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公开(公告)号:US20140012247A1
公开(公告)日:2014-01-09
申请号:US13540850
申请日:2012-07-03
申请人: Gregory J. Bakos , Peter K. Shires , Gary L. Long
发明人: Gregory J. Bakos , Peter K. Shires , Gary L. Long
CPC分类号: A61B18/1477 , A61B2018/00196 , A61B2018/00577 , A61B2018/00613 , A61B2018/00982 , A61B2018/1425 , A61B2018/162 , A61B2217/005 , A61B2218/007 , H02J17/00 , H02J50/10
摘要: An apparatus for treating tissue in a tissue treatment region. The apparatus can comprise an electrode ring having an interior perimeter and an electrode probe having a proximal end and a distal end. The distal end of the electrode probe can be structured to axially translate relative to the interior perimeter of the electrode ring. The electrode ring and the electrode probe can be operably structured to conduct current therebetween when at least one of the electrode ring and the electrode probe is energized by an energy source. Further, the energy source can be a Radio Frequency (RF) energy source, a pulsed energy source, an irreversible electroporation energy source, or a pulsed irreversible electroporation energy source. A current from the energy source can be selected to non-thermally ablate tissue in the tissue treatment region.
摘要翻译: 一种用于处理组织处理区域中的组织的装置。 该装置可以包括具有内周边的电极环和具有近端和远端的电极探针。 电极探针的远端可被构造成相对于电极环的内部周边轴向平移。 当电极环和电极探针中的至少一个被能量源激励时,电极环和电极探针可以可操作地构造成在其间传导电流。 此外,能源可以是射频(RF)能量源,脉冲能量源,不可逆电穿孔能源或脉冲不可逆电穿孔能源。 可以选择来自能量源的电流以在组织处理区域中非热消融组织。
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公开(公告)号:US20120221002A1
公开(公告)日:2012-08-30
申请号:US13036895
申请日:2011-02-28
申请人: Gary L. Long , David N. Plescia , Gregory J. Bakos
发明人: Gary L. Long , David N. Plescia , Gregory J. Bakos
IPC分类号: A61B18/14
CPC分类号: A61B18/12 , A61B18/1477 , A61B34/76 , A61B2017/0088 , A61B2018/00333 , A61B2018/00446 , A61B2018/00488 , A61B2018/00494 , A61B2018/005 , A61B2018/00535 , A61B2018/00541 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00613 , A61B2018/00982 , A61B2034/2063 , A61B2090/065 , A61B2090/08021 , A61N1/327
摘要: An ablation apparatus may generally comprise an elongated body having a proximal end and a distal end and a non-conductive tip at the distal end, a conductive sheath at least partially surrounding a portion of the elongated body intermediate the proximal end and the tip, and an electrical conductor electrically connected to the conductive sheath. The ablation apparatus may comprise a first electrode having a first diameter and a plurality of second electrodes each having a second diameter, wherein the first diameter is greater than the second diameter. Methods of using the ablation apparatus are also described.
摘要翻译: 消融装置通常可以包括细长主体,其具有近端和远端以及在远端处的非导电尖端,导电护套至少部分地围绕在近端和尖端之间的细长体的一部分,以及 电导体,电连接到导电护套。 消融装置可以包括具有第一直径的第一电极和各自具有第二直径的多个第二电极,其中第一直径大于第二直径。 还描述了使用消融装置的方法。
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公开(公告)号:US20110295054A1
公开(公告)日:2011-12-01
申请号:US13104095
申请日:2011-05-10
申请人: Jeffrey L. Aldridge , Gregory J. Bakos , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, JR. , Lucas B. Elmer , Jason L. Harris , Christopher J. Hess , Jeffrey D. Messerly , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Michael J. Stokes , Foster B. Stulen , Suzanne Thompson , Richard W. Timm , James W. Voegele , Lauren S. Weaner , William B. Weisenburgh, II , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , Mark S. Zeiner , Andrew M. Zwolinski
发明人: Jeffrey L. Aldridge , Gregory J. Bakos , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, JR. , Lucas B. Elmer , Jason L. Harris , Christopher J. Hess , Jeffrey D. Messerly , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Michael J. Stokes , Foster B. Stulen , Suzanne Thompson , Richard W. Timm , James W. Voegele , Lauren S. Weaner , William B. Weisenburgh, II , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , Mark S. Zeiner , Andrew M. Zwolinski
CPC分类号: A61F5/005 , A61F5/0003 , A61F5/0013 , A61M25/007 , A61M25/04 , A61M31/00 , A61M37/0015
摘要: Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube with the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.
摘要翻译: 本文描述的方法包括将鼻胃管引入患者体内,将鼻胃管与储器连接,将鼻胃管与鼻腔固定,并通过鼻胃管将物质引入储液器。
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公开(公告)号:US07967741B2
公开(公告)日:2011-06-28
申请号:US11742948
申请日:2007-05-01
申请人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
发明人: Gregory J. Bakos , Christie M. Cunningham , David Stefanchik , James W. Voegele , Michael J. Stokes , Christopher J. Hess , James T. Spivey , Gary L. Long , Kurt R. Bally , Ragae M. Ghabrial , Rudolph H. Nobis
CPC分类号: A61B1/01 , A61B1/00147 , A61B5/6882 , A61B17/0401 , A61B2017/00292 , A61B2017/00336
摘要: Various exemplary methods and devices are provided for manipulating and/or anchoring devices and body parts during surgical procedures. In one embodiment, an anchor member is provided for anchoring a device or body part to tissue, such as an internal wall of a body cavity. The device can be, for example, an endoscopic device, an accessory channel coupled to an endoscopic device, or a support member adapted to support or manipulate an organ. The anchor member can include or form an opening through which the device can be inserted. The anchor member or device can thus be manipulated relative to the tissue to control movement of and/or provide support to the device, tools inserted through the device, and/or organs grasped by the device or tools.
