公开(公告)号：US08932326B2

公开(公告)日：2015-01-13

申请号：US12482218

申请日：2009-06-10

申请人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert R. Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

发明人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert R. Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

IPC分类号： A61B17/08 ,  A61M31/00 ,  A61F2/958 ,  A61M25/10 ,  A61M29/02 ,  A61F2/945 ,  A61F2/30 ,  A61F2/82

CPC分类号： A61F2/958 ,  A61F2/945 ,  A61F2002/30583 ,  A61F2002/823 ,  A61F2210/0085 ,  A61M25/1011 ,  A61M29/02 ,  A61M2025/1052

摘要： Apparatus and method for repairing an abnormality in the wall of a body lumen, the method comprising isolating the abnormality in the wall of the body lumen from flow in the body lumen; positioning flowable forming material adjacent to the abnormality in the wall of the body lumen; and transforming the flowable forming material into a substantially stationary state so as to repair the abnormality in the wall of the body lumen, and the apparatus comprising a supply of flowable forming material; zone isolation apparatus for isolating the abnormality in the wall of the body lumen from flow in the body lumen; and positioning apparatus for positioning the flowable forming material adjacent to the abnormality in the wall of the body lumen so as to repair the abnormality in the wall of the body lumen.

摘要翻译： 用于修复体腔壁的异常的装置和方法，所述方法包括：将体腔内的异常与体腔内的流动隔离; 将可流动的成形材料定位成与体腔壁的异常相邻; 并将可流动的成形材料转化成基本上静止的状态，以便修复体腔的壁中的异常，并且该装置包括供给可流动的成形材料; 区隔离装置，用于将体腔内壁的异常与体腔内的流动隔离; 以及定位装置，用于将可流动的形成材料定位在体腔的壁中与异常相邻，以便修复体腔壁的异常。

公开(公告)号：US20100076484A1

公开(公告)日：2010-03-25

申请号：US12482218

申请日：2009-06-10

申请人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert R. Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

发明人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert R. Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

IPC分类号： A61B17/03 ,  A61M37/00

CPC分类号： A61F2/958 ,  A61F2/945 ,  A61F2002/30583 ,  A61F2002/823 ,  A61F2210/0085 ,  A61M25/1011 ,  A61M29/02 ,  A61M2025/1052

摘要： A method for repairing an abnormality in the wall of a body lumen, the method comprising: isolating the abnormality in the wall of the body lumen from flow in the body lumen; positioning flowable forming material adjacent to the abnormality in the wall of the body lumen; and transforming the flowable forming material into a substantially stationary state so as to repair the abnormality in the wall of the body lumen. Apparatus for repairing an abnormality in the wall of a body lumen, the apparatus comprising: a supply of flowable forming material; zone isolation apparatus for isolating the abnormality in the wall of the body lumen from flow in the body lumen; and positioning apparatus for positioning the flowable forming material adjacent to the abnormality in the wall of the body lumen so as to repair the abnormality in the wall of the body lumen.

摘要翻译： 一种用于修复体腔壁的异常的方法，所述方法包括：将体腔的壁中的异常与体腔内的流动隔离; 将可流动的成形材料定位成与体腔壁的异常相邻; 并将可流动的成形材料转化成基本静止的状态，以便修复体腔的壁中的异常。 用于修复体腔壁的异常的装置，所述装置包括：供应可流动的成形材料; 区隔离装置，用于将体腔内壁的异常与体腔内的流动隔离; 以及定位装置，用于将可流动的形成材料定位在体腔的壁中与异常相邻，以便修复体腔壁的异常。

公开(公告)号：US20100076365A1

公开(公告)日：2010-03-25

申请号：US12481776

申请日：2009-06-10

申请人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

发明人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

IPC分类号： A61B17/03 ,  A61M25/10 ,  A61M37/00

CPC分类号： A61M25/1011 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12113 ,  A61B17/12136 ,  A61B2017/1205 ,  A61B2017/12127 ,  A61M29/02 ,  A61M2025/1052 ,  A61M2025/1095 ,  A61M2205/0266

摘要： Apparatus and method for accessing the wall of a body lumen while simultaneously providing zone isolation and fluid bypass capability, the apparatus comprising: an erectable proximal isolation barrier capable of making a sealing engagement with the wall of the body lumen; an erectable distal isolation barrier capable of making a sealing engagement with the wall of the body lumen; a bypass channel secured to, and extending between, the proximal isolation barrier and the distal isolation barrier, the bypass channel comprising a lumen communicating with the region proximal to the proximal isolation barrier and with the region distal to the distal isolation barrier; and a working catheter passing through the proximal isolation barrier and terminating short of the distal isolation barrier, the working catheter providing a central lumen for providing access to the wall of the body lumen between the proximal isolation barrier and the distal isolation barrier.

