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    STEERABLE SURGICAL ACCESS DEVICES AND METHODS
    41.
    发明申请
    STEERABLE SURGICAL ACCESS DEVICES AND METHODS 有权
    可切换的外科手术设备和方法

    公开(公告)号：US20100160735A1

    公开(公告)日：2010-06-24

    申请号：US12338125

    申请日：2008-12-18

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61B1/008

    CPC分类号： A61B17/3417 ,  A61B1/0051 ,  A61B34/71 ,  A61B2017/003 ,  A61B2017/2905 ,  A61B2034/306

    摘要： Methods and devices are provided for controlling movement of a working end of a surgical device configured to be introduced into a body. In one embodiment, a surgical device is provided including a cannulated elongate shaft having a distal working end with a flexible steering platform. The flexible steering platform can includes a plurality of axially aligned links and a plurality of flexible connector elements. Adjacent links can be connected using at least two of the connector elements such that flexing one or more connector elements can bend the steering platform in one or more directions. The surgical device's shaft can be configured to receive a flexible surgical instrument therein such that a working end of the surgical instrument can be received within the steering platform, thereby allowing movement of the surgical instrument's working end to be controlled through movement of the steering platform.

    摘要翻译： 提供了用于控制构造成被引入体内的外科手术装置的工作端的移动的方法和装置。 在一个实施例中，提供外科装置，其包括具有带有柔性转向平台的远端工作端的插管式细长轴。 柔性转向平台可以包括多个轴向对齐的链节和多个柔性连接器元件。 可以使用至少两个连接器元件来连接相邻的链节，使得弯曲一个或多个连接器元件可以在一个或多个方向上弯曲转向平台。 手术装置的轴可以构造成在其中容纳柔性外科器械，使得外科器械的工作端可以被接收在转向平台内，从而允许通过转向平台的移动来控制外科器械的工作端的移动。

    METHODS AND DEVICES FOR DELIVERING AND APPLYING SUTURE ANCHORS
    42.
    发明申请
    METHODS AND DEVICES FOR DELIVERING AND APPLYING SUTURE ANCHORS 有权
    用于输送和应用固定锚杆的方法和装置

    公开(公告)号：US20100076462A1

    公开(公告)日：2010-03-25

    申请号：US12237877

    申请日：2008-09-25

    申请人： Gregory J. Bakos ,  William D. Fox ,  Duane Linenkugel ,  Sean P. Conlon

    发明人： Gregory J. Bakos ,  William D. Fox ,  Duane Linenkugel ,  Sean P. Conlon

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2090/034 ,  A61B2090/036

    摘要： Methods and devices are provided for deploying and applying a suture anchor. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body and to deliver a suture anchor with a coil of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use.

    摘要翻译： 提供了用于部署和应用缝合锚的方法和装置。 在一个实施例中，提供了一种手术装置，其具有构造成被引入到身体中并且将具有附接到其上的线圈的线圈的缝合锚锚输送到组织的轴。 轴可以构造成将缝合线锚定件穿过组织展开并将缝合线输送到体腔中，使得从线圈延伸的缝合线延伸穿过组织以允许锚固体接合组织。 线圈可以保留在体腔中以备后续使用。

    ACCESS NEEDLE FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY
    43.
    发明申请
    ACCESS NEEDLE FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY 审中-公开
    用于自然脊髓内镜手术治疗

    公开(公告)号：US20100056862A1

    公开(公告)日：2010-03-04

    申请号：US12203458

    申请日：2008-09-03

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61M5/32 ,  A61B1/018

    CPC分类号： A61B17/3478 ,  A61B2017/00278 ,  A61B2017/00331 ,  A61B2017/00867 ,  A61B2090/08021

    摘要： A translumenal access device may comprise a cannula defining a first lumen and a hollow needle. The hollow needle may be positioned within the cannula. The hollow needle may comprise a first portion including a sharpened rigid distal portion with a first column strength. The hollow needle also may comprise a second portion including a floppy portion with a second column strength. The second portion may be disposed just proximal to the first portion. The first column strength may be greater than the second column strength. The first column strength may be sufficient to penetrate tissue. The second column strength may allow the second portion to buckle to prevent the hollow needle from further penetrating tissue.

