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公开(公告)号：US09687334B2
公开(公告)日：2017-06-27
申请号：US13353258
申请日：2012-01-18
申请人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
发明人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
CPC分类号： A61F5/0036 , A61F2/04 , A61F2/07 , A61F2/95 , A61F5/0076 , A61F5/0089 , A61F2002/044 , A61F2002/045
摘要： An intestinal implant includes a proximal anchor self-expandable from a radially compressed position to a radially expandable position for engagement with a wall of the intestinal lumen and a flexible sleeve coupled to the anchor. The sleeve is implanted with the anchor downstream from the pylorus and the sleeve extending further downstream through the intestinal lumen.
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2.发明授权System and method for multi-instrument surgical access using a single access port 有权使用单个进出口进行多仪器外科手术的系统和方法公开(公告)号：US08518024B2
公开(公告)日：2013-08-27
申请号：US11804063
申请日：2007-05-17
申请人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas
发明人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas
IPC分类号： A61B1/00
CPC分类号： A61B17/3476 , A61B1/00052 , A61B1/00128 , A61B1/00135 , A61B1/018 , A61B17/0218 , A61B17/29 , A61B17/3403 , A61B17/3421 , A61B90/50 , A61B2017/00225 , A61B2017/00278 , A61B2017/003 , A61B2017/2905 , A61B2017/2906 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3486 , A61B2090/372 , A61M25/0147 , A61M2210/101
摘要： A system for performing multi-tool minimally invasive medical procedures through a single instrument port into a body cavity includes an expandable frame that carries a pair of tool cannulas, each of which has a lumen for receiving a tool useable to perform a procedure in the body cavity. The frame is expandable to orient the tool cannulas such that they allow the tools to be used in concert to carry out a procedure at a common location in the body cavity.
摘要翻译： 用于通过单个仪器端口进入体腔进行多工具微创医疗程序的系统包括：可扩展框架，其承载一对工具插管，每个工具插管具有用于接收可用于在身体中执行手术的工具的内腔 腔。 框架是可扩展的以使工具插管定向，使得它们允许工具一起使用以在体腔中的共同位置执行过程。
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公开(公告)号：US20090157076A1
公开(公告)日：2009-06-18
申请号：US12209586
申请日：2008-09-12
申请人： William L. Athas , Thomas B. Miller , Aurora Pryor , Geoffrey A. Orth , Michael S. Williams , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer
发明人： William L. Athas , Thomas B. Miller , Aurora Pryor , Geoffrey A. Orth , Michael S. Williams , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer
CPC分类号： A61B17/3421 , A61B18/1477 , A61B18/1482 , A61B2017/003 , A61B2017/00349 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2017/3445 , A61B2017/3447 , A61B2018/00214 , A61B2018/1407 , A61B2018/144
摘要： A system for minimally invasive medical procedures includes an elongate tubular access cannula comprising an elongate tubular member having a rigid proximal portion and an articulating portion. The tubular member has a first branch and a tubular bifurcation extending from the first branch, allowing simultaneous use of multiple instruments. A dissector suitable for use with the access cannula, or other access devices, for implantation of gastric bands or for other procedures includes a pre-curved distal portion having a dissection element such as a monopolar RF conductor and/or a dissection balloon, as well as a snare. In one method, the dissector is advanced around the posterior side of the stomach to form a tunnel in the connective tissue, and the snare is then extended from the dissector to engage a portion of the band and withdraw it through the tunnel.
摘要翻译： 用于微创医疗程序的系统包括细长管状进入套管，其包括具有刚性近端部分和铰接部分的细长管状构件。 管状构件具有从第一分支延伸的第一分支和管状分叉，允许同时使用多个仪器。 适合与入口插管或其他进入装置一起用于植入胃束带或用于其他程序的解剖器包括具有解剖元件的预弯曲远侧部分，例如单极RF导体和/或解剖气囊，以及 作为一个圈套 在一种方法中，解剖器在胃的后部周围前进，以在结缔组织中形成隧道，然后将圈套从解剖器延伸以接合带的一部分并将其从隧道中取出。
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4.发明申请公开(公告)号：US20120116286A1
公开(公告)日：2012-05-10
申请号：US13353258
申请日：2012-01-18
申请人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
发明人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
IPC分类号： A61F2/04
CPC分类号： A61F5/0036 , A61F2/04 , A61F2/07 , A61F2/95 , A61F5/0076 , A61F5/0089 , A61F2002/044 , A61F2002/045
摘要： An intestinal implant includes a proximal anchor self-expandable from a radially compressed position to a radially expandable position for engagement with a wall of the intestinal lumen and a flexible sleeve coupled to the anchor. The sleeve is implanted with the anchor downstream from the pylorus and the sleeve extending further downstream through the intestinal lumen.
