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1. 发明授权

US09259233B2 Method and device for distending a gynecological cavity 有权
标题翻译：扩大妇科腔的方法和装置
公开(公告)号：US09259233B2
公开(公告)日：2016-02-16
申请号：US11951853
申请日：2007-12-06
申请人： William H. Gruber , Ronald D. Adams , Michael A. Lorenz , Ryan S. Crisp , Chris W. Clcenas , Brent L. Burchfield , Paul DiCesare , Jeffrey Radziunas , Daniel Vigliotti
发明人： William H. Gruber , Ronald D. Adams , Michael A. Lorenz , Ryan S. Crisp , Chris W. Clcenas , Brent L. Burchfield , Paul DiCesare , Jeffrey Radziunas , Daniel Vigliotti
IPC分类号： A61B17/42 , A61B17/30 , A61B1/303 , A61B17/02 , A61B17/32 , A61F6/20 , A61M25/10 , A61M37/00 , A61B1/06 , A61B5/00 , A61F6/22 , A61M25/09 , A61M29/02 , A61M31/00 , A61N5/06 , A61N7/02 , A61B17/12 , A61B17/3207 , A61B17/00 , A61B17/22 , A61B19/00 , A61M25/00
CPC分类号： A61B17/4241 , A61B1/0615 , A61B1/0661 , A61B1/303 , A61B5/6875 , A61B17/02 , A61B17/0218 , A61B17/12013 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/22 , A61B17/30 , A61B17/32002 , A61B17/320068 , A61B17/320783 , A61B17/42 , A61B2017/00084 , A61B2017/00278 , A61B2017/00557 , A61B2017/00862 , A61B2017/00876 , A61B2017/00893 , A61B2017/12018 , A61B2017/12127 , A61B2017/22038 , A61B2017/306 , A61B2090/064 , A61B2090/306 , A61F6/20 , A61F6/225 , A61M25/0026 , A61M25/09 , A61M25/1002 , A61M25/1011 , A61M29/02 , A61M31/002 , A61M37/0092 , A61M2025/1047 , A61M2025/105 , A61N5/0603 , A61N5/062 , A61N7/022
摘要： Method and device for distending a gynecological cavity. According to one embodiment, a mechanical, non-fluid device is used to distend the gynecological cavity. Such devices include, for example, self-expanding members, such as resilient baskets, coils, whisks, prongs, and loops, or mechanically expanded members, such as inflatable balloons, mechanically-expanded cages and loops, and scissor jacks. The device may serve a purpose in addition to distension, such as illumination, imaging, irrigation, drug delivery, resection and cauterization.
摘要翻译：扩大妇科腔的方法和装置。根据一个实施例，使用机械非流体装置来扩张妇科腔。这样的装置包括例如自膨胀构件，例如弹性篮，线圈，拂子，插脚和环，或机械膨胀构件，例如可充气气球，机械扩展的笼和环和剪刀千斤顶。除了照明，成像，灌溉，药物递送，切除和烧灼之外，该装置还可以用于扩张的目的。

2. 发明授权

US08834487B2 Systems and methods for preventing intravasation during intrauterine procedures 有权
标题翻译：宫内手术期间预防渗透的系统和方法
公开(公告)号：US08834487B2
公开(公告)日：2014-09-16
申请号：US12842775
申请日：2010-07-23
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42 , A61B17/12 , A61B19/00 , A61B17/32 , A61B18/14 , A61B18/22 , A61B18/02 , A61B17/02 , A61B17/00
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. Distension is achieved mechanically, rather than with liquid distension media, thereby eliminating the risk of intravasation.
摘要翻译：公开了用于执行改进的妇科和泌尿系统程序的系统，方法，装置和装置。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。扩张是机械地实现的，而不是液体膨胀介质，从而消除了渗透的风险。

