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公开(公告)号：US07815565B2
公开(公告)日：2010-10-19
申请号：US10440956
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/04
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译： 公开了一种用于内窥镜的引导系统和使用方法。 引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。 引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。 可以设置端盖以相对于内窥镜的远端支撑轨道。
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公开(公告)号：US07431694B2
公开(公告)日：2008-10-07
申请号：US10440660
申请日：2003-05-16
申请人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
发明人： David Stefanchik , Duane Linenkugel , Gregory J. Bakos , Omar J. Vakharia , James A. Craft , Kurt R. Bally
IPC分类号： A61B1/00
CPC分类号： A61B1/012 , A61B1/00073 , A61B1/00135 , A61B1/0014
摘要： A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.
摘要翻译： 公开了一种用于内窥镜的引导系统和使用方法。 引导系统可以包括轨道形式的轨道和用于接合轨道的配合构件。 引导系统还可以包括诸如附件引导管的附件，医疗器械可以通过附件引导管承载在内窥镜的外部。 可以设置端盖以相对于内窥镜的远端支撑轨道。
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公开(公告)号：US20100076462A1
公开(公告)日：2010-03-25
申请号：US12237877
申请日：2008-09-25
IPC分类号： A61B17/04
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。
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公开(公告)号：US08480686B2
公开(公告)日：2013-07-09
申请号：US12237877
申请日：2008-09-25
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。
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公开(公告)号：US20050256374A1
公开(公告)日：2005-11-17
申请号：US11128108
申请日：2005-05-12
申请人： Gary Long , Gregory Bakos , David Stefanchik , Omar Vakharia , Duane Linenkugel
发明人： Gary Long , Gregory Bakos , David Stefanchik , Omar Vakharia , Duane Linenkugel
CPC分类号： A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要： A first medical instrument includes a flexible catheter and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. The medical guidewire has 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 medical instrument includes a flexible catheter, a mechanized guidewire assembly, and a medical guidewire extendable beyond a distal end of the catheter. The catheter is adapted to slidably receive a rail-coupling portion of an adjunct medical device. 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： 第一医疗器械包括柔性导管和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 医疗用导线具有第一和第二部分，其中第一部分的弯曲转动惯量小于第二部分的弯曲转动惯量。 第二医疗器械包括柔性导管，机械化导丝组件和可延伸超过导管远端的医疗导丝。 导管适于可滑动地容纳辅助医疗装置的轨道联接部分。 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。
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6.发明授权Devices and methods for providing suction and/or irrigation in a surgical procedure 有权用于在外科手术中提供抽吸和/或灌注的装置和方法公开(公告)号：US08721529B2
公开(公告)日：2014-05-13
申请号：US13250123
申请日：2011-09-30
IPC分类号： A61B1/12
CPC分类号： A61B17/320092 , A61B1/015 , A61B90/361 , A61B90/70 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/3454 , A61B2217/005 , A61B2217/007
摘要： Methods and devices are provided for providing suction and/or irrigation to locations within a body cavity. In general, the methods and devices can allow instruments within a body cavity to be cleaned during a surgical procedure without having to remove the instruments from the body cavity. In one embodiment, an end effector is provided that includes an elongate body having a cleaning base formed thereon. The end effector can be configured as a modular element configured to be removably and replaceably attachable to a distal end of an elongate shaft. The cleaning base can have one or more ports formed through a surface thereof. The cleaning base can be configured to provide suction and/or irrigation through the one or more ports to clean a face of a surgical instrument seated in the cleaning base or in close proximity to the cleaning base.
摘要翻译： 提供了用于向体腔内的位置提供抽吸和/或冲洗的方法和装置。 通常，方法和装置可以允许在外科手术过程中清洁体腔内的器械，而不必从体腔中移除器械。 在一个实施例中，提供端部执行器，其包括细长主体，其具有形成在其上的清洁基座。 端部执行器可以被配置为被构造成可移除地和可替换地附接到细长轴的远端的模块化元件。 清洁基座可以具有通过其表面形成的一个或多个端口。 清洁基座可以构造成通过一个或多个端口提供抽吸和/或冲洗以清洁位于清洁基座中或紧邻清洁基座的外科器械的面部。
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7.发明授权公开(公告)号：US09089320B2
公开(公告)日：2015-07-28
申请号：US12237858
申请日：2008-09-25
CPC分类号： A61B17/0469 , A61B2017/00278 , A61B2017/00292 , A61B2017/0034 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0464
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors into tissue, preferably without the need to remove the shaft from the body. The shaft can have a plurality of channels, with each of the plurality of channels configured to seat at least one of a plurality of suture anchors. Each of the anchors can be removably seated in a channel such that the anchors can be removed from the device, such as by pulling on sutures attached to the respective anchors.
