公开(公告)号：US20140039492A1

公开(公告)日：2014-02-06

申请号：US13565319

申请日：2012-08-02

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/18

CPC分类号： A61B18/1477 ,  A61B18/148 ,  A61B2018/00178 ,  A61B2018/00202 ,  A61B2018/1475 ,  A61B2018/1495 ,  A61B2560/0285

摘要： A surgical instrument, such as an electrical ablation device, including a first elongate body having an insert and a second elongate body having an electrically insulative sheath that defines a bore. A mating element mates the elongate bodies when at least a portion of the insert is received within the bore. The second elongate body is configured to receive electrical energy from the first elongate body and transmit the electrical energy to an electrode. In certain embodiments, the electrical ablation device may include first and second elongate bodies. The first includes an electrically conductive insert configured to electrically couple to an energy source and apply the electrical energy to tissue, and the second includes an electrically insulative sheath defining a bore configured to receive the insert therethrough and move proximally or distally relative to the insert.

摘要翻译： 一种外科器械，例如电消融装置，包括具有插入件的第一细长体和具有限定孔的电绝缘鞘的第二细长体。 当插入件的至少一部分被容纳在孔内时，配合元件将细长体配合。 第二细长体构造成从第一细长体接收电能并将电能传递到电极。 在某些实施例中，电消融装置可以包括第一和第二细长体。 第一种包括导电插入物，其构造成电耦合到能量源并将电能施加到组织，并且第二包括电绝缘鞘，其限定被配置为接收插入件的孔，并相对于插入件向近侧或远端移动。

公开(公告)号：US08377044B2

公开(公告)日：2013-02-19

申请号：US11693976

申请日：2007-03-30

申请人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

发明人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

IPC分类号： A61B17/00

CPC分类号： A61B17/29 ,  A61B17/00 ,  A61B17/00234 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/2931

摘要： Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft. For example, a surgeon can actuate an actuation mechanism on the proximal end of the shaft to mate one of the end effectors to the distal end of the shaft without assistance from other tools and devices. After use of the end effector, the end effector can be released and another end effector can be remotely attached to the distal end of the shaft.

摘要翻译： 提供了用于使用可互换的末端执行器执行各种过程的方法和装置。 通常，所述方法和装置允许外科医生远程地和选择性地将各种可互换的手术端部执行器附接到位于患者体内的轴，从而允许外科医生执行各种程序，而不需要从患者身体移除轴。 在示例性实施例中，可以将多个端部执行器引入体腔中。 末端执行器可以彼此分离或分离，使得它们在体腔内浮动。 轴的远端可以定位在体腔内，并且其可以用于选择性地接合末端执行器中的一个。 特别地，该装置可以构造成允许每个端部执行器远离该轴远端附接和分离。 例如，外科医生可以致动在轴的近端上的致动机构，以便在其他工具和装置的帮助下将端部执行器中的一个配合到轴的远端。 在使用末端执行器之后，端部执行器可以被释放，而另一端部执行器可以远程连接到轴的远端。

公开(公告)号：US08273015B2

公开(公告)日：2012-09-25

申请号：US11749188

申请日：2007-05-16

申请人： David C. Youmans ,  Jane A. Sheetz ,  Gary L. Long ,  Paul G. Ritchie ,  Michael S. Cropper ,  Jere J. Brophy ,  Bradley E. White

发明人： David C. Youmans ,  Jane A. Sheetz ,  Gary L. Long ,  Paul G. Ritchie ,  Michael S. Cropper ,  Jere J. Brophy ,  Bradley E. White

IPC分类号： A61B1/06 ,  G02B6/06

CPC分类号： A61B1/041 ,  A61B1/0008 ,  A61B1/00096 ,  A61B1/00147 ,  A61B1/00158 ,  A61B1/00172 ,  A61B1/00183 ,  A61B1/0638 ,  A61B1/07 ,  A61B5/6882 ,  A61B2562/028

摘要： A method for viewing a portion of a patient's anatomy that comprises placing a scanner assembly including an oscillating reflector in the anatomy, securing the scanner assembly to an anatomical structure, scanning the anatomy with the scanner assembly secured to the anatomical structure, collecting radiation returned from the scanned anatomy, and generating a displayable image of the anatomy.

