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51. 发明申请

US20100305591A1 TACKING DEVICE AND METHODS OF DEPLOYMENT 有权
标题翻译：扣除装置和部署方法
公开(公告)号：US20100305591A1
公开(公告)日：2010-12-02
申请号：US12787744
申请日：2010-05-26
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B17/08
CPC分类号： A61B17/064 , A61B2017/00862 , A61B2017/00867 , A61B2017/0649
摘要： The present embodiments provide apparatus and methods suitable for coupling a graft member to tissue, closing a bodily opening, and the like. In one embodiment, a tacking device comprises a wire having first and second ends, and further having delivery and deployed states. In the contracted state, the wire comprises an elongated configuration that is substantially parallel to a central longitudinal axis. In the expanded state, the wire comprises a head region and a body region, the head region comprising at least one full turn having a first diameter, and the body region comprising at least two full turns having a second diameter, wherein the first diameter is greater than the second diameter. One or more of the tacking devices may be delivered using a laparoscopic, endoscopic or percutaneous approach.
摘要翻译：本实施例提供适于将移植物件联接到组织，闭合身体开口等的装置和方法。在一个实施例中，固定装置包括具有第一端和第二端的导线，并且还具有传送和展开状态。在收缩状态下，线包括基本上平行于中心纵向轴线的细长结构。在扩展状态下，线包括头部区域和身体区域，头部区域包括具有第一直径的至少一个完整匝，并且主体区域包括具有第二直径的至少两个完整匝，其中第一直径为大于第二直径。可以使用腹腔镜，内窥镜或经皮方法递送一个或多个定位装置。

52. 发明申请

US20100280367A1 SYSTEM AND METHOD FOR FIDUCIAL DEPLOYMENT 有权
标题翻译：系统和方法用于制造部署
公开(公告)号：US20100280367A1
公开(公告)日：2010-11-04
申请号：US12764432
申请日：2010-04-21
申请人： Richard W. Ducharme , Vihar C. Surti
发明人： Richard W. Ducharme , Vihar C. Surti
IPC分类号： A61B5/05
CPC分类号： A61B17/3468 , A61B1/018 , A61B5/05 , A61B17/00234 , A61B17/06166 , A61B90/39 , A61B2017/0417 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069 , A61N5/1001 , A61N5/1049
摘要： Embodiments include a fiducial deployment system and method for use thereof. A fiducial may include one or more protuberances configured to engage one or more slots in a needle of the system. The needle may be configured to deliver a plurality of fiducials to a target location in serial fashion, one at a time. In certain embodiments, echogenic placement of fiducials may present certain advantages.
摘要翻译：实施例包括基准部署系统及其使用方法。基准可以包括被配置为接合系统的针中的一个或多个槽的一个或多个突起。针可以被配置为以串联的方式一个一个地将多个基准传送到目标位置。在某些实施例中，基准的回声放置可以具有某些优点。

53. 发明申请

US20100087707A1 ENDCAP FOR SAFELY DEPLOYING TISSUE ANCHORS 有权
标题翻译：用于安全组装组织锚固件
公开(公告)号：US20100087707A1
公开(公告)日：2010-04-08
申请号：US12572636
申请日：2009-10-02
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B1/00 , A61B17/04
CPC分类号： A61B17/0057 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B90/36 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0472
摘要： Medical systems, devices and methods are provided for manipulating tissue, such as for closing a perforation in an internal bodily lumen. One embodiment of a medical system generally includes an endoscope, an endcap attached to the distal end of the endoscope, a plurality of needles attached to the endcap, a stylet cap slidably disposed of the endcap, a plurality of stylets attached to the stylet cap, and a plurality of tissue devices. The plurality of needles define a plurality of needle lumens and the plurality of stylets project distally into the needle lumens. The plurality of tissue devices are positioned within the needle lumens, whereby translation of the stylet cap relative to the endcap causes the plurality of stylets to engage the plurality to tissue devices and eject them from the plurality of needles. The medical system may further include a protective tip slidably attached to the plurality of needles.
摘要翻译：提供医疗系统，装置和方法来操纵组织，例如用于封闭内部体腔内的穿孔。医疗系统的一个实施例通常包括内窥镜，附接到内窥镜的远端的端盖，附接到端盖的多个针，可滑动地设置在端盖上的探针帽，附接到通孔针帽的多个样式，和多个组织装置。多个针限定多个针腔，并且多个样式向远侧突出到针内腔中。多个组织装置定位在针腔内，由此通孔针相对于端盖的平移使得多个样式将多个组合装置接合到组织装置并将其从多个针中排出。医疗系统还可以包括可滑动地附接到多个针的保护尖端。

