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1. 发明申请

WO2018069988A1 処置具用回転機構审中-公开
标题翻译：治疗仪器的旋转机构
公开(公告)号：WO2018069988A1
公开(公告)日：2018-04-19
申请号：PCT/JP2016/080194
申请日：2016-10-12
申请人：オリンパス株式会社
发明人：藤井　雅浩
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/28 , A61B2017/00367 , A61B2017/00862 , A61B2017/2903 , A61B2017/293
摘要：長尺部材の先端の処置部を動作させることなく、長尺部材の長手軸回りに回転させることを目的として、本発明に係る処置具用回転機構（１）は、長尺部材（２）の先端に、長尺部材（２）の長手軸回りに回転可能に支持され、処置具（３）が固定された回転部材（４）と、長尺部材（２）に沿って配置され軸力を伝達する軸力伝達部材（５）と、軸力伝達部材（５）の先端に固定され、長尺部材（２）に対して長手軸回りに回転可能かつ長手軸方向に移動可能に設けられた駆動部材（６）と、軸力伝達部材（５）によって伝達された軸力による駆動部材（６）の長手軸方向への直線動作を長手軸回りの回転動作に変換する変換機構（７）とを備え、駆動部材（６）と回転部材とが、長手軸方向に相対移動可能かつ、長手軸回りに相対回転不可に組み合わせられている。
摘要翻译：为了围绕细长构件的纵向轴线旋转而不在细长构件的远端处移动治疗部分，用于根据本发明的治疗仪器的旋转机构（1）支承在细长部件（2）的远端上以便可绕细长部件（2）的纵向轴线旋转并具有处理器械（3）的旋转部件（4）轴向力传递构件，其沿着细长构件的纵向轴线设置并传递轴向力;以及轴向力传递构件，其固定到轴向力传递构件的远端并且能够相对于细长构件绕纵向轴线旋转，（6）能够通过由轴向力传递部件（5）传递的轴向力在驱动部件（6）的纵向方向上线性地移动，并且绕纵向轴线（6）和所述旋转构件能够在所述纵向方向上并且围绕所述纵向轴线相对于彼此移动它们成对组合不可旋转。

2. 发明申请

WO2017184385A1 STENT-GRAFT DELIVERY SYSTEM HAVING AN INNER SHAFT COMPONENT WITH A LOADING PAD OR COVERING ON A DISTAL SEGMENT THEREOF FOR STENT RETENTION 审中-公开
标题翻译：支架传送系统具有内部轴组件，其上带有加载垫或覆盖在其不连续的部分上用于支架保留
公开(公告)号：WO2017184385A1
公开(公告)日：2017-10-26
申请号：PCT/US2017/027057
申请日：2017-04-11
申请人： MEDTRONIC VASCULAR INC.
发明人： CORWIN, Lisa , LARSON, Peter , MURRAY, Robert, III , PICCAGLI, Francesco , WITTROCK, Theresa
IPC分类号： A61F2/966
CPC分类号： A61F2/966 , A61B17/00234 , A61B2017/00292 , A61B2017/00862 , A61F2/07 , A61F2/90 , A61F2002/9665
摘要： A catheter for delivering a self-expanding stent-graft prosthesis includes an inner shaft component having a distal segment over which the stent-graft prosthesis is loaded in a compressed delivery configuration. The distal segment has a covering that is intimately disposed thereover. The covering forms a raised outer surface on the distal segment and includes a plurality of protrusions that extend radially outward from the raised outer surface. An outer shaft component is slidingly disposed over the distal segment of the inner shaft component for holding the stent-graft prosthesis in the compressed delivery configuration. In the compressed delivery configuration, the stent-graft prosthesis is disposed over and makes contact with the covering of the distal segment of the inner shaft component such that at least the plurality of protrusions provide sufficient friction to of the covering secure a longitudinal position of the stent-graft prosthesis relative to the inner shaft component.
摘要翻译：用于输送自扩张式支架移植物假体的导管包括具有远侧节段的内轴组件，所述支架移植物假体以压缩递送构型装载在所述远侧节段上。远端部分具有紧密布置在其上的覆盖物。覆盖物在远侧段上形成凸起的外表面并且包括从凸起的外表面径向向外延伸的多个突起。外轴组件滑动地设置在内轴组件的远侧段上，用于将支架移植物假体保持在压缩递送构造中。在压缩输送构造中，支架移植物假体设置在内轴组件的远侧段的覆盖物上并与其接触，使得至少多个突起提供足够的摩擦以确保覆盖件的纵向位置支架移植物假体相对于内轴组件。

