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公开(公告)号:US09277957B2
公开(公告)日:2016-03-08
申请号:US13586422
申请日:2012-08-15
CPC分类号: A61B18/1206 , A61B18/1492 , A61B2018/00613 , A61B2018/00791 , A61B2018/00815 , A61B2018/00982 , A61B2018/126
摘要: An electrosurgical system may generally first and second electrodes coupled to an energy source operative to generate and deliver pulses of a biphasic radio frequency (RF) waveform to treat undesirable tissue in a patient. The pulses may induce non-thermal cell death in the patient's tissue while causing no or minimal muscle contractions in the treated patient. The pulses may be grouped in bursts wherein the pulses within a burst repeat at a particular pulse frequency.
摘要翻译: 电外科系统通常可以耦合到能量源的第一和第二电极,其操作以产生和递送双相射频(RF)波形的脉冲,以治疗患者中的不希望的组织。 脉冲可能在患者组织中引起非热细胞死亡,同时在治疗的患者中没有或最小的肌肉收缩。 脉冲可以以脉冲串分组,其中突发脉冲在特定脉冲频率下重复。
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公开(公告)号:US20140052126A1
公开(公告)日:2014-02-20
申请号:US13586422
申请日:2012-08-15
CPC分类号: A61B18/1206 , A61B18/1492 , A61B2018/00613 , A61B2018/00791 , A61B2018/00815 , A61B2018/00982 , A61B2018/126
摘要: An electrosurgical system may generally first and second electrodes coupled to an energy source operative to generate and deliver pulses of a biphasic radio frequency (RF) waveform to treat undesirable tissue in a patient. The pulses may induce non-thermal cell death in the patient's tissue while causing no or minimal muscle contractions in the treated patient. The pulses may be grouped in bursts wherein the pulses within a burst repeat at a particular pulse frequency.
摘要翻译: 电外科系统通常可以耦合到能量源的第一和第二电极,其操作以产生和递送双相射频(RF)波形的脉冲,以治疗患者中的不希望的组织。 脉冲可能在患者组织中引起非热细胞死亡,同时在治疗的患者中没有或最小的肌肉收缩。 脉冲可以以脉冲串分组,其中突发脉冲在特定脉冲频率下重复。
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公开(公告)号:US20120165604A1
公开(公告)日:2012-06-28
申请号:US12975685
申请日:2010-12-22
CPC分类号: A61B18/1492 , A61B17/00234 , A61B18/08 , A61B2017/00296 , A61B2017/00349 , A61B2017/00353 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0488 , A61B2017/06052 , A61B2017/07221 , A61B2017/12018 , A61B2017/306 , A61B2018/00279 , A61B2018/00494 , A61B2018/0063 , A61B2018/142 , A61B2018/143 , A61F5/0083 , A61N7/022
摘要: Devices and methods are provided for forming one or more plications in the walls of a body cavity. In particular, endoscopic devices and methods are provided for forming and/or securing endoluminal tissue folds to reduce the volume of the gastric cavity. An end effector that includes a tissue receiving cavity can be delivered to a desired surgical site to allow a tissue fold to be formed within the tissue receiving cavity. A fastener can be used to secure the adjacent layers of tissue that form the tissue fold. The tissue folds can be effective to limit the stomach's capacity and create a feeling of satiety.
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公开(公告)号:US20110098704A1
公开(公告)日:2011-04-28
申请号:US12607252
申请日:2009-10-28
申请人: Gary L. Long , David N. Plescia , Omar J. Vakharia
发明人: Gary L. Long , David N. Plescia , Omar J. Vakharia
IPC分类号: A61B18/14
CPC分类号: A61B18/1477 , A61B18/1492 , A61B18/1815 , A61B90/08 , A61B2018/00214 , A61B2018/0022 , A61B2018/00577 , A61B2018/00898 , A61B2018/1425 , A61B2018/143 , A61B2018/1467 , A61B2018/1475 , A61B2090/0811 , A61N1/327
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. At least one electrode is movable between a first position and a second position. A first necrotic zone having a first shape is created when the electrodes are energized in the first position and a second necrotic zone having a second shape is created when the electrodes are energized in the second position. At least one electrode may be pre-formed with a radius.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 至少一个电极可在第一位置和第二位置之间移动。 当电极在第一位置通电时,产生具有第一形状的第一坏死区,并且当电极在第二位置通电时,产生具有第二形状的第二坏死区。 至少一个电极可以预成形为半径。
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公开(公告)号:US07758564B2
公开(公告)日:2010-07-20
申请号:US11128012
申请日:2005-05-12
申请人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号: A61M25/01
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 having a distal end which has a substantially bullet-nose shape, which is insertable into a body lumen of a patient, and which has at least one guidewire passageway opening. The first medical instrument also includes a medical guidewire having a working portion extendable beyond the at-least-one guidewire passageway opening. A second medical instrument includes a flexible catheter, a medical guidewire having a working portion extendable beyond the distal end of the catheter, and at least one wire length counter which is operably connectable to the medical guidewire to measure a length of the working portion being extended beyond the distal end of the catheter. A third medical instrument includes a flexible catheter, a medical guidewire, and a force/torque-limiting clutch operatively connectable to the medical guidewire.
