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公开(公告)号：US08512362B2
公开(公告)日：2013-08-20
申请号：US12265672
申请日：2008-11-05
IPC分类号： A61B17/128
CPC分类号： A61B17/12013 , A61B17/0487 , A61B17/083 , A61B17/105 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/282 , A61B2017/00862 , A61B2017/06176 , A61B2017/12004 , A61B2017/2948
摘要： A ligature delivery device includes a control member, an elongated shaft, and an end effector attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the end effector. In several embodiments, the end effector includes a reverse grasping mechanism. Several embodiments of ligature devices are adapted to be deployed endoscopically and/or translumenally using the reverse-grasping delivery device.
摘要翻译： 结扎输送装置包括控制构件，细长轴和附接到细长轴的远端的端部执行器。 激活机构在控制构件和末端执行器之间提供用户可操作的连接。 在几个实施例中，末端执行器包括反向抓握机构。 连接装置的几个实施例适于使用反向抓取输送装置内窥镜和/或经腹进行部署。
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公开(公告)号：US20090125038A1
公开(公告)日：2009-05-14
申请号：US12265672
申请日：2008-11-05
IPC分类号： A61B17/128
CPC分类号： A61B17/12013 , A61B17/0487 , A61B17/083 , A61B17/105 , A61B17/122 , A61B17/1227 , A61B17/1285 , A61B17/282 , A61B2017/00862 , A61B2017/06176 , A61B2017/12004 , A61B2017/2948
摘要： A ligature delivery device includes a control member, an elongated shaft, and an end effector attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the end effector. In several embodiments, the end effector includes a reverse grasping mechanism. Several embodiments of ligature devices are adapted to be deployed endoscopically and/or translumenally using the reverse-grasping delivery device.
摘要翻译： 结扎输送装置包括控制构件，细长轴和附接到细长轴的远端的端部执行器。 激活机构在控制构件和末端执行器之间提供用户可操作的连接。 在几个实施例中，末端执行器包括反向抓握机构。 连接装置的几个实施例适于使用反向抓取输送装置内窥镜和/或经腹进行部署。
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公开(公告)号：US20100137681A1
公开(公告)日：2010-06-03
申请号：US12623224
申请日：2009-11-20
CPC分类号： A61B17/00234 , A61B17/2909 , A61B2017/003
摘要： Endoscopic instrument management systems are described herein which allow one or more operators to manage multiple different instruments utilized in endoscopic procedures. In one aspect, responsibility for instrumentation management between one or more operators may be configured such that a first set of instruments is controlled by a primary operator and a second set of instruments is controlled by a secondary operator. The division of instrumentation may be facilitated by the use of separated instrumentation platforms or a single platform which separates each instrument for use by the primary operator. Such platforms may be configured as trays, instrument support arms, multi-instrument channels, as well as rigidized portions of instruments to facilitate its handling, among others. In another aspect, one or more plastically deformable instrument manifolds are provided to guide flexible endoscopic instruments into and through an endoscopic access device.
摘要翻译： 本文描述了内窥镜仪器管理系统，其允许一个或多个操作者管理在内窥镜程序中使用的多种不同的仪器。 一方面，可以配置一个或多个操作者之间的仪表管理责任，使得第一组仪器由主操作者控制，第二组仪器由次操作者控制。 可以通过使用分离的仪器平台或将每个仪器分离以供主要操作员使用的单个平台来促进仪器的划分。 这样的平台可以被配置为托盘，仪器支撑臂，多仪器通道，以及便于其操纵的仪器的刚性部分等。 在另一方面，提供一个或多个可塑性变形的仪器歧管以将柔性内窥镜器械引导入并通过内窥镜检查装置。
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公开(公告)号：US08920436B2
公开(公告)日：2014-12-30
申请号：US13348201
申请日：2012-01-11
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/29 , A61B2017/00353 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/06052 , A61B2017/2905 , A61B2017/2916
摘要： An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. The handle may include a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.
摘要翻译： 内窥镜组织锚定部署装置包括手柄，限定内腔的细长轴和附接到细长轴的远端的端部执行器。 组织锚导管可移除地插入穿过细长轴的内腔，该导管具有可从其远端展开的组织锚组件。 手柄可以包括销和轨道组件，其限定对应于展开装置端部执行器和组织锚固导管的展开步骤的一系列手柄致动步骤。 在一些实施例中，手柄包括防止组织锚固导管在某些情况下移动的导管止动构件以及在某些情况下阻止手柄致动的手柄止动构件。
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公开(公告)号：US20120184972A1
公开(公告)日：2012-07-19
申请号：US13348201
申请日：2012-01-11
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/29 , A61B2017/00353 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/06052 , A61B2017/2905 , A61B2017/2916
摘要： An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. The handle may include a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.
摘要翻译： 内窥镜组织锚定部署装置包括手柄，限定内腔的细长轴和附接到细长轴的远端的端部执行器。 组织锚导管可移除地插入穿过细长轴的内腔，该导管具有可从其远端展开的组织锚组件。 手柄可以包括销和轨道组件，其限定对应于展开装置端部执行器和组织锚固导管的展开步骤的一系列手柄致动步骤。 在一些实施例中，手柄包括防止组织锚固导管在某些情况下移动的导管止动构件以及在某些情况下阻止手柄致动的手柄止动构件。
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公开(公告)号：US20130217957A1
公开(公告)日：2013-08-22
申请号：US13760874
申请日：2013-02-06
IPC分类号： A61B17/12
CPC分类号： A61B17/12013 , A61B17/0401 , A61B17/0469 , A61B17/0483 , A61B17/0487 , A61B2017/00818 , A61B2017/0404 , A61B2017/0496 , A61F5/0086
摘要： A surgical method for treating obesity by reducing the size and/or function of the stomach includes forming at least two plications or tissue folds in tissue of a patient using anchor assemblies having a loop. The plications are then optionally allowed to heal. A loop suture or wire is threaded through the loops. The loop suture is then tensioned to draw the plications towards each other. The loop suture is then secured via a knot or a cinch. When the method is performed in the stomach for treatment of obesity, forming the plications reduces the volume of the stomach. Drawing the plications together creates a contracted tissue area which further reduces the volume of the stomach. Additional plications may also be formed and drawn together with the same loop suture, or with a different loop suture.
摘要翻译： 通过减小胃的大小和/或功能来治疗肥胖症的手术方法包括使用具有环的锚固组件在患者的组织中形成至少两个肿块或组织褶皱。 然后可以选择允许治愈。 环路缝合线或线穿过环路。 然后将环形缝合线张紧以将彼此相互牵引。 然后通过结或束带固定环缝合线。 当在胃中进行用于治疗肥胖症的方法时，形成症状可减少胃的体积。 将这些症状一起产生收缩的组织区域，进一步减少胃的体积。 还可以与相同的环缝合线或与不同的环缝合物一起形成并绘制附加的韧带。
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