公开(公告)号：US06858005B2

公开(公告)日：2005-02-22

申请号：US10229577

申请日：2002-08-27

申请人： Robert M. Ohline ,  Joseph M. Tartaglia ,  Amir Belson ,  Alex T. Roth ,  Wade A. Keller ,  Scott C. Anderson ,  Chris A. Julian

发明人： Robert M. Ohline ,  Joseph M. Tartaglia ,  Amir Belson ,  Alex T. Roth ,  Wade A. Keller ,  Scott C. Anderson ,  Chris A. Julian

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B1/005 ,  A61B1/008 ,  A61B1/01 ,  A61B1/04 ,  A61B1/31 ,  G02B23/26

CPC分类号： A61B1/00128 ,  A61B1/00006 ,  A61B1/00057 ,  A61B1/0016 ,  A61B1/0053 ,  A61B1/0057 ,  A61B1/0058 ,  A61B1/01 ,  A61B1/31 ,  A61B5/065 ,  A61B2034/301 ,  A61B2034/741 ,  A61B2034/742

摘要： A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.

公开(公告)号：US06561998B1

公开(公告)日：2003-05-13

申请号：US09056589

申请日：1998-04-07

申请人： Alex T. Roth ,  J. Christopher Flaherty ,  Adrian E. Johnson ,  Joshua Makower ,  Jason Brian Whitt

发明人： Alex T. Roth ,  J. Christopher Flaherty ,  Adrian E. Johnson ,  Joshua Makower ,  Jason Brian Whitt

IPC分类号： A61B1720

CPC分类号： A61B17/32075 ,  A61B17/32002 ,  A61B18/1482 ,  A61B18/245 ,  A61B2017/00252 ,  A61B2017/22069 ,  A61B2018/2255 ,  A61B2018/2266 ,  A61B2018/2272 ,  A61B2090/036 ,  A61B2090/065 ,  A61M25/104

摘要： Methods, apparatus and systems for enlarging interstitial penetration tracts which have been formed between blood vessels or elsewhere within the body of a mammalian patient. Included are debulking-type tract enlarging systems, dilation-type tract enlarging systems, tissue-slicing-type tract enlarging systems and two-catheter-type tract enlarging systems.

公开(公告)号：US06346074B1

公开(公告)日：2002-02-12

申请号：US08662119

申请日：1996-06-12

申请人： Alex T. Roth

发明人： Alex T. Roth

IPC分类号： A61B106

CPC分类号： A61B17/0469 ,  A61B17/00234 ,  A61B17/0057 ,  A61B17/0218 ,  A61B17/0467 ,  A61B17/06061 ,  A61B17/2909 ,  A61B17/320016 ,  A61B17/3211 ,  A61B17/3417 ,  A61B17/3468 ,  A61B18/1442 ,  A61B18/1482 ,  A61B18/1492 ,  A61B90/37 ,  A61B90/50 ,  A61B2017/00053 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00349 ,  A61B2017/00575 ,  A61B2017/00579 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00606 ,  A61B2017/00619 ,  A61B2017/00623 ,  A61B2017/00867 ,  A61B2017/00907 ,  A61B2017/0243 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/2943 ,  A61B2017/2946 ,  A61B2017/306 ,  A61B2017/3405 ,  A61B2017/3486 ,  A61B2017/3492 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00291 ,  A61B2018/00363 ,  A61B2018/00392 ,  A61B2018/00577 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1465 ,  A61F2/2427 ,  A61M25/1011 ,  A61M39/0247 ,  A61M2025/028 ,  A61M2039/0273 ,  A61M2039/0279 ,  A61M2039/0297 ,  A61M2205/3344 ,  A61M2205/3355 ,  A61M2205/366

摘要： Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.

摘要翻译： 提供了设备，系统和方法，用于访问心脏内部并在心脏跳动时执行其中的过程。 在一个实施例中，提供具有内腔的管状进入装置用于通过心脏的肌肉壁中的穿透进行定位，所述进入装置具有用于密封穿透物的装置，以阻止血液渗透穿透。 密封装置可以包括进入装置上的球囊或凸缘，或者放置在心壁中的缝合线，以将心脏组织收集在接近装置上。 闭塞器可拆卸地定位在进入装置的内腔中，封闭器在其远端具有用于穿透心脏肌肉壁的切割装置。 进入装置优选地通过肋间空间并穿过心脏的肌肉壁定位。 细长的仪器可以通过管状进入装置引入心脏的内腔，以执行诸如间隔缺损修复和电生理测绘和消融的过程。 间隔缺损修复的方法包括经由肋间空间穿过管状进入装置并穿过心脏的肌肉壁的穿透，使一个或多个器械通过管状进入装置的内腔进入心脏的内部腔室 ，并使用仪器封闭隔膜缺损。 公开了用缝线或贴片式装置封闭隔膜缺损的装置和方法。

