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公开(公告)号:US08906038B2
公开(公告)日:2014-12-09
申请号:US13033485
申请日:2011-02-23
申请人: Richard C. Ewers , Eugene G. Chen , Tracy D. Maahs , Stuart Moran , Cang C. Lam
发明人: Richard C. Ewers , Eugene G. Chen , Tracy D. Maahs , Stuart Moran , Cang C. Lam
IPC分类号: A61B17/10 , A61B17/08 , A61B17/04 , A61B17/42 , A61F5/00 , A61B17/00 , A61B17/06 , A61B17/29
CPC分类号: A61B17/04 , A61B17/0487 , A61B17/42 , A61B2017/00349 , A61B2017/00818 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/2926 , A61F5/0083
摘要: Devices and methods for forming and securing tissue folds and elongated invaginations in gastric tissue are used as a treatment for obesity. In several embodiments, a plurality of tissue folds is formed along the greater curvature of the stomach using laparoscopic tissue anchor deployment devices. Additional embodiments include various combinations of tissue folds, elongated invaginations, and other reconfigurations of stomach tissue using laparoscopic devices or laparoscopic devices in combination with endoscopic devices.
摘要翻译: 用于在胃组织中形成和固定组织褶皱和细长凹陷的装置和方法用作肥胖症的治疗。 在几个实施例中,使用腹腔镜组织锚定部署装置沿着胃的较大曲率形成多个组织褶皱。 另外的实施例包括使用腹腔镜装置或腹腔镜装置与内窥镜装置组合的组织折叠,细长凹陷和胃组织的其它重新配置的各种组合。
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公开(公告)号:US20090312603A1
公开(公告)日:2009-12-17
申请号:US12486578
申请日:2009-06-17
申请人: Cang C. LAM , Stuart Moran , Tracy D. Maahs , John Fernando Rodriguez , Seferino Enrique Torres , Wesley Lummis
发明人: Cang C. LAM , Stuart Moran , Tracy D. Maahs , John Fernando Rodriguez , Seferino Enrique Torres , Wesley Lummis
IPC分类号: A61B1/018
CPC分类号: A61B1/018 , 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. In some embodiments, the handle includes 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。 在一些实施例中,手柄包括销和轨道组件,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:US08439898B2
公开(公告)日:2013-05-14
申请号:US12486578
申请日:2009-06-17
申请人: Cang C. Lam , Stuart Moran , Tracy D. Maahs , John Fernando Rodriguez , Seferino Enrique Torres , Wesley Lummis
发明人: Cang C. Lam , Stuart Moran , Tracy D. Maahs , John Fernando Rodriguez , Seferino Enrique Torres , Wesley Lummis
IPC分类号: A61B17/00
CPC分类号: A61B1/018 , 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. In some embodiments, the handle includes 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。 在一些实施例中,手柄包括销和轨道组件,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:US20070093851A1
公开(公告)日:2007-04-26
申请号:US10560886
申请日:2004-06-07
申请人: Peter Moran , Stuart Moran
发明人: Peter Moran , Stuart Moran
IPC分类号: A61F11/00
CPC分类号: A61B17/3462 , A61B2017/3464 , A61B2017/347
摘要: A seal for laparoscopic port comprising: a base adapted to engage a cannula, the base including an axial aperture for a surgical instrument; a multiplicity of jaws mounted on the base, the jaws being movable radially with respect to the aperture between an open position wherein a shaft of the surgical instrument may pass freely and a closed position wherein the jaws engage said shaft and provide a restraining force restraining radial movement of the shaft; and an actuator rotatable to urge the jaws to move between said open position and said closed position; wherein the actuator includes a click stop arrangement adapted to provide frictional engagement at a position intermediate the open and closed positions to hold the jaws at the intermediate position
摘要翻译: 一种用于腹腔镜口的密封件,包括:适于接合套管的底座,所述底座包括用于外科器械的轴向孔; 安装在基座上的多个钳口,所述钳口可相对于所述孔径向移动,所述钳口在所述手术器械的轴可自由通过的打开位置和所述钳口与所述轴接合并且提供限制径向的限制力的关闭位置 轴的运动; 以及致动器,其可旋转以促使所述夹爪在所述打开位置和所述关闭位置之间移动; 其中所述致动器包括一个止动装置,其适于在所述打开和关闭位置中间的位置处提供摩擦接合,以将所述钳口保持在所述中间位置
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公开(公告)号:US20100022959A1
公开(公告)日:2010-01-28
申请号:US12438697
申请日:2007-08-20
申请人: Stuart Moran , Michael White , David Maine
发明人: Stuart Moran , Michael White , David Maine
IPC分类号: A61B17/34
CPC分类号: A61B17/3498 , A61B17/3417 , A61B17/3439 , A61B17/3462 , A61M39/06 , A61M2039/0626 , A61M2039/0686
摘要: A cannula sealing apparatus includes a housing having a central axially facing aperture. A surgical instrument of 10.5 mm may seal with that aperture. Alternatively, a sealing member having an aperture that will seal with a 12 mm surgical instrument can be swung up to be aligned with the aperture. If a 10.5 mm instrument is required then a seal member can be swung up to have its seal aperture located over the central aperture. Each seal member is pivotal about a common axis.
