公开(公告)号：US20120265218A1

公开(公告)日：2012-10-18

申请号：US13103936

申请日：2011-05-09

Applicant: Eugene G. CHEN ,  Tracy D. MAAHS ,  Richard C. EWERS ,  Lee L. SWANSTROM

Inventor： Eugene G. CHEN ,  Tracy D. MAAHS ,  Richard C. EWERS ,  Lee L. SWANSTROM

IPC: A61B17/04 ,  A61B17/10

CPC classification number: A61B17/0401 ,  A61B17/0057 ,  A61B17/0469 ,  A61B17/0487 ,  A61B2017/00575 ,  A61B2017/00637 ,  A61B2017/00818 ,  A61B2017/00867 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/06052

Abstract: Devices and methods for laparoscopically repairing a hernia are described. In some embodiments, a laparoscopic instrument is used to deploy one or more tissue anchor assemblies into the edges of the fascia tissue surrounding or adjacent to the hernia defect. The tissue anchor assemblies are used to cause the fascia tissue to be approximated to facilitate the repair procedure, to improve healing, and to reduce the incidence of recurrence.

Abstract translation: 描述了用于腹腔镜修复疝气的装置和方法。 在一些实施例中，使用腹腔镜器械将一个或多个组织锚固组件部署到围绕或邻近疝缺损的筋膜组织的边缘。 组织锚固组件用于使筋膜组织近似以便于修复过程，以改善愈合并降低复发的发生率。

公开(公告)号：US08262676B2

公开(公告)日：2012-09-11

申请号：US12562927

申请日：2009-09-18

Applicant: Richard C. Ewers ,  Boris Reydel ,  Cang Lam ,  Eugene G. Chen ,  Brent D. Seybold ,  Rodney Brenneman ,  Vahid Saadat

Inventor： Richard C. Ewers ,  Boris Reydel ,  Cang Lam ,  Eugene G. Chen ,  Brent D. Seybold ,  Rodney Brenneman ,  Vahid Saadat

IPC: A61B17/00 ,  A61B17/10 ,  A61B17/12 ,  A61B17/125

CPC classification number: A61B17/00234 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/0644 ,  A61B17/29 ,  A61B17/3421 ,  A61B17/3468 ,  A61B17/3478 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/061 ,  A61B2017/3445 ,  A61B2017/3488

Abstract: Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.

Abstract translation: 提供了设备和方法，用于通过在第一组织接触点处接合组织来形成胃肠组织折叠，将第一组织接触点从最初远端到第二组织接触点的位置移动到第二接触点的近侧的位置，以形成 组织折叠，并且使锚固组件穿过第二组织接触点附近的组织褶皱延伸。

公开(公告)号：US08236009B2

公开(公告)日：2012-08-07

申请号：US12579295

申请日：2009-10-14

Applicant: Vahid Saadat ,  Chris Rothe ,  Richard C. Ewers

Inventor： Vahid Saadat ,  Chris Rothe ,  Richard C. Ewers

IPC: A61B17/03

CPC classification number: A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/081 ,  A61B2017/3488

Abstract: Needle assemblies for tissue manipulation are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably disposed through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. A needle deployment assembly is deployable through the tissue manipulation assembly via a handle assembly, through the tubular member, and into or through tissue. An elongate pusher is translationally disposed within a sheath of the needle deployment assembly and can be urged distally for deploying an anchor assembly from the sheath distal end. The anchor assembly is positioned distally of the pusher within the sheath.

Abstract translation: 用于组织操作的针组件在本文中描述。 在组织折叠在患者体内产生时，组织操作组件通常可以具有细长的管状构件，可滑动地设置穿过管状构件的接合构件和适于通过螺旋构件接合组织的远端，位于 所述管状构件远端适于在其间稳定组织，以及可围绕所述组织稳定器枢转的输送管。 针部署组件可经由手柄组件穿过组织操纵组件展开，穿过管状构件，并且进入或穿过组织。 细长的推动器平移地设置在针展开组件的护套内，并且可以向远侧推动以从护套远端展开锚固组件。 锚固组件位于鞘内的推动器的远侧。

公开(公告)号：US20120149989A1

公开(公告)日：2012-06-14

申请号：US13347897

申请日：2012-01-11

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 that forms a seal with the body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an 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, thereby providing hand access into the cavity.

