摘要:
The present invention is directed towards an intraluminal manipulator which extends into a lumen and is operable to position and manipulate the tissue surrounding the lumen as necessary during a medical procedure. The manipulator includes a head, a handle and an interconnecting shaft. A pair of cables extend through the shaft and interconnect the head and handle. Movement of a trigger provided by the handle moves the head, which is formed by a series of articulated links, between generally straight and arched configurations. Movement of the trigger in one direction moves the head from a straightened to an arched configuration, while movement in an opposite direction moves the head from the arched to the straightened configuration. When placed in the straight configuration, the head is insertable into and removable from the lumen. When the head is in the arched configuration, it engages the walls surrounding and defining the lumen and can thereafter be used to manipulate the tissue. A fiber optic bundle is provided to allow remote visualization of the lumen, and an expandable balloon is used to provide a better frictional engagement between the head and the tissue defining the lumen.
摘要:
At least one implant structure is sized and configured for implantation in, on, or near an extrinsic muscle region affecting movement and/or shape of a tongue, e.g., a genioglossus muscle. The position of the implant structure is stabilized relative to the extrinsic muscle region to maintain the tongue in a desired orientation, e.g., to maintain patency of an airway.
摘要:
A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.
摘要:
A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.
摘要:
A surgical instrument for performing endoscopic surgical procedures. In one embodiment, the instrument includes a knife that remains unexposed until initiation of a cutting sequence, and returns to an unexposed position at the conclusion of the cutting sequence, minimizing the risk of injury to the person handling the instrument. In another embodiment, the instrument includes a flexible neck for articulating a surgical head assembly with respect to the shaft of the instrument. In another embodiment, a device for locking the articulated head at an angle of articulation is provided. In yet another embodiment, a mechanism for opening and closing an anvil assembly is disclosed.
摘要:
At least one elongated body is sized and configured for implantation in a desired orientation in a tissue region in an airway. An array of projections extends from the elongated body and is resiliently coupled to the elongated body. The array or projections is in a normally biased outward extending condition sized and configured to engage tissue and resist a reorientation of the elongated body within the tissue region out of the desired orientation after implantation of the elongated body in the tissue region. The array of projections is sized and configured to resiliently yield by flexing inward against the elongated body during implantation of the elongated body in the tissue region.
摘要:
At least one elongated tension-able body is sized and configured for implantation in a desired orientation in a tissue region in an airway. An array of projections extend from the elongated tension-able body, which are sized and configured to engage tissue and resist a reorientation of the elongated tension-able body within the tissue region out of the desired orientation.
摘要:
A surgical stapler is provided which is insertable through an endoscopic tube to enable a surgeon to staple a hernia patch to tissue inside a body cavity. The endoscopic surgical stapler includes a staple cartridge pivotally mounted on the distal end of a support tube extending from a handle provided with an actuator mechanism for actuating a staple forming mechanism inside the staple cartridge to fasten staples to the tissue. The staple cartridge is adjustable to different angular orientations relative to the support tube. The staple actuator mechanism is operable to actuate the staple cartridge in any of the angular orientations. The support shaft is rotatable about its longitudinal axis relative to the handle to adjust the rotational orientation of the support shaft and the staple cartridge. The staple cartridge is rotatable about its longitudinal axis relative to the support shaft to adjust the rotational position of the staple cartridge relative to the support shaft. Separate actuator mechanisms are provided on the handle to control the pivotal movement of the staple cartridge, the rotation of the support shaft, and the rotation of the staple cartridge relative to the support shaft.
摘要:
A stent (scaffold) or other luminal prosthesis comprising circumferential structural elements which provide high strength after deployment and allows for scaffold to uncage, and/or allow for scaffold or luminal expansion thereafter. The circumferential scaffold is typically formed from non-degradable material and will be modified to expand and/or uncage after deployment.
摘要:
Systems and methods resist posterior movement of both the tongue and the soft palate/uvula during sleep, thereby keeping an airway open. The systems and methods employ first, second, and third structures. The first structure is sized and configured for placement in or on a tongue. The second structure is sized and configured for placement in or on a region of a soft palate or uvula. The third structure is sized and configured for placement in or on tissue in a desired relationship. anterior of the first and second structures. The first and second structures each includes a ferromagnetic material. The third structure includes a magnetic material that magnetically interacts with both the first and second ferromagnetic materials by attracting both the first and second ferromagnetic materials, thereby resisting posterior movement of both the tongue and the soft palate/uvula.