Apparatus and methods for optimizing anchoring force
    2.
    发明申请
    Apparatus and methods for optimizing anchoring force 有权
    用于优化锚固力的装置和方法

    公开(公告)号:US20050277981A1

    公开(公告)日:2005-12-15

    申请号:US10865243

    申请日:2004-06-09

    Abstract: Apparatus and methods for optimizing anchoring force are described herein. In securing tissue folds, over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable arms configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue. Various devices, e.g., stops, spring members, fuses, strain gauges, etc., can be used to indicate when the anchor has been deflected to a predetermined level within the optimal range. Moreover, other factors to affect the anchor characteristics include, e.g., varying the number of arms or struts of the anchor, positioning of the arms, configuration of the arms, the length of the collars, etc.

    Abstract translation: 本文描述了用于优化锚固力的装置和方法。 在固定组织褶皱时,通过利用具有可扩张臂的组织锚来避免直接位于锚固件正下方的组织的过度压缩,所述组织锚构造成使锚和组织之间的接触面积最小化。 当锚固件处于其膨胀构型时,将负载施加到锚固件,直到其被最佳地构造成适应一定范围的偏转,同时锚固件本身对组织施加基本恒定的力。 可以使用各种装置,例如止动件,弹簧构件,保险丝,应变计等来指示锚固件何时被偏转到最佳范围内的预定水平。 此外,影响锚固特征的其他因素包括例如改变锚的臂或支柱的数量,臂的定位,臂的构型,套环的长度等。

    Apparatus and methods for transgastric tissue manipulation
    5.
    发明申请
    Apparatus and methods for transgastric tissue manipulation 审中-公开
    用于经胃组织操作的装置和方法

    公开(公告)号:US20050251091A1

    公开(公告)日:2005-11-10

    申请号:US10843682

    申请日:2004-05-10

    Abstract: Apparatus and methods for transgastric tissue manipulation are described herein. Procedures are performed transgastrically through a trocar or insert, e.g., to create tissue plications and approximating those plications towards one another for accomplishing gastroplasty procedures. The trocar is positioned through the abdominal wall of the patient and into the stomach. A multi-lumen insertion tool is positioned within the trocar and comprises one or several channels, e.g., two, three, or more channels as practicable, through the single insertion tool. Each of the channels is aligned and individually sealable with a reversible seal which allows for insertion or removal of a tool therethrough without comprising sealing of the entire trocar or port. A proximal section of the shafts comprise a flexible section to allow for the flexing of each respective control handle away from one another such that the surgeon can manipulate the tools without interference between the handles.

    Abstract translation: 本文描述了用于经胃组织操作的装置和方法。 手术通过套管针或插入物经腹部进行,例如,以产生组织淤积,并将其彼此近似,以实现成形术程序。 套针针穿过患者的腹壁并进入胃。 多腔插入工具定位在套管针内,并且通过单个插入工具包括一个或多个通道,例如两个,三个或更多个通道。 每个通道都可对准并且可单独地密封,可逆的密封件允许插入或移除工具,而不需要将整个套管针或端口密封。 轴的近侧部分包括柔性部分,以允许每个相应的控制手柄彼此远离地弯曲,使得外科医生可以操纵工具而不会在手柄之间产生干涉。

    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
    7.
    发明申请
    Shape lockable apparatus and method for advancing an instrument through unsupported anatomy 审中-公开
    形状可锁定装置和方法,用于通过不支持的解剖结构推进器械

    公开(公告)号:US20050137455A1

    公开(公告)日:2005-06-23

    申请号:US10888439

    申请日:2004-07-08

    Abstract: Apparatus and methods are provided for placing and advancing a diagnostic of therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.