3. 发明申请

WO2017147493A1 ENHANCED FLEXIBILITY NEUROVASCULAR CATHETER 审中-公开
标题翻译：增强的灵活性神经血管导管
公开(公告)号：WO2017147493A1
公开(公告)日：2017-08-31
申请号：PCT/US2017/019453
申请日：2017-02-24
申请人： INCEPT, LLC
发明人： YANG, Yi , KHOSRAVI, Fred , RIMSA, Joseph
IPC分类号： A61B17/00 , A61M25/00 , A61M25/01 , A61M29/00
CPC分类号： A61M25/0053 , A61B6/481 , A61B17/12022 , A61B17/12168 , A61B17/12186 , A61B17/22 , A61B17/22012 , A61B17/2202 , A61B17/22031 , A61B17/3203 , A61B17/32037 , A61B17/320758 , A61B2017/00398 , A61B2017/00526 , A61B2017/00734 , A61B2017/00862 , A61B2017/00867 , A61B2017/00898 , A61B2017/00955 , A61B2017/22025 , A61B2017/22034 , A61B2017/22038 , A61B2017/22062 , A61B2017/22067 , A61B2017/22079 , A61B2017/22084 , A61B2017/320733 , A61B2017/320775 , A61B2217/005 , A61F2/95 , A61F7/12 , A61F2007/126 , A61L29/02 , A61L29/041 , A61L29/06 , A61L29/14 , A61L2400/10 , A61L2400/16 , A61M1/0035 , A61M1/0066 , A61M1/008 , A61M1/32 , A61M5/007 , A61M25/0009 , A61M25/0012 , A61M25/0023 , A61M25/0045 , A61M25/005 , A61M25/007 , A61M25/0074 , A61M25/01 , A61M25/0102 , A61M25/0108 , A61M25/0147 , A61M25/0662 , A61M25/09 , A61M25/10 , A61M25/1027 , A61M39/06 , A61M2025/0046 , A61M2025/0059 , A61M2025/0175 , A61M2039/062 , A61M2205/0216 , A61M2205/0266 , A61M2205/3344 , A61M2210/12 , B29C41/14 , B29K2027/18 , B29K2075/00 , B29L2031/7542
摘要： A catheter is provided, such as for distal neurovascular access or aspiration. The catheter includes an elongate flexible body, having a proximal end, a distal end and a side wall defining a central lumen. A distal zone of the side wall includes a tubular inner liner, a tie layer separated from the lumen by the inner liner, a helical coil surrounding the tie layer, adjacent windings of the coil spaced progressively further apart in the distal direction. An outer jacket surrounds the helical coil. The outer jacket is formed from a plurality of tubular segments positioned end to end, coaxially about the coil. The flexural load profile of the catheter as a function of catheter length is configured to provide enhanced distal flexibility while maintaining high backup support.
摘要翻译：提供导管，例如用于远端神经血管通路或抽吸。导管包括细长柔性主体，其具有限定中央内腔的近端，远端和侧壁。侧壁的远侧区域包括管状内衬，通过内衬与内腔隔开的连接层，围绕连接层的螺旋线圈，线圈的相邻绕圈在远侧方向上逐渐进一步间隔开。外套围绕螺旋线圈。外护套由多个管状部分形成，首尾相连，同轴环绕线圈。导管的弯曲载荷曲线作为导管长度的函数被配置为提供增强的远端柔性，同时保持高度的后备支撑。

4. 发明申请

WO2017120313A1 PERCUTANEOUS ACCESS DEVICE 审中-公开
标题翻译：皮肤访问设备
公开(公告)号：WO2017120313A1
公开(公告)日：2017-07-13
申请号：PCT/US2017/012302
申请日：2017-01-05
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： LONG, Jerry T., Jr. , HARRAH, Timothy P. , CRAFT, Brandon W. , STOKLEY, Elizabeth A. , KOERNER, Sebastian , SUBRAMANIAM, Anant
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B17/3403 , A61B17/02 , A61B17/22 , A61B17/3417 , A61B17/3421 , A61B17/3423 , A61B17/3439 , A61B2017/00862 , A61B2017/00867 , A61B2017/0088 , A61B2017/00964 , A61B2017/320048 , A61B2017/3405 , A61B2017/3425 , A61M29/02
摘要： Medical devices and methods for using medical devices are disclosed. An access device for accessing a target site comprises a tubular member having a proximal portion and a distal portion. The access device may also include a balloon coupled to the tubular member, the balloon extending between the tubular member proximal portion and the tubular member distal portion. The access device may also include a stylet moveable with respect to the tubular member, wherein the stylet is configured to pierce through the skin of a patient.
摘要翻译：公开了使用医疗装置的医疗装置和方法。用于接近目标部位的进入装置包括具有近侧部分和远侧部分的管状部件。进入装置还可以包括联接到管状构件的球囊，球囊在管状构件近侧部分和管状构件远侧部分之间延伸。进入装置还可以包括可相对于管状构件移动的探针，其中探针被配置为刺穿患者的皮肤。