摘要翻译: 套管密封装置包括具有中心轴向面对孔的壳体。 10.5 mm的手术器械可能会与该孔径密封。 或者,具有与12mm外科器械密封的孔的密封构件可以向上摆动以与孔对齐。 如果需要10.5毫米的仪器,则密封件可以向上摆动,使其密封孔位于中心孔的上方。 每个密封构件围绕公共轴枢转。
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公开(公告)号:US08231579B2
公开(公告)日:2012-07-31
申请号:US12438697
申请日:2007-08-20
申请人: Stuart Moran , Michael White , David Maine
发明人: Stuart Moran , Michael White , David Maine
IPC分类号: A61M5/178
CPC分类号: A61B17/3498 , A61B17/3417 , A61B17/3439 , A61B17/3462 , A61M39/06 , A61M2039/0626 , A61M2039/0686
摘要: A cannula sealing apparatus includes a housing having a central axially facing aperture. A surgical instrument of 10.5 mm may seal with that aperture. Alternatively, a sealing member having an aperture that will seal with a 12 mm surgical instrument can be swung up to be aligned with the aperture. If a 10.5 mm instrument is required then a seal member can be swung up to have its seal aperture located over the central aperture. Each seal member is pivotal about a common axis.
摘要翻译: 套管密封装置包括具有中心轴向面对孔的壳体。 10.5 mm的手术器械可能会与该孔径密封。 或者,具有与12mm外科器械密封的孔的密封构件可以向上摆动以与孔对齐。 如果需要10.5毫米的仪器,则密封件可以向上摆动,使其密封孔位于中心孔的上方。 每个密封构件围绕公共轴枢转。
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公开(公告)号:US20080091144A1
公开(公告)日:2008-04-17
申请号:US11844430
申请日:2007-08-24
申请人: Stuart Moran , Michael White , David Maine
发明人: Stuart Moran , Michael White , David Maine
IPC分类号: A61B17/34
CPC分类号: A61B17/3498 , A61B17/3417 , A61B17/3439 , A61B17/3462 , A61M39/06 , A61M2039/0626 , A61M2039/0686
摘要: Cannula sealing apparatus includes a housing having a central axially facing aperture. A surgical instrument of 10.5 mm may seal with that aperture. Alternatively, a sealing member having an aperture that will seal with a 12 mm surgical instrument can be swung up to be aligned with the aperture. If a 10.5 mm instrument is required then a seal member can be swung up to have its seal aperture located over the central aperture. Each seal member is pivotal about a common axis. Each seal member has a surface that faces a housing such that both parts can seal at their facing surfaces when either of the seal members are swung up into the position where the opening is over the central opening.
摘要翻译: 插管密封装置包括具有中心轴向面对孔的壳体。 10.5 mm的手术器械可能会与该孔径密封。 或者,具有与12mm外科器械密封的孔的密封构件可以向上摆动以与孔对齐。 如果需要10.5毫米的仪器,则密封件可以向上摆动,使其密封孔位于中心孔的上方。 每个密封构件围绕公共轴枢转。 每个密封构件具有面向壳体的表面,使得当任一个密封构件向上旋转到开口在中心开口上方的位置时,两个部件可以在其相对表面处密封。
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公开(公告)号:US06641595B1
公开(公告)日:2003-11-04
申请号:US09586677
申请日:2000-06-01
申请人: Peter Moran , Stuart Moran , Mike White
发明人: Peter Moran , Stuart Moran , Mike White
IPC分类号: A61B1728
CPC分类号: A61B17/2909 , A61B2017/2946
摘要: A laparoscopic forceps comprising a handle; a tubular housing extending axially from the handle and carrying an actuator rod; a jaws mechanism disposed at the end of the tubular housing remote from the handle engaged to the actuation rod and arranged so that the jaws may be opened or closed by actuation of the handle; wherein the handle comprises left and right bow members pivotally connected to a mounting core in a scissors-like arrangement, and adapted to engage a user's finger and thumb in use; the forceps including a switchable ratchet mechanism moveable between locked and unlocked positions, adapted when locked to allow closure and prevent opening of the jaws, and when unlocked to allow free opening and closing of the jaws.
摘要翻译: 一种腹腔镜钳,包括手柄; 管状壳体,其从所述手柄轴向延伸并承载致动器杆; 钳口机构,设置在管状壳体的端部处,远离手柄接合到致动杆并且布置成使得钳口可以通过手柄的致动而打开或关闭; 其中所述手柄包括左右弓形构件,其以剪刀状布置枢转地连接到安装芯部,并且适于在使用中接合使用者的手指和拇指;所述镊子包括可在锁定位置和解锁位置之间移动的可切换棘轮机构, 锁定以允许闭合并且防止钳口的打开,并且当解锁以允许钳口的自由打开和关闭时。
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