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公开(公告)号：US20120130365A1
公开(公告)日：2012-05-24
申请号：US13112358
申请日：2011-05-20
申请人： Tyler E. McLawhorn
发明人： Tyler E. McLawhorn
IPC分类号： A61B18/12
CPC分类号： H01R24/28 , A61B18/14 , A61B2018/00178 , H01R27/00 , H01R2103/00 , H01R2201/12
摘要： A lead system for electrical devices is disclosed that includes a first lead and a second lead, where the second lead may be in communication with a sliding member and a lead channel. The second lead translates laterally along the lead channel between a plurality of positions so as to vary the spacing between the first lead and the second lead.
摘要翻译： 公开了一种用于电气设备的引导系统，其包括第一引线和第二引线，其中第二引线可以与滑动构件和引线通道连通。 第二引线沿着多个位置之间的引导通道横向平移，以便改变第一引线和第二引线之间的间隔。
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2.发明申请公开(公告)号：US20100160931A1
公开(公告)日：2010-06-24
申请号：US12638208
申请日：2009-12-15
CPC分类号： A61B17/0643 , A61B17/0057 , A61B17/064 , A61B17/068 , A61B17/1227 , A61B2017/00349 , A61B2017/00592 , A61B2017/00862 , A61B2017/0647
摘要： The present embodiments provide a tacking device for engaging tissue, which may be useful for coupling a graft member to tissue or facilitating closure of a bodily opening. In one embodiment, the tacking device comprises a main body having proximal and distal ends, a proximal base member disposed at the proximal end of the main body, and at least one tissue engaging member disposed at the distal end of the main body. A spring member is disposed to surround the main body and extends from the proximal base member. In use, the spring member has a relaxed state in which it is biased to extend distally towards the at least one tissue engaging member, and further has a compressed state in which the distal end of the spring member is spaced further apart from the at least one tissue engaging member. Therefore, one or more tissue segments of varying thickness are adapted to be captured between the distal end of the spring member and the at least one tissue engaging member. A delivery system and methods for deploying the tacking device also are provided.
摘要翻译： 本实施例提供了用于接合组织的固定装置，其可用于将移植物构件联接到组织或有助于关闭身体开口。 在一个实施例中，固定装置包括具有近端和远端的主体，设置在主体的近端处的近侧基部构件和设置在主体的远端处的至少一个组织接合构件。 弹簧构件设置成围绕主体并且从近侧基部构件延伸。 在使用中，弹簧构件具有松弛状态，其中它被偏压以朝向至少一个组织接合构件向远侧延伸，并且还具有压缩状态，弹簧构件的远端至少与至少一个间隔开 一个组织接合构件。 因此，一个或多个不同厚度的组织段适于被捕获在弹簧构件的远端和至少一个组织接合构件之间。 还提供了用于部署定位装置的递送系统和方法。
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公开(公告)号：US09028487B2
公开(公告)日：2015-05-12
申请号：US13526906
申请日：2012-06-19
申请人： Tyler E. McLawhorn , Vihar C. Surti
发明人： Tyler E. McLawhorn , Vihar C. Surti
CPC分类号： A61B18/1445 , A61B18/1815 , A61B18/20 , A61B2017/00867 , A61B2018/00488 , A61B2018/00577 , A61B2018/1467 , A61B2018/1472 , A61B2217/007
摘要： An expandable probe and a method of delivering energy to a tissue using the expandable probe are provided. The expandable probe includes an elongate shaft having a proximal portion, a distal portion, a lumen extending at least partially therethrough and a longitudinal axis. The expandable probe also includes an arm operably connected to the distal portion. The arm has a first surface including an electrode extending over at least a portion of the first surface and the electrode is operably connectable to an energy source. The arm has a closed configuration and an expanded configuration where the arm in the closed configuration extends substantially parallel to the longitudinal axis and in the expanded configuration the arm extends away from the longitudinal axis.
摘要翻译： 提供了可扩展探针和使用可扩展探针将能量递送到组织的方法。 可扩张探头包括细长轴，其具有近端部分，远侧部分，至少部分地穿过其延伸的内腔和纵向轴线。 可扩张探头还包括可操作地连接到远端部分的臂。 臂具有包括在第一表面的至少一部分上延伸的电极的第一表面，并且电极可操作地连接到能量源。 臂具有闭合构造和扩张构型，其中处于闭合构型的臂基本上平行于纵向轴线延伸，并且在扩展构造中臂延伸远离纵向轴线。
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公开(公告)号：US20130046138A1
公开(公告)日：2013-02-21
申请号：US13586643
申请日：2012-08-15
申请人： Tyler E. McLawhorn
发明人： Tyler E. McLawhorn
IPC分类号： A61B1/012
CPC分类号： A61B1/00089 , A61B1/00087 , A61B1/00101 , A61B1/0014 , A61B1/2736
摘要： A cap for attachment to a distal end of an endoscope and a method of positioning the cap on the endoscope are provided. The cap includes a tubular body having a proximal portion, a distal portion and a lumen extending therethrough. The proximal portion includes a first portion and a second portion where at least one of the first portion and the second portion includes a connector for operably connecting the first portion and the second portion. The cap has in open configuration wherein at least a portion of the first portion and the second portion are spaced apart and movable relative to each other. The cap also has a closed configuration wherein the first and second portions are connected and the lumen if formed therethrough. The cap in the closed configuration is sized and shaped to be positionable on the distal end of the endoscope.
