公开(公告)号：US20080154288A1

公开(公告)日：2008-06-26

申请号：US12027739

申请日：2008-02-07

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B17/11

CPC分类号： A61B17/1114 ,  A61B1/00147 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/31 ,  A61B17/00234 ,  A61B17/1155 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/22034 ,  A61B2017/22054 ,  A61B2034/2059

摘要： Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

摘要翻译： 本文描述了用于内窥镜结肠切除术的装置和方法。 具有第一和第二组织近似装置的结肠切除装置安装在彼此分离的结肠镜上。 在展开结肠切除装置期间，结肠的病变部分位于组织近似装置之间。 组织近似装置径向膨胀，使得它们在与结肠的病变部分相邻的两个位置处接触并抓住结肠壁。 将病变部分与网膜分离，并使用腹腔镜进行横切，或者将其拉入结肠镜以供以后移除。 组织近似装置然后在结肠镜上彼此推动以近似结肠的两个自由边缘接触在一起，在那里它们使用组织近似装置作为手术吻合器彼此紧固以产生端对端吻合 。

公开(公告)号：US07338505B2

公开(公告)日：2008-03-04

申请号：US10327370

申请日：2002-12-20

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B17/04

CPC分类号： A61B17/1114 ,  A61B1/00147 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/31 ,  A61B17/00234 ,  A61B17/1155 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1132 ,  A61B2017/22034 ,  A61B2017/22054 ,  A61B2034/2059

摘要： Apparatus and methods for endoscopic colectomy are described herein. A colectomy device having a first and a second tissue approximation device is mounted on a colonoscope separated from one another. During deployment of the colectomy device, a diseased portion of the colon is positioned inbetween the tissue approximation devices. The tissue approximation devices are radially expanded such that they contact and grasp the colon wall at two sites adjacent to the diseased portion of the colon. The diseased portion is separated from the omentum and is transected using a laparoscope or is drawn into the colonoscope for later removal. The tissue approximation devices are then urged towards one another over the colonoscope to approximate the two free edges of the colon into contact together where they are fastened to one another using the tissue approximation device as a surgical stapler to create an end-to-end anastomosis.

摘要翻译： 本文描述了用于内窥镜结肠切除术的装置和方法。 具有第一和第二组织近似装置的结肠切除装置安装在彼此分离的结肠镜上。 在展开结肠切除装置期间，结肠的病变部分位于组织近似装置之间。 组织近似装置径向膨胀，使得它们在与结肠的病变部分相邻的两个位置处接触并抓住结肠壁。 将病变部分与网膜分离，并使用腹腔镜进行横切，或者将其拉入结肠镜以供以后移除。 组织近似装置然后在结肠镜上彼此推动以近似结肠的两个自由边缘接触在一起，在那里它们使用组织近似装置作为手术吻合器彼此紧固以产生端对端吻合 。

公开(公告)号：US20080045794A1

公开(公告)日：2008-02-21

申请号：US11796220

申请日：2007-04-27

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/00004 ,  A61B1/00055 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/018 ,  A61B1/05 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body allowing it to negotiate tortuous curves along a desired path through or around and between organs within the body.

摘要翻译： 可操纵的内窥镜具有细长体，其具有选择性可操纵的远侧部分和自动控制的近端部分。 将内窥镜主体插入到患者体内，并且使用选择性操纵的远端部分来选择患者体内所需的路径。 当内窥镜体前进时，电子运动控制器操作自动控制的近端部分，以呈现选择性可操纵的远端部分的选定曲线。 通过选择性可转向的远端部分选择另一个期望的路径，并且内窥镜主体再次前进。 当内窥镜体进一步前进时，所选择的曲线沿内窥镜向近端传播，并且当向内侧取出内窥镜主体时，所选择的曲线沿着内窥镜主体向远端传播。 这在内窥镜主体中产生蛇形运动，允许其沿着期望的路径协商通过身体内或身体内部和之间的曲折曲线。

公开(公告)号：US20060089532A1

公开(公告)日：2006-04-27

申请号：US11228025

申请日：2005-09-14

申请人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

发明人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

IPC分类号： A61B1/00

CPC分类号： A61B1/00078 ,  A61B1/00154 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61M2025/0063

