Usgi Medical, Inc.

Other

Boston Scientific Scimed, Inc.

Institut Hospitalo-universitaire De Chirurgie Mini-invasive Guidée Par L'image

Everest Medical Corporation

Providence Health & Services - Oregon

Myka Labs, Inc.

Qaelon Medical

Lee L Swanstrom

Richard Christian Ewers

Eugene G Chen

Tracy D Maahs

Vahid Saadat

Cang C Lam

John A Cox

Michele Diana

Peter Halvax

Eran Shlomovitz

Charles C Hart

John R Brustad

Barry Weitzner

Mark Philip Ashby

John H Jerman

Peter L Dayton

Said S Hilal

David Joseph Parins

Daniel J Laser

Paul D Hansen

Katharine Eckerline

Bryan Bannon

Eugene C Chen

Thomas DeSimio

Rebecca S Inderbitzen

Amilcar Alzaga

Bounsavanh Pravongviengkham

David Baas

Bruno Mutet

Walaa F Abdelmoaty

Christy M Dunst

Frédéric Mouret

Pedro Morales

Fernand Martel

A surgical staple has two movable arms connected by a transverse connection area. Each one of the arms has a pinching area and a fastening end and the transverse connection area is deformable to allow the movable arms to be moved together by bending around the axis of the transverse connection area.

Surgical staple having two movable arms connected by a transverse connection area

A system is configured to bring about anastomosis between two lumens in a patient or between two sections of a single lumen in a patient. The anastomosis system includes a first tissue-compressing element, a second tissue-compressing element, and an energy source. The energy source can be a thermal energy source or laser energy source. Tissue is interposed between the elements. Magnetic material incorporated into the tissue-compressing elements facilitates the alignment of the elements as well as compression of the interposed tissue. The energy source can deliver energy to tissue. This delivery of energy can cause local changes to the tissue that can help maintain positional stability of the implants, can bring about immediate patency of the anastomosis and can otherwise facilitate achieving desired outcomes for the patient.

Accelerated patency magnamosis

An implantable distraction device includes a tubular member oriented along a longitudinal axis, and curved first and second attachment members coupled to the tubular member and configured to be sutured within a body lumen. The second attachment member is spaced apart from the first attachment member along the tubular member. The device further includes at least one magnet coupled to the tubular member and movable relative to the tubular member. At least one of the first attachment member or the second attachment member is axially movable relative to the other to vary an axial distance between the first and second attachment members. The at least one magnet is configured such that motion of a magnetic field relative to the distraction device causes corresponding motion of the at least one magnet, and corresponding motion of one attachment member relative to the other.

Intestinal lengthening device

The present disclosure relates generally to the field of devices and procedures for placement of a medical device between adjacent tissue structures. In particular, the present disclosure relates to systems and methods for percutaneous placement of a drainage stent between the gallbladder and gastric lumen (e.g., cholecystogastrostomy), or gallbladder and duodenum (cholecystoduodenostomy).

Systems and methods for percutaneous body lumen drainage

Method for detecting leaks and/or verifying adequate closure following a medical procedure, on a hollow or tubular organ of a subject, wherein a leak test is performed by injecting or insufflating, in the concerned organ, a specific test gas which is not commonly produced or naturally present within the body of the subject, or which is present or produced in a precisely known amount or concentration, and by analyzing percutaneously the gas or gas mixture present locally within the body cavity in which the organ is situated, and then verifying the presence, and preferably determining the concentration, of the injected or insufflated test gas in the local gas or gas mixture of the body cavity and indicating whether the concerned organ or a lumen defined by the latter is leak-free or not.

Method and system for detecting leaks and/or verifying adequate closure following a medical procedure

An implantable device to treat obesity and a method of using the same, the device () is able to create a repetitive mechanical constraint on a gastrointestinal organ wall and includes: an energy source (), and a mechanical stimulation element ().

Implantable device to treat obesity

Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alternative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region.

Methods and apparatus for revision of obesity procedures

Embodiments include a method of performing a medical procedure in a patient. The method includes creating an incision in an abdominal wall of the patient, inserting a flexible guide tube into the incision, and advancing a flexible instrument through the guide tube. The method also includes positioning a distal tip of the guide tube adjacent to a gastroesophageal junction and passing the instrument through an esophageal hiatus.

