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公开(公告)号:US20190254653A1
公开(公告)日:2019-08-22
申请号:US16401336
申请日:2019-05-02
发明人: Samuel RAYBIN , Paul SMITH , Kevin James McELWEE , John B. GOLDEN , Matthew Robert JAGELSKI , Ray Hewenson TONG , Naroun SUON
IPC分类号: A61B17/04 , A61B17/06 , A61B17/062
摘要: A tissue closure device includes a needle and a suture extending therefrom, a proximal head including a proximal slot and a proximal locking mechanism for releasably engaging a first end of the needle in the proximal slot in a first configuration, and a distal head movably coupled to the proximal head so that the proximal and distal heads are movable relative to one another between an open configuration, in which a target tissue is received therebetween, and a closed configuration, in which the target tissue gripped therebetween. The distal head includes a distal slot and a distal locking mechanism for releasably engaging a second end of the needle in the distal slot in a second configuration, the needle movable between the first and second configurations by rotating the needle, the needle alternatingly passed between the proximal and distal heads to thread the suture through the target tissue.
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公开(公告)号:US20190209149A1
公开(公告)日:2019-07-11
申请号:US16355026
申请日:2019-03-15
发明人: Paul SMITH , Ray Hewenson TONG , Jason WEINER , Naroun SUON , Samuel RAYBIN , David GRAHAM
CPC分类号: A61B17/00234 , A61B1/00133 , A61B1/018 , A61B17/3421 , A61B2017/00296 , A61B2017/00309 , A61B2017/00318 , A61B2017/00323 , A61B2017/0034 , A61B2017/00367 , A61B2017/00371 , A61B2017/00389 , A61B2017/3449
摘要: A medical device may include a shaft, and a first tool extending from a distal end of the shaft. The medical device also may include a control assembly coupled to the shaft. The control assembly may include a console, a first grip extending proximally from the console, and a second grip extending proximally from the console. The control assembly also may include a first deflection actuator configured to deflect the first tool about a longitudinal axis of the first tool, a first rotation actuator configured to rotate the first tool about the longitudinal axis of the first tool, and a first longitudinal actuator configured to move the first tool along the longitudinal axis of the first tool.
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公开(公告)号:US20170281862A1
公开(公告)日:2017-10-05
申请号:US15469797
申请日:2017-03-27
发明人: Samuel RAYBIN , Matthew B. HOLLYER
CPC分类号: A61M5/158 , A61J1/10 , A61K9/0024 , A61K9/06 , A61K47/36 , A61L31/042 , A61L31/14 , A61M5/178 , A61M2205/36
摘要: Compositions useful for tissue resection procedures and related methods of preparing the compositions are discussed. The composition may comprise gellan gum, at least one salt, and water. In some aspects, the composition may be prepared by combining the gellan gum, the salt(s), and the water to form a mixture, heating the mixture, introducing the mixture into a reservoir, and allowing the mixture to cool while inside the reservoir to form a gel. The gel may have a continuous, three-dimensional structure, and may be solid or quasi-solid. The composition may be biocompatible and injectable from the reservoir through a needle coupled to the reservoir to the target site of a patient.
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公开(公告)号:US20170112359A1
公开(公告)日:2017-04-27
申请号:US15294260
申请日:2016-10-14
发明人: Samuel RAYBIN , Ruth CHENG , Paul SMITH , Naroun SUON
CPC分类号: A61B1/00089 , A61B1/018 , A61B17/0218 , A61B17/320016 , A61B17/32056 , A61B2017/00269 , A61B2017/0034 , A61B2017/00867 , A61B2017/320044
摘要: A medical device for tissue resection and related methods of use are disclosed. The device may include an elongate member having a proximal end and a distal end. The distal end of the elongate member may include a distal portion defining an end face and a cavity extending distally therefrom. The distal portion may further include multiple sections configured to transition between a first position and a second position different from the first position. The medical device may further include a mechanism configured to adjust a volume of the cavity by moving at least one of the multiple sections from the first position to the second position.
