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    Implantable tissue fastener and system for treating a gastrointestinal tract
    2.
    发明授权
    Implantable tissue fastener and system for treating a gastrointestinal tract 有权
    植入式组织紧固件和用于治疗胃肠道的系统

    公开(公告)号：US08663274B2

    公开(公告)日：2014-03-04

    申请号：US13419635

    申请日：2012-03-14

    Applicant: Ronald Adams

    Inventor： Ronald Adams

    IPC: A61B17/08

    CPC classification number: A61B17/1114 ,  A61B17/0643 ,  A61B17/068 ,  A61B2017/00004 ,  A61B2017/00557 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61M25/04 ,  A61M2025/0233

    Abstract: A system including an implantable fastener for fastening layers of tissue is disclosed. In one embodiment, the fastener includes a proximal anchor member and a distal anchor member each being movable from a reduced profile position to a deployed position. The anchor members are mesh structures capable of moving to the deployed position by reducing the axial spacing between opposite ends of the anchor members.Methods of treating gastroesophageal reflux disease (GERD) are also disclosed. One of the methods includes placing the distal anchor member through a hole formed in the wall of the esophagus and through a hole formed in the gastric wall. The distal anchor member and the proximal anchor member are then placed in their deployed positions to fasten the wall of the esophagus and the gastric wall together between the anchor members.

    Abstract translation: 公开了一种包括用于紧固组织层的可植入紧固件的系统。 在一个实施例中，紧固件包括近端锚固构件和远侧锚固构件，每个远端锚固构件可从减小的轮廓位置移动到展开位置。 锚固构件是能够通过减小锚定构件的相对端之间的轴向间隔而能够移动到展开位置的网状结构。 还公开了治疗胃食管反流病（GERD）的方法。 其中一种方法包括将远端锚固构件放置在通过形成在食管壁上的孔中，并通过形成在胃壁中的孔。 然后将远端锚固构件和近端锚定构件放置在其展开位置中，以将锚固构件之间的食道和胃壁的壁紧固在一起。

    CONTROLLABLE ENDOSCOPIC SHEATH APPARATUS AND RELATED METHOD OF USE
    4.
    发明申请
    CONTROLLABLE ENDOSCOPIC SHEATH APPARATUS AND RELATED METHOD OF USE 有权
    可控内窥镜装置及相关使用方法

    公开(公告)号：US20110257479A1

    公开(公告)日：2011-10-20

    申请号：US13092353

    申请日：2011-04-22

    Applicant: Ronald Adams ,  Michael Banik ,  Charles Pugsley

    Inventor： Ronald Adams ,  Michael Banik ,  Charles Pugsley

    IPC: A61B1/005 ,  A61B1/018

    CPC classification number: A61B1/0051 ,  A61B1/00073 ,  A61B1/00078 ,  A61B1/00135 ,  A61B1/018

    Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

    Abstract translation: 用于优化操作部位的外科器械的控制的可控护套包括围绕内窥镜的柔性护套，并且包括沿护套的壁延伸并与内窥镜相邻的内腔。 内腔允许外科器械从内窥镜装置的近端通向手术部位。 内腔延伸超过内窥镜的远端，并且由操作者操纵控制器装置所期望的偏转在远端。 这种远端偏转可以通过各种不同的技术发生，其中偏转内腔的能力给操作者增加了位于内腔中的手术器械的控制和机动性。 根据外科手术的具体要求，可控护套可以包括能够进行远端偏转的任何数量的腔。

    Endoluminal fundoplication device and related method
    5.
    发明申请
    Endoluminal fundoplication device and related method 有权
    腔内胃底穿刺装置及相关方法

    公开(公告)号：US20050222492A1

    公开(公告)日：2005-10-06

    申请号：US11133866

    申请日：2005-05-23

    Applicant: Ronald Adams

    Inventor： Ronald Adams

    IPC: A61B17/00 ,  A61B17/064 ,  A61B17/12 ,  A61B17/128 ,  A61B17/28 ,  A61B18/18 ,  A61B1/018

    CPC classification number: A61B17/10 ,  A61B1/00179 ,  A61B1/0051 ,  A61B1/05 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/1285 ,  A61B2017/00353 ,  A61B2017/00827 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2934

    Abstract: A distal assembly of an endoscopic surgical device, and a related method, having a first arm and a second arm pivotal relative to the first arm. Each arm is configured to hold a part of a two-part fastener at a distal end of the arm. A closing mechanism is positioned proximate a proximal end of each of the first and second arms opposite the distal end of each of the first and second arms. The closing mechanism is configured to move in relation to the first and second arms so as to close over at least one of the first and second arms to cause the distal ends of the arms to come together. An actuation member is also attached to the closing mechanism actuable to cause the closing mechanism to move in relation to the first and second arms.