3. 发明授权

US08062318B2 Full thickness resection device 有权
标题翻译：全厚度切除装置
公开(公告)号：US08062318B2
公开(公告)日：2011-11-22
申请号：US11940561
申请日：2007-11-15
申请人： Ronald D. Adams
发明人： Ronald D. Adams
IPC分类号： A61B17/32 , A61B18/00
CPC分类号： A61B17/320783 , A61B1/00087 , A61B1/00181 , A61B1/0051 , A61B1/05 , A61B1/0676 , A61B1/0684 , A61B1/12 , A61B1/31 , A61B17/0686 , A61B17/072 , A61B17/320016 , A61B90/30 , A61B90/361 , A61B90/37
摘要： An operating head for a full thickness resection system includes a first optical device disposed on a distal portion thereof and having a viewing area extending distally of the distal portion and a working chamber extending within an exterior wall of the operating head, a first portion of the exterior wall being moveable with respect to a second portion thereof to selectively open the working chamber to an exterior of the operating head. Furthermore, the operating head includes a second optical device mounted within the working chamber with a viewing area of the second optical device extending distally therefrom.
摘要翻译：用于全厚度切除系统的操作头包括设置在其远端部分上的第一光学装置，并且具有在远侧部分的远端延伸的观察区域和在操作头部的外壁内延伸的工作室，外壁相对于其第二部分可移动以选择性地将工作室打开到操作头的外部。此外，操作头包括安装在工作室内的第二光学装置，第二光学装置具有从其向远侧延伸的第二光学装置的观察区域。

4. 发明申请

US20110108604A1 Method and Device for Full Thickness Resectioning of an Organ 有权
标题翻译：器官全层切除术的方法与装置
公开(公告)号：US20110108604A1
公开(公告)日：2011-05-12
申请号：US13009070
申请日：2011-01-19
申请人： Ronald D. ADAMS , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. ADAMS , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

5. 发明授权

US07546939B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US07546939B2
公开(公告)日：2009-06-16
申请号：US11411389
申请日：2006-04-25
申请人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , George A. Nunez , Lauren O. Main , Peter K. Kratsch , Jurgen A. Kortenbach , Matt Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： Described is a full-thickness resection system which includes a control unit coupled to a proximal end of a flexible endoscope. The control unit remains outside of a body when the stapling head is in an operative position within a body lumen. The control unit includes (i) an anvil actuator coupled to an anvil in the stapling head, actuation of the anvil actuator moves the anvil axially relative to a stapling mechanism in the stapling head to compress a folded full-thickness portion of lumenal tissue between the anvil and the stapling mechanism. In addition, the control unit includes (ii) a stapler actuator coupled to the stapling mechanism in the stapling head, actuation of the stapler actuator causing the stapling mechanism to drive staples through the folded lumenal tissue against the anvil. Also, the control unit includes (iii) a tissue cutter actuator coupled to a tissue cutter in the stapling head, actuation of the tissue cutter actuator causing the tissue cutter to resect portions of the folded lumenal tissue.
摘要翻译：描述了全厚度切除系统，其包括耦合到柔性内窥镜的近端的控制单元。当装订头处于体腔内的操作位置时，控制单元保持在身体外部。控制单元包括（i）联接到装订头中的砧座的砧座致动器，砧座致动器相对于缝合头中的缝合机构轴向地轴向移动砧座，以压缩位于缝合头之间的管腔组织的折叠全部厚度部分砧座和装订机构。此外，控制单元包括（ii）联接到装订头中的装订机构的订书机致动器，致动订书机致动器，使订书机构将钉子穿过折叠的腔组织抵靠砧座。此外，控制单元包括（iii）联接到装订头中的组织切割器的组织切割器致动器，促使组织切割器致动器致使组织切割器切除折叠的腔组织的部分。

6. 发明申请

US20080097467A1 SYSTEM AND METHODS FOR PREVENTING INTRAVASATION DURING INTRAUTERINE PROCEDURES 有权
标题翻译：系统和方法，用于在肛门手术过程中预防侵入
公开(公告)号：US20080097467A1
公开(公告)日：2008-04-24
申请号：US11852116
申请日：2007-09-07
申请人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： William H. Gruber , Ronald D. Adams , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic. Distension is achieved mechanically, rather than with liquid distension media, thereby eliminating the risk of intravasation.
摘要翻译：公开了用于执行改善的妇科和泌尿系统程序的系统，方法，装置和装置。通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。扩张是机械地实现的，而不是液体膨胀介质，从而消除了渗透的风险。