5. 发明申请

WO2017075548A1 SYSTEMS AND METHODS FOR INCREASED OPERATING ROOM EFFICIENCY 审中-公开
标题翻译：用于提高操作室效率的系统和方法
公开(公告)号：WO2017075548A1
公开(公告)日：2017-05-04
申请号：PCT/US2016/059599
申请日：2016-10-28
申请人： SHARP FLUIDICS LLC
发明人： GOREK, Josef, E. , TRAUNER, Kenneth, B. , RIMER, Douglas, G.
IPC分类号： A41D13/05 , A41D13/08 , A44C5/00 , A45F5/00 , A61B17/06 , A61B17/32 , A61B19/00
CPC分类号： A61B17/06061 , A44C5/00 , A45C11/00 , A45C2011/007 , A45F5/00 , A45F2005/008 , A61B17/0467 , A61B17/0491 , A61B17/06004 , A61B17/06066 , A61B17/06114 , A61B17/06133 , A61B17/06161 , A61B17/32 , A61B17/3201 , A61B34/20 , A61B42/10 , A61B46/00 , A61B50/20 , A61B50/362 , A61B90/98 , A61B2017/00862 , A61B2017/00889 , A61B2017/06142 , A61B2017/305 , A61B2034/2055 , A61B2050/21 , A61B2090/0808
摘要： Systems, devices and methods to improve safety and efficiency in an operating room comprise providing a suture package that holds new suture needles and needle receptacles for storing used needles. The devices can be safely worn for the surgeon to self-dispense new suture needles in the near surgical field and to secure the used needles into a needle trap or a needle retainer located on his extremity, on his operative instruments or on the surgical drapes. The device may provide automated and/or simplified needle counting both during use and after removal from the surgical field. The device may be configured for ergonomic and efficient use so as to minimize the actions and motions of the surgeon to dispense and secure the needle.
摘要翻译：用于提高手术室中的安全性和效率的系统，设备和方法包括提供保持新的缝合针和用于存储使用过的针的针插座的缝合线包。这些装置可以安全地佩戴，以便外科医生在手术区域附近自动分配新的缝合针，并且将使用的针固定到位于其末端的针捕获器或针固位器，他的手术器械或手术单上。该装置可以在使用期间和从手术区域取出后提供自动和/或简化的针数。该装置可以被配置为符合人体工程学和有效使用，以便最小化外科医生分配和固定针的动作和动作。

6. 发明申请

WO2017059335A1 INSUFFLATION STABILIZATION SYSTEM 审中-公开
标题翻译：消除稳定系统
公开(公告)号：WO2017059335A1
公开(公告)日：2017-04-06
申请号：PCT/US2016/054955
申请日：2016-09-30
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： SIAS, Ralph , DO, Alexandra , POULSEN, Nikolai , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , MCMORROW, Timothy , MILES, W.F., Anthony
IPC分类号： A61M13/00 , A61B17/34
CPC分类号： A61M13/003 , A61B17/3423 , A61B17/3474 , A61B2017/00278 , A61B2017/00818 , A61B2017/00862 , A61B2017/3447 , A61M2202/0225 , A61M2205/3334 , A61M2205/3341 , A61M2205/3344 , A61M2205/3355 , A61M2210/1067 , A61M2202/0007
摘要： Pressure conditioning systems for supplying insufflation gas to an open-ended body conduit such as a rectal cavity during a transanal minimally invasive surgery (TAMIS) procedure can reduce billowing of walls of the body conduit. A pressure conditioning system can include a pressure storage component, an accumulator, and a flow restrictor. The pressure storage component can include a variable volume reservoir that is biased to a relatively low volume state. The flow restrictor can include insufflation tubing with a restrictor plate having a relatively low diameter orifice. The pressure storage component, accumulator, and flow restrictor can be fluidly connected in various orders in series or as side branches from a gas flow conduit. Despite a pulsed or otherwise discontinuous insufflation gas flow and leakage and absorption from the body conduit, the pressure conditioning system can maintain a constant pressure within the body conduit.
摘要翻译：在经肛门微创外科手术（TAMIS）程序期间，将吹入气体供应到开放式体导管（如直肠腔）的压力调节系统可以减少身体导管壁的滚滚。压力调节系统可以包括压力存储部件，蓄能器和限流器。压力存储部件可以包括被偏置到相对低的体积状态的可变容积储存器。限流器可以包括具有具有相对低直径孔口的限流板的吹入管。压力存储部件，蓄能器和限流器可以以各种顺序流体连接，或者作为气体流动管道的侧分支流体连接。尽管脉冲或其他不连续的吹气气流以及从身体导管的泄漏和吸收，压力调节系统可以在体导管内保持恒定的压力。

