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1. 发明申请

WO2016054064A2 METHODS AND APPARATUS FOR REMOVING MATERIAL FROM WITHIN A MAMMALIAN CAVITY USING AN INSERTABLE ENDOSCOPIC INSTRUMENT 审中-公开
标题翻译：使用绝对内窥镜仪器从MAMMALIAN CAVITY中移除材料的方法和装置
公开(公告)号：WO2016054064A2
公开(公告)日：2016-04-07
申请号：PCT/US2015/052980
申请日：2015-09-29
申请人： INTERSCOPE, INC.
发明人： FURLONG, Cosme , MARCOUX, Michael W. , WISDOM, Richard Stephen , REBH, William R., Jr. , COSTA, Evan , EVANS, Stephen C.
IPC分类号： A61B10/04
CPC分类号： A61B10/04 , A61B1/00087 , A61B1/00094 , A61B1/015 , A61B1/018 , A61B10/0275 , A61B10/0283 , A61B17/32002 , A61B90/361 , A61B2010/0208 , A61B2010/0225 , A61B2010/045 , A61B2017/0034 , A61B2017/00553 , A61B2017/00818 , A61B2017/00862 , A61B2017/320032 , A61B2217/005 , A61B2217/007
摘要： An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.
摘要翻译：用于在手术部位去除组织的内窥镜包括可插入患者的哺乳动物腔内的细长管状体。器械通道在远端的第一开口和管状体的近端处的第二开口之间延伸，并且其尺寸和构造为接纳外科切割组件，该外科切割组件包括被构造成通过远端手术切割组件的末端。构造成产生扭矩的扭矩产生部件定位在远端内并且被配置为将所产生的扭矩提供给联接部件。联接部件定位在细长管状部件的远端，并且被配置为响应于扭矩产生部件的致动而致动外科切割组件的切割部件。

2. 发明申请

WO2016054061A1 ENDOSCOPE INCLUDING A TORQUE GENERATION COMPONENT OR TORQUE DELIVERY COMPONENT DISPOSED WITHIN AN INSERTABLE PORTION OF THE ENDOSCOPE AND A SURGICAL CUTTING ASSEMBLY INSERTABLE WITHIN THE ENDOSCOPE 审中-公开
标题翻译：内窥镜包括在内窥镜的不可分割部分中处理的扭矩产生部件或扭矩输送部件以及在内窥镜中不能插入的外科切口组件
公开(公告)号：WO2016054061A1
公开(公告)日：2016-04-07
申请号：PCT/US2015/052977
申请日：2015-09-29
申请人： INTERSCOPE, INC.
发明人： FURLONG, Cosme , MARCOUX, Michael W. , WISDOM, Richard Stephen , REBH, Jr., William R. , COSTA, Evan , EVANS, Stephen C.
IPC分类号： A61B17/32 , A61B10/04 , A61B1/005 , A61B1/018 , A61B1/00
CPC分类号： A61B17/32002 , A61B1/00087 , A61B1/00133 , A61B1/018 , A61B1/31 , A61B10/04 , A61B2017/00269 , A61B2017/0034 , A61B2017/00398 , A61B2017/00415 , A61B2017/00477 , A61B2017/00539 , A61B2017/00544 , A61B2017/00553 , A61B2017/00818 , A61B2017/00876 , A61B2017/320028 , A61B2017/320032 , A61B2217/005 , A61B2217/007
摘要： An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.
摘要翻译：用于在手术部位去除组织的内窥镜包括可插入患者的哺乳动物腔内的细长管状体。器械通道在远端的第一开口和管状体的近端处的第二开口之间延伸，并且其尺寸和构造成接纳外科切割组件，该外科切割组件包括被构造成通过远端手术切割组件的末端。构造成产生扭矩的扭矩产生部件定位在远端内并且被配置为将所产生的扭矩提供给联接部件。联接部件定位在细长管状部件的远端，并且被配置为响应于扭矩产生部件的致动而致动外科切割组件的切割部件。

