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。

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。

公开(公告)号：US08480686B2

公开(公告)日：2013-07-09

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： A61B17/10

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。

公开(公告)号：US08480657B2

公开(公告)日：2013-07-09

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： A61B17/00 ,  A61B1/04 ,  A61F2/02 ,  A61M5/32

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.

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。

公开(公告)号：US20100010298A1

公开(公告)日：2010-01-14

申请号：US12172752

申请日：2008-07-14

申请人： Gregory J. Bakos ,  William D. Fox ,  James T. Spivey ,  Bernard C. McDermott ,  Micheal E. Kelly

发明人： Gregory J. Bakos ,  William D. Fox ,  James T. Spivey ,  Bernard C. McDermott ,  Micheal E. Kelly

IPC分类号： A61B1/01 ,  A61B1/015

CPC分类号： A61B1/00142 ,  A61B1/00082 ,  A61B1/00087 ,  A61B1/00135 ,  A61B1/00137 ,  A61B1/0055 ,  A61B1/015

摘要： Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope therein. The proximal end of the flexible overtube is configured to remain outside of a patient and the distal end is configured to enter the patient through a natural orifice. At least one fluid tight seal is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. The method includes introducing the system into a patient though a natural orifice of the patient and performing an endoscopic translumenal procedure.

摘要翻译： 公开了一种用于内窥镜的装置，系统和方法。 具有近端和远端的柔性外套管在其间限定中空腔，以在其中容纳内窥镜的柔性轴部分。 柔性外套管的近端构造成保持在患者体外，并且远端构造成通过自然孔进入患者。 至少一个流体密封密封件位于柔性外套管的近端处，以防止当内窥镜的柔性轴定位在柔性外套管内时流体在内窥镜的柔性轴上的泄漏。 该系统还包括柔性内窥镜。 该方法包括通过患者的自然孔口将系统引入患者并执行内窥镜平均程序。

公开(公告)号：US20090287236A1

公开(公告)日：2009-11-19

申请号：US12122031

申请日：2008-05-16

申请人： Gregory J. Bakos ,  William D. Fox ,  John M. Mugan ,  Damien J. Ryan

发明人： Gregory J. Bakos ,  William D. Fox ,  John M. Mugan ,  Damien J. Ryan

IPC分类号： A61B17/32 ,  A61L2/00

CPC分类号： A61B17/320016 ,  A61B1/018 ,  A61B1/04 ,  A61B17/32002 ,  A61B17/32053 ,  A61B17/3415 ,  A61B2017/00278 ,  A61B2017/306 ,  A61B2017/320044

摘要： Various methods and devices are provided for cutting an opening through tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible elongate needle shaft that has a distal end with a circumferentially extending tissue-cutting edge formed thereon. A proximal end of the elongate needle shaft interfaces with a rotary control member for selectively applying a rotary motion to the elongate needle shaft. When the rotating tissue-cutting edge is brought into contact with target tissue, the tissue-cutting edge cuts an opening through the tissue. The device may have a stylet that has a blunt end that can be adjusted to protrude out of the distal end of the elongate needle shaft out beyond the tissue-cutting edge and is biased inward into the elongate needle shaft when the blunt end is brought into contact with the tissue to expose the tissue-cutting edge to the tissue. The stylet may be used as a guide wire after the hole has been cut through the tissue. An outer sheath may be provided to selectively cover the distal end of the elongate needle shaft and blunt end of the stylet. The outer sheath may have a selectively expandable member thereon that may be used to expand the cut hole

摘要翻译： 提供各种方法和装置来切割通过组织的开口。 在一个实施例中，提供组织穿透装置，并且包括柔性细长针轴，其具有形成在其上的周向延伸的组织切割刃的远端。 细长针轴的近端与旋转控制构件接合，用于选择性地向细长针轴施加旋转运动。 当旋转的组织切割边缘与目标组织接触时，组织切割边缘切割穿过组织的开口。 该装置可以具有一个具有钝头的探针，其可以被调节以从细长针轴的远端突出超出组织切割边缘，并且当钝端进入时被向内偏压到细长的针轴中 与组织接触以将组织切割边缘暴露于组织。 孔穿过组织后，探针可用作导丝。 可以设置外护套以选择性地覆盖细长针轴的远端和探针的钝端。 外护套可以在其上具有可选择性地可扩张的构件，其可以用于扩大切割孔

公开(公告)号：US20080114352A1

公开(公告)日：2008-05-15

申请号：US11558623

申请日：2006-11-10

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

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

IPC分类号： A61B18/14 ,  A61B1/32

CPC分类号： A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B2018/00083 ,  A61B2018/00101 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/1422 ,  A61B2018/1472 ,  A61B2018/1497 ,  A61B2018/1861 ,  A61B2218/002

摘要： Various devices and methods for dissecting and/or coagulating tissue are provided. In one embodiment, a surgical device is provided that includes an elongate member having proximal and distal ends, an energy emitter coupled to the distal end of the elongate member, and an insulating element that is disposed around the energy emitter. The insulating element can have an opening for receiving energy from the energy emitter, and the opening can be shaped to control a direction of energy emitted from the energy emitter.