7. 发明申请

WO2017053187A1 APPARATUS FOR PLEATING A BODILY LUMEN 审中-公开
标题翻译：用于调节体温的装置
公开(公告)号：WO2017053187A1
公开(公告)日：2017-03-30
申请号：PCT/US2016/052100
申请日：2016-09-16
申请人： ETHICON ENDO-SURGERY, LLC
发明人： SCHEIB, Charles J. , HENDERSON, Cortney E. , VETRO WIDENHOUSE, Tamara S. , CHEKAN, Edward G.
IPC分类号： A61B17/12 , A61B17/04 , A61B17/072 , A61B17/115 , A61B17/00 , A61B17/11
CPC分类号： A61B17/068 , A61B17/0482 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/12009 , A61B17/32 , A61B2017/00818 , A61B2017/00862 , A61B2017/1142
摘要： An apparatus includes a staple cartridge. The staple cartridge includes staples, a deck, and a buttress. The deck defines a plurality of openings. Each opening of the plurality of openings is associated with a corresponding staple of the plurality of staples, such that each staple is configured to pass through a corresponding opening of the plurality of openings. The buttress is configured to detach from the staple deck in response to the staples being driven through the corresponding openings of the deck. The buttress is resiliently biased to transition from a first configuration while attached to the deck to a second configuration when detached from the deck. The buttress has a first length in the first configuration and a second length in the second configuration. The first length is longer than the second length.
摘要翻译：装置包括钉仓。钉仓包括钉书钉，甲板和支柱。甲板限定了多个开口。多个开口的每个开口与多个钉的相应钉相关联，使得每个钉构造成穿过多个开口的相应开口。支撑件构造成响应于钉子被驱动通过甲板的相应开口而从订书钉甲板脱离。当与甲板分离时，支撑件被弹性偏压以从第一构造转变到附接到甲板的第二构造。支撑件具有第一构造的第一长度和第二构造中的第二长度。第一长度比第二长度长。

8. 发明申请

WO2017048775A1 INTERSPINOUS STABILIZATION IMPLANT 审中-公开
标题翻译：互补稳定植被
公开(公告)号：WO2017048775A1
公开(公告)日：2017-03-23
申请号：PCT/US2016/051624
申请日：2016-09-14
申请人： HYDRA MEDICAL, LLC
发明人： PREWETT, Ann
IPC分类号： A61F2/44
CPC分类号： A61B17/7067 , A61B17/7062 , A61B17/7065 , A61B17/7097 , A61B2017/00862
摘要： A swellable, resilient self-retaining interspinous implant that includes two oppositely disposed retaining members connected by a centrally disposed cross body, the cross body defining a center axis, each retaining member extending in opposite directions relative to each other and perpendicular to the center axis, the implant being dimensioned and configured to fit between two spinous processes of two adjacent vertebrae. In embodiments, the implant has a first configuration of reduced size such that it can be inserted into the patient in a minimally invasive manner. Once inserted to an application point within the patient, the implant expands in size to dynamically maintain the adjacent spinous processes in beneficial alignment. Also provided is a method of making a swellable, resilient interspinous implant as described herein. Also provided is a method of treating a degenerative condition of a spine which includes creating an incision and inserting, through the incision, between two spinous processes of two adjacent vertebrae, a swellable, resilient interspinous implant as described herein.
摘要翻译：可膨胀的，弹性的自固定棘突间植入物，其包括通过中心设置的横向主体连接的两个相对设置的保持构件，所述横向体限定中心轴线，每个保持构件相对于彼此和垂直于中心轴线的相反方向延伸，植入物的尺寸和构造适合于两个相邻椎骨的两个棘突之间。在实施例中，植入物具有减小尺寸的第一构造，使得其可以以微创方式插入患者体内。一旦插入到患者内的应用点，植入物的尺寸就会扩大，从而动态地维持相邻棘突的有益对准。还提供了如本文所述的制造可溶胀，弹性棘突间植入物的方法。还提供了一种治疗脊柱退行性病症的方法，其包括产生切口并通过切口插入两个相邻椎骨的两个棘突之间，如本文所述的可溶胀的弹性棘突间植入物。

