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    Apparatus and methods for transgastric tissue manipulation
    32.
    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

    申请人： Vahid Saadat ,  Richard Ewers

    发明人： Vahid Saadat ,  Richard Ewers

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

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

    摘要： 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.

    摘要翻译： 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
    34.
    发明授权
    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy 有权
    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：US06960162B2

    公开(公告)日：2005-11-01

    申请号：US10281426

    申请日：2002-10-25

    申请人： Vahid Saadat ,  Richard C. Ewers

    发明人： Vahid Saadat ,  Richard C. Ewers

    IPC分类号： A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/31 ,  A61B1/32 ,  A61B1/00

    CPC分类号： A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00105 ,  A61B1/00135 ,  A61B1/0052 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/008 ,  A61B1/31 ,  A61B1/32

    摘要： Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube disposed within a hydrophilic sheath, and 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 sheath may be disposable to permit reuse of the overtube. Fail-safe tensioning mechanisms may be provided to selectively stiffen the overtube to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The fail-safe tensioning mechanisms reduce the risk of reconfiguration of the overtube in the event that the tension system fails, and, in one embodiment, rigidizes the overtube without substantial proximal movement of the distal region. 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.

    摘要翻译： 提供了设备和方法，用于将诊断或治疗仪器放置在曲折或无支撑的解剖结构的空心体器官中，包括手柄，设置在亲水护套内的外套管，以及具有无创尖端的远侧区域。 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。 护套可以是一次性的，以允许外套管的再次使用。 可以提供故障安全的张紧机构以选择性地加固外套管，以减少由诊断或治疗仪器的前进引起的器官的膨胀。 在张力系统失效的情况下，故障安全张紧机构降低了外套管的重新配置的风险，并且在一个实施例中，使外套管刚性化，而远端区域没有实质的近端运动。 远侧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，而无创伤尖端防止器官的壁在操纵诊断或治疗仪器期间被卡住或夹住。

    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

    申请人： Richard Ewers ,  Vahid Saadat ,  Eugene Chen

    发明人： Richard Ewers ,  Vahid Saadat ,  Eugene Chen

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

    CPC分类号： A61B1/0052 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00135 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/31 ,  A61B1/32

    摘要： 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.

    摘要翻译： 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

    申请人： Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

    发明人： Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

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

    CPC分类号： 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

    摘要： 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.

    摘要翻译： 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。

    Apparatus and method for leak detection in a fluid-filled balloon useful to treat body tissue
    39.
    发明授权
    Apparatus and method for leak detection in a fluid-filled balloon useful to treat body tissue 失效
    用于治疗身体组织的流体填充球囊中的泄漏检测装置和方法

    公开(公告)号：US6057689A

    公开(公告)日：2000-05-02

    申请号：US905367

    申请日：1997-08-04

    申请人： Vahid Saadat

    发明人： Vahid Saadat

    IPC分类号： A61M25/00 ,  A61F2/958 ,  G01M3/18 ,  G01R31/12 ,  G01N27/00

    CPC分类号： G01M3/187

    摘要： An apparatus for detecting leaks in a fluid-filled device used to treat a patient's tissue includes an catheter having an expandable device defining a fluid reservoir about the distal end of the catheter. An internal electrode is in electrical contact with a conductive fluid within the fluid reservoir. A grounding electrode is outside of the fluid reservoir, in electrical contact with the patient's tissue. Voltage is supplied to the internal electrode and the grounding electrode. Where a leak occurs in the expandable device, conductive fluid will contact the patient's tissue, thus creating an electrical current path between the internal electrode and the grounding electrode. This so-called "leak current" is used to generate a leak alarm signal.

    摘要翻译： 用于检测用于治疗患者组织的流体填充装置中的泄漏的装置包括具有可扩张装置的导管，该可扩张装置围绕导管的远端界定流体储存器。 内部电极与流体储存器内的导电流体电接触。 接地电极位于流体储存器的外部，与患者的组织电接触。 电压被提供给内部电极和接地电极。 在可扩张装置中发生泄漏的情况下，导电流体将接触病人的组织，从而在内部电极和接地电极之间产生电流通路。 这种所谓的“泄漏电流”用于产生泄漏报警信号。