Abstract translation: 外科进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有在没有仪器的情况下产生零密封的特性，以及具有仪器直径范围的仪器的仪器密封。 该阀可以包括凝胶，优选地包括由弹性体和提供大于1000％的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口，其中仪器包括外科医生的手臂 ，从而提供手进入空腔。

公开(公告)号：US08066719B2

公开(公告)日：2011-11-29

申请号：US10992912

申请日：2004-11-18

Applicant: Richard C. Ewers ,  Boris Reydel ,  Cang C. Lam ,  Eugene Chen ,  Brent D. Seybold ,  Rodney Brenneman ,  Vahid Saadat

Inventor： Richard C. Ewers ,  Boris Reydel ,  Cang C. Lam ,  Eugene Chen ,  Brent D. Seybold ,  Rodney Brenneman ,  Vahid Saadat

IPC: A61B17/10 ,  A61B17/32

CPC classification number: A61B17/00234 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/0644 ,  A61B17/29 ,  A61B17/3421 ,  A61B17/3468 ,  A61B17/3478 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/061 ,  A61B2017/3445 ,  A61B2017/3488

Abstract: Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.

Abstract translation: 提供了设备和方法，用于通过在第一组织接触点处接合组织来形成胃肠组织折叠，将第一组织接触点从最初远端到第二组织接触点的位置移动到第二接触点的近侧的位置，以形成 组织折叠，并且使锚固组件穿过第二组织接触点附近的组织褶皱延伸。

公开(公告)号：US08016755B2

公开(公告)日：2011-09-13

申请号：US12960458

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 adapted to be disposed within an incision within an abdominal wall. The access seal has an external flange adapted to be disposed external to the abdominal wall and an internal flange adapted to be disposed internal to the abdominal wall. The access seal with flanges is formed monolithically. There are access channels through the access seal. The access channels span the thickness of the abdominal wall and form working channels between a location external to the abdominal wall and a location internal to the abdominal wall. The access seal is formed of an elastomeric material adapted to conform to a surface of an instrument inserted through the working channel to form an instrument seal along a length spanning the thickness of the abdominal wall. The elastomeric material is adapted to form an abdominal seal within the abdominal wall.

Abstract translation: 外科进入装置包括适于设置在腹壁内的切口内的进入密封件。 进入密封件具有适于设置在腹壁外部的外部凸缘和适于设置在腹壁内部的内部凸缘。 具有法兰的进入密封件整体形成。 有通道通过访问密封。 进入通道跨越腹壁的厚度，并在腹壁外部的位置与腹壁内部的位置之间形成工作通道。 进入密封件由适于与穿过工作通道插入的仪器的表面一致的弹性体材料形成，以沿跨越腹壁厚度的长度形成仪器密封。 弹性体材料适于在腹壁内形成腹部密封。

公开(公告)号：US20110208209A1

公开(公告)日：2011-08-25

申请号：US13033485

申请日：2011-02-23

Applicant: Richard C. EWERS ,  Eugene G. CHEN ,  Tracy D. MAAHS ,  Stuart MORAN ,  Cang C. LAM

Inventor： Richard C. EWERS ,  Eugene G. CHEN ,  Tracy D. MAAHS ,  Stuart MORAN ,  Cang C. LAM

IPC: A61B17/10

CPC classification number: A61B17/04 ,  A61B17/0487 ,  A61B17/42 ,  A61B2017/00349 ,  A61B2017/00818 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0464 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2926 ,  A61F5/0083

Abstract: Devices and methods for forming and securing tissue folds and elongated invaginations in gastric tissue are used as a treatment for obesity. In several embodiments, a plurality of tissue folds is formed along the greater curvature of the stomach using laparoscopic tissue anchor deployment devices. Additional embodiments include various combinations of tissue folds, elongated invaginations, and other reconfigurations of stomach tissue using laparoscopic devices or laparoscopic devices in combination with endoscopic devices.