8. 发明授权

US08840626B2 Systems for performing gynecological procedures with simultaneous tissue cutting and removal 有权
标题翻译：执行妇科手术同时进行组织切割和移除的系统
公开(公告)号：US08840626B2
公开(公告)日：2014-09-23
申请号：US11852200
申请日：2007-09-07
申请人： Ronald D. Adams , William H. Gruber , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
发明人： Ronald D. Adams , William H. Gruber , Kevin G. Connors , Geoffrey B. Pardo , James Daniel Cole , J. Christopher Flaherty
IPC分类号： A61B17/42 , A61B17/12 , A61B19/00 , A61B18/22 , A61B17/00 , A61B17/32 , A61B18/02 , A61B17/02 , A61B18/14
CPC分类号： A61B17/42 , A61B17/0218 , A61B17/12045 , A61B17/12099 , A61B17/12136 , A61B17/32002 , A61B18/02 , A61B18/1485 , A61B18/22 , A61B90/02 , A61B2017/00026 , A61B2017/00867 , A61B2017/320024 , A61B2017/320028 , A61B2017/4216 , A61B2017/4225 , A61B2017/4233 , A61B2090/3614 , A61B2090/378 , A61B2217/005 , A61B2217/007 , A61N5/1016
摘要： Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures are disclosed. The system is configured to permit simultaneous tissue cutting and removal from a target site. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.
摘要翻译：公开了用于执行改进的妇科和泌尿系统程序的系统，方法，装置和装置。该系统被配置为允许从目标部位同时进行组织切割和移除。各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

9. 发明申请

US20120065657A1 Full Thickness Resection Device 失效
标题翻译：全厚度切除装置
公开(公告)号：US20120065657A1
公开(公告)日：2012-03-15
申请号：US13299092
申请日：2011-11-17
申请人： Ronald D. ADAMS
发明人： Ronald D. ADAMS
IPC分类号： A61B17/32
CPC分类号： A61B17/320783 , A61B1/00087 , A61B1/00181 , A61B1/0051 , A61B1/05 , A61B1/0676 , A61B1/0684 , A61B1/12 , A61B1/31 , A61B17/0686 , A61B17/072 , A61B17/320016 , A61B90/30 , A61B90/361 , A61B90/37
摘要： An operating head for a full thickness resection system includes a first optical device disposed on a distal portion thereof and having a viewing area extending distally of the distal portion and a working chamber extending within an exterior wall of the operating head, a first portion of the exterior wall being moveable with respect to a second portion thereof to selectively open the working chamber to an exterior of the operating head. Furthermore, the operating head includes a second optical device mounted within the working chamber with a viewing area of the second optical device extending distally therefrom.
摘要翻译：用于全厚度切除系统的操作头包括设置在其远端部分上的第一光学装置，并且具有在远侧部分的远端延伸的观察区域和在操作头部的外壁内延伸的工作室，外壁相对于其第二部分可移动以选择性地将工作室打开到操作头的外部。此外，操作头包括安装在工作室内的第二光学装置，第二光学装置具有从其向远侧延伸的第二光学装置的观察区域。

10. 发明授权

US08083666B2 Endoscopic resection devices and related methods of use 有权
标题翻译：内窥镜切除装置及相关使用方法
公开(公告)号：US08083666B2
公开(公告)日：2011-12-27
申请号：US11332443
申请日：2006-01-13
申请人： Ronald D. Adams
发明人： Ronald D. Adams
IPC分类号： A61B1/00
CPC分类号： A61B1/00154 , A61B10/04 , A61B17/115 , A61B17/320016
摘要： Described is a tissue resection system which includes a guide element; a resection head; a positioning mechanism and an actuating mechanism. The resection head includes a guide channel slidably receiving the guide element and an endoscope channel sized to slidably receive an endoscope therein, so that, when the resection head is slid along the guide element, the endoscope and the resection head follow a path defined by the guide element. The positioning mechanism moves the resection head relative to a distal end of the endoscope between a first position in which the distal end of the endoscope extends distally out of the endoscope channel and a second position in which the distal end of the endoscope is received within the endoscope channel. The actuating mechanism moving a portion of an outer wall of the resection head to open and close a resection chamber defined by the outer wall.
摘要翻译：描述了一种包括引导元件的组织切除系统; 切除头; 定位机构和致动机构。切除头包括可滑动地接收引导元件的引导通道和尺寸适于可滑动地容纳内窥镜的内窥镜通道，使得当切除头沿着引导元件滑动时，内窥镜和切除头遵循由引导元素所述定位机构将所述切除头相对于所述内窥镜的前端部移动到所述内窥镜的前端从所述内窥镜通道向远侧延伸出的第一位置和所述内窥镜的前端在所述内窥镜的远端内部被接收的第二位置内窥镜通道。所述致动机构移动所述切除头的外壁的一部分以打开和闭合由所述外壁限定的切除室。

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