54. 发明申请

US20090171382A1 DELIVERY SYSTEM AND METHOD OF DELIVERY FOR TREATING OBESITY 有权
标题翻译：交付系统和交付方法用于治疗肥胖
公开(公告)号：US20090171382A1
公开(公告)日：2009-07-02
申请号：US11965531
申请日：2007-12-27
申请人： Travis E. Dillon , Vihar C. Surti
发明人： Travis E. Dillon , Vihar C. Surti
IPC分类号： A61M29/00
CPC分类号： A61F5/0089 , A61F5/0036
摘要： A delivery system and method of use thereof for introducing a bundled intragastric bag into a gastric lumen are described. The delivery system includes a pushing mechanism movable between an unexpanded and expanded configuration. The pushing mechanism in its expanded configuration pushes each of the bundles of the bag into the gastric lumen. A suture strand is periodically pulled during the procedure to help create doughnut-shaped bundles. Another suture strand extends between a proximal button and distal button of the deployed assembly to maintain the doughnut-shaped bundle structure.
摘要翻译：描述了将捆扎的胃内袋引入胃管的输送系统及其使用方法。输送系统包括可在未膨胀和膨胀构型之间移动的推动机构。在其扩展构型中的推动机构将袋中的每一束推入胃腔。在手术过程中定期拉扯缝合线，以帮助创造环形束。另一缝合线在展开组件的近侧按钮和远端按钮之间延伸，以保持环状束结构。

55. 发明申请

US20090048486A1 Distal Tip for an Endoscope 审中-公开
标题翻译：内窥镜的远端
公开(公告)号：US20090048486A1
公开(公告)日：2009-02-19
申请号：US12186800
申请日：2008-08-06
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B1/012
CPC分类号： A61B1/018 , A61B1/0008 , A61B1/2736 , A61B2017/00473
摘要： A system configured for endoscopic treatment of tissue is provided. The system includes an elongate shaft having a proximal portion, a distal portion and a working channel extending at least partially through the shaft. The elongate shaft further includes a longitudinally extending central axis. A distal end of the distal portion of the elongate shaft includes a distal tip having a curvilinear portion. The curvilinear portion is configured to dilate a stricture in a gastrointestinal tract for passing a portion of the system through the stricture to the tissue. The distal tip includes a working channel port connected to the working channel.
摘要翻译：提供了一种配置用于组织内镜治疗的系统。该系统包括细长轴，其具有近端部分，远侧部分和至少部分延伸穿过轴的工作通道。细长轴还包括纵向延伸的中心轴线。细长轴的远端部分的远端包括具有曲线部分的远端。曲线部分构造成在胃肠道中扩张狭窄，以使系统的一部分通过狭窄到组织。远端包括连接到工作通道的工作通道端口。

56. 发明授权

US09232962B2 Apparatus for single port access 有权
标题翻译：单端口访问设备
公开(公告)号：US09232962B2
公开(公告)日：2016-01-12
申请号：US12896373
申请日：2010-10-01
申请人： Vihar C. Surti , Richard W. Ducharme , Tyler Evans McLawhorn
发明人： Vihar C. Surti , Richard W. Ducharme , Tyler Evans McLawhorn
IPC分类号： A61B1/32 , A61B17/34 , A61B17/02
CPC分类号： A61B17/3423 , A61B17/0293 , A61B2017/3445
摘要： Medical devices, systems and methods are disclosed that serve to guide one or more medical devices through a port formed in bodily tissue to access a bodily cavity. One embodiment of the medical device includes a connection member, a rail, and a carrier. The connection member is structured for attachment to the port. The rail is attached to the connection member, and has a first portion extending distally through the port opening, and a second portion extending at an angle relative to the first portion. The carrier is structured to selectively connect to the first portion of the rail, and is slidable along the first and second portions of the rail.
摘要翻译：公开了用于通过形成在身体组织中的端口引导一个或多个医疗装置以接近身体腔的医疗装置，系统和方法。医疗装置的一个实施例包括连接构件，轨道和载体。连接构件被构造成用于附接到端口。轨道连接到连接构件，并且具有通过端口开口向远侧延伸的第一部分和相对于第一部分以一定角度延伸的第二部分。载体被构造成选择性地连接到轨道的第一部分，并且可沿轨道的第一和第二部分滑动。

57. 发明授权

US09226753B2 Intestinal bypass using magnets 有权
标题翻译：使用磁铁的肠旁路
公开(公告)号：US09226753B2
公开(公告)日：2016-01-05
申请号：US12945178
申请日：2010-11-12
申请人： Vihar C. Surti , Travis E. Dillon
发明人： Vihar C. Surti , Travis E. Dillon
IPC分类号： A61B17/08 , A61B17/11 , A61B17/00
CPC分类号： A61B17/1114 , A61B2017/003 , A61B2017/00876 , A61B2017/1103 , A61B2017/1117 , A61B2017/1139
摘要： Medical devices and methods are provided for forming an intestinal bypass anastomosis, such as for treatment of obesity. The medical devices and methods are minimally invasive and reduce complications. Two magnet assemblies are deployed in a spaced apart relationship, and are transluminally brought together to approximate the tissue and form an anastomosis therebetween.
摘要翻译：提供用于形成肠旁路吻合术的医疗装置和方法，例如用于治疗肥胖症。医疗器械和方法是微创和减少并发症。两个磁体组件以间隔开的关系部署，并且被平均地组合在一起以近似于组织并在其间形成吻合。