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公开(公告)号:US20170086819A1
公开(公告)日:2017-03-30
申请号:US15276477
申请日:2016-09-26
发明人: Samuel RAYBIN , Paul SMITH , Kevin James McELWEE , John B. GOLDEN , Matthew Robert JAGELSKI , Ray Hewenson TONG , Naroun SUON
CPC分类号: A61B17/0491 , A61B17/0469 , A61B17/06061 , A61B17/06066 , A61B17/0625 , A61B2017/06047 , A61B2017/0609
摘要: A tissue closure device includes a needle and a suture extending therefrom, a proximal head including a proximal slot and a proximal locking mechanism for releasably engaging a first end of the needle in the proximal slot in a first configuration, and a distal head movably coupled to the proximal head so that the proximal and distal heads are movable relative to one another between an open configuration, in which a target tissue is received therebetween, and a closed configuration, in which the target tissue gripped therebetween. The distal head includes a distal slot and a distal locking mechanism for releasably engaging a second end of the needle in the distal slot in a second configuration, the needle movable between the first and second configurations by rotating the needle, the needle alternatingly passed between the proximal and distal heads to thread the suture through the target tissue.
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公开(公告)号:US20170027582A1
公开(公告)日:2017-02-02
申请号:US15218153
申请日:2016-07-25
发明人: Elias KHOURY , Wade STRELOW, JR. , Steven LARSEN , Ismail GULER , Brian HANSON , Daniel VANCAMP , Paul SMITH , Kevin McELWEE , Oscar CARRILLO, JR. , Andrew SCHAUBHUT , Samuel RAYBIN , Man NGUYEN , Naroun SUON
CPC分类号: A61B17/221 , A61B17/12013 , A61B17/32056 , A61B34/73 , A61B2017/00269 , A61B2017/00358 , A61B2017/00876 , A61B2090/035
摘要: A medical device may include an insertion device having a proximal end, a distal end, and a lumen extending therethrough. A snare device may be configured to transition between a retracted state within the lumen of the insertion device, and an extended state extending distally of the insertion device. The snare device may comprise a wire. A member may be disposed within the lumen of the insertion device. The member may be configured to maintain legs of the snare device in an open snare loop configuration in the extended state. In the open snare loop configuration, the wire may include an arcuate loop.
摘要翻译: 医疗装置可以包括具有近端,远端和延伸通过其的内腔的插入装置。 圈套装置可以被配置为在插入装置的内腔中的缩回状态与向插入装置的远端延伸的延伸状态之间转换。 圈套装置可以包括线。 构件可以设置在插入装置的内腔内。 该构件可以被配置成在扩展状态下将圈套装置的腿保持在开放的圈套环配置中。 在开放的圈套环配置中,导线可以包括弓形环。
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公开(公告)号:US20150105789A1
公开(公告)日:2015-04-16
申请号:US14509801
申请日:2014-10-08
发明人: Samuel RAYBIN , Paul SMITH , Brian GAFFNEY , Naroun SUON
IPC分类号: A61B17/3205
CPC分类号: A61B17/32056 , A61B2017/00269 , A61B2017/00526 , A61B2017/320064 , A61B2018/1407 , A61B2018/141 , Y10T29/49
摘要: In accordance with an aspect of the present disclosure, the medical device includes a snare member having a proximal portion and a distal portion. The medical device also includes an operating member extending proximally of the snare member. The operating is enabled to extend and retract the snare member from a sheath. The snare member includes a transition portion extending between the proximal portion and the distal portion. The transition portion connects the proximal portion to the distal portion. The distal portion has a different cross-sectional area than the proximal section of the snare member.
