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    Endoscopic tissue anchor deployment
    91.
    发明授权
    Endoscopic tissue anchor deployment 有权
    内窥镜组织锚部署

    公开(公告)号：US08920436B2

    公开(公告)日：2014-12-30

    申请号：US13348201

    申请日：2012-01-11

    Applicant: Cang Lam ,  Richard C. Ewers ,  Christopher James Earley

    Inventor： Cang Lam ,  Richard C. Ewers ,  Christopher James Earley

    IPC: A61B17/04 ,  A61B17/29 ,  A61B17/00 ,  A61B17/06

    CPC classification number: A61B17/0401 ,  A61B17/0487 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/06052 ,  A61B2017/2905 ,  A61B2017/2916

    Abstract: An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. The handle may include a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.

    Abstract translation: 内窥镜组织锚定部署装置包括手柄，限定内腔的细长轴和附接到细长轴的远端的端部执行器。 组织锚导管可移除地插入穿过细长轴的内腔，该导管具有可从其远端展开的组织锚组件。 手柄可以包括销和轨道组件，其限定对应于展开装置端部执行器和组织锚固导管的展开步骤的一系列手柄致动步骤。 在一些实施例中，手柄包括防止组织锚固导管在某些情况下移动的导管止动构件以及在某些情况下阻止手柄致动的手柄止动构件。

    Compressible tissue anchor assemblies
    92.
    发明授权
    Compressible tissue anchor assemblies 有权
    可压缩组织锚固组件

    公开(公告)号：US08382800B2

    公开(公告)日：2013-02-26

    申请号：US12724348

    申请日：2010-03-15

    Applicant: Tracy D. Maahs ,  Marvin C. Elmer ,  Richard C. Ewers

    Inventor： Tracy D. Maahs ,  Marvin C. Elmer ,  Richard C. Ewers

    IPC: A61B17/04

    CPC classification number: A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0644 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2090/037

    Abstract: Apparatus and methods for optimizing anchoring force are described herein. In securing tissue folds, over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable arms configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue. Various devices, e.g., stops, spring members, fuses, strain gauges, etc., can be used to indicate when the anchor has been deflected to a predetermined level within the optimal range. Moreover, other factors to affect the anchor characteristics include, e.g., varying the number of arms or struts of the anchor, positioning of the arms, configuration of the arms, the length of the collars, etc.

    Abstract translation: 本文描述了用于优化锚固力的装置和方法。 在固定组织褶皱时，通过利用具有可扩张臂的组织锚来避免直接位于锚固件正下方的组织的过度压缩，所述组织锚构造成使锚和组织之间的接触面积最小化。 当锚固件处于其膨胀构型时，将负载施加到锚固件，直到其被最佳地构造成适应一定范围的偏转，同时锚固件本身对组织施加基本恒定的力。 可以使用各种装置，例如止动件，弹簧构件，保险丝，应变计等来指示锚固件何时被偏转到最佳范围内的预定水平。 此外，影响锚固特征的其他因素包括例如改变锚的臂或支柱的数量，臂的定位，臂的构型，套环的长度等。

    ENDOSCOPIC TISSUE ANCHOR DEPLOYMENT
    93.
    发明申请
    ENDOSCOPIC TISSUE ANCHOR DEPLOYMENT 有权
    内窥镜组织锚固部分

    公开(公告)号：US20120184972A1

    公开(公告)日：2012-07-19

    申请号：US13348201

    申请日：2012-01-11

    Applicant: Cang Lam ,  Richard C. Ewers ,  Christopher James Earley

    Inventor： Cang Lam ,  Richard C. Ewers ,  Christopher James Earley

    IPC: A61B17/04

    CPC classification number: A61B17/0401 ,  A61B17/0487 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/06052 ,  A61B2017/2905 ,  A61B2017/2916

    Abstract: An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. The handle may include a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.

    Abstract translation: 内窥镜组织锚定部署装置包括手柄，限定内腔的细长轴和附接到细长轴的远端的端部执行器。 组织锚导管可移除地插入穿过细长轴的内腔，该导管具有可从其远端展开的组织锚组件。 手柄可以包括销和轨道组件，其限定对应于展开装置端部执行器和组织锚固导管的展开步骤的一系列手柄致动步骤。 在一些实施例中，手柄包括防止组织锚固导管在某些情况下移动的导管止动构件以及在某些情况下阻止手柄致动的手柄止动构件。

    Surgical access apparatus and method
    94.
    发明授权
    Surgical access apparatus and method 有权
    手术进入装置及方法

    公开(公告)号：US08070676B2

    公开(公告)日：2011-12-06

    申请号：US12960449

    申请日：2010-12-03

    Applicant: Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    Inventor： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    IPC: A61B1/32

    CPC classification number: A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3474 ,  A61B17/3498 ,  A61B2017/00265 ,  A61B2017/00526 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3492 ,  A61M13/003

    Abstract: A surgical access device includes an access seal comprising an ultra gel elastomeric material formed of a mixture comprising a triblock copolymer and an oil. The access seal is adapted to be disposed relative to the abdominal wall. At least one access channel is formed through the elastomeric material between a proximal portion and a distal portion of the access seal. The access channel when operatively disposed forms at least a portion of a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The elastomeric material of the access seal is adapted to conform to a surface of an instrument inserted through the working channel to provide instrument access to the abdominal cavity while maintaining insufflation pressure in the abdominal cavity. The access channel is configured to self seal in the absence of any instrument extending through the access channel.

