STENT GRAFT DELIVERY SYSTEM AND METHODS OF USE
    62.
    发明申请
    STENT GRAFT DELIVERY SYSTEM AND METHODS OF USE 审中-公开
    STEGR GRAFT DELIVERY SYSTEM AND METHODS OF USE

    公开(公告)号:WO98042276A1

    公开(公告)日:1998-10-01

    申请号:PCT/US1998/005068

    申请日:1998-03-16

    摘要: A stent graft delivery system and methods for use are provided for use in treating aneurysms occurring in single and bifurcated lumen hollow body organs or vessels, and for treating arteriovenous fistulas. A graft delivery component (10) provides a clinician with complete control over the location of a graft at any time prior to implantation of stents, even when the graft is deployed from its introducer catheter. The graft delivery component (10) includes a plurality of radially expandable fingers (11-16) that releasably engage the graft, while the stent delivery component (10) includes a small diameter introducer catheter and permits a wide range of conventional stent designs to be used to permanently fix the graft in position.

    摘要翻译: 提供支架移植物输送系统和使用方法,用于治疗单发和分叉腔中空体器官或血管中发生的动脉瘤,并用于治疗动静脉瘘。 移植物递送组件(10)在植入支架之前的任何时间都为临床医生提供对移植物位置的完全控制,即使当移植物从其导引导管部署时。 移植物递送部件(10)包括可释放地接合移植物的多个可径向扩张的指状物(11-16),而支架递送部件(10)包括小直径导引器导管,并允许广泛范围的常规支架设计为 用于将移植物永久固定到位。

    METHODS AND APPARATUS FOR HANDLING TUBING USED IN MEDICAL PROCEDURES
    63.
    发明申请
    METHODS AND APPARATUS FOR HANDLING TUBING USED IN MEDICAL PROCEDURES 审中-公开
    用于医疗过程中使用的管道的方法和装置

    公开(公告)号:WO1998019635A1

    公开(公告)日:1998-05-14

    申请号:PCT/US1997020846

    申请日:1997-11-05

    IPC分类号: A61F02/06

    摘要: Methods and apparatus are provided for such uses as attaching grafts of tubing (e.g., lengths of saphenous vein) between sites in a patient's body via the patient's existing arteries and veins. Grafts may be held in place during graft delivery using a partially inflated proximal balloon and a partially inflated distal balloon which frictionally engage axially spaced portions of the graft (e.g., pronged attachment rings that pierce the graft adjacent its ends). After aligning the distal balloon and distal end of the graft with the distal attachment site, the distal balloon may be further inflated to help attach the distal end of the graft to the distal attachment site (e.g., by driving the prongs of the distal attachment ring into the distal attchment site). The proximl balloon may then be inflated to similarly help attach the proximal end of the graft to the proximal attachment site. The balloons are deflated to facilitate withdrawal of the apparatus from the installed graft. The insertion instruments allows the distance between the distal and proximal balloons to be adjusted, thereby accommodating grafts of various lengths. The separation between distal and proximal balloons may be fixed or substantially fixed using a locking mechanism.

    摘要翻译: 提供了用于例如通过患者现有的动脉和静脉将患者体内的位置之间的管(例如,隐静脉长度)的移植物附接的方法和装置。 移植物可以在移植物输送期间使用部分充气的近端球囊和部分充气的远端球囊保持在适当位置,所述远端球囊摩擦地接合移植物的轴向间隔的部分(例如,穿过邻近其端部的移植物的插入连接环)。 在使远端球囊和远端附着部位对准移植物的远端后,远端球囊可以进一步膨胀以帮助将移植物的远端附接到远侧附接部位(例如,通过驱动远侧附接环的尖头 进入远端附属部位)。 然后可以将近端气球膨胀以类似地帮助将移植物的近端附接到近端附着部位。 气囊被放气以便于将装置从装载的移植物中取出。 插入器械允许调节远端和近端气球之间的距离,从而容纳各种长度的移植物。 远端和近端球囊之间的分离可使用锁定机构固定或基本固定。

    METHOD AND APPARATUS FOR SEVERING AND CAPTURING POLYPS
    65.
    发明申请
    METHOD AND APPARATUS FOR SEVERING AND CAPTURING POLYPS 审中-公开
    用于分割和捕获聚合物的方法和装置

    公开(公告)号:WO1996032069A1

    公开(公告)日:1996-10-17

    申请号:PCT/US1996005069

    申请日:1996-04-12

    IPC分类号: A61B17/24

    摘要: An apparatus (10) and a method for managing polyps by which an elongated tubular member (11) generally positionable within a working channel of an endoscopic device. The tubular member (11) carries a selectively extendable severing device (13) and capturing device (14) at its distal end (12). Slide member (17) at the proximal end (16) of the tubular member (11) enables a physician to extend and retract the severing and capturing devices (13, 14). The physician retracts the capturing device (14) to grasp the portion of the polyp to be severed and retracts the severing device (13) to sever the polyp. The capturing device (14) retains the severed portion of the polyp for removal with the tubular member (11). In one of the embodiments the capturing device (14) includes an injection needle (71A).

