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公开(公告)号：US08435172B2
公开(公告)日：2013-05-07
申请号：US12330470
申请日：2008-12-08
IPC分类号： A61B1/12
CPC分类号： A61B1/00068 , A61B1/00103 , A61B1/015 , A61B1/05 , A61B1/12 , A61B1/126 , A61B1/127
摘要： The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.
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公开(公告)号：US08409196B2
公开(公告)日：2013-04-02
申请号：US13399470
申请日：2012-02-17
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2018/00482 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/144 , A61B2018/1467 , A61B2218/002
摘要： An integrated catheter assembly for enabling diverse endoscopic in situ therapies. The assembly includes a catheter with an irrigation fluid lumen, a distal electrode tip portion that acts as a hemostat, and a cutting wire for making incisions in or ablating tissue. A cutting wire hub provides a sealing entrance for a cutting wire. An operator enables the physician to displace the cutting wire between extended and retracted positions. The cutting wire and electrode are electrically isolated. In addition, the catheter assembly may include a planar tip which, when extended outside the distal end of the assembly, assumes a substantially flat unbiased configuration for use. The apparatus of the present invention allows the physician to make incisions in or ablate tissue using electrosurgery, irrigate tissue, and cauterize or coagulate tissue without having to remove the apparatus from the working channel of the endoscope.
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公开(公告)号：US08142430B2
公开(公告)日：2012-03-27
申请号：US12629971
申请日：2009-12-03
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1477 , A61B2018/00148 , A61B2018/00214 , A61B2018/00232 , A61B2018/00351 , A61B2018/00482 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00839 , A61B2018/00898 , A61B2018/124 , A61B2018/126 , A61B2018/1425 , A61B2018/144 , A61B2018/1467 , A61B2218/002
摘要： An integrated catheter assembly for enabling diverse endoscopic in situ therapies. The assembly includes a catheter with an irrigation fluid lumen, a distal electrode tip portion that acts as a hemostat, and a cutting wire for making incisions in or ablating tissue. A cutting wire hub provides a sealing entrance for a cutting wire. An operator enables the physician to displace the cutting wire between extended and retracted positions. The cutting wire and electrode are electrically isolated. In addition, the catheter assembly may include a planar tip which, when extended outside the distal end of the assembly, assumes a substantially flat unbiased configuration for use. The apparatus of the present invention allows the physician to make incisions in or ablate tissue using electrosurgery, irrigate tissue, and cauterize or coagulate tissue without having to remove the apparatus from the working channel of the endoscope.
摘要翻译： 用于实现多种内窥镜原位治疗的集成导管组件。 组件包括具有冲洗流体腔的导管，用作止血器的远端电极尖端部分和用于在组织中切割或切除组织的切割线。 切割线毂为切割线提供密封入口。 操作者使医师能够在延伸位置和缩回位置之间移动切割线。 切割线和电极是电隔离的。 此外，导管组件可以包括平面末端，当在组件的远端延伸到外部时，其呈现基本平坦的无偏配置以供使用。 本发明的装置允许医师使用电外科手术切割或消融组织，冲洗组织，烧灼或凝固组织，而不必从内窥镜的工作通道中取出装置。
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公开(公告)号：US07479106B2
公开(公告)日：2009-01-20
申请号：US10955901
申请日：2004-09-30
IPC分类号： A61B1/12
CPC分类号： A61B1/00068 , A61B1/00103 , A61B1/015 , A61B1/05 , A61B1/12 , A61B1/126 , A61B1/127
摘要： The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.
摘要翻译： 本发明是用于内窥镜成像系统的集成和自动化的灌注和抽吸系统。 该系统在结肠镜检查过程中提供对不良制剂的患者的自动清洁以及内窥镜的成像系统的自动清洁。 本发明分析从图像传感器获得的图像以检测是否存在受阻视野，由此开始洗涤程序以去除障碍物。 洗涤程序可以根据由内窥镜内的一个或多个传感器感测到的患者内的环境条件进行调整。 在另一个实施例中，根据从内窥镜上的一个或多个环境传感器获得的一个或多个传感器读数，自动地控制吹入以使病人的结肠膨胀。
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公开(公告)号：US20120316603A1
公开(公告)日：2012-12-13
申请号：US13549392
申请日：2012-07-13
申请人： Juergen A. KORTENBACH , Michael S. McBrayer , Mark L. Adams , Robert B. Devries , William H. Stahley , Suzana E. Otano-Lata , Jeffrey M. Wendlandt , William J. Shaw , Alan Weisenborn
发明人： Juergen A. KORTENBACH , Michael S. McBrayer , Mark L. Adams , Robert B. Devries , William H. Stahley , Suzana E. Otano-Lata , Jeffrey M. Wendlandt , William J. Shaw , Alan Weisenborn
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B2017/00004 , A61B2017/00827 , A61B2017/00867 , A61B2017/0641 , A61B2017/0647 , A61F2002/30467 , A61F2220/0083
摘要： The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD.
