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    REGULATING PRESSURE TO LOWER TEMPERATURE IN A CYROTHERAPY BALLOON CATHETER
    51.
    发明申请
    REGULATING PRESSURE TO LOWER TEMPERATURE IN A CYROTHERAPY BALLOON CATHETER 审中-公开
    将压力调节至低温气囊导管

    公开(公告)号：US20150018811A1

    公开(公告)日：2015-01-15

    申请号：US14502813

    申请日：2014-09-30

    申请人： Boston Scientific Scimed, Inc.

    发明人： Leonard J. George ,  Joann Heberer

    IPC分类号： A61B18/02

    CPC分类号： A61B18/02 ,  A61B2017/00017 ,  A61B2017/00539 ,  A61B2018/00023 ,  A61B2018/0022 ,  A61B2018/0212 ,  A61B2018/0262

    摘要： A cryotherapy catheter can include an elongate member and an inflatable balloon at a distal end of the elongate member, the elongate member having lumens formed therein to supply cryogenic fluid to a chamber of the balloon and to channel exhaust from the balloon chamber; and a controller programmed to control a first rate at which the cryogenic fluid is supplied to the balloon chamber and a second rate at which exhaust is channeled from the balloon chamber, wherein the controller is programmed to a) develop, during a first phase of a cryotherapy procedure, a first pressure inside the balloon chamber at a value that is greater than an ambient pressure outside and adjacent to a proximal end of the elongate member, and b) develop, during a second phase of the cryotherapy procedure, the first pressure at a value that is less than the ambient pressure.

    摘要翻译： 冷冻治疗导管可以包括在细长构件的远端处的细长构件和可膨胀气囊，细长构件具有形成在其中的腔，以将低温流体供应到球囊的腔室并且引导气囊腔排出; 以及控制器，其被编程为控制所述低温流体被供应到所述球囊腔室的第一速率以及从所述气囊腔室引导排气的第二速率，其中所述控制器被编程为a）在第一阶段期间， 冷冻治疗程序，气囊腔内的第一压力的值大于在细长构件的近端外部和邻近的环境压力，以及b）在冷冻治疗过程的第二阶段期间，将第一压力 一个小于环境压力的值。

    TWIN FORCEPS FOR SINGLE ACCESS LAPAROSCOPY
    53.
    发明申请
    TWIN FORCEPS FOR SINGLE ACCESS LAPAROSCOPY 有权
    用于单次获取眼压的双因素

    公开(公告)号：US20140378998A1

    公开(公告)日：2014-12-25

    申请号：US14376420

    申请日：2013-02-19

    申请人： Antonia Rizzuto ,  Guido Danieli ,  Paola Nudo ,  Mario Donnici ,  Pasquale Francesco Greco ,  Rosario Sacco

    发明人： Antonia Rizzuto ,  Guido Danieli ,  Paola Nudo ,  Mario Donnici ,  Pasquale Francesco Greco ,  Rosario Sacco

    IPC分类号： A61B17/29 ,  A61B19/00

    CPC分类号： A61B17/2909 ,  A61B17/29 ,  A61B34/30 ,  A61B2017/00353 ,  A61B2017/00398 ,  A61B2017/00464 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/2904 ,  A61B2017/2906 ,  A61B2017/2908 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2931 ,  A61B2017/2943 ,  A61B2017/2945 ,  A61B2017/2946 ,  A61B2034/302

    摘要： The patent is relative to a new instrument for single access laparoscopy that tries to overcome the limits of the present instrumentation used in this technique, that usually allows to use only one forceps, which does not allow to keep the tissues tenses to work with the surgical instrument. To overcome this limitation, the proposed instrument presents two arms, arranged in parallel presenting a diameter equal to half of the main body in the opening direction of the same, while in the direction perpendicular to this these arms can have an higher diameter, provided its shape be entirely circumscribed by the external dimension of the initial body, and each bearing at the tip a forceps, which may be mounted directly on the arms or on two auxiliary arms. The internal mechanism allows opening the two arms, not necessarily in the plane of rotation of the control rings, while the forceps bend toward the inside, keeping their configuration, being all this controlled by a single command. Two additional commands allow then to open and close the forceps individually, and each command can be locked in any position. The forceps can be opened in any direction relative to the plane of the arms, which can also be adjustable in a particular version, as well as it is possible that one or both of the forceps are replaced by a tool of a different type. The instrument can also be made with curvature of the body opposite to that of the arms, the latter being also controlled with a further command. Finally, there are versions of different pliers with robotic motion control and implementation.

