公开(公告)号：US20060178560A1

公开(公告)日：2006-08-10

申请号：US11400120

申请日：2006-04-07

Applicant: Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Tracy Maahs ,  Kenneth Michlitsch

Inventor： Vahid Saadat ,  Chris Rothe ,  Richard Ewers ,  Tracy Maahs ,  Kenneth Michlitsch

IPC: A61B1/008

CPC classification number: A61B1/0055 ,  A61B1/018 ,  A61B1/2736 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/29 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/0406 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/06052 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/306

Abstract: Systems, devices and methods for endoscopic procedures are provided involving accessing and manipulating tissues beyond the capabilities of traditional endoscopic instruments. Embodiments of the systems include an elongated main body which has one or more independently shape-lockable sections and a variety of instruments which are either built in to the main body or advanceable through lumens which extend through the main body. Such instruments may include scopes, suction instruments, aspiration instruments, tool arms, plicators, needles, graspers, and cutters, to name a few. The ability to steer and shapelock specific sections of the main body enables access to target locations which are typically challenging to reach and provides a stabilized platform to perform a desired procedure at the target location.

Abstract translation: 提供用于内窥镜手术的系统，装置和方法，其涉及访问和操纵超出传统内窥镜仪器能力的组织。 该系统的实施例包括具有一个或多个独立形状可锁定部分的细长主体以及内置于主体中或通过延伸穿过主体的腔的可前进的各种仪器。 这样的仪器可以包括示波器，抽吸仪器，抽吸仪器，工具臂，矫正器，针，抓取器和切割器等等。 转向和塑造主体的特定部分的能力使得能够访问通常具有挑战性的目标位置，并且提供稳定的平台以在目标位置执行期望的过程。

公开(公告)号：US20060111614A1

公开(公告)日：2006-05-25

申请号：US11201401

申请日：2005-08-09

Applicant: Vahid Saadat ,  Richard Ewers

Inventor： Vahid Saadat ,  Richard Ewers

IPC: A61B1/00

CPC classification number: A61B1/00154 ,  A61B1/00078 ,  A61B1/0008 ,  A61B1/00082 ,  A61B1/00105 ,  A61B1/00135 ,  A61B1/0052 ,  A61B1/0055 ,  A61B1/0058 ,  A61B1/008 ,  A61B1/31 ,  A61B1/32

Abstract: Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube disposed within a hydrophilic sheath, and 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 sheath may be disposable to permit reuse of the overtube. Fail-safe tensioning mechanisms may be provided to selectively stiffen the overtube to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The fail-safe tensioning mechanisms reduce the risk of reconfiguration of the overtube in the event that the tension system fails, and, in one embodiment, rigidizes the overtube without substantial proximal movement of the distal region. 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.

公开(公告)号：US20050251165A1

公开(公告)日：2005-11-10

申请号：US11070846

申请日：2005-03-01

Applicant: Robert Vaughan ,  Cang Lam ,  Richard Ewers ,  Vahid Saadat

Inventor： Robert Vaughan ,  Cang Lam ,  Richard Ewers ,  Vahid Saadat

IPC: A61B1/00 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/08 ,  A61B17/28 ,  A61B17/34 ,  A61B19/00

CPC classification number: A61B17/10 ,  A61B1/0051 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/3488 ,  A61B2090/037

Abstract: Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly 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.

Abstract translation: 本文描述了组织操纵和固定系统。 组织操作组件可枢转地联接到管状构件的远端，并且具有下颚构件和可枢转地联接到下颚构件的上颚构件。 可重构的发射管也可枢转地联接到上钳口构件，并且用于将钳口构件从小轮廓构造推动到用于接收组织的打开构型。 组织操作组件可以通过形状可锁定内窥镜装置，常规内窥镜，或者直接自身进入患者。 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。

公开(公告)号：US20050251159A1

公开(公告)日：2005-11-10

申请号：US10954665

申请日：2004-09-29

Applicant: Richard Ewers ,  Cang Lam ,  Jesus Flores ,  Vahid Saadat

Inventor： Richard Ewers ,  Cang Lam ,  Jesus Flores ,  Vahid Saadat

IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC classification number: A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/22031 ,  A61B17/29 ,  A61B2017/00407 ,  A61B2017/00469 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0443 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06171 ,  A61B2017/0649 ,  A61B2017/081 ,  A61B2017/3488

Abstract: Methods and apparatus for grasping a suture and cinching and/or locking a tissue anchor are provided. In one variation, a tube is provided having a lumen and a resilient member that obstructs the lumen. A grasper may be advanced coaxially through the lumen, such that it reversibly displaces the resilient member and extends beyond the lumen's outlet to engage suture of the tissue anchor. With suture engaged, the grasper may be withdrawn within the tube, such that the resilient member again obstructs the lumen of the tube. Continued retraction of the grasper relative to the tube and anchor may act to cinch the anchor via interaction between a cinching/locking mechanism of the anchor and the obstructing resilient member. In an alternative variation, a snare device is provided comprising a resilient wire loop that coacts with an element of the snare device or of the tissue anchor for grasping and cinching the tissue anchor.

