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1. 发明授权

US09913574B2 Endoscope cap with ramp 有权
公开(公告)号：US09913574B2
公开(公告)日：2018-03-13
申请号：US12968810
申请日：2010-12-15
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B1/00 , A61B1/018 , A61B1/012 , A61M25/00
CPC分类号： A61B1/012 , A61B1/0008 , A61B1/00089 , A61B1/00098 , A61B1/00101 , A61B1/00135 , A61B1/00137 , A61B1/0014 , A61B1/018 , A61M25/0067
摘要： An endoscope cap is provided for directing medical devices toward a selected target anatomy in a patient. The endoscope cap includes a ramp that may be used to deflect medical devices that have been advanced from a proximal portion of an endoscope to a distal portion thereof. The ramp may be integral with the endoscope cap, or alternatively, may be pivotally attached thereto.

2. 发明授权

US09339265B2 Medical devices, systems, and methods for using tissue anchors 有权
标题翻译：医疗器械，系统和使用组织锚的方法
公开(公告)号：US09339265B2
公开(公告)日：2016-05-17
申请号：US12236236
申请日：2008-09-23
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0417
摘要： Medical devices, systems and related methods for delivering a tissue anchor. The medical devices generally comprise a needle and a sheath that assist in retaining the tissue anchor at the distal end of the need during manipulation of the medical device. The medical systems include one or more tissue anchors in conjunction with one of the medical devices.
摘要翻译：用于递送组织锚的医疗装置，系统和相关方法。医疗装置通常包括针和护套，其在医疗装置的操纵期间有助于将组织锚固件保持在需要的远端。医疗系统包括与医疗装置之一结合的一个或多个组织锚。

3. 发明授权

US09339264B2 Port access visualization platform 有权
标题翻译：端口访问可视化平台
公开(公告)号：US09339264B2
公开(公告)日：2016-05-17
申请号：US13408640
申请日：2012-02-29
申请人： David Keith Piech , Deepthi Jampala , Vihar C. Surti , Michelle D. Martinez , John Crowder Sigmon, Jr. , David R. Wagner
发明人： David Keith Piech , Deepthi Jampala , Vihar C. Surti , Michelle D. Martinez , John Crowder Sigmon, Jr. , David R. Wagner
IPC分类号： A61B1/32 , A61B17/02 , A61B1/00 , A61B1/005 , A61B1/313 , A61B17/34 , A61B19/00 , A61B17/00 , A61B1/05
CPC分类号： A61B1/3132 , A61B1/00154 , A61B1/0055 , A61B1/0056 , A61B1/008 , A61B1/04 , A61B1/05 , A61B17/0293 , A61B17/3423 , A61B90/361 , A61B2017/00283 , A61B2017/00305 , A61B2017/3445
摘要： A medical system generally comprises a camera head, a beam, and a guide sheath. The camera head is connected to the beam which is bendable in a first direction and resists bending in a second direction opposite the first direction. The guide sheath slidably receives the beam, the beam extending through a distal end of the guide sheath such that the camera head projects from the distal end of the guide sheath. The guide sheath includes first and second sheath portions, and in an operative configuration the first sheath portion is angled relative to the second sheath portion to define a first bend. The beam is oriented relative to the guide sheath such that, as the beam is slid relative to guide sheath, the beam bends in the first direction through the first bend, and a projecting portion of the beam resists bending in the second direction.
摘要翻译：医疗系统通常包括相机头，光束和引导护套。相机头连接到可沿第一方向弯曲的光束，并且在与第一方向相反的第二方向上抵抗弯曲。引导护套可滑动地容纳梁，梁延伸穿过引导护套的远端，使得照相机头从引导护套的远端突出。引导护套包括第一和第二护套部分，并且在操作构造中，第一护套部分相对于第二护套部分成角度以限定第一弯曲部。梁相对于引导护套定向，使得当梁相对于引导护套滑动时，梁通过第一弯曲部沿第一方向弯曲，并且梁的突出部分抵抗第二方向的弯曲。

4. 发明授权

US09155532B2 Medical devices, systems and methods for closing perforations 有权
标题翻译：关闭穿孔的医疗设备，系统和方法
公开(公告)号：US09155532B2
公开(公告)日：2015-10-13
申请号：US12125475
申请日：2008-05-22
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B1/00 , A61B1/04 , A61B17/10 , A61B18/18 , A61B17/04 , A61B17/00
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472
摘要： Medical devices, systems and methods for placing tissue fixation devices are provided. The medical device includes a plurality of elongate delivery devices, a plurality of elongate tubes, and a distal tip. Each delivery device defines a delivery lumen sized to receive a tissue fixation device. Each elongate tube defines a tube lumen sized to receive one of the delivery devices. Each tube lumen has a distal port. The distal tip is connected to the plurality of elongate tubes and defines a guide surface positioned distally of the distal ports. The guide surface is structured to redirect the plurality of delivery devices radially outwardly as the plurality of delivery devices are distally translated through the tube lumens and the distal ports of the plurality of elongate tubes. A medical system is formed by an endoscope that is selectively attachable to the medical device.
摘要翻译：提供了用于放置组织固定装置的医疗装置，系统和方法。医疗装置包括多个细长递送装置，多个细长管和远侧末端。每个递送装置限定尺寸适于接收组织固定装置的递送腔。每个细长管限定了管腔，其尺寸设置成接收输送装置之一。每个管腔具有远端口。远侧末端连接到多个细长管并且限定位于远端端口远端的引导表面。引导表面构造成当多个输送装置通过管腔和多个细长管的远端端口向远侧平移时径向向外地重定向多个递送装置。医疗系统由可选择性地附接到医疗装置的内窥镜形成。

