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公开(公告)号：US08465506B2
公开(公告)日：2013-06-18
申请号：US12971951
申请日：2010-12-17
IPC分类号： A61B17/04
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/29 , A61B2017/00296 , A61B2017/06019 , A61B2017/06047 , A61B2017/0609
摘要： Medical devices and methods are disclosed for suturing tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical system generally includes an endcap having first and second arms, a needle, a suture, and first and second control members. The first and second control members are used to pass the needle back-and-forth between the first and second arms.
摘要翻译： 公开了用于缝合组织的医疗装置和方法，其可以内窥镜和/或腹腔镜使用，并且提供缝合线围绕穿孔的简单，可靠和可控的放置以完全闭合。 医疗系统的一个实施例通常包括具有第一和第二臂的端盖，针，缝合线以及第一和第二控制构件。 第一和第二控制构件用于在第一和第二臂之间来回穿过针。
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公开(公告)号：US20100168612A1
公开(公告)日：2010-07-01
申请号：US12641872
申请日：2009-12-18
CPC分类号： A61M25/10 , A61B18/1492 , A61B2018/00214 , A61F2/95 , A61F2/958 , A61F2/966 , A61F2002/9665 , A61M25/1002 , A61M2025/1052 , A61M2025/1081
摘要： Multi-luminal endoscopic systems for sterilely delivering deployable devices or obtaining bodily tissues. The system comprise an outer catheter comprising a wall that encloses an outer lumen; an inner catheter movably disposed within the outer lumen and having an inner lumen; a balloon-tipped catheter movably disposed within the inner lumen and having a distal end and a proximal end, wherein the distal end of the balloon-tipped catheter comprises a balloon tip that can be expanded to contact the wall of the outer catheter to provide a seal to prevent bodily fluids from entering the outer lumen; and a push catheter having a lumen and is located within the outer lumen. The delivery systems can comprise concentric catheters. Systems used for tissue collecting can comprise catheters with different common center.
摘要翻译： 用于无菌递送部署装置或获得身体组织的多腔内窥镜系统。 该系统包括外导管，其包括围绕外腔的壁; 可移动地设置在所述外腔内并具有内腔的内导管; 可移动地设置在所述内腔内且具有远端和近端的球囊状导管，其中所述球囊导管的远端包括可扩张以接触外导管的壁以提供 密封以防止体液进入外腔; 以及具有内腔并位于外腔内的推动导管。 递送系统可以包括同心导管。 用于组织收集的系统可以包括具有不同公共中心的导管。
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公开(公告)号：US20110251555A1
公开(公告)日：2011-10-13
申请号：US12903595
申请日：2010-10-13
IPC分类号： A61M25/098 , A61M25/10
CPC分类号： A61F2/95 , A61B90/40 , A61B2017/00278 , A61F2/958 , A61F2/966 , A61F2002/0072 , A61F2002/9665
摘要： Multi-luminal endoscopic systems for sterilely delivering deployable devices. The system comprises an outer catheter comprising a distal portion and a wall that encloses an outer lumen; an inner catheter movably disposed within the outer lumen and having an inner lumen; a balloon-tipped catheter movably disposed within the inner lumen and having a distal portion and a proximal portion, wherein the distal portion of the balloon-tipped catheter comprises a balloon; a deployable device within the outer lumen; an invertible sleeve within the outer lumen with a first section attached to the distal portion of the outer catheter and a second section attached to a push mechanism that is proximal to the deployable device; and wherein the balloon is expandable to contact the invertible sleeve to provide a seal to prevent bodily fluids from entering the outer lumen.
摘要翻译： 用于无菌递送可部署设备的多腔内窥镜系统。 该系统包括外导管，其包括远侧部分和封闭外腔的壁; 可移动地设置在所述外腔内并具有内腔的内导管; 可移动地设置在所述内腔内且具有远端部分和近端部分的气球引导导管，其中所述球囊导管的远端部分包括气囊; 外腔内的可部署装置; 所述外腔内的可逆套筒具有附接到所述外导管的远端部分的第一部分和附接到靠近所述可展开装置的推动机构的第二部分; 并且其中所述气囊可扩张以接触所述可逆套筒以提供密封以防止体液进入所述外腔。
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公开(公告)号：US20110082370A1
公开(公告)日：2011-04-07
申请号：US12896365
申请日：2010-10-01
CPC分类号： A61B17/00234 , A61B1/32 , A61B17/0281 , A61B17/29 , A61B17/32093 , A61B2017/0034 , A61B2017/00876 , A61B2017/320048 , A61B2017/320056 , A61B2090/309
摘要： Medical systems and methods are provided for accessing a bodily cavity, such as the peritoneal cavity or the thoracic cavity, and for supporting diagnoses or procedures within or adjacent to such cavities. According to one embodiment, a method is provided for accessing an internal bodily cavity of patient, the bodily cavity defined by a cavity membrane, the patient having multiple tissue layers adjacent the bodily cavity including at least a skin layer and a fascia layer. An opening is formed through the skin layer and the fascia layer. An elongate medical device is inserted through the opening and between the fascia layer and the cavity membrane to form a tunnel communicating with the opening. Various medical instruments may then be used within the tunnel, and related medical kits and systems are described.
