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1. 发明申请

WO2005120193A3 MEDICAL METHOD AND ASSOCIATED APPARATUS UTILIZABLE IN ACCESSING INTERNAL ORGANS THROUGH SKIN SURFACE 审中-公开
标题翻译：通过皮肤表面使用内部器官可以使用的医疗方法和相关设备
公开(公告)号：WO2005120193A3
公开(公告)日：2009-04-09
申请号：PCT/US2005019083
申请日：2005-05-31
申请人： WILK ULTRASOUND OF CANADA INC , WILK PETER J , KANE SCOTT D , NOHARA TIMOTHY J
发明人： WILK PETER J , KANE SCOTT D , NOHARA TIMOTHY J
IPC分类号： A61B5/05 , A61B19/00
CPC分类号： A61B90/36 , A61B2090/366
摘要： A medical apparatus includes a scanner for generating raw image data of internal tissue structures of a patient, and a computer operatively connected to the scanner and programmed to derive a three-dimensional electronic map or model of the internal tissue structures from the raw data. An image reproduction device is operatively connected to the computer for reproducing the map or model in a visually readable format. The computer controls the image reproduction device to reproduce the map or model. The visually readable format includes graphical representations of the tissue structures alignable on a skin surface of the patient with the tissue structures. In use, a medical practitioner inserts a sharp instrument into a patient through the reproduced map, using; the map as a locator assist.
摘要翻译：一种医疗设备包括：扫描器，用于产生患者的内部组织结构的原始图像数据;以及计算机，其可操作地连接到所述扫描器并被编程以从所述原始数据导出内部组织结构的三维电子图或模型。图像再现装置可操作地连接到计算机，用于以视觉可读格式再现地图或模型。计算机控制图像再现装置再现地图或模型。视觉可读格式包括可在患者的皮肤表面上与组织结构对准的组织结构的图形表示。在使用中，医务人员通过再现的地图将尖锐的仪器插入病人，使用; 地图作为定位器辅助。

2. 发明申请

WO2006115874A3 INTRA-ABDOMINAL MEDICAL DEVICE AND ASSOCIATED METHOD 审中-公开
标题翻译：内科医疗器械及相关方法
公开(公告)号：WO2006115874A3
公开(公告)日：2006-12-21
申请号：PCT/US2006014381
申请日：2006-04-18
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61B18/18
CPC分类号： A61B18/1482 , A61B17/32002 , A61B17/42 , A61B2017/00278 , A61B2017/00685 , A61B2017/4216
摘要： A surgical instrument includes elongate tube having a lumen, an elongate rod disposed in the lumen, and a screw thread disposed along at least a distal end portion of the rod. A distal end portion of the tube is inserted into an organ inside patient and thereafter at least the distal end portion of the rod is rotated so that the screw thread draws material from the patient in a proximal direction along the lumen.
摘要翻译：手术器械包括具有内腔的细长管，设置在内腔中的细长杆和沿杆的至少远端部分设置的螺纹。管的远端部分插入到患者体内的器官中，此后至少杆的远端部分旋转，使得螺纹沿着内腔沿着近端方向从患者中抽出材料。

3. 发明申请

WO2006113108A3 SURGICAL INSTRUMENT KIT FOR INTRA-ABDOMINAL SURGICAL METHOD 审中-公开
标题翻译：手术仪器用于腹内手术方法
公开(公告)号：WO2006113108A3
公开(公告)日：2007-09-20
申请号：PCT/US2006012173
申请日：2006-04-03
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61B1/06
CPC分类号： A61B17/3421 , A61B1/04 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/3415 , A61B2017/3445 , A61B2017/345
摘要： A surgical kit utilizable in a minimally invasive surgical procedure with an endoscope insertion member having a distal end portion includes a sheath, an incising instrument, and a coupling element. The sheath is provided with at least one longitudinally extending tubular channel and is disposable about the endoscope insertion member. The incising instrument has an elongate shaft and an operative tip at a distal end of the shaft for forming an incision or perforation in a wall of an internal organ of a patient. The instrument is insertable though a working channel extendable along the distal end portion of the endoscope insertion member, the working channel being a biopsy channel of the endoscope insertion member or the tubular channel in the sheath. The coupling element is connectable to the endoscope insertion member or the sheath at a proximal end thereof and also operatively connectable to a source of pressurized gas, for enabling delivery an insufflation gas along the endoscope into an internal space of a patient.
摘要翻译：可用于具有远端部分的内窥镜插入构件的微创外科手术中的手术套件包括护套，切割器械和联接元件。护套设置有至少一个纵向延伸的管状通道，并且围绕内窥镜插入构件是一次性的。切割器具具有细长轴和在轴的远端处的操作尖端，用于在患者的内部器官的壁中形成切口或穿孔。该仪器可通过沿着内窥镜插入构件的远端部分延伸的工作通道而被插入，工作通道是内窥镜插入构件的活检通道或护套中的管状通道。联接元件在其近端处可连接到内窥镜插入构件或护套，并且还可操作地连接到加压气体源，用于使沿着内窥镜的吹入气体能够输送到患者的内部空间中。

