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    Apparatus and methods for transgastric tissue manipulation
    33.
    发明申请
    Apparatus and methods for transgastric tissue manipulation 审中-公开
    用于经胃组织操作的装置和方法

    公开(公告)号：US20050251091A1

    公开(公告)日：2005-11-10

    申请号：US10843682

    申请日：2004-05-10

    Applicant: Vahid Saadat ,  Richard Ewers

    Inventor： Vahid Saadat ,  Richard Ewers

    IPC: A61B1/00 ,  A61B1/04 ,  A61B17/04 ,  A61B17/068 ,  A61B17/28 ,  A61B17/34 ,  A61M5/178 ,  A61M25/04 ,  A61M29/00

    CPC classification number: A61B17/29 ,  A61B17/0469 ,  A61B17/068 ,  A61B17/3415 ,  A61B17/3421 ,  A61B2017/2927 ,  A61B2017/3445 ,  A61B2017/3488 ,  A61M25/04

    Abstract: Apparatus and methods for transgastric tissue manipulation are described herein. Procedures are performed transgastrically through a trocar or insert, e.g., to create tissue plications and approximating those plications towards one another for accomplishing gastroplasty procedures. The trocar is positioned through the abdominal wall of the patient and into the stomach. A multi-lumen insertion tool is positioned within the trocar and comprises one or several channels, e.g., two, three, or more channels as practicable, through the single insertion tool. Each of the channels is aligned and individually sealable with a reversible seal which allows for insertion or removal of a tool therethrough without comprising sealing of the entire trocar or port. A proximal section of the shafts comprise a flexible section to allow for the flexing of each respective control handle away from one another such that the surgeon can manipulate the tools without interference between the handles.

    Abstract translation: 本文描述了用于经胃组织操作的装置和方法。 手术通过套管针或插入物经腹部进行，例如，以产生组织淤积，并将其彼此近似，以实现成形术程序。 套针针穿过患者的腹壁并进入胃。 多腔插入工具定位在套管针内，并且通过单个插入工具包括一个或多个通道，例如两个，三个或更多个通道。 每个通道都可对准并且可单独地密封，可逆的密封件允许插入或移除工具，而不需要将整个套管针或端口密封。 轴的近侧部分包括柔性部分，以允许每个相应的控制手柄彼此远离地弯曲，使得外科医生可以操纵工具而不会在手柄之间产生干涉。

    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
    35.
    发明申请
    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy 审中-公开
    形状可锁定装置和方法，用于通过不支持的解剖结构推进器械

    公开(公告)号：US20050137455A1

    公开(公告)日：2005-06-23

    申请号：US10888439

    申请日：2004-07-08

    Applicant: Richard Ewers ,  Vahid Saadat ,  Eugene Chen

    Inventor： Richard Ewers ,  Vahid Saadat ,  Eugene Chen

    IPC: A61B1/005 ,  A61B1/01 ,  A61B1/31 ,  A61B1/32 ,  A61B1/00

    CPC classification number: A61B1/0052 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00135 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/31 ,  A61B1/32

    Abstract: Apparatus and methods are provided for placing and advancing a diagnostic of therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.

    Abstract translation: 提供了设备和方法，用于将治疗仪器的诊断放置并行进在曲折或无支撑的解剖结构的中空身体器官中，包括手柄，外套管，具有无创伤尖端的远侧区域。 外套管可以从手柄移除，并且具有相对于把手以一定角度设置的纵向轴线。 外套管可以选择性地加强，以减少由诊断或治疗仪器的前进引起的器官膨胀。 远端区域允许由诊断或治疗仪器的偏转引起的外套管的被动转向，而无创伤的尖端在操纵诊断或治疗仪器期间防止器官的壁被卡住或夹住。

    Endoluminal tool deployment system
    36.
    发明申请
    Endoluminal tool deployment system 审中-公开
    腔内工具部署系统

    公开(公告)号：US20050113640A1

    公开(公告)日：2005-05-26

    申请号：US10990559

    申请日：2004-11-16

    Applicant: Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

    Inventor： Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

    IPC: A61B1/005 ,  A61B1/018 ,  A61B1/313 ,  A61B17/34

    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 and at least one steerable tool arm which extends from the distal end of the main body. In preferred embodiments, the system includes two tool arms, each arm steerable to form a curve laterally outward which then bends laterally inward so that the arms form an angular shape. In addition, end effectors extend from the distal ends of each tool arm for use in manipulation of tissue. The angular shape brings the end effectors together in view of the scope for cooperative movements which are continuously visible by the surgeon. In addition, the tool arms may be steerable in any additional direction and may be rotateable to allow grasping, elevation and more complex manipulation of tissue.

