公开(公告)号：US20170150984A1

公开(公告)日：2017-06-01

申请号：US15363301

申请日：2016-11-29

Applicant: Cook Medical Technologies LLC

Inventor： Liam Breen

IPC: A61B17/3211

CPC classification number: A61B17/3211 ,  A61B17/320016 ,  A61B17/320725 ,  A61B17/320783 ,  A61B18/08 ,  A61B18/082 ,  A61B2017/00269 ,  A61B2017/00818 ,  A61B2017/22071 ,  A61B2017/320052 ,  A61B2017/320791 ,  A61B2018/00488 ,  A61B2018/00601

Abstract: An apparatus for at least partially cutting a tissue layer, the apparatus including an elongated body with a distal portion, a tissue-engaging surface at the distal portion, and a knife located proximate to the tissue-engaging surface. The knife may have an active state, where in the active state, the knife has a cutting portion extending a first distance away from the tissue-engaging surface, and where the first distance corresponds to a depth of a desired cut within the tissue layer.

公开(公告)号：US09649122B2

公开(公告)日：2017-05-16

申请号：US14699674

申请日：2015-04-29

Applicant: ERBE ELEKTROMEDIZIN GMBH

Inventor： Dietmar Karwei

IPC: B21D39/03 ,  B23P11/00 ,  A61B17/32 ,  A61B17/3203 ,  A61B18/14 ,  A61M5/30 ,  A61B17/00 ,  A61B18/00

CPC classification number: A61B17/320016 ,  A61B17/3203 ,  A61B18/1482 ,  A61B18/1492 ,  A61B2017/00269 ,  A61B2017/00526 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/1497 ,  A61M5/30 ,  A61M2207/00 ,  Y10T29/49117 ,  Y10T29/49826

Abstract: An endoscopic surgical instrument including a fluid jet device and an electrode device. The fluid jet device includes a pipe section with a nozzle on one distal end for a dissection and/or a needleless injection by means of a fluid and the electrode device is for cutting and/or coagulating tissue, the pipe section forming the electrode device. The surgical instrument further includes an insulating device attached to the distal end of the pipe section such that the tissue can only be brought into electrically conductive contact with a peripheral region of the pipe section and not with the distal end of the pipe section.

公开(公告)号：US09622768B2

公开(公告)日：2017-04-18

申请号：US12935986

申请日：2009-03-31

Applicant: Klaus Fischer ,  Daniel Schaeller ,  Matthias Voigtlaender ,  Mara Szyrach ,  Irina Sigle ,  Lars Blobel ,  Markus Enderle

Inventor： Klaus Fischer ,  Daniel Schaeller ,  Matthias Voigtlaender ,  Mara Szyrach ,  Irina Sigle ,  Lars Blobel ,  Markus Enderle

IPC: A61B17/3203 ,  A61B17/00 ,  A61B17/34

CPC classification number: A61B17/3203 ,  A61B17/32037 ,  A61B17/3478 ,  A61B2017/00269 ,  A61B2017/00818

Abstract: A water jet surgical instrument including a supply line for supplying a cutting fluid and a discharge nozzle for forming and discharging a fluid jet, wherein the fluid jet has a predetermined spread angle and/or a predetermined emergence energy. A jet shaping device is arranged relative to the discharge nozzle such that the fluid jet is able to be adjusted by the jet shaping device with regard to the spread angle and/or emergence energy thereof.

公开(公告)号：US20170095264A1

公开(公告)日：2017-04-06

申请号：US15292029

申请日：2016-10-12

Applicant: Gregory P. SCHMITZ ,  Ming-Ting WU ,  Eric C. Miller ,  Juan Diego PEREA

Inventor： Gregory P. SCHMITZ ,  Ming-Ting WU ,  Eric C. Miller ,  Juan Diego PEREA

