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1.发明授权Catheter with controllable stiffness and method for operating a selective stiffening catheter 有权具有可控刚度的导管和用于操作选择性加强导管的方法公开(公告)号：US07559916B2
公开(公告)日：2009-07-14
申请号：US11233993
申请日：2005-09-23
IPC分类号： A61M31/00
CPC分类号： A61M25/005 , A61M25/0053 , A61M2025/0064 , Y10T29/49826
摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.
摘要翻译： 用于治疗慢性全闭塞的方法和装置提供了具有刚度护套和进入管腔的轴的可控刚度导管。 该装置具有处于低于给定温度并处于高于温度的软状态的刚性状态的刚度装置，与刚度装置热接触的温度改变装置，温度改变装置改变下面刚度装置的温度，以及 以及功率控制器，其电连接到刚度装置，并且选择性地向所述温度改变装置供电以改变所述刚性和柔性状态之间的所述刚度装置的刚度。 导丝被移动到治疗部位，并且导管沿导丝移动到CTO处于软状态。 导管在没有矫直的情况下加固，并且在刚性状态下，导管或导丝通过CTO突出。
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2.发明授权公开(公告)号：US08679154B2
公开(公告)日：2014-03-25
申请号：US11971998
申请日：2008-01-10
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译： 压缩自调节钉包括基本上U形的订书钉主体和压缩装置。 订书钉主体具有一桥和两个腿，其一角度从桥延伸。 每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。 压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动 用力
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3.发明授权Catheter with controllable stiffness and method for operating a selective stiffening catheter 有权具有可控刚度的导管和用于操作选择性加强导管的方法公开(公告)号：US08083713B2
公开(公告)日：2011-12-27
申请号：US12479941
申请日：2009-06-08
IPC分类号： A61M31/00
CPC分类号： A61M25/005 , A61M25/0053 , A61M2025/0064 , Y10T29/49826
摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.
摘要翻译： 用于治疗慢性全闭塞的方法和装置提供了具有刚度护套和进入管腔的轴的可控刚度导管。 该装置具有处于低于给定温度并处于高于温度的软状态的刚性状态的刚度装置，与刚度装置热接触的温度改变装置，温度改变装置改变下面刚度装置的温度，以及 以及功率控制器，其电连接到刚度装置，并且选择性地向所述温度改变装置供电以改变所述刚性和柔性状态之间的所述刚度装置的刚度。 导丝被移动到治疗部位，并且导管沿导丝移动到CTO处于软状态。 导管在没有矫直的情况下加固，并且在刚性状态下，导管或导丝通过CTO突出。
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4.发明申请Catheter with Controllable Stiffness and Method for Operating a Selective Stiffening Catheter 有权具有可控刚度的导管和操作选择性加强导管的方法公开(公告)号：US20090299280A1
公开(公告)日：2009-12-03
申请号：US12479941
申请日：2009-06-08
IPC分类号： A61M25/092 , B23P11/00 , A61F2/84
CPC分类号： A61M25/005 , A61M25/0053 , A61M2025/0064 , Y10T29/49826
摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.
摘要翻译： 用于治疗慢性全闭塞的方法和装置提供了具有刚度护套和进入管腔的轴的可控刚度导管。 该装置具有处于低于给定温度并处于高于温度的软状态的刚性状态的刚度装置，与刚度装置热接触的温度改变装置，温度改变装置改变下面刚度装置的温度，以及 以及功率控制器，其电连接到刚度装置，并且选择性地向所述温度改变装置供电以改变所述刚性和柔性状态之间的所述刚度装置的刚度。 导丝被移动到治疗部位，并且导管沿导丝移动到CTO处于软状态。 导管在没有矫直的情况下加固，并且在刚性状态下，导管或导丝通过CTO突出。
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公开(公告)号：US07419080B2
公开(公告)日：2008-09-02
申请号：US11844406
申请日：2007-08-24
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a surgical end effector, an end effector control handle, and a control shaft having a longitudinal axis and a handle portion connecting the control shaft to the control handle rotatably about the longitudinal axis. A passive articulation joint connects the end effector to the control shaft. An articulation joint release unlocks the articulation joint when actuated and locks the articulation joint when unactuated. An end effector control device is rotationally fixedly connected to at least a portion of the control shaft to correspondingly rotate the control shaft about the longitudinal axis when the control device is rotated and is longitudinally connected to the joint release to selectively unlock the articulation joint when actuated.
摘要翻译： 医疗装置包括外科末端执行器，端部执行器控制手柄和控制轴，该控制轴具有纵向轴线和把控制轴与控制手柄围绕纵向轴线可旋转地连接的手柄部分。 被动铰接接头将末端执行器连接到控制轴。 关节接合释放在致动时释放关节接头，并且在未致动时锁定关节接头。 端部执行器控制装置旋转地固定地连接到控制轴的至少一部分，以在控制装置旋转时相对于控制轴围绕纵向轴线转动，并且当致动时可以将其连接到关节释放位置以选择性地解锁铰接接头 。
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公开(公告)号：US08579176B2
公开(公告)日：2013-11-12
申请号：US11491626
申请日：2006-07-24
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle having an articulation joint actuator, a surgical end effector, and a passive articulating joint connecting the end effector to the control handle. The articulation joint actuator, when unactuated, holds the passive articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the passive articulation joint into a freely articulating state to permit free articulation of the end effector with respect to the control handle dependent upon external forces acting upon the end effector. A method for operating the end effector includes retaining the passive articulation joint in a stable position with an articulation lock and actuating a release of the articulation lock to unlock the passive articulation joint and, thereby, permit articulating motion of the end effector through the passive articulation joint dependent upon the external forces acting upon the end effector.
摘要翻译： 医疗装置包括具有关节运动关节致动器，手术末端执行器和将末端执行器连接到控制手柄的被动关节运动关节的控制手柄。 关节运动关节致动器在未致动时将被动铰接接头以及由此的端部执行器保持在基本上固定的关节位置，并且当被致动时，被动铰接接头释放到自由铰接状态，以允许端部自由铰接 相对于控制手柄的效应器取决于作用在末端执行器上的外力。 用于操作末端执行器的方法包括将被动关节关节保持在具有关节运动锁定的稳定位置，并且致动释放关节运动锁以解锁被动关节运动关节，从而允许末端执行器通过被动关节运动 关节取决于作用在末端执行器上的外力。
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公开(公告)号：US07404508B2
公开(公告)日：2008-07-29
申请号：US11540255
申请日：2006-09-29
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.
摘要翻译： 医疗装置包括控制手柄，末端执行器和将端部执行器连接到手柄的被动铰接接头。 手柄具有装订致动器，与装订致动器不同的关节运动执行器，以及装订和关节运动关节致动器穿过的主体。 末端执行器具有砧座，具有订书钉的订书机盒和连接到其上的砧座控制装置，并且当装订致动器被致动时，钉砧致动器和订书钉。 缝合致动器穿过铰接接头并相应于铰接接头的铰接而弯曲。 当未致动时，关节运动关节致动器将关节运动关节保持在基本上固定的关节位置，并且在致动时将关节运动关节释放到其自由关节状态，以允许末端执行器依赖的自由关节 外力作用在末端执行器上。
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8.发明申请公开(公告)号：US20080172088A1
公开(公告)日：2008-07-17
申请号：US11971998
申请日：2008-01-10
IPC分类号： A61B17/064 , F16B15/00
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译： 压缩自调节钉包括基本上U形的订书钉主体和压缩装置。 订书钉主体具有一桥和两个腿，其一角度从桥延伸。 每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。 压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动 用力
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