최소 단어 이상 선택하여야 합니다.
최대 10 단어까지만 선택 가능합니다.
다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
NTIS 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
DataON 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Edison 바로가기다음과 같은 기능을 한번의 로그인으로 사용 할 수 있습니다.
Kafe 바로가기국가/구분 | United States(US) Patent 등록 |
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국제특허분류(IPC7판) |
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출원번호 | US-0181842 (2011-07-13) |
등록번호 | US-8734478 (2014-05-27) |
발명자 / 주소 |
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출원인 / 주소 |
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인용정보 | 피인용 횟수 : 366 인용 특허 : 398 |
Tissue manipulation devices are disclosed. In various forms, the devices include tissue manipulation arms that are arranged in a position suitable to enable the device to be inserted into the colon then, upon application of at least one actuation motion thereto, at least some of the tissue manipulat
Tissue manipulation devices are disclosed. In various forms, the devices include tissue manipulation arms that are arranged in a position suitable to enable the device to be inserted into the colon then, upon application of at least one actuation motion thereto, at least some of the tissue manipulation arms are moved to deployed positions wherein they contact corresponding portions of the colon to thereby expand the colon. Various devices are actuatable by various forms of actuation forces. In various embodiments, the tissue manipulation arms may be movable along corresponding axes that are transverse to an insertion axis and may also be rotated about the insertion axis as well as be moved in directions that are substantially parallel to the insertion axis.
1. A rectal manipulation device, comprising: a shaft assembly defining an insertion axis, wherein at least a portion of said shaft assembly is configured to be inserted into a patient's rectum; anda plurality of tissue manipulation arms each having a tissue manipulation end, each said tissue manipul
1. A rectal manipulation device, comprising: a shaft assembly defining an insertion axis, wherein at least a portion of said shaft assembly is configured to be inserted into a patient's rectum; anda plurality of tissue manipulation arms each having a tissue manipulation end, each said tissue manipulation arm operably supported by said shaft assembly, wherein at least some of said tissue manipulation arms are selectively movable from a first insertion position wherein all of said tissue manipulation ends are substantially aligned relative to each other and, upon application of an actuation motion thereto, said at least some of said tissue manipulation arms move to other deployed positions about said insertion axis such that said tissue manipulation ends of said plurality of tissue manipulation arms are not all substantially aligned relative to each other and wherein one of said at least some of said tissue manipulation arms is constrained to move along a corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to one of said other deployed positions upon application of said actuation motion thereto and wherein another one of said at least some of said tissue manipulation arms is constrained to move along another corresponding transverse axis that is substantially transverse to said insertion axis and parallel to said corresponding transverse axis from said first insertion position to another one of said other deployed positions upon application of said actuation motion thereto. 2. The rectal manipulation device of claim 1 further comprising an expandable sheath extending over at least some of said plurality of tissue manipulation arms, said expandable sheath configured to retain said at least some of said plurality of tissue manipulation arms in said first insertion position and expand as said at least some of said plurality of tissue manipulation arms are moved to said other deployed positions. 3. The rectal manipulation device of claim 1 wherein, upon application of said actuation motion to said one of said at least some of said tissue manipulation arms, said one of said at least some of said tissue manipulation arms moves to said one of said other deployed positions wherein said tissue manipulation end thereof is located on one lateral side of said insertion axis and, upon application of said actuation motion to said another one of said at least some of said tissue manipulation arms causes said another one of said at least some of said tissue manipulation arms to move to said another said other deployed position wherein said tissue manipulation end thereof is located on another lateral side of said insertion axis. 4. The rectal manipulation device of claim 1 wherein said actuation motion is applied to said at least some of said tissue manipulation arms by a tension member operably engaging a deployment portion thereof such that, upon application of tension to said tension member, said at least some of said tissue manipulation arms are moved to at least some of said other deployed positions. 5. The rectal manipulation device of claim 4 wherein each said deployment portion of said at least some of said tissue manipulation arms is configured to return said at least some of said tissue manipulation arms from said at least some other deployed positions to said insertion position upon removal of said application of tension to said tension member. 6. The rectal manipulation device of claim 1 wherein said plurality of said tissue manipulation arms is equally spaced along a portion of said shaft assembly. 7. The rectal manipulation device of claim 1 wherein said at least some of said tissue manipulation arms that are selectively movable are configured to move axially along said insertion axis upon application of said actuation motion thereto. 