JAN KAMLER, MD
Osteopathic Medicine at Ryland St, Reno, NV

2014008, Mar 20, 2014

Mar 15, 2013

13/834087

Jan P. Kamler - Reno NV, US

A61B 17/12

606140

A ligating apparatus and method. One embodiment includes a barrel-shaped ligator attached to the penetrating end of a structure, such as an endoscope, and cord pulling assembly at the opposed end of the structure. In the case of use with an endoscope, a pullable cord is wound on the cord pulling assembly and then extends through a working channel in the endoscope to penetrate the ligator. The barrel-shaped ligator is coaxial with the penetrating end of the endoscope, and a practitioner can look through the operating end of the endoscope and see through the endoscope and ligator to observe flesh, for example, in front of the ligating end of the ligator. The ligator includes coaxial inner and outer barrels that rotate with respect to each other upon pulling of the cord by the cord pulling assembly. This relative rotation causes one barrel to move laterally with respect to the other barrel and eject a ligature from the ligating end of the ligator. The cord pulling assembly is mounted and held in place on the endoscope by opposed arcuate arms and a transverse removable pin.

2013022, Aug 29, 2013

Feb 27, 2013

13/779576

Jan P. Kamler - Reno NV, US

A61B 17/12

606140

A banding apparatus and method. One embodiment is a unitary or integrated hemorrhoidal single hand-held and single hand-operated ligator, which can, in some embodiments, enable direct visualization and release of multiple bands. The ligator has a gun-shaped handle extending from a vacuum generating trigger tube, with a fixed band bearing barrel extending from the vacuum generating trigger tube. A vacuum generating tube extends through the band bearing barrel from the rear of the gun ligator to the band bearing barrel end of the ligator gun, and is in air movement communication with the vacuum generating tube and band bearing barrel end of the ligator gun. A band actuating barrel is threadably mounted to surround a portion of the band bearing barrel, and rotation of the barrel cause the barrel to move laterally and force one or more ligating bands along and off of the band bearing barrel end. A light source can be included to illuminate the band bearing barrel end. Most components are made of nearly transparent. durable, lightweight, recyclable plastic, such as polypropylene; and with such components the operator can see through the gun components and observe the material, such as a hemorrhoid, to be ligated.