公开(公告)号：US5823956A

公开(公告)日：1998-10-20

申请号：US646210

申请日：1996-05-07

申请人： Alex T. Roth ,  Hanson S. Gifford

发明人： Alex T. Roth ,  Hanson S. Gifford

IPC分类号： A61B5/0444 ,  A61B1/00 ,  A61B5/0402 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/00 ,  A61B18/14 ,  A61B19/00 ,  A61F2/24 ,  A61F2/958 ,  A61M1/00 ,  A61B5/04 ,  A61B17/39 ,  A61N1/05

CPC分类号： A61B17/00234 ,  A61B17/0057 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/06061 ,  A61B17/320016 ,  A61B17/3468 ,  A61B18/1482 ,  A61B18/1492 ,  A61B90/50 ,  A61F2/2427 ,  A61M25/1011 ,  A61M39/0247 ,  A61B17/0467 ,  A61B17/2909 ,  A61B17/3211 ,  A61B17/3417 ,  A61B18/1442 ,  A61B2017/00053 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00349 ,  A61B2017/00575 ,  A61B2017/00579 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00606 ,  A61B2017/00619 ,  A61B2017/00623 ,  A61B2017/00867 ,  A61B2017/00907 ,  A61B2017/0243 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/2943 ,  A61B2017/2946 ,  A61B2017/306 ,  A61B2017/3405 ,  A61B2017/3486 ,  A61B2017/3492 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00291 ,  A61B2018/00363 ,  A61B2018/00392 ,  A61B2018/00577 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1465 ,  A61B90/37 ,  A61M2025/028 ,  A61M2039/0279 ,  A61M2039/0297 ,  A61M2205/3344 ,  A61M2205/3355 ,  A61M2205/366 ,  Y10S623/904

摘要： Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.

公开(公告)号：US5797960A

公开(公告)日：1998-08-25

申请号：US425179

申请日：1995-04-20

申请人： John H. Stevens ,  Bruce A. Reitz ,  Alex T. Roth ,  William S. Peters ,  Hanson S. Gifford

发明人： John H. Stevens ,  Bruce A. Reitz ,  Alex T. Roth ,  William S. Peters ,  Hanson S. Gifford

IPC分类号： A61B5/0444 ,  A61B1/00 ,  A61B5/0402 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/00 ,  A61B18/14 ,  A61B19/00 ,  A61F2/24 ,  A61F2/958 ,  A61M1/00 ,  A61M29/00

CPC分类号： A61B17/00234 ,  A61B17/0057 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/06061 ,  A61B17/320016 ,  A61B17/3468 ,  A61B18/1482 ,  A61B18/1492 ,  A61B90/50 ,  A61F2/2427 ,  A61M25/1011 ,  A61M39/0247 ,  A61B17/0467 ,  A61B17/2909 ,  A61B17/3211 ,  A61B17/3417 ,  A61B18/1442 ,  A61B2017/00053 ,  A61B2017/00243 ,  A61B2017/00247 ,  A61B2017/00349 ,  A61B2017/00575 ,  A61B2017/00579 ,  A61B2017/00592 ,  A61B2017/00597 ,  A61B2017/00606 ,  A61B2017/00619 ,  A61B2017/00623 ,  A61B2017/00867 ,  A61B2017/00907 ,  A61B2017/0243 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/2943 ,  A61B2017/2946 ,  A61B2017/306 ,  A61B2017/3405 ,  A61B2017/3486 ,  A61B2017/3492 ,  A61B2018/00214 ,  A61B2018/00232 ,  A61B2018/00261 ,  A61B2018/00291 ,  A61B2018/00363 ,  A61B2018/00392 ,  A61B2018/00577 ,  A61B2018/00898 ,  A61B2018/00982 ,  A61B2018/1465 ,  A61B90/37 ,  A61M2025/028 ,  A61M2039/0279 ,  A61M2039/0297 ,  A61M2205/3344 ,  A61M2205/3355 ,  A61M2205/366 ,  Y10S623/904

