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公开(公告)号：US20070173859A1
公开(公告)日：2007-07-26
申请号：US11331966
申请日：2006-01-13
IPC分类号： A61B17/58
CPC分类号： A61M5/14276 , A61B17/06066 , A61B17/12099 , A61B17/12136 , A61B17/12159 , A61B17/12181 , A61B2017/00278
摘要： The medical procedure via a natural opening according to the present invention includes: adjusting the patient's body so that a target site on the anterior wall of a hollow organ faces in the direction opposite to the direction of gravitational force; introducing a liquid inflow conduit in the vicinity of the target site, and flowing liquid into the hollow organ via the liquid inflow conduit, to form a liquid holding area and a gas retaining area inside the hollow organ; introducing an observation device into the hollow organ, and confirming the position of the target site from the position of the gas retaining area; and incising while observation the target area.
摘要翻译： 根据本发明的通过天然开口的医疗程序包括：调节患者身体，使得中空器官前壁上的目标部位面向与重力方向相反的方向; 在目标位置附近引入液体流入管道，并且经由液体流入管道将液体流入中空器官，以在中空器官内部形成液体保持区域和气体保持区域; 将观察装置引入中空器官，并从气体保持区域的位置确认目标部位的位置; 并在观察目标区域时进行切割。
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公开(公告)号：US08702753B2
公开(公告)日：2014-04-22
申请号：US11238006
申请日：2005-09-28
申请人： Takayasu Mikkaichi , Kunihide Kaji
发明人： Takayasu Mikkaichi , Kunihide Kaji
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B5/117 , A61B17/0469 , A61B17/0487 , A61B2017/00876 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052
摘要： A method for suturing a perforation formed in a hollow organ comprises the steps of: causing plural end portions of the suture thread to puncture a tissue around the perforation in the same direction as each other; connecting the end portions of the suture thread to each other; and tightening up the suture thread after connecting the end portions of the suture thread with each other.
摘要翻译： 用于缝合形成在中空器官中的穿孔的方法包括以下步骤：使缝合线的多个端部以彼此相同的方向刺穿穿孔周围的组织; 将缝合线的端部彼此连接; 并且在将缝合线的端部彼此连接之后收紧缝合线。
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公开(公告)号：US08225794B2
公开(公告)日：2012-07-24
申请号：US11331976
申请日：2006-01-13
CPC分类号： A61B1/273 , A61B1/00082 , A61B1/00154 , A61B1/015 , A61M16/04 , A61M16/0415
摘要： An over-tube of the present invention is an over-tube which guides a device having an insertion section to be inserted into a body of a patient, when inserting the insertion section into or retracting the insertion section from the body of the patient, wherein: a gas-supplying passage is defined between an inner face of the over-tube and the device to be inserted into the over-tube; the gas-supplying passage communicates with a gas-supplying port which is provided on a proximal end side of the over-tube, and a communicating port which is formed on an over-tube insertion section and supplies a gas into a trachea of the patient; and a first sealing member which secures an air passage for communicating the gas-supplying passage and the trachea of the patient via the communicating rod by sealing between a body wall of the patient and the communicating port, is provided on a periphery of an over-tube insertion section.
摘要翻译： 本发明的上管是当将插入部插入患者体内或从患者的身体缩回插入部时，引导具有插入患者体内的插入部的装置的过管，其中， 在上管的内表面和待插入上管的装置之间限定供气通道; 气体供给通路与设置在上管的基端侧的供气口连通，形成在上管插入部上并将气体供给到患者的气管中的连通口 ; 以及第一密封构件，其通过密封在患者的身体壁与所述连通口之间的方式，通过所述连通杆固定用于使所述气体供给通道和所述患者气管连通的空气通道， 管插入部。
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公开(公告)号：US20070260214A1
公开(公告)日：2007-11-08
申请号：US11331967
申请日：2006-01-13
IPC分类号： A61M31/00
CPC分类号： A61B1/00179 , A61B1/00098 , A61B1/00135 , A61B1/00181 , A61B1/00188 , A61B1/0051 , A61B1/018 , A61B1/043 , A61B1/051 , A61B1/0638 , A61B1/2736 , A61B1/3132 , A61B1/3137 , A61B5/0071 , A61B5/0084 , A61B8/12
摘要： A medical procedure through a natural body orifice according to the present invention includes: introducing a first device having an insertion portion, from a patient's natural orifice into a hollow organ; performing a first medical procedure using the first device; withdrawing the first device from the body, and introducing a second device having an insertion portion, from a patient's natural orifice into the body; and performing a second medical procedure using the second device, wherein the first medical procedure is performed prior to the second medical procedure for performing the second medical procedure.
