Source: http://www.google.es/patents/US7896891?hl=es&dq=flatulence
Timestamp: 2013-05-23 12:32:18
Document Index: 90522406

Matched Legal Cases: ['art 52', 'art 52', 'art 98', 'art 98', 'art 52', 'art 98', 'art 52']

Patente US7896891 - Apparatus and method for manipulating or retracting tissue and anatomical ... - Google PatentesB�squeda Im�genes Maps Play YouTube Noticias Gmail Drive M�s » B�squeda avanzada de patentes | Historial web | Iniciar sesi�n B�squeda avanzada de patentesPatentesIntergrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for...http://www.google.es/patents/US7896891?utm_source=gb-gplus-sharePatente US7896891 - Apparatus and method for manipulating or retracting tissue and anatomical structure N�mero de publicaci�nUS7896891 B2Tipo de publicaci�nConcesi�n N�mero de solicitud11/492,690 Fecha de publicaci�n1 Mar 2011 Fecha de presentaci�n24 Jul 2006 Fecha de prioridad20 May 2005Tambi�n publicado comoEP2049023A2EP2049023A4US8211118US8394110US20070049929US20110144425US20110152607WO2008014191A2WO2008014191A3 InventoresIII Joseph CataneseMichael CollinsonTheodore C. LamsonJoshua MakowerDaniel MerrickAmik NagpurkarRussell J. RedmondRichard G. VECCHIOTTIClaude VidalJacqueline Nerney WelchScott West Cesionario originalNeotract, Inc. Clasificaci�n de EE.UU.606/139 Clasificaci�n internacionalA61B17/10 Clasificaci�n cooperativaA61B2017/06052A61B2017/00274A61B2017/00022A61B17/0625A61B2017/0409A61B2017/0419A61B2017/06176A61B2017/00792A61B17/0218A61B2018/00547A61B2017/0464A61B17/0482A61B2017/00805A61B17/0401A61B17/3468A61B2017/045A61B2017/00796A61B17/0467A61B2017/0488A61B2017/0417A61B2017/0454A61B17/00234A61B17/3478A61B2017/0404A61B17/0487A61B17/0469A61B17/42 Clasificaci�n europeaA61B17/062NA61B17/04AA61B17/04KA61B17/42A61B17/04GA61B17/04EReferenciasCitas de patentes (101)Otras citas (19)Enlaces externosUSPTO Cesi�n de USPTO EspacenetApparatus and method for manipulating or retracting tissue and anatomical structureUS 7896891 B2 Resumen Intergrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes.
1. A system for manipulation of anatomic structure found at an interventional site, comprising:
at least two anchor assemblies, the anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and
an anchor delivery device, the anchor delivery device including a first actuator and being configured to receive and deploy the anchor assembly;
wherein the second anchor member is loaded within the anchor delivery device in a position free of the connector;
wherein manipulation of the first actuator accomplishes gaining access to a first site and deployment of the first anchor member independently of the second anchor member.
2. The system of claim 1, wherein the anchor delivery device includes a terminal end portion, the terminal end portion being angled to mimic an implanted position of the second anchor member.
3. The system of claim 1, the second anchor member defining a profile to facilitate invagination thereof into target tissue.
4. The system of claim 1, wherein the anchor delivery device further includes a needle assembly.
5. The system of claim 4, wherein manipulation of the first actuator effects advancement and retraction of the needle assembly.
6. The system of claim 4, wherein the anchor delivery device has a long axis and further includes a needle housing assembly, the needle housing assembly configured to receive the needle assembly substantially at a right angle with respect to the long axis of the anchor delivery device.
7. The system of claim 1, wherein the second anchor member includes a first part and a second part and the anchor delivery device includes a terminal end portion housing at least one first part of the second anchor member.
8. The system of claim 7, wherein the terminal end portion includes structure biasing the first part to an assembly station.
9. The system of claim 8, wherein the terminal end position forms part of a tubular housing assembly that extends from a handle assembly of the anchor delivery device.
10. The system of claim 9, wherein the first actuator is pivotably attached to the handle assembly.
11. The system of claim 10, wherein a pusher assembly is slideably retained in the tubular housing assembly.
12. The system of claim 11, wherein the first actuator is operatively associated with the pusher assembly.
13. The system of claim 12, wherein at least one second part of the second anchor member is housed within the tubular housing assembly.
14. The system of claim 13, wherein the anchor delivery device includes a second actuator and a second pusher assembly, manipulation of the second actuator accomplishes advancing the second pusher assembly against the second part of the second anchor member.
15. The system of claim 14, wherein manipulation of the second actuator further accomplishes assembling the first and second parts of the second anchor member.
16. A system for implanting two or more pairs of anchor components attached to each other with a connector comprising:
a first series of two or more first anchor components initially attached to each other with the connector;
a second series of two or more second anchor components initially located in one or more positions free of the connector;
a placement mechanism for sequentially attaching the second anchor components to the connector attached to one of the first anchor components creating a paired anchor assembly on the connector and separating the paired components anchor assembly as a unit from the connector.
