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    • 1. 发明申请
    • Vessel Retractor
    • 船舶牵引器
    • US20080103365A1
    • 2008-05-01
    • US11969318
    • 2008-01-04
    • John LunsfordCharles AdamJohn DavisAlbert Chin
    • John LunsfordCharles AdamJohn DavisAlbert Chin
    • A61B1/32
    • A61B17/3421A61B1/3137A61B1/32A61B17/00008A61B17/0218A61B2017/00778A61B2017/320044A61B2017/3456
    • A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis that can be skewed relative to the axis of the cannula. The dissection cradle is located at the distal end of the second portion of the retractor, and may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, a surgeon locates a vessel and side branch of interest and extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be deflected to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to the surgical tool. Removable, transparent tips are selectively positioned at the distal end of the cannula for performing dissection and transection via a single cannula. Additionally, the tips are configured to align the apices of the tips with the central axis of the endoscope to maximize the visual field through the tips via the endoscope. Wing-like protrusions on an alternate tip for the cannula facilitate tissue dissection in forming a tunnel in tissue along a target vessel. Swept back forward edges on the wing-like protrusions promote easy dissection using reduced force to advance the cannula and alternate tip tough tissue surrounding the target vessel.
    • 牵开器和手术工具定位在套管内,并且牵开器的解剖支架位于套管的远端。 牵开器包括具有大致平行于套管轴线的轴线的第一部分和具有相对于套管轴线可偏斜的轴线的第二部分。 解剖支架位于牵开器的第二部分的远端,并且可以包括两个基本上平行的间隔开的腿,其中牵开器成形为相对于腿的轴线倾斜的平面之间的环中,并且与 环路远离手术工具。 因此,在操作中,外科医生定位感兴趣的血管和侧支,并且将牵开器延伸到支架中,以将解剖支架中的血管摇动。 一旦收起,收缩器可能被偏转以促使血管远离套管的轴线以隔离侧分支以暴露于外科手术工具。 可移除的透明尖端选择性地定位在套管的远端,以通过单个插管进行解剖和切断。 另外,尖端被配置成将尖端的顶点与内窥镜的中心轴线对准,以通过内窥镜通过尖端最大化视野。 用于插管的备选尖端上的翼状突起促进组织解剖,以沿着靶容器在组织中形成隧道。 在翼状突起上扫掠前部前缘促进易于使用减小力的解剖以推进​​套管和围绕目标血管的交替的尖端韧性组织。
    • 3. 发明授权
    • Positioning tools and methods for implanting medical devices
    • 用于植入医疗器械的定位工具和方法
    • US08784354B2
    • 2014-07-22
    • US13032569
    • 2011-02-22
    • Richard S. StackRichard A. GlennDaniel BalbierzJohn LunsfordWilliam L. Athas
    • Richard S. StackRichard A. GlennDaniel BalbierzJohn LunsfordWilliam L. Athas
    • A61M5/00A61F2/04
    • A61F5/0089A61F5/0079
    • Described herein is a positioning tool having an elongate portion for carrying a medical implant. Also described is a method of positioning a medical implant using an elongate positioning tool. One form of the method includes positioning a medical implant on a distal portion of an elongate positioning tool, inserting the positioning tool with the implant thereon into a body cavity manipulating the positioning tool to position the implant into contact with tissue at an attachment location, attaching the implant to surrounding tissue at the attachment location, separating the implant from the positioning tool, and withdrawing the positioning tool from the body. In a preferred embodiment, the position of the implant is visually confirmed using an endoscope before the implant is attached to surrounding tissue. In one embodiment, the implant is a satiation device and the body cavity is the esophagus and/or stomach. In an alternative embodiment, an expansion structure on the distal end of the elongate portion expands and/or contracts the medical implant to facilitate positioning.
    • 本文描述的是具有用于承载医用植入物的细长部分的定位工具。 还描述了使用细长定位工具定位医疗植入物的方法。 该方法的一种形式包括将医疗植入物定位在细长定位工具的远侧部分上,将其上的植入物插入定位工具进入体腔以操纵定位工具以将植入物定位在附着位置处与组织接触 植入到附接位置处的周围组织,将植入物与定位工具分离,并将定位工具从身体上取出。 在优选实施例中,在植入物附接到周围组织之前,使用内窥镜在视觉上确认植入物的位置。 在一个实施例中,植入物是饱食装置,并且体腔是食道和/或胃。 在替代实施例中,细长部分的远端上的膨胀结构膨胀和/或收缩医疗植入物以便于定位。