4. 发明申请

WO2006115915A2 INTRA-ABDOMINAL MEDICAL KIT AND ASSOCIATED METHOD 审中-公开
标题翻译：内科医疗工具包及相关方法
公开(公告)号：WO2006115915A2
公开(公告)日：2006-11-02
申请号：PCT/US2006014632
申请日：2006-04-19
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61B1/00 , A61B17/00
CPC分类号： A61B17/29 , A61B1/3132 , A61B17/00234 , A61B17/3421 , A61B17/3423 , A61B2017/00278 , A61B2017/3488
摘要： A surgical kit includes a plurality of surgical instruments each having an elongate flexible shaft adapted for insertion through a natural body opening and through a perforation in an internal organ into a body cavity. The kit additionally comprises a plurality of coupling elements each disposed at a proximal end of the elongate flexible shaft of a respective one of the surgical instruments for operatively connecting such instrument to a respective servo- mechanism device responsive to control signals carried by an electromagnetic signaling link. In addition, a plurality of port elements deployable in walls of internal organs is provided for enabling a passage of the distal end portions of the instruments.
摘要翻译：手术套件包括多个手术器械，每个手术器具具有细长的柔性轴，该细长的柔性轴适于插入穿过自然的身体开口并穿过内部器官的穿孔进入体腔。该套件还包括多个联接元件，每个联接元件设置在相应的一个外科器械的细长柔性轴的近端处，用于响应于电磁信号链路所携带的控制信号将这种器械可操作地连接到相应的伺服机构设备。此外，提供可展现在内部器官壁中的多个端口元件，以使得器械的远端部分能够通过。

5. 发明申请

WO2006115878A2 SURGICAL PORT DEVICE AND ASSOCIATED METHOD 审中-公开
标题翻译：外科手术器械及相关方法
公开(公告)号：WO2006115878A2
公开(公告)日：2006-11-02
申请号：PCT/US2006014389
申请日：2006-04-18
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61F11/00
CPC分类号： A61B17/3462 , A61B17/3423 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61B2017/3486
摘要： A surgical port device includes a membrane, a plurality of tubular members traversing the membrane, and means for attaching the membrane to a wall of an organ so that the tubular members traverse a perforation in the wall. A surgical method comprises inserting a distal end portion of a surgical instrument through a natural body opening of a patient into a natural body cavity of the patient, using the surgical instrument to form a temporary artificial opening through a wall of an organ defining the natural body cavity. The port device is inserted through the natural body opening into the natural body cavity, and subsequent to the inserting of the port device, the port device is disposed in the artificial opening to keep the same open.
摘要翻译：手术口装置包括膜，穿过膜的多个管状构件和用于将膜附着到器官壁的装置，使得管状构件穿过壁中的穿孔。一种手术方法包括：使用外科手术器械将外科器械的远端部分穿过患者的天然身体开口插入到患者的天然体腔中，以通过限定天然体的器官的壁形成临时人造开口腔。端口装置通过自然体开口插入到天然体腔中，并且在插入端口装置之后，端口装置设置在人造开口中以保持相同的打开状态。

