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1. 发明申请

WO2007076021A9 INTRAGASTRIC BAG FOR TREATING OBESITY 审中-公开
标题翻译：肠内用于治疗肥胖的袋子
公开(公告)号：WO2007076021A9
公开(公告)日：2008-01-17
申请号：PCT/US2006049045
申请日：2006-12-21
申请人： WILSON COOK MEDICAL INC , HALLER FREDERICK B , KARPIEL JOHN A , O'SULLIVAN DONAGH , RUCKER BRIAN K , SOETERMANS MAX , VOORHEES WILLIAM D III
发明人： HALLER FREDERICK B , KARPIEL JOHN A , O'SULLIVAN DONAGH , RUCKER BRIAN K , SOETERMANS MAX , VOORHEES WILLIAM D III
IPC分类号： A61F5/00
CPC分类号： A61F5/0003 , A61F5/0036
摘要： An apparatus and method comprising at least one intragastric member made of a digestive-resistant or substantially indigestible material that is introduced into a bag located in the gastric lumen of a mammal for the treatment of obesity. One or more intragastric members are loaded into a delivery tube in partially compacted first configuration and delivered to an overtube. The overtu includes a proximal end, a distal end and a lumen configured to receive the intragastric members in the first configuration for delivery to the bag located in t gastric lumen wherein the intragastric member is expanded to a second configuration. The apparatus further comprises a constraining element engaged with the bag to secure the intragastric member upon delivery into the gastric lumen.
摘要翻译：一种装置和方法，包括至少一个由消化不良或基本上难消化的材料制成的胃内部件，所述胃内部件被引入位于哺乳动物的胃腔中的用于治疗肥胖症的袋中。将一个或多个胃内部件以部分压实的第一构型装载到输送管中并且输送到外套管。该超支包括近端，远端和构造成接收处于第一构型中的胃内部件的腔，用于输送到位于胃内腔中的囊，其中胃内部件膨胀至第二构型。所述装置还包括与所述袋接合的约束元件，以在输送到胃管腔中时固定胃内部件。

2. 发明申请

WO2007076021A2 INTRAGASTRIC BAG FOR TREATING OBESITY 审中-公开
标题翻译：胃肠袋治疗肥胖症
公开(公告)号：WO2007076021A2
公开(公告)日：2007-07-05
申请号：PCT/US2006049045
申请日：2006-12-21
申请人： WILSON COOK MEDICAL INC , HALLER FREDERICK B , KARPIEL JOHN A , O'SULLIVAN DONAGH , RUCKER BRIAN K , SOETERMANS MAX , VOORHEES WILLIAM D III
发明人： HALLER FREDERICK B , KARPIEL JOHN A , O'SULLIVAN DONAGH , RUCKER BRIAN K , SOETERMANS MAX , VOORHEES WILLIAM D III
IPC分类号： A61F5/00
CPC分类号： A61F5/0003 , A61F5/0036
摘要： An apparatus and method comprising at least one intragastric member made of a digestive-resistant or substantially indigestible material that is introduced into a bag located in the gastric lumen of a mammal for the treatment of obesity. One or more intragastric members are loaded into a delivery tube in partially compacted first configuration and delivered to an overtube. The overtu includes a proximal end, a distal end and a lumen configured to receive the intragastric members in the first configuration for delivery to the bag located in t gastric lumen wherein the intragastric member is expanded to a second configuration. The apparatus further comprises a constraining element engaged with the bag to secure the intragastric member upon delivery into the gastric lumen.
摘要翻译：一种装置和方法，该装置和方法包括至少一个由抗消化或基本不消化的材料制成的胃内部件，该部件被引入位于哺乳动物的胃腔中的袋子中用于治疗肥胖症。将一个或多个胃内构件以部分压实的第一构造加载到输送管中并输送到外套管。所述覆盖物包括近端，远端和内腔，所述内腔构造成接收处于所述第一构型的所述胃内构件以递送至位于所述胃腔内的所述袋，其中所述胃内构件膨胀至第二构型。该设备还包括约束元件，该约束元件与袋接合以在输送到胃腔内时固定胃内构件。

