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公开(公告)号：US20090131932A1
公开(公告)日：2009-05-21
申请号：US11986489
申请日：2007-11-21
CPC分类号： A61L2/08 , A61B18/1445 , A61B2018/1412 , A61B2018/1455 , A61L2/07 , A61L2/206
摘要： In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel.
摘要翻译： 在各种手术技术中，可以使用双极镊子将容器密封在两个位置，使得容器可以在位于两个密封位置之间的位置切开。 双极镊子可以包括切割元件，该切割元件可配置成切割血管。 在各种实施例中，切割元件可以包括相对于容器移动的尖锐边缘。 在至少一个实施例中，切割元件可以电连接到能量源。 双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极，其中至少一个钳口构件可以包括基本上锥形的轮廓，并且可以构造成将容器拉离周围的软组织。 这种钳口构件可以包括构造成夹持软组织和/或血管的脊，齿和/或织构化的外表面。
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公开(公告)号：US20090062788A1
公开(公告)日：2009-03-05
申请号：US11897676
申请日：2007-08-31
申请人： Gary L. Long , Omer J. Vakharia , David N. Plescia
发明人： Gary L. Long , Omer J. Vakharia , David N. Plescia
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/14 , A61B18/1445 , A61B18/148 , A61B2018/00333 , A61B2018/00398 , A61B2018/1266 , A61B2018/1425 , A61B2018/1475
摘要： A surgical instrument includes an ablation device. The ablation device includes an elongated flexible member having a proximal end and a distal end. The flexible member includes first and second lumens. A first needle electrode is configured to slideably move within the first lumen. A second needle electrode is located within the second lumen. The first and second needle electrodes are adapted to couple to an electrical waveform generator and to receive an electrical waveform sufficient to electrically ablate tissue located between the first and second needle electrodes.
摘要翻译： 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。 柔性构件包括第一和第二腔。 第一针电极构造成在第一管腔内可滑动地移动。 第二针电极位于第二管腔内。 第一和第二针电极适于耦合到电波形发生器并且接收足以电消除位于第一和第二针状电极之间的组织的电波形。
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公开(公告)号：US20090021818A1
公开(公告)日：2009-01-22
申请号：US11780950
申请日：2007-07-20
申请人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
发明人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
CPC分类号： G02B26/105 , A61B1/00096 , A61B1/00172 , A61B1/0019 , A61B5/0062 , A61B5/0084 , A61B5/7207 , H04N5/2256
摘要： A scanned beam imaging system including a housing suitable for insertion into a body and a radiation source configured to direct a beam of radiation into or through the housing and onto an area within the body. The scanned beam imaging system further includes an adjustable element inside the housing and positioned to reflect the beam of radiation or to receive the beam of radiation therethrough, wherein the adjustable element is physically adjustable to vary a property of the beam of radiation that is reflected thereby or received therethrough. The scanned beam imaging system further includes a collector configured to receive radiation returned from the area within the body.
摘要翻译： 一种扫描光束成像系统，包括适于插入体内的壳体和被配置成将辐射束引导入或穿过壳体并进入体内的区域的辐射源。 扫描光束成像系统还包括壳体内部的可调节元件并且被定位成反射辐射束或者接收通过其的辐射束，其中可调节元件物理上可调节以改变由此反射的辐射束的特性 或通过其接收。 扫描光束成像系统还包括收集器，其被配置为接收从身体内的区域返回的辐射。
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公开(公告)号：US20080294009A1
公开(公告)日：2008-11-27
申请号：US11752536
申请日：2007-05-23
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B1/06
CPC分类号： A61B5/489 , A61B1/313 , A61B5/0084 , A61B5/4238
摘要： An illuminating system scatters light into the mucosal lining of the stomach adjacent to an ulcerated area, an area containing a lesion, or ather area of interest. A light detector positioned on the opposite side of the area of interest uses detected light patterns to identify the location of circulatory structures beneath the mucosal lining adjacent to the area of interest.
