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    Compressible tissue anchor assemblies
    31.
    发明申请
    Compressible tissue anchor assemblies 有权
    可压缩组织锚固组件

    公开(公告)号：US20050277966A1

    公开(公告)日：2005-12-15

    申请号：US11179082

    申请日：2005-07-11

    Applicant: Richard Ewers ,  Shirley Vong ,  Vahid Saadat

    Inventor： Richard Ewers ,  Shirley Vong ,  Vahid Saadat

    IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61B19/00

    CPC classification number: A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0644 ,  A61B2017/00867 ,  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。

    Methods and apparatus for performing endoluminal procedures
    32.
    发明申请
    Methods and apparatus for performing endoluminal procedures 审中-公开
    用于进行腔内手术的方法和装置

    公开(公告)号：US20050272977A1

    公开(公告)日：2005-12-08

    申请号：US11129513

    申请日：2005-05-13

    Applicant: Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    Inventor： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    IPC: A61B1/005 ,  A61B1/018 ,  A61B1/04

    CPC classification number: A61B1/0051 ,  A61B1/0008 ,  A61B1/00179 ,  A61B1/00183 ,  A61B1/018 ,  A61B1/04 ,  A61B17/29

    Abstract: Methods and apparatus for performing endoluminal procedures are described herein. An endoluminal tissue manipulation assembly is disclosed which provides for a stable endoluminal platform and which also provides for effective triangulation of tools. Such an apparatus may comprise an optionally shape-lockable elongate body defining a longitudinal axis and adapted for endoluminal advancement in a patient body, at least one articulatable visualization lumen disposed near or at a distal region of the elongate body, the at least one articulating visualization lumen being adapted to articulate off-axis relative to a longitudinal axis of the elongate body, and at least one articulatable tool arm member disposed near or at the distal region of the elongate body, the at least one articulatable tool arm member being adapted to articulate off-axis and manipulate a tissue region of interest.

    Abstract translation: 本文描述了用于进行腔内手术的方法和装置。 公开了一种腔内组织操作组件，其提供稳定的内腔平台，并且还提供工具的有效三角测量。 这种装置可以包括限定纵向轴线并且适于在患者体内进行腔内前进的可选形状可锁定细长体，至少一个可伸长的可视腔，其设置在细长体的远端区域附近或位于该远端区域处，该至少一个铰接可视化 内腔适于相对于细长主体的纵向轴线偏轴关节，以及设置在细长主体的远侧区域附近或其附近的至少一个可铰接工具臂构件，所述至少一个可铰接工具臂构件适于铰接 离轴并且操纵感兴趣的组织区域。

    Methods for performing gastroplasty
    36.
    发明申请
    Methods for performing gastroplasty 有权
    进行胃成形术的方法

    公开(公告)号：US20050250980A1

    公开(公告)日：2005-11-10

    申请号：US10841233

    申请日：2004-05-07

    Applicant: Lee Swanstrom ,  Richard Ewers ,  Tracy Maahs ,  Eugene Chen ,  Vahid Saadat

    Inventor： Lee Swanstrom ,  Richard Ewers ,  Tracy Maahs ,  Eugene Chen ,  Vahid Saadat

    IPC: A61B17/00 ,  A61B17/04 ,  A61B17/08 ,  A61B17/11 ,  A61F2/04 ,  A61F5/00

    CPC classification number: A61B17/00234 ,  A61B17/0401 ,  A61B17/085 ,  A61B17/1114 ,  A61B2017/0496 ,  A61B2017/081 ,  A61F5/0086

    Abstract: The present invention provides methods for performing gastroplasty by reducing the effective volume or cross-sectional area of the stomach via approximation of gastric tissue. Such reduction preferably is achieved endoluminally, either with or without laparoscopic ports. In one variation, a sleeve, pouch, Magenstrasse and Mill, Vertical Banded Gastroplasty (“VBG”), etc., is formed within the stomach by approximating opposing anterior and posterior segments or ridges of the stomach wall at locations inferior to the gastroesophageal junction. In another variation, opposing walls of the stomach are approximated at a plurality of substantially random locations to reduce an effective volume of the stomach. In yet another variation, both a sleeve and random approximations are formed, the random approximations preferably disposed in a portion of the stomach excluded by the sleeve. In still another variation, opposing walls of the stomach are approximated over significant lengths at random or specified locations.

