JP5824458B2 - 体内開口部へアクセスする装置、器具及び方法 - Google Patents

体内開口部へアクセスする装置、器具及び方法 Download PDF

Info

Publication number
JP5824458B2
JP5824458B2 JP2012539962A JP2012539962A JP5824458B2 JP 5824458 B2 JP5824458 B2 JP 5824458B2 JP 2012539962 A JP2012539962 A JP 2012539962A JP 2012539962 A JP2012539962 A JP 2012539962A JP 5824458 B2 JP5824458 B2 JP 5824458B2
Authority
JP
Japan
Prior art keywords
medical device
distal
proximal
cage
sheath
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
JP2012539962A
Other languages
English (en)
Japanese (ja)
Other versions
JP2013511336A5 (enExample
JP2013511336A (ja
Inventor
キヨシ ハシバ，
キヨシ ハシバ，
ヴィルー， シー． サーティ，
ヴィルー， シー． サーティ，
キンバリー， ケー． イングラム，
キンバリー， ケー． イングラム，
アンドレ， エフ． アキーレ，
アンドレ， エフ． アキーレ，
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Cook Medical Technologies LLC
Original Assignee
Cook Medical Technologies LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Cook Medical Technologies LLC filed Critical Cook Medical Technologies LLC
Publication of JP2013511336A publication Critical patent/JP2013511336A/ja
Publication of JP2013511336A5 publication Critical patent/JP2013511336A5/ja
Application granted granted Critical
Publication of JP5824458B2 publication Critical patent/JP5824458B2/ja
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00278—Transorgan operations, e.g. transgastric
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419—Sealing means between cannula and body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A61B2017/3425—Access ports, e.g. toroid shape introducers for instruments or hands for internal organs, e.g. heart ports
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
JP2012539962A 2009-11-18 2010-11-15 体内開口部へアクセスする装置、器具及び方法 Active JP5824458B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US12/620,864 US8834361B2 (en) 2009-05-15 2009-11-18 Systems, devices and methods for accessing a bodily opening
US12/620,864 2009-11-18
PCT/US2010/056721 WO2011062870A1 (en) 2009-11-18 2010-11-15 Systems, devices and methods for accessing a bodily opening

Publications (3)

Publication Number Publication Date
JP2013511336A JP2013511336A (ja) 2013-04-04
JP2013511336A5 JP2013511336A5 (enExample) 2014-01-09
JP5824458B2 true JP5824458B2 (ja) 2015-11-25

Family

ID=43069065

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2012539962A Active JP5824458B2 (ja) 2009-11-18 2010-11-15 体内開口部へアクセスする装置、器具及び方法

Country Status (6)

Country Link
US (1) US8834361B2 (enExample)
EP (1) EP2501304B1 (enExample)
JP (1) JP5824458B2 (enExample)
AU (1) AU2010322213B2 (enExample)
CA (1) CA2761972C (enExample)
WO (1) WO2011062870A1 (enExample)

Families Citing this family (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9168383B2 (en) 2005-10-14 2015-10-27 Pacesetter, Inc. Leadless cardiac pacemaker with conducted communication
US8010209B2 (en) 2005-10-14 2011-08-30 Nanostim, Inc. Delivery system for implantable biostimulator
US8527068B2 (en) 2009-02-02 2013-09-03 Nanostim, Inc. Leadless cardiac pacemaker with secondary fixation capability
WO2012051237A1 (en) 2010-10-12 2012-04-19 Nanostim, Inc. Temperature sensor for a leadless cardiac pacemaker
US9060692B2 (en) 2010-10-12 2015-06-23 Pacesetter, Inc. Temperature sensor for a leadless cardiac pacemaker
WO2012051235A1 (en) 2010-10-13 2012-04-19 Nanostim, Inc. Leadless cardiac pacemaker with anti-unscrewing feature
CN103429296A (zh) * 2010-12-13 2013-12-04 内诺斯蒂姆股份有限公司 递送导管系统和方法
WO2012082755A1 (en) 2010-12-13 2012-06-21 Nanostim, Inc. Pacemaker retrieval systems and methods
WO2012088118A1 (en) 2010-12-20 2012-06-28 Nanostim, Inc. Leadless pacemaker with radial fixation mechanism
WO2013067496A2 (en) 2011-11-04 2013-05-10 Nanostim, Inc. Leadless cardiac pacemaker with integral battery and redundant welds
KR101398243B1 (ko) * 2012-06-28 2014-05-22 고려대학교 산학협력단 질식 복강 내시경 포트 유니트 모듈
WO2014022661A1 (en) 2012-08-01 2014-02-06 Nanostim, Inc. Biostimulator circuit with flying cell
CN104224413A (zh) * 2013-06-20 2014-12-24 上海翊科精密挤出技术有限公司 食道支架输送导管
EP3116462B1 (en) 2014-03-10 2018-05-02 Stryker Corporation Limb positioning system
KR101557010B1 (ko) * 2014-07-11 2015-10-02 주식회사 비씨엠 커버드 스텐트와 그 제조방법
US9951904B2 (en) 2015-03-24 2018-04-24 Stryker Corporation Rotatable seat clamps for rail clamp
CN108066010B (zh) * 2016-11-10 2024-04-30 香港大学深圳研究院 一种具有柔性和多自由度的手术机器人
US10441262B2 (en) * 2017-03-22 2019-10-15 Boston Scientific Limited Retrievable access valve
JP7331342B2 (ja) * 2017-09-29 2023-08-23 株式会社ジェイ・エム・エス ステント