8. A rectum manipulation device, comprising: a shaft assembly defining an insertion axis;a first tissue manipulation arm movably supported on said shaft assembly and is movable relative thereto along a first axis that is substantially transverse to said insertion axis;a second tissue manipulation arm movably supported on said shaft assembly and is movable relative thereto along a second axis that is substantially transverse to said insertion axis;a third tissue manipulation arm movably supported on said shaft assembly and is movable relative thereto along a third axis that is substantially transverse to said insertion axis;a fourth tissue manipulation arm movably supported on said shaft assembly and is movable relative thereto along a fourth axis that is substantially transverse to said insertion axis; andan actuation member comprising a tension member operably interfacing with each of said first, second, third, and fourth tissue manipulation arms such that, upon application of an actuation motion to said tension member, said tension member applies deployment motions to said first, second, third and fourth tissue manipulation arms. 9. The rectum manipulation device of claim 8 further comprising a first biasing member biasing said first tissue manipulation arm to a first insertion position upon discontinuing said application of said deployment motion thereto;a second biasing member biasing said second tissue manipulation arm to a second insertion position upon discontinuing said application of said deployment motion thereto;a third biasing member biasing said third tissue manipulation arm to a third insertion position upon discontinuing said application of said deployment motion thereto; anda fourth biasing member biasing said fourth tissue manipulation arm to a fourth insertion position upon discontinuing said application of said deployment motion thereto. 10. The rectum manipulation device of claim 8 wherein said actuation member is configured to operably engage corresponding portions of each of said first, second, third, and fourth tissue manipulation arms when said actuation motion is applied thereto in a first direction, said actuation member configured to disengage said corresponding portions of each of said first, second, third, and fourth tissue manipulation arms when said actuation motion is applied thereto in a second direction that is opposite to said first direction. 11. A rectal manipulation device, comprising: a shaft assembly defining an insertion axis, wherein at least a portion of said shaft assembly is configured to be inserted into a patient's rectum; anda plurality of tissue manipulation arms each having a tissue manipulation end, each said tissue manipulation arm operably supported by said shaft assembly, wherein at least some of said tissue manipulation arms are selectively movable from a first insertion position wherein all of said tissue manipulation ends are substantially aligned relative to each other and, upon application of an actuation motion thereto, said at least some of said tissue manipulation arms move to other deployed positions about said insertion axis such that said tissue manipulation ends of said plurality of tissue manipulation arms are not all substantially aligned relative to each other and wherein said actuation motion is applied to said at least some of said tissue manipulation arms by a tension member operably engaging a deployment portion thereof such that, upon application of tension to said tension member, said at least some of said tissue manipulation arms are moved to at least some of said other deployed positions. 12. The rectal manipulation device of claim 11 further comprising an expandable sheath extending over at least some of said plurality of tissue manipulation arms, said expandable sheath configured to retain said at least some of said plurality of tissue manipulation arms in said first insertion position and expand as said at least some of said plurality of tissue manipulation arms are moved to said other deployed positions. 13. The rectal manipulation device of claim 11 wherein, upon application of said actuation motion to one of said at least some of said tissue manipulation arms, said one of said at least some of said tissue manipulation arms moves to one of said other deployed positions wherein said tissue manipulation end thereof is located on one lateral side of said insertion axis and, upon application of said actuation motion to another one of said at least some of said tissue manipulation arms causes said another one of said at least some of said tissue manipulation arms to move to another said other deployed position wherein said tissue manipulation end thereof is located on another lateral side of said insertion axis. 14. The rectal manipulation device of claim 11 wherein one of said at least some of said tissue manipulation arms is constrained to move along a corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to one of said other deployed positions upon application of said actuation motion thereto and wherein another one of said at least some of said tissue manipulation arms is constrained to move along another corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to another one of said other deployed positions upon application of said actuation motion thereto. 15. The rectal manipulation device of claim 14 wherein said corresponding transverse axis is substantially parallel to said corresponding transverse axis. 16. The rectal manipulation device of claim 11 wherein each deployment portion of said at least some of said tissue manipulation arms is configured to return said at least some of said tissue manipulation arms from said at least some other deployed positions to said insertion position upon removal of said application of tension to said tension member. 17. The rectal manipulation device of claim 11 wherein said plurality of said tissue manipulation arms are equally spaced along a portion of said shaft assembly. 18. A rectal manipulation device, comprising: a shaft assembly defining an insertion axis, wherein at least a portion of said shaft assembly is configured to be inserted into a patient's rectum; anda plurality of tissue manipulation arms each having a tissue manipulation end, each said tissue manipulation arm operably supported by said shaft assembly, wherein at least some of said tissue manipulation arms are selectively movable from a first insertion position wherein all of said tissue manipulation ends are substantially aligned relative to each other and, upon application of an actuation motion thereto, said at least some of said tissue manipulation arms move to other deployed positions about said insertion axis such that said tissue manipulation ends of said plurality of tissue manipulation arms are not all substantially aligned relative to each other and wherein one of said at least some of said tissue manipulation arms is constrained to move along a corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to one of said other deployed positions upon application of said actuation motion thereto and wherein another one of said at least some of said tissue manipulation arms is constrained to move along another corresponding transverse axis that is substantially transverse to said insertion axis and axially spaced from said corresponding transverse axis from said first insertion position to another one of said other deployed positions upon application of said actuation motion thereto. 