    摘要翻译： 该专利相对于用于单次进入腹腔镜检查的新仪器，其试图克服在该技术中使用的本仪器的限制，其通常仅允许使用一个钳子，其不允许将组织时态保持在与外科手术 仪器。 为了克服这个限制，所提出的仪器具有两个平行布置的臂，其直径等于主体在其打开方向上的一半，而在垂直于该方向的方向上，这些臂可以具有较高的直径，只要它们 形状完全由初始体的外部尺寸限定，并且每个在尖端处具有镊子，钳子可以直接安装在臂上或两个辅助臂上。 内部机构允许打开两个臂，而不一定在控制环的旋转平面内，同时镊子向内弯曲，保持其结构，全部由单个指令控制。 另外两个命令允许单独打开和关闭镊子，并且每个命令都可以锁定在任何位置。 镊子可以在相对于臂的平面的任何方向上打开，这也可以在特定的形式中调节，以及可能用不同类型的工具替换一个或两个镊子。 仪器也可以制成具有与臂相反的本体的曲率，后者也用另外的指令来控制。 最后，有不同钳子的版本，具有机器人运动控制和实现。

    FILAMENTARY DEVICES FOR TREATMENT OF VASCULAR DEFECTS
    56.
    发明申请
    FILAMENTARY DEVICES FOR TREATMENT OF VASCULAR DEFECTS 有权
    用于治疗血管缺损的纤维装置

    公开(公告)号：US20140358178A1

    公开(公告)日：2014-12-04

    申请号：US14459638

    申请日：2014-08-14

    申请人： SEQUENT MEDICAL INC.

    发明人： Todd J. HEWITT ,  Brian E. MERRITT ,  William R. PATTERSON

    IPC分类号： A61B17/12

    CPC分类号： A61B17/12113 ,  A61B17/12013 ,  A61B17/12031 ,  A61B17/12118 ,  A61B17/12172 ,  A61B17/12177 ,  A61B2017/00539 ,  A61B2017/00778 ,  A61B2017/00867 ,  A61B2017/1205 ,  A61B2017/12068 ,  A61B2017/1209 ,  A61B2017/12095 ,  A61B2090/3966

    摘要： Devices and methods for treatment of a patient's vasculature with some embodiments configured for delivery with a microcatheter for treatment of the cerebral vasculature of a patient. Embodiments may include a self-expanding resilient permeable shell having a radially constrained elongated state configured for delivery within a catheter lumen, an expanded state with a globular and longitudinally shortened configuration relative to the radially constrained state, and a plurality of elongate filaments which are woven together, which define a cavity of the permeable shell Some embodiments may include at least about 40% composite filaments having a high strength material and a highly radiopaque material. In some embodiments, the total cross sectional area of the highly radiopaque material is between about 11% and about 30% of the total cross sectional area of the plurality of elongate elements.

    摘要翻译： 用于治疗患者脉管系统的装置和方法，其中一些实施例被配置为用用于治疗患者的脑血管的微导管递送。 实施例可以包括自扩张弹性可渗透外壳，其具有被配置为在导管内腔内递送的径向约束的细长状态，相对于径向约束状态具有球状和纵向缩短的构造的扩张状态，以及多个细长细丝 一起，其限定可渗透壳体的空腔。一些实施例可以包括具有高强度材料和高度不透射线材料的至少约40％的复合长丝。 在一些实施例中，高度不透射线材料的总横截面积在多个细长元件的总横截面面积的约11％至约30％之间。

    Expanding surgical access port
    57.
    发明授权
    Expanding surgical access port 有权
    扩大手术进入口

    公开(公告)号：US08888691B2

    公开(公告)日：2014-11-18

    申请号：US13343813

    申请日：2012-01-05

    申请人： Gregory Okoniewski

    发明人： Gregory Okoniewski

    IPC分类号： A61B1/32 ,  A61B17/34 ,  A61B17/00

    CPC分类号： A61B17/3423 ,  A61B17/3431 ,  A61B17/3462 ,  A61B2017/00539 ,  A61B2017/3429 ,  A61B2017/3445

    摘要： A surgical access port that includes a cylindrical member having a proximal end and a distal end and defining a longitudinal axis; at least two lumen extending through the cylindrical member along the longitudinal axis; at least one cavity defined in the cylindrical member and positioned radially within the at least two lumen; and a source of inflation fluid coupled to the at least one cavity, the source of inflation configured to permit selectable inflation of the at least one cavity, whereby inflation of the at least one cavity increases the radial distance between the at least two lumen.

    摘要翻译： 一种外科进入口，其包括具有近端和远端并限定纵向轴线的圆柱形构件; 沿着所述纵向轴线延伸穿过所述圆柱形构件的至少两个腔; 限定在所述圆柱形构件中并且径向位于所述至少两个内腔内的至少一个空腔; 以及连接到所述至少一个腔的膨胀流体源，所述膨胀源构造成允许所述至少一个腔的可选择的膨胀，由此所述至少一个空腔的膨胀增加所述至少两个腔之间的径向距离。

    Endoscopic stapling devices and methods
    58.
    发明授权
    Endoscopic stapling devices and methods 有权
    内镜吻合装置及方法

    公开(公告)号：US08864008B2

    公开(公告)日：2014-10-21

    申请号：US13053133

    申请日：2011-03-21

    申请人： David Cole ,  Andrew Smith

    发明人： David Cole ,  Andrew Smith

    IPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/00 ,  A61F5/00 ,  A61B17/064 ,  A61B17/30 ,  A61B17/3205

    CPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/306 ,  A61F5/0013 ,  A61F5/0083

    摘要： Described herein are endoscopic staplers and methods used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach to plicate stomach tissue by engaging tissue from inside the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn into a tissue chamber, causing sections of serosal tissue to be positioned facing one another. The disclosed staplers allow opposed sections of tissue to be moved into contact with another, and preferably deliver staples for maintaining contact between tissue sections at least until serosal bonds form. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention, After one or more plications are formed, medical devices may optionally be coupled to the plication(s) for retention within the stomach.