Family Cites Families (168)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2313164A (en) * 1939-11-13 1943-03-09 Walfred A Nelson Self-retaining surgical retractor
US2598508A (en) 1946-10-22 1952-05-27 Bristol Lab Inc Hexahydrobenzylamine salt of penicillin
US3774608A (en) 1972-09-07 1973-11-27 W Wohler Rumen drenching device
US3915171A (en) 1974-06-06 1975-10-28 Dennis William Shermeta Gastrostomy tube
US4023559A (en) 1975-01-28 1977-05-17 Smith & Nephew (Australia) Pty. Limited Sampling catheter device
US4315509A (en) 1977-01-10 1982-02-16 Smit Julie A Insertion and removal catheters and intestinal tubes for restricting absorption
US4224929A (en) 1977-11-08 1980-09-30 Olympus Optical Co., Ltd. Endoscope with expansible cuff member and operation section
US4249535A (en) 1979-02-02 1981-02-10 Hargest Thomas S Iii Gastric feeding device
US4327736A (en) 1979-11-20 1982-05-04 Kanji Inoue Balloon catheter
US4538606A (en) 1982-12-10 1985-09-03 Whited Robert E Endotracheal tube
GB8321085D0 (en) 1983-08-04 1983-09-07 Matburn Holdings Ltd Catheters
US4580568A (en) 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
DE3500444C2 (de) 1985-01-09 1986-10-16 Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen Vorrichtung zum Einführen eines Endoskops oder eines chirurgischen Werkzeugs in Körperhöhlen mit einer Zufuhr für ein Spülmedium und einer Absaugung für dieses Spülmedium
DE3504292C1 (de) 1985-02-08 1986-07-24 Richard Wolf Gmbh, 7134 Knittlingen Instrument fuer endoskopische Eingriffe,insbesondere zur perkutanen Gallensteinentfernung oder Gallenblasenveroedung
US4664114A (en) 1985-08-12 1987-05-12 Kamran Ghodsian Dilator for cervical canal
US4676778A (en) 1986-10-27 1987-06-30 Nelson Jr Richard L Long intestinal catheter with sump
US5002532A (en) 1987-01-06 1991-03-26 Advanced Cardiovascular Systems, Inc. Tandem balloon dilatation catheter
US4773394A (en) 1987-10-14 1988-09-27 Reichstein Irving P Upper gastrointestinal endoscope intubator
CH678393A5 (enExample) * 1989-01-26 1991-09-13 Ulrich Prof Dr Med Sigwart
US5197971A (en) 1990-03-02 1993-03-30 Bonutti Peter M Arthroscopic retractor and method of using the same
US5025778A (en) 1990-03-26 1991-06-25 Opielab, Inc. Endoscope with potential channels and method of using the same
US5158543A (en) 1990-10-30 1992-10-27 Lazarus Harrison M Laparoscopic surgical system and method
US5380304A (en) 1991-08-07 1995-01-10 Cook Incorporated Flexible, kink-resistant, introducer sheath and method of manufacture
US5443498A (en) * 1991-10-01 1995-08-22 Cook Incorporated Vascular stent and method of making and implanting a vacsular stent
US5217001A (en) 1991-12-09 1993-06-08 Nakao Naomi L Endoscope sheath and related method
US6652492B1 (en) 1991-12-13 2003-11-25 Endovascular Technologies, Inc. Dual valve, flexible sheath and method
US5400770A (en) 1992-01-15 1995-03-28 Nakao; Naomi L. Device utilizable with endoscope and related method
US5354302A (en) 1992-11-06 1994-10-11 Ko Sung Tao Medical device and method for facilitating intra-tissue visual observation and manipulation of distensible tissues
US5279565A (en) 1993-02-03 1994-01-18 Localmed, Inc. Intravascular treatment apparatus and method
US5814073A (en) 1996-12-13 1998-09-29 Bonutti; Peter M. Method and apparatus for positioning a suture anchor
US5389074A (en) 1993-10-27 1995-02-14 The Regents Of The University Of California Body insertion tube with anesthetic jacket
US5876325A (en) 1993-11-02 1999-03-02 Olympus Optical Co., Ltd. Surgical manipulation system
US5879366A (en) * 1996-12-20 1999-03-09 W.L. Gore & Associates, Inc. Self-expanding defect closure device and method of making and using