3. 发明申请

WO2006015323A2 CATHETER WITH SPLITTABLE WALL SHAFT AND PEEL TOOL 审中-公开
标题翻译：带可拆卸墙壁和皮带工具的导管
公开(公告)号：WO2006015323A2
公开(公告)日：2006-02-09
申请号：PCT/US2005027286
申请日：2005-07-29
申请人： WILSON COOK MEDICAL INC , KENNEDY KENNETH C II , CARTER MATTHEW P , HALLER FREDERICK B , HARDIN DAVID M JR , WALLER DAVID F , KARPIEL JOHN A
发明人： KENNEDY KENNETH C II , CARTER MATTHEW P , HALLER FREDERICK B , HARDIN DAVID M JR , WALLER DAVID F , KARPIEL JOHN A
IPC分类号： A61M25/01 , A61M25/00 , A61M25/06
CPC分类号： A61F2/97 , A61F2/954 , A61F2/962 , A61F2002/065 , A61F2002/9517 , A61M25/0009 , A61M25/0029 , A61M25/0102 , A61M25/0169 , A61M25/0668 , A61M2025/004 , A61M2025/0079 , A61M2025/0183 , A61M2025/09116
摘要： A method and apparatus for uncoupling a wire guide from and elongate medical device comprising a catheter shaft having a wire guide lumen extending there through, wherein the material surrounding the wire guide lumen is selected or adapted to facilitate splittability for removal of the wire guide. The catheter shaft is coextruded and comprises a plurality of materials. The portion of the shaft adjacent the wire guide lumen is formed from a first material and the balance of the shaft is formed from a second material. The first material is selected or adapted to facilitate splittability as compared to the second material. The first material may have a lower durometer than the second material. A peel tool for separating the wire guide from the catheter shaft is also provided.
摘要翻译：一种用于使导线器从细长医疗装置脱离的细长医疗装置的方法和装置，其包括具有在其中延伸的线引导腔的导管轴，其中围绕导线管腔的材料被选择或适于促进用于移除导线器的分裂性。导管轴是共挤出的并且包括多个材料。轴的邻近线引导腔的部分由第一材料形成，并且轴的平衡部由第二材料形成。与第二材料相比，选择或调整第一材料以便于分裂性。第一材料可以具有比第二材料低的硬度。还提供了用于将导线器与导管轴分离的剥离工具。

4. 发明申请

WO2005011791A2 WIRE GUIDE HOLDER 审中-公开
标题翻译：导线架
公开(公告)号：WO2005011791A2
公开(公告)日：2005-02-10
申请号：PCT/US2004025303
申请日：2004-07-29
申请人： WILSON COOK MEDICAL INC , DEAL STEPHEN E M D , WALLER DAVID F , KENNEDY KENNETH C II , RUCKER BRIAN K , HARDIN DAVID M JR , KARPIEL JOHN A
发明人： DEAL STEPHEN E M D , WALLER DAVID F , KENNEDY KENNETH C II , RUCKER BRIAN K , HARDIN DAVID M JR , KARPIEL JOHN A
IPC分类号： A61B1/012 , A61B1/018 , A61B17/00 , A61F11/00 , A61M16/00 , A61M25/00 , A61M25/01 , A61M25/09 , A61M31/00
CPC分类号： A61B1/012 , A61M25/00 , A61M25/02 , A61M25/09041 , A61M2025/09125
摘要： A wire guide holder having a body for securing an elongate medical wire or tube, such as a wire guide or catheter. The body is adapted to be attached to a scope or a bite block. The body can be provided with protrusions and/or grooves for holding a wire guide. The wire guide holder may be affixed to the medical scope by clamping. The wire guide holder can also be provided with a seal.
摘要翻译：线引导器保持器，其具有用于固定细长医疗线或管的主体，例如电线引导件或导管。身体适合连接到一个范围或咬合块。主体可以设置有用于保持导线器的突起和/或沟槽。导线架可以通过夹紧固定在医疗用具上。电线导向架也可设有密封。

