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    TRANSLUMENAL PERITONEAL ACCESS AND CATHETER THEREFOR
    11.
    发明申请
    TRANSLUMENAL PERITONEAL ACCESS AND CATHETER THEREFOR 审中-公开
    斜纹皮肤接触和导管

    公开(公告)号：WO2009046051A1

    公开(公告)日：2009-04-09

    申请号：PCT/US2008/078369

    申请日：2008-10-01

    Applicant: MINOS MEDICAL ,  NODA, Wayne, A. ,  TZENG, Elbert, Y. ,  BELL, Stephen, Graham

    Inventor： NODA, Wayne, A. ,  TZENG, Elbert, Y. ,  BELL, Stephen, Graham

    IPC: A61M31/00 ,  A61M37/00

    CPC classification number: A61B17/3478 ,  A61B17/3474 ,  A61B2017/00278 ,  A61M25/0084

    Abstract: A working cannula (24) is advanced through a natural orifice into a body organ such as the bladder. Gas is infused through the cannula (24) into the bladder, pressurizing the bladder. A fenestrating shunt catheter (10, 60, 100, 200, 300) is then advanced through the urethra into the bladder and against the wall of the bladder, fenestrating it. A distal segment (38, 102, 202) of the shunt catheter is then advanced through the wall into the peritoneal space, while a more proximal segment (40, 108, 208) of the shunt catheter remains in the bladder. Shunt holes (30. 42, 64, 106, 110, 206, 210) are formed m both the distal segment and more proximal segment so that gas from the pressurized bladder flows through the shunt holes into the peritoneal space, insufflating the peritoneal space.

    Abstract translation: 工作插管（24）通过天然孔进入诸如膀胱的身体器官。 将气体通过套管（24）注入膀胱，对膀胱加压。 然后将开窗分流导管（10,60,100,200,300）通过尿道前进进入膀胱并抵靠膀胱的壁，并将其开纤。 分流导管的远端段（38,102,202）然后通过壁前进到腹膜间隙中，而分流导管的更靠近的部分（40,108,208）保留在膀胱中。 分流孔（30,42,64,106,101,206,210）均形成在远端段和更近端段上，使得来自加压膀胱的气体流过分流孔进入腹膜间隙，从而使腹膜空间膨胀。

    OUTER TUBE FOR NATURAL ORIFICE SURGERY
    12.
    发明申请
    OUTER TUBE FOR NATURAL ORIFICE SURGERY 审中-公开
    外套自然手术手术

    公开(公告)号：WO2009032407A1

    公开(公告)日：2009-03-12

    申请号：PCT/US2008/070299

    申请日：2008-07-17

    Applicant: MINO MEDICAL ,  ADZICH, Vaso ,  NODA, Wayne, A. ,  BELL, Stephen, Graham ,  TZENG, Elbert, Y.

    Inventor： ADZICH, Vaso ,  NODA, Wayne, A. ,  BELL, Stephen, Graham ,  TZENG, Elbert, Y.

    IPC: A61B1/00 ,  A61B1/04

    CPC classification number: A61B1/31 ,  A61B1/00135 ,  A61B1/00154 ,  A61B17/3421 ,  A61B17/3431 ,  A61B2017/3441

    Abstract: An outer tube (12, 72, 80) for natural orifice surgery. The outer tube (12, 72, 80) can have interchangeable inserts (22) to establish a desired size and number of lumens. A distal tapered soft plastic plug (28, 50, 70) may be provided to cover the distal end of the tube (12, 72, 80). Different segments (32, 34) of the tube (12, 72, 80) may have different stiffness characteristics. Various plugs (120, 130, 152, 160, 164, 180 190, 240, 250) are also disclosed that can be proximally removable using various means (126, 138, 158, 162, 166, 184, 198) for deforming the plug to permit the plug to be retrieved through the outer tube.

    Abstract translation: 用于自然孔手术的外管（12,72,80）。 外管（12,72,80）可以具有可互换的插入件（22），以建立所需的尺寸和数量的内腔。 可以设置远端锥形软塑料塞（28,50,70）以覆盖管（12,72,80）的远端。 管（12,72,80）的不同段（32,34）可具有不同的刚度特性。 还公开了可以使用各种装置（126,138,158,162,166,184,198）向近端移除以使插头变形的各种插头（120,130,152,160,164,180 190,240,250） 以允许插塞通过外管回收。

    BRUSH DEVICE FOR GRASPING AND MANIPULATING TISSUE
    13.
    发明申请
    BRUSH DEVICE FOR GRASPING AND MANIPULATING TISSUE 审中-公开
    刷牙和手术组织的刷子装置