US5707355A (en) 1995-11-15 1998-01-13 Zimmon Science Corporation Apparatus and method for the treatment of esophageal varices and mucosal neoplasms
US6451041B1 (en) 1996-02-29 2002-09-17 Stephen P. Moenning Apparatus for protecting a port site opening in the wall of a body cavity and reducing electrosurgical injuries
US6679833B2 (en) 1996-03-22 2004-01-20 Sdgi Holdings, Inc. Devices and methods for percutaneous surgery
US5882345A (en) 1996-05-22 1999-03-16 Yoon; Inbae Expandable endoscopic portal
US6506182B2 (en) 1996-06-12 2003-01-14 Biolink Corporation Method for subcutaneous access to the vascular system of a patient
US5904147A (en) 1996-08-16 1999-05-18 University Of Massachusetts Intravascular catheter and method of controlling hemorrhage during minimally invasive surgery
US6488692B1 (en) 1996-09-16 2002-12-03 Origin Medsystems, Inc. Access and cannulation device and method for rapidly placing same and for rapidly closing same in minimally invasive surgery
US5846182A (en) 1997-09-15 1998-12-08 Olympus America, Inc. Esophageal overtube for smoke evacuation
JP3342021B2 (ja) 1997-10-17 2002-11-05 サーコン コーポレーション 組織を貫通する医療機器システム
US6030365A (en) 1998-06-10 2000-02-29 Laufer; Michael D. Minimally invasive sterile surgical access device and method
JP2000051361A (ja) 1998-08-11 2000-02-22 Sumitomo Bakelite Co Ltd 拡張バルーンカテーテル
US6234958B1 (en) 1998-11-30 2001-05-22 Medical Access Systems, Llc Medical device introduction system including medical introducer having a plurality of access ports and methods of performing medical procedures with same
AU3729400A (en) * 1999-03-09 2000-09-28 St. Jude Medical Cardiovascular Group, Inc. Medical grafting methods and apparatus
US6673088B1 (en) 1999-05-18 2004-01-06 Cardica, Inc. Tissue punch
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
JP2001009037A (ja) 1999-06-25 2001-01-16 Terumo Corp 狭窄部拡張用バルーンおよびバルーンカテーテル
US7815590B2 (en) 1999-08-05 2010-10-19 Broncus Technologies, Inc. Devices for maintaining patency of surgically created channels in tissue
US20030093104A1 (en) 1999-10-29 2003-05-15 Bonner Matthew D. Methods and apparatus for providing intra-pericardial access
US6689062B1 (en) 1999-11-23 2004-02-10 Microaccess Medical Systems, Inc. Method and apparatus for transesophageal cardiovascular procedures
US6315733B1 (en) 2000-01-14 2001-11-13 Zimmon Science Corp. Apparatus and method for continuous measurement of portal blood pressure
US6547806B1 (en) * 2000-02-04 2003-04-15 Ni Ding Vascular sealing device and method of use
WO2001074260A1 (en) 2000-03-24 2001-10-11 Johns Hopkins University Peritoneal cavity device and method
US6572629B2 (en) 2000-08-17 2003-06-03 Johns Hopkins University Gastric reduction endoscopy
US6551270B1 (en) 2000-08-30 2003-04-22 Snowden Pencer, Inc. Dual lumen access port
US7204841B2 (en) 2001-02-27 2007-04-17 Green David T Apparatus for suturing a blood vessel
US6535764B2 (en) 2001-05-01 2003-03-18 Intrapace, Inc. Gastric treatment and diagnosis device and method
US7083629B2 (en) 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
US7637919B2 (en) 2002-01-30 2009-12-29 Olympus Corporation Anastomosis system for performing anastomosis in body
US6988987B2 (en) 2002-03-18 2006-01-24 Olympus Corporation Guide tube
JP4351458B2 (ja) 2002-03-18 2009-10-28 オリンパス株式会社 内視鏡挿入システム
US7527590B2 (en) 2002-03-19 2009-05-05 Olympus Corporation Anastomosis system
US7431729B2 (en) * 2002-06-05 2008-10-07 Nmt Medical, Inc. Patent foramen ovale (PFO) closure device with radial and circumferential support
US6783491B2 (en) 2002-06-13 2004-08-31 Vahid Saadat Shape lockable apparatus and method for advancing an instrument through unsupported anatomy
US8066724B2 (en) 2002-09-12 2011-11-29 Medtronic, Inc. Anastomosis apparatus and methods