摘要翻译： 本发明在某些方面涉及用于紧固具有组织表面的组织段的手术紧固件。 所述紧固件包括第一紧固件，所述第一紧固件具有底座和穿刺元件，所述穿孔元件连接到所述基座以刺穿要紧固的组织段，第二紧固件构件，具有用于接收和保持所述第一紧固件构件的刺穿元件的开口， 待紧固的片段保持在第一和第二紧固构件之间，以及用于促进组织表面之间的粘附的装置。 本发明还涉及用于促进组织段粘连和防止紧固件迁移的相关方法和装置，特别是用于治疗GERD的内窥镜手术。
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公开(公告)号：US08241308B2
公开(公告)日：2012-08-14
申请号：US10345150
申请日：2003-01-16
申请人： Juergen A. Kortenbach , Michael S. McBrayer , Mark L. Adams , Robert B. DeVries , William H. Stahley , Jeffrey M. Wendlandt , William J. Shaw , Alan Weisenborn
发明人： Juergen A. Kortenbach , Michael S. McBrayer , Mark L. Adams , Robert B. DeVries , William H. Stahley , Jeffrey M. Wendlandt , William J. Shaw , Alan Weisenborn
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B2017/00004 , A61B2017/00827 , A61B2017/00867 , A61B2017/0641 , A61B2017/0647 , A61F2002/30467 , A61F2220/0083
摘要： The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD.
摘要翻译： 本发明在某些方面涉及用于紧固具有组织表面的组织段的手术紧固件。 所述紧固件包括第一紧固件，所述第一紧固件具有底座和穿刺元件，所述穿孔元件连接到所述基座以刺穿要紧固的组织段，第二紧固件构件，具有用于接收和保持所述第一紧固件构件的刺穿元件的开口， 待紧固的片段保持在第一和第二紧固构件之间，以及用于促进组织表面之间的粘附的装置。 本发明还涉及用于促进组织段粘连和防止紧固件迁移的相关方法和装置，特别是用于治疗GERD的内窥镜手术。
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公开(公告)号：US5967984A
公开(公告)日：1999-10-19
申请号：US757848
申请日：1996-11-27
申请人： Michael S. H. Chu , Yem Chin , Demetrius H. Bagley , William H. Stahley , David K. Young , Christopher G. Fishbein , George G. Brusard
发明人： Michael S. H. Chu , Yem Chin , Demetrius H. Bagley , William H. Stahley , David K. Young , Christopher G. Fishbein , George G. Brusard
IPC分类号： A61B18/20 , A61B8/12 , A61B17/22 , A61B18/14 , A61B18/24 , A61B19/00 , A61M25/00 , A61M29/02
CPC分类号： A61B18/24 , A61B18/1492 , A61B8/12 , A61B8/445 , A61B2017/00924 , A61B2017/22051 , A61B2018/00214 , A61B2018/00285 , A61B2018/00422 , A61B2018/144 , A61B2018/1475 , A61B2090/378 , A61B2090/3782 , A61M25/104
摘要： The invention features a catheter having a catheter body of extended length for insertion within a body of a living being. The catheter also includes an ultrasound imaging device disposed within a distal portion of the catheter body. The ultrasound imaging device generates electrical signals used by an ultrasound imaging system to display a real-time image of tissue surrounding the distal portion of the catheter. The catheter further includes a cutting element, e.g., an electrode wire or a laser fiber, having a proximal portion disposed within the catheter body. The catheter also includes a mechanism connected to the catheter body that causes the distal portion of the cutting element to extend from the catheter body. The distal portion of the cutting element generates energy in tissue with which it is brought in proximity to form a cut in the tissue. The ultrasound imaging device is positioned relative to the cutting element such that the real-time image produced by the ultrasound imaging system can include the cutting element in relation to the tissue.
摘要翻译： 本发明的特征在于一种具有延伸长度的导管主体的导管，用于插入生命体内。 导管还包括设置在导管主体的远端部分内的超声成像装置。 超声成像装置产生由超声成像系统使用的电信号，以显示围绕导管的远端部分的组织的实时图像。 导管还包括切割元件，例如电极线或激光光纤，其具有设置在导管主体内的近端部分。 导管还包括连接到导管主体的机构，其使切割元件的远端部分从导管主体延伸。 切割元件的远端部分在组织中产生能量，使其与其接近以在组织中形成切口。 超声成像装置相对于切割元件定位，使得由超声成像系统产生的实时图像可以包括相对于组织的切割元件。
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8.发明申请公开(公告)号：US20090306476A1
公开(公告)日：2009-12-10
申请号：US12330470
申请日：2008-12-08
IPC分类号： A61B1/12
CPC分类号： A61B1/00068 , A61B1/00103 , A61B1/015 , A61B1/05 , A61B1/12 , A61B1/126 , A61B1/127
摘要： The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.
摘要翻译： 本发明是用于内窥镜成像系统的集成和自动化的灌注和抽吸系统。 该系统在结肠镜检查过程中提供对不良制剂的患者的自动清洁以及内窥镜的成像系统的自动清洁。 本发明分析从图像传感器获得的图像以检测是否存在受阻视野，由此开始洗涤程序以去除障碍物。 洗涤程序可以根据由内窥镜内的一个或多个传感器感测到的患者内的环境条件进行调整。 在另一个实施例中，根据从内窥镜上的一个或多个环境传感器获得的一个或多个传感器读数，自动地控制吹入以使病人的结肠膨胀。
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