5. 发明授权

US09028523B2 Systems, devices and methods for accessing a bodily opening 有权
标题翻译：用于访问身体开放的系统，设备和方法
公开(公告)号：US09028523B2
公开(公告)日：2015-05-12
申请号：US12466866
申请日：2009-05-15
申请人： Kiyoshi Hashiba , Vihar C. Surti , Kimberly K. Ingram
发明人： Kiyoshi Hashiba , Vihar C. Surti , Kimberly K. Ingram
IPC分类号： A61M29/00 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3423 , A61B17/3421 , A61B17/3431 , A61B2017/00278 , A61B2017/3419 , A61B2017/3425
摘要： Medical systems, devices and methods are provided for accessing a bodily opening that, among other things, are safe and reliable, and facilitate manipulation of a medical instrument. The medical access device generally includes an elongated flexible sheath and an expandable frame connected to the distal end of the flexible sheath. The sheath and expandable frame are operable between expanded and collapsed configurations to provide a pathway from a natural orifice to the bodily opening. Medical systems and methods are also provided for delivering the medical device.
摘要翻译：提供了用于访问身体开放的医疗系统，装置和方法，其特别是安全可靠，并且便于操纵医疗器械。医疗接入装置通常包括细长的柔性护套和连接到柔性护套的远端的可扩展框架。护套和可扩展框架可在膨胀和折叠构型之间操作，以提供从天然孔口到身体开口的路径。还提供用于递送医疗装置的医疗系统和方法。

6. 发明授权

US08945153B2 Endoscopic apparatus having a clip device 有权
标题翻译：具有夹子装置的内窥镜装置
公开(公告)号：US08945153B2
公开(公告)日：2015-02-03
申请号：US11758369
申请日：2007-06-05
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B17/10 , A61B19/02 , A61B17/122 , A61B17/128 , A61B17/00
CPC分类号： A61B19/0248 , A61B17/122 , A61B17/1285 , A61B50/10 , A61B50/13 , A61B2017/003
摘要： A hemostatic clip delivery system cooperable with an elevator of an endoscope and a method of treating a target with the system are disclosed. The system comprises a delivery apparatus comprising an operating wire, an outer sheath and a handle. The operating wire is cooperable with the elevator of the endoscope and slidably disposed within the outer sheath. The system further comprises a hemostatic clip cooperable with the delivery apparatus. The clip comprises a first retainer, a plurality of arms extending distally from the first retainer, and a sliding ring disposed about the plurality of arms. The arms are shaped so that the arms tend to be spaced apart from each other. The sliding ring is configured to close the arms together as the elevator engages and moves the sliding ring toward the arms by retraction of the operating wire.
摘要翻译：公开了一种与内窥镜的电梯配合的止血钳传送系统以及用该系统处理目标的方法。该系统包括输送装置，其包括操作线，外护套和手柄。操作线与内窥镜的电梯配合，可滑动地设置在外护套内。该系统还包括与输送装置配合的止血夹。夹具包括第一保持器，从第一保持器向远侧延伸的多个臂和围绕多个臂布置的滑环。臂被成形为使得臂彼此间隔开。滑动环被构造成当升降机接合时将臂关闭在一起，并且通过操作线的缩回使滑环朝向臂移动。

7. 发明授权

US08900250B2 Apparatus and methods for removing lymph nodes or anchoring into tissue during a translumenal procedure 有权
标题翻译：用于在腹腔内手术中去除淋巴结或锚定到组织中的装置和方法
公开(公告)号：US08900250B2
公开(公告)日：2014-12-02
申请号：US12543000
申请日：2009-08-18
申请人： Annette Fritscher-Ravens , Vihar C. Surti
发明人： Annette Fritscher-Ravens , Vihar C. Surti
IPC分类号： A61B17/26 , A61B10/04 , A61B17/221 , A61B10/02 , A61B19/00 , A61B17/00
CPC分类号： A61B10/04 , A61B10/0266 , A61B2017/00867 , A61B2017/2215 , A61B2090/3925 , A61B2090/397
摘要： The present embodiments provide apparatus and methods suitable for removing lymph nodes or providing a tissue anchor during a translumenal procedure. In one embodiment, an apparatus suitable for facilitating removal of a lymph node comprises an expandable device including at least one deployable member having contracted and expanded states. The deployable member may be delivered in the contacted state to a location distal to the lymph node using an insertion tool adapted to be disposed beyond the lymph node. In the expanded state, the deployable member comprises a configuration sized to at least partially circumferentially surround and engage the lymph node. In an alternative embodiment, the deployable member may anchor into an outer portion of a visceral wall to promote stabilization of a system during a medical procedure.
摘要翻译：本实施例提供了适于在平静过程中去除淋巴结或提供组织锚的装置和方法。在一个实施例中，适于促进淋巴结清除的装置包括可扩张装置，其包括具有收缩和扩张状态的至少一个可部署构件。使用适于设置在淋巴结之外的插入工具，可部署构件可以以接触状态递送到远离淋巴结的位置。在展开状态下，可部署构件包括大小至少部分地沿周向包围并接合淋巴结的构造。在替代实施例中，可展开构件可以锚定到内脏壁的外部部分中，以促进系统在医疗过程中的稳定。