US20040186349A1 (en) 2002-12-24 2004-09-23 Usgi Medical Corp. Apparatus and methods for achieving endoluminal access
US20040249367A1 (en) 2003-01-15 2004-12-09 Usgi Medical Corp. Endoluminal tool deployment system
DE10362223B4 (de) * 2003-01-21 2010-02-04 pfm Produkte für die Medizin AG Grundwickelform
EP1593337B1 (en) 2003-02-11 2008-08-13 Olympus Corporation Overtube
JP4477382B2 (ja) 2003-03-04 2010-06-09 オリンパス株式会社 内視鏡的腹腔内処置システム
US6984244B2 (en) * 2003-03-27 2006-01-10 Endovascular Technologies, Inc. Delivery system for endoluminal implant
US7615005B2 (en) 2003-05-16 2009-11-10 Ethicon Endo-Surgery, Inc. Medical apparatus for use with an endoscope
US7615003B2 (en) 2005-05-13 2009-11-10 Ethicon Endo-Surgery, Inc. Track for medical devices
US6918871B2 (en) 2003-06-19 2005-07-19 Ethicon Endo-Surgery, Inc. Method for accessing cavity
US8308682B2 (en) 2003-07-18 2012-11-13 Broncus Medical Inc. Devices for maintaining patency of surgically created channels in tissue
WO2005023358A1 (en) 2003-09-03 2005-03-17 Acumen Medical, Inc. Expandable sheath for delivering instruments and agents into a body lumen
AU2004305450B2 (en) 2003-12-09 2009-01-08 Gi Dynamics, Inc. Intestinal sleeve
AU2005231843B2 (en) 2004-04-05 2010-09-16 Covidien Lp Surgical hand access apparatus
US20060135971A1 (en) 2004-05-07 2006-06-22 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US20050251176A1 (en) 2004-05-07 2005-11-10 Usgi Medical Inc. System for treating gastroesophageal reflux disease
US8475476B2 (en) 2004-06-01 2013-07-02 Cook Medical Technologies Llc System and method for accessing a body cavity
US7931661B2 (en) 2004-06-14 2011-04-26 Usgi Medical, Inc. Apparatus and methods for performing transluminal gastrointestinal procedures
US20060135962A1 (en) 2004-09-09 2006-06-22 Kick George F Expandable trans-septal sheath
JP2008513129A (ja) 2004-09-17 2008-05-01 ジーアイ・ダイナミックス・インコーポレーテッド 内腔内アンカ装置
JP4302602B2 (ja) 2004-09-24 2009-07-29 オリンパス株式会社 内視鏡用処置具及び内視鏡処置システム並びに支持アダプタ
US20060135985A1 (en) 2004-12-21 2006-06-22 Cox Daniel L Vulnerable plaque modification methods and apparatuses
US8016839B2 (en) 2005-01-26 2011-09-13 Wilk Patent, Llc Intra-abdominal medical procedures and device
JP4477519B2 (ja) 2005-02-14 2010-06-09 オリンパス株式会社 内視鏡
WO2006101719A2 (en) 2005-03-18 2006-09-28 Wilk Patent, Llc Surgical device and associated trans-organ surgical method
WO2006101715A2 (en) 2005-03-18 2006-09-28 Wilk Patent, Llc Intra-abdominal medical device and associated method
US20060258909A1 (en) 2005-04-08 2006-11-16 Usgi Medical, Inc. Methods and apparatus for maintaining sterility during transluminal procedures
US7963941B2 (en) 2005-04-12 2011-06-21 Wilk Peter J Intra-abdominal medical method and associated device
US20060241480A1 (en) 2005-04-12 2006-10-26 Wilk Patent, Llc Endoscopic medical method and associated device
US20060241344A1 (en) 2005-04-12 2006-10-26 Wilk Patent, Llc Intra-abdominal surgical method and associated apparatus
US20060241651A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Surgical port device and associated method
US20060241570A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Intra-abdominal medical method
US7785251B2 (en) 2005-04-22 2010-08-31 Wilk Patent, Llc Port extraction method for trans-organ surgery
US20060252997A1 (en) 2005-04-22 2006-11-09 Wilk Patent, Llc Medical port device, kit and associated method
US20060237023A1 (en) 2005-04-26 2006-10-26 Usgi Medical Inc. Transgastric tubal ligation
US8663236B2 (en) 2005-04-26 2014-03-04 Usgi Medical Inc. Transgastric abdominal access
WO2007011689A2 (en) 2005-07-15 2007-01-25 The Brigham And Women's Hospital, Inc. Sterile access conduit
US20070038224A1 (en) 2005-07-28 2007-02-15 Ethicon Endo-Surgery, Inc. Electroactive polymer-based flexing access port