    Abstract translation: 内窥镜手术装置的远侧组件和相关方法，具有相对于第一臂枢转的第一臂和第二臂。 每个臂构造成将两部分紧固件的一部分保持在臂的远端。 闭合机构定位在与第一和第二臂中的每一个的远端相对的第一和第二臂中的每一个的近端附近。 关闭机构构造成相对于第一和第二臂移动以便关闭第一和第二臂中的至少一个臂，以使臂的远端汇合在一起。 致动构件也附接到可致动的闭合机构，以使关闭机构相对于第一和第二臂移动。

    Non-circular resection device and endoscope
    7.
    发明授权
    Non-circular resection device and endoscope 有权
    非圆形切除装置和内窥镜

    公开(公告)号：US06629630B2

    公开(公告)日：2003-10-07

    申请号：US09906142

    申请日：2001-07-17

    Applicant: Ronald Adams

    Inventor： Ronald Adams

    IPC: A61B1704

    CPC classification number: A61B1/00071 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/29 ,  A61B90/30 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0058

    Abstract: A proximal housing for a full-thickness resection device (FTRD) is provided with a plurality of chambers through which fasteners are introduced into a portion of tissue to be resected. The proximal housing has a noncircular cut-out opposite the plurality of chambers to receive a noncircular endoscope. The proximal housing also is provided with a resection cavity into which the tissue to be resected is to be received. In addition, shaft openings are provided through which mounting shafts may be inserted. A noncircular endoscope is also disclosed for insertion into the cut-out whereby the endoscope has passages to house the functions of remote viewing, illumination, insufflation and irrigation.

    Abstract translation: 用于全厚度切除装置（FTRD）的近侧壳体设置有多个腔室，紧固件通过该腔室被引入要切除的组织的一部分中。 近端壳体具有与多个腔室相对的非圆形切口以接收非圆形内窥镜。 近侧壳体还设置有切除腔，要切除的组织被接纳到该切除腔中。 此外，设置有可以插入安装轴的轴开口。 还公开了一种用于插入切口的非圆形内窥镜，由此内窥镜具有通道以容纳远程观察，照明，吹气和灌溉的功能。

    Hemostatic clips
    8.
    发明授权
    Hemostatic clips 有权
    止血夹

    公开(公告)号：US06193733B1

    公开(公告)日：2001-02-27

    申请号：US09422987

    申请日：1999-10-22

    Applicant: Ronald Adams

    Inventor： Ronald Adams

    IPC: A61B1708

    CPC classification number: A61B17/1285 ,  A61B17/122 ,  A61F2002/30092 ,  A61F2210/0014

    Abstract: Clips having pseudoelastlc properties at body temperature are used to cause hemostatis of blood vessels located along the gastrointestinal tract. Methods for causing the hemostasis of blood vessels and ulcer beds using the clips of the present invention are also disclosed.

    Abstract translation: 在体温下具有假弹性性质的夹子用于引起位于胃肠道的血管的血液。 还公开了使用本发明的夹子引起血管和溃疡床止血的方法。

    Controllable endoscopic sheath apparatus and related method of use
    9.
    发明授权
    Controllable endoscopic sheath apparatus and related method of use 有权
    可控内窥镜护套装置及相关使用方法

    公开(公告)号：US06179776B2

    公开(公告)日：2001-01-30

    申请号：US09267109

    申请日：1999-03-12

    Applicant: Ronald Adams ,  Michael Banik ,  Charles Pugsley

    Inventor： Ronald Adams ,  Michael Banik ,  Charles Pugsley

    IPC: A61B100

    CPC classification number: A61B1/0051 ,  A61B1/00073 ,  A61B1/00078 ,  A61B1/00135 ,  A61B1/018

    Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

    Abstract translation: 用于优化操作部位的外科器械的控制的可控护套包括围绕内窥镜的柔性护套，并且包括沿护套的壁延伸并与内窥镜相邻的内腔。 管腔允许外科器械从内窥镜装置的近端通到手术部位。 内腔延伸超过内窥镜的远端，并且由操作者操纵控制器装置所期望的偏转在远端。 这种远端偏转可以通过各种不同的技术发生，其中偏转内腔的能力给操作者增加了位于内腔中的手术器械的控制和机动性。 根据外科手术的具体要求，可控护套可以包括能够进行远端偏转的任何数量的腔。

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