公开(公告)号：US20100160931A1

公开(公告)日：2010-06-24

申请号：US12638208

申请日：2009-12-15

申请人： John A Karpiel ,  Tyler E. McLawhorn ,  Andres F. Aguirre

发明人： John A Karpiel ,  Tyler E. McLawhorn ,  Andres F. Aguirre

IPC分类号： A61B17/10 ,  A61B17/08

CPC分类号： A61B17/0643 ,  A61B17/0057 ,  A61B17/064 ,  A61B17/068 ,  A61B17/1227 ,  A61B2017/00349 ,  A61B2017/00592 ,  A61B2017/00862 ,  A61B2017/0647

摘要： The present embodiments provide a tacking device for engaging tissue, which may be useful for coupling a graft member to tissue or facilitating closure of a bodily opening. In one embodiment, the tacking device comprises a main body having proximal and distal ends, a proximal base member disposed at the proximal end of the main body, and at least one tissue engaging member disposed at the distal end of the main body. A spring member is disposed to surround the main body and extends from the proximal base member. In use, the spring member has a relaxed state in which it is biased to extend distally towards the at least one tissue engaging member, and further has a compressed state in which the distal end of the spring member is spaced further apart from the at least one tissue engaging member. Therefore, one or more tissue segments of varying thickness are adapted to be captured between the distal end of the spring member and the at least one tissue engaging member. A delivery system and methods for deploying the tacking device also are provided.

摘要翻译： 本实施例提供了用于接合组织的固定装置，其可用于将移植物构件联接到组织或有助于关闭身体开口。 在一个实施例中，固定装置包括具有近端和远端的主体，设置在主体的近端处的近侧基部构件和设置在主体的远端处的至少一个组织接合构件。 弹簧构件设置成围绕主体并且从近侧基部构件延伸。 在使用中，弹簧构件具有松弛状态，其中它被偏压以朝向至少一个组织接合构件向远侧延伸，并且还具有压缩状态，弹簧构件的远端至少与至少一个间隔开 一个组织接合构件。 因此，一个或多个不同厚度的组织段适于被捕获在弹簧构件的远端和至少一个组织接合构件之间。 还提供了用于部署定位装置的递送系统和方法。

公开(公告)号：US20070270897A1

公开(公告)日：2007-11-22

申请号：US11747570

申请日：2007-05-11

申请人： Gregory J. Skerven ,  John A Karpiel

发明人： Gregory J. Skerven ,  John A Karpiel

IPC分类号： A61M29/00 ,  A61B17/22

CPC分类号： A61B17/22032 ,  A61B1/00082 ,  A61B1/00165 ,  A61B1/018 ,  A61B1/307 ,  A61B17/22012 ,  A61B17/22022 ,  A61B17/2256 ,  A61B18/26 ,  A61B2017/22025 ,  A61B2017/22035 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2017/22067 ,  A61B2017/22072

摘要： The present invention provides a balloon cuff comprising an attachment structure adapted to be disposed around an exterior surface of an endoscope, and a balloon coupled to the attachment structure. An inflation means is in fluid communication with the balloon. The balloon has a deflated state suitable for insertion into a body passage and an inflated state suitable for urging stone fragments along the body passage. Optionally, an intraductal shock wave lithotripsy procedure may be performed through the working lumen of the first endoscope while the balloon cuff is disposed, either inflated or deflated, about the exterior surface of the first endoscope. The first endoscope and balloon cuff may be used alone to remove stone fragments, or alternatively, may be used in conjunction with a second endoscope, such as a duodenoscope, having a working lumen sized to received the first endoscope having the balloon cuff disposed thereon.

摘要翻译： 本发明提供了一种球囊，其包括适于围绕内窥镜的外表面设置的连接结构，以及联接到附接结构的气囊。 通气手段与气球流体连通。 气囊具有适于插入身体通道的放气状态和适于沿身体通道推动石块的膨胀状态。 任选地，可以在围绕第一内窥镜的外表面设置充气或放气的气囊套囊的同时，通过第一内窥镜的工作腔进行管内冲击波碎石手术。 可以单独使用第一内窥镜和气囊箍来去除石块，或者可以与诸如十二指肠镜的第二内窥镜一起使用，其具有工作腔，其尺寸被设计成容纳具有设置在其上的气囊套的第一内窥镜。