9. 发明申请

WO2017017587A2 THICKNESS-ADJUSTABLE HEMOSTATIC CLIPS, CLIP APPLIERS, AND APPLICATIONS THEREOF 审中-公开
标题翻译：厚度可调节的HEMOSTATIC CLIPS，CLIP APPLIERS及其应用
公开(公告)号：WO2017017587A2
公开(公告)日：2017-02-02
申请号：PCT/IB2016/054408
申请日：2016-07-24
申请人： CLIPTIP MEDICAL LTD
发明人： BACHAR, Yehuda
IPC分类号： A61B17/122
CPC分类号： A61B17/122 , A61B17/128 , A61B2017/00862 , A61B2017/12004
摘要： Hemostatic clips, clip appliers, and applications thereof, for ligating bodily organs or tissues in a subject. The clip and clip appliers are configured to structurally conform to various thicknesses of bodily organs or tissues. In exemplary embodiments, the hemostatic clip includes pivotally linked clip arm members, wherein at least one has an outer rigid clip arm member, and an inner clip arm member being resilient and elastic. The clip includes a locking mechanism for locking together the clip arms. The hemostatic clip shifts from a non-stressed fully opened configuration to a stressed locked configuration with compressive forces being applied to a bodily organ or tissue. Inner resilient clip arm member of the clip facilitates structural conformity to various thicknesses of bodily organs or tissues, and provides an efficient, long lasting, and safe tissue ligation.
摘要翻译：止血夹，夹具及其应用，用于结扎受试者的身体器官或组织。夹子和夹子施放器被构造成在结构上符合身体器官或组织的各种厚度。在示例性实施例中，止血夹包括枢转地连接的夹臂构件，其中至少一个具有外部刚性夹臂构件，并且内夹臂构件具有弹性和弹性。该夹具包括用于将夹臂固定在一起的锁定机构。止血夹从非应力完全打开的构型转移到压力锁定构型，并且压缩力被施加到身体器官或组织。夹子的内部弹性夹臂构件有助于结构符合身体器官或组织的各种厚度，并提供有效，持久和安全的组织结扎。

10. 发明申请

WO2016193753A3 MARKER MATERIALS AND FORMS FOR MAGNETIC MARKER LOCALIZATION (MML) 审中-公开
标题翻译：标记材料和磁性标记定位（MML）
公开(公告)号：WO2016193753A3
公开(公告)日：2017-01-12
申请号：PCT/GB2016051649
申请日：2016-06-03
申请人： ENDOMAGNETICS LTD
发明人： MAYES ERIC , HARMER QUENTIN JOHN , LORIMER KEVIN , PANKHURST QUENTIN ANDREW
IPC分类号： A61B90/00
CPC分类号： A61B90/39 , A61B5/05 , A61B5/4312 , A61B2017/00862 , A61B2090/3908 , A61B2090/3925 , A61B2090/3954 , A61B2090/3966 , A61B2090/3987 , A61B2090/3995 , A61B2562/0223
摘要： A magnetic marker for marking a site in tissue in the body. In one embodiment, the marker comprises a magnetic metallic glass. In another embodiment, the marker is in a non-spherical configuration having an anisotropy ratio less than 9. In yet another embodiment, the marker is in a non-spherical configuration having an anisotropy ratio less than 6. In yet another embodiment, the marker is in a non- spherical configuration having an anisotropy ratio less than 3.
摘要翻译：用于标记身体组织中的部位的磁性标记。在一个实施例中，标记包括磁性金属玻璃。在另一个实施方案中，标记是具有小于9的各向异性比的非球形构型。在另一个实施方案中，标记是具有小于6的各向异性比的非球形构型。在另一个实施方案中，标记是各向异性比小于3的非球形构型。

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