Abstract translation: 提供了用于抓住缝合线并且夹紧和/或锁定组织锚的方法和装置。 在一个实施例中，提供具有内腔和阻碍内腔的弹性构件的管。 夹持器可以同轴地前进穿过内腔，使得其可逆地移位弹性构件并且延伸超过内腔的出口以接合组织锚的缝合线。 通过缝合线接合，抓紧器可以在管内被抽出，使得弹性构件再次阻塞管的内腔。 抓紧器相对于管和锚的继续缩回可以通过锚固件的紧固/锁定机构和阻塞弹性构件之间的相互作用而起到锚定作用。 在替代变型中，提供了一种圈套装置，其包括与圈套装置或组织锚的元件共同作用以用于抓紧和收紧组织锚固件的弹性线环。

公开(公告)号：US20050251157A1

公开(公告)日：2005-11-10

申请号：US10840950

申请日：2004-05-07

Applicant: Vahid Saadat ,  Tracy Maahs ,  Richard Ewers ,  Marvin Elmers ,  Jesus Flores ,  Alex Khairkhahan ,  Ruey-Feng Peh ,  Cang Lam

Inventor： Vahid Saadat ,  Tracy Maahs ,  Richard Ewers ,  Marvin Elmers ,  Jesus Flores ,  Alex Khairkhahan ,  Ruey-Feng Peh ,  Cang Lam

IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC classification number: A61B17/08 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0487 ,  A61B17/06066 ,  A61B17/064 ,  A61B17/10 ,  A61B17/29 ,  A61B2017/00867 ,  A61B2017/0404 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0446 ,  A61B2017/045 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0456 ,  A61B2017/0458 ,  A61B2017/0459 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0488 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/081 ,  A61B2017/3488 ,  Y10T24/39 ,  Y10T24/3936

Abstract: Apparatus and methods for positioning and securing anchors are disclosed herein. The anchors are adapted to be delivered and implanted into or upon tissue, particularly tissue within the gastrointestinal system of a patient. The anchor is adapted to slide uni-directionally over suture such that a tissue plication may be cinched between anchors. A locking mechanism either within the anchor itself of positioned proximally of the anchor may allow for the uni-directional translation while enabling the anchor to be locked onto the suture if the anchor is pulled, pushed, or otherwise urged in the opposite direction along the suture. This unidirectional anchor locking mechanism facilitates the cinching of the tissue plication between the anchors and it may be utilized in one or several anchors in cinching a tissue fold.

Abstract translation: 本文公开了用于定位和固定锚固件的装置和方法。 锚固件适于被递送并植入到组织中，特别是患者胃肠系统内的组织中。 锚固件适于在缝合线上单向滑动，使得组织褶皱可以在锚固件之间束紧。 如果锚固件被拉动，推动或​​沿着缝合线沿相反方向被推动，锚固件本身内的定位器本身内的锁定机构可以允许单向平移，同时使锚固件能够锁定在缝合线上 。 这种单向锚定锁定机构有助于锚固件之间的组织褶皱的收紧，并且可以在一个或多个锚固件中使用紧固组织褶皱。

公开(公告)号：US20050250988A1

公开(公告)日：2005-11-10

申请号：US11002771

申请日：2004-12-01

Applicant: Richard Ewers ,  Vahid Saadat ,  Cang Lam ,  Chris Rothe

Inventor： Richard Ewers ,  Vahid Saadat ,  Cang Lam ,  Chris Rothe

IPC: A61B1/00 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/08 ,  A61B17/28 ,  A61B17/34 ,  A61B19/00

CPC classification number: A61B17/0401 ,  A61B1/0014 ,  A61B17/06066 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/3488 ,  A61B2090/037

Abstract: Removable apparatus for manipulating and securing tissue within a treatment space are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have tissue stabilizing members adapted to stabilize tissue therebetween, an engagement member slidably disposed through the stabilizing members and having a distal end adapted to engage tissue, and a delivery tube pivotable about the tissue stabilizing members. The tissue manipulation assembly optionally may be configured for removable attachment to an endoscope.