摘要翻译： 用于在同时提供区域隔离和流体旁路能力的同时提供区域隔离和流体旁路能力的情况下访问体腔的壁的装置和方法，该装置包括：能够与体腔的壁进行密封接合的可直立的近侧隔离屏障; 能够与体腔的壁进行密封接合的可直立的远端隔离屏障; 所述旁路通道固定到所述近侧隔离屏障和所述远端隔离屏障之间并在其之间延伸，所述旁路通道包括与所述近侧隔离屏障近侧的区域连通并且远离所述远端隔离屏障的区域; 所述工作导管通过所述近侧隔离屏障并且终止于所述远侧隔离屏障之外，所述工作导管提供中心腔，用于提供对所述近端隔离屏障和所述远端隔离屏障之间的所述体腔壁的通路。

公开(公告)号：US09295818B2

公开(公告)日：2016-03-29

申请号：US12481776

申请日：2009-06-10

申请人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

发明人： Howard Riina ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Robert Andrews ,  Clair L. Strohl ,  Edward L. Dickinson

IPC分类号： A61M25/10 ,  A61B17/12 ,  A61M29/02

CPC分类号： A61M25/1011 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12113 ,  A61B17/12136 ,  A61B2017/1205 ,  A61B2017/12127 ,  A61M29/02 ,  A61M2025/1052 ,  A61M2025/1095 ,  A61M2205/0266

摘要： Apparatus and method for accessing the wall of a body lumen while simultaneously providing zone isolation and fluid bypass capability, the apparatus comprising: an erectable proximal isolation barrier capable of making a sealing engagement with the wall of the body lumen; an erectable distal isolation barrier capable of making a sealing engagement with the wall of the body lumen; a bypass channel secured to, and extending between, the proximal isolation barrier and the distal isolation barrier, the bypass channel comprising a lumen communicating with the region proximal to the proximal isolation barrier and with the region distal to the distal isolation barrier; and a working catheter passing through the proximal isolation barrier and terminating short of the distal isolation barrier, the working catheter providing a central lumen for providing access to the wall of the body lumen between the proximal isolation barrier and the distal isolation barrier.

摘要翻译： 用于在同时提供区域隔离和流体旁路能力的同时提供区域隔离和流体旁路能力的情况下访问体腔的壁的装置和方法，该装置包括：能够与体腔的壁进行密封接合的可直立的近侧隔离屏障; 能够与体腔的壁进行密封接合的可直立的远端隔离屏障; 所述旁路通道固定到所述近侧隔离屏障和所述远端隔离屏障之间并在其之间延伸，所述旁路通道包括与所述近侧隔离屏障近侧的区域连通并且远离所述远端隔离屏障的区域; 所述工作导管通过所述近侧隔离屏障并且终止于所述远侧隔离屏障之外，所述工作导管提供中心腔，用于提供对所述近端隔离屏障和所述远端隔离屏障之间的所述体腔壁的通路。

公开(公告)号：US20090156996A1

公开(公告)日：2009-06-18

申请号：US12263774

申请日：2008-11-03

申请人： Jeffrey Milsom ,  Howard Riina ,  J. Fredrick Cornhill

发明人： Jeffrey Milsom ,  Howard Riina ,  J. Fredrick Cornhill

IPC分类号： A61B1/018 ,  A61M29/02 ,  A61B17/04 ,  A61B17/064

CPC分类号： A61B1/31 ,  A61B1/00082 ,  A61B1/00087 ,  A61B1/0014 ,  A61B17/0401 ,  A61B2017/00818 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/22069

摘要： In one form of the invention, there is provided a method for treating rectal prolapse, the method comprising:inserting an expandable element into a prolapsed rectum via the anus;expanding the expandable element so that the expandable element securely engages the rectum;advancing the expanded element distally so as to return the prolapsed rectum to its normal, non-prolapsed state; andsecuring the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state.In another form of the invention, there is provided an endoscope assembly for treating rectal prolapse, the endoscope assembly comprising:an endoscope;a balloon catheter; anda tacker;wherein the endoscope, balloon catheter and tacker are mounted together for insertion as a unit.

