公开(公告)号：US08608649B2

公开(公告)日：2013-12-17

申请号：US13041624

申请日：2011-03-07

申请人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S. H. Chu ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

发明人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S. H. Chu ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC分类号： A61B1/00

CPC分类号： A61B1/00117 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/0052 ,  A61B1/008 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

摘要： Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. the catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

摘要翻译： 本发明的几个实施例通常涉及包括一次性和可重复使用的部件（例如导管，功能手柄，轮毂，光学装置等）的组合的医学可视化系统。本发明的其它实施例通常涉及特征和方面 一种体内可视化系统，其包括具有工作通道的内窥镜，通过该工作通道布置具有观察能力的导管。 导管可以通过构造为视觉导管或通过使纤维镜或其他观察装置选择性地穿过其通道之一来获得观察能力。 导管优选地是可操纵的类型，使得导管的远端当其与身体前进时可以从其近端转向。 用于体内可视化系统的合适用途包括但不限于十二指肠，特别是胆汁树的诊断和/或治疗。

公开(公告)号：US20110213300A1

公开(公告)日：2011-09-01

申请号：US13041624

申请日：2011-03-07

申请人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S.H. Chu ,  Oscar R. Carrillo, JR. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

发明人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S.H. Chu ,  Oscar R. Carrillo, JR. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC分类号： A61M25/092

CPC分类号： A61B1/00117 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/0052 ,  A61B1/008 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

摘要： Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. The catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

摘要翻译： 本发明的几个实施例通常涉及包括一次性和可重复使用的部件（例如导管，功能手柄，轮毂，光学装置等）的组合的医学可视化系统。本发明的其它实施例通常涉及特征和方面 一种体内可视化系统，其包括具有工作通道的内窥镜，通过该工作通道布置具有观察能力的导管。 导管可以通过构造为视觉导管或通过使纤维镜或其它观察装置选择性地穿过其通道之一来获得观察能力。 导管优选地是可操纵的类型，使得导管的远端当其与身体前进时可以从其近端转向。 用于体内可视化系统的合适用途包括但不限于十二指肠，特别是胆汁树的诊断和/或治疗。

公开(公告)号：US20120209073A1

公开(公告)日：2012-08-16

申请号：US13443138

申请日：2012-04-10

申请人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S.H. Chu ,  Oscar R. Carrillo, JR. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

发明人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S.H. Chu ,  Oscar R. Carrillo, JR. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC分类号： A61B1/00

CPC分类号： A61B1/00117 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/0052 ,  A61B1/008 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

摘要： Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and resuable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. The catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

摘要翻译： 本发明的几个实施例通常涉及包括一次性和可重复组件（例如导管，功能手柄，轮毂，光学装置等）的组合的医学可视化系统。本发明的其它实施例一般涉及特征和方面 一种体内可视化系统，其包括具有工作通道的内窥镜，通过该工作通道布置具有观察能力的导管。 导管可以通过构造为视觉导管或通过使纤维镜或其它观察装置选择性地穿过其通道之一来获得观察能力。 导管优选地是可操纵的类型，使得导管的远端当其与身体前进时可以从其近端转向。 用于体内可视化系统的合适用途包括但不限于十二指肠，特别是胆汁树的诊断和/或治疗。

公开(公告)号：US07922650B2

公开(公告)日：2011-04-12

申请号：US11089520

申请日：2005-03-23

申请人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuermann ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S. H. Chu ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

发明人： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuermann ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S. H. Chu ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC分类号： A61B1/00

CPC分类号： A61B1/00117 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/0052 ,  A61B1/008 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

摘要： The present invention is directed to features and aspects of an in-vivo visualization system that comprises a catheter having an access port leading to an interior lumen through which an image transmission member is routed, and an endoscope having an access port leading to an interior lumen through which the catheter is routed. The catheter and endoscope are connected by an endoscope attachment device such that a handle of the catheter is mounted distal of the endoscope access port and the catheter access port is distal to the mounted position.

摘要翻译： 本发明涉及一种体内可视化系统的特征和方面，其包括导管，该导管具有通向图像传输构件所穿过的内腔的入口端口以及具有通向内腔的通路口的内窥镜 导管穿过该导管。 导管和内窥镜通过内窥镜附接装置连接，使得导管的手柄安装在内窥镜进入口的远侧，并且导管进入口远离安装位置。

公开(公告)号：US20090138028A1

公开(公告)日：2009-05-28

申请号：US12362610

申请日：2009-01-30

申请人： Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasily P. Abramov ,  William C.Mers Kelly ,  Russell F. Durgin

发明人： Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasily P. Abramov ,  William C.Mers Kelly ,  Russell F. Durgin

IPC分类号： A61B17/03

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B17/1227 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

摘要： An apparatus for deployment of a hemostatic clip comprises a handle assembly, a shaft connected to a distal portion thereof and a clip assembly releasably coupled to a distal portion of the shaft. The clip assembly includes clip arms and a capsule cooperating with the clip arms to provide a first user feedback indicating a decision configuration of the clip assembly. In addition, the apparatus includes a control wire including a ball connector, the control wire extending from the handle assembly and coupled to the clip assembly by the ball connector to maintain the clip assembly coupled to the shaft, wherein the ball connector is detachable from the clip assembly to provide a second user feedback indicating separation of the clip assembly from the shaft.