    Abstract translation: 外科进入装置包括进入密封件，其包括由包含三嵌段共聚物和油的混合物形成的超凝胶弹性体材料。 进入密封件适于相对于腹壁设置。 在进入密封件的近端部分和远端部分之间通过弹性体材料形成至少一个进入通道。 当操作性地设置时，进入通道形成在腹壁外部的位置与腹壁内部的位置之间的工作通道的至少一部分。 进入密封件的弹性体材料适于与通过工作通道插入的仪器的表面一致，以提供器械进入腹腔，同时保持腹腔内的注射压力。 访问通道被配置为在没有任何通过访问通道延伸的仪器的情况下自封。

    ENDOLUMINAL INSTRUMENT MANAGEMENT SYSTEM
    98.
    发明申请
    ENDOLUMINAL INSTRUMENT MANAGEMENT SYSTEM 审中-公开
    内镜仪器管理系统

    公开(公告)号：US20090023985A1

    公开(公告)日：2009-01-22

    申请号：US12138348

    申请日：2008-06-12

    Applicant: Richard C. Ewers

    Inventor： Richard C. Ewers

    IPC: A61B1/00

    CPC classification number: A61B1/0051 ,  A61B1/00147 ,  A61B1/00149 ,  A61B1/018 ,  A61B17/29 ,  A61B90/50 ,  A61B90/53 ,  A61B2017/003 ,  A61B2017/0409 ,  A61B2017/294 ,  A61B2017/3445 ,  A61B2017/3449

    Abstract: Endoluminal instrument management systems are described herein which allow one or more operators to manage multiple different instruments utilized in endoluminal procedures. Responsibility for instrumentation management between one or more operators may be configured such that a first set of instruments is controlled by a primary operator and a second set of instruments is controlled by a secondary operator. The division of instrumentation may be facilitated by the use of separated instrumentation platforms or a single platform which separates each instrument for use by the primary operator. Such platforms may be configured as trays, instrument support arms, multi-instrument channels, as well as rigidized portions of instruments to facilitate its handling, among others.

    Abstract translation: 本文描述了腔内仪器管理系统，其允许一个或多个操作者管理腔内程序中使用的多种不同仪器。 可以配置一个或多个操作者之间的仪表管理的责任，使得第一组仪器由主操作者控制，第二组仪器由次操作者控制。 可以通过使用分离的仪器平台或将每个仪器分离以供主要操作员使用的单个平台来促进仪器的划分。 这样的平台可以被配置为托盘，仪器支撑臂，多仪器通道，以及便于其操纵的仪器的刚性部分等。

    Surgical access apparatus and method
    99.
    发明授权
    Surgical access apparatus and method 有权
    手术进入装置及方法

    公开(公告)号：US07473221B2

    公开(公告)日：2009-01-06

    申请号：US10381220

    申请日：2001-09-21

    Applicant: Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    Inventor： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    IPC: A61B1/32

    CPC classification number: A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3474 ,  A61B17/3498 ,  A61B2017/00265 ,  A61B2017/00526 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3492 ,  A61M13/003

    Abstract: A surgical access device includes a single valve forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. An organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity.

    Abstract translation: 手术进入装置包括单个阀，其与主体壁形成密封并且提供进入体腔的通道。 该阀具有在没有仪器和仪器密封的情况下产生零密封的特性。 阀可以包括由弹性体和油组成的凝胶，其提供大于1000％的伸长率和小于5肖氏A的硬度。单个阀可以用作手术口，其中仪器包括外科医生的手臂。 制造外科进入装置的方法包括将胶凝剂与油组合，优选在模制过程中。 使用该装置的方法包括用仪器创建开口。 器官可以通过单个阀从体腔中移除，以在器官在体腔外部寻址时产生器官密封。

    TISSUE PENETRATION AND GRASPING APPARATUS
    100.
    发明申请
    TISSUE PENETRATION AND GRASPING APPARATUS 审中-公开
    组织渗透和抛光装置

    公开(公告)号：US20080262525A1

    公开(公告)日：2008-10-23

    申请号：US11736541

    申请日：2007-04-17

    Applicant: Arvin T. Chang ,  Richard C. Ewers

    Inventor： Arvin T. Chang ,  Richard C. Ewers

    IPC: A61B17/32

    CPC classification number: A61B17/0218 ,  A61B2017/00278

    Abstract: A tissue grasping apparatus includes a control member, an elongated shaft, and a tissue penetrating and grasping member attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the tissue penetrating and grasping member. In an embodiment, the tissue penetrating and grasping member includes a rigid penetrating member that is rotatably attached to the distal end of the elongated shaft. In an embodiment, the activation mechanism includes a flexible drive wire attached to the penetrating member.

    Abstract translation: 组织抓取装置包括控制构件，细长轴和附接到细长轴的远端的组织穿透和抓持构件。 激活机构提供控制构件和组织穿透和抓持构件之间的用户可操作的连接。 在一个实施例中，组织穿透和抓握构件包括可旋转地附接到细长轴的远端的刚性穿透构件。 在一个实施例中，激活机构包括附接到穿透构件的柔性驱动线。

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