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公开(公告)号：US07833223B2
公开(公告)日：2010-11-16
申请号：US11381006
申请日：2006-05-01
CPC分类号： A61B18/1492 , A61B17/320016 , A61B2017/003 , A61B2018/00553 , A61B2018/00601 , A61B2018/144 , A61B2018/1467
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译： 本文公开了用于在组织中形成多向切割的装置和方法。 本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿着构件的一部分的至少第一，第二和第三导线。 电线的远端部分锚定在细长构件的一部分上或内部。 当张紧被施加到至少一根电线时，例如通过设备近端处的致动器，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假定 组织切割配置。
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公开(公告)号：US20080188879A1
公开(公告)日：2008-08-07
申请号：US11381006
申请日：2006-05-01
IPC分类号： A61B17/32
CPC分类号： A61B18/1492 , A61B17/320016 , A61B2017/003 , A61B2018/00553 , A61B2018/00601 , A61B2018/144 , A61B2018/1467
摘要： Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.
摘要翻译： 本文公开了用于在组织中形成多向切割的装置和方法。 本文公开的组织切割装置通常包括柔性细长构件，其具有至少部分地限制在构件的一部分内或沿着构件的一部分的至少第一，第二和第三导线。 电线的远端部分锚定在细长构件的一部分上或内部。 当张紧被施加到至少一根电线时，例如通过设备近端处的致动器，细长构件弯曲，同时线的非约束部分相对于细长构件的相邻部分露出，假定 组织切割配置。
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公开(公告)号：US07758593B2
公开(公告)日：2010-07-20
申请号：US11417482
申请日：2006-05-04
申请人： Rudolph H. Nobis , Ifung Lu , Omar Vakharia
发明人： Rudolph H. Nobis , Ifung Lu , Omar Vakharia
CPC分类号： A61B17/32056 , A61B2017/2911 , A61B2017/2929 , A61B2018/1407
摘要： A medical instrument handle includes a medical-instrument-handle body, manually-slidable first and second slides, and medical-instrument-member first and second articulation cables. The handle body has a longitudinal axis, a proximal body portion, and a distal body portion. The first slide is slidably attached to the handle body. The first articulation cable includes a first proximal cable portion which has a first centerline and which is connected to the first slide. The second slide is slidably attached to the handle body. The second articulation cable includes a second proximal cable portion which is connected to the second slide. A medical instrument also includes a flexible shaft and a medical end effector.
摘要翻译： 医疗器械手柄包括医疗器械手柄本体，可手动滑动的第一和第二滑块以及医疗器械构件第一和第二铰接电缆。 手柄主体具有纵向轴线，近端主体部分和远侧主体部分。 第一滑块可滑动地附接到手柄主体。 第一铰接电缆包括具有第一中心线并连接到第一滑块的第一近侧电缆部分。 第二滑块可滑动地附接到手柄主体。 第二铰接缆线包括连接到第二滑块的第二近侧缆索部分。 医疗器械还包括柔性轴和医疗末端执行器。
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公开(公告)号：US08211114B2
公开(公告)日：2012-07-03
申请号：US11409732
申请日：2006-04-24
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
CPC分类号： A61B17/32056 , A61B2017/00867 , A61B2018/1407
摘要： A medical instrument including a resiliently flexible first elongate member and a resiliently flexible second elongate member. The first elongate member has a first proximal end portion and a first distal portion. The second elongate member has a second proximal end portion and a second distal portion, wherein the second distal portion is attached to the first distal portion, and wherein the attached first and second distal portions define a distal-loop medical snare which is insertable within a patient. In a first example, the first proximal end portion is lengthwise translatable with respect to the second proximal end portion to articulate the medical snare. In the same or a second example, the first proximal end portion is rotatable about its centerline to articulate the medical snare.
摘要翻译： 一种医疗器械，包括弹性柔性的第一细长构件和弹性柔性的第二细长构件。 第一细长构件具有第一近端部分和第一远端部分。 所述第二细长构件具有第二近端部分和第二远端部分，其中所述第二远端部分附接到所述第一远端部分，并且其中所述附接的第一远端部分和所述第二远端部分限定远端环形医疗圈套， 患者。 在第一示例中，第一近端部分可相对于第二近端部分纵向平移，以便铰接医疗圈套。 在相同或第二示例中，第一近端部分可围绕其中心线旋转以铰接医疗圈套。
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公开(公告)号：US07959642B2
公开(公告)日：2011-06-14
申请号：US11435376
申请日：2006-05-16
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B17/32
CPC分类号： A61B17/3478 , A61B18/1477 , A61B18/1492 , A61B2017/2923 , A61B2017/2927 , A61B2018/1425 , A61B2018/1475 , A61B2018/1861
摘要： A medical instrument includes a flexible sheath, a pivot base, a medical needle knife base, a medical needle knife, and a handpiece. The flexible sheath has a distal sheath portion insertable within a patient and has a proximal sheath portion. The pivot base is attached to the distal sheath portion. The needle knife base is pivotally connected to the pivot base and has a passageway. The medical needle knife is extendable from the passageway and is retractable within the passageway. The handpiece is connected to the proximal sheath portion and includes a manually-operated articulation control operatively connected to the needle knife base for pivoting the needle knife base with respect to the pivot base.
