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    HIGH FLOW STONE BASKET SYSTEM
    1.
    发明申请
    HIGH FLOW STONE BASKET SYSTEM 审中-公开
    高流动石盆系统

    公开(公告)号：US20080039684A1

    公开(公告)日：2008-02-14

    申请号：US11875085

    申请日：2007-10-19

    Applicant: Ralph Clayman ,  Nabil Hilal ,  Edward Pingleton ,  Richard Ewers

    Inventor： Ralph Clayman ,  Nabil Hilal ,  Edward Pingleton ,  Richard Ewers

    IPC: A61B1/005 ,  A61B17/221

    CPC classification number: A61B1/018 ,  A61B17/221 ,  A61B2017/22072 ,  A61B2017/2212

    Abstract: A medical device for viewing inside a body and for retrieving an object from a location within the body, the medical device comprising an endoscope having a tube defining a working channel and a basket engageable with the object. In one embodiment of the invention, the basket does not require a sheath and is disposed through the working channel such that the endoscope operates to contain or activate the sheathless basket. In another embodiment of the invention, a single push wire with a collar at its end is used in place of a sheath to control the opening and closing of the basket. In another embodiment of the invention, a tapered and funnel-shaped sheath surrounding the basket is used to contain or activate the basket. The invention minimizes the basket crossing profile so as to improve fluid flow in the working channel.

    Abstract translation: 一种用于在体内观察并用于从体内的位置检索物体的医疗装置，所述医疗装置包括具有限定工作通道的管和可与所述物体接合的篮的内窥镜。 在本发明的一个实施例中，篮子不需要护套并且通过工作通道设置，使得内窥镜操作以容纳或激活无鞘篮。 在本发明的另一个实施例中，使用在其端部具有套环的单个推动线代替护套来控制筐的打开和关闭。 在本发明的另一个实施例中，围绕篮子的锥形和漏斗形护套用于容纳或激活筐。 本发明使筐横向轮廓最小化，以便改善工作通道中的流体流动。

    Apparatus and methods for endoluminal advancement
    3.
    发明申请
    Apparatus and methods for endoluminal advancement 审中-公开
    用于腔内推进的装置和方法

    公开(公告)号：US20060287666A1

    公开(公告)日：2006-12-21

    申请号：US11154168

    申请日：2005-06-15

    Applicant: Vahid Saadat ,  Eugene Chen ,  Tung Le ,  Tracy Maahs ,  Richard Ewers ,  John Cox ,  Chris Rothe

    Inventor： Vahid Saadat ,  Eugene Chen ,  Tung Le ,  Tracy Maahs ,  Richard Ewers ,  John Cox ,  Chris Rothe

    IPC: A61M29/00

    CPC classification number: A61M25/1011 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61M2025/1015 ,  A61M2025/1052

    Abstract: Apparatus and methods for endoluminal advancement are described herein. A shape-lockable tissue anchoring assembly generally has an elongate body, a handle assembly, and an anchoring assembly positioned at or proximal to a distal tip of the elongate body. A distal portion of the elongate body may optionally be steerable or curvable. The anchoring assembly may include various expandable or projecting anchoring features to contact and retain tissue relative to the elongate body such that pleated tissue is temporarily immobile relative to the elongate body. This anchoring can be actuated simultaneously with or independently from shape-locking of elongate body. The anchoring assembly can be actuated simultaneously with the shape-locking of the elongate body. Alternatively, the steerable distal portion of the elongate body can be angled against the pleated tissue to retain it while the endoscope is advanced relative to the pleated tissue.