摘要翻译： 在本发明的一种形式中，提供了一种治疗直肠脱垂的方法，所述方法包括：通过肛门将可扩张元件插入脱垂的直肠中; 扩张可膨胀元件，使得可膨胀元件牢固地接合直肠; 将扩张的元件向远端推进以将脱垂的直肠返回到其正常的非脱垂状态; 并将直肠固定到支撑组织，从而将直肠保持在其正常的非脱垂状态。 在本发明的另一形式中，提供了一种用于治疗直肠脱垂的内窥镜组件，所述内窥镜组件包括：内窥镜; 气球导管 和一个打钉机; 其中，所述内窥镜，球囊导管和粘贴装置被安装在一起作为一个单元插入。

公开(公告)号：US08728141B2

公开(公告)日：2014-05-20

申请号：US12332727

申请日：2008-12-11

申请人： Howard Riina ,  Robert Andrews ,  Clair Strohl ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Kevin Thomas Smith ,  David G. Lamphere ,  Tuan Anh Nguyen

发明人： Howard Riina ,  Robert Andrews ,  Clair Strohl ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Kevin Thomas Smith ,  David G. Lamphere ,  Tuan Anh Nguyen

IPC分类号： A61F2/06

CPC分类号： A61F2/86 ,  A61B17/12022 ,  A61B17/12113 ,  A61B17/12118 ,  A61B17/12131 ,  A61B17/12172 ,  A61B17/1219 ,  A61B2017/00867 ,  A61B2017/12054 ,  A61F2/82 ,  A61F2/91 ,  A61F2/95 ,  A61F2002/30242 ,  A61F2002/823 ,  A61F2230/005 ,  A61F2230/0071 ,  A61F2230/0091 ,  A61F2230/0095

摘要： An expandable spherical structure for deployment in a blood vessel or other body lumen, comprising: an open frame configured to assume a collapsed configuration and an expanded configuration; and a closed face carried by the open frame; wherein the open frame is configured so as to permit substantially normal flow therethrough when the open frame is in its expanded configuration, and further wherein the closed face is configured so as to obstruct flow therethrough.

摘要翻译： 一种用于部署在血管或其他体腔中的可扩张球形结构，包括：开放框架，其构造为呈现收缩构型和扩张构型; 和由开放框架承载的封闭面; 其中所述开放框架构造成当所述开放框架处于其膨胀构型时允许基本上正常的流过其中，并且其中所述闭合面构造成妨碍流过其中。

公开(公告)号：US20090264914A1

公开(公告)日：2009-10-22

申请号：US12332727

申请日：2008-12-11

申请人： Howard Riina ,  Robert Andrews ,  Clair Strohl ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Kevin Thomas Smith ,  David G. Lamphere ,  Tuan Anh Nguyen

发明人： Howard Riina ,  Robert Andrews ,  Clair Strohl ,  Jeffrey Milsom ,  J. Fredrick Cornhill ,  Kevin Thomas Smith ,  David G. Lamphere ,  Tuan Anh Nguyen

IPC分类号： A61M29/00 ,  A61F2/06 ,  A61B17/03

CPC分类号： A61F2/86 ,  A61B17/12022 ,  A61B17/12113 ,  A61B17/12118 ,  A61B17/12131 ,  A61B17/12172 ,  A61B17/1219 ,  A61B2017/00867 ,  A61B2017/12054 ,  A61F2/82 ,  A61F2/91 ,  A61F2/95 ,  A61F2002/30242 ,  A61F2002/823 ,  A61F2230/005 ,  A61F2230/0071 ,  A61F2230/0091 ,  A61F2230/0095

摘要： An expandable spherical structure for deployment in a blood vessel or other body lumen, comprising: an open frame configured to assume a collapsed configuration and an expanded configuration; and a closed face carried by the open frame; wherein the open frame is configured so as to permit substantially normal flow therethrough when the open frame is in its expanded configuration, and further wherein the closed face is configured so as to obstruct flow therethrough.

摘要翻译： 一种用于部署在血管或其他体腔中的可扩张球形结构，包括：开放框架，其构造为呈现收缩构型和扩张构型; 和由开放框架承载的封闭面; 其中所述开放框架构造成当所述开放框架处于其膨胀构型时允许基本上正常的流过其中，并且其中所述闭合面构造成妨碍流过其中。

公开(公告)号：US08430890B2

公开(公告)日：2013-04-30

申请号：US12263774

申请日：2008-11-03

申请人： Jeffrey Milsom ,  Howard Riina ,  J. Fredrick Cornhill

发明人： Jeffrey Milsom ,  Howard Riina ,  J. Fredrick Cornhill

IPC分类号： A61B17/10

CPC分类号： A61B1/31 ,  A61B1/00082 ,  A61B1/00087 ,  A61B1/0014 ,  A61B17/0401 ,  A61B2017/00818 ,  A61B2017/0417 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/06052 ,  A61B2017/22069