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20060089531A1

公开(公告)日：2006-04-27

申请号：US11228024

申请日：2005-09-14

申请人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

发明人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

IPC分类号： A61B1/00

CPC分类号： A61B1/00078 ,  A61B1/00154 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61M2025/0063

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带有手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20060089529A1

公开(公告)日：2006-04-27

申请号：US11228013

申请日：2005-09-14

申请人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

发明人： Joseph Tartaglia ,  Amir Belson ,  Robert Ohline

IPC分类号： A61B1/00

CPC分类号： A61B1/00078 ,  A61B1/00154 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61M2025/0063

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20060015009A1

公开(公告)日：2006-01-19

申请号：US11226999

申请日：2005-09-14

申请人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

发明人： Ross Jaffe ,  Joseph Tartaglia ,  Amir Belson

IPC分类号： A61B1/00

CPC分类号： A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00142 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/31 ,  A61B5/065 ,  A61B17/3421 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/3441 ,  A61B2034/301 ,  A61M25/0138 ,  A61M2025/0063 ,  A61M2025/0681

摘要： An endoscope having a guide tube is described herein. The assembly has an endoscope which is slidably insertable within the lumen of a guide tube. The guide tube is configured to be rigidizable along its entire length from a relaxed configuration. The endoscope has a steerable distal portion to facilitate the steering of the device through tortuous paths. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve while the endoscope is advanced distally through the tortuous path without having to place any undue pressure against the tissue walls.

公开(公告)号：US06974411B2

公开(公告)日：2005-12-13

申请号：US10229814

申请日：2002-08-27

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/31 ,  A61B1/00

CPC分类号： A61B1/00078 ,  A61B1/00154 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/015 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61M2025/0063

摘要： An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

摘要翻译： 本文描述了具有引导装置的内窥镜。 描述了一种可操纵的内窥镜，其具有带有手动或选择性可操纵的远端部分的细长主体，自动控制部分，柔性和被动操纵的近端部分以及外部控制和可操纵的跟踪杆或引导件。 跟踪杆或引导件位于内窥镜内的引导通道内并相对于内窥镜滑动。 当引导件处于柔性状态时，其可以符合由可转向远端部分和自动控制部分限定的曲线或路径。 然后，引导件可以选择性地刚性化以假定该曲线或路径。 一旦设定，内窥镜可以以单轨或“背部”的方式前进在刚性引导件上，使得柔性近端部分遵循由引导件保持的曲线，直到内窥镜到达体腔内的下一个曲率点。

公开(公告)号：US20050222498A1

公开(公告)日：2005-10-06

申请号：US11129172

申请日：2005-05-13

申请人： Amir Belson

发明人： Amir Belson

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/04 ,  A61B1/31

CPC分类号： A61B1/0051 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0058 ,  A61B1/008 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

公开(公告)号：US20050165276A1

公开(公告)日：2005-07-28

申请号：US10767109

申请日：2004-01-28

申请人： Amir Belson ,  Robert Ohline

发明人： Amir Belson ,  Robert Ohline

IPC分类号： A61B1/005 ,  A61B1/05 ,  A61B1/313 ,  A61B18/14 ,  G02B23/24 ,  A61B1/00

CPC分类号： A61B1/0055 ,  A61B1/0052 ,  A61B1/05 ,  A61B1/313 ,  A61B18/1492 ,  A61B2018/00351 ,  A61B2018/00446 ,  A61B2034/301 ,  G02B23/2476

摘要： Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

摘要翻译： 本文公开了用于进入和处理身体区域的方法和装置。 使用具有自动控制的近端部分和选择性可操纵的远端部分的内窥镜装置，该装置通常可以通过开口进入身体。 远侧部分被选择性地转向以沿着主体内的期望路径呈现出选择的曲线，其避免与组织的接触，而近端部分被自动控制以呈现远端部分的选定曲线。 然后，内窥镜装置可用于通过常规手术技术访问身体的各个区域，这些区域通常难以进入和治疗，因为该装置不受“直线”要求的约束。 各种应用可以包括进入脑，胸腔的区域，包括心脏内的区域，腹膜腔等，这些区域难以用常规外科手术达到。