and an outer surface and a lumen defined by the inner surface, a proximal end and a distal end, the hollow elongate tubular member forms a loop at the distal end, the loop having an open position and a closed position, the loop comprising at least one opening and a wire slidably disposed in the lumen of the elongate tubular member, the wire comprising at least one engaging member for engaging tissue, the at least one engaging member extends through the at least one opening in the hollow elongate tubular member when the wire is in a first position and the at least one engaging member retracts into the lumen of the elongate tubular member when the wire moved to a in a second position.
摘要翻译：一种用于取回患者体内的异物的圈套器，包括中空细长管状构件，该中空细长管状构件包括内表面和外表面以及由内表面，近端和远端限定的内腔所述中空细长管状构件在远端形成环，所述环具有打开位置和闭合位置，所述环包括至少一个开口和可滑动地设置在所述细长管状构件的内腔中的丝，所述丝包括在用于接合组织的至少一个接合构件，所述至少一个接合构件在所述金属丝处于第一位置时延伸穿过所述中空细长管状构件中的所述至少一个开口，并且所述至少一个接合构件缩回到所述细长管状物的内腔中成员当电线移动到第二个位置。

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