摘要翻译： 根据本发明的通过天然体孔的医疗程序包括：将具有插入部分的第一装置从患者的天然孔引入中空器官; 使用所述第一装置执行第一医疗程序; 从身体取出第一装置，并将具有插入部分的第二装置从患者的自然孔插入体内; 以及使用所述第二装置执行第二医疗程序，其中所述第一医疗程序在用于执行所述第二医疗程序的所述第二医疗程序之前执行。
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15.发明申请Method for accessing abdominal cavity and medical procedure via natural orifice 审中-公开通过自然孔进入腹腔和医疗程序的方法公开(公告)号：US20070163585A1
公开(公告)日：2007-07-19
申请号：US11331974
申请日：2006-01-13
申请人： Takefumi Uesugi , Kenji Noda , Takayasu Mikkaichi , Kunihide Kaji
发明人： Takefumi Uesugi , Kenji Noda , Takayasu Mikkaichi , Kunihide Kaji
IPC分类号： A61M16/00
CPC分类号： A61M13/003 , A61M2205/3331 , A61M2210/1021 , A61M2210/1053
摘要： The method for accessing the abdominal cavity according to the present invention, includes: introducing a first flow path into the abdominal cavity; introducing a second flow path into the hollow organ from the natural orifice of the living body, and performing a pressure control, using the first flow path and the second flow path, so that the pressure within the hollow organ is lower than the pressure of the abdominal cavity, and forming an opening in the wall of the hollow organ from the inside of the hollow organ when the pressure within the abdominal cavity, as accomplished by pressure control, is equal to or lower than the pressure of the abdominal cavity, and inserting a device for performing a medical procedure through the opening.
摘要翻译： 根据本发明的用于进入腹腔的方法包括：将第一流路引入腹腔; 从生物体的天然孔引入第二流路进入中空器官，并使用第一流路和第二流路进行压力控制，使得中空器官内的压力低于中空器官的压力 并且当通过压力控制实现的腹腔内的压力等于或低于腹腔的压力时，从中空器官的内部在中空器官的壁中形成开口，并且插入 用于通过开口执行医疗程序的装置。
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公开(公告)号：US20070073321A1
公开(公告)日：2007-03-29
申请号：US11238017
申请日：2005-09-28
申请人： Takayasu Mikkaichi , Kunihide Kaji
发明人： Takayasu Mikkaichi , Kunihide Kaji
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B17/0218 , A61B17/0469 , A61B17/0487 , A61B2017/00278 , A61B2017/0034 , A61B2017/00557 , A61B2017/00575 , A61B2017/0225 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/06095
摘要： A method for suturing a perforation of the present invention comprises the steps of: inserting an observation device into the hollow organ and confirming a proposed incision line for incising the hollow organ; determining a position to be sutured before incising the hollow organ along the proposed incision line; and suturing the perforation by tightening up a suture thread that penetrates through the hollow organ via the position to be sutured after incising the hollow organ along the proposed incision line and performing a medical treatment in an abdominal cavity through the perforation.
摘要翻译： 缝合本发明穿孔的方法包括以下步骤：将观察装置插入中空器官，并确认用于切割中空器官的切口线; 在沿着所提出的切口线切割中空器官之前确定要缝合的位置; 并且通过在沿着所提出的切口线切割中空器官之后，通过经缝合位置收紧穿过中空器官的缝合线并缝合穿孔，并通过穿孔在腹腔中进行治疗。
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公开(公告)号：US08784438B2
公开(公告)日：2014-07-22
申请号：US13305299
申请日：2011-11-28
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0401 , A61B17/29 , A61B2017/00637 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496
摘要： A perforation suturing method has the steps of: inserting a needle into a wall of a hollow organ at a periphery of the perforation formed in the hollow organ, and piercing the wall; withdrawing the needle from the wall after delivery of an anchor attaching suture thread from the needle, and having the suture thread transit the wall; and tightening the suture thread so that the mated insertion points at the time of insertion of the needle into the wall approximately coincide after having the needle pierce the wall at the periphery of the perforation a plurality of times, and making surfaces of the wall where the insertion points are formed coincide with each other.
