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    • 11. 发明申请
    • TRANSURETHRAL NEEDLE DELIVERY DEVICE WITH CYSTOSCOPE AND METHOD FOR TREATMENT OF URINARY INCONTINENCE
    • 带有CYSTOSCOPE的透明针头递送装置和治疗尿失禁的方法
    • WO1996016606A1
    • 1996-06-06
    • PCT/US1995015502
    • 1995-11-30
    • VIDAMED, INC.
    • VIDAMED, INC.EDWARDS, Stuart, D.LAX, Ronald, G.SHARKEY, Hugh, R.
    • A61B17/39
    • A61B18/1477A61B17/0057A61B17/0625A61B18/1485A61B2017/00805A61B2018/00523A61B2018/00553A61B2018/044A61B2018/143A61B2018/1475A61M2025/0096
    • A medical device (20) which includes an elongate probe member (22) sized to be able to enter a urethra of a female human body and having a length so that when the distal extremity (22b) is disposed in the vicinity of a target volume of tissue surrounding the urethra the proximal extremity is outside of the urethra. The elongate probe member (22) has a passage (31) extending from the proximal extremity (22a) to the distal extremity (22b). At least one tubular needle (41) is disposed in the passage (31) and has first and second extremities (41a, 41b) and a flow passageway (42) therein extending longitudinally from the first extremity (41a) to at least one opening (43) provided in the second extremity (41b) of the at least one tubular needle (41). A control handle (61) is secured to the proximal extremity (22a) of the elongate probe member (22) for causing movement of the at least one tubular needle (41) in the passage (31). A guide passageway (58) causes movement of the at least one tubular needle (41) through a curved path extending at an angle to the longitudinal axis (27). A supply assembly (96) is carried by the proximal extremity (22a) of the elongate probe member (22) and is in communication with the flow passageway (42) of the at least one tubular needle (41) for introducing an agent into the flow passageway (42). A method for use of the device (20) is provided.
    • 一种医疗装置(20),其包括细长的探针构件(22),其尺寸设计成能够进入女性人体的尿道并且具有一定的长度,使得当远端(22b)设置在目标体积附近时 围绕尿道的组织,近端位于尿道外。 细长的探针构件(22)具有从近端(22a)延伸到远端(22b)的通道(31)。 至少一个管状针(41)设置在通道(31)中并且具有第一和第二末端(41a,41b)和流体通道(42),其中从第一末端(41a)纵向延伸至至少一个开口 43)设置在所述至少一个管状针(41)的第二末端(41b)中。 控制手柄(61)固定到细长探针构件(22)的近端(22a),用于使至少一个管状针(41)在通道(31)中移动。 引导通道(58)引起至少一个管状针(41)的移动通过与纵向轴线(27)成一定角度延伸的弯曲路径。 供应组件(96)由细长探针构件(22)的近端(22a)承载并且与至少一个管状针(41)的流动通道(42)连通,用于将试剂引入到 流动通道(42)。 提供了一种使用该装置(20)的方法。
    • 12. 发明申请
    • ANASTOMOSIS CATHETER
    • WO9609006A3
    • 1996-05-30
    • PCT/US9512247
    • 1995-09-22
    • VIDAMED INC
    • SHARKEY HUGH RGOLDWASSER BENADEDWARDS STUART D
    • A61B17/04A61B17/06A61B17/11A61B17/22
    • A61B17/0469A61B17/11A61B2017/06057A61B2017/1135A61B2017/22077
    • An anastomosis catheter is provided with internally mounted cam pieces holding a plurality of curved needles adjacent apertures in the side of the catheter is provided. The curved needles are attached to lengths of suture material which are installed to run along the outer surface of the central cam pieces to their distal end, where they reverse back along the inner core of the catheter. When the central cam pieces are withdrawn, and moved proximally, the cam surface forces the curved needles out the associated apertures. As the catheter is deployed in a hollow organ, such as a human urethra, the curved needles, as they are deployed, grasp the end of the urethra, which then can be held in position for suturing to the bladder. The other end of the suture materials could have straight needles attached to them to facilitate attaching the urethra to the bladder. A passive fixation device is also provided, defined by a generally elongated body with proximal and distal ends, and a connecting member to connect the two, is used for the anastomosis of body lumens without sutures. The proximal and distal ends are non-deployed in a non-deployed position, and are deployed in a deployed position. While in the non-deployed positions, the passive fixation device is inserted into one or more body lumens. After insertion, both the proximal and distal ends are deployed and become expanded. One end is first deployed, and then the other. The deployed proximal end becomes retained in a first lumen, and the deployed distal end becomes retained in a second lumen.