5. 发明申请

WO2007013902A3 SINGLE PEEL STENT INTRODUCER APPARATUS 审中-公开
标题翻译：单一皮带手推车装置
公开(公告)号：WO2007013902A3
公开(公告)日：2007-03-29
申请号：PCT/US2006023321
申请日：2006-06-16
申请人： WILSON COOK MEDICAL INC , CARTER MATTHEW P , CLARK VICTOR D , KARPIEL JOHN A , SKERVEN GREGORY J
发明人： CARTER MATTHEW P , CLARK VICTOR D , KARPIEL JOHN A , SKERVEN GREGORY J
IPC分类号： A61F2/84
CPC分类号： A61F2/95 , A61F2/966 , A61F2002/9517
摘要： A stent introducer apparatus (10) includes a handle (14) having a housing (40) and a rotatable reel (42). An inner stent carrier (22) having a proximal end and a distal end is provided, with the proximal end being connected to the housing of the handle. An outer sheath (24) movably disposed about the inner stent carrier and having a proximal end and a distal end is provided, with the proximal end being connected to the reel of the handle. Rotation of the reel relative to the housing peels the outer sheath away from the inner stent carrier so as to move the outer sheath proximally relative to the inner stent carrier, thereby exposing the distal end of the inner stent carrier. The inner stent carrier has a stent carrying portion at its distal end to carry a stent (20) that is deployed when the distal end of the inner stent carrier is exposed.
摘要翻译：支架引入器装置（10）包括具有壳体（40）和可旋转卷轴（42）的把手（14）。提供具有近端和远端的内部支架托架（22），其中近端连接到手柄的外壳。提供了围绕内部支架支架可移动地设置并且具有近端和远端的外护套（24），其近端连接到手柄的卷轴。卷轴相对于壳体的旋转将外护套远离内支架托架剥离，以便相对于内支架托架向外侧移动外护套，从而暴露内支架托架的远端。内部支架载体在其远端具有支架承载部分，以承载当内部支架载体的远端暴露时展开的支架（20）。

6. 发明申请

WO2010080386A3 CLIP DEVICES AND METHODS OF DELIVERY AND DEPLOYMENT 审中-公开
标题翻译： CLIP设备和交付和部署方法
公开(公告)号：WO2010080386A3
公开(公告)日：2010-08-26
申请号：PCT/US2009067992
申请日：2009-12-15
申请人： WILSON COOK MEDICAL INC , KARPIEL JOHN A , AGUIRRE ANDRES F
发明人： KARPIEL JOHN A , AGUIRRE ANDRES F
IPC分类号： A61B17/122 , A61B17/128
CPC分类号： A61B17/083 , A61B17/10 , A61B2017/00862
摘要： The present embodiments provide a clip device (20) for engaging tissue. The clip device comprises at least first (21a) and second arms (21b) having proximal (22a, 22b) and distal ends (24a, 24b). The clip device comprises an open state when the spring member (50) is in a compressed state in which the distal end (54) of the spring member is spaced further apart from the distal ends of the first and second arms. In the open state, the distal ends of the first and second arms tend to be spaced apart from each other. Further, the clip device comprises a closed state when the spring member is in a relaxed state in which the spring member is biased to extend distally towards the distal ends of the first and second arms. In the closed state, the distal ends of the first and second arms are adjacent to each other and may engage tissue and promote hemostatis. A delivery system and methods for deploying one or more clip devices also are provided.
摘要翻译：本实施例提供了用于接合组织的夹持装置（20）。夹具装置包括具有近端（22a，22b）和远端（24a，24b）的至少第一（21a）和第二臂（21b）。夹子装置包括当弹簧构件（50）处于压缩状态时的打开状态，其中弹簧构件的远端（54）与第一和第二臂的远端隔开更远的距离。在打开状态下，第一和第二臂的远端彼此间隔开。此外，夹子装置包括当弹簧构件处于松弛状态时的关闭状态，其中弹簧构件被偏压朝向第一和第二臂的远端向远侧延伸。在关闭状态下，第一和第二臂的远端彼此相邻并且可以接合组织并且促进切割。还提供了用于部署一个或多个剪辑装置的传送系统和方法。