    公开(公告)号：WO2009023772A1

    公开(公告)日：2009-02-19

    申请号：PCT/US2008/073148

    申请日：2008-08-14

    Applicant: MINOS MEDICAL ,  NODA, Wayne, A. ,  BELL, Stephen, Graham

    Inventor： NODA, Wayne, A. ,  BELL, Stephen, Graham

    IPC: A61B17/29

    CPC classification number: A61B17/22031 ,  A61B17/221 ,  A61B2017/22034 ,  A61B2017/306

    Abstract: A brush-like element (30, 40, 46, 54, 202) can be housed within a vacuum sleeve (12, 42, 48, 56, 104, 206) for advancement through a natural orifice to tissue, such as an appendix or gall bladder or diverticulum, to be inverted pursuant to resolution of a malady associated with the tissue. The brush is advanced out of the sleeve into the tissue and if desired rotated, and vacuum may also be drawn through the sleeve to further grip the tissue. The brush is then retracted into the sleeve to clamp or trap the tissue for inversion or other manipulation.

    Abstract translation: 刷子状元件（30,40,46,54,202）可以容纳在真空套筒（12,42,48,56,104,206）内，用于通过天然孔口前进到组织，例如阑尾或 胆囊或憩室根据与组织相关的疾病的分辨率而反转。 刷子从套筒推进到组织中，并且如果需要旋转，并且真空也可以通过套筒抽出以进一步夹紧组织。 然后将刷子缩回到套筒中以夹紧或收集组织以进行反转或其他操作。

    A TISSUE RETRACTOR, TISSUE RETRACTOR KIT AND METHOD OF USE THEREOF
    20.
    发明申请
    A TISSUE RETRACTOR, TISSUE RETRACTOR KIT AND METHOD OF USE THEREOF 审中-公开
    组织返回器，组织返回器套件及其使用方法

    公开(公告)号：WO2007114982A1

    公开(公告)日：2007-10-11

    申请号：PCT/US2007/062609

    申请日：2007-02-22

    Applicant: NANYANG TECHNOLOGICAL UNIVERSITY ,  INSIGHTRA MEDICAL, INC. ,  SHARP, Brad ,  BELL, Stephen, Graham ,  NODA, Wayne, Arthur ,  KHANOLKAR, Laxmikant ,  TAN, Meng, Pheng ,  BOEY, Yin, Chiang ,  MA, Jan ,  WOUTERSON, Erwin, Merijn

    Inventor： SHARP, Brad ,  BELL, Stephen, Graham ,  NODA, Wayne, Arthur ,  KHANOLKAR, Laxmikant ,  TAN, Meng, Pheng ,  BOEY, Yin, Chiang ,  MA, Jan ,  WOUTERSON, Erwin, Merijn

    IPC: A61B17/02

    CPC classification number: A61B17/02 ,  A61B17/00491 ,  A61B17/0293 ,  A61B17/085 ,  A61B2017/0287 ,  A61B2046/205

    Abstract: A tissue retractor for retracting tissue opened by an incision, said tissue retractor including a base support unit having a topside and an underside. The topside comprises at least one securing mechanism and the underside is adapted to be conformable and to be removably attachable to a surface proximate to the incision. The tissue retractor also includes at least one tissue hook having a tissue engagement portion and a mounting portion, wherein the tissue engagement portion is capable of engaging at least the periphery of the incision. The tissue retractor also includes at least one retractable member substantially inelastic in its central longitudinal axis and bendable in any axes deviating from said central longitudinal axis. The retractable member is adapted to receive the mounting portion of the tissue hook, wherein said retractable member is adapted to be removably attachable to said securing mechanism on the topside of the base support unit, and wherein said retractable member is retractable away from the incision, such that the tissue engagement portion retracts tissue it is engaged to.

    Abstract translation: 一种用于缩回由切口打开的组织的组织牵缩器，所述组织牵缩器包括具有顶侧和下侧的基部支撑单元。 顶部包括至少一个固定机构，并且下侧适于保持一致并且可移除地附接到靠近切口的表面。 组织牵缩器还包括具有组织接合部分和安装部分的至少一个组织钩，其中所述组织接合部分能够至少与所述切口的周边接合。 组织牵缩器还包括至少一个在其中心纵向轴线上基本上无弹性并且可在任何偏离所述中心纵向轴线的轴线上弯曲的伸缩构件。 可缩回构件适于接收组织钩的安装部分，其中所述可缩回构件适于可移除地附接到基部支撑单元的顶侧上的所述固定机构，并且其中所述可缩回构件可从所述切口伸出， 使得组织接合部分缩回与其接合的组织。

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