摘要翻译： 医疗器具包括柔性护套，枢轴底座，医用针刀基座，医用针刀和手持件。 柔性护套具有可插入患者体内的远端护套部分，并且具有近侧护套部分。 枢转底座附接到远端护套部分。 针刀基座枢转地连接到枢转底座并具有通道。 医用针刀可从通道延伸并在通道内伸缩。 手持件连接到近侧护套部分并且包括可操作地连接到针刀基座的手动操作的关节运动控制器，用于相对于枢转底座枢转针刀座。
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公开(公告)号：US07927327B2
公开(公告)日：2011-04-19
申请号：US11411214
申请日：2006-04-25
申请人： Ifung Lu , Rudolph H. Nobis
发明人： Ifung Lu , Rudolph H. Nobis
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/221 , A61B17/32 , A61B2017/003 , A61B2017/00398 , A61B2017/2212 , A61B2017/2215 , A61B2017/2905 , A61B2017/2927 , A61B2017/2939
摘要： A medical instrument includes a flexible tube, a distal member, a flexible end-effector activation wire, a proximal member, and a flexible first cable. The distal member is connected to the distal tube portion. The activation wire is positioned within the tube. The proximal member is attached to the tube. The first cable is positioned outside the tube, is substantially transversely constrained by the proximal member, and has a first distal cable portion attached to the distal member. Lengthwise translation of the first cable articulates the distal member with respect to the proximal member. Another instrument includes a drive screw which articulates an end effector (e.g., a grasper) pivotally connected to a tube. An additional instrument includes a drive screw which articulates a distal medical instrument member pivotally connected to a tube. A medical end effector (e.g., a snare) is positionable in a lumen of the distal medical instrument member.
摘要翻译： 医疗器械包括柔性管，远侧构件，柔性末端执行器激活线，近端构件和柔性第一电缆。 远侧构件连接到远端管部。 激活线定位在管内。 近端构件附接到管。 第一缆线位于管外部，基本上横向地受到近端构件的约束，并且具有附接到远端构件的第一远端缆索部分。 第一缆线的纵向平移相对于近端构件铰接远端构件。 另一个仪器包括一个驱动螺钉，该驱动螺钉将可枢转地连接到管的端部执行器（例如，抓紧器）连接起来。 附加的仪器包括驱动螺钉，所述驱动螺钉铰接到枢转地连接到管的远侧医疗器械构件。 医疗末端执行器（例如，圈套）可定位在远端医疗器械构件的内腔中。
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公开(公告)号：US07837620B2
公开(公告)日：2010-11-23
申请号：US11411195
申请日：2006-04-25
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B1/00
CPC分类号： A61B1/005 , A61B1/00071 , A61B2018/00166
摘要： A medical tubular assembly includes four medical coilpipes together having a distal end portion insertable into a patient. The four medical coilpipes include a central coilpipe and three peripheral coilpipes disposed outward of the central coilpipe. The four medical coilpipes are wound from a continuous length of wire. In one example, a lengthwise translatable medical-end-effector activation cable is located in the central coilpipe, a separate and lengthwise translatable medical-instrument-member articulation cable is located in each of the three peripheral coilpipes, and the distal end portion is endoscopically insertable into the patient. Other examples are left to those skilled in the art.
摘要翻译： 医疗管状组件包括四个医用线圈管，其一起具有可插入患者体内的远端部分。 四个医用线圈管包括中央卷管和设置在中心卷管的外侧的三个外围线圈管。 四条医用线圈管由连续长度的线缠绕。 在一个示例中，纵向可平移的医疗末端执行器激活电缆位于中央卷管中，在三个外围线圈管中的每一个中设置单独的和纵向可平移的医疗器械构件铰接电缆，并且远端部分是内窥镜 可插入患者。 本领域技术人员还可以使用其它实例。
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公开(公告)号：US07867228B2
公开(公告)日：2011-01-11
申请号：US11414619
申请日：2006-04-28
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B18/18
CPC分类号： A61B17/320016 , A61B18/1445 , A61B2017/00269 , A61B2017/00353 , A61B2017/2927 , A61B2017/2939 , A61B2017/2945 , A61B2017/32004 , A61B2017/320044 , A61B2018/00482 , A61B2018/1432 , A61B2018/144
摘要： A surgical device including an elongated shaft having a distal end and a proximal end, an arm pivotally connected to the distal end and moveable through a dissection plane, and a cutting element disposed on the arm and adapted to move from an un-deployed configuration to a deployed configuration, wherein the cutting element is generally aligned with the dissection plane when in the un-deployed configuration and at least partially transverse with respect to the dissection plane when in the deployed configuration.