7. 发明申请

WO2008121696A3 ENDOSCOPIC SUCTION DEVICE FOR MUCOSECTOMY 审中-公开
标题翻译：用于造影的内窥镜检查装置
公开(公告)号：WO2008121696A3
公开(公告)日：2008-12-04
申请号：PCT/US2008058399
申请日：2008-03-27
申请人： WILSON COOK MEDICAL INC , SKERVEN GREGORY J , KARPIEL JOHN A
发明人： SKERVEN GREGORY J , KARPIEL JOHN A
IPC分类号： A61B17/00 , A61B17/32
CPC分类号： A61B17/320016 , A61B17/32056 , A61B2017/00269 , A61B2017/00296 , A61B2017/306
摘要： An endoscopic suction device (10) of an endoscope for mucosectomy is disclosed. The device (10) comprises a connecting base (12) having an open end (13). attachable to the distal end of the endoscope. The device further comprises a distal tip (20) extending from the connecting base (12) and having a closed distal end. The distal tip comprises a suction chamber (23) formed therein and in fluid communication with the open end. The suction chamber has a suction opening (24) formed laterally therethrough for suctioning lesions during mucosectomy.
摘要翻译：公开了一种用于粘膜切除术的内窥镜的内窥镜吸引装置（10）。装置（10）包括具有开口端（13）的连接底座（12）。可附接到内窥镜的远端。该装置还包括从连接基部（12）延伸并具有封闭的远端的远侧末端（20）。远端包括形成在其中并与开口端流体连通的吸入室（23）。抽吸室具有横向形成的吸入口（24），用于在粘膜切除术期间抽吸病变。

8. 发明申请

WO2007136599A2 BALLOON CUFF 审中-公开
标题翻译：气球裤
公开(公告)号：WO2007136599A2
公开(公告)日：2007-11-29
申请号：PCT/US2007011510
申请日：2007-05-11
申请人： WILSON COOK MEDICAL INC , SKERVEN GREGORY J , KARPIEL JOHN A
发明人： SKERVEN GREGORY J , KARPIEL JOHN A
CPC分类号： A61B17/22032 , A61B1/00082 , A61B1/00165 , A61B1/018 , A61B1/307 , A61B17/22012 , A61B17/22022 , A61B17/2256 , A61B18/26 , A61B2017/22025 , A61B2017/22035 , A61B2017/22038 , A61B2017/22051 , A61B2017/22067 , A61B2017/22072
摘要： The present invention provides a balloon cuff comprising an attachment structure adapted to be disposed around an exterior surface of an endoscope, and a balloon coupled to the attachment structure. An inflation means is in fluid communication with the balloon. The balloon has a deflated state suitable for insertion into a body passage and an inflated state suitable for urging stone fragments along the body passage. Optionally, an intraductal shock wave lithotripsy procedure may be performed through the working lumen of the first endoscope while the balloon cuff is disposed, either inflated or deflated, about the exterior surface of the first endoscope. The first endoscope and balloon cuff may be used alone to remove stone fragments, or alternatively, may be used in conjunction with a second endoscope, such as a duodenoscope, having a working lumen sized to received the first endoscope having the balloon cuff disposed thereon.
摘要翻译：本发明提供了一种球囊，其包括适于围绕内窥镜的外表面设置的连接结构，以及联接到附接结构的气囊。通气手段与气球流体连通。气囊具有适于插入身体通道的放气状态和适于沿身体通道推动石块的膨胀状态。任选地，可以在围绕第一内窥镜的外表面设置充气或放气的气囊套囊的同时，通过第一内窥镜的工作腔进行管内冲击波碎石手术。可以单独使用第一内窥镜和气囊箍来去除石块，或者可以与诸如十二指肠镜的第二内窥镜一起使用，其具有工作腔，其尺寸被设计成容纳具有设置在其上的气囊套的第一内窥镜。