3. 发明申请

WO2010151251A1 MINIATURE SHREDDING TOOL FOR USE IN MEDICAL APPLICATIONS AND METHODS FOR MAKING 审中-公开
标题翻译：用于医疗应用的微型工具和制造方法
公开(公告)号：WO2010151251A1
公开(公告)日：2010-12-29
申请号：PCT/US2009048347
申请日：2009-06-23
申请人： MICROFABRICA INC , LOCKARD MICHAEL S , FRODIS URI , COHEN ADAM , CHEN RICHARD T , WU MING-TING , SCHMITZ GREGORY P , MILLER ERIC C
发明人： LOCKARD MICHAEL S , FRODIS URI , COHEN ADAM , CHEN RICHARD T , WU MING-TING , SCHMITZ GREGORY P , MILLER ERIC C
IPC分类号： A61B10/00
CPC分类号： A61B17/32002 , A61B10/02 , A61B17/14 , A61B17/1659 , A61B17/1671 , A61B17/221 , A61B17/320725 , A61B17/320758 , A61B90/361 , A61B2017/00261 , A61B2017/003 , A61B2017/00327 , A61B2017/00526 , A61B2017/00539 , A61B2017/00553 , A61B2017/2212 , A61B2017/2215 , A61B2017/320048 , A61B2017/320064 , A61B2017/320775 , B33Y80/00 , F16H55/06 , F16H55/18 , Y10T74/19623
摘要： The present invention relates generally to the field of micro-scale or millimeter scale devices and to the use of multi-layer multi-material electrochemical fabrication methods for producing such devices with particular embodiments relate to shredding devices and more particularly to shredding devices for use in medical applications. In some embodiments, tissue removal devices are used in procedures to removal spinal tissue and in other embodiments, similar devices are used to remove thrombus from blood vessel.
摘要翻译：本发明一般涉及微尺度或毫米级装置的领域，以及使用多层多材料电化学制造方法来制造这种装置，具体实施方案涉及粉碎装置，更具体地说涉及用于医疗应用。在一些实施例中，在去除脊髓组织的过程中使用组织去除装置，并且在其他实施例中，类似的装置用于从血管中去除血栓。

4. 发明申请

WO0150965A9 SURGICAL INSTRUMENTS WITH INTEGRATED ELECTROCAUTERY 审中-公开
标题翻译：具有综合电机的外科手术器械
公开(公告)号：WO0150965A9
公开(公告)日：2002-12-27
申请号：PCT/US0100766
申请日：2001-01-10
申请人： HYDROCISION INC
发明人： MOUTAFIS TIMOTHY E , FREEMAN DONALD C JR , STAID KEVIN , LEVINE ANDY H
IPC分类号： A61B17/00 , A61B17/22 , A61B17/56 , A61B18/12 , A61B18/14
CPC分类号： A61B17/32037 , A61B17/320758 , A61B18/1485 , A61B2017/00553 , A61B2017/32032 , A61B2017/320775 , A61B2018/00202 , A61B2018/00607
摘要： The invention includes a series of surgical instruments (1000) providing at least one electrode (1002) for performing electrocautery, and provides a method for cutting and cauterizing tissue with a surgical instrument. The invention involves a method for detecting the location of a bleeding vessel in a liquid-filled, visually monitored surgical field of a patient and for electrocauterizing the vessel to stop the bleeding before visualization of the surgical field is compromised. Surgical instruments according to the invention also include operable components (118) for forming a liquid cutting jet for cutting or ablating tissue of a patient and/or for providing a rotating, tissue contacting component (122) for cutting, grinding, ablating, etc. tissue during a surgical procedure. Some surgical instruments include one or more liquid conducting lumen (118, 120) therein for transporting and/or removing a liquid from a surgical operating field, which lumen, in some cases, are selectively coated with a layer of an electrically insulating material so that certain, selected, uncoated regions of an external surface of the lumen can act as an electrocautery electrode of the instrument.
摘要翻译：本发明包括提供用于进行电烙术的至少一个电极（1002）的一系列手术器械（1000），并且提供了用外科器械切割和烧灼组织的方法。本发明涉及一种用于在液体填充的，视觉上监视的患者手术区域中检测出血血管的位置的方法，并且用于在手术视野的可视化受损之前使血管电灼以停止出血。根据本发明的手术器械还包括用于形成用于切割或消除患者组织的液体切割射流和/或用于提供用于切割，研磨，消融等的旋转的组织接触部件（122）的可操作部件（118）组织在手术过程中。一些手术器械包括一个或多个液体导管腔（118,120），用于从手术操作区输送和/或去除液体，该腔在一些情况下选择性地涂覆有一层电绝缘材料，使得腔的外表面的某些，选定的，未涂覆的区域可以用作仪器的电灼电极。