摘要翻译: 根据本公开的一个方面,医疗装置包括具有近端部分和远端部分的圈套构件。 医疗装置还包括在圈套构件的近侧延伸的操作构件。 操作使得能够从套管延伸和缩回圈套构件。 圈套构件包括在近端部分和远端部分之间延伸的过渡部分。 过渡部分将近端部分连接到远端部分。 远侧部分具有与圈套构件的近端部分不同的横截面积。
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公开(公告)号:US20140378988A1
公开(公告)日:2014-12-25
申请号:US14302166
申请日:2014-06-11
发明人: Samuel RAYBIN , Paul SMITH , Naroun SUON , Jeffrey BEAN , Daniel LANG , John GOLDEN
IPC分类号: A61B17/221
CPC分类号: A61B17/221 , A61B17/32056 , A61B2017/2212 , A61B2017/2215
摘要: A medical device for manipulating a tissue is disclosed. The device includes an elongate shaft having a proximal end, a distal end, and a first lumen between the proximal end and the distal end, which has an opening in communication with the first lumen. The elongate shaft further includes a second lumen or aperture disposed in an external surface of the elongate shaft. The device further includes: a support truss, a snare loop, and an actuation member having a distal end. The actuation member is movably disposed within the first lumen. The support truss is configured to be received within the first lumen, second lumen, or aperture such that a proximal end of the support truss is operably connected to the elongate shaft adjacent a proximal portion of the first lumen, second lumen, or aperture. The snare loop has a first portion connected to a distal end of the support truss and a second portion connected to the distal end of the actuation member.
摘要翻译: 公开了一种用于操作组织的医疗装置。 该装置包括细长轴,其具有近端,远端以及位于近端和远端之间的第一腔,其具有与第一腔连通的开口。 细长轴还包括设置在细长轴的外表面中的第二内腔或孔。 该装置还包括:支撑桁架,圈套环和具有远端的致动构件。 致动构件可移动地设置在第一管腔内。 支撑桁架构造成被容纳在第一内腔,第二内腔或孔内,使得支撑桁架的近端可操作地连接到与第一内腔,第二内腔或孔的近端部分相邻的细长轴。 圈套环具有连接到支撑架的远端的第一部分和连接到致动部件的远端的第二部分。
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公开(公告)号:US20140276911A1
公开(公告)日:2014-09-18
申请号:US14211675
申请日:2014-03-14
发明人: Paul SMITH , Samuel RAYBIN , Naroun SUON , Larry STANTON , Robert DeVRIES , John GOLDEN , Daniel Lang , Devon AMOS
IPC分类号: A61B17/221
CPC分类号: A61B17/32056 , A61B17/221 , A61B18/14 , A61B2017/00858 , A61B2018/141
摘要: A tissue resection device for resecting tissue from a target site within a patient's body. The device includes an elongate shaft having a proximal end and a distal end. An actuation member extends partially through the shaft, and reciprocates within the shaft between a retracted position and an extended position. Multiple snare wires extend through the actuation member, and emerge outwards from a distal portion of the actuation member. The snare wires cooperate and join to form a snare loop, which engages the tissue intended to be resected. The snare loop is configured to enhance friction while engaging the tissue, to resect the tissue.
摘要翻译: 一种用于从患者体内的目标部位切除组织的组织切除装置。 该装置包括具有近端和远端的细长轴。 致动构件部分地延伸穿过轴,并且在轴之间在缩回位置和延伸位置之间往复运动。 多个线圈电线延伸穿过致动构件,并且从致动构件的远侧部分向外突出。 圈套线配合并连接以形成啮合要切除的组织的圈套环。 圈套环配置成在接合组织时增强摩擦力,以切除组织。
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公开(公告)号:US20140243594A1
公开(公告)日:2014-08-28
申请号:US14192400
申请日:2014-02-27
发明人: Samuel RAYBIN , Naroun SUON , Paul SMITH
CPC分类号: A61B1/00066 , A61B1/018
摘要: A medical system including an endoscope having a proximal end, a distal end, and a lumen extending therebetween is disclosed. The endoscope includes a port configured to provide access to the lumen. In addition, the system may include an actuation member slidably disposed through the lumen such that a proximal end of the actuation member extends through the port, and a distal end of the actuation member is operably coupled to an end-effector. The system may further include an actuation handle removably secured to the actuation member. In one embodiment, a portion of the end-effector has dimensions larger than a maximum dimension of the lumen.
摘要翻译: 公开了一种医疗系统,其包括具有近端,远端和在其间延伸的内窥镜的内窥镜。 内窥镜包括构造成提供对内腔的通路的端口。 另外,该系统可以包括可滑动地设置穿过内腔的致动构件,使得致动构件的近端延伸穿过该端口,并且致动构件的远端可操作地联接到端部执行器。 该系统还可以包括可拆卸地固定到致动构件的致动手柄。 在一个实施例中,末端执行器的一部分具有大于管腔最大尺寸的尺寸。
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