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    METHODS AND APPARATUS FOR OFF-AXIS VISUALIZATION
    1.
    发明申请
    METHODS AND APPARATUS FOR OFF-AXIS VISUALIZATION 审中-公开
    用于非轴可视化的方法和装置

    公开(公告)号：WO2006110275A3

    公开(公告)日：2007-09-07

    申请号：PCT/US2006010378

    申请日：2006-03-21

    Applicant: USGI MEDICAL INC ,  MAAHS TRACY D ,  EWERS RICHARD C ,  CHANG ARVIN T ,  ROTHE CHRIS ,  CHEN EUGENE C ,  ELMER MARVIN C ,  MADRID GILBERT ,  GAMBHIR KABIR

    Inventor： MAAHS TRACY D ,  EWERS RICHARD C ,  CHANG ARVIN T ,  ROTHE CHRIS ,  CHEN EUGENE C ,  ELMER MARVIN C ,  MADRID GILBERT ,  GAMBHIR KABIR

    IPC: A61B1/00 ,  A61B1/005 ,  A61B1/018 ,  A61B1/04

    CPC classification number: A61B1/00179 ,  A61B1/0008 ,  A61B1/00183 ,  A61B1/0051 ,  A61B1/018 ,  A61B1/04

    Abstract: Methods and apparatus for off-axis visualization are described herein. An endoluminal tissue manipulation assembly is disclosed which provides for a stable endoluminal platform and which also provides for effective triangulation of tools. Such an apparatus may comprise an optionally shape-lockable elongate body defining a longitudinal axis and adapted for endoluminal advancement in a patient body, at least one articulatable visualization lumen disposed near or at a distal region of the elongate body, the at least one articulating visualization lumen being adapted to articulate off-axis relative to a longitudinal axis of the elongate body, and at least one articulatable tool arm member disposed near or at the distal region of the elongate body, the at least one articulatable tool arm member being adapted to articulate off-axis and manipulate a tissue region of interest.

    Abstract translation: 本文描述了用于离轴可视化的方法和装置。 公开了一种腔内组织操作组件，其提供稳定的内腔平台，并且还提供工具的有效三角测量。 这样的装置可以包括限定纵向轴线并且适于在患者体内进行腔内前进的可选形状可锁定细长体，至少一个可伸长的可视腔，其设置在细长体的远端区域附近或位于该远端区域，该至少一个关节显示 内腔适于相对于细长主体的纵向轴线偏轴关节，以及设置在细长主体的远端区域附近或其附近的至少一个可铰接工具臂构件，所述至少一个可铰接工具臂构件适于铰接 离轴并操纵感兴趣的组织区域。

    FLEXIBLE SHAFT SYSTEM HAVING INTERCHANGEABLE END EFFECTORS
    2.
    发明申请
    FLEXIBLE SHAFT SYSTEM HAVING INTERCHANGEABLE END EFFECTORS 审中-公开
    具有交联效应的柔性轴系

    公开(公告)号：WO2006089217A2

    公开(公告)日：2006-08-24

    申请号：PCT/US2006/005823

    申请日：2006-02-16

    Applicant: USGI MEDICAL INC. ,  MAAHS, Tracy, D. ,  EWERS, Richard, C.

    Inventor： MAAHS, Tracy, D. ,  EWERS, Richard, C.

    IPC: A61B18/18 ,  A61B18/04

    CPC classification number: A61B18/1492 ,  A61B18/1445 ,  A61B18/1477 ,  A61B2017/0046 ,  A61B2017/2931 ,  A61B2018/1425 ,  A61B2018/1495

    Abstract: Flexible shaft systems having interchangeable end effectors are described herein. A shaft with a flexibility sufficient to allow advancement through a lumen of an endoscopic device has an interface at its distal end for engaging a removable end effector tool. The shaft and end effector tool are configured to enable endoluminal deployment through a patient, e.g., through the esophagus and into the stomach. The removable end effector tool may comprise any number of different tools, such as graspers, forceps, scissors, snares, needles, etc., each being interchangeable upon the flexible shaft distal end. Once a procedure is done within the patient, the flexible shaft may be withdrawn and another distal end effector tool may be interchanged. The new end effector tool and flexible shaft can then be reintroduced into the patient.