摘要翻译： 照明系统将光分散到与溃疡区域相邻的胃的粘膜内，包含病变的区域或感兴趣的区域。 位于感兴趣区域相对侧的光检测器使用检测到的光图案来识别邻近感兴趣区域的粘膜下面的循环结构的位置。
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公开(公告)号：US20080234603A1
公开(公告)日：2008-09-25
申请号：US11687702
申请日：2007-03-19
申请人： Gregory J. Bakos , Gary L. Long
发明人： Gregory J. Bakos , Gary L. Long
IPC分类号： A61B10/00
CPC分类号： A61B18/1482 , A61B18/14 , A61B2018/00291 , A61B2018/00577 , A61B2018/1405
摘要： Methods and devices are provided for dissecting tissue. In one embodiment, an electro-surgical device is provided having a housing with a hollow interior adapted to receive tissue, such as an organ. The housing can be adapted to couple to a pressure source for suctioning tissue into the housing, and to an energy source for delivering energy to the tissue. The various elements of the device can be adapted such that the initially dispersed energy is passed through the tissue and is concentrated at a location, e.g., connective tissue, having a surface area that is less than a surface area of the electrode, thereby allowing the connective tissue to be dissected. Exemplary methods for dissecting tissue are also provided.
摘要翻译： 提供了解剖组织的方法和装置。 在一个实施例中，提供电外科装置，其具有适于接纳诸如器官的组织的具有中空内部的壳体。 壳体可以适于耦合到用于将组织抽吸到壳体中的压力源，以及用于将能量传递到组织的能量源。 装置的各种元件可以适于使得最初分散的能量通过组织并且集中在具有小于电极的表面积的表面积的表面积的位置，例如结缔组织，从而允许 要解剖的结缔组织。 还提供了用于解剖组织的示例性方法。
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公开(公告)号：US07288074B2
公开(公告)日：2007-10-30
申请号：US10409270
申请日：2003-04-08
CPC分类号： A61M25/09025 , A61B1/31 , A61B2017/003 , A61M25/09 , A61M2025/09133 , A61M2025/09175
摘要： A method is described of inserting guide wires into a lumen, for example into the human gastrointestinal tract. A guide wire structure is employed which comprises at least two guide wires each having a leading end portion which terminates in a leading end, the guide wires being connected to one another by a junction at or adjacent their leading ends, the guide wires have a first position in which the leading end portions are substantially parallel to one another, a second position in which the leading end portions are curved, and a third position in which at least one of the leading end portions forms a loop. The guide wire structure is steered through the gastrointestinal tract by selectively advancing or retracting a single guide wire or advancing more than one guide wire simultaneously, according to the path which is required to be followed.
摘要翻译： 描述了将引导线插入管腔，例如插入人胃肠道中的方法。 引导线结构包括至少两条引导线，每条引导线的前端部终止于前端，引导线通过其前端处或相邻的连接处彼此连接，引导线具有第一 前端部基本上彼此平行的位置，前端部弯曲的第二位置和至少一个前端部形成环状的第三位置。 根据需要遵循的路径，引导线结构通过选择性地前进或后退单根导丝或同时推进多根导丝而转向胃肠道。
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公开(公告)号：US07097644B2
公开(公告)日：2006-08-29
申请号：US10394285
申请日：2003-03-21
申请人： Gary L. Long
发明人： Gary L. Long
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00269 , A61B2017/00296 , A61B2018/00291 , A61B2018/00482 , A61B2018/00488 , A61B2018/00494 , A61B2018/00982 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61B2090/3614
摘要： A medical device having a laminate elongate hollow member is disclosed. The laminate member provides torsional stiffness for controlling positioning of the distal end of the device, and provides bending flexibility for assisting in insertion of the device in the patient's esophagus or other body lumen.
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公开(公告)号：US06918906B2
公开(公告)日：2005-07-19
申请号：US10105722
申请日：2002-03-25
申请人： Gary L. Long
发明人： Gary L. Long
CPC分类号： A61B18/1492 , A61B18/1815 , A61B2017/00296 , A61B2018/00083 , A61B2018/00291 , A61B2018/00488 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2018/1497
摘要： An endoscopic ablation system is provided for use with a flexible endoscope for the ablative treatment of diseased tissue on the interior lining a body lumen. The endoscopic ablation system includes a support member for supporting at least two electrodes that are electrically connected to a RF generator. The electrodes have a shape, size, and spacing that provide ablation between the electrodes, while minimizing ablation of tissue directly underneath the electrodes. The endoscopic ablation system can also include a sheath that fits over a flexible endoscope. A flexible coupling can join the support member to the sheath to facilitate intubation. The support member can include a side opening, and the sheath can include a seal, so that the aspiration means of the endoscope may be used to evacuate the air from inside the body lumen and pull the tissue to be treated into intimate contact with the electrodes.