5. 发明申请

WO0150966A9 LIQUID JET-POWERED SURGICAL INSTRUMENTS 审中-公开
标题翻译：液体射流手术器械
公开(公告)号：WO0150966A9
公开(公告)日：2002-10-31
申请号：PCT/US0100785
申请日：2001-01-10
申请人： HYDROCISION INC
发明人： MOUTAFIS TIMOTHY E , FREEMAN DONALD C JR , STAID KEVIN
IPC分类号： A61B17/00 , A61B17/22 , A61B18/14 , F16K11/07
CPC分类号： A61B17/320758 , A61B17/3203 , A61B2017/00553
摘要： The present invention provides a series of devices for surgical procedures utilizing rotatable components for grinding, cutting, ablating, polishing, drilling, screwing, etc., tissues of the body of a patient. The invention includes, a series of surgical instruments (100) including rotatable shafts (124), and surgical components (122) drivable by the shafts (124) that can be utilized for contact with tissue in a surgical operating field. Some preferred surgical instruments provided by the invention utilize a liquid jet-driven rotor mechanism (454) for driving rotation of the rotatable shaft (124). Some preferred instruments provided by the invention include both a liquid jet-driven rotor mechanism (454) and a nozzle (192) at the distal end of the instrument for forming a liquid cutting jet for cutting or ablating tissue of a patient. Such instruments can include a liquid flow directing valve (180) therein that includes a pressure-tight sealing component (556) comprising a sealing element that is slidably moveable within a cylinder (552) of the valve (180). The invention provides methods for utilizing the surgical instruments in surgical procedures involving both cutting or ablating tissue of a patient with a liquid cutting jet and grinding, cutting, or ablating tissue with a rotating surface of a surgical instrument.
摘要翻译：本发明提供了一系列用于利用可旋转部件进行外科手术的装置，用于对患者身体的组织进行研磨，切割，消融，抛光，钻孔，拧紧等。本发明包括一系列包括可旋转轴（124）的手术器械（100）以及可由所述轴（124）驱动的外科部件（122），所述外科部件可用于与手术操作区域中的组织接触。本发明提供的一些优选手术器械利用液体喷射驱动的转子机构（454）来驱动可旋转轴（124）的旋转。由本发明提供的一些优选的器械包括位于器械远端的液体喷射驱动的转子机构（454）和喷嘴（192），用于形成用于切割或消融患者组织的液体切割射流。这种器械可以在其中包括液体流动引导阀（180），其包括包括可在阀（180）的缸体（552）内滑动地移动的密封元件的耐压密封部件（556）。本发明提供了用于在手术过程中利用手术器械的方法，该手术器械包括用液体切割射流切割或消融患者的组织并用手术器械的旋转表面研磨，切割或消融组织。

6. 发明申请

WO1993001753A2 ATHERECTOMY AND ANGIOPLASTY METHOD AND APPARATUS 审中-公开
标题翻译：手术和放射治疗方法和装置
公开(公告)号：WO1993001753A2
公开(公告)日：1993-02-04
申请号：PCT/US1992005993
申请日：1992-07-15
申请人： ZACCA, Nadim, M. , JASSO, Martin, R.
IPC分类号： A61B17/22
CPC分类号： A61B17/320725 , A61B17/22 , A61B2017/00553 , A61B2017/22062 , A61B2017/22082 , A61B2017/22092 , A61B2017/320004
摘要： A device for treating obstructions in vessels or small openings in the body, comprising a rotatable ablator tip which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The variably expandable abrasive tip coil in one embodiment is actuated by piston means within the coil. A pair of collars is attached to the ends of the coil, and the piston effects relative longitudinal axial movement of the collars and the respective ends of the coil tip. When the ends of the coil tip are so moved, expansion and contraction of the diameter of the coil tip results. In another embodiment, the expansion tip coil is actuated by an expandable and contractible bellows disposed within the coil. In another embodiment, the expansion and contraction of the coil tip are affected by longitudinal axial movement of an internal coil attached to one end of the coil tip, within an outer coil attached to its other end. In another embodiment, expansion and contraction of the coil tip are effected by an inflatable balloon disposed within the coil tip. The balloon expansion means enlarges preferably at the central portion of the coil to make a bulge. In alternative embodiments, there is provided a combined atherectomy and balloon angioplasty device employing either a fixed or variable diameter rotatable abrasive burr, and an angioplasty balloon disposed proximal to the burr.
摘要翻译：一种用于处理体内的容器或小开口中的障碍物的装置，包括可旋转的消音器尖端，所述可旋转的消音器尖端以缩径的构型被引导到所述障碍物，被扩张和旋转以移除所述障碍物，并收缩以从所述身体移除所述装置。在一个实施例中，可变膨胀的研磨尖端线圈由线圈内的活塞装置驱动。一对轴环附接到线圈的端部，并且活塞影响轴环和线圈末端的相应端部的相对纵向轴向运动。当线圈尖端的端部如此移动时，线圈尖端的直径的膨胀和收缩导致。在另一个实施例中，膨胀尖端线圈由设置在线圈内的可膨胀和可收缩的波纹管致动。在另一个实施例中，线圈尖端的膨胀和收缩受连接到线圈末端的一端的内部线圈在连接到另一端的外部线圈内的纵向轴向运动的影响。在另一个实施例中，线圈尖端的膨胀和收缩由设置在线圈尖端内的可充气球体来实现。球囊膨胀装置优选地在线圈的中心部分扩大以形成凸起。在替代实施例中，提供了使用固定或可变直径的可旋转磨料毛刺的组合的粥样斑块切除术和球囊血管成形术装置，以及靠近毛刺设置的血管成形术球囊。

