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    Methods and apparatus for revision of obesity procedures
    14.
    发明申请
    Methods and apparatus for revision of obesity procedures 有权
    肥胖程序修订方法和手段

    公开(公告)号：US20070175488A1

    公开(公告)日：2007-08-02

    申请号：US11342288

    申请日：2006-01-27

    Applicant: John Cox ,  Tracy Maahs ,  Richard Ewers ,  Eugene Chen ,  Cang Lam ,  Lee Swanstrom

    Inventor： John Cox ,  Tracy Maahs ,  Richard Ewers ,  Eugene Chen ,  Cang Lam ,  Lee Swanstrom

    IPC: A61B17/138

    CPC classification number: A61B17/1114 ,  A61B17/29 ,  A61B2017/00278 ,  A61B2017/00349 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/1103 ,  A61B2017/1125 ,  A61B2017/1142 ,  A61B2017/2905 ,  A61F5/0083 ,  A61F5/0086

    Abstract: Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alterative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region.

    Abstract translation: 描述了先前进行的失败的肥胖程序的腔内修复的方法和装置。 一个或多个腔内器械可以每次口服进入先前形成的失败的小袋，其中可以执行许多不同的程序。 可以形成和固定一个或多个组织折叠以减小小袋的尺寸，或者使用内腔部署的组织锚固件将小袋连接到肠道的造口减小。 这些程序可以完全从袋内腔或袋的外表面通过仪器经腹进入患者的腹膜腔进行。 或者，袋内的内部组织可以被损伤或硬化以收缩袋腔。 在另一个替代方案中，Roux肢体的长度可以被内在缩短以产生吸收不良的区域。

    Methods and apparatus for securing and deploying tissue anchors
    15.
    发明申请
    Methods and apparatus for securing and deploying tissue anchors 有权
    用于固定和部署组织锚的方法和装置

    公开(公告)号：US20060271101A1

    公开(公告)日：2006-11-30

    申请号：US11238543

    申请日：2005-09-30

    Applicant: Vahid Saadat ,  Richard Ewers ,  Cang Lam

    Inventor： Vahid Saadat ,  Richard Ewers ,  Cang Lam

    IPC: A61B17/00

    CPC classification number: A61B17/29 ,  A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B2017/003 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2927

    Abstract: Methods and apparatus for securing and deploying tissue anchors are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member. A reconfigurable launch tube is also pivotably coupled to the tissue manipulation assembly, which may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly. A deployment assembly is provided for securing engaged tissue via one or more tissue anchors, the deployment assembly also being configured to disengage the anchors endoluminally or laparoscopically by applying thermal energy through at least one suture cutting element disposed along the deployment assembly.

    Abstract translation: 本文描述了用于固定和展开组织锚的方法和装置。 组织操作组件可枢转地联接到管状构件的远端。 可重新配置的发射管也可枢转地联接到组织操作组件，组织操作组件可通过可形状锁定的内窥镜装置，常规内窥镜或直接自身进入患者。 第二工具可以与组织操作组件组合使用以接合组织并且与组织操作组件一起操作组织。 提供了一种展开组件，用于通过一个或多个组织锚固件固定所接合的组织，所述展开组件还被配置为通过沿着所述展开组件布置的至少一个缝合线切割元件施加热能而使所述锚定器在内部或腹腔镜下脱离。

    System for optimizing anchoring force
    17.
    发明申请
    System for optimizing anchoring force 有权
    优化锚固力的系统

    公开(公告)号：US20050277983A1

    公开(公告)日：2005-12-15

    申请号：US10865736

    申请日：2004-06-09

    Applicant: Vahid Saadat ,  Richard Ewers ,  Tracy Maahs ,  Alex Khairkhahan ,  Kenneth Michlitsch

    Inventor： Vahid Saadat ,  Richard Ewers ,  Tracy Maahs ,  Alex Khairkhahan ,  Kenneth Michlitsch

    IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61B19/00

    CPC classification number: A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0644 ,  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。

    Compressible tissue anchor assemblies
    18.
    发明申请
    Compressible tissue anchor assemblies 有权
    可压缩组织锚固组件

    公开(公告)号：US20050277966A1

    公开(公告)日：2005-12-15

    申请号：US11179082

    申请日：2005-07-11

    Applicant: Richard Ewers ,  Shirley Vong ,  Vahid Saadat

    Inventor： Richard Ewers ,  Shirley Vong ,  Vahid Saadat

    IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61B19/00

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

    Abstract: Apparatus & 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。

    Methods and apparatus for performing endoluminal procedures
    19.
    发明申请
    Methods and apparatus for performing endoluminal procedures 审中-公开
    用于进行腔内手术的方法和装置

    公开(公告)号：US20050272977A1

    公开(公告)日：2005-12-08

    申请号：US11129513

    申请日：2005-05-13

    Applicant: Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

    Inventor： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Gilbert Madrid

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

    CPC classification number: A61B1/0051 ,  A61B1/0008 ,  A61B1/00179 ,  A61B1/00183 ,  A61B1/018 ,  A61B1/04 ,  A61B17/29

    Abstract: Methods and apparatus for performing endoluminal procedures 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: 本文描述了用于进行腔内手术的方法和装置。 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。

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