SURGICAL ACCESS APPARATUS AND METHOD
    71.
    发明申请
    SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
    外科手术设备及方法

    公开(公告)号:US20120226105A1

    公开(公告)日:2012-09-06

    申请号:US13312393

    申请日:2011-12-06

    Abstract: A surgical access device is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device comprises an access seal. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal conforms to a surface of an instrument inserted through the working channel.

    Abstract translation: 外科进入装置适于执行腹腔镜外科手术,其中至少一个器械通过外科进入装置,并通过患有腹部腔的切口在腹腔内用吹入气体加压。 手术进入装置包括进入密封件。 进入密封件的材料适于形成密封件,以通常维持腹腔内的注入压力。 通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。 当操作性地设置时,所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。 进入密封件的材料符合通过工作通道插入的仪器的表面。

    Tissue manipulation and securement system
    72.
    发明授权
    Tissue manipulation and securement system 有权
    组织操纵和固定系统

    公开(公告)号:US08216252B2

    公开(公告)日:2012-07-10

    申请号:US11070863

    申请日:2005-03-01

    Abstract: Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly.

    Abstract translation: 本文描述了组织操纵和固定系统。 组织操作组件可枢转地联接到管状构件的远端,并且具有下颚构件和可枢转地联接到下颚构件的上颚构件。 可重构的发射管也可枢转地联接到上钳口构件,并且用于将钳口构件从小轮廓构造推动到用于接收组织的打开构型。 组织操作组件可以通过形状可锁定内窥镜装置,常规内窥镜,或者直接自身进入患者。 第二工具可以与组织操作组件组合使用以接合组织并且与组织操作组件一起操作组织。

    System for optimizing anchoring force
    74.
    发明授权
    System for optimizing anchoring force 有权
    优化锚固力的系统

    公开(公告)号:US07695493B2

    公开(公告)日:2010-04-13

    申请号:US10865736

    申请日:2004-06-09

    Abstract: Systems 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: 这里描述了用于优化锚固力的系统。 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 for performing gastroplasty
    79.
    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

    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。

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