摘要： In one form of the invention, there is provided a method for treating rectal prolapse, the method comprising: inserting an expandable element into a prolapsed rectum via the anus; expanding the expandable element so that the expandable element securely engages the rectum; advancing the expanded element distally so as to return the prolapsed rectum to its normal, non-prolapsed state; and securing the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state. In another form of the invention, there is provided an endoscope assembly for treating rectal prolapse, the endoscope assembly comprising: an endoscope; a balloon catheter; and a tacker; wherein the endoscope, balloon catheter and tacker are mounted together for insertion as a unit.

摘要翻译： 在本发明的一种形式中，提供了一种治疗直肠脱垂的方法，所述方法包括：通过肛门将可扩张元件插入脱垂的直肠中; 扩张可膨胀元件，使得可膨胀元件牢固地接合直肠; 将扩张的元件向远端推进以将脱垂的直肠返回到其正常的非脱垂状态; 并将直肠固定到支撑组织，从而将直肠保持在其正常的非脱垂状态。 在本发明的另一形式中，提供了一种用于治疗直肠脱垂的内窥镜组件，所述内窥镜组件包括：内窥镜; 气球导管 和一个打钉机; 其中，所述内窥镜，球囊导管和粘贴装置被安装在一起作为一个单元插入。

公开(公告)号：US20170071716A1

公开(公告)日：2017-03-16

申请号：US15136248

申请日：2016-04-22

申请人： Jeffrey Milsom ,  Howard Riina ,  J. Frederick Cornhill

发明人： Jeffrey Milsom ,  Howard Riina ,  J. Frederick Cornhill

IPC分类号： A61F2/00 ,  A61B17/064 ,  A61B17/04 ,  A61B1/31 ,  A61B1/00

CPC分类号： A61F2/0022 ,  A61B1/00082 ,  A61B1/0014 ,  A61B1/31 ,  A61B17/0218 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/064 ,  A61B2017/00818 ,  A61B2017/0225 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/22067 ,  A61B2017/22069

摘要： A method for treating rectal prolapse, the method comprising: inserting a rectum-gripping and advancement apparatus into a prolapsed rectum via the anus; maneuvering the rectum-gripping and advancement apparatus so that the rectum-gripping and advancement apparatus securely engages the rectum; advancing the rectum-gripping and advancement apparatus distally so as to return the prolapsed rectum to its normal, non-prolapsed state; and securing the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state.

摘要翻译： 一种用于治疗直肠脱垂的方法，所述方法包括：通过肛门将直肠夹持和前进装置插入脱垂的直肠中; 操纵直肠把持和推进装置使得直肠夹持和前进装置牢固地接合直肠; 向前推进直肠向前推进装置，使直肠脱垂恢复正常，非脱垂状态; 并将直肠固定到支撑组织，从而将直肠保持在其正常的非脱垂状态。

公开(公告)号：US20130102841A1

公开(公告)日：2013-04-25

申请号：US13641422

申请日：2011-04-14

申请人： Jeffrey Milsom ,  Howard Riina ,  J. Frederick Cornhill

发明人： Jeffrey Milsom ,  Howard Riina ,  J. Frederick Cornhill

IPC分类号： A61F2/00

CPC分类号： A61F2/0022 ,  A61B1/00082 ,  A61B1/0014 ,  A61B1/31 ,  A61B17/0218 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/064 ,  A61B2017/00818 ,  A61B2017/0225 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/22067 ,  A61B2017/22069

摘要： A method for treating rectal prolapse, the method comprising: inserting a rectum-gripping and advancement apparatus into a prolapsed rectum via the anus; maneuvering the rectum-gripping and advancement apparatus so that the rectum-gripping and advancement apparatus securely engages the rectum; advancing the rectum-gripping and advancement apparatus distally so as to return the prolapsed rectum to its normal, non-prolapsed state; and securing the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state.

摘要翻译： 一种用于治疗直肠脱垂的方法，所述方法包括：通过肛门将直肠夹持和前进装置插入脱垂的直肠中; 操纵直肠把持和推进装置使得直肠夹持和前进装置牢固地接合直肠; 向前推进直肠向前推进装置，使直肠脱垂恢复正常，非脱垂状态; 并将直肠固定到支撑组织，从而将直肠保持在其正常的非脱垂状态。