摘要翻译： 提供了用于部署和应用多个缝合锚的方法和装置。 在一个实施例中，提供外科装置，其具有被配置为被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚定件输送到组织中，优选地不需要将轴从身体移除。 所述轴可以具有多个通道，所述多个通道中的每一个被构造成座位多个缝线锚中的至少一个。 每个锚固件可以可移除地安置在通道中，使得锚固件可以从装置移除，例如通过拉动附接到各个锚固件的缝合线。
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8.发明申请DEVICES AND METHODS FOR PROVIDING SUCTION AND/OR IRRIGATION IN A SURGICAL PROCEDURE 有权用于在外科手术中提供吸入和/或灌注的装置和方法公开(公告)号：US20130085337A1
公开(公告)日：2013-04-04
申请号：US13250123
申请日：2011-09-30
IPC分类号： A61B1/12
CPC分类号： A61B17/320092 , A61B1/015 , A61B90/361 , A61B90/70 , A61B2017/00283 , A61B2017/00362 , A61B2017/00473 , A61B2017/00477 , A61B2017/3454 , A61B2217/005 , A61B2217/007
摘要： Methods and devices are provided for providing suction and/or irrigation to locations within a body cavity. In general, the methods and devices can allow instruments within a body cavity to be cleaned during a surgical procedure without having to remove the instruments from the body cavity. In one embodiment, an end effector is provided that includes an elongate body having a cleaning base formed thereon. The end effector can be configured as a modular element configured to be removably and replaceably attachable to a distal end of an elongate shaft. The cleaning base can have one or more ports formed through a surface thereof. The cleaning base can be configured to provide suction and/or irrigation through the one or more ports to clean a face of a surgical instrument seated in the cleaning base or in close proximity to the cleaning base.
摘要翻译： 提供了用于向体腔内的位置提供抽吸和/或冲洗的方法和装置。 通常，方法和装置可以允许在外科手术过程中清洁体腔内的器械，而不必从体腔中移除器械。 在一个实施例中，提供端部执行器，其包括细长主体，其具有形成在其上的清洁基座。 端部执行器可以被配置为被构造成可移除地和可替换地附接到细长轴的远端的模块化元件。 清洁基座可以具有通过其表面形成的一个或多个端口。 清洁基座可以构造成通过一个或多个端口提供抽吸和/或冲洗以清洁位于清洁基座中或紧邻清洁基座的外科器械的面部。
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公开(公告)号：US20060025819A1
公开(公告)日：2006-02-02
申请号：US11127513
申请日：2005-05-12
申请人： Rudolph Nobis , Frank Jankoski , Omar Vakharia , John Faux , Gregory Bakos , Duane Linenkugel , Christopher Swain
发明人： Rudolph Nobis , Frank Jankoski , Omar Vakharia , John Faux , Gregory Bakos , Duane Linenkugel , Christopher Swain
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0487 , A61B17/06166 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052
摘要： Suture anchoring devices are disclosed, including a T-tag anchoring device that is suitably small enough to fit into the hollow tip of a needle and, furthermore, provide protection to the suture against being cut or otherwise damaged by the sharp edge of the needle tip. One disclosed device includes a slot for providing a pivot point between the suture and the body when deployed, which can be employed to form a T-tag.
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公开(公告)号：US08328836B2
公开(公告)日：2012-12-11
申请号：US11380958
申请日：2006-05-01
申请人： Sean P. Conlon , Omar Vakharia , Duane Linenkugel
发明人： Sean P. Conlon , Omar Vakharia , Duane Linenkugel
IPC分类号： A61B17/34
CPC分类号： A61B17/3478 , A61B18/1492 , A61B2017/00278 , A61B2017/320048 , A61B2017/320064 , A61B2017/3488
摘要： Various methods and devices are provided for penetrating tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible hollow elongate shaft having a tissue-penetrating tip at a distal end thereof, and a plunger disposed within the tissue-penetrating tip. The plunger can be movable relative to the tissue-penetrating tip between a distal position in which the plunger is distal of the tissue-penetrating tip to prevent tissue penetration, and a proximal position in which the plunger is proximal of the tissue-penetrating tip to allow the tip to penetrate tissue. The plunger can be adapted to move from the distal position to the proximal position when the plunger is advanced into a tissue surface. The device can also include a biasing element coupled to the plunger that can be adapted to bias the plunger to the distal position. The biasing element can be coupled between a distal end of a stylet that extends through the hollow elongate shaft, and a proximal end of the plunger.
摘要翻译： 提供用于穿透组织的各种方法和装置。 在一个实施例中，提供组织穿透装置，并且包括柔性中空细长轴，其具有在其远端处的组织穿透尖端，以及设置在组织穿透尖端内的柱塞。 柱塞可以相对于组织穿透尖端在远侧位置之间移动，远端位置之间的柱塞远离组织穿透尖端以防止组织穿透;以及近端位置，柱塞在组织穿透尖端的近侧到 允许尖端穿透组织。 当柱塞进入组织表面时，柱塞可以适于从远侧位置移动到近侧位置。 该装置还可以包括联接到柱塞的偏置元件，该偏置元件可适于将柱塞偏压到远端位置。 偏置元件可以联接在延伸穿过中空细长轴的探针的远端和柱塞的近端之间。
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