摘要翻译： 提供用于进入诸如腹膜腔或胸腔的身体腔的医疗系统和方法，以及用于在这些腔内或附近支撑诊断或手术。 根据一个实施例，提供了一种用于访问患者的内部身体腔的方法，所述身体腔由腔膜限定，所述患者具有与身体腔相邻的多个组织层，其包括至少皮肤层和筋膜层。 通过皮肤层和筋膜层形成开口。 细长的医疗装置通过开口插入在面板层和腔膜之间以形成与开口连通的隧道。 然后可以在隧道内使用各种医疗器械，并且描述相关的医疗包和系统。
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公开(公告)号：US09232962B2
公开(公告)日：2016-01-12
申请号：US12896373
申请日：2010-10-01
CPC分类号： A61B17/3423 , A61B17/0293 , A61B2017/3445
摘要： Medical devices, systems and methods are disclosed that serve to guide one or more medical devices through a port formed in bodily tissue to access a bodily cavity. One embodiment of the medical device includes a connection member, a rail, and a carrier. The connection member is structured for attachment to the port. The rail is attached to the connection member, and has a first portion extending distally through the port opening, and a second portion extending at an angle relative to the first portion. The carrier is structured to selectively connect to the first portion of the rail, and is slidable along the first and second portions of the rail.
摘要翻译： 公开了用于通过形成在身体组织中的端口引导一个或多个医疗装置以接近身体腔的医疗装置，系统和方法。 医疗装置的一个实施例包括连接构件，轨道和载体。 连接构件被构造成用于附接到端口。 轨道连接到连接构件，并且具有通过端口开口向远侧延伸的第一部分和相对于第一部分以一定角度延伸的第二部分。 载体被构造成选择性地连接到轨道的第一部分，并且可沿轨道的第一和第二部分滑动。
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公开(公告)号：US08419677B2
公开(公告)日：2013-04-16
申请号：US12641872
申请日：2009-12-18
CPC分类号： A61M25/10 , A61B18/1492 , A61B2018/00214 , A61F2/95 , A61F2/958 , A61F2/966 , A61F2002/9665 , A61M25/1002 , A61M2025/1052 , A61M2025/1081
摘要： Multi-luminal endoscopic systems for sterilely delivering deployable devices or obtaining bodily tissues. The system comprise an outer catheter comprising a wall that encloses an outer lumen; an inner catheter movably disposed within the outer lumen and having an inner lumen; a balloon-tipped catheter movably disposed within the inner lumen and having a distal end and a proximal end, wherein the distal end of the balloon-tipped catheter comprises a balloon tip that can be expanded to contact the wall of the outer catheter to provide a seal to prevent bodily fluids from entering the outer lumen; and a push catheter having a lumen and is located within the outer lumen. The delivery systems can comprise concentric catheters. Systems used for tissue collecting can comprise catheters with different common center.