IPC: A61B17/3201 ,  A61B18/14 ,  A61B34/30 ,  A61B17/3205 ,  A61N1/36 ,  A61B17/32 ,  A61B18/12

CPC classification number: A61B17/3201 ,  A61B17/32002 ,  A61B18/1206 ,  A61B18/1445 ,  A61B18/1447 ,  A61B18/1492 ,  A61B34/30 ,  A61B2017/00039 ,  A61B2017/00269 ,  A61B2017/00398 ,  A61B2017/00818 ,  A61B2017/320032 ,  A61B2018/00494 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00839 ,  A61B2018/00982 ,  A61B2018/146 ,  A61B2018/1467 ,  A61B2034/305 ,  A61B2217/005 ,  A61B2217/007 ,  A61B2218/002 ,  A61N1/05 ,  A61N1/36 ,  A61N1/36014 ,  B33Y10/00 ,  B33Y80/00 ,  C25D1/003

Abstract: Methods and devices are provided for use in medical applications involving tissue removal. One exemplary powered scissors device includes a distal housing having a fixed cutting arm located thereon, an elongate member coupled to the distal housing and configured to introduce the distal housing to a target tissue site of the subject, a rotatable blade rotatably mounted to the distal housing, the rotatable blade having at least one cutting element configured to cooperate with the fixed arm to shear tissue therebetween, a crown gear located at a distal end of an inner drive tube, and a first spur gear configured to inter-engage with the crown gear and coupled with the rotatable blade to allow the crown gear to drive the rotatable blade.

公开(公告)号：US09572591B2

公开(公告)日：2017-02-21

申请号：US14565024

申请日：2014-12-09

Applicant: UNITED STATES ENDOSCOPY GROUP, INC.

Inventor： Scott Haack ,  Cindy Ranallo ,  Craig Moore ,  Alexis Uspenski ,  Steven Torer ,  Rapheal Still

IPC: A61B17/24 ,  A61B17/26 ,  A61B17/221 ,  A61B17/3205 ,  A61B17/00

CPC classification number: A61B17/32056 ,  A61B1/00133 ,  A61B17/221 ,  A61B2017/00269

Abstract: A tissue removal tool for use with an endoscope. The tool includes a loop formed by a piece of wire. The loop is movable between an open position and a closed position. The shape of the loop is defined in the open position by a proximal portion and a distal portion. The piece of wire may have a cross-sectional height in the proximal portion unequal to a cross-sectional height in the distal portion.

Abstract translation: 用于内窥镜的组织去除工具。 该工具包括由一条导线形成的环。 环可在打开位置和关闭位置之间移动。 环的形状通过近端部分和远端部分限定在打开位置。 所述线材的所述近端部分的横截面高度可以与所述远端部分中的横截面高度不相等。

公开(公告)号：US20170042522A1

公开(公告)日：2017-02-16

申请号：US15336356

申请日：2016-10-27

Applicant: OLYMPUS CORPORATION

Inventor： Junichi KOGISO

IPC: A61B17/00 ,  A61B17/02 ,  A61B18/14 ,  A61B17/32 ,  A61B1/00 ,  A61B1/018

CPC classification number: A61B17/00234 ,  A61B1/00 ,  A61B1/00087 ,  A61B1/00089 ,  A61B1/00101 ,  A61B1/0014 ,  A61B1/018 ,  A61B17/0218 ,  A61B17/320016 ,  A61B18/12 ,  A61B18/14 ,  A61B2017/00269 ,  A61B2017/320044 ,  A61B2018/00482 ,  A61B2018/00601 ,  A61B2018/1412

Abstract: A mucous membrane lifting instrument for an endoscope includes a first support portion which has an outer circumference surface and a longitudinal axis; a second support portion which is provided at a position spaced from the outer circumference surface of the first support portion, and has an outer circumference surface and a longitudinal axis; a pressing portion which has a proximal end and a distal end connected to the proximal end thereof and positioned more distally than the distal end portion of the endoscope; a lifting portion which is connected to the distal end of the pressing portion, extended from the distal end of the pressing portion, and passes through the space between the first support portion and the second support portion; and an attachment member configured to attach both of the first pressing portion and the second pressing portion to the endoscope.

