WO2001067964A3 - Fundoplication apparatus and method - Google Patents

Fundoplication apparatus and method Download PDF

Info

Publication number
WO2001067964A3
WO2001067964A3 PCT/IL2001/000238 IL0100238W WO0167964A3 WO 2001067964 A3 WO2001067964 A3 WO 2001067964A3 IL 0100238 W IL0100238 W IL 0100238W WO 0167964 A3 WO0167964 A3 WO 0167964A3
Authority
WO
WIPO (PCT)
Prior art keywords
separate elements
positioning assembly
bending portion
flexible portion
staple ejecting
Prior art date
Application number
PCT/IL2001/000238
Other languages
French (fr)
Other versions
WO2001067964A8 (en
WO2001067964A2 (en
Inventor
Elazar Sonnenschein
Minelu Zonnenshein
Randal Chinnock
Lawrence Crainich
Original Assignee
Medigus Ltd
Elazar Sonnenschein
Minelu Zonnenshein
Randal Chinnock
Lawrence Crainich
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
Priority claimed from IL13511700A external-priority patent/IL135117A0/en
Priority claimed from IL138632A external-priority patent/IL138632A/en
Priority claimed from IL139788A external-priority patent/IL139788A/en
Priority claimed from IL141665A external-priority patent/IL141665A/en
Priority to EP01914150A priority Critical patent/EP1265537B1/en
Priority to CA002403013A priority patent/CA2403013C/en
Priority to NZ521288A priority patent/NZ521288A/en
Priority to JP2001566436A priority patent/JP4477280B2/en
Application filed by Medigus Ltd, Elazar Sonnenschein, Minelu Zonnenshein, Randal Chinnock, Lawrence Crainich filed Critical Medigus Ltd
Priority to AU2001239525A priority patent/AU2001239525B2/en
Priority to AT01914150T priority patent/ATE295122T1/en
Priority to IL15167701A priority patent/IL151677A0/en
Priority to MXPA02008996A priority patent/MXPA02008996A/en
Priority to AU3952501A priority patent/AU3952501A/en
Priority to DE60110761T priority patent/DE60110761T2/en
Publication of WO2001067964A2 publication Critical patent/WO2001067964A2/en
Publication of WO2001067964A3 publication Critical patent/WO2001067964A3/en
Publication of WO2001067964A8 publication Critical patent/WO2001067964A8/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002Operational features of endoscopes
    • A61B1/00043Operational features of endoscopes provided with output arrangements
    • A61B1/00045Display arrangement
    • A61B1/0005Display arrangement combining images e.g. side-by-side, superimposed or tiled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163Optical arrangements
    • A61B1/00174Optical arrangements characterised by the viewing angles
    • A61B1/00181Optical arrangements characterised by the viewing angles for multiple fixed viewing angles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00163Optical arrangements
    • A61B1/00193Optical arrangements adapted for stereoscopic vision
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005Flexible endoscopes
    • A61B1/0051Flexible endoscopes with controlled bending of insertion part
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0686Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/042Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by a proximal camera, e.g. a CCD camera
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/07Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • A61B2017/00827Treatment of gastro-esophageal reflux
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible

Abstract

An endoscopic device for the partial fundoplication for the treatment of GERD, comprises: a) a distal bending portion (b) and a flexible portion (f) suitable to be positioned in extended shape within the esophagus of a subject; b) a positioning assembly comprising two separate elements (62, 62A), one of which (62A) is located on said distal bending portion (b), and the other (62) on said flexible portion (f); c) a stapling assembly comprising a staple ejecting device (61A), wherein said staple ejecting device (61A) is located on either said bending portion (b) or on said flexible portion (f), said staple ejecting devices (61A) being in working positioned relationship when said two separate elements (62, 62A) of said positioning assembly are aligned; and d) circuitry for determining when said two separate elements (62, 62A) of said positioning assembly are aligned.
PCT/IL2001/000238 2000-03-16 2001-03-12 Fundoplication apparatus and method WO2001067964A2 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
IL15167701A IL151677A0 (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method
MXPA02008996A MXPA02008996A (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method.
AU3952501A AU3952501A (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method
CA002403013A CA2403013C (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method
DE60110761T DE60110761T2 (en) 2000-03-16 2001-03-12 DEVICE FOR FUNDOPLICATION
NZ521288A NZ521288A (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method
JP2001566436A JP4477280B2 (en) 2000-03-16 2001-03-12 Gastric fistula wall forming device
EP01914150A EP1265537B1 (en) 2000-03-16 2001-03-12 Fundoplication apparatus
AU2001239525A AU2001239525B2 (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method
AT01914150T ATE295122T1 (en) 2000-03-16 2001-03-12 DEVICE FOR FUNDOPLICATION

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
IL13511700A IL135117A0 (en) 2000-03-16 2000-03-16 Endoscopic fundoplication device and method
IL135117 2000-03-16
IL138632 2000-09-21
IL138632A IL138632A (en) 2000-09-21 2000-09-21 Multiple view endoscopes
IL139788A IL139788A (en) 2000-11-20 2000-11-20 Stapler for endoscopes
IL139788 2000-11-20
IL141665A IL141665A (en) 2001-02-26 2001-02-26 Ultrasonic positioning
IL141665 2001-02-26

Publications (3)

Publication Number Publication Date
WO2001067964A2 WO2001067964A2 (en) 2001-09-20
WO2001067964A3 true WO2001067964A3 (en) 2002-04-18
WO2001067964A8 WO2001067964A8 (en) 2002-07-18

Family

ID=27452520

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2001/000238 WO2001067964A2 (en) 2000-03-16 2001-03-12 Fundoplication apparatus and method

Country Status (10)

Country Link
US (1) US7156863B2 (en)
EP (2) EP1265537B1 (en)
JP (1) JP4477280B2 (en)
AT (1) ATE295122T1 (en)
AU (2) AU3952501A (en)
CA (1) CA2403013C (en)
DE (1) DE60110761T2 (en)
MX (1) MXPA02008996A (en)
NZ (1) NZ521288A (en)
WO (1) WO2001067964A2 (en)

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US7156863B2 (en) 2007-01-02
ATE295122T1 (en) 2005-05-15
WO2001067964A8 (en) 2002-07-18
CA2403013C (en) 2010-02-02
DE60110761T2 (en) 2006-05-04
DE60110761D1 (en) 2005-06-16
JP2003526439A (en) 2003-09-09
NZ521288A (en) 2004-12-24
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EP1265537A2 (en) 2002-12-18
AU2001239525B2 (en) 2004-12-02
EP1452125A2 (en) 2004-09-01
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US20010056282A1 (en) 2001-12-27
WO2001067964A2 (en) 2001-09-20

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