摘要翻译： 穿孔缝合方法具有以下步骤：将针头插入中空器官形成的穿孔周边的中空器官的壁上，并刺穿壁; 在从针上传出锚固附着缝合线后，将缝线从墙壁上取出，并使缝合线穿过墙壁; 并且收紧缝合线，使得在使针穿孔穿孔多次之后将针插入壁中的配合插入点大致重合，并且使壁的表面在 插入点形成为一致。
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公开(公告)号：US08540621B2
公开(公告)日：2013-09-24
申请号：US11652954
申请日：2007-01-12
CPC分类号： A61M5/14276 , A61B17/06066 , A61B17/12099 , A61B17/12136 , A61B17/12159 , A61B17/12181 , A61B2017/00278
摘要： A medical retainer is provided capable of independently controlling supplying air and water to a hollow organ like a stomach and a lumen of a small intestine. The medical retainer for sealing a fluid, the retainer being subject to be retained in a gastrointestinal tract of a patient, the medical retainer includes: a sealing section for sealing the fluid, the sealing section making contact with a wall of the gastrointestinal tract; a main body having passageways; and directional valves disposed in the passageways for allowing one of upward flow and downward flow of the fluid relative to the position of the retainer.
摘要翻译： 提供了一种医疗保持器，其能够独立地控制向诸如胃和小肠的内腔的中空器官供应空气和水。 用于密封流体的医疗保持器，保持器被保持在患者的胃肠道中，医疗保持器包括：用于密封流体的密封部分，密封部分与胃肠道的壁接触; 具有通道的主体; 以及设置在通道中的换向阀，用于允许流体相对于保持器的位置的向上流动和向下流动。
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公开(公告)号：US20070163597A1
公开(公告)日：2007-07-19
申请号：US11331976
申请日：2006-01-13
IPC分类号： A61M16/00
CPC分类号： A61B1/273 , A61B1/00082 , A61B1/00154 , A61B1/015 , A61M16/04 , A61M16/0415
摘要： An over-tube of the present invention is an over-tube which guides a device having an insertion section to be inserted into a body of a patient, when inserting the insertion section into or retracting the insertion section from the body of the patient, wherein: a gas-supplying passage is defined between an inner face of the over-tube and the device to be inserted into the over-tube; the gas-supplying passage communicates with a gas-supplying port which is provided on a proximal end side of the over-tube, and a communicating port which is formed on an over-tube insertion section and supplies a gas into a trachea of the patient; and a sealing member which surrounds the communicating port and seals between a body wall of the patient and the communicating port, is provided on a periphery of an over-tube insertion section.
摘要翻译： 本发明的上管是当将插入部插入患者体内或从患者的身体缩回插入部时，引导具有插入患者体内的插入部的装置的过管，其中， 在上管的内表面和待插入上管的装置之间限定供气通道; 气体供给通路与设置在上管的基端侧的供气口连通，形成在上管插入部上并将气体供给到患者的气管中的连通口 ; 并且在上管插入部的周围设置有围绕所述连通口并密封所述患者的身体壁与所述连通口之间的密封构件。
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公开(公告)号：US20070112362A1
公开(公告)日：2007-05-17
申请号：US11273198
申请日：2005-11-14
IPC分类号： A61B17/08
CPC分类号： A61B17/0487 , A61B17/0401 , A61B17/29 , A61B2017/00637 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496
摘要： A perforation suturing method has the steps of: inserting a needle into a wall of a hollow organ at a periphery of the perforation formed in the hollow organ, and piercing the wall; withdrawing the needle from the wall after delivery of an anchor attaching suture thread from the needle, and having the suture thread transit the wall; and tightening the suture thread so that the mated insertion points at the time of insertion of the needle into the wall approximately coincide after having the needle pierce the wall at the periphery of the perforation a plurality of times, and making surfaces of the wall where the insertion points are formed coincide with each other.
摘要翻译： 穿孔缝合方法具有以下步骤：将针头插入中空器官形成的穿孔周边的中空器官的壁上，并刺穿壁; 在从针上传出锚固附着缝合线后，将缝线从墙壁上取出，并使缝合线穿过墙壁; 并且收紧缝合线，使得在使针穿孔穿孔多次之后将针插入壁中的配合插入点大致重合，并且使壁的表面在 插入点形成为一致。
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