    摘要翻译: 一种用于管理息肉的装置(10)和方法,通过所述方法,细长的管状构件(11)通常可定位在内窥镜装置的工作通道内。 管状构件(11)在其远端(12)处携带选择性地可延伸的切断装置(13)和捕获装置(14)。 在管状构件(11)的近端(16)处的滑动构件(17)使得医师能够延伸和缩回切断和捕获装置(13,14)。 医生缩回捕获装置(14)以抓住待切断的息肉的部分并使断开装置(13)缩回以切断息肉。 捕获装置(14)将用于移除的息肉的切断部分与管状部件(11)保持在一起。 在一个实施例中,捕获装置(14)包括注射针(71A)。

    LAPAROSCOPIC SURGICAL GRASPER HAVING AN ATTACHABLE STRAP
    66.
    发明申请
    LAPAROSCOPIC SURGICAL GRASPER HAVING AN ATTACHABLE STRAP 审中-公开
    具有连接带的LAPAROSCOPIC手术砂浆

    公开(公告)号:WO1996028101A1

    公开(公告)日:1996-09-19

    申请号:PCT/US1996002981

    申请日:1996-03-01

    IPC分类号: A61B17/24

    摘要: A medical grasper device (10) that is useful for holding and manipulating a body organ is described. The grasper device is partially inserted into a body cavity and comprises a flexible strap (14) having a distal section (18) that is deployed from a tube (12) to form a partial closed loop (2). A terminal end of the strap has an aperture (42) that is manipulated by a separate forceps-type device to mate with a connection means (56) provided on the grasper device to complete the loop. The closed loop is then adjustable in size to provide for positioning the loop at a desired location around the target body organ to hold and manipulate the body organ. At such time as the grasper device is no longer needed in the surgical procedure, the strap is either removed from the connection means with the aforementioned forceps-type device or is cut by a separate cutting means to release the loop from the body organ and the grasper device is removed from the body cavity.

    摘要翻译: 描述了用于保持和操纵身体器官的医用抓持器装置(10)。 抓持装置被部分地插入体腔中并且包括具有从管(12)展开以形成部分闭合环(2)的远端部分(18)的柔性带(14)。 带子的终端具有孔(42),该孔由单独的镊子型装置操纵以与设置在抓紧装置上的连接装置(56)配合以完成环路。 然后,闭环可调整尺寸以提供将环定位在目标身体器官周围的期望位置以保持和操纵身体器官。 在外科手术中不再需要抓紧装置的时候,用上述镊子式装置将连接装置从连接装置上取下,或者用分离的切割装置切割以将环从身体器官释放出来 抓取装置从体腔移除。

    MEDICAL DEVICE WITH IMPROVED ACTUATING HANDLE
    67.
    发明申请
    MEDICAL DEVICE WITH IMPROVED ACTUATING HANDLE 审中-公开
    具有改进动作手柄的医疗装置

    公开(公告)号:WO1995005129A1

    公开(公告)日:1995-02-23

    申请号:PCT/US1994009346

    申请日:1994-08-15

    IPC分类号: A61B19/00

    摘要: This invention is a medical device (10) having a body (18), an actuating member (24) mounted to move relative to the body, a working element (20) and an elongated force transmitting member (12) capable of transmitting force between the actuating member and the working element. The force transmitting member includes a flexible cable portion. The force transmitting member is attached on one side of the cable portion to the body, and associated in a driving relationship on an opposite side of the cable portion with the working element. The actuating member includes a pulley surface (26) bodily movable therewith. The cable portion is trained about the pulley surface such that movement of the actuating member, given a distance relative to the body, causes the working element to move a substantially greater distance than the given distance.

    摘要翻译: 本发明是一种医疗装置(10),其具有主体(18),安装成相对于主体移动的致动构件(24),工作元件(20)和细长力传递构件(12),其能够在 致动构件和工作元件。 力传递构件包括柔性电缆部分。 力传递部件在电缆部分的一侧附接到主体,并且在电缆部分的与工作元件相对的一侧上以驱动关系相关联。 致动构件包括能够与其一体移动的滑轮表面(26)。 电缆部分围绕滑轮表面进行训练,使致动构件相对于主体给定一定距离的运动导致工作元件移动比给定距离大得多的距离。

    ENDOSCOPIC SNARE
    69.
    发明申请
    ENDOSCOPIC SNARE 审中-公开

    公开(公告)号:WO2019104355A1

    公开(公告)日:2019-05-31

    申请号:PCT/US2018/062679

    申请日:2018-11-27

    申请人: SALEH, Rafic

    发明人: SALEH, Rafic

    IPC分类号: A61B17/3205 B21F45/00

    摘要: An endoscopic snare device (10, 100, 100') includes a pair of bowed, resiliently deformable, snare wires (12, 14) with bow shaped memory, a mesh (20) attached to mid-portions (16, 18) and distal portions (22, 24) of the snare wires (12, 14) for a mesh length (A) that is less than the snare length (L), a bowed, resiliently deformable, support wire (116) extending in a plane out of the plane of the snare wires (12, 14), and a pair of bowed, resiliently deformable, incising wires (112, 114) side by side with the snare wires (12, 14). The support wire (116) is electrically insulated. A mouth cord or wire (46) extends from one snare wire (12), through the support wire (116), and to the other snare wire (14).