摘要翻译： 一种用于观察患者解剖结构的一部分的方法，包括将包括振荡反射器的扫描器组件放置在解剖结构中，将扫描器组件固定到解剖结构上，用固定到解剖结构的扫描仪组件扫描解剖结构，收集从 扫描的解剖结构，并生成解剖结构的可显示图像。

公开(公告)号：US20110306971A1

公开(公告)日：2011-12-15

申请号：US13218221

申请日：2011-08-25

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B1/018 ,  A61B1/04 ,  A61B1/06 ,  A61B18/1482 ,  A61B2018/00482 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61N1/306 ,  A61N1/327

摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member having first and second channels. First and second probes are disposed within the respective first and second channels. The first and second probes each define a central axis. The first and second probes each have substantially straight distal ends protruding from the distal ends of the respective first and second channels. The substantially straight distal ends define an outer surface. First and second electrodes are attached to a portion of the outer surface of the substantially straight distal ends of the respective first and second probes. The first and second electrodes are positioned in juxtaposed relationship with the central axis of the first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the respective central axis of the at least one of the first and second probes.

摘要翻译： 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括具有第一和第二通道的细长构件。 第一和第二探针设置在相应的第一和第二通道内。 第一和第二探针均限定中心轴。 第一和第二探头各自具有从相应的第一和第二通道的远端突出的基本上直的远端。 基本上直的远端限定外表面。 第一和第二电极附接到相应的第一和第二探针的基本上直的远端的外表面的一部分。 第一和第二电极与第一和第二探针的中心轴线并置放置。 第一和第二电极之间的距离可通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的相应中心轴旋转来调节。

公开(公告)号：US08029504B2

公开(公告)日：2011-10-04

申请号：US12635298

申请日：2009-12-10

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/04 ,  A61B1/00

CPC分类号： A61B18/1492 ,  A61B1/018 ,  A61B1/04 ,  A61B1/06 ,  A61B18/1482 ,  A61B2018/00482 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61N1/306 ,  A61N1/327

摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member comprising first and second channels. First and second probes are disposed within the respective first and second channels, where the first and second probes each define a central axis. First and second electrodes are coupled to distal ends of the respective first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the central axis of the at least one of the first and second probes.

摘要翻译： 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括包括第一和第二通道的细长构件。 第一和第二探针设置在相应的第一和第二通道内，其中第一和第二探针各自限定中心轴线。 第一和第二电极耦合到相应的第一和第二探针的远端。 通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的中心轴线旋转来调节第一和第二电极之间的距离。

公开(公告)号：US20110098694A1

公开(公告)日：2011-04-28

申请号：US12607388

申请日：2009-10-28

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/02 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B18/02 ,  A61B18/1492 ,  A61B2018/00214 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00357 ,  A61B2018/00898 ,  A61B2018/0212

摘要： Ablation probes for ablating cardiac tissue through a patient's natural orifice and methods for ablating cardiac tissue through a patient's natural orifice. In some embodiments, an ablation probe, which may include electrodes, a radio frequency probe or a cryoprobe, is inserted through an incision made through the patient's esophagus. A balloon catheter may be inserted through the incision after it has been made to expand the area between the heart and the esophagus. The ablation probe is then brought into contact with the cardiac tissue and activated to irreversibly damage the tissue. The ablation probes may employ vacuum to retain the tissue in contact with the probe during ablation.

摘要翻译： 用于通过患者自然孔切除心脏组织的消融探针和通过患者的天然孔消融心脏组织的方法。 在一些实施例中，可以包括电极，射频探针或冷冻探针的消融探针插入通过患者食道制成的切口。 在气囊导管被制成扩大心脏和食道之间的区域之后，气囊导管可插入穿过切口。 然后将消融探针与心脏组织接触并激活以不可逆地损伤组织。 消融探针可以在消融期间使用真空来保持组织与探针接触。

公开(公告)号：US07892166B2

公开(公告)日：2011-02-22

申请号：US11436397

申请日：2006-05-18

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B1/00

CPC分类号： A61B1/31 ,  A61B1/00078 ,  A61B1/0053 ,  A61B5/065 ,  A61M2025/0063

摘要： A medical instrument including a medical catheter having a distal end insertable within a body lumen of a patient, having a first flexible catheter segment, and having a second flexible catheter segment located distal the first flexible catheter segment. The first flexible catheter segment includes a first loop sensor and includes an active first catheter stiffener adapted to stiffen and un-stiffen substantially only the first flexible catheter segment. The second flexible catheter segment includes a second loop sensor and includes an active second catheter stiffener adapted to stiffen and un-stiffen substantially only the second flexible catheter segment. A method for using the medical instrument is also presented.