    Abstract translation: 这里描述了具有可互换的端部执行器的柔性轴系统。 具有足以允许通过内窥镜装置的内腔前进的轴具有在其远端处的接口用于接合可移除的末端执行器工具的界面。 轴和末端执行器工具被配置为使得能够通过患者进行腔内展开，例如通过食道并进入胃。 可移除的末端执行器工具可以包括任何数量的不同的工具，例如抓紧器，镊子，剪刀，圈套，针等，它们可在柔性轴远端上互换。 一旦在患者体内完成了一个程序，则可以撤回柔性轴，另一个远端执行器工具可以互换。 然后可以将新的末端执行器工具和柔性轴重新引入患者体内。

    APPARATUS AND METHODS FOR ENDOLUMINAL ADVANCEMENT
    3.
    发明申请
    APPARATUS AND METHODS FOR ENDOLUMINAL ADVANCEMENT 审中-公开
    装置和方法进行内镜推进

    公开(公告)号：WO2006138409A2

    公开(公告)日：2006-12-28

    申请号：PCT/US2006/023212

    申请日：2006-06-14

    Applicant: USGI MEDICAL INC. ,  SAADAT, Vahid ,  CHEN, Eugene ,  LE, Tung, Thanh ,  MAAHS, Tracy, D. ,  EWERS, Richard, C. ,  COX, John, A. ,  ROTH, Chris

    Inventor： SAADAT, Vahid ,  CHEN, Eugene ,  LE, Tung, Thanh ,  MAAHS, Tracy, D. ,  EWERS, Richard, C. ,  COX, John, A. ,  ROTH, Chris

    IPC: A61M29/00

    CPC classification number: A61M25/1011 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61M2025/1015 ,  A61M2025/1052

    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。 形状可锁定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。

    SYSTEM FOR OPTIMIZING ANCHORING FORCE
    4.
    发明申请
    SYSTEM FOR OPTIMIZING ANCHORING FORCE 审中-公开
    优化锚固力系统

    公开(公告)号：WO2005122914A2

    公开(公告)日：2005-12-29

    申请号：PCT/US2005/020349

    申请日：2005-06-08

    Applicant: USGI MEDICAL INC. ,  SAADAT, Vahid ,  EWERS, Richard, C. ,  MAAHS, Tracy, D. ,  KHAIRKHAHAN, Alex ,  MICHLITSCH, Kenneth, J.

    Inventor： SAADAT, Vahid ,  EWERS, Richard, C. ,  MAAHS, Tracy, D. ,  KHAIRKHAHAN, Alex ,  MICHLITSCH, Kenneth, J.

    IPC: A61B17/08

    CPC classification number: A61B17/0644 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B2017/00867 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2090/037

    Abstract: Systems 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: 这里描述了用于优化锚固力的系统。 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。

    METHODS AND APPARATUS FOR OFF-AXIS VISUALIZATION
    6.
    发明申请
    METHODS AND APPARATUS FOR OFF-AXIS VISUALIZATION 审中-公开
    用于非轴可视化的方法和装置

    公开(公告)号：WO2006110275A2

    公开(公告)日：2006-10-19

    申请号：PCT/US2006/010378

    申请日：2006-03-21

    Applicant: USGI MEDICAL INC. ,  MAAHS, Tracy, D. ,  EWERS, Richard, C. ,  CHANG, Arvin, T. ,  ROTHE, Chris ,  CHEN, Eugene, C. ,  ELMER, Marvin, C. ,  MADRID, Gilbert ,  GAMBHIR, Kabir

    Inventor： MAAHS, Tracy, D. ,  EWERS, Richard, C. ,  CHANG, Arvin, T. ,  ROTHE, Chris ,  CHEN, Eugene, C. ,  ELMER, Marvin, C. ,  MADRID, Gilbert ,  GAMBHIR, Kabir

    IPC: A61B1/04

    CPC classification number: A61B1/00179 ,  A61B1/0008 ,  A61B1/00183 ,  A61B1/0051 ,  A61B1/018 ,  A61B1/04

    Abstract: Methods and apparatus for off-axis visualization are described herein. An endoluminal tissue manipulation assembly is disclosed which provides for a stable endoluminal platform and which also provides for effective triangulation of tools. Such an apparatus may comprise an optionally shape-lockable elongate body defining a longitudinal axis and adapted for endoluminal advancement in a patient body, at least one articulatable visualization lumen disposed near or at a distal region of the elongate body, the at least one articulating visualization lumen being adapted to articulate off-axis relative to a longitudinal axis of the elongate body, and at least one articulatable tool arm member disposed near or at the distal region of the elongate body, the at least one articulatable tool arm member being adapted to articulate off-axis and manipulate a tissue region of interest.