摘要翻译： 用于无菌递送部署装置或获得身体组织的多腔内窥镜系统。 该系统包括外导管，其包括围绕外腔的壁; 可移动地设置在所述外腔内并具有内腔的内导管; 可移动地设置在所述内腔内且具有远端和近端的球囊状导管，其中所述球囊导管的远端包括可扩张以接触外导管的壁以提供 密封以防止体液进入外腔; 以及具有内腔并位于外腔内的推动导管。 递送系统可以包括同心导管。 用于组织收集的系统可以包括具有不同公共中心的导管。
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公开(公告)号：US20120010470A1
公开(公告)日：2012-01-12
申请号：US13174972
申请日：2011-07-01
申请人： Richard W. Ducharme , John Crowder Sigmon, JR. , Andres F. Aguirre , Tyler Evans McLawhorn , Michelle D. Martinez , Vihar C. Surti
发明人： Richard W. Ducharme , John Crowder Sigmon, JR. , Andres F. Aguirre , Tyler Evans McLawhorn , Michelle D. Martinez , Vihar C. Surti
IPC分类号： A61B1/32
CPC分类号： A61F5/445 , A61B17/0057 , A61B17/0401 , A61B17/0487 , A61B17/1114 , A61B2017/00278 , A61B2017/00663 , A61B2017/00867 , A61B2017/00876 , A61B2017/0417 , A61B2017/0496 , A61B2017/06052 , A61B2017/3488
摘要： Devices and methods are provided for accessing a bodily opening that, among other things, are safe, reliable and repeatable. One embodiment of a device for anchoring to tissue includes an elongated tube and a magnet. The elongated tube has a proximal end opposite a distal end, and defines a central axis. The magnet is attached to the distal end of the elongated tube and has a magnetic field attractive to the magnetic material in the tissue. The magnet has an annular shape defining an aperture through which the elongated tube extends.
摘要翻译： 提供了用于访问身体开放的装置和方法，其中除了别的以外，它们是安全的，可靠的和可重复的。 用于锚固到组织的装置的一个实施例包括细长管和磁体。 细长管具有与远端相对的近端并且限定中心轴线。 磁体连接到细长管的远端，并且具有吸引组织中的磁性材料的磁场。 磁体具有限定孔的环形形状，细长管通过该孔延伸。
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公开(公告)号：US20110082345A1
公开(公告)日：2011-04-07
申请号：US12896373
申请日：2010-10-01
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B2017/3445
摘要： Medical devices, systems and methods are disclosed that serve to guide one or more medical devices through a port formed in bodily tissue to access a bodily cavity. One embodiment of the medical device includes a connection member, a rail, and a carrier. The connection member is structured for attachment to the port. The rail is attached to the connection member, and has a first portion extending distally through the port opening, and a second portion extending at an angle relative to the first portion. The carrier is structured to selectively connect to the first portion of the rail, and is slidable along the first and second portions of the rail.
摘要翻译： 公开了用于通过形成在身体组织中的端口引导一个或多个医疗装置以接近身体腔的医疗装置，系统和方法。 医疗装置的一个实施例包括连接构件，轨道和载体。 连接构件被构造成用于附接到端口。 轨道连接到连接构件，并且具有通过端口开口向远侧延伸的第一部分和相对于第一部分以一定角度延伸的第二部分。 载体被构造成选择性地连接到轨道的第一部分，并且可沿轨道的第一和第二部分滑动。
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公开(公告)号：US20120165863A1
公开(公告)日：2012-06-28
申请号：US13327127
申请日：2011-12-15
IPC分类号： A61B17/28
CPC分类号： A61B17/122 , A61B17/08 , A61B17/10 , A61B17/1285 , A61B17/29 , A61B2017/00473 , A61B2017/12004 , A61B2017/2931 , A61B2017/2934 , A61B2017/2936 , A61B2017/2939 , A61B2017/294 , A61B2017/2944
摘要： Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, first and second links attached to both the jaws and the housing, and a driver. The housing, first and second jaws, and first and second links form a linkage mechanism that allows the jaws to engage tissue and be left in vivo.
摘要翻译： 提供了用于接合组织的医疗系统，装置和方法，例如， 用于剪切组织，闭合穿孔或进行止血。 通常，医疗系统包括壳体，相对于壳体可旋转的第一和第二钳口，附接到钳口和壳体的第一和第二连杆以及驱动器。 壳体，第一和第二钳口以及第一和第二连杆形成连接机构，其允许钳口接合组织并留在体内。
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公开(公告)号：US20120089158A1
公开(公告)日：2012-04-12
申请号：US13270851
申请日：2011-10-11
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/10 , A61B17/122 , A61B17/2816 , A61B17/282 , A61B17/29 , A61B2017/00473 , A61B2017/12004 , A61B2017/2902 , A61B2017/2931 , A61B2017/2936 , A61B2017/2937 , A61B2017/294 , A61B2017/2943 , A61B2017/2944
摘要： Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.
摘要翻译： 提供了用于接合组织的医疗系统，装置和方法，例如， 用于剪切组织，闭合穿孔或进行止血。 通常，医疗系统包括壳体，相对于壳体可旋转的第一和第二钳口，驱动器和细长的驱动线。 细长的驱动线可以与驱动器，第一和第二钳口以及与体内接合的组织脱离壳体。
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