摘要翻译： 提供了用于解剖和/或凝固组织的各种装置和方法。 在一个实施例中，提供了一种手术装置，其包括具有近端和远端的细长构件，耦合到细长构件的远端的能量发射器和围绕能量发射器设置的绝缘元件。 绝缘元件可以具有用于从能量发射器接收能量的开口，并且开口可以被成形为控制从能量发射器发射的能量的方向。

公开(公告)号：US20080097331A1

公开(公告)日：2008-04-24

申请号：US11515939

申请日：2006-09-05

申请人： James T. Spivey ,  Gregory J. Bakos

发明人： James T. Spivey ,  Gregory J. Bakos

IPC分类号： A61M25/01

CPC分类号： A61M25/09 ,  A61B1/2736 ,  A61M2025/0062 ,  A61M2025/0293 ,  A61M2025/09133

摘要： A guidewire structure includes a medical guidewire and an overtube. The medical guidewire includes a first segment and a lengthwise-adjoining second segment. The overtube is adapted to slidably cover the first segment and to slidably expose the first segment. A minimum force required to slide the exposed first segment over patient tissue is greater than a minimum force required to slide the covered first segment over the patient tissue. A method for using a guidewire structure includes extending at least a portion of the second segment beyond a distal end of an insertion tube of an endoscope, extending at least a portion of the first segment beyond the distal end with the overtube covering the extended first segment, sliding the overtube off the extended first segment exposing the first segment, and advancing the insertion tube along the exposed and extended first segment further into a body lumen of a patient.

摘要翻译： 导丝结构包括医疗导丝和外套管。 医疗导丝包括第一段和纵向相邻的第二段。 外套管适于可滑动地覆盖第一段并且可滑动地暴露第一段。 将暴露的第一段在患者组织上滑动所需的最小力大于将被覆盖的第一段滑动到患者组织上所需的最小力。 使用导丝结构的方法包括将第二段的至少一部分延伸超过内窥镜的插入管的远端，将第一段的至少一部分延伸超过远端，外套管覆盖延伸的第一段 将所述外套件从所述延伸的第一部分滑出，暴露所述第一部分，并且使所述插入管沿着所述暴露和延伸的第一部分进一步前进到患者的体腔中。

公开(公告)号：US20080058679A1

公开(公告)日：2008-03-06

申请号：US11505608

申请日：2006-08-17

申请人： Gregory J. Bakos

发明人： Gregory J. Bakos

IPC分类号： A61M25/00

CPC分类号： A61M25/09 ,  A61M2025/09075 ,  A61M2025/09175 ,  A61M2205/583

摘要： A first guidewire structure includes a medical guidewire having a working portion which is extendable beyond a distal end of a medical instrument. The working portion has a length, and the working portion is tapered for substantially one-hundred percent of the length. A second guidewire structure includes a medical guidewire having a working portion, wherein the working portion has a length, and wherein the working portion includes a tapered portion for over fifty percent of the length. A third guidewire structure includes a medical guidewire having a working portion. The working portion has a length, and the working portion includes a plurality of lengthwise-adjoining segment pairs for over fifty percent of the length. Each segment pair consists essentially of a non-tapered segment having a substantially constant cross section and a tapered segment lengthwise adjoining the non-tapered segment. Methods are described for using medical instruments having the guidewire structures.

摘要翻译： 第一导丝结构包括具有可延伸超过医疗器械的远端的工作部分的医疗导丝。 工作部分具有长度，工作部分的长度大致为百分之一百。 第二导丝结构包括具有工作部分的医疗导丝，其中所述工作部分具有长度，并且其中所述工作部分包括超过所述长度的百分之五十的锥形部分。 第三导丝结构包括具有工作部分的医疗导丝。 工作部分具有长度，并且工作部分包括多于长度相等的长度方向的多个长度方向的段对。 每个段对基本上由具有基本恒定横截面的非锥形段和与非锥形段相邻的锥形段组成。 描述了使用具有导丝结构的医疗器械的方法。