Abstract translation: 用于在胃组织中形成和固定组织褶皱和细长凹陷的装置和方法用作肥胖症的治疗。 在几个实施例中，使用腹腔镜组织锚定部署装置沿着胃的较大曲率形成多个组织褶皱。 另外的实施例包括使用腹腔镜装置或腹腔镜装置与内窥镜装置组合的组织折叠，细长凹陷和胃组织的其它重新配置的各种组合。

公开(公告)号：US20110046441A1

公开(公告)日：2011-02-24

申请号：US12916325

申请日：2010-10-29

Applicant: Brent R. WILTSHIRE ,  Richard C. EWERS ,  Rodney BRENNEMAN ,  Eugene CHEN ,  Vahid SAADAT

Inventor： Brent R. WILTSHIRE ,  Richard C. EWERS ,  Rodney BRENNEMAN ,  Eugene CHEN ,  Vahid SAADAT

IPC: A61B1/00

CPC classification number: A61B17/00234 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/313 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00349 ,  A61B2017/2906 ,  A61B2017/3445 ,  A61B2090/306 ,  A61B2090/508 ,  A61M25/0043 ,  A61M25/0105 ,  A61M25/0147 ,  A61M2025/0096

Abstract: Systems, devices and methods are provided for endoscopic procedures involving tissue manipulations beyond the capabilities of traditional endoscopic instruments. Embodiments of the systems include an elongated main body having a scope therethrough. Some embodiments of the systems include an elongated main body which is rigidizable and/or torque transmitting to improve manipulation through passageways in the body.

Abstract translation: 提供的系统，装置和方法用于内窥镜手术，其涉及组织操作超出传统内窥镜仪器的能力。 该系统的实施例包括具有穿过其的范围的细长主体。 系统的一些实施例包括细长主体，其可固化和/或扭矩传递以改善通过体内通道的操纵。

公开(公告)号：US07736374B2

公开(公告)日：2010-06-15

申请号：US11070846

申请日：2005-03-01

Applicant: Robert A. Vaughan ,  Cang C. Lam ,  Richard C. Ewers ,  Vahid Saadat

Inventor： Robert A. Vaughan ,  Cang C. Lam ,  Richard C. Ewers ,  Vahid Saadat

IPC: A61B17/08 ,  A61B17/12 ,  A61B17/00

CPC classification number: A61B17/10 ,  A61B1/0051 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/3488 ,  A61B2090/037

Abstract: Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly.

Abstract translation: 本文描述了组织操纵和固定系统。 组织操作组件可枢转地联接到管状构件的远端，并且具有下颚构件和可枢转地联接到下颚构件的上颚构件。 可重构的发射管也可枢转地联接到上钳口构件，并且用于将钳口构件从小轮廓构造推动到用于接收组织的打开构型。 组织操作组件可以通过形状可锁定内窥镜装置，常规内窥镜，或者直接自身进入患者。 第二工具可以与组织操作组件组合使用以接合组织并且与组织操作组件一起操作组织。

公开(公告)号：US07736372B2

公开(公告)日：2010-06-15

申请号：US10986461

申请日：2004-11-10

Applicant: Boris Reydel ,  Cang Lam ,  Richard C. Ewers ,  Rodney Brenneman ,  Vahid Saadat

Inventor： Boris Reydel ,  Cang Lam ,  Richard C. Ewers ,  Rodney Brenneman ,  Vahid Saadat

IPC: A61B17/04

CPC classification number: A61B17/0469 ,  A61B17/0401 ,  A61B17/0482 ,  A61B17/0625 ,  A61B2017/00353 ,  A61B2017/0417 ,  A61B2017/2927 ,  A61B2090/3614

Abstract: Apparatus & methods for endoscopic suturing are described herein. A distal tip of the endoscopic device engages the tissue and then approximates the engaged tissue to form a tissue fold. A needle body positioned within a flexible catheter is deployed into or through the newly created tissue fold where it is then detached or released from the endoscopic device. The needle body has a length of suture which depends therefrom and can be used to secure the tissue fold. The entire endoscopic device or its tissue engaging assembly can then be rotated relative to the tissue fold while maintaining engagement with the tissue to maneuver the flexible catheter to the opposing side of the penetrated tissue fold. This procedure can be repeated any number of times to create an interrupted, continuous, or running suture to secure the tissue fold.

Abstract translation: 本文描述了用于内窥镜缝合的装置和方法。 内窥镜装置的远侧末端接合组织，然后近似接合的组织以形成组织折叠。 定位在柔性导管内的针体部署在新产生的组织折叠中或穿过其中，然后将其从内窥镜装置分离或释放。 针体具有一定长度的缝合线，该缝合线依赖于其而可用于固定组织折叠。 然后，整个内窥镜装置或其组织接合组件可以相对于组织折叠旋转，同时保持与组织的接合，以将柔性导管操纵到穿透的组织折叠的相对侧。 该过程可以重复任意次数以产生中断的，连续的或运行的缝线来固定组织折叠。