摘要翻译： 肠植入物包括从径向压缩位置到径向可扩张位置的可自膨胀的近端锚固件，用于与肠腔的壁接合，以及联接到锚的柔性套管。 套管被植入幽门下游的锚固件，并且套筒在下游延伸穿过肠腔。
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公开(公告)号：US20110066173A1
公开(公告)日：2011-03-17
申请号：US12947784
申请日：2010-11-16
申请人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
发明人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
IPC分类号： A61B17/32
CPC分类号： A61B1/018 , A61B1/00052 , A61B1/00128 , A61B1/00135 , A61B17/0218 , A61B17/29 , A61B17/3403 , A61B17/3421 , A61B90/50 , A61B2017/00278 , A61B2017/003 , A61B2017/2905 , A61B2017/2906 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3486 , A61B2090/372
摘要： A system for performing minimally invasive medical procedures includes an elongate support advanceable into a body cavity. The elongate support supports a frame that carries a pair of tool cannulas, each of which has a lumen for receiving a tool useable to perform a procedure in the body cavity. The frame is expandable to orient the tool cannulas such that they allow the tools to be used in concert to carry out a procedure at a common location in the body cavity.
摘要翻译： 用于执行微创医疗程序的系统包括可进入体腔的细长支撑件。 细长的支撑件支撑着一个承载一对工具插管的框架，每个工具插管都具有用于接收可用于在体腔中执行过程的工具的内腔。 框架是可扩展的以使工具插管定向，使得它们允许工具一起使用以在体腔中的共同位置执行过程。
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公开(公告)号：US07833156B2
公开(公告)日：2010-11-16
申请号：US11789381
申请日：2007-04-24
申请人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
发明人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00052 , A61B1/00128 , A61B1/00135 , A61B17/0218 , A61B17/29 , A61B17/3403 , A61B17/3421 , A61B90/50 , A61B2017/00278 , A61B2017/003 , A61B2017/2905 , A61B2017/2906 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3486 , A61B2090/372
摘要： A system for performing minimally invasive medical procedures includes an elongate support advanceable into a body cavity. The elongate support supports a frame that carries a pair of tool cannulas, each of which has a lumen for receiving a tool useable to perform a procedure in the body cavity. The frame is expandable using pivotable frame members to orient the tool cannulas such that they allow the tools to be used in concert to carry out a procedure at a common location in the body cavity.
摘要翻译： 用于执行微创医疗程序的系统包括可进入体腔的细长支撑件。 细长的支撑件支撑着一个承载一对工具插管的框架，每个工具插管都具有用于接收可用于在体腔中执行过程的工具的内腔。 框架是可扩展的，使用可枢转的框架构件来定向工具插管，使得它们允许工具协同使用以在体腔中的共同位置执行程序。
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公开(公告)号：US20080195226A1
公开(公告)日：2008-08-14
申请号：US11897701
申请日：2007-08-31
申请人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
发明人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
CPC分类号： A61F5/0036 , A61F2/04 , A61F2/07 , A61F2/95 , A61F5/0076 , A61F5/0089 , A61F2002/044 , A61F2002/045
摘要： An intestinal implant includes a proximal anchor self-expandable from a radially compressed position to a radially expandable position for engagement with a wall of the intestinal lumen and a flexible sleeve coupled to the anchor. The sleeve is implanted with the anchor downstream from the pylorus and the sleeve extending further downstream through the intestinal lumen.