    摘要翻译： 经腔进入装置可以包括限定第一腔和中空针的套管。 中空针可以定位在套管内。 中空针可以包括第一部分，其包括具有第一柱强度的锋利的刚性远端部分。 中空针还可以包括具有第二柱强度的软盘部分的第二部分。 第二部分可以设置在第一部分附近。 第一柱强度可以大于第二柱强度。 第一列强度可能足以渗透组织。 第二柱强度可以允许第二部分弯曲以防止中空针进一步穿透组织。

    Method and device for retrieving suture tags
    44.
    发明申请
    Method and device for retrieving suture tags 审中-公开
    检索缝合标签的方法和装置

    公开(公告)号：US20080200755A1

    公开(公告)日：2008-08-21

    申请号：US11706811

    申请日：2007-02-15

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61B1/00

    CPC分类号： A61B17/3468 ,  A61B2017/003 ,  A61B2017/0411

    摘要： A suture tag retrieval device and method for its use are described. The retrieval device has an elongate member dimensioned in cross-section to allow passage thereof through a channel leading to an internal site in a patient, such as, for example, the working channel of an endoscope. The retrieval device has a distal end and a proximal end and defines a passageway between the distal and the proximal ends for passage of a suture. The distal end of the elongate member has a suture engagement portion and a suture tag receiving portion, which may be in the form of a cradle configured to inhibit contact between the suture tag and the channel. To facilitate use with an endoscope, the elongate member is preferably a hollow, flexible tube like device.

    摘要翻译： 描述了一种缝合标签检索装置及其使用方法。 取出装置具有横截面尺寸的细长构件，以允许其通过通向病人内部位置的通道，例如内窥镜的工作通道。 取出装置具有远端和近端并且在远端和近端之间限定通道以供缝合线通过。 细长构件的远端具有缝合线接合部分和缝合线标签接收部分，缝合线标签接收部分可以是被配置为禁止缝线标签和通道之间的接触的托架形式。 为了便于与内窥镜一起使用，细长构件优选地是中空的柔性管状装置。

    INFLATABLE ACCESS DEVICE
    48.
    发明申请
    INFLATABLE ACCESS DEVICE 审中-公开
    可充电接入设备

    公开(公告)号：US20100010303A1

    公开(公告)日：2010-01-14

    申请号：US12169868

    申请日：2008-07-09

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61B1/32

    CPC分类号： A61B1/32 ,  A61B1/00082 ,  A61B1/313 ,  A61B17/3478 ,  A61B2017/00278 ,  A61B2017/320048 ,  A61B2090/037 ,  A61M2025/1081

    摘要： A surgical instrument can be used to dilate a tissue within the body of a patient to create a working space within the body to allow a surgeon to easily advance an endoscope into a patient's body. In various embodiments, the surgical instrument can include a balloon capable of transitioning from a collapsed position to an expanded position and a sleeve at least partially surrounding the balloon when the balloon is in the collapsed position. The sleeve includes at least one frangible portion that may at least partially release along the frangible portion when the balloon transitions from the collapsed position to the expanded position. In various embodiments, the surgical instrument further includes a catheter, a needle, an endoscope or an endoscopic trocar.

    摘要翻译： 可以使用外科器械来扩张患者体内的组织以在体内产生工作空间，以允许外科医生容易地将内窥镜推进到患者体内。 在各种实施例中，外科器械可以包括能够从折叠位置转变到扩张位置的球囊，以及当球囊处于折叠位置时至少部分地围绕球囊的套管。 套筒包括至少一个易碎部分，当球囊从折叠位置转变到展开位置时，至少一个脆弱部分可沿着易碎部分至少部分地释放。 在各种实施例中，手术器械还包括导管，针，内窥镜或内窥镜套管针。

    Transparent Dilator Device and Method of Use (END-900)
    50.
    发明申请
    Transparent Dilator Device and Method of Use (END-900) 审中-公开
    透明设备及使用方法（END-900）

    公开(公告)号：US20090137870A1

    公开(公告)日：2009-05-28

    申请号：US11870594

    申请日：2007-10-11

    申请人： Gregory J. Bakos ,  Kurt R. Bally

    发明人： Gregory J. Bakos ,  Kurt R. Bally

    IPC分类号： A61M29/02

    CPC分类号： A61B1/00154 ,  A61B1/00082 ,  A61B1/00096 ,  A61B1/01 ,  A61B5/1076 ,  A61M16/0429 ,  A61M16/0488 ,  A61M29/00 ,  A61M2205/32

    摘要： A medical device for use with an endoscope is provided. The medical device can include a tube with a first channel for receiving the endoscope. A transparent segment can extend from the distal end of the tube, and the transparent segment can have a first outer diameter sized for providing dilation of a portion of a body lumen. The medical device can also include a tapered tip attached to the distal end of the transparent segment that narrows from the first outer diameter to a distal terminating end. The endoscope is used to view the body lumen through the medical device while in use to dilate a stricture under direct visualization.

    摘要翻译： 提供了一种用于内窥镜的医疗装置。 医疗装置可以包括具有用于接收内窥镜的第一通道的管。 透明段可以从管的远端延伸，并且透明段可以具有尺寸适于提供体腔的一部分的扩张的第一外径。 医疗装置还可以包括附接到透明段的远端的锥形尖端，其从第一外径变窄到远端终止端。 内窥镜用于在使用时通过医疗装置观察体腔，以在直观可视化下扩张狭窄。