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    Mechanical tissue modification devices and methods
    81.
    发明申请
    Mechanical tissue modification devices and methods 有权
    机械组织修饰装置及方法

    公开(公告)号：US20070213733A1

    公开(公告)日：2007-09-13

    申请号：US11405848

    申请日：2006-04-17

    申请人： Jeffery Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jeffery Bleam

    发明人： Jeffery Bleich ,  Vahid Saadat ,  Roy Leguidleguid ,  Jeffery Bleam

    IPC分类号： A61B17/16

    CPC分类号： A61B17/1659 ,  A61B17/00234 ,  A61B17/02 ,  A61B17/1671 ,  A61B17/1757 ,  A61B17/320016 ,  A61B17/32002 ,  A61B17/3421 ,  A61B2017/00261 ,  A61B2017/00867 ,  A61B2017/32006 ,  A61B2017/3488 ,  A61B2090/08021

    摘要： A device for modifying one or more tissues in a patient's spine may include: an elongate, at least partially flexible body having a proximal portion and a distal portion, wherein at least the distal portion has dimensions that allow it to be passed into an epidural space and between target and non-target tissues of the spine; at least one movable blade disposed along one side of the elongate body; at least one actuator coupled with the at least one blade and disposed at or near the proximal or distal portion of the body for moving the blade(s) to modify one or more target tissues, wherein the at least one actuator is configured to move the blade(s) without significantly translating the elongate body proximally or distally; and means at or near the proximal and distal portions of the elongate body for facilitating application of at least one of anchoring force and tensioning force to the body to urge the at least one blade against the target tissue.

    摘要翻译： 用于修改患者脊柱中的一个或多个组织的装置可以包括：细长的至少部分柔性的身体，其具有近端部分和远端部分，其中至少远端部分具有允许其进入硬膜外腔的尺寸 和脊柱的靶和非靶组织之间; 沿着所述细长体的一侧设置的至少一个可动刀片; 至少一个致动器，其与所述至少一个叶片耦合并且设置在所述主体的近端或远端部分处或附近，用于移动所述叶片以修改一个或多个目标组织，其中所述至少一个致动器被配置成使所述至少一个致动器移动 刀片不在近侧或远端显着地平移细长体; 以及在所述细长体的近端部分和远端部分附近的装置，用于便于将至少一个锚定力和张紧力施加到身体以将至少一个刀片推向靶组织。

    TISSUE IMAGING SYSTEM VARIATIONS
    82.
    发明申请
    TISSUE IMAGING SYSTEM VARIATIONS 有权
    组织成像系统变化

    公开(公告)号：US20070167828A1

    公开(公告)日：2007-07-19

    申请号：US11560742

    申请日：2006-11-16

    申请人： Vahid Saadat

    发明人： Vahid Saadat

    IPC分类号： A61B8/14

    CPC分类号： A61B1/005 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00085 ,  A61B1/00089 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B5/0031 ,  A61B5/02007 ,  A61B5/6882 ,  A61B8/12 ,  A61B2018/0212

    摘要： Tissue imaging system variations are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, the system can be deployed in a number of various ways such as clearing blood clots, emboli, and other debris which may be present in a body lumen. Other variations may also be used for facilitating trans-septal access across tissue regions as well as for balancing body fluids during a procedure.

    摘要翻译： 本文描述了组织成像系统的变化。 这样的系统可以包括部署导管和可展开成扩展配置的附接成像罩。 在使用中，成像罩被放置在通常填充有不透明体液如血液的体腔中的待成像组织区域附近或邻近。 半透明或透明的液体（例如盐水）可被泵送到成像罩中，直到流体移动任何血液，从而留下通过展开导管中的成像元件成像的组织的清晰区域。 此外，该系统可以以多种各种方式进行部署，例如清除血液凝块，栓塞以及可能存在于体腔内的其它碎片。 也可以使用其它变化来促进跨组织区域的间隔隔离以及用于在手术过程中平衡体液。

    Methods and apparatus for maintaining sterility during transluminal procedures
    84.
    发明申请
    Methods and apparatus for maintaining sterility during transluminal procedures 审中-公开
    在宫腔手术过程中保持不育的方法和装置

    公开(公告)号：US20060258909A1

    公开(公告)日：2006-11-16

    申请号：US11400297

    申请日：2006-04-07

    申请人： Vahid Saadat ,  John Cox ,  Tracy Maahs

    发明人： Vahid Saadat ,  John Cox ,  Tracy Maahs

    IPC分类号： A61B1/00

    CPC分类号： A61B17/3431 ,  A61B1/00142 ,  A61B17/064 ,  A61B17/08 ,  A61B17/3496 ,  A61B46/10 ,  A61B46/17 ,  A61B90/40 ,  A61B2017/00278 ,  A61B2017/0419 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61B2017/3488

    摘要： Methods and apparatus for maintaining sterility during transluminal procedures are described. The sterility is achieved by making use of a membrane in either the form, e.g., of a sheath, cap or umbrella to keep the instruments (endoscopes, overtubes, etc.) sterile while being advanced through lumens in the body and into the various cavities. Methods, such as vacuum acquisition, mechanical tissue anchoring, etc., of the underlying tissue followed by incision of the tissue with, e.g., a needle knife, can be utilized to gain access to the various cavities. It is expected that this procedure will provide the desired level of sterility for transluminal procedures.