Abstract translation: 一种用于内窥镜的粘膜提升器具包括：具有外周面和纵轴的第一支撑部; 第二支撑部，设置在与第一支撑部的外周面间隔开的位置，具有外周面和纵轴; 按压部，其具有连接到其近端并且比所述内窥镜的远端部更远端地定位的近端和远端; 连接到所述按压部的前端的提升部，从所述按压部的前端延伸，并且穿过所述第一支撑部和所述第二支撑部之间的空间; 以及附接构件，其构造成将所述第一按压部和所述第二按压部的两者附接到所述内窥镜。

公开(公告)号：US09554821B2

公开(公告)日：2017-01-31

申请号：US14207057

申请日：2014-03-12

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Paul Smith ,  Samuel Raybin ,  Melanie Li Sing How

IPC: A61B18/14 ,  A61B17/3205 ,  A61B17/00 ,  A61B18/00

CPC classification number: A61B17/32056 ,  A61B18/14 ,  A61B2017/00269 ,  A61B2018/00196 ,  A61B2018/00494 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00982 ,  A61B2018/141 ,  A61B2090/3966

Abstract: A medical device for resecting tissue. The medical device is slidably disposed within a working channel of an elongate introduction sheath. The medical device includes an elongate shaft having a proximal end, a distal end, and a lumen extending therebetween. The distal end of the elongate shaft may include an opening in communication with the lumen. In addition, the medical device includes a support structure having a slot extending along an inner surface of the support structure in communication with the lumen of the elongate shaft. The medical device further includes a snare loop having a first position disposed within the slot of the support structure, and a second position disposed within the lumen of the elongate shaft. An actuation member is slidably disposed within the lumen of the elongate shaft and is connected to the snare loop.

Abstract translation: 用于切除组织的医疗装置。 医疗装置可滑动地设置在细长导入护套的工作通道内。 医疗装置包括细长轴，其具有近端，远端以及在其间延伸的内腔。 细长轴的远端可以包括与内腔连通的开口。 此外，医疗装置包括支撑结构，其具有沿着与细长轴的内腔连通的支撑结构的内表面延伸的狭槽。 医疗装置还包括具有设置在支撑结构的狭槽内的第一位置和设置在细长轴的内腔内的第二位置的圈套环。 致动构件可滑动地设置在细长轴的内腔内并连接到圈套环。

公开(公告)号：US20170020629A1

公开(公告)日：2017-01-26

申请号：US15287991

申请日：2016-10-07

Applicant: OLYMPUS CORPORATION

Inventor： Takayasu MIKKAICHI

IPC: A61B90/00 ,  A61B17/00 ,  A61B90/30 ,  A61B17/34

CPC classification number: A61B90/39 ,  A61B1/0008 ,  A61B1/00137 ,  A61B1/018 ,  A61B1/273 ,  A61B17/00 ,  A61B17/00234 ,  A61B17/3403 ,  A61B17/3468 ,  A61B90/30 ,  A61B2017/00269 ,  A61B2017/00296 ,  A61B2090/309 ,  A61B2090/3908 ,  A61B2090/3945 ,  A61B2090/3987

Abstract: A marking system includes: an applicator that has a puncturing part capable of being punctured into a wall part of a luminal organ from an outside of the luminal organ; a marker that is accommodated in the applicator; and a pointer device including an insertion that has flexibility, is formed in an elongated manner, and is capable of being inserted into an inside of the luminal organ, and a light-emitting part that is disposed inside the insertion at a distance from a distal end of the insertion. An opening into which the puncturing part is capable of being inserted is formed at the distal end of the insertion. A leakage of light, which is emitted from the light-emitting part, to an outside of the insertion is suppressed between the light-emitting part and the distal end of the insertion.