US8021355B2 (en) 2005-08-12 2011-09-20 Board Of Regents The University Of Texas System System, kit, and method of transgastric removal of visceral fat and other related methods
JP2009507617A (ja) * 2005-09-14 2009-02-26 ネオガイド システムズ， インコーポレイテッド 経腔的及び他の操作を行うための方法及び装置
US20070123840A1 (en) * 2005-10-18 2007-05-31 Usgi Medical, Inc. Instrument assisted abdominal access
WO2007059414A2 (en) 2005-11-10 2007-05-24 Sentinel Group, Llc Intragastric and transgastric device and method of visualization and therapeutic intervention
US9962066B2 (en) 2005-12-30 2018-05-08 Intuitive Surgical Operations, Inc. Methods and apparatus to shape flexible entry guides for minimally invasive surgery
US7785333B2 (en) 2006-02-21 2010-08-31 Olympus Medical Systems Corp. Overtube and operative procedure via bodily orifice
US20080255422A1 (en) 2006-01-13 2008-10-16 Olympus Medical Systems Corp. Medical device
US20070167967A1 (en) 2006-01-13 2007-07-19 Olympus Medical Systems Corp. Medical procedure via natural orifice and puncture device
US20070167675A1 (en) 2006-01-13 2007-07-19 Olympus Medical Systems Corp. Overtube and medical procedure via natural orifice using the same
US8721657B2 (en) 2006-01-13 2014-05-13 Olympus Medical Systems Corp. Medical instrument
US20070167676A1 (en) 2006-01-13 2007-07-19 Olympus Medical Systems Corp. Overtube and medical procedure via natural orifice using the same
US7735489B2 (en) 2006-01-13 2010-06-15 Olympus Medical Systems Corp. Endotracheal tube, device for use in medical procedure through natural opening and medical procedure through natural opening
US20100081883A1 (en) 2008-09-30 2010-04-01 Ethicon Endo-Surgery, Inc. Methods and devices for performing gastroplasties using a multiple port access device
US8430811B2 (en) 2008-09-30 2013-04-30 Ethicon Endo-Surgery, Inc. Multiple port surgical access device
US8485970B2 (en) 2008-09-30 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical access device
US8206294B2 (en) 2008-09-30 2012-06-26 Ethicon Endo-Surgery, Inc. Surgical access device with flexible seal channel
US20100081864A1 (en) 2008-09-30 2010-04-01 Ethicon Endo-Surgery, Inc. Methods and devices for performing gastrectomies and gastroplasties
US8425410B2 (en) 2008-09-30 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical access device with protective element
US20070260273A1 (en) 2006-05-08 2007-11-08 Ethicon Endo-Surgery, Inc. Endoscopic Translumenal Surgical Systems
US7963912B2 (en) 2006-05-08 2011-06-21 Ethicon Endo-Surgery, Inc. Endoscopic translumenal surgical methods using a sheath
US7819836B2 (en) 2006-06-23 2010-10-26 Gi Dynamics, Inc. Resistive anti-obesity devices
US7815566B2 (en) 2006-07-20 2010-10-19 Ethicon Endo-Surgery, Inc. Methods for stabilizing and positioning an endoscope and surgical procedures
US7938799B2 (en) 2006-08-10 2011-05-10 Boston Scientific Scimed, Inc. Medical device for vessel compatibility during high pressure infusion
US10004388B2 (en) 2006-09-01 2018-06-26 Intuitive Surgical Operations, Inc. Coronary sinus cannulation
US20080054728A1 (en) * 2006-09-06 2008-03-06 Tom Watson Systems and methods for providing electrical power from an alternating current power source
US8012086B2 (en) 2006-10-19 2011-09-06 Ethicon Endo-Surgery, Inc. Sterile transcolonic access device
US8025670B2 (en) 2006-11-22 2011-09-27 Minos Medical Methods and apparatus for natural orifice vaginal hysterectomy
US20080161644A1 (en) 2006-12-29 2008-07-03 Ghabrial Ragae M Method of and apparatus for attaching an instrument to an organ wall
US20080183039A1 (en) 2007-01-26 2008-07-31 Ethicon Endo-Surgery, Inc. Balloon Positioning System for Endoscopic Access