摘要翻译： 一种手术装置，包括具有远端和近端的细长轴，枢转地连接到远端并可移动穿过解剖平面的臂，以及设置在臂上的切割元件，并且适于从未展开的构型移动到 部署构型，其中当处于展开构型时，切割元件大致与解剖平面对准，当处于未展开构型时，并且当处于展开构型时相对于解剖平面至少部分横向。
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公开(公告)号：US07651491B2
公开(公告)日：2010-01-26
申请号：US11414627
申请日：2006-04-28
申请人： Rudolph H. Nobis , Ifung Lu
发明人： Rudolph H. Nobis , Ifung Lu
IPC分类号： A61B18/14
CPC分类号： A61B18/04 , A61B18/082 , A61B18/1445 , A61B18/1492 , A61B2017/00269 , A61B2017/2945 , A61B2018/00482 , A61B2018/1253 , A61B2018/1407 , A61B2018/1432 , A61B2018/144
摘要： A method for resecting tissue from an organ of a patient, the organ being comprised of at least a first layer, a second layer and a third layer, the method including the steps of providing an EMR device with access to the organ, the EMR device including at least one deployable cutting element disposed on at least one moveable arm, identifying a target tissue area for resection, forming an incision through the first and second layers without penetrating the third layer, positioning the EMR device through the incision such that the device is positioned between the first third layers, advancing the moveable arm between the first and third layers, deploying the cutting element such that the cutting element is advanced in the direction of the first layer and away from the third layer and, while the EMR device is positioned between the first and third layers, cutting through the first layer.
摘要翻译： 一种用于从患者器官切除组织的方法，所述器官由至少第一层，第二层和第三层组成，所述方法包括以下步骤：向EMR装置提供对器官的访问，EMR装置 包括设置在至少一个可移动臂上的至少一个可展开的切割元件，识别用于切除的目标组织区域，在不穿透第三层的情况下通过第一和第二层形成切口，将EMR装置定位穿过切口使得该装置是 位于所述第一第三层之间，使所述可移动臂在所述第一层和所述第三层之间前进，展开所述切割元件，使得所述切割元件沿所述第一层的方向前进并且远离所述第三层，并且当所述EMR设备被定位时 在第一和第三层之间切割第一层。
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公开(公告)号：US09138250B2
公开(公告)日：2015-09-22
申请号：US11409709
申请日：2006-04-24
申请人： Ifung Lu , Rudolph H. Nobis
发明人： Ifung Lu , Rudolph H. Nobis
IPC分类号： A61B17/00 , A61B17/29 , A61B17/3205
CPC分类号： A61B17/2909 , A61B17/32056 , A61B2017/003
摘要： A medical instrument handle includes a stem, a joystick assembly, and a medical-instrument-member first articulation cable. The stem has a proximal stem portion and a distal stem portion. The joystick assembly includes a platform, a proximal joystick portion and a distal joystick portion, wherein the distal joystick portion is articulatably connected to the proximal stem portion. The first articulation cable includes a proximal cable portion which is connected to the platform and which is substantially transversely constrained by the stem. Articulation of the joystick assembly with respect to the stem changes a distance between the platform and the stem as measured along the first articulation cable. A medical instrument includes a medical instrument handle and a medical end effector. Examples of medical end effectors include, without limitation, a medical grasper and a medical snare.
摘要翻译： 医疗器械手柄包括杆，操纵杆组件和医疗器械构件第一铰接电缆。 茎具有近端茎部分和远端茎部分。 操纵杆组件包括平台，近端操纵杆部分和远端操纵杆部分，其中远侧操纵杆部分可铰接地连接到近侧杆部分。 第一铰接电缆包括近端电缆部分，该近端电缆部分连接到平台并且基本上横向地受到杆的约束。 操纵杆组件相对于杆的铰接改变了沿着第一铰接电缆测量的平台和杆之间的距离。 医疗器械包括医疗器械手柄和医疗末端执行器。 医疗终端执行器的示例包括但不限于医疗抓取器和医疗圈套。
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