摘要翻译： 提供了用于附接到内窥镜的远端的盖和将盖定位在内窥镜上的方法。 盖包括具有近端部分，远侧部分和延伸穿过其中的内腔的管状体。 近端部分包括第一部分和第二部分，其中第一部分和第二部分中的至少一个包括用于可操作地连接第一部分和第二部分的连接器。 帽具有打开构造，其中第一部分和第二部分的至少一部分彼此间隔开并且可相对于彼此移动。 盖子还具有闭合构造，其中第一和第二部分连接，并且如果通过其形成，则该内腔。 封闭构造的盖的尺寸和形状可定位在内窥镜的远端上。
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5.发明申请FIXTURE FOR MAINTAINING THE TENSION APPLIED TO A SUTURE DURING INTRACORPOREAL PROCEDURES 审中-公开用于维持在内部程序期间适用于张力的张力公开(公告)号：US20100145365A1
公开(公告)日：2010-06-10
申请号：US12630373
申请日：2009-12-03
申请人： Tyler E. McLawhorn
发明人： Tyler E. McLawhorn
IPC分类号： A61B17/04
CPC分类号： A61B17/04 , A61B17/0483 , A61B2017/0496
摘要： A tension sustaining fixture, a medical system, and related methods for the suturing tissue and the tying of sutures to close a perforation made during an intracorporeal procedure are presented. A tension sustaining fixture generally comprises an elongated tube or sheath; a main body having a first passageway, the main body capable of being coupled to the elongated sheath; a side retaining sleeve coupled to the main body and whose internal surface defines a second passageway intersecting with the first passageway; a closure mechanism engaging the side retaining sleeve; the closure mechanism further defining the second passageway and sized to slidably receive at least one suture; and at least one suture having a proximal and distal end; with at least one end of a suture extending from the first passageway through the second passageway. The closure mechanism being operable between a locked configuration and an unlocked configuration; the locked configuration fixing a suture to maintain the tension applied to the suture.
摘要翻译： 介绍了张力维持夹具，医疗系统以及缝合组织的相关方法和缝合缝合线以关闭在体内手术期间制成的穿孔。 张力维持夹具通常包括细长的管或护套; 主体，其具有第一通道，所述主体能够联接到所述细长护套; 侧保持套筒，其联接到主体并且其内表面限定与第一通道相交的第二通道; 接合侧保持套筒的闭合机构; 所述闭合机构进一步限定所述第二通道，并且其大小可滑动地容纳至少一个缝合线; 和至少一个具有近端和远端的缝合线; 缝线的至少一端从第一通道延伸穿过第二通道。 闭合机构可在锁定构型和未锁定构型之间操作; 锁定构造固定缝合线以保持施加到缝线的张力。
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公开(公告)号：US08998897B2
公开(公告)日：2015-04-07
申请号：US13587637
申请日：2012-08-16
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/00089 , A61B1/00101 , A61B1/00131 , A61B2017/00296 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2090/3983
摘要： An ablation cap and a method of delivering energy to a tissue are provided. An ablation cap includes a tubular body having a proximal portion, a distal portion, a lumen extending therethrough. The ablation cap also includes a cover portion covering a portion of the tubular body, the covering portion having a region at least partially spaced apart from the tubular body and an electrode portion movably positionable relative to the cover portion. The electrode portion has a covered position where the electrode portion is positioned within the cover portion and an exposed position where the electrode portion is exposed relative to the cover portion. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.
摘要翻译： 提供消融盖和向组织递送能量的方法。 消融盖包括具有近端部分，远侧部分，延伸穿过其中的内腔的管状体。 消融盖还包括覆盖管状体的一部分的覆盖部分，覆盖部分具有至少部分地与管状体间隔开的区域和相对于盖部分可移动地定位的电极部分。 电极部分具有覆盖位置，其中电极部分位于盖部分内，并且电极部分相对于盖部分露出的暴露位置。 本体的近端部分的尺寸和形状适于装配在内窥镜的远端上，并且主体的远端部分延伸到内窥镜远端的远端。
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公开(公告)号：US08500760B2
公开(公告)日：2013-08-06
申请号：US12632300
申请日：2009-12-07
申请人： Tyler E. McLawhorn
发明人： Tyler E. McLawhorn
CPC分类号： A61B17/064 , A61B17/00234 , A61B17/068 , A61B90/39 , A61B2017/00867 , A61B2017/0647
摘要： The present embodiments provide a tacking device for engaging tissue, which may be useful for coupling a graft to tissue or facilitating closure of a bodily opening. In one embodiment, the tacking device comprises a main body having proximal and distal ends, and further comprises at least one proximal deployable member and at least one distal deployable member, each having contracted and expanded states. The proximal deployable members extend proximally from the proximal end of the main body, while the distal deployable members extend distally from the distal end of the main body. In one embodiment, a hook member extends from at least one of the proximal deployable members. In use, the hook member may be engaged, for example, using a loop member coupled to a stylet, thereby facilitating controlled release of the tacking device and allowing repositioning of the tacking device after at least partial deployment of the distal deployable members.