US20080249358A1 (en) 2007-04-04 2008-10-09 Olympus Medical Systems Corporation Therapeutic method and therapeutic system that use overtube with balloons
JP4996311B2 (ja) 2007-04-05 2012-08-08 オリンパスメディカルシステムズ株式会社 処置具システム
JP2008259701A (ja) 2007-04-12 2008-10-30 Olympus Corp 生体内挿入器具
WO2008130582A2 (en) 2007-04-17 2008-10-30 Surgiquest, Incorporated Endoluminal and transluminal surgical methods and devices
US20080262294A1 (en) 2007-04-20 2008-10-23 Usgi Medical, Inc. Endoscopic system with disposable sheath
US20080262300A1 (en) 2007-04-20 2008-10-23 Usgi Medical, Inc. Endoscopic system with disposable sheath
US9596980B2 (en) 2007-04-25 2017-03-21 Karl Storz Endovision, Inc. Endoscope system with pivotable arms
JP2008284107A (ja) 2007-05-16 2008-11-27 Olympus Corp 体腔内挿入具案内器具及び体腔内挿入具案内システム
WO2008144522A2 (en) 2007-05-17 2008-11-27 Boston Scientific Scimed, Inc. Tissue securing and sealing apparatus and related methods of use
US20080287743A1 (en) 2007-05-17 2008-11-20 Boston Scientific Scimed, Inc. Medical retractor and stabilizing assembly and related methods of use
US7967842B2 (en) 2007-06-01 2011-06-28 Ethicon Endo-Surgery, Inc. Integrated securement and closure apparatus
US20090054728A1 (en) 2007-08-21 2009-02-26 Trusty Robert M Manipulatable guide system and methods for natural orifice translumenal endoscopic surgery
WO2009029655A1 (en) 2007-08-27 2009-03-05 University Of South Florida Endoscopic overtube
WO2009048542A2 (en) 2007-10-05 2009-04-16 Boston Scientific Scimed, Inc. Transluminal endoscopic surgery kit
US8343029B2 (en) * 2007-10-24 2013-01-01 Circulite, Inc. Transseptal cannula, tip, delivery system, and method
US8480657B2 (en) 2007-10-31 2013-07-09 Ethicon Endo-Surgery, Inc. Detachable distal overtube section and methods for forming a sealable opening in the wall of an organ
US20090149714A1 (en) 2007-12-05 2009-06-11 Frank Bonadio Surgical devices and methods
US8118783B2 (en) 2008-01-30 2012-02-21 Tyco Healthcare Group Lp Access assembly with spherical valve
US20090259141A1 (en) 2008-03-21 2009-10-15 Usgi Medical, Inc. Steerable tool guide for use with flexible endoscopic medical devices
US20090259172A1 (en) 2008-04-09 2009-10-15 Koji Yamaoka Over tube
US8197504B2 (en) 2008-05-01 2012-06-12 Ethicon Endo-Surgery, Inc. Safe tissue puncture device
JP5336760B2 (ja) 2008-05-01 2013-11-06 オリンパスメディカルシステムズ株式会社 内視鏡システム
US10350050B2 (en) 2008-05-01 2019-07-16 Ethicon Endo-Surgery, Inc. Method for gastric volume reduction surgery
EP2323569B1 (en) 2008-05-15 2017-10-04 Cook Medical Technologies LLC Device for accessing a bodily opening
US20100010303A1 (en) 2008-07-09 2010-01-14 Ethicon Endo-Surgery, Inc. Inflatable access device
US8262563B2 (en) 2008-07-14 2012-09-11 Ethicon Endo-Surgery, Inc. Endoscopic translumenal articulatable steerable overtube
US20100010298A1 (en) 2008-07-14 2010-01-14 Ethicon Endo-Surgery, Inc. Endoscopic translumenal flexible overtube
US20100069716A1 (en) 2008-09-12 2010-03-18 Yem Chin Flexible guide conduit
US8328761B2 (en) 2008-09-30 2012-12-11 Ethicon Endo-Surgery, Inc. Variable surgical access device
US8337394B2 (en) 2008-10-01 2012-12-25 Ethicon Endo-Surgery, Inc. Overtube with expandable tip
US20100168522A1 (en) 2008-10-23 2010-07-01 Thomas Wenchell Surgical access assembly
US20100114033A1 (en) 2008-11-06 2010-05-06 Tyco Healthcare Group Lp Surgical access device
US20100331622A2 (en) 2008-11-25 2010-12-30 Ethicon Endo-Surgery, Inc. Tissue manipulation devices
US8348834B2 (en) 2008-12-18 2013-01-08 Ethicon Endo-Surgery, Inc. Steerable surgical access devices and methods
US8425406B2 (en) 2008-12-19 2013-04-23 Boston Scientific Scimed, Inc. Systems and methods for directing instruments to varying positions at the distal end of a guide tube