摘要翻译： 内窥镜消融系统被提供用于与柔性内窥镜一起使用，用于在衬里体腔内部的患病组织的烧蚀治疗。 内窥镜消融系统包括用于支撑电连接到RF发生器的至少两个电极的支撑构件。 电极具有在电极之间提供消融的形状，尺寸和间隔，同时最小化直接在电极下方的组织的消融。 内窥镜消融系统还可以包括装配在柔性内窥镜上的护套。 柔性联接件可以将支撑构件连接到护套以便于插管。 支撑构件可以包括侧开口，并且护套可以包括密封件，使得内窥镜的抽吸装置可以用于从体腔内部排出空气并且将待处理的组织拉到与电极紧密接触 。
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公开(公告)号：US06371967B1
公开(公告)日：2002-04-16
申请号：US09583072
申请日：1998-12-01
IPC分类号： A61B1732
CPC分类号： A61B18/1447 , A61B17/3421 , A61B17/3476 , A61B18/1487 , A61B2018/1286 , H02J50/10
摘要： In the present invention, a cordless inductively coupled electrosurgical instrument is adapted to receive electrosurgical energy from a specially designed trocar or trocar adapter. In one embodiment of the present invention, an electrosurgical instrument includes a handle, an elongated tube and an electrosurgical end effector. The handle may include an actuator such as a trigger which is operatively connected to the end effector through the elongated tube. The elongated tube may be, for example, a closure tube which is adapted to close the end effector when the handle actuator is moved. The electrosurgical end effector is adapted to apply electrosurgical energy to biological tissue in order to effect treatment of the tissue. The elongated closure tube includes one or more inductor coils adapted to couple electrosurgical energy to the end effector. The one or more inductor coils are electrically connected to the end effector through one or more electrical conductors.
摘要翻译： 在本发明中，无绳电感耦合电外科器械适于从专门设计的套管针或套管针接头接收电外科能量。 在本发明的一个实施例中，电外科器械包括手柄，细长管和电外科末端执行器。 手柄可以包括诸如触发器的致动器，其通过细长管可操作地连接到端部执行器。 细长管可以是例如闭合管，其适于在手柄致动器移动时闭合端部执行器。 电外科末端执行器适于将电外科能量施加到生物组织以便实现对组织的治疗。 细长闭合管包括适于将电外科能量耦合到端部执行器的一个或多个感应线圈。 一个或多个电感线圈通过一个或多个电导体电连接到末端执行器。
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20.发明授权
公开(公告)号：US6030403A
公开(公告)日：2000-02-29
申请号：US271775
申请日：1999-03-18
CPC分类号： A61B17/34 , A61B17/3417 , A61B18/1487 , A61B17/3476 , A61B18/14 , A61B18/1442 , A61B18/1482 , A61B2018/00178 , H01R2201/12 , H01R35/04
摘要： A safety-shielded trocar having an obturator with a linear cutting edge surface defining a base width substantially less than the diameter of the safety shield is disclosed. When the trocar is inserted through tissue, the tissue dilates from the width of the linear incision to accommodate the size of the safety shield of the trocar, thus making it possible to provide an access opening greater than the incisional width made by the linear cutting edge surface of the obturator. In a preferred embodiment, the safety shield has a shield tip region which is asymmetric to facilitate the dilation of the tissue as the trocar is inserted.
摘要翻译： 公开了一种安全屏蔽套管针，其具有带有线性切割边缘表面的闭塞器，其限定基本宽度基本上小于安全护罩的直径。 当套管针穿过组织插入时，组织从线性切口的宽度扩张以适应套针针的安全护罩的尺寸，从而可以提供大于由线性切割边缘形成的切口宽度的进入口 闭孔表面。 在优选实施例中，安全护罩具有不对称的屏蔽尖端区域，以便在套管针插入时促进组织的膨胀。
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