17. A system for treatment at an interventional site, comprising:
an anchor deployment device;
at least one anchor assembly configured to be carried and deployed by the anchor deployment device, the at least one anchor assembly including a first anchor member, a second anchor member, and a connector joining the first and second anchor members; and
wherein the at least one sensor is configured on the deployment device or anchor assembly;
wherein the second anchor member is loaded in the anchor deployment device in a position free of the connector.
18. The system of claim 17, wherein the at least one sensor monitors pressure.
19. The system of claim 17, wherein the at least one sensor monitors tension.
20. The system of claim 17, further including a detached sensor delivered at the interventional site separate from the at least one anchor assembly.
21. The system of claim 1, wherein one of the anchor delivery device or the second anchor member include structure configured to sever excess connector upon attachment of the second anchor member to the connector.
22. The system of claim 16, wherein one of the placement mechanism or the second anchor component includes structure configured to sever excess connector upon attachment of the second anchor component to the connector.
23. The system of claim 17, wherein one of the anchor deployment device or the second anchor member includes structure configured to sever excess connector upon attachment of the second anchor member to the connector. Descripci�n
CROSS-REFERENCES TO RELATED APPLICATIONS This application is a continuation-in-part of U.S. patent application Ser. No. 11/318,246, filed on Dec. 22, 2005 now U.S. Pat. No. 7,645,286, and a continuation-in-part of U.S. patent application Ser. No. 11/134,870, filed on May 20, 2005 now U.S. Pat. No. 7,758,594, the entire disclosures of which are expressly incorporated herein by reference.
Moreover, various alternative methods of use are also contemplated. That is, in some applications of the invention, the invention may be used to facilitate volitional or non-volitional flow of a body fluid through a body lumen, modify the size or shape of a body lumen or cavity, treat prostate enlargement, treat urinary incontinence, support or maintain positioning of a tissue, organ or graft, perform a cosmetic lifting or repositioning procedure, form anastomotic connections, and/or treat various other disorders where a natural or pathologic tissue or organ is pressing on or interfering with and adjacent anatomical structure. Also, the invention has a myriad of other potential surgical, therapeutic, cosmetic or reconstructive applications, such as where a tissue, organ, graft or other material requires retracting, lifting, repositioning, compression or support.
FIG. 13C is a perspective view, depicting a third step in an alternative approach to implanting the intergrated anchor assembly of FIG. 13A;
As can be seen from FIG. 2A, terminal end portions of an upper tubular member 56, a needle housing 58 and a telescope housing 60 are positioned within the nose assembly. Referring now to FIG. 2D, one can better see the internal components forming the tubular housing assembly. For representation purposes, the outer sheath 44 is not depicted in FIG. 2A and the internal components of the tubular housing assembly are shown separate from the nose assembly and handle assembly. As shown, the upper tubular member 56, the needle housing 58 and telescope housing 60 extend longitudinally. The outer sheath (not shown in FIG. 2A) covers a substantial length of each of the upper tubular member 56, needle housing 58 and telescope housing 60. Each of these structures also include internal bores, the upper tubular member 56 sized to slidably receive a pusher assembly (described in more detail below) and the needle housing 58 sized to slidably receive a needle assembly 58 (also described in more detail below). Further, the telescope housing 60 is sized to receive a conventional telescope (not shown), which in one approach, fills the entire space provided by the internal bore of the housing 60. A cross-sectional view of a portion of the tubular housing assembly attached to the handle assembly 22 (with the nose assembly removed) is shown in FIG. 2F.
The embodiments depicted in FIGS. 9I and J take a similar approach to that shown in FIGS. 9G and H. That is, each take advantage of a locking engagement resulting from the rotation of one part of the second anchoring member with respect to the other. Again, each of these embodiments include a first part 52 with pair of apertures 162 through which a connector 94 is threaded. The assembly depicted in FIG. 91 includes a first part 52 configured with internal threads 168 which are complementary to external threads 170 formed on a second part 98. Thus, as the second part 98 is placed within the first part 52, it is rotated, the complementary threaded portions forming the locking engagement between the two parts. The assembly of FIG. 9J takes advantage of a second part 98 including arms 166 which are bent radially outwardly and the bent portion being sized to facilitate a locking arrangement with an interior of the first part 52. This particular approach is also characterized by the first 52 and second 98 parts having rounded terminal ends which provide an atraumatic surface which can be desirable in certain situations. Again, the structures of the first and second parts can be reversed if desired as can those of the following approaches.
In a number of related approaches (See FIGS. 9Y-9AH), the second anchoring component can be formed of a single integral locking member 194. Certain of these members 194 are intended to be formed of plastically deformable material so that it can first assume a generally open configuration and then be deformed to define a closed position in a locking arrangement about a connector member. Alternatively, these members 194 can be formed of resilient material and be first held open and then allowed to self-collapse about a connector. In one such locking member (FIGS. 9Y), the integral member 194 is generally V-shaped and includes a pair of diverging arms 198 which can be arranged into locking contact with a connector 194. Another locking member 194 (FIG. 9Z) is characterized by a clam shell profile, an interior of the arms 196 of which is suited to lock with a portion of a connector 94. The locking member 194 of FIG. 9AA is also generally V-shaped and further includes a pair of diverging arms 196, one of which includes bosses 198 designed to mate with recesses 200. A center section of one arm 196 is bent to provide space to receive a connector.
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