Also Published As

Publication number Publication date
US8834361B2 (en) 2014-09-16
WO2011062870A1 (en) 2011-05-26
AU2010322213B2 (en) 2013-11-21
EP2501304A1 (en) 2012-09-26
JP2013511336A (ja) 2013-04-04
AU2010322213A1 (en) 2011-12-08
EP2501304B1 (en) 2016-01-06
US20100292541A1 (en) 2010-11-18
CA2761972A1 (en) 2011-05-26
CA2761972C (en) 2014-10-21

Similar Documents

Publication Publication Date Title
JP5824458B2 (ja) 体内開口部へアクセスする装置、器具及び方法
JP5528432B2 (ja) 身体開口部にアクセスするためのシステム、装置、及び方法
JP6416850B2 (ja) 単孔式腹腔鏡下組織回収システム
JP5587981B2 (ja) 穿孔を縫合するための医療システム、装置、及び方法
JP5728023B2 (ja) 傾斜部を備えた内視鏡キャップ
US8808270B2 (en) Methods for toposcopic sleeve delivery
US8267857B2 (en) Expandable port for accessing a bodily opening
JP2025504065A (ja) 内視鏡の位置決めのためのワイヤレスデバイス、システム、及び方法

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20131114

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20131114

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20140723

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20140826

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20141126

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20150317

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20150515

TRDD Decision of grant or rejection written
A01 Written decision to grant a patent or to grant a registration (utility model)

Free format text: JAPANESE INTERMEDIATE CODE: A01

Effective date: 20150915

A61 First payment of annual fees (during grant procedure)

Free format text: JAPANESE INTERMEDIATE CODE: A61

Effective date: 20151009

R150 Certificate of patent or registration of utility model

Ref document number: 5824458

Country of ref document: JP

Free format text: JAPANESE INTERMEDIATE CODE: R150

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250

R250 Receipt of annual fees

Free format text: JAPANESE INTERMEDIATE CODE: R250