Abstract translation: 本文描述了用于操纵和固定处理空间内的组织的可移除装置。 在组织折叠在患者体内产生时，组织操作组件通常可具有适于在其间稳定组织的组织稳定部件，可滑动地设置穿过稳定部件并且具有适于接合组织的远端的接合部件和输送管 可围绕组织稳定构件枢转。 组织操作组件可选地可以被配置为可拆卸地附接到内窥镜。

公开(公告)号：US20050250987A1

公开(公告)日：2005-11-10

申请号：US11002575

申请日：2004-12-01

Applicant: Richard Ewers ,  Vahid Saadat ,  Cang Lam ,  Chris Rothe

Inventor： Richard Ewers ,  Vahid Saadat ,  Cang Lam ,  Chris Rothe

IPC: A61B1/00 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/08 ,  A61B17/28 ,  A61B17/34 ,  A61B19/00

CPC classification number: A61B17/0401 ,  A61B1/0014 ,  A61B17/06066 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/3488 ,  A61B2090/037

Abstract: Removable apparatus and methods for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have tissue stabilizing members adapted to stabilize tissue therebetween, an engagement member slidably disposed through the stabilizing members and having a distal end adapted to engage tissue, and a delivery tube pivotable about the tissue stabilizing members. The tissue manipulation assembly optionally may be configured for removable attachment to an endoscope.

Abstract translation: 本文描述了用于操纵和固定组织的可移除装置和方法。 在组织折叠在患者体内产生时，组织操作组件通常可具有适于在其间稳定组织的组织稳定部件，可滑动地设置穿过稳定部件并且具有适于接合组织的远端的接合部件和输送管 可围绕组织稳定构件枢转。 组织操作组件可选地可以被配置为可拆卸地附接到内窥镜。

公开(公告)号：US20050250984A1

公开(公告)日：2005-11-10

申请号：US11001738

申请日：2004-12-01

Applicant: Cang Lam ,  Chris Rothe ,  Richard Ewers ,  Vahid Saadat

Inventor： Cang Lam ,  Chris Rothe ,  Richard Ewers ,  Vahid Saadat

IPC: A61B1/00 ,  A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/08 ,  A61B17/28 ,  A61B17/34 ,  A61B19/00

CPC classification number: A61B17/0401 ,  A61B1/0014 ,  A61B17/06066 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00867 ,  A61B2017/00876 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/06076 ,  A61B2017/3488 ,  A61B2090/037

Abstract: Multiple removable apparatus and methods for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have tissue stabilizing members adapted to stabilize tissue therebetween, an engagement member slidably disposed through the stabilizing members and having a distal end adapted to engage tissue, and a delivery tube pivotable about the tissue stabilizing members. The tissue manipulation assembly optionally may be configured for removable attachment to an endoscope.

Abstract translation: 本文描述了用于操纵和固定组织的多个可移除装置和方法。 在组织折叠在患者体内产生时，组织操作组件通常可具有适于在其间稳定组织的组织稳定部件，可滑动地设置穿过稳定部件并且具有适于接合组织的远端的接合部件和输送管 可围绕组织稳定构件枢转。 组织操作组件可选地可以被配置为可拆卸地附接到内窥镜。

公开(公告)号：US20050065536A1

公开(公告)日：2005-03-24

申请号：US10992912

申请日：2004-11-18

Applicant: Richard Ewers ,  Boris Reydel ,  Cang Lam ,  Eugene Chen ,  Brent Seybold ,  Rodney Brenneman ,  Vahid Saadat

Inventor： Richard Ewers ,  Boris Reydel ,  Cang Lam ,  Eugene Chen ,  Brent Seybold ,  Rodney Brenneman ,  Vahid Saadat

IPC: A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/28 ,  A61B17/34 ,  A61B17/08

CPC classification number: A61B17/00234 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/0644 ,  A61B17/29 ,  A61B17/3421 ,  A61B17/3468 ,  A61B17/3478 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/061 ,  A61B2017/3445 ,  A61B2017/3488

Abstract: Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.

Abstract translation: 提供了设备和方法，用于通过在第一组织接触点处接合组织来形成胃肠组织折叠，将第一组织接触点从最初远端到第二组织接触点的位置移动到第二接触点的近侧的位置，以形成 组织折叠，并且使锚固组件穿过第二组织接触点附近的组织褶皱延伸。

公开(公告)号：US20050065401A1

公开(公告)日：2005-03-24

申请号：US10990453

申请日：2004-11-16

Applicant: Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

Inventor： Vahid Saadat ,  Richard Ewers ,  Eugene Chen ,  David Miller

IPC: A61B1/005 ,  A61B1/018 ,  A61B1/313 ,  A61B17/34 ,  A61B1/00

CPC classification number: A61B17/00234 ,  A61B1/0055 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/313 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00349 ,  A61B2017/2906 ,  A61B2017/3445 ,  A61B2090/306 ,  A61B2090/508 ,  A61M25/0043 ,  A61M25/0105 ,  A61M25/0147 ,  A61M2025/0096

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.