摘要： Devices, systems, and methods are provided for accessing the interior of the heart and performing procedures therein while the heart is beating. In one embodiment, a tubular access device having an inner lumen is provided for positioning through a penetration in a muscular wall of the heart, the access device having a means for sealing within the penetration to inhibit leakage of blood through the penetration. The sealing means may comprise a balloon or flange on the access device, or a suture placed in the heart wall to gather the heart tissue against the access device. An obturator is removably positionable in the inner lumen of the access device, the obturator having a cutting means at its distal end for penetrating the muscular wall of the heart. The access device is preferably positioned through an intercostal space and through the muscular wall of the heart. Elongated instruments may be introduced through the tubular access device into an interior chamber of the heart to perform procedures such as septal defect repair and electrophysiological mapping and ablation. A method of septal defect repair includes positioning a tubular access device percutaneously through an intercostal space and through a penetration in a muscular wall of the heart, passing one or more instruments through an inner lumen of the tubular access device into an interior chamber of the heart, and using the instruments to close the septal defect. Devices and methods for closing the septal defect with either sutures or with patch-type devices are disclosed.

公开(公告)号：USD394109S

公开(公告)日：1998-05-05

申请号：US062408

申请日：1996-11-04

申请人： Scott H. Miller ,  Alex T. Roth

设计人： Scott H. Miller ,  Alex T. Roth

公开(公告)号：US08403839B2

公开(公告)日：2013-03-26

申请号：US11955036

申请日：2007-12-12

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

公开(公告)号：US08357174B2

公开(公告)日：2013-01-22

申请号：US13049628

申请日：2011-03-16

申请人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, Jr. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

发明人： Alex T. Roth ,  Andrew H. Hancock ,  Gary Weller ,  Gilbert Mata, Jr. ,  Craig Gerbi ,  James Gannoe ,  Christopher Julian

IPC分类号： A61B17/08 ,  A61B17/04

CPC分类号： A61F5/0083 ,  A61B1/3132 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00876 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/1103 ,  A61B2017/2905 ,  A61B2017/306 ,  A61B2090/08021 ,  A61F5/005 ,  A61F5/0076

摘要： A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.

公开(公告)号：US20120303005A1

公开(公告)日：2012-11-29

申请号：US13569090

申请日：2012-08-07

申请人： David C. Forster ,  Brian Beckey ,  Brandon Walsh ,  Scott Heneveld ,  Alex T. Roth

发明人： David C. Forster ,  Brian Beckey ,  Brandon Walsh ,  Scott Heneveld ,  Alex T. Roth

IPC分类号： A61B17/00 ,  F16D3/00 ,  F16C1/04 ,  F16B17/00

CPC分类号： A61M25/0113 ,  A61F2/2427 ,  A61M25/0043 ,  A61M25/0138 ,  A61M25/0147 ,  F16C1/04 ,  F16C2226/78 ,  F16C2316/10 ,  Y10T403/70 ,  Y10T403/7045 ,  Y10T403/7073

摘要： Torque shafts and other related systems and methods are described herein. The torque shafts are both flexible and capable of transmitting torque. The torque shafts are useful for procedures that require torque and pushability to drive or deploy a device. The flexibility and pushability of the torque shafts enable them to curve along a tortuous path, and the torque transferring capability of the shafts enable them to transmit torque along the shaft.

摘要翻译： 本文描述了扭矩轴和其它相关的系统和方法。 扭矩轴既灵活又能够传递扭矩。 扭矩轴对于要求扭矩和推动性来驱动或部署设备的过程非常有用。 扭矩轴的灵活性和推力使其能够沿着曲折的路径弯曲，并且轴的转矩传递能力使得它们能够沿轴传递扭矩。

公开(公告)号：US20120083657A1

公开(公告)日：2012-04-05

申请号：US13326709

申请日：2011-12-15

申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

摘要翻译： 用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。 医疗装置包括具有近端和远端的细长主体，以及连接到细长主体的远端的组织处理装置。 组织处理装置包括与第二钳口相对的第一钳口，并且每个钳口适于获取组织。 牵开器沿着组织处理装置设置并适于从输送位置移动到缩回位置以移动或管理胃的组织。 医疗装置还包括设置在组织处理装置的第一和第二钳口之间的可折叠屏障，以将组织分别引导到第一和第二钳口中。