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    METHODS FOR PERFORMING GASTROPLASTY
    63.
    发明申请
    METHODS FOR PERFORMING GASTROPLASTY 审中-公开
    用于执行胃肠功能的方法

    公开(公告)号：US20090209984A1

    公开(公告)日：2009-08-20

    申请号：US12426894

    申请日：2009-04-20

    Applicant: Lee L. SWANSTROM ,  Richard C. EWERS ,  Tracy D. MAAHS ,  Eugene G. CHEN ,  Vahid SAADAT

    Inventor： Lee L. SWANSTROM ,  Richard C. EWERS ,  Tracy D. MAAHS ,  Eugene G. CHEN ,  Vahid SAADAT

    IPC: A61B17/08

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

    Abstract: Methods for performing gastroplasty include 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: 进行胃成形术的方法包括通过胃组织的近似来减小胃的有效体积或横截面积。 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。

    STEERABLE ENDOSCOPIC INSTRUMENTS
    64.
    发明申请
    STEERABLE ENDOSCOPIC INSTRUMENTS 审中-公开
    可切换内窥镜仪器

    公开(公告)号：US20090171161A1

    公开(公告)日：2009-07-02

    申请号：US12332229

    申请日：2008-12-10

    Applicant: Richard C. EWERS ,  Robert A. VAUGHAN

    Inventor： Richard C. EWERS ,  Robert A. VAUGHAN

    IPC: A61B1/018

    CPC classification number: A61B1/0052 ,  A61B1/0053 ,  A61B1/0055 ,  A61B1/008 ,  A61B1/018

    Abstract: Flexible, steerable, endoscopic instruments include a handle, a flexible shaft, and an end effector. The handle includes an actuator for controlling the end effector. The handle also includes a steering mechanism for steering the endoscopic instrument. The steering mechanism includes one or more tensioning members configured to increase or decrease a tension force on one or more steering wires that are attached to one or more steerable portions of the flexible shaft.

    Abstract translation: 柔性，可操纵的内窥镜器械包括手柄，柔性轴和端部执行器。 手柄包括用于控制末端执行器的致动器。 手柄还包括用于转向内窥镜器械的转向机构。 转向机构包括一个或多个张紧构件，其构造成增加或减小附接到柔性轴的一个或多个可转向部分的一个或多个操纵绳上的张力。

    Methods for performing gastroplasty
    65.
    发明授权
    Methods for performing gastroplasty 有权
    进行胃成形术的方法

    公开(公告)号：US07520884B2

    公开(公告)日：2009-04-21

    申请号：US10841233

    申请日：2004-05-07

    Applicant: Lee L. Swanstrom ,  Richard C. Ewers ,  Tracy D. Maahs ,  Eugene G. Chen ,  Vahid Saadat

    Inventor： Lee L. Swanstrom ,  Richard C. Ewers ,  Tracy D. Maahs ,  Eugene G. Chen ,  Vahid Saadat

    IPC: A61B17/08

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

    Abstract: Methods for performing gastroplasty include 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: 进行胃成形术的方法包括通过胃组织的近似来减小胃的有效体积或横截面积。 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。

    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
    67.
    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

    Applicant: Vahid Saadat ,  Richard C. Ewers

    Inventor： Vahid Saadat ,  Richard C. Ewers

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

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

    Abstract: 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.

    Abstract translation: 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。

    Access device with expandable containment member
    68.
    发明授权
    Access device with expandable containment member 失效
    具有可扩张容纳构件的进入装置

    公开(公告)号：US5971938A

    公开(公告)日：1999-10-26

    申请号：US974300

    申请日：1997-11-19

    Applicant: Charles C. Hart ,  Richard C. Ewers

    Inventor： Charles C. Hart ,  Richard C. Ewers

    IPC: A61B17/22 ,  A61B5/00

    CPC classification number: A61B17/22031

    Abstract: An access device has a distal, expandable member with a low-profile state facilitating insertion and a high-profile state facilitating operation of the device. An obturator can be used to move the expandable member between its two states. Alternatively, the device can have an outer tube and an inner tube connected to respective ends of a cylindrical expansion member, so that co-axial movement of the tubes changes the state of the member. An actuator slideable on a handle facilitates the co-axial movement of the tubes, and a resulting formation of the expandable member in a funnel configuration.

    Abstract translation: 进入装置具有远侧可扩张构件，其具有便于插入的低轮廓状态和便于操作装置的高轮廓状态。 可以使用闭孔器在可伸缩构件的两个状态之间移动。 或者，装置可以具有连接到圆柱形膨胀构件的相应端部的外管和内管，使得管的同轴运动改变构件的状态。 可滑动在手柄上的致动器有助于管的同轴运动，并且可扩展构件的结果形成为漏斗构型。

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