摘要翻译： 用于部署止血夹的装置包括手柄组件，连接到其远端部分的轴和可释放地联接到轴的远侧部分的夹子组件。 夹子组件包括夹臂和与夹臂配合的胶囊，以提供指示夹组件的决定构造的第一用户反馈。 另外，该设备包括控制线，其包括球形连接器，控制线从手柄组件延伸并通过球形连接器连接到夹子组件，以保持夹子组件与轴连接，其中球形连接器可从 夹具组件以提供第二用户反馈，指示夹组件与轴的分离。

公开(公告)号：US20090043316A1

公开(公告)日：2009-02-12

申请号：US12252630

申请日：2008-10-16

申请人： Russell F. Durgin ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

发明人： Russell F. Durgin ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

IPC分类号： A61B17/10 ,  A61B1/018

CPC分类号： A61B17/0682 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B34/71 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2034/715 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

摘要： A hemostatic clip assembly for mounting on a delivery device comprises a capsule and a clip slidably mounted within the capsule so that, when the clip is drawn proximally into the capsule, arms of the clip are drawn together to a closed position, an abutting surface of at least one of the arms contacting a corresponding surface of the capsule when the clip is drawn to a predetermined position within the capsule to provide a first user feedback indicating closure of the clip in combination with a tension member connected to the clip arms and biasing the clip arms toward an open, tissue receiving configuration and a yoke slidably received within the capsule and releasably coupled to the tension member, the yoke including a ball cavity for receiving a ball connector of a control element of the delivery device to maintain the clip assembly coupled to the delivery device, wherein the control element is frangible to detach the yoke from the delivery device and to provide a second user feedback and, wherein release of the yoke from the tension member provides a third user feedback.

摘要翻译： 用于安装在输送装置上的止血钳组件包括一个胶囊和一个可滑动地安装在胶囊内的夹子，使得当夹子向近侧拉入胶囊时，夹子的臂被拉到一起到关闭位置， 当夹子被拉动到胶囊内的预定位置时，臂中的至少一个与胶囊的相应表面接触，以提供第一用户的反馈，指示夹子与连接到夹持臂的张力构件的组合并且偏置 夹持臂朝向打开的组织接收构造和可滑动地容纳在胶囊内并且可释放地联接到张紧构件的轭，轭包括球腔，用于接收输送装置的控制元件的球形连接器，以保持夹子组件连接 其中所述控制元件易碎以将所述轭从所述输送装置分离并提供第二用户馈送 ck，并且其中，所述轭从所述张力构件的释放提供第三用户反馈。

公开(公告)号：US08974371B2

公开(公告)日：2015-03-10

申请号：US13328171

申请日：2011-12-16

申请人： Russell F. Durgin ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

发明人： Russell F. Durgin ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

IPC分类号： A61B1/00 ,  A61B17/122 ,  A61B17/128 ,  A61B17/00 ,  A61B17/12 ,  A61B17/29 ,  A61B19/00

CPC分类号： A61B17/0682 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B34/71 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2034/715 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

摘要： Apparatus includes Flexible Sheath extending from a proximal end which extends into living body; Capsule extending from a proximal to a distal end and having an opening formed in a proximal end thereof; Clip Assembly provided in Capsule and configured to be operably movable between a closed configuration in which first and second arms of Clip Assembly are drawn toward one another and an expanded configuration in which the first and second arms are separated from one another to receive target tissue therebetween; Bushing extending between a proximal end coupled to Sheath and a distal end releasably coupled to Capsule via a tab on the distal end of Bushing engaging the opening of Capsule; and Control Member a distal end of which is releasably coupled to Clip Assembly to transmit to Clip Assembly forces applied thereto to move Clip Assembly between the insertion and expanded configurations.

摘要翻译： 装置包括从延伸到生物体的近端延伸的柔性护套; 胶囊从近端延伸到远端，并具有形成在其近端的开口; 夹具组件，其设置在胶囊中并且构造成可在闭合构造之间可操作地移动，其中夹子组件的第一和第二臂被拉向彼此，并且扩张构型，其中第一和第二臂彼此分离以在其间接收目标组织 ; 衬套在连接到护套的近端和远离端之间延伸，远端通过衬套的远端上的接头与胶囊的开口可释放地联接到胶囊; 以及控制构件，其远端可释放地联接到夹子组件以传递到施加到其上的夹具组件力以在插入和扩展构型之间移动夹子组件。

公开(公告)号：US08663247B2

公开(公告)日：2014-03-04

申请号：US12485542

申请日：2009-06-16

申请人： Dmitri Menn ,  Russell F. Durgin ,  Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasiliy P. Abramov ,  William C. Mers Kelly

发明人： Dmitri Menn ,  Russell F. Durgin ,  Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasiliy P. Abramov ,  William C. Mers Kelly

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/00234 ,  A61B17/083 ,  A61B17/10 ,  A61B17/122 ,  A61B2017/00778 ,  A61B2090/037

摘要： A tissue clipping apparatus, comprises a flexible, elongate member, a proximal end of which remains external to the body accessible to a user while a distal end of the flexible member is inserted into the body to a location adjacent to target tissue to be clipped and a control wire extending through the flexible member in combination with a capsule releasably coupled to a distal end of the flexible member and a clip a proximal portion of which is received within the capsule. A joint releasably coupling the clip to the control wire, includes a yoke extending around a proximal end of the clip and a frangible link which fails when subject to a predetermined force to separate the clip from the control wire.

