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    Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
    41.
    发明申请
    Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ 有权
    可拆卸远端超管部分和在器官壁上形成可密封开口的方法

    公开(公告)号：US20090112062A1

    公开(公告)日：2009-04-30

    申请号：US11981070

    申请日：2007-10-31

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61B1/01 ,  B65D69/00

    CPC分类号： A61B17/3423 ,  A61B1/00087 ,  A61B1/00101 ,  A61B1/00135 ,  A61B1/313 ,  A61B2017/00278 ,  A61B2017/3425 ,  A61B2017/3488 ,  A61B2017/349 ,  A61M2039/1016 ,  A61M2210/1053

    摘要： An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a hollow tubular member that has an implantable tip detachably affixed to a distal end thereof. The implantable tip may have at least one retention member formed thereon to retain the tip within an organ wall. The implantable tip may further have a lumen extending therethrough to form a passageway through the organ wall. A plug member may be provided to selectively seal off the lumen within the implantable tip.

    摘要翻译： 用于内镜手术器械的外套管。 在各种实施例中，外套管可以包括中空管状构件，其具有可拆卸地固定到其远端的可植入尖端。 可植入尖端可以具有形成在其上的至少一个保持构件，以将尖端保持在器官壁内。 可植入尖端还可以具有延伸穿过其中的内腔以形成穿过器官壁的通道。 可以提供插塞构件以选择性地密封可植入尖端内的内腔。

    INTEGRATED SECUREMENT AND CLOSURE APPARATUS
    42.
    发明申请
    INTEGRATED SECUREMENT AND CLOSURE APPARATUS 失效
    集成安全和关闭装置

    公开(公告)号：US20080300547A1

    公开(公告)日：2008-12-04

    申请号：US11756914

    申请日：2007-06-01

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61M25/04

    CPC分类号： A61B17/0057 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61M25/04

    摘要： An integrated securement and closure apparatus uses mechanical fasteners disposed in access lumens located radially outwardly from a centrally disposed opening for an endoscope. The mechanical fasteners are used to secure the distal end of an overtube against and isolate a target area of tissue inside a patient. An incision is made in the isolated target and the mechanical fasteners are used to approximate the tissue of the incision following and surgical intervention.

    摘要翻译： 集成的固定和关闭装置使用设置在从用于内窥镜的居中设置的开口径向向外定位的通路腔中的机械紧固件。 机械紧固件用于固定外套管的远端抵靠并隔离患者体内的组织的目标区域。 在分离的靶中进行切口，并且使用机械紧固件来近似切口的组织和手术干预。

    ELECTRODE DOME AND METHOD OF USE
    43.
    发明申请
    ELECTRODE DOME AND METHOD OF USE 审中-公开
    电极球体及其使用方法

    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。

    Guidewire structure
    47.
    发明授权
    Guidewire structure 有权
    导丝结构

    公开(公告)号：US08100882B2

    公开(公告)日：2012-01-24

    申请号：US11128084

    申请日：2005-05-12

    申请人： Gary L. Long ,  Gregory J. Bakos ,  Omar J. Vakharia

    发明人： Gary L. Long ,  Gregory J. Bakos ,  Omar J. Vakharia

    IPC分类号： A61M25/00

    CPC分类号： A61B1/00133 ,  A61B2017/00398 ,  A61M25/0113 ,  A61M25/0136 ,  A61M25/09 ,  A61M25/09041 ,  A61M2025/09183

    摘要： A first guidewire structure includes a medical guidewire extendable beyond a distal end of a medical instrument and having first and second segments, wherein the bending moment of inertia of the first segment is less than the bending moment of inertia of the second segment. A second guidewire structure includes a medical guidewire extendable beyond a distal end of a medical instrument having a mechanized guidewire drive assembly. The medical guidewire has an exterior surface including a repetitive series of spaced-apart surface elevation features. One example of surface elevation features is external threads. The spaced-apart surface elevation features are adapted for operable engagement with the mechanized guidewire drive assembly.

    摘要翻译： 第一导丝结构包括可延伸超过医疗器械的远端的医疗导丝，并且具有第一和第二段，其中第一段的弯曲转动惯量小于第二段的弯曲转动惯量。 第二导丝结构包括可延伸超过具有机械化导丝驱动组件的医疗器械的远端的医疗导丝。 医疗导丝具有包括重复的一系列间隔开的表面高度特征的外表面。 表面高程特征的一个例子是外部线程。 间隔开的表面高度特征适于与机械化的导丝驱动组件可操作地接合。

    Integrated securement and closure apparatus
    49.
    发明授权
    Integrated securement and closure apparatus 失效
    集成固定和关闭装置

    公开(公告)号：US07967842B2

    公开(公告)日：2011-06-28

    申请号：US11756914

    申请日：2007-06-01

    申请人： Gregory J. Bakos

    发明人： Gregory J. Bakos

    IPC分类号： A61B17/04 ,  A61B1/00

    CPC分类号： A61B17/0057 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61M25/04

    摘要： An integrated securement and closure apparatus uses mechanical fasteners disposed in access lumens located radially outwardly from a centrally disposed opening for an endoscope. The mechanical fasteners are used to secure the distal end of an overtube against and isolate a target area of tissue inside a patient. An incision is made in the isolated target and the mechanical fasteners are used to approximate the tissue of the incision following and surgical intervention.

    摘要翻译： 集成的固定和关闭装置使用设置在从用于内窥镜的居中设置的开口径向向外定位的通路腔中的机械紧固件。 机械紧固件用于固定外套管的远端抵靠并隔离患者体内的组织的目标区域。 在分离的靶中进行切口，并且使用机械紧固件来近似切口的组织和手术干预。

    Medical instrument having a controlled guidewire drive
    50.
    发明授权
    Medical instrument having a controlled guidewire drive 有权
    医疗仪器具有受控的导丝驱动

    公开(公告)号：US07896862B2

    公开(公告)日：2011-03-01

    申请号：US11128023

    申请日：2005-05-12

    申请人： Gary L. Long ,  Gregory J. Bakos ,  Omar J. Vakharia

    发明人： Gary L. Long ,  Gregory J. Bakos ,  Omar J. Vakharia

    IPC分类号： A61M25/01

    CPC分类号： A61B1/00133 ,  A61B2017/00398 ,  A61M25/0113 ,  A61M25/0136 ,  A61M25/09 ,  A61M25/09041 ,  A61M2025/09183

    摘要： A medical instrument includes a flexible catheter, a medical guidewire, and a mechanized guidewire drive assembly. The catheter has a distal end insertable into a body lumen of a patient. The mechanized guidewire drive assembly is adapted for operable engagement with the medical guidewire. The mechanized guidewire drive assembly includes a motor and includes a controller which drives the motor with a driving force. The driving force has a predetermined upper limit.

    摘要翻译： 医疗器械包括柔性导管，医疗导丝和机械化导丝驱动组件。 导管具有可插入患者体腔的远端。 机械化导丝驱动组件适于与医疗导线可操作地接合。 机械化导丝驱动组件包括马达并且包括用驱动力驱动马达的控制器。 驱动力具有预定的上限。