6. 发明申请

WO0015147A8 TRANSMYCARDIAL SHUNT AND ITS ATTACHMENT MECHANISM, FOR LEFT VENTRICULAR REVASCULARIZATION 审中-公开
标题翻译：转移性分支及其附着机制，用于左心室舒张
公开(公告)号：WO0015147A8
公开(公告)日：2000-06-15
申请号：PCT/US9920714
申请日：1999-09-10
申请人： PERCARDIA INC , PHELPS DAVID Y , FURNISH GREG R , HALL TODD A , GRIFFIN MARK , WOLF SCOTT J , WILK PETER J , SCHMELTER JAY W , FURNISH SIMON M , RENATI RICHARD J , MELSKY GERALD , GUILES MARVIN
发明人： PHELPS DAVID Y , FURNISH GREG R , HALL TODD A , GRIFFIN MARK , WOLF SCOTT J , WILK PETER J , SCHMELTER JAY W , FURNISH SIMON M , RENATI RICHARD J , MELSKY GERALD , GUILES MARVIN
IPC分类号： A61B17/00 , A61F2/02 , A61F2/24 , A61F2/82 , A61F2/94 , A61F2/06
CPC分类号： A61F2/915 , A61F2/24 , A61F2/2493 , A61F2/848 , A61F2/91 , A61F2/94 , A61F2/958 , A61F2002/821 , A61F2002/826 , A61F2002/91508 , A61F2002/91516 , A61F2002/91525 , A61F2002/91533 , A61F2002/91575 , A61F2220/0008 , A61F2220/0016 , A61F2230/0013 , A61F2230/005 , A61F2230/006
摘要： A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration. In one embodiment, a conduit is provided having a distal top which is more preferably a ball top, wire top, flare top or flip-down top. These top configurations anchor the shunt at one end in the coronary artery.
摘要翻译：提供导管以提供围绕冠状动脉阻塞的旁路。导管适于定位在心肌或心脏壁中，以提供血液在心脏室之间流动的通路，例如左心室和冠状动脉之间，远离阻塞。支架自扩张或使用球囊来扩张心脏壁内的支架。提供各种附接装置以锚定支架并防止其移动。在一个实施例中，提供了具有远侧顶部的导管，更优选地是球顶，线顶，喇叭口顶部或翻倒顶部。这些顶部配置将冠状动脉一端分流。

7. 发明申请

WO2006113129A3 ENDOSCOPIC MEDICAL METHOD AND ASSOCIATED DEVICE 审中-公开
标题翻译：内镜医学方法及相关装置
公开(公告)号：WO2006113129A3
公开(公告)日：2007-12-06
申请号：PCT/US2006012682
申请日：2006-04-05
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61B8/14
CPC分类号： A61B1/018 , A61B8/12 , A61B2017/00278
摘要： An ultrasound probe includes an elongate flexible shaft insertable through a working channel of an endoscope. The ultrasound probe device is operatable to generate an image of organic tissue structures internal to the patient.
摘要翻译：超声探头包括可插入通过内窥镜的工作通道的细长柔性轴。超声探头装置可操作以产生患者内部的有机组织结构的图像。

8. 发明申请

WO2006113109A3 SURGICAL INSTRUMENT DEVICE AND KIT FOR INTRA-ABDOMINAL SURGICAL METHOD 审中-公开
标题翻译：手术仪器和外科手术方法
公开(公告)号：WO2006113109A3
公开(公告)日：2007-03-22
申请号：PCT/US2006012174
申请日：2006-04-03
申请人： WILK PATENT LLC , WILK PETER J
发明人： WILK PETER J
IPC分类号： A61B1/00 , A61B17/34
CPC分类号： A61B17/3474 , A61B1/00135 , A61B1/018 , A61B17/3478 , A61B2017/00278 , A61B2017/3445 , A61B2017/3488 , A61B2090/378
摘要： A surgical device includes an elongated flexible hollow shaft or tube (16), a hollow needle (12) connected to one end of the shaft or tube, and a coupling element (30) at an opposite end of the shaft or tube for operatively connecting the shaft or tube and concomitantly the needle to a source of pressurized carbon dioxide gas (32). The shaft or tube may be insertable through a working channel of a flexible endoscope (34). In a surgical method, the hollow needle is inserted into a hollow internal organ of a patient through a natural body opening. A wireless scanning apparatus (48) is operated externally of the patient to obtain data as to internal structures of the patient on a side of a wall of the organ opposite the body cavity. A distal tip or free end of the needle is passed through the wall of the organ only upon detecting, via the wireless scanning apparatus, an absence of internal organic tissues in contact with the wall. Pressurized CO2 gas is then conveyed through the needle into the patient on the side of the wall opposite the body cavity.
摘要翻译：手术装置包括细长的柔性中空轴或管（16），连接到所述轴或管的一端的中空针（12）和在所述轴或管的相对端处的连接元件（30），用于可操作地连接轴或管并且伴随地将针连接到加压二氧化碳气体源（32）。轴或管可以通过柔性内窥镜（34）的工作通道插入。在外科手术中，中空针通过天然体开口插入患者的中空内脏器官。无线扫描装置（48）在患者的外部操作，以获得关于与体腔相对的器官的一侧的患者的内部结构的数据。只有在通过无线扫描装置检测到与墙壁接触的内部有机组织不存在时，针的远端或自由端才穿过器官的壁。然后将加压的CO 2气体通过针体输送到与体腔相对的壁的一侧的患者体内。