    Abstract translation: 提供了设备和方法,用于将治疗仪器的诊断放置并行进在曲折或无支撑的解剖结构的中空身体器官中,包括手柄,外套管,具有无创伤尖端的远侧区域。 外套管可以从手柄移除,并且具有相对于把手以一定角度设置的纵向轴线。 外套管可以选择性地加强,以减少由诊断或治疗仪器的前进引起的器官膨胀。 远端区域允许由诊断或治疗仪器的偏转引起的外套管的被动转向,而无创伤的尖端在操纵诊断或治疗仪器期间防止器官的壁被卡住或夹住。

    Endoluminal tool deployment system
    8.
    发明申请
    Endoluminal tool deployment system 审中-公开
    腔内工具部署系统

    公开(公告)号:US20050113640A1

    公开(公告)日:2005-05-26

    申请号:US10990559

    申请日:2004-11-16

    Abstract: Systems, devices and methods are provided for endoscopic procedures involving tissue manipulations beyond the capabilities of traditional endoscopic instruments. Embodiments of the systems include an elongated main body having a scope therethrough and at least one steerable tool arm which extends from the distal end of the main body. In preferred embodiments, the system includes two tool arms, each arm steerable to form a curve laterally outward which then bends laterally inward so that the arms form an angular shape. In addition, end effectors extend from the distal ends of each tool arm for use in manipulation of tissue. The angular shape brings the end effectors together in view of the scope for cooperative movements which are continuously visible by the surgeon. In addition, the tool arms may be steerable in any additional direction and may be rotateable to allow grasping, elevation and more complex manipulation of tissue.

    Abstract translation: 提供的系统,装置和方法用于内窥镜手术,其涉及组织操作超出传统内窥镜仪器的能力。 系统的实施例包括具有穿过其中的一个细长主体和从该主体的远端延伸的至少一个可操纵的工具臂。 在优选实施例中,系统包括两个工具臂,每个臂可转向以横向向外形成曲线,然后横向向内弯曲,使得臂形成角形。 另外,末端执行器从每个工具臂的远端延伸以用于组织的操作。 考虑到外科医生连续可见的协作运动的范围,角形状使末端执行器结合在一起。 此外,工具臂可以在任何附加方向上是可操纵的并且可以是可旋转的,以允许组织的抓握,升高和更复杂的操纵。

    Apparatus and methods for endoluminal advancement
    10.
    发明申请
    Apparatus and methods for endoluminal advancement 审中-公开
    用于腔内推进的装置和方法

    公开(公告)号:US20060287666A1

    公开(公告)日:2006-12-21

    申请号:US11154168

    申请日:2005-06-15

    Abstract: Apparatus and methods for endoluminal advancement are described herein. A shape-lockable tissue anchoring assembly generally has an elongate body, a handle assembly, and an anchoring assembly positioned at or proximal to a distal tip of the elongate body. A distal portion of the elongate body may optionally be steerable or curvable. The anchoring assembly may include various expandable or projecting anchoring features to contact and retain tissue relative to the elongate body such that pleated tissue is temporarily immobile relative to the elongate body. This anchoring can be actuated simultaneously with or independently from shape-locking of elongate body. The anchoring assembly can be actuated simultaneously with the shape-locking of the elongate body. Alternatively, the steerable distal portion of the elongate body can be angled against the pleated tissue to retain it while the endoscope is advanced relative to the pleated tissue.

    Abstract translation: 本文描述了腔内前进的装置和方法。 可锁定形状的组织锚固组件通常具有细长主体,手柄组件和定位在细长主体的远侧末端处或近侧的锚固组件。 细长主体的远端部分可以可选地是可操纵的或可调节的。 锚定组件可以包括各种可膨胀或突出的锚固特征,以相对于细长体接触和保持组织,使得褶皱组织相对于细长体临时固定不动。 这种锚固可以与细长体的形状锁定同时或独立地致动。 锚固组件可以与细长体的形状锁定同时致动。 或者,细长主体的可转向远端部分可以相对于打褶组织成角度,以在内窥镜相对于打褶组织前进时保持它。

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