Abstract translation: 标记系统包括：具有能够从管腔器官的外部刺入腔内器官的壁部分的穿刺部分的施用器; 容纳在敷贴器中的标记; 并且包括具有柔性的插入物的指针装置以细长的方式形成，并且能够插入到管腔器官的内部，以及发光部件，其布置在插入件的远离远端的距离处 插入结束。 在插入的远端形成有能够插入穿刺部的开口。 从发光部发出的光的泄漏在插入的发光部与前端之间被抑制。

公开(公告)号：US20170000510A1

公开(公告)日：2017-01-05

申请号：US15264883

申请日：2016-09-14

Applicant: Boston Scientific Scimed, Inc.

Inventor： Samuel RAYBIN ,  Paul SMITH ,  Naroun SUON

IPC: A61B17/3205 ,  A61B17/221 ,  A61B1/018

CPC classification number: A61B17/32056 ,  A61B1/00087 ,  A61B1/018 ,  A61B17/221 ,  A61B2017/00269 ,  A61B2017/00331 ,  A61B2017/2212 ,  A61B2017/2215 ,  A61B2017/308

Abstract: A medical/surgical device for performing tissue resection can include an endoscope with proximal and distal ends, defining working channels, and a snare assembly located in one of the working channels. The working channel may include a bend near the distal end and towards the outward radial wall of the endoscope. The snare assembly may include a snare loop and an actuation element imparted with the pre-formed angular bends and an actuation control handle. The bends of the actuation element and the working channel may be the same. The rotational manipulation of the actuation element may synchronize the pre-formed bend of the actuation element with the bend of the working channel to concentrically (or otherwise) align the deployed snare loop with the endoscope or endoscope attachments.

Abstract translation: 用于进行组织切除术的医疗/手术装置可以包括具有近端和远端的内窥镜，限定工作通道，以及位于工作通道之一中的圈套组件。 工作通道可以包括靠近远端并且朝向内窥镜的向外径向壁的弯曲。 圈套组件可以包括圈环和赋予预成形角弯曲的致动元件和致动控制手柄。 致动元件和工作通道的弯曲部可以相同。 致动元件的旋转操纵可以使致动元件的预先形成的弯曲部与工作通道的弯曲部同步（或以其它方式）将展开的圈套环与内窥镜或内窥镜附件对准。

公开(公告)号：US20160220301A1

公开(公告)日：2016-08-04

申请号：US15098447

申请日：2016-04-14

Applicant: OLYMPUS CORPORATION

Inventor： Tetsuya YAMAMOTO ,  Fuminori WAKE ,  Shunsuke MOTOSUGI

IPC: A61B18/14

CPC classification number: A61B18/14 ,  A61B1/00133 ,  A61B1/018 ,  A61B18/12 ,  A61B18/1492 ,  A61B2017/00269 ,  A61B2017/00367 ,  A61B2018/00083 ,  A61B2018/00196 ,  A61B2018/00482 ,  A61B2018/00577 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00982 ,  A61B2018/1475 ,  A61B2217/007 ,  A61B2218/002

Abstract: Provided is a high-frequency treatment tool including a cylindrical sheath, an electrode member that is made to protrude and be retracted with respect to a distal-end portion of the sheath, and a liquid-feeding unit for feeding a liquid toward the distal-end side inside a flow channel in the sheath, wherein a distal end of the electrode member is provided with a distal-end expanded portion that extends radially outward in a radiating manner and that has a base-end surface that is made to protrude and be retracted with respect to a distal-end portion of the sheath, wherein the sheath is provided with a restricting portion that restricts the movement of the electrode member toward the base-end side at a position at which a portion of the distal-end expanded portion is accommodated inside the sheath and an accommodating portion that can accommodate at least a portion of the distal-end expanded portion.

Abstract translation: 本发明提供一种高频处理工具，其包括圆筒形护套，相对于护套的前端部突出并缩回的电极构件，以及用于将液体朝向远端侧供给的液体供给单元， 所述电极构件的前端设置有以辐射方式径向向外延伸的前端扩张部，并且具有突出的基端面，并且为 相对于护套的前端部缩回，其中，所述护套设置有限制部，其限制所述电极部件朝向所述基端侧的移动，所述限制部在所述前端扩张部的一部分 容纳在护套内部，容纳部分可容纳至少一部分远端扩张部分。