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公开(公告)号：US20110046660A1
公开(公告)日：2011-02-24
申请号：US12705181
申请日：2010-02-12
申请人： Baber Syed , Charles R. Brynelsen , Mitchell Lirtzman , Ken Wong
发明人： Baber Syed , Charles R. Brynelsen , Mitchell Lirtzman , Ken Wong
CPC分类号： A61B17/295 , A61B17/00491 , A61B17/0057 , A61B17/3209 , A61B17/3478 , A61B18/1477 , A61B18/1482 , A61B2017/00004 , A61B2017/00278 , A61B2017/00353 , A61B2017/00557 , A61B2017/00606 , A61B2017/00623 , A61B2017/22061 , A61B2017/32113 , A61B2018/1425
摘要： An exemplary forceps system for use within a tool channel of an endoscope comprises an elongated body extending from a proximal end and a distal end having one or more internal lumens. An actuator is slidably positioned within a first lumen, and actuatable jaws are removeably coupled to a first end of the actuator near the distal end. A handle is removeably coupleable to the proximal end of the body, the removable handle having a forceps actuator operatively engageable with a second end of the actuator so as to control the actuatable jaws when the handle is coupled to the body. A single or double balloon closure device having an inflatable anchor on a peritoneal side and a narrow inflatable portion, is also provided. The narrow portion may be shaped to follow the shape of the transgastric cut. The balloon closure device may deliver medication speed up the healing process and may contain a biocompatible sealant that may be dispersed over the incision site and/or used to keep the anchor on the peritoneal side inflated.
摘要翻译： 在内窥镜的工具通道内使用的示例性镊子系统包括从近端延伸的细长主体和具有一个或多个内部腔的远端。 致动器可滑动地定位在第一内腔内，并且可致动的爪可移除地联接到靠近远端的致动器的第一端。 手柄可拆卸地联接到主体的近端，可移除手柄具有可操作地与致动器的第二端接合的镊子致动器，以便当把手联接到主体时控制可动爪。 还提供了具有腹膜侧上的可膨胀锚固件和窄的可充气部分的单个或双重气囊闭合装置。 狭窄部分可以被成形为遵循经胃切割的形状。 气囊封闭装置可以递送药物加速愈合过程，并且可以包含生物相容的密封剂，其可以分散在切口部位上和/或用于将锚固体保持在充气的腹膜侧。
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12.发明申请Methods and Devices for Stimulation of an Organ with the Use of a Transectionally Placed Guide Wire 审中-公开用于刺激使用横向放置的导丝的器官的方法和装置公开(公告)号：US20090018606A1
公开(公告)日：2009-01-15
申请号：US12236395
申请日：2008-09-23
IPC分类号： A61N1/05
CPC分类号： A61N1/0509 , A61N1/0517 , A61N1/36007
摘要： Devices, systems and methods are provided for electrical stimulation of a body organ, particularly within the gastrointestinal tract. In preferred embodiments, the stomach is the organ within the gastrointestinal tract which is targeted for such stimulation. A guide wire or other delivery device is positioned within the body so as to transect the stomach wall. Devices and systems are then advanced over the guide wire for attachment to the stomach wall. The guide wire may be placed by endoscopic, open, laparoscopic or a modified percutaneous approach. In a modified percutaneous approach, the stomach is accessed without the use of general anesthesia by advancing a needle through the abdomen, transecting the stomach wall with the needle and advancing the guide wire through the needle. In some embodiments, particularly for use in obese patients, the modified percutaneous approach includes advancing a trocar through the tissue of the patient toward the outer surface of the organ and advancing the needle through the trocar prior to transecting the wall with the needle.
摘要翻译： 设备，系统和方法用于电刺激身体器官，特别是在胃肠道内。 在优选的实施方案中，胃是针对这种刺激的胃肠道内的器官。 引导线或其他输送装置定位在体内以便横切胃壁。 然后，装置和系统在引导线上前进以附接到胃壁。 导丝可以通过内窥镜，开放式，腹腔镜或经修改的经皮方法来放置。 在改进的经皮途径中，通过使针穿过腹部，用针切开胃壁并使引导线穿过针而进入胃而不使用全身麻醉。 在一些实施方案中，特别是用于肥胖患者中，经修改的经皮方法包括使套针针穿过患者的组织朝向器官的外表面，并且在用针横切壁之前使针穿过套针针。
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13.发明授权公开(公告)号：US07509175B2
公开(公告)日：2009-03-24
申请号：US11830419
申请日：2007-07-30
IPC分类号： A61N1/05
CPC分类号： A61N1/0558 , A61F5/0026 , A61N1/36007
摘要： Devices, systems and methods are provided for electrical stimulation of a body organ, particularly within the gastrointestinal tract. In preferred embodiments, the stomach is the organ within the gastrointestinal tract which is targeted for such stimulation. A guide wire or other delivery device is positioned within the body so as to transect the stomach wall. Devices and systems are then advanced over the guide wire for attachment to the stomach wall. The guide wire may be placed by endoscopic, open, laparoscopic or a modified percutaneous approach. In a modified percutaneous approach, the stomach is accessed without the use of general anesthesia by advancing a needle through the abdomen, transecting the stomach wall with the needle and advancing the guide wire through the needle. In some embodiments, particularly for use in obese patients, the modified percutaneous approach includes advancing a trocar through the tissue of the patient toward the outer surface of the organ and advancing the needle through the trocar prior to transecting the wall with the needle.
摘要翻译： 设备，系统和方法用于电刺激身体器官，特别是在胃肠道内。 在优选的实施方案中，胃是针对这种刺激的胃肠道内的器官。 引导线或其他输送装置定位在体内以便横切胃壁。 然后，装置和系统在引导线上前进以附接到胃壁。 导丝可以通过内窥镜，开放式，腹腔镜或经修改的经皮方法来放置。 在改进的经皮途径中，通过使针穿过腹部，用针切开胃壁并使引导线穿过针而进入胃而不使用全身麻醉。 在一些实施方案中，特别是用于肥胖患者中，经修改的经皮方法包括使套针针穿过患者的组织朝向器官的外表面，并且在用针横切壁之前使针穿过套针针。
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公开(公告)号：US20090030474A1
公开(公告)日：2009-01-29
申请号：US12145430
申请日：2008-06-24
IPC分类号： A61N1/05
CPC分类号： A61N1/36007 , A61N1/05
摘要： Gastric stimulation systems and methods are provided for treating a patient, particularly by modifying behavior of the patient leading to excess weight loss. In some embodiments, such weight loss is achieved with a combination approach which includes two or more of the following: acute screening of the potential patients, gastric stimulation, induction of symptoms or specific behaviors and integration of patient management data into the treatment plan. Gastric stimulation is provided to portions of the gastrointestinal tract, particularly the stomach, with the use of at least one electrode. A variety of gastric stimulation systems may be used, including stimulators that are endoscopically placed, laparoscopically placed or placed by modified or combination methods.
摘要翻译： 提供胃刺激系统和方法用于治疗患者，特别是通过改变导致多余体重减轻的患者的行为。 在一些实施方案中，通过组合方法实现这种体重减轻，其包括以下两个或更多个：潜在患者的急性筛选，胃刺激，诱导症状或特定行为以及将患者管理数据整合到治疗计划中。 使用至少一个电极将胃刺激提供给胃肠道的部分，特别是胃。 可以使用各种胃刺激系统，包括通过内窥镜放置的腹腔镜放置或通过修改或组合方法放置的刺激器。
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