摘要翻译： 一种医疗器械，包括具有可插入患者体腔内的远端的医疗导管，具有第一柔性导管段，并且具有位于第一柔性导管段远侧的第二柔性导管段。 第一柔性导管部分包括第一环传感器，并且包括适于仅基本上仅硬化第一柔性导管部分而不加硬的活动的第一导管加强件。 第二柔性导管段包括第二环路传感器，并且包括活动的第二导管加强件，其适于基本上只硬化和不加固第二柔性导管段。 还提出了使用该医疗器械的方法。

公开(公告)号：US07655004B2

公开(公告)日：2010-02-02

申请号：US11706766

申请日：2007-02-15

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/04 ,  A61B1/00

CPC分类号： A61B18/1492 ,  A61B1/018 ,  A61B1/04 ,  A61B1/06 ,  A61B18/1482 ,  A61B2018/00482 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61N1/306 ,  A61N1/327

摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate flexible member having a proximal end and a distal end. A first working channel is formed within the flexible member. A first diagnostic probe having a proximal end and distal end is located within the first working channel and extends through the distal end of the flexible member. A first electrode is connected to the distal end of the first diagnostic probe electrode is adapted to be endoscopically located in a tissue treatment region. The first electrode is adapted to couple to an electrical waveform generator to receive an irreversible electroporation electrical waveform sufficient to ablate tissue located proximate to the first electrode. A system further includes an electrical waveform generator electrically coupled to the first electrode of the ablation device to generate an IRE waveform sufficient to ablate tissue located proximate to the first electrode.

摘要翻译： 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括具有近端和远端的细长柔性构件。 第一工作通道形成在柔性构件内。 具有近端和远端的第一诊断探针位于第一工作通道内并且延伸穿过柔性构件的远端。 连接到第一诊断探针电极的远端的第一电极适于内窥镜地位于组织治疗区域中。 第一电极适于耦合到电波形发生器以接收足以消融靠近第一电极的组织的不可逆电穿孔电波形。 系统还包括电耦合到消融装置的第一电极的电波形发生器，以产生足以消融靠近第一电极的组织的IRE波形。

公开(公告)号：US07549991B2

公开(公告)日：2009-06-23

申请号：US11436396

申请日：2006-05-18

申请人： Ifung Lu ,  Gary L. Long ,  Omar Vakharia

发明人： Ifung Lu ,  Gary L. Long ,  Omar Vakharia

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B18/1447 ,  A61B18/1815 ,  A61B2017/2945 ,  A61B2018/00482 ,  A61B2018/00494 ,  A61B2018/00589 ,  A61B2018/126 ,  A61B2018/1432 ,  A61B2018/1467

摘要： A surgical device including a shaft defining an axis and having a distal end and a proximal end, a first elongated electrode pivotally connected to the distal end of the shaft and deployable from a first configuration, wherein the first electrode is generally coaxially aligned with the axis, to a second configuration, wherein the first electrode is generally perpendicular relative to the axis, and a second elongated electrode pivotally connected to the distal end of the shaft and deployable from a first configuration, wherein the second electrode is generally coaxially aligned with the axis, to a second configuration, wherein the second electrode is generally perpendicular relative to the axis, wherein the first elongated electrode is adapted to extend radially relative to the second elongated electrode.

摘要翻译： 一种手术装置，其包括限定轴线并具有远端和近端的轴，第一细长电极，其枢转地连接到所述轴的远端并且可从第一构造展开，其中所述第一电极与所述轴线大致同轴对准 至第二配置，其中所述第一电极相对于所述轴线大致垂直，以及第二细长电极，所述第二细长电极枢转地连接到所述轴的远端并且可从第一构造展开，其中所述第二电极与所述轴线大致同轴对准 至第二配置，其中所述第二电极相对于所述轴线大致垂直，其中所述第一细长电极适于相对于所述第二细长电极径向延伸。

公开(公告)号：US07344534B2

公开(公告)日：2008-03-18

申请号：US10934674

申请日：2004-09-03

申请人： Gary L. Long

发明人： Gary L. Long

IPC分类号： A61B18/18

CPC分类号： A61B18/1477 ,  A61B18/1492 ,  A61B2018/00482 ,  A61B2018/143 ,  A61B2218/002

摘要： A medical device for performing a therapeutic procedure on a patient. The medical device comprises a probe having an applicator end and at least two injection needles connected to the probe adjacent the applicator end of the probe. Each injection needle is communicative with a fluid source for delivering fluid to the respective needle and an energy source for delivering energy to the respective needle when performing the therapeutic procedure on the patient. The medical device also includes a spreader positioned adjacent the applicator end between the injection needles for spreading tissue of the patient during the therapeutic procedure.

摘要翻译： 一种用于对患者执行治疗程序的医疗装置。 医疗装置包括具有施用器端的探针和至少两个注射针，该注射针连接到与探针的施用器端相邻的探针。 每个注射针与用于将流体输送到相应针的流体源连通，以及用于在对患者执行治疗过程时将能量传递到相应针的能量源。 医疗装置还包括在注射针之间邻近施用器端定位的撒布机，用于在治疗过程期间传播患者的组织。