7. 发明申请

WO2013082602A3 INSERTABLE ENDOSCOPIC INSTRUMENT FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织移除的INSERTABLE ENDOSCICIC INSTRUMENT FOR TISSUE REMOVAL
公开(公告)号：WO2013082602A3
公开(公告)日：2013-07-25
申请号：PCT/US2012067614
申请日：2012-12-03
申请人： INTERSCOPE INC
发明人： FURLONG COSME , MARCOUX MICHAEL W
IPC分类号： A61B17/32 , A61B1/018 , A61B1/31
CPC分类号： A61B1/018 , A61B1/31 , A61B10/04 , A61B17/32002 , A61B2010/0225 , A61B2017/00553 , A61B2017/00818 , A61B2017/00862 , A61B2017/320032 , A61B2217/005 , A61B2217/007
摘要： An improved endoscopic instrument easily and efficiently obtains samples of multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope.
摘要翻译：改进的内窥镜仪器通过清除一个或多个息肉并且取回所述清除的息肉，而不必在使用单独的切割工具和单独的样品回收工具之间交替地容易且有效地获得来自患者的多个息肉的样品，并且可以与内窥镜一起使用。

8. 发明申请

WO2013020877A1 MEDIZINISCHE VORRICHTUNG 审中-公开
标题翻译：医疗设备
公开(公告)号：WO2013020877A1
公开(公告)日：2013-02-14
申请号：PCT/EP2012/065063
申请日：2012-08-01
申请人： CHARITÉ - UNIVERSITÄTSMEDIZIN BERLIN , GÜTTLER, Felix , RUMP, Jens , TEICHGRÄBER, Ulf , SEEBAUER, Christian , WINTERWERBER, Kim
发明人： GÜTTLER, Felix , RUMP, Jens , TEICHGRÄBER, Ulf , SEEBAUER, Christian , WINTERWERBER, Kim
IPC分类号： A61B17/16
CPC分类号： A61B17/1624 , A61B17/162 , A61B2017/00553 , A61B2017/00911 , A61B2017/0092
摘要： Medizinische Vorrichtung (1) zur Bearbeitung von Knochen eines Menschen mittels eines angetriebenen Bearbeitungsmittels, insbesondere zum Einbringen eines Bohrwerkzeugs in den Knochen und/oder zum Sägen und/oder Fräsen des Knochens, mit einem wenigstens einem Antrieb für das Bearbeitungsmittel und einem Gehäuse zur Aufnahme des Antriebs. Erfindungsgemäß ist vorgesehen, dass der Antrieb (2, 6) pneumatisch ist und sowohl das Gehäuse (11) als auch der Antrieb (2, 6) derart hergestellt sind, dass sie Magnetresonanztomographie-kompatibel und -sicher und im Wesentlichen röntgentransparent sind.
摘要翻译：所述医疗装置（1），用于通过一个驱动工作装置的装置加工出人的骨骼，特别是用于引入钻孔工具插入到骨和/或锯和/或骨的研磨带的至少一个驱动器，用于在处理装置和用于接收所述的壳体开车。根据本发明，驱动器（2,6）是气动的，并都在外壳（11）和驱动（2,6）是由，使得它们和-secure和基本上透视透明磁共振成像相容。