19. The rectal manipulation device of claim 18 further comprising an expandable sheath extending over at least some of said plurality of tissue manipulation arms, said expandable sheath configured to retain said at least some of said plurality of tissue manipulation arms in said first insertion position and expand as said at least some of said plurality of tissue manipulation arms are moved to said other deployed positions. 20. The rectal manipulation device of claim 18 wherein, upon application of said actuation motion to said one of said at least some of said tissue manipulation arms, said one of said at least some of said tissue manipulation arms moves to one of said other deployed positions wherein said tissue manipulation end thereof is located on one lateral side of said insertion axis and, upon application of said actuation motion to another one of said at least some of said tissue manipulation arms causes said another one of said at least some of said tissue manipulation arms to move to another said other deployed position wherein said tissue manipulation end thereof is located on another lateral side of said insertion axis. 21. The rectal manipulation device of claim 18 wherein said one of said at least some of said tissue manipulation arms is constrained to move along a corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to said one of said other deployed positions upon application of said actuation motion thereto and wherein said another one of said at least some of said tissue manipulation arms is constrained to move along another corresponding transverse axis that is substantially transverse to said insertion axis from said first insertion position to said another one of said other deployed positions upon application of said actuation motion thereto. 22. The rectal manipulation device of claim 21 wherein said corresponding transverse axis is substantially parallel to said another corresponding transverse axis. 23. The rectal manipulation device of claim 18 wherein said actuation motion is applied to said at least some of said tissue manipulation arms by a tension member operably engaging a deployment portion thereof such that, upon application of tension to said tension member, said at least some of said tissue manipulation arms are moved to at least some of said other deployed positions. 24. The rectal manipulation device of claim 23 wherein each said deployment portion of said at least some of said tissue manipulation arms is configured to return said at least some of said tissue manipulation arms from said at least some other deployed positions to said insertion position upon removal of said application of tension to said tension member. 25. A rectal manipulation device, comprising: a shaft assembly defining an insertion axis, wherein at least a portion of said shaft assembly is configured to be inserted into a patient's rectum; anda plurality of tissue manipulation arms each having a tissue manipulation end, each said tissue manipulation arm operably supported by said shaft assembly, wherein at least some of said tissue manipulation arms are selectively movable from a first insertion position wherein all of said tissue manipulation ends are substantially aligned relative to each other and, upon application of an actuation motion thereto, said at least some of said tissue manipulation arms move to other deployed positions about said insertion axis such that said tissue manipulation ends of said plurality of tissue manipulation arms are not all substantially aligned relative to each other and wherein one of said at least some of said tissue manipulation arms is constrained to move along a corresponding transverse plane that is substantially transverse to said insertion axis from said first insertion position to one of said other deployed positions upon application of said actuation motion thereto and wherein another one of said at least some of said tissue manipulation arms is constrained to move along another corresponding transverse plane that is substantially transverse to said insertion axis and parallel to said corresponding transverse plane from said first insertion position to another one of said other deployed positions upon application of said actuation motion thereto. 26. The rectal manipulation device of claim 25 further comprising an expandable sheath extending over at least some of said plurality of tissue manipulation arms, said expandable sheath configured to retain said at least some of said plurality of tissue manipulation arms in said first insertion position and expand as said at least some of said plurality of tissue manipulation arms are moved to said other deployed positions. 27. The rectal manipulation device of claim 25 wherein, upon application of said actuation motion to said one of said at least some of said tissue manipulation arms, said one of said at least some of said tissue manipulation arms moves to one of said other deployed positions wherein said tissue manipulation end thereof is located on one lateral side of said insertion axis and, upon application of said actuation motion to said another one of said at least some of said tissue manipulation arms causes said another one of said at least some of said tissue manipulation arms to move to another said other deployed position wherein said tissue manipulation end thereof is located on another lateral side of said insertion axis. 28. The rectal manipulation device of claim 25 wherein said actuation motion is applied to said at least some of said tissue manipulation arms by a tension member operably engaging a deployment portion thereof such that, upon application of tension to said tension member, said at least some of said tissue manipulation arms are moved to at least some of said other deployed positions.
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