    Abstract translation: 本文描述了用于离轴可视化的方法和装置。 公开了一种腔内组织操作组件，其提供稳定的内腔平台，并且还提供工具的有效三角测量。 这种装置可以包括限定纵向轴线并且适于在患者体内进行腔内前进的可选形状可锁定细长体，至少一个可伸长的可视腔，其设置在细长体的远端区域附近或位于该远端区域处，该至少一个铰接可视化 内腔适于相对于细长主体的纵向轴线偏轴关节，以及设置在细长主体的远侧区域附近或其附近的至少一个可铰接工具臂构件，所述至少一个可铰接工具臂构件适于铰接 离轴并且操纵感兴趣的组织区域。

    METHODS AND APPARATUS FOR TRANSMITTING FORCE TO AN END EFFECTOR OVER AN ELONGATE MEMBER
    7.
    发明申请
    METHODS AND APPARATUS FOR TRANSMITTING FORCE TO AN END EFFECTOR OVER AN ELONGATE MEMBER 审中-公开

    公开(公告)号：WO2006078429A3

    公开(公告)日：2006-07-27

    申请号：PCT/US2005/047306

    申请日：2005-12-28

    Applicant: USGI MEDICAL INC. ,  SAADAT, Vahid ,  EWERS, Richard, C. ,  PEH, Ruey-feng ,  MAAHS, Tracy, D.

    Inventor： SAADAT, Vahid ,  EWERS, Richard, C. ,  PEH, Ruey-feng ,  MAAHS, Tracy, D.

    IPC: A61B17/08

    Abstract: Apparatus and methods for conveying or transmitting force or energy to a medical end effector coupled to a flexible or rigid shaft are described herein. One variation of such apparatus may be used to manipulate tissue and create a tissue fold and may generally comprise an elongate tubular member having an end effector disposed thereon. The end effector may comprise a tissue engagement member adapted to engage tissue, a first stabilizing member and a second stabilizing member positioned at the tubular member distal end, and a launch tube adapted to pivot about the first stabilizing member. Elements of the end effector may be actuable via various force transmission elements and/or mechanisms. Such force transmission elements preferably are integrated into and/or are actuable via a handle. The force transmission mechanisms may be utilized to actuate and/or transmit force to alternative medical end effectors coupled to flexible or rigid shafts.

    APPARATUS AND METHODS FOR ENDOLUMINAL ADVANCEMENT
    10.
    发明申请
    APPARATUS AND METHODS FOR ENDOLUMINAL ADVANCEMENT 审中-公开
    装置和方法进行内镜推进

    公开(公告)号：WO2006138409A3

    公开(公告)日：2009-04-16

    申请号：PCT/US2006023212

    申请日：2006-06-14

    Applicant: USGI MEDICAL INC ,  SAADAT VAHID ,  CHEN EUGENE ,  LE TUNG THANH ,  MAAHS TRACY D ,  EWERS RICHARD C ,  COX JOHN A ,  ROTH CHRIS

    Inventor： SAADAT VAHID ,  CHEN EUGENE ,  LE TUNG THANH ,  MAAHS TRACY D ,  EWERS RICHARD C ,  COX JOHN A ,  ROTH CHRIS

    IPC: A61B17/58 ,  A61M29/00

    CPC classification number: A61M25/1011 ,  A61B2017/22068 ,  A61B2017/22069 ,  A61M2025/1015 ,  A61M2025/1052

    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 (30) 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。 形状可锁定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（30）或突出的锚固特征，以相对于细长主体接触和保持组织，使得打褶的组织相对于细长主体暂时不动。 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，细长主体的可操纵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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