摘要翻译: 提供各种示例性的方法和装置用于在外科手术过程中操纵和/或锚定装置和身体部位。 在一个实施例中,提供锚定构件用于将装置或身体部分锚定到组织,例如体腔的内壁。 该装置可以是例如内窥镜装置,耦合到内窥镜装置的附件通道或适于支撑或操纵器官的支撑构件。 锚定构件可以包括或形成开口,通过该开口可以插入装置。 锚定构件或装置因此可以相对于组织被操纵以控制装置的移动和/或提供对装置的插入,通过装置插入的工具和/或由装置或工具抓住的器官。
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公开(公告)号:US07828791B2
公开(公告)日:2010-11-09
申请号:US11128072
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 and a medical guidewire extendable beyond a distal end of the catheter. The catheter has an articulated section. 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 has an articulated section. 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。 导管具有铰接部分。 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。 导管具有铰接部分。 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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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:US20100160735A1
公开(公告)日:2010-06-24
申请号:US12338125
申请日:2008-12-18
申请人: Gregory J. Bakos
发明人: Gregory J. Bakos
IPC分类号: A61B1/008
CPC分类号: A61B17/3417 , A61B1/0051 , A61B34/71 , A61B2017/003 , A61B2017/2905 , A61B2034/306
摘要: Methods and devices are provided for controlling movement of a working end of a surgical device configured to be introduced into a body. In one embodiment, a surgical device is provided including a cannulated elongate shaft having a distal working end with a flexible steering platform. The flexible steering platform can includes a plurality of axially aligned links and a plurality of flexible connector elements. Adjacent links can be connected using at least two of the connector elements such that flexing one or more connector elements can bend the steering platform in one or more directions. The surgical device's shaft can be configured to receive a flexible surgical instrument therein such that a working end of the surgical instrument can be received within the steering platform, thereby allowing movement of the surgical instrument's working end to be controlled through movement of the steering platform.
摘要翻译: 提供了用于控制构造成被引入体内的外科手术装置的工作端的移动的方法和装置。 在一个实施例中,提供外科装置,其包括具有带有柔性转向平台的远端工作端的插管式细长轴。 柔性转向平台可以包括多个轴向对齐的链节和多个柔性连接器元件。 可以使用至少两个连接器元件来连接相邻的链节,使得弯曲一个或多个连接器元件可以在一个或多个方向上弯曲转向平台。 手术装置的轴可以构造成在其中容纳柔性外科器械,使得外科器械的工作端可以被接收在转向平台内,从而允许通过转向平台的移动来控制外科器械的工作端的移动。
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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:US10314649B2
公开(公告)日:2019-06-11
申请号:US13565307
申请日:2012-08-02
摘要: A surgical instrument, such as an electrical ablation device, includes an elongate member having therealong disposed a first electrode extending along an axis. A first expandable portion extends along the axis and defines a first perimeter of the first electrode and has an associated first diameter with respect to the axis. The first expandable portion includes a first framework selectively expandable to transition the first expandable portion from a contracted state to an expanded state. The first framework is selectively contractible to transition the first expandable portion from the expanded state to the contracted state. When the first framework is expanded, the first diameter is expanded and the first expandable portion is transitioned from the contracted state to the expanded state. When the first framework is contracted, the first diameter is contracted and the first expandable portion is transitioned from the expanded state to the contracted state.
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公开(公告)号:US09078662B2
公开(公告)日:2015-07-14
申请号:US13540850
申请日:2012-07-03
申请人: Gregory J. Bakos , Peter K. Shires , Gary L. Long
发明人: Gregory J. Bakos , Peter K. Shires , Gary L. Long
CPC分类号: A61B18/1477 , A61B2018/00196 , A61B2018/00577 , A61B2018/00613 , A61B2018/00982 , A61B2018/1425 , A61B2018/162 , A61B2217/005 , A61B2218/007 , H02J17/00 , H02J50/10
摘要: An apparatus for treating tissue in a tissue treatment region. The apparatus can comprise an electrode ring having an interior perimeter and an electrode probe having a proximal end and a distal end. The distal end of the electrode probe can be structured to axially translate relative to the interior perimeter of the electrode ring. The electrode ring and the electrode probe can be operably structured to conduct current therebetween when at least one of the electrode ring and the electrode probe is energized by an energy source. Further, the energy source can be a Radio Frequency (RF) energy source, a pulsed energy source, an irreversible electroporation energy source, or a pulsed irreversible electroporation energy source. A current from the energy source can be selected to non-thermally ablate tissue in the tissue treatment region.
摘要翻译: 一种用于处理组织处理区域中的组织的装置。 该装置可以包括具有内周边的电极环和具有近端和远端的电极探针。 电极探针的远端可被构造为相对于电极环的内部周边轴向平移。 当电极环和电极探针中的至少一个被能量源激励时,电极环和电极探针可以可操作地构造成在其间传导电流。 此外,能源可以是射频(RF)能量源,脉冲能量源,不可逆电穿孔能源或脉冲不可逆电穿孔能源。 可以选择来自能量源的电流以在组织处理区域中非热消融组织。
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