Method and system for transhiatal esophagectomy

Devices and methods for laparoscopically repairing a hernia are described. In some embodiments, a laparoscopic instrument is used to deploy one or more tissue anchor assemblies into the edges of the fascia tissue surrounding or adjacent to the hernia defect. The tissue anchor assemblies are used to cause the fascia tissue to be approximated to facilitate the repair procedure, to improve healing, and to reduce the incidence of recurrence.

Devices and methods for laparoscopic hernia repair

Transgastric abdominal access methods and apparatus are described herein. A shape-lockable elongate body can be advanced endoluminally in a flexible state into the stomach, where an opening is created through the stomach wall. The opening can be created endoluminally or by incising instruments placed through the abdominal wall. The elongate body can be transitioned to a rigid state prior to, during, or after advancement into the patient and is passed through the opening into the peritoneal cavity. A dilation balloon can be positioned simultaneously within the elongate body and within the tissue opening such that the elongate body can be advanced through the tissue opening. A flexible needle catheter can also be delivered through the elongate body or an endoscope to provide for insufflation prior to cutting or piercing through the stomach wall. Also, tissue closure devices and methods to close the opening created through the stomach wall.

Transgastric abdominal access

Apparatus and methods are provided for performing mucosectomy, such as to map out gastrointestinal surgery, including endoluminal gastric reduction. In one variation, the apparatus comprises a separating element and an integrated resection element. In one variation, the apparatus is configured to simultaneously separate mucosal tissue from underlying muscularis tissue and to resect the separated mucosal tissue. Methods of using the apparatus are provided.

Apparatus and methods for performing mucosectomy

Methods for performing gastroplasty include reducing the effective volume or cross-sectional area of the stomach via approximation of gastric tissue. Such reduction preferably is achieved endoluminally, either with or without laparoscopic ports. In one variation, a sleeve, pouch, Magenstrasse and Mill, Vertical Banded Gastroplasty ('VBG'), etc.,is formed within the stomach by approximating opposing anterior and posterior segments or ridges of the stomach wall at locations inferior to the gastroesophageal junction. In another variation, opposing walls of the stomach are approximated at a plurality of substantially random locations to reduce an effective volume of the stomach. In yet another variation, both a sleeve and random approximations are formed, the random approximations preferably disposed in a portion of the stomach excluded by the sleeve. In still another variation, opposing walls of the stomach are approximated over significant lengths at random or specified locations.

Methods for performing gastroplasty

An attachment or locking apparatus which can effectively secure an implant, such as a stent or stent graft, to a vessel or hollow organ wall and which allows minimally-invasive techniques, such as laparoscopy, to be used to attach the implant. The locking element is inserted through an anatomic vessel or hollow organ wall and the implant from outside of the vessel or hollow organ. The locking element preferably is composed of a thin retaining element and a clamping element at one end of the retaining element. A positioning device with an attached locking element may be inserted into the patient's body, such that the positioning device penetrates both the vascular or hollow organ wall and the implant deployed within the vascular or hollow organ wall. The clamping element, held within the positioning device, is then ejected into the vessel or hollow organ. The locking element is pulled tight, and then the locking element is secured into place. The locking element made be secured in place by physically deforming a portion of the retaining element outside of the vascular or hollow organ wall, by either winding or bending the retaining element.

Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall

An attachment or locking apparatus which can effectively secure an implant, such as a stent or stent graft, to a vessel or hollow organ wall and which allows minimally-invasive techniques, such as laparoscopy, to be used to attach the implant. The locking element is inserted through an anatomic vessel or hollow organ wall and the implant from outside of the vessel or hollow organ. The locking element preferably is composed of a thin retaining element and a clamping element joined flexibly at one end of the retaining element. A fixing element is secured in position on the retaining element to secure or attach the implant in place. A positioning device, including a thin cannula with an attached locking element, may be inserted into the patient's body, such that the cannula penetrates both the vascular or hollow organ wall and the implant deployed within the vascular wall. The clamping element, held within the cannula, is then ejected into the vessel or hollow organ. The locking element is pulled tight, and pressure-distribution and/or pressure elements are then slid down the locking element toward the vessel wall or hollow organ. A fixing element is then slid against the pressure-distribution and/or pressure elements, and secured into place. The free end of the locking element may then be cut off near the fixing element.

Growing community of inventors

Portland, OR, United States of America

Lee L Swanstrom