9. 发明申请

WO2009020919A2 SPHINCTEROTOME 审中-公开
公开(公告)号：WO2009020919A2
公开(公告)日：2009-02-12
申请号：PCT/US2008072113
申请日：2008-08-04
申请人： WILSON COOK MEDICAL INC , HARDIN DAVID M JR , KARPIEL JOHN A
发明人： HARDIN DAVID M JR , KARPIEL JOHN A
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B17/32056 , A61B2017/003 , A61B2017/22039 , A61B2018/00553 , A61B2018/1407 , A61B2018/144
摘要： A medical sphincterotome and a method of its use are described. The sphincterotome has structural elements that are capable of directing a wire guide through a selected body passageway. One structural element includes a distal port and deflection member that can deflect the wire guide into the desired passageway. Another structural element includes an offset nose-shaped end that can bend towards a passageway desired to be blocked. The wire guide is prevented from entering the blocked passageway, thereby enabling the wire guide to cannulate the desired passageway. The sphincterotome also includes a cutting wire to access a patient's sphincter and perform various other medical procedures.
摘要翻译：描述了一种医用括约肌切开刀及其使用方法。括约肌切开刀具有能够引导导线穿过选定身体通道的结构元件。一个结构元件包括远端口和偏转构件，该远端口和偏转构件可以将线引导件偏转到期望的通道中。另一个结构元件包括偏移的鼻形端部，该端部可以朝向期望被阻挡的通道弯曲。线导向器被阻止进入被阻塞的通道，由此使线导向器能够插入期望的通道。括约肌切开器还包括切割线，以接近患者的括约肌并执行各种其他医疗程序。

10. 发明申请

WO2007142977A3 RELEASE MECHANISMS FOR A CLIP DEVICE 审中-公开
标题翻译：释放一个夹子装置的机构
公开(公告)号：WO2007142977A3
公开(公告)日：2008-05-29
申请号：PCT/US2007012754
申请日：2007-05-30
申请人： WILSON COOK MEDICAL INC , BROWN HILBERT D , CHEN STEVE K , GAYZIK CAROLINE M , DUCHARME RICHARD W , KARPIEL JOHN A , KORNRUMPF KATHRYN M , SURTI VIHAR C
发明人： BROWN HILBERT D , CHEN STEVE K , GAYZIK CAROLINE M , DUCHARME RICHARD W , KARPIEL JOHN A , KORNRUMPF KATHRYN M , SURTI VIHAR C
IPC分类号： A61B17/122 , A61B17/064 , A61B17/128 , A61B19/00
CPC分类号： A61B17/122 , A61B17/0643 , A61B17/1285 , A61B2017/0053 , A61B2017/0641 , A61B2090/033
摘要： A clip device for hemostasis includes a clip having a proximal end portion and at least two arm portions extending from the proximal end portion and provided with a tendency to open. A sliding ring is provided for closing the arm portions of the clip. A first retainer is attached to the clip, and the first retainer is configured to be releasably secured to a second retainer that may be attached to an operating wire or a torque cable. In operation, the clip device is advanced to a target site in a body cavity. An outer sheath is retracted to expose the clip, causing the arms to open. An inner sheath is advanced distally, causing the sliding ring to advance distally to close the arms of the clip. Stop elements may be disposed on the clip to ensure that he sliding ring is not advanced distally over the clip. Then, the first retainer is disengaged from the second retainer. Various mechanisms are disclosed to permit the first and second retainers to disengage from one another. The first retainer, attached to the clip, is left inside the patient's body cavity, while the second retainer is removed from the patient.
摘要翻译：用于止血的夹子装置包括具有近端部分和从近端部分延伸并且具有打开倾向的至少两个臂部分的夹子。提供一个用于封闭夹子的臂部分的滑动环。第一保持器附接到夹子，并且第一保持器构造成可释放地固定到可附接到操作线或扭矩电缆的第二保持器。在操作中，夹具装置前进到体腔中的目标部位。外护套缩回以露出夹子，导致臂打开。内护套向远侧推进，导致滑环向远侧前进以闭合夹子的臂。止动元件可以设置在夹子上以确保他的滑环在夹子上不向远侧推进。然后，第一保持器与第二保持器脱离接合。公开了允许第一和第二保持器彼此脱离的各种机构。附接到夹子上的第一保持器留在患者的体腔内，而第二个保持器从病人身上取下。

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