    Abstract translation: 本发明提供了通过胃组织近似来减小胃的有效体积或横截面面积来进行胃成形术的方法。 这种减少优选是在腹腔镜下或腹腔镜下进行的。 在一个变型中，通过在胃壁下方的胃壁的相邻的前部和后部区段或脊部近似形成在胃内形成套筒，袋，Magenstrasse和Mill，垂直带状胃成形术（“VBG”）等 。 在另一个变型中，胃的相对壁在多个基本上随机的位置近似，以减少胃的有效体积。 在另一个变型中，形成套筒和随机近似，随机近似优选地设置在由套筒排除的胃的一部分中。 在另一个变体中，胃的相对的壁在随机或指定的位置处以相当长的长度近似。

    Apparatus and methods for endoscopic suturing
    37.
    发明申请
    Apparatus and methods for endoscopic suturing 有权
    用于内窥镜缝合的装置和方法

    公开(公告)号：US20050119671A1

    公开(公告)日：2005-06-02

    申请号：US10986461

    申请日：2004-11-10

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

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

    IPC: A61B20060101 ,  A61B17/00 ,  A61B17/04 ,  A61B17/08 ,  A61B17/28 ,  A61B19/00

    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。

    Methods and apparatus for performing endoluminal procedures
    39.
    发明申请
    Methods and apparatus for performing endoluminal procedures 审中-公开
    用于进行腔内手术的方法和装置

    公开(公告)号：US20060183975A1

    公开(公告)日：2006-08-17

    申请号：US11400580

    申请日：2006-04-07

    Applicant: Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    Inventor： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    IPC: A61B1/00

    CPC classification number: A61B1/0051 ,  A61B1/0008 ,  A61B1/00179 ,  A61B1/00183 ,  A61B1/018 ,  A61B1/04 ,  A61B17/29

    Abstract: Methods and apparatus for performing endoluminal procedures are described herein. An endoluminal tissue manipulation assembly is disclosed which provides for a stable endoluminal platform and which also provides for effective triangulation of tools. Such an apparatus may comprise an optionally shape-lockable elongate body defining a longitudinal axis and adapted for endoluminal advancement in a patient body, at least one articulatable visualization lumen disposed near or at a distal region of the elongate body, the at least one articulating visualization lumen being adapted to articulate off-axis relative to a longitudinal axis of the elongate body, and at least one articulatable tool arm member disposed near or at the distal region of the elongate body, the at least one articulatable tool arm member being adapted to articulate off-axis and manipulate a tissue region of interest.

    Abstract translation: 本文描述了用于进行腔内手术的方法和装置。 公开了一种腔内组织操作组件，其提供稳定的内腔平台，并且还提供工具的有效三角测量。 这种装置可以包括限定纵向轴线并且适于在患者体内进行腔内前进的可选形状可锁定细长体，至少一个可伸长的可视腔，其设置在细长体的远端区域附近或位于该远端区域处，该至少一个铰接可视化 内腔适于相对于细长主体的纵向轴线偏轴关节，以及设置在细长主体的远侧区域附近或其附近的至少一个可铰接工具臂构件，所述至少一个可铰接工具臂构件适于铰接 离轴并且操纵感兴趣的组织区域。

    Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen
    40.
    发明申请
    Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen 审中-公开
    在患者胃肠腔内进行吸收不良的旁路手术的方法和装置

    公开(公告)号：US20060036267A1

    公开(公告)日：2006-02-16

    申请号：US10916768

    申请日：2004-08-11

    Applicant: Vahid Saadat ,  Richard Ewers ,  Ruey-Feng Peh

    Inventor： Vahid Saadat ,  Richard Ewers ,  Ruey-Feng Peh

    IPC: A61B17/08

    CPC classification number: A61B17/1114 ,  A61B17/11 ,  A61B2017/00349 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/1103 ,  A61B2017/1117

    Abstract: Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastrointestinal lumen are described comprising, for example, gastroenterostomy procedures that are preferably performed in an endoscopic or laparoscopic fashion. Anastomosis between the patient's stomach and intestine allows food to bypass at least a portion of the patient's stomach and/or intestine, thereby providing a malabsorptive region. The malabsorptive procedure may be accompanied by additional procedures, for example, pyloric occlusion, pyloroplasty, gastroplasty, gastric tissue destruction and/or intestinal pleating.

    Abstract translation: 描述了在患者的胃肠腔内进行吸收不良手术的方法和装置，其包括例如胃肠造口术程序，其优选以内窥镜或腹腔镜方式进行。 患者胃和肠之间的吻合允许食物绕过患者的胃和/或肠的至少一部分，从而提供吸收不良的区域。 吸收不良的程序可伴随其他方法，例如幽门闭塞，成形术，胃成形术，胃组织破坏和/或肠打褶。

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