8. 发明授权

US08377095B2 Tissue anchors for purse-string closure of perforations 有权
标题翻译：用于穿孔的钱包关闭的组织锚
公开(公告)号：US08377095B2
公开(公告)日：2013-02-19
申请号：US12630395
申请日：2009-12-03
申请人： Vihar C. Surti , Richard W. Ducharme
发明人： Vihar C. Surti , Richard W. Ducharme
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/00004 , A61B2017/0414 , A61B2017/0417 , A61B2017/0446 , A61B2017/0458 , A61B2017/1142 , Y10T24/3913 , Y10T24/3916
摘要： Medical devices for attaching suture to tissue and that provides reliable and complete closure of perforations and increases the versatility of the device for various other procedures. Embodiments of the medicals devices include a tissue anchor having a crossbar with opposing ends and structure for slidably receiving a suture.
摘要翻译：用于将缝合线附接到组织并且提供穿孔的可靠和完全闭合的医疗装置，并且增加了用于各种其他程序的装置的通用性。医疗装置的实施例包括具有相对端的横杆的组织锚固件和用于可滑动地接收缝合线的结构。

9. 发明授权

US08317820B2 Medical device with pivotable jaws 有权
标题翻译：带有可枢转钳口的医疗器械
公开(公告)号：US08317820B2
公开(公告)日：2012-11-27
申请号：US12645004
申请日：2009-12-22
申请人： Vihar C. Surti
发明人： Vihar C. Surti
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/22031 , A61B2017/2943
摘要： A medical device with pivotable jaws and method of use thereof are disclosed. The device includes a pair of jaw members which are capable of being rotated independently of one another and spaced apart up to about 360°. Various gear arrangements are provided for enabling rotation of the jaws. The jaw members are disposed within a flexible slotted housing when advanced to a target tissue site, and thereafter rotated out of the housing a predetermined amount to contact target tissue.
摘要翻译：公开了具有可枢转钳口的医疗装置及其使用方法。该装置包括能够彼此独立地旋转并间隔高达约360°的一对钳口构件。提供各种齿轮布置用于使夹爪能够转动。当前进到目标组织部位时，钳口构件设置在柔性开槽壳体内，然后从壳体旋转预定量以接触目标组织。

10. 发明申请

US20120209070A1 PORT ACCESS VISUALIZATION PLATFORM 有权
标题翻译：端口访问可视化平台
公开(公告)号：US20120209070A1
公开(公告)日：2012-08-16
申请号：US13408640
申请日：2012-02-29
申请人： David Keith Piech , Deepthi Jampala , Vihar C. Surti , Michelle D. Martinez , John Crowder Sigmon, JR.
发明人： David Keith Piech , Deepthi Jampala , Vihar C. Surti , Michelle D. Martinez , John Crowder Sigmon, JR.
IPC分类号： A61B1/313 , A61B1/008 , A61B1/01 , A61B1/05 , A61B1/045
CPC分类号： A61B1/3132 , A61B1/00154 , A61B1/0055 , A61B1/0056 , A61B1/008 , A61B1/04 , A61B1/05 , A61B17/0293 , A61B17/3423 , A61B90/361 , A61B2017/00283 , A61B2017/00305 , A61B2017/3445
摘要： A medical system generally comprises a camera head, a beam, and a guide sheath. The camera head is connected to the beam which is bendable in a first direction and resists bending in a second direction opposite the first direction. The guide sheath slidably receives the beam, the beam extending through a distal end of the guide sheath such that the camera head projects from the distal end of the guide sheath. The guide sheath includes first and second sheath portions, and in an operative configuration the first sheath portion is angled relative to the second sheath portion to define a first bend. The beam is oriented relative to the guide sheath such that, as the beam is slid relative to guide sheath, the beam bends in the first direction through the first bend, and a projecting portion of the beam resists bending in the second direction.
摘要翻译：医疗系统通常包括相机头，光束和引导护套。相机头连接到可沿第一方向弯曲的光束，并且在与第一方向相反的第二方向上抵抗弯曲。引导护套可滑动地容纳梁，梁延伸穿过引导护套的远端，使得照相机头从引导护套的远端突出。引导护套包括第一和第二护套部分，并且在操作构造中，第一护套部分相对于第二护套部分成角度以限定第一弯曲部。梁相对于引导护套定向，使得当梁相对于引导护套滑动时，梁通过第一弯曲部沿第一方向弯曲，并且梁的突出部分抵抗第二方向的弯曲。

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