摘要翻译: 第一医疗器械包括柔性导管,其具有远端,其具有基本上子弹鼻形状,其可插入患者的体腔中,并且具有至少一个导丝通道开口。 第一医疗器械还包括具有可延伸超过至少一个导丝通道开口的工作部分的医疗导丝。 第二医疗器械包括柔性导管,具有可延伸超过导管远端的工作部分的医疗导线,以及可操作地连接到医用导线的至少一个导线长度计数器,以测量延伸的工作部分的长度 超出导管的远端。 第三医疗器械包括柔性导管,医疗导线和可操作地连接到医疗导线的力/扭矩限制离合器。
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公开(公告)号:US20100087813A1
公开(公告)日:2010-04-08
申请号:US12635298
申请日:2009-12-10
申请人: Gary L. Long
发明人: Gary L. Long
CPC分类号: A61B18/1492 , A61B1/018 , A61B1/04 , A61B1/06 , A61B18/1482 , A61B2018/00482 , A61B2018/00577 , A61B2018/00613 , A61N1/306 , A61N1/327
摘要: A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member comprising first and second channels. First and second probes are disposed within the respective first and second channels, where the first and second probes each define a central axis. First and second electrodes are coupled to distal ends of the respective first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the central axis of the at least one of the first and second probes.
摘要翻译: 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括包括第一和第二通道的细长构件。 第一和第二探针设置在相应的第一和第二通道内,其中第一和第二探针各自限定中心轴线。 第一和第二电极耦合到相应的第一和第二探针的远端。 通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的中心轴线旋转来调节第一和第二电极之间的距离。
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公开(公告)号:US20090299362A1
公开(公告)日:2009-12-03
申请号:US12130010
申请日:2008-05-30
申请人: Gary L. Long , Andrew M. Zwolinski
发明人: Gary L. Long , Andrew M. Zwolinski
CPC分类号: A61B18/1492 , A61B18/1445 , A61B2017/2215 , A61B2017/2945 , A61B2018/00601 , A61B2018/1213 , A61B2018/1422 , A61B2018/1432 , A61B2018/1475
摘要: An electrical ablation apparatus includes a housing extending along a longitudinal axis. A first electrode and a second electrode are disposed within the housing. The electrodes are configured to connect to electrically conductive wires. The first and second electrodes are separated by a gap. The second electrode includes first and second prongs defining an opening suitable to receive tissue to be ablated therebetween. When the first and second electrodes are energized at a predetermined energy level, an electric current suitable to ablate the tissue flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue. A system includes an energy source to drive the electrical ablation apparatus. A method includes introducing the electrical ablation apparatus into a patient and ablating tissue with the electric arc.
摘要翻译: 电切除装置包括沿着纵向轴线延伸的壳体。 第一电极和第二电极设置在壳体内。 电极被配置成连接到导电线。 第一和第二电极被间隙隔开。 第二电极包括限定适于接收要在其间被烧蚀的组织的开口的第一和第二插脚。 当第一和第二电极以预定能量级供电时,适于消融组织的电流流过间隙,并在第一电极的远端和组织之间形成电弧。 一种系统包括用于驱动电消融装置的能量源。 一种方法包括将电消融装置引入患者并用电弧消融组织。
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公开(公告)号:US20090192344A1
公开(公告)日:2009-07-30
申请号:US12019461
申请日:2008-01-24
申请人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号: A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要: A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译: 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间,以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械,其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器,其构造成在主体内的不同位置处接合组织,以及与锚固件和悬挂器接合的连接构件,使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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公开(公告)号:US20090182332A1
公开(公告)日:2009-07-16
申请号:US12014417
申请日:2008-01-15
申请人: Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
发明人: Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
CPC分类号: A61B18/1447 , A61B2018/00404 , A61B2018/00601 , A61B2018/1422
摘要: An electrosurgical apparatus, system, and method are disclosed. The apparatus, includes an elongate member defines a longitudinal opening. An elongate actuator member is slideably movable within the longitudinal opening. A proximal jaw member having a proximal portion is fixedly coupled to a distal end of the elongate flexible member. A distal jaw member has a proximal portion fixedly coupled to a distal end of the elongate actuator member. A first aperture is defined between the distal portion of the distal jaw member and the proximal portion of the distal jaw member. The distal jaw member is slideably movable relative to the proximal jaw member. The system includes a handle portion to receive a proximal end of the elongate actuator member of the apparatus. A method includes preparing the apparatus for surgery.
摘要翻译: 公开了电外科设备,系统和方法。 该装置包括细长构件限定纵向开口。 细长致动器构件可在纵向开口内可滑动地移动。 具有近侧部分的近侧颚构件固定地联接到细长柔性构件的远端。 远侧钳口构件具有固定地联接到细长致动器构件的远端的近端部分。 第一孔限定在远端钳口构件的远侧部分和远端钳口构件的近端部分之间。 远端钳口构件可相对于近端钳口构件可滑动地移动。 该系统包括用于接收该装置的细长致动器构件的近端的手柄部分。 一种方法包括准备手术装置。
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公开(公告)号:US07556627B2
公开(公告)日:2009-07-07
申请号:US10939726
申请日:2004-09-13
申请人: Gary L. Long
发明人: Gary L. Long
IPC分类号: A61B18/18
CPC分类号: A61B18/1477 , A61B18/1492 , A61B2018/00291 , A61B2018/00482
摘要: A medical device for performing a therapeutic procedure on a patient. The device includes a body that is sized and shaped to engage a working end of an endoscope. The body has a recess therein. The device also includes an electrode positioned on the body and communicative with an energy source for delivering energy to the electrode when performing the Therapeutic procedure on the patient. The device further includes an infection needle positioned in the recess and communicative with a fluid source for delivering fluid to the needle when performing the therapeutic procedure on the patient.
摘要翻译: 一种用于对患者执行治疗程序的医疗装置。 该装置包括尺寸和形状以接合内窥镜的工作端的主体。 身体内有凹槽。 该装置还包括位于身体上并与能量源通信的电极,用于在对患者执行治疗过程时将能量传递到电极。 该装置还包括定位在凹槽中并与流体源连通的感染针,用于在对患者执行治疗过程时将流体输送到针。
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