摘要翻译： 本实施例提供了用于接合组织的固定装置，其可用于将移植物联接到组织或有助于关闭身体开口。 在一个实施例中，固定装置包括具有近端和远端的主体，并且还包括至少一个近端可展开构件和至少一个远端展开构件，每个具有收缩和膨胀状态。 近端可展开构件从主体的近端向近侧延伸，而远侧可展开构件从主体的远端向远侧延伸。 在一个实施例中，钩构件从近端可展开构件中的至少一个延伸。 在使用中，钩构件可以例如使用联接到通孔针的环构件接合，从而便于固定装置的受控释放并且允许在可远程展开构件的至少部分展开之后重新定位固定装置。
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8.发明申请公开(公告)号：US20110106107A1
公开(公告)日：2011-05-05
申请号：US12913469
申请日：2010-10-27
CPC分类号： A61B17/32056 , A61B17/0487 , A61B17/12013 , A61B17/1285 , A61B2017/0488 , A61B2017/12004 , A61B2017/320064
摘要： The present embodiments provide apparatus and methods for treating tissue by applying a force to the tissue. In one embodiment, the apparatus comprises a deployable segment having proximal and distal regions, a main body extending therebetween, and a loop member formed at the distal region of the deployable segment. A cannula having a bore is dimensioned to circumferentially surround at least a portion of the main body at a location proximal to the loop member, and a spring member is disposed between the cannula and the loop member. The proximal end of the spring member is affixed to the cannula, and the distal end of the spring member is movable to apply a compressive force to adjust the size of the opening of the loop member and compress tissue disposed within the opening of the loop member. In an alternative embodiment, the cannula is omitted, and a diameter of the loop member is configured to be reduced and increased any number of times before final deployment of the deployable segment.
摘要翻译： 本实施例提供了通过向组织施加力来治疗组织的装置和方法。 在一个实施例中，该装置包括具有近端区域和远侧区域的可展开区段，在其间延伸的主体以及形成在可部署区段的远侧区域处的环构件。 具有孔的套管的尺寸被设计成在靠近环构件的位置周向地围绕主体的至少一部分，并且弹簧构件设置在套管和环构件之间。 弹簧构件的近端固定到套管上，并且弹簧构件的远端可移动以施加压缩力以调节环构件的开口的尺寸并且压缩设置在环构件的开口内的组织 。 在替代实施例中，省略套管，并且环形构件的直径被配置为在可展开段的最终部署之前减少并增加任何次数。
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公开(公告)号：US10456195B2
公开(公告)日：2019-10-29
申请号：US13209763
申请日：2011-08-15
摘要： An energy delivery system and a method of delivering energy to a tissue are provided. The energy delivery system includes an overtube. The overtube includes a body having a proximal portion, a distal portion and a lumen extending at least partially therethrough. The proximal portion is adapted to be positioned over a distal portion of an endoscope. The body also includes a first plurality of openings formed in the body and connected to the lumen and an electrode operably connected to the body and extending over at least a portion of a surface of the body. The lumen is operably connectable to a vacuum source and the electrode is operably connectable to a power source.
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公开(公告)号：US09072542B2
公开(公告)日：2015-07-07
申请号：US12964062
申请日：2010-12-09
申请人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
发明人： Richard W. Ducharme , Vihar C. Surti , Tyler E. McLawhorn , Eugene Skelton , Martin J. Bruggeman
IPC分类号： A61B1/00 , A61B17/34 , A61B19/00 , A61M37/00 , A61B17/04 , A61B18/00 , A61B17/064 , A61B1/018 , A61B17/00 , A61B17/06 , A61N5/10
CPC分类号： A61B17/3468 , A61B1/018 , A61B17/00234 , A61B17/0401 , A61B17/06166 , A61B17/3478 , A61B90/39 , A61B2017/00407 , A61B2017/0417 , A61B2017/0649 , A61B2017/347 , A61B2018/00273 , A61B2090/034 , A61B2090/062 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069 , A61N5/1001 , A61N5/1049
摘要： Embodiments include a fiducial deployment system with a handle configured for actuation of same. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages. The handle may include structures configured for incrementally or otherwise controlledly deploying one or more fiducials by advancing a stylet through and/or retracting the body of a needle in which fiducials are disposed.
摘要翻译： 实施例包括具有构造成用于致动其的手柄的基准部署系统。 基准可以包括被配置为接合系统的针中的一个或多个槽的一个或多个突起。 针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。 在某些实施例中，基准的回声放置可以具有某些优点。 手柄可以包括被构造成通过使探针穿过其中设置基准的针的身体和/或缩回其中的基准体逐渐地或以其他方式受控地展开一个或多个基准的结构。
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