9. 发明申请

WO0015149A9 TRANSMYOCARDIAL SHUNT WITH VALVE FOR LEFT VENTRICULAR REVASCULARIZATION 审中-公开
标题翻译：用于左心室重新放血的瓣膜转移瘤
公开(公告)号：WO0015149A9
公开(公告)日：2001-11-15
申请号：PCT/US9920775
申请日：1999-09-10
申请人： PERCARDIA INC , WOLF SCOTT J , WILK PETER J , PHELPS DAVID Y , FURNISH GREG R , HALL TODD A , BRIEFS NANCY C , SANTAMORE WILLIAM , BURKHOFF DANIEL
发明人： WOLF SCOTT J , WILK PETER J , PHELPS DAVID Y , FURNISH GREG R , HALL TODD A , BRIEFS NANCY C , SANTAMORE WILLIAM , BURKHOFF DANIEL
IPC分类号： A61B17/00 , A61F2/00 , A61F2/02 , A61F2/06 , A61F2/24 , A61F2/82 , A61F2/94 , A61M39/24
CPC分类号： A61F2/94 , A61F2/06 , A61F2/2493 , A61F2/848 , A61F2/958 , A61F2002/821 , A61F2230/0067 , A61F2230/0078 , A61F2230/008 , A61M39/24
摘要： Disclosed is a conduit that provides a bypass around a stenosis or occlusion in a coronary artery. The conduit is adapted to be positioned in the myocardium to provide a passage for blood to flow from a heart chamber to a coronary artery, at a site distal to the blockage or stenosis in the coronary artery. The conduit has a one-way valve positioned therein to prevent the backflow of blood from the coronary artery into the heart chamber.
摘要翻译：公开了一种导管，其围绕冠状动脉狭窄或闭塞提供旁路。导管适于定位在心肌中以提供血液从冠状动脉血管流过冠状动脉的阻塞或狭窄位置的通道。导管具有定位在其中的单向阀，以防止血液从冠状动脉回流进心室。

10. 发明申请

WO0015275A3 BODY FLUID SHUNT DEVICE AND METHOD OF USE 审中-公开
标题翻译：体液分流装置及其使用方法
公开(公告)号：WO0015275A3
公开(公告)日：2000-08-10
申请号：PCT/US9903484
申请日：1999-02-17
申请人： PERCARDIA INC , SANTAMORE WILLIAM P , FURNISH GREG R , HALL TODD A , BRIEFS NANCY M , PHELPS DAVID Y , WILK PETER J , FURNISH SIMON M
发明人： SANTAMORE WILLIAM P , FURNISH GREG R , HALL TODD A , BRIEFS NANCY M , PHELPS DAVID Y , WILK PETER J , FURNISH SIMON M
IPC分类号： A61B17/00 , A61B17/11 , A61F2/02 , A61F2/06 , A61M20060101 , A61M5/00 , A61M25/00 , A61M27/00
CPC分类号： A61M27/002 , A61B17/11 , A61B2017/00252 , A61B2017/1107 , A61B2017/1135 , A61F2/064 , A61F2/2493
摘要： An anastomosis shunt device (212) is provided to provide permanent or temporary bypass around a blocked vessel. In one embodiment, the device is a partially hollow stent (218) in the form of a spike (216) adapted to be positioned in the myocardium. An aperture (220) in the stent is in communication with tube (222) that ends in a connection portion (224) on the proximal end. The aperture is positioned in the coronary artery, distal to the blockage, and a venous or arterial graft attached to the connection portion. Another embodiment (10) is a hollow lumen (12), with a distal end (14) having an opening (16) and a proximal end (20) having an aperture (18). In use, the distal end resides within the left ventricle and the aperture within the coronary artery, allowing blood to perfuse through the hollow lumen (12). In another embodiment, the device is formed as a rivet (512) for allowing blood flow to perfuse through the lumen. The device may be formed as rivet (512) allowing blood flow between vessels.
摘要翻译：提供吻合分流装置（212）以在阻塞的容器周围提供永久或暂时的旁路。在一个实施例中，装置是适于定位在心肌中的钉（216）形式的部分中空的支架（218）。支架中的孔（220）与末端在近端的连接部分（224）中的管（222）连通。孔径定位在冠状动脉的远端，并且连接到连接部分的静脉或动脉移植物。另一个实施例（10）是中空腔（12），其远端（14）具有开口（16）和具有孔（18）的近端（20）。在使用中，远端位于冠状动脉内的左心室和孔内，允许血液通过中空管腔（12）灌注。在另一个实施例中，装置形成为用于允许血液流过内腔灌注的铆钉（512）。该装置可以形成为允许血管之间血液流动的铆钉（512）。

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