摘要翻译： 肠植入物包括从径向压缩位置到径向可扩张位置的可自膨胀的近端锚固件，用于与肠腔的壁接合，以及联接到锚的柔性套管。 套管被植入幽门下游的锚固件，并且套筒在下游延伸穿过肠腔。
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公开(公告)号：US08919348B2
公开(公告)日：2014-12-30
申请号：US13007974
申请日：2011-01-17
申请人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
发明人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
CPC分类号： A61B17/3476 , A61B1/00052 , A61B1/00128 , A61B1/00135 , A61B1/018 , A61B17/0218 , A61B17/29 , A61B17/3403 , A61B17/3421 , A61B90/50 , A61B2017/00225 , A61B2017/00278 , A61B2017/003 , A61B2017/2905 , A61B2017/2906 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3486 , A61B2090/372 , A61M25/0147 , A61M2210/101
摘要： A system for performing multi-tool minimally invasive medical procedures through a single instrument port into a body cavity includes a rigid tube carried by a mount. Cannulas having instrument channels and steerable distal ends extend distally from the rigid tube. During a procedure using the system, the mount is supported by an operating room fixture, and instruments are advanced through the steerable instrument channels. Manipulation of the instrument handles engages actuators positioned on the mount, which steer the distal ends of the cannulas through the action of pull cables. The distal ends of the instruments may thus be steered within the body by the distal ends of the steerable cannulas.
摘要翻译： 用于通过单个仪器端口执行多工具微创医疗程序进入体腔的系统包括由安装座承载的刚性管。 具有仪器通道和可操纵远端的插管从刚性管向远端延伸。 在使用该系统的过程中，安装座由手术室夹具支撑，仪器通过导向仪器通道前进。 操纵仪器把手接合位于安装座上的致动器，其通过拉电缆的作用转向插管的远端。 因此，仪器的远端可以由可操纵的插管的远端转向体内。
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公开(公告)号：US08109895B2
公开(公告)日：2012-02-07
申请号：US11897701
申请日：2007-08-31
申请人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
发明人： Michael S. Williams , Daniel W. Fifer , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , William L. Athas , Richard S. Stack
IPC分类号： A61M5/00
CPC分类号： A61F5/0036 , A61F2/04 , A61F2/07 , A61F2/95 , A61F5/0076 , A61F5/0089 , A61F2002/044 , A61F2002/045
摘要： An intestinal implant includes a proximal anchor self-expandable from a radially compressed position to a radially expandable position for engagement with a wall of the intestinal lumen and a flexible sleeve coupled to the anchor. The sleeve is implanted with the anchor downstream from the pylorus and the sleeve extending further downstream through the intestinal lumen.
摘要翻译： 肠植入物包括从径向压缩位置到径向可扩张位置的可自膨胀的近端锚固件，用于与肠腔的壁接合，以及联接到锚的柔性套管。 套管被植入幽门下游的锚固件，并且套筒在下游延伸穿过肠腔。
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公开(公告)号：US20110118545A1
公开(公告)日：2011-05-19
申请号：US13007974
申请日：2011-01-17
申请人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
发明人： Michael S. Williams , Richard S. Stack , Geoffrey A. Orth , Jeffrey A. Smith , Richard A. Glenn , Daniel W. Fifer , William L. Athas , Aurora Pryor
IPC分类号： A61B1/00
CPC分类号： A61B17/3476 , A61B1/00052 , A61B1/00128 , A61B1/00135 , A61B1/018 , A61B17/0218 , A61B17/29 , A61B17/3403 , A61B17/3421 , A61B90/50 , A61B2017/00225 , A61B2017/00278 , A61B2017/003 , A61B2017/2905 , A61B2017/2906 , A61B2017/3407 , A61B2017/3445 , A61B2017/3447 , A61B2017/3486 , A61B2090/372 , A61M25/0147 , A61M2210/101
摘要： A system for performing multi-tool minimally invasive medical procedures through a single instrument port into a body cavity includes a rigid tube carried by a mount. Cannulas having instrument channels and steerable distal ends extend distally from the rigid tube. During a procedure using the system, the mount is supported by an operating room fixture, and instruments are advanced through the steerable instrument channels. Manipulation of the instrument handles engages actuators positioned on the mount, which steer the distal ends of the cannulas through the action of pull cables. The distal ends of the instruments may thus be steered within the body by the distal ends of the steerable cannulas.
摘要翻译： 用于通过单个仪器端口执行多工具微创医疗程序进入体腔的系统包括由安装座承载的刚性管。 具有仪器通道和可操纵远端的插管从刚性管向远端延伸。 在使用该系统的过程中，安装座由手术室夹具支撑，仪器通过导向仪器通道前进。 操纵仪器把手接合位于安装座上的致动器，其通过拉电缆的作用转向插管的远端。 因此，仪器的远端可以由可操纵的插管的远端转向体内。
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