    VORRICHTUNG ZUR AUFNAHME EINES PRÄPARATES IN EINEN BERGEBEUTEL
    70.
    发明申请
    VORRICHTUNG ZUR AUFNAHME EINES PRÄPARATES IN EINEN BERGEBEUTEL 审中-公开
    用于在山地袋中接收制剂的装置

    公开(公告)号:WO2017072359A1

    公开(公告)日:2017-05-04

    申请号:PCT/EP2016/076233

    申请日:2016-10-31

    摘要: Vorrichtung zur Aufnahme eines Präparates in einen Bergebeutel Die Erfindung betrifft eine Vorrichtung (1) zur Aufnahme eines Präparates (29) in einen Bergebeutel (5), wobei das Präparat (29) mit einer elektrochirurgischen Schneidschlinge (6, 6') in einer Körperhöhle (27) abgetrennt wurde, wobei der Bergebeutel (5) an einem Ende (7) eines in einem Einführungsrohr (3) längsverschieblichen Aktuators (4) angeordnet und aus einer distalen Öffnung (10) des Einführungsrohres (3) ausfahrbar ist, wobei im ausgefahrenem Zustand eine erste Beutelöffnung (9) des Bergebeutels (5) durch eine mit ihr verbundene elastisch federnde erste Schlinge (8, 8') aufgespannt und im eingefahrenem Zustand durch die erste Schlinge (8, 8') geschlossen und vom distalen Ende (11) des Einführungsrohres (3) abgedeckt ist, wobei die elektrochirurgische Schneidschlinge (6, 6') elastisch federnd ausgebildet und über den Aktuator (4) mit dem Bergebeutel (5) aus dem Einführungsrohr (3) sich aufspannend ausfahrbar ist und wobei die Schneidschlinge (6, 6') der ersten Beutelöffnung (9) benachbart angeordnet ist, und wobei die elektrochirurgische Schneidschlinge (6') benachbart zu der ersten Schlinge (8') angeordnet ist. Die Erfindung zeichnet sich dadurch aus,dass die Schneidschlinge (6, 6') an ihrem distalen Ende (13, 13') einen freiliegenden, unisolierten, elektrisch leitenden Schneidbereich (14, 14') aufweist und in einem Isolierbereich (15, 15') außerhalb des Schneidbereiches (14, 14') isoliert ausgebildet ist, dass der Bergebeutel (5) mindestens eine zweite verschließbare Beutelöffnung (17) aufweist, und dass die zweite Beutelöffnung (17) an dem der ersten Beutelöffnung (9) abgewandten Ende des Bergebeutels (5) angeordnet ist.

    摘要翻译:

    装置,用于接收镨AUML;在提取袋本发明涉及一种装置(1),用于接收镨AUML parates;在提取袋parates(29)(5),其中,所述镨Ä PARAT(29) 在一个K&ouml电外科切割环(6,6“);分离HLE(27),其中,所述提取袋(5)在一个端部(7)的插入导航用途的; rperh&oUML引导管(3)LÄ ngsverschieblichen致动器(4 )并且由远端&ouml的;插入导航用途的开口(10)是可延伸导向管(3),其中,在所述扩展状态中,第一袋和oUML;开口(9)的回收袋(5)通过一个附属弹性回弹第一环路(8 被引导管(3)所覆盖,其中,所述电外科切割环(6,6“)是弹性回弹,8”),其安装并在由所述第一环(8,8“)中的缩回状态被关闭,(从插入导航用途的远端11) 并通过致动器(4)到山上 Utel(5)从所述插入导航使用引导管(3)本身是利用可扩展,并且其中所述切割环(6,6“)的第一袋&OUML的;开口(9)被设置在相邻的,并且其中,所述电外科切割环(6”)相邻的 第一环(8')被布置。 在其远端处的本发明的特征在于,所述切割环“和具有(在隔离区15,15(6,6”)(13,13“)的暴露,未绝缘的,导电的切削部分(14,14)” 是形成绝缘切割区(14,14“)的外侧,以便在提取袋(5)的至少一个第二verschlie ROAD)AU大街具有开口(17),并且所述第二袋&oUML ;;裸袋&oUML开口(17),在其所述第一 袋开口(9)背向袋(5)。