    Abstract translation: 本文描述了腔内前进的装置和方法。 可锁定形状的组织锚固组件通常具有细长主体，手柄组件和定位在细长主体的远侧末端处或近侧的锚固组件。 细长主体的远端部分可以可选地是可操纵的或可调节的。 锚定组件可以包括各种可膨胀或突出的锚固特征，以相对于细长体接触和保持组织，使得褶皱组织相对于细长体临时固定不动。 这种锚固可以与细长体的形状锁定同时或独立地致动。 锚固组件可以与细长体的形状锁定同时致动。 或者，细长主体的可转向远端部分可以相对于打褶组织成角度，以在内窥镜相对于打褶组织前进时保持它。

    Methods and apparatus for securing and deploying tissue anchors
    5.
    发明申请
    Methods and apparatus for securing and deploying tissue anchors 有权
    用于固定和部署组织锚的方法和装置

    公开(公告)号：US20060271073A1

    公开(公告)日：2006-11-30

    申请号：US11139920

    申请日：2005-05-26

    Applicant: Cang Lam ,  Richard Ewers ,  Robert Vaughan ,  Vahid Saadat

    Inventor： Cang Lam ,  Richard Ewers ,  Robert Vaughan ,  Vahid Saadat

    IPC: A61B17/04

    CPC classification number: A61B17/0482 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/29 ,  A61B2017/003 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2927

    Abstract: Methods and apparatus for securing and deploying tissue anchors are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member. A reconfigurable launch tube is also pivotably coupled to the tissue manipulation assembly, which 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. A deployment assembly is provided for securing engaged tissue via one or more tissue anchors, the deployment assembly also being configured to disengage the anchors endoluminally or laparoscopically.

    Abstract translation: 本文描述了用于固定和展开组织锚的方法和装置。 组织操作组件可枢转地联接到管状构件的远端。 可重新配置的发射管也可枢转地联接到组织操作组件，组织操作组件可通过可形状锁定的内窥镜装置，常规内窥镜或直接自身进入患者。 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。 提供了一种展开组件，用于通过一个或多个组织锚固件固定所接合的组织，所述展开组件还被配置为使得所述锚固体在内腔或腹腔镜下脱离。

    Attenuation of environmental parameters on a gastric lumen
    6.
    发明申请
    Attenuation of environmental parameters on a gastric lumen 有权
    胃管内环境参数的衰减

    公开(公告)号：US20060157067A1

    公开(公告)日：2006-07-20

    申请号：US11035702

    申请日：2005-01-14

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

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

    IPC: A61B19/00

    CPC classification number: A61B17/0469 ,  A61B17/00491 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/1114 ,  A61B2017/00349 ,  A61B2017/00495 ,  A61B2017/0406 ,  A61B2017/0454 ,  A61B2017/0464

    Abstract: The attenuation or isolation of environmental parameters on a gastric lumen is described herein. Once tissue plications are formed into a gastric lumen or sleeve within a stomach, the newly formed lumen is subjected to a multitude of fluctuating stresses or pressure from food or fluids passing therethrough, from naturally-occurring contractions, and/or from changes in pH levels from caustic stomach acids and hormones. The tissue interface between these plications can be isolated from such environmental fluctuations, or the fluctuations can be attenuated, by a number of methods. One example is to place a gastric stent or sleeve within the newly formed lumen. Another example is to utilize multiple rows of anchors, clips, or sutures along the interface. Alternatively, bio-adhesives can be dispensed to buttress the tissue interface. In another variation, the tissue can be approximated in different configurations which effectively reduce or isolate the adhered tissue region.

    Abstract translation: 本文描述了在胃腔上的环境参数的衰减或分离。 一旦组织消融在胃内形成胃腔或套管，则新形成的内腔经受来自通过其的食物或液体的多种波动的压力或压力，从天然存在的收缩和/或pH水平的变化 从苛性胃酸和激素。 可以通过多种方法将这些斑点之间的组织界面与这种环境波动隔离，或者波动可以减弱。 一个例子是将胃支架或套管放置在新形成的内腔内。 另一个例子是沿着界面使用多行锚，剪辑或缝线。 或者，可以分配生物粘合剂以支撑组织界面。 在另一个实施方式中，可以以有效地减少或隔离粘附的组织区域的不同配置来近似组织。

    Wound retraction apparatus and method
    7.
    发明申请
    Wound retraction apparatus and method 有权
    伤口收缩装置及方法

    公开(公告)号：US20050288558A1

    公开(公告)日：2005-12-29

    申请号：US11218412

    申请日：2005-09-01

    Applicant: Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

    Inventor： Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

    IPC: A61B17/02 ,  A61B17/34 ,  A61B1/32

    CPC classification number: A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

    Abstract: A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

    Abstract translation: 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。 缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

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