    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。 系统的实施例包括具有穿过其中的一个细长主体和从该主体的远端延伸的至少一个可操纵的工具臂。 在优选实施例中，系统包括两个工具臂，每个臂可转向以横向向外形成曲线，然后横向向内弯曲，使得臂形成角形。 另外，末端执行器从每个工具臂的远端延伸以用于组织的操作。 考虑到外科医生连续可见的协作运动的范围，角形状使末端执行器结合在一起。 此外，工具臂可以在任何附加方向上是可操纵的并且可以是可旋转的，以允许组织的抓握，升高和更复杂的操纵。

    Surgical gel seal
    37.
    发明申请
    Surgical gel seal 有权
    手术凝胶密封

    公开(公告)号：US20050090713A1

    公开(公告)日：2005-04-28

    申请号：US10695295

    申请日：2003-10-28

    Applicant: Joseph Gonzales ,  Boun Pravong ,  Richard Ewers ,  Richard Myers

    Inventor： Joseph Gonzales ,  Boun Pravong ,  Richard Ewers ,  Richard Myers

    IPC: A61B1/307 ,  A61B17/34 ,  A61M39/06

    CPC classification number: A61B1/00137 ,  A61B1/307 ,  A61B17/3462 ,  A61M39/0606 ,  A61M2039/0633 ,  A61M2039/066 ,  B29C65/00

    Abstract: A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.

    Abstract translation: 手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。 密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。 提供远端引导管以便于手术器械逆行插入到密封材料中。 在组装期间，通过壳体部分将压力施加到密封材料上，以形成周向密封并封闭仪器通道。 可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。 设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。 可以提供限位突片以便于该锁定力的控制。

    Compressible tissue anchor assemblies
    39.
    发明申请
    Compressible tissue anchor assemblies 有权
    可压缩组织锚固组件

    公开(公告)号：US20060217762A1

    公开(公告)日：2006-09-28

    申请号：US11404423

    申请日：2006-04-14

    Applicant: Tracy Maahs ,  Marvin Elmer ,  Richard Ewers

    Inventor： Tracy Maahs ,  Marvin Elmer ,  Richard Ewers

    IPC: A61B17/08

    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 & 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。

    Flexible shaft system having interchangeable end effectors
    40.
    发明申请
    Flexible shaft system having interchangeable end effectors 审中-公开
    柔性轴系具有可互换的末端执行器

    公开(公告)号：US20060184161A1

    公开(公告)日：2006-08-17

    申请号：US11060231

    申请日：2005-02-16

    Applicant: Tracy Maahs ,  Richard Ewers

    Inventor： Tracy Maahs ,  Richard Ewers

    IPC: A61B18/18 ,  A61B18/04

    CPC classification number: A61B18/1492 ,  A61B18/1445 ,  A61B18/1477 ,  A61B2017/0046 ,  A61B2017/2931 ,  A61B2018/1425 ,  A61B2018/1495

    Abstract: Flexible shaft systems having interchangeable end effectors are described herein. A shaft with a flexibility sufficient to allow advancement through a lumen of an endoscopic device has an interface at its distal end for engaging a removable end effector tool. The shaft and end effector tool are configured to enable endoluminal deployment through a patient, e.g., through the esophagus and into the stomach. The removable end effector tool may comprise any number of different tools, such as graspers, forceps, scissors, snares, needles, etc., each being interchangeable upon the flexible shaft distal end. Once a procedure is done within the patient, the flexible shaft may be withdrawn and another distal end effector tool may be interchanged. The new end effector tool and flexible shaft can then be reintroduced into the patient.

    Abstract translation: 这里描述了具有可互换的端部执行器的柔性轴系统。 具有足以允许通过内窥镜装置的内腔前进的轴具有在其远端处的接口用于接合可移除的末端执行器工具的界面。 轴和末端执行器工具被配置为使得能够通过患者进行腔内展开，例如通过食道并进入胃。 可移除的末端执行器工具可以包括任何数量的不同的工具，例如抓紧器，镊子，剪刀，圈套，针等，它们可在柔性轴远端上互换。 一旦在患者体内完成了一个程序，则可以撤回柔性轴，另一个远端执行器工具可以互换。 然后可以将新的末端执行器工具和柔性轴重新引入患者体内。

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