    摘要翻译： 本文描述的是用于将一个或多个紧固件应用于身体组织的内窥镜缝合器和方法。 在一个实施例中，优选为吻合器的紧固件施加装置通过从胃内部接合组织并将其向内拉以将其经腹部通过胃进入胃组织。 在所公开的实施例中，组织被抽吸到组织室中，使得浆膜组织的部分彼此相对定位。 所公开的吻合器允许组织的相对部分移动与另一部分接触，并且优选地递送用于维持组织部分之间的接触的钉，至少直到形成浆膜粘结。 这些步骤中的每一个可以完全从胃内部进行，因此可以消除对任何手术或腹腔镜干预的需要。在形成一个或多个脓肿之后，医疗装置可以可选地连接到脓肿以保持在 肚子

    Apparatus, system, and method for performing an electrosurgical procedure
    59.
    发明授权
    Apparatus, system, and method for performing an electrosurgical procedure 有权
    用于执行电外科手术的装置，系统和方法

    公开(公告)号：US08852228B2

    公开(公告)日：2014-10-07

    申请号：US13369152

    申请日：2012-02-08

    申请人： William H. Nau, Jr.

    发明人： William H. Nau, Jr.

    IPC分类号： A61B17/00 ,  A61B18/18 ,  A61B18/14 ,  A61B17/29

    CPC分类号： A61B18/1445 ,  A61B2017/00539 ,  A61B2017/2932 ,  A61B2017/2948 ,  A61B2018/0063 ,  A61B2018/1455

    摘要： A forceps is provided. The forceps includes a housing having a shaft that extends therefrom. The bipolar forceps also includes a hydraulic mechanism that includes a fluid line and a plunger operatively coupled to the fluid line. The plunger is translatable within at least a portion of the shaft from a proximal position to a distal position. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of first and second jaw members biased in an open configuration. Each of the first and second jaw members configured to receive at least a portion of the plunger when a fluid is caused to flow within the fluid line such that the first and second jaw members move from an open position for positioning to a closed position for grasping tissue.

    摘要翻译： 提供镊子。 镊子包括具有从其延伸的轴的壳体。 双极镊子还包括液压机构，其包括流体管线和可操作地联接到流体管线的柱塞。 柱塞可在轴的至少一部分中从近端位置到远侧位置平移。 端部执行器组件可操作地连接到轴的远端，并且包括以开放构型偏置的一对第一和第二钳口构件。 第一和第二钳口构件中的每一个构造成当流体在流体管线内流动时接收柱塞的至少一部分，使得第一和第二钳口构件从用于定位的打开位置移动到用于抓握的关闭位置 组织。

    Trocar Support
    60.
    发明申请
    Trocar Support 有权
    套管针支持

    公开(公告)号：US20140257356A1

    公开(公告)日：2014-09-11

    申请号：US14239006

    申请日：2012-08-10

    申请人： John Stephen Pacak ,  Heather Dawn Diamond ,  Caroline Alison Corbett

    发明人： John Stephen Pacak ,  Heather Dawn Diamond ,  Caroline Alison Corbett

    IPC分类号： A61B17/34

    CPC分类号： A61B17/34 ,  A61B17/3417 ,  A61B2017/00539 ,  A61B2017/3486 ,  A61B2017/3492

    摘要： A support apparatus for supporting a trocar while the trocar extends through a body wall of a patient includes an inflatable collar extending around the trocar which can be inflated to a predetermined size by a source of fluid where the source of fluid is located on the trocar support apparatus itself so as to be carried thereby and is defined by a pump mechanism to provide a fixed volume allowing inflation only to a fixed size. An abutment member is shaped to be received on an outer surface of the trocar sleeve and adjustable longitudinally of the trocar sleeve so as to be located at a selected position. A tube connecting the pump on the abutment to the inflatable collar is wrapped helically around the sleeve of the trocar. The collar includes a sleeve portion which can be unrolled on to the trocar sleeve.

    摘要翻译： 一种用于在套管针延伸穿过患者的身体壁的情况下支撑套针针的支撑装置包括围绕套管针延伸的可充气衣领，套管针可以通过流体源膨胀至预定尺寸，其中流体源位于套管针支撑件 设备本身以便由其携带并且由泵机构限定以提供允许仅使固定尺寸的充气的固定体积。 邻接构件被成形为容纳在套管针套筒的外表面上并且可以在套管针套筒的纵向方向上被调节以便位于选定位置。 将基台上的泵连接到可充气套环的管子螺旋地缠绕在套管针的套管周围。 衣领包括可以展开在套管针套上的套筒部分。