9. 发明申请

WO2008088929A3 LITHOTRIPSY BASKET DRILL 审中-公开
标题翻译： LITHOTRIPSY篮子钻
公开(公告)号：WO2008088929A3
公开(公告)日：2008-10-16
申请号：PCT/US2008050074
申请日：2008-01-03
申请人： WILSON COOK MEDICAL INC , DUCHARME RICHARD W
发明人： DUCHARME RICHARD W
IPC分类号： A61B17/22
CPC分类号： A61B17/320758 , A61B17/221 , A61B2017/00424 , A61B2017/00553 , A61B2017/320775
摘要： A lithotriptor device (300) embodiment is provided including a lithotriptor that has a proximal handle (302), an elongate shaft (306) extending distally from the handle with a lumen extending through a major length of the elongate shaft, and a wire basket (308) distally attached to a drive wire (304). The drive wire extends through the lumen of the elongate shaft and is operatively connected to the handle. The device includes a drill mechanism assembly (350) with a drill bit (362) disposed near the distal end of the elongate shaft.
摘要翻译：提供了一种碎石器装置（300）实施例，其包括具有近侧手柄（302）的碎石机，从手柄向远侧延伸的细长轴（306），其中延伸穿过细长轴的主要长度的内腔和线篮 308），其远端附接到驱动线（304）。驱动线延伸穿过细长轴的内腔并且可操作地连接到手柄。该装置包括具有设置在细长轴的远端附近的钻头（362）的钻机构组件（350）。

10. 发明申请

WO2004056279A3 DENTAL HANDPIECE 审中-公开
标题翻译：牙科手术
公开(公告)号：WO2004056279A3
公开(公告)日：2004-09-23
申请号：PCT/CA0301999
申请日：2003-12-22
申请人： TURNER DEREK
发明人： TURNER DEREK
IPC分类号： A61B17/16 , A61C1/05 , A61C1/12 , A61C1/14 , A61C1/18 , A61C3/02 , B23B31/00
CPC分类号： A61C1/05 , A61B17/1628 , A61B17/1646 , A61B2017/00553 , A61C1/052 , A61C1/057 , A61C1/12 , A61C1/142 , A61C1/18 , A61C1/181 , A61C1/188 , A61C3/02 , B23B31/005 , B23B2231/022
摘要： A dental handpiece is disclosed including a turbine construction creating a radial in flow of air onto the impeller blades about the whole circumference of the turbine. This generates additional torque and avoids asymmetrical thrust on the impeller wheel. A pair of axially spaced air bearings support the turbine. Air supply to the bearings is controlled in such a way that the air bearings are floated before drive air is supplied to the turbine and after drive air to the turbine has been shut off. This ensures that the air bearings are always operational irrespective of the operational state of the turbine. The handpiece has an improved ergonomic shape, especially the shape and configuration of the front or drive head, which provides additional tooth clearance and a better field of view. An angled swivel connection to the umbilical cord is provided which reduces physical strain on the dentist's wrist. A self adjusting lock and key type torque connection between the dental burr and the chuck is provided which accommodates both conventional burrs and the burr of the lock and key arrangement. An auto stop arrangement for the turbine is disclosed which prevents a vacuum buildup during run-down of the turbine. The specific construction of the auto stop valve in accordance with the invention closes both the drive and exhaust air conduits.
摘要翻译：公开了一种牙科手机，其包括涡轮机结构，其围绕涡轮机的整个周边产生在叶轮叶片上的径向流动。这产生额外的扭矩并避免了叶轮上的不对称推力。一对轴向隔开的空气轴承支撑涡轮机。以这样的方式控制对轴承的空气供应，即空气轴承在驱动空气供应到涡轮机之前以及驱动到涡轮机的空气已被切断之后浮起。这确保空气轴承总是可操作的，而与涡轮机的操作状态无关。手机具有改进的符合人体工程学的形状，特别是前部或驱动头的形状和结构，其提供额外的齿隙和更好的视野。提供与脐带的倾斜的旋转连接，其减少了牙医手腕上的物理应变。提供牙钻和卡盘之间的自调节锁和钥匙型扭矩连接，其容纳常规毛刺和锁和钥匙布置的毛刺。公开了一种用于涡轮机的自动停止装置，其防止在涡轮机失效期间的真空积聚。根据本发明的自动截止阀的具体结构关闭了驱动和排气导管。

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