58. 发明授权

US08998897B2 Ablation cap 有权
标题翻译：消融帽
公开(公告)号：US08998897B2
公开(公告)日：2015-04-07
申请号：US13587637
申请日：2012-08-16
申请人： Kenneth Binmoeller , Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
发明人： Kenneth Binmoeller , Richard W. Ducharme , Tyler E. McLawhorn , Vihar C. Surti
IPC分类号： A61B18/18 , A61B18/14 , A61B17/00 , A61B18/00 , A61B19/00 , A61B1/00
CPC分类号： A61B18/1492 , A61B1/00087 , A61B1/00089 , A61B1/00101 , A61B1/00131 , A61B2017/00296 , A61B2018/00982 , A61B2018/1475 , A61B2018/1495 , A61B2090/3983
摘要： An ablation cap and a method of delivering energy to a tissue are provided. An ablation cap includes a tubular body having a proximal portion, a distal portion, a lumen extending therethrough. The ablation cap also includes a cover portion covering a portion of the tubular body, the covering portion having a region at least partially spaced apart from the tubular body and an electrode portion movably positionable relative to the cover portion. The electrode portion has a covered position where the electrode portion is positioned within the cover portion and an exposed position where the electrode portion is exposed relative to the cover portion. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.
摘要翻译：提供消融盖和向组织递送能量的方法。消融盖包括具有近端部分，远侧部分，延伸穿过其中的内腔的管状体。消融盖还包括覆盖管状体的一部分的覆盖部分，覆盖部分具有至少部分地与管状体间隔开的区域和相对于盖部分可移动地定位的电极部分。电极部分具有覆盖位置，其中电极部分位于盖部分内，并且电极部分相对于盖部分露出的暴露位置。本体的近端部分的尺寸和形状适于装配在内窥镜的远端上，并且主体的远端部分延伸到内窥镜远端的远端。

59. 发明授权

US08939997B2 Medical devices with detachable pivotable jaws 有权
标题翻译：医疗设备具有可拆卸的可枢转钳口
公开(公告)号：US08939997B2
公开(公告)日：2015-01-27
申请号：US13270834
申请日：2011-10-11
申请人： Michelle D. Martinez , Vihar C. Surti , Tyler Evans McLawhorn
发明人： Michelle D. Martinez , Vihar C. Surti , Tyler Evans McLawhorn
IPC分类号： A61B17/10 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/00 , A61B17/12 , A61B17/29
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/10 , A61B17/122 , A61B2017/00473 , A61B2017/12004 , A61B2017/2902 , A61B2017/2931 , A61B2017/2936 , A61B2017/2943 , A61B2017/2944
摘要： Medical systems, devices and methods are provided for engaging tissue, e.g. for clipping tissue, closing a perforation or performing hemostasis. Generally, the medical system including a housing, first and second jaws rotatable relative to the housing, a driver, and an elongate drive wire. The elongate drive wire may be disconnected from the driver, first and second jaws, and the housing, which are left in vivo engaged with the tissue.
摘要翻译：提供了用于接合组织的医疗系统，装置和方法，例如，用于剪切组织，闭合穿孔或进行止血。通常，医疗系统包括壳体，相对于壳体可旋转的第一和第二钳口，驱动器和细长的驱动线。细长的驱动线可以与驱动器，第一和第二钳口以及与体内接合的组织脱离壳体。

60. 发明授权

US08864781B2 Intestinal bypass using magnets 有权
标题翻译：使用磁铁的肠旁路
公开(公告)号：US08864781B2
公开(公告)日：2014-10-21
申请号：US12025985
申请日：2008-02-05
申请人： Vihar C. Surti , Travis E. Dillon
发明人： Vihar C. Surti , Travis E. Dillon
IPC分类号： A61B17/08 , A61B17/00 , A61B17/11
CPC分类号： A61B17/1114 , A61B2017/003 , A61B2017/00876 , A61B2017/1103 , A61B2017/1117 , A61B2017/1139
摘要： Medical devices and methods are provided for forming an intestinal bypass anastomosis, such as for treatment of obesity. The medical devices and methods are minimally invasive and reduce complications. Two magnet assemblies are deployed in a spaced apart relationship, and are transluminally brought together to approximate the tissue and form an anastomosis therebetween.
摘要翻译：提供用于形成肠旁路吻合术的医疗装置和方法，例如用于治疗肥胖症。医疗器械和方法是微创和减少并发症。两个磁体组件以间隔开的关系部署，并且被平均地组合在一起以近似于组织并在其间形成吻合。

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