摘要翻译： 组织夹持装置包括柔性细长构件，其近端保持在使用者可接近的身体的外部，同时柔性构件的远端插入身体到邻近要被夹紧的目标组织的位置， 与可释放地联接到柔性构件的远端的胶囊组合地延伸穿过柔性构件的控制线和其近端部分被容纳在胶囊内的夹子。 将夹子可释放地联接到控制线的接头包括围绕夹子的近端延伸的轭，以及当经受预定的力将夹子与控制线分离的故障的易碎链节。

公开(公告)号：US08088061B2

公开(公告)日：2012-01-03

申请号：US12362610

申请日：2009-01-30

申请人： Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasily P. Abramov ,  William C. Mers Kelly ,  Russell F. Durgin

发明人： Brian Keith Wells ,  Lance Alan Wolf ,  Gregory R. Furnish ,  Vasily P. Abramov ,  William C. Mers Kelly ,  Russell F. Durgin

IPC分类号： A61B1/00

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B17/1227 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

摘要： An apparatus for deployment of a hemostatic clip comprises a handle assembly, a shaft connected to a distal portion thereof and a clip assembly releasably coupled to a distal portion of the shaft. The clip assembly includes clip arms and a capsule cooperating with the clip arms to provide a first user feedback indicating a decision configuration of the clip assembly. In addition, the apparatus includes a control wire including a ball connector, the control wire extending from the handle assembly and coupled to the clip assembly by the ball connector to maintain the clip assembly coupled to the shaft, wherein the ball connector is detachable from the clip assembly to provide a second user feedback indicating separation of the clip assembly from the shaft.

摘要翻译： 用于部署止血夹的装置包括手柄组件，连接到其远端部分的轴和可释放地联接到轴的远侧部分的夹子组件。 夹子组件包括夹臂和与夹臂配合的胶囊，以提供指示夹组件的决定构造的第一用户反馈。 另外，该设备包括控制线，其包括球形连接器，控制线从手柄组件延伸并通过球形连接器连接到夹子组件，以保持夹子组件与轴连接，其中球形连接器可从 夹具组件以提供第二用户反馈，指示夹组件与轴的分离。

公开(公告)号：US20120109162A1

公开(公告)日：2012-05-03

申请号：US13328171

申请日：2011-12-16

申请人： Russell F. DURGIN ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

发明人： Russell F. DURGIN ,  William C. Mers Kelly ,  Lance Alan Wolf ,  Brian Keith Wells ,  Vasily P. Abramov ,  Gregory R. Furnish

IPC分类号： A61B17/10

CPC分类号： A61B17/0682 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/1285 ,  A61B34/71 ,  A61B34/76 ,  A61B2017/003 ,  A61B2017/00845 ,  A61B2017/00849 ,  A61B2017/12004 ,  A61B2017/292 ,  A61B2034/715 ,  A61B2090/034 ,  A61B2090/037 ,  A61B2090/038

摘要： Apparatus includes Flexible Sheath extending from a proximal end which extends into living body; Capsule extending from a proximal to a distal end and having an opening formed in a proximal end thereof; Clip Assembly provided in Capsule and configured to be operably movable between a closed configuration in which first and second arms of Clip Assembly are drawn toward one another and an expanded configuration in which the first and second arms are separated from one another to receive target tissue therebetween; Bushing extending between a proximal end coupled to Sheath and a distal end releasably coupled to Capsule via a tab on the distal end of Bushing engaging the opening of Capsule; and Control Member a distal end of which is releasably coupled to Clip Assembly to transmit to Clip Assembly forces applied thereto to move Clip Assembly between the insertion and expanded configurations.

摘要翻译： 装置包括从延伸到生物体的近端延伸的柔性护套; 胶囊从近端延伸到远端，并具有形成在其近端的开口; 夹具组件，其设置在胶囊中并且构造成可在闭合构造之间可操作地移动，其中夹子组件的第一和第二臂彼此相互拉伸，并且扩张构型，其中第一和第二臂彼此分离以在其间接收目标组织 ; 衬套在连接到护套的近端和远离端之间延伸，远端通过衬套的远端上的接头与胶囊的开口可释放地联接到胶囊; 以及控制构件，其远端可释放地联接到夹子组件以传递到施加到其上的夹具组件力以在插入和扩展构型之间移动夹子组件。