    摘要翻译： 描述了在腔内程序中维持不育的方法和装置。 通过使用例如护套，帽或伞的形式的膜来实现无菌性，以将器具（内窥镜，超声波管等）保持无菌，同时通过体内的腔进入各种空腔 。 可以使用诸如真空采集，机械组织锚定等方法，随后用例如针刀切割组织的下面的组织，以便进入各种空腔。 预期该程序将为腔内程序提供所需的无菌水平。

    Methods and apparatus for performing endoluminal procedures
    86.
    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

    申请人： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    发明人： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    IPC分类号： A61B1/00

    CPC分类号： A61B1/0051 ,  A61B1/0008 ,  A61B1/00179 ,  A61B1/00183 ,  A61B1/018 ,  A61B1/04 ,  A61B17/29

    摘要： 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.

    摘要翻译： 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
    87.
    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

    申请人： Vahid Saadat ,  Richard Ewers ,  Ruey-Feng Peh

    发明人： Vahid Saadat ,  Richard Ewers ,  Ruey-Feng Peh

    IPC分类号： A61B17/08

    CPC分类号： A61B17/1114 ,  A61B17/11 ,  A61B2017/00349 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/1103 ,  A61B2017/1117

    摘要： 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.

    摘要翻译： 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。

    Manipulatable grasping needle
    88.
    发明申请
    Manipulatable grasping needle 审中-公开
    可操纵抓针

    公开(公告)号：US20060020274A1

    公开(公告)日：2006-01-26

    申请号：US10898684

    申请日：2004-07-23

    申请人： Richard Ewers ,  Cang Lam ,  Vahid Saadat

    发明人： Richard Ewers ,  Cang Lam ,  Vahid Saadat

    IPC分类号： A61B17/04

    CPC分类号： A61B17/29 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0483 ,  A61B2017/00349 ,  A61B2017/2905 ,  A61B2017/2926

    摘要： A manipulatable grasping needle is described herein. A piercing and grasping assembly generally comprises a needle body, which is optionally hollow, having a piercing tip and a grasping arm positioned proximally of the tip, wherein the grasping arm is adapted to project from the needle body and releasably retain a length of suture. Alternatively, opposing jaws can form a singular piercing tip when the jaws are closed. The assembly is positioned at the distal end of an elongate member which can be rigid or flexible for advancement through an endoscopic device. The elongate member can also comprise one or more articulatable sections to enable manipulation of the assembly into various shapes to facilitate suture and tissue manipulation. Moreover, either the needle body or grasping arm can define a notch for receiving suture material. A hooking member can also be provided to facilitate suture retrieval when grasping suture.

    摘要翻译： 这里描述了可操纵的把持针。 穿刺和抓握组件通常包括可选地中空的针体，其具有穿刺尖端和位于尖端近侧的抓握臂，其中抓握臂适于从针体突出并且可释放地保持一定长度的缝合线。 或者，当夹爪关闭时，相对的夹爪可以形成单个穿刺尖端。 组件定位在细长构件的远端，细长构件的远端可以是刚性的或柔性的，用于通过内窥镜装置前进。 细长构件还可以包括一个或多个可铰接部分，以使得能够将组件操纵成各种形状以便于缝合和组织操纵。 此外，针体或抓握臂可以限定用于接收缝合材料的凹口。 还可以提供钩构件以便于在抓住缝线时促进缝合线的取出。

    Methods and apparatus for creating a working space within a body lumen or cavity
    89.
    发明申请
    Methods and apparatus for creating a working space within a body lumen or cavity 审中-公开
    用于在体腔或腔内产生工作空间的方法和装置

    公开(公告)号：US20050277975A1

    公开(公告)日：2005-12-15

    申请号：US10865686

    申请日：2004-06-09

    申请人： Vahid Saadat ,  Chris Rothe ,  Ruey-Feng Peh

    发明人： Vahid Saadat ,  Chris Rothe ,  Ruey-Feng Peh

    IPC分类号： A61B17/02 ,  A61B17/34 ,  A61M29/00

    CPC分类号： A61B17/0218 ,  A61B2017/3484 ,  A61B2017/3488

    摘要： Methods and apparatus for creating a working space within a patient's stomach are described. The working space is created by internally spreading or pushing the walls of the stomach apart. Advantageously, such spreading is achieved without pressurizing the patient's stomach, i.e. without injecting a pressurized gas or other fluid directly into the stomach. Diagnostic or therapeutic instruments may be deployed within the working space. It is expected that spreading the walls without pressurizing the stomach will facilitate engagement and/or manipulation of the stomach wall for, e.g., endoluminal treatment of obesity.

    摘要翻译： 描述了在患者胃内创建工作空间的方法和装置。 工作空间是通过内部扩展或推开胃壁而产生的。 有利地，在不对患者的胃进行加压的情况下实现这种扩散，即不将加压气体或其它流体直接注入到胃中。 诊断或治疗仪器可以部署在工作空间内。 预期在不加压胃的情况下扩散壁将有助于胃壁的接合和/或操纵，例如用于肥胖的腔内处理。