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    Intra-gastric fastening devices
    11.
    发明授权
    Intra-gastric fastening devices 有权
    胃内紧固装置

    公开(公告)号：US06994715B2

    公开(公告)日：2006-02-07

    申请号：US10394832

    申请日：2003-03-21

    申请人： Jamy Gannoe ,  Gary Weller ,  Craig Gerbi ,  Douglas S. Sutton

    发明人： Jamy Gannoe ,  Gary Weller ,  Craig Gerbi ,  Douglas S. Sutton

    IPC分类号： A61B17/08

    CPC分类号： A61F5/003 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/08 ,  A61B2017/00557 ,  A61B2017/0441 ,  A61B2017/06171 ,  A61B2017/0649 ,  A61F5/0036

    摘要： Intra-gastric fastening devices are disclosed herein. Expandable devices that are inserted into the stomach of the patient are maintained within by anchoring or otherwise fixing the expandable devices to the stomach walls. Such expandable devices, like inflatable balloons, have tethering regions for attachment to the one or more fasteners which can be configured to extend at least partially through one or several folds of the patient's stomach wall. The fasteners are thus affixed to the stomach walls by deploying the fasteners and manipulating the tissue walls entirely from the inside of the organ. Such fasteners can be formed in a variety of configurations, e.g., helical, elongate, ring, clamp, and they can be configured to be non-piercing. Alternatively, sutures can be used to wrap around or through a tissue fold for tethering the expandable devices. Non-piercing biased clamps can also be used to tether the device within the stomach.

    摘要翻译： 本文公开了胃内紧固装置。 通过锚定或以其他方式将可扩张装置固定在胃壁上，可以将插入到患者胃中的可扩张装置保持在内部。 这种可膨胀装置，如可充气气囊，具有用于连接到一个或多个紧固件的束缚区域，所述紧固件可构造成至少部分延伸穿过患者胃壁的一个或多个折叠。 因此，紧固件通过展开紧固件并完全从器官内部操纵组织壁而固定在胃壁上。 这种紧固件可以以各种构造形成，例如螺旋，细长，环形，夹紧，并且它们可被构造成不穿孔。 或者，可以使用缝合线缠绕或穿过组织折叠以将可扩张装置系在一起。 非刺穿偏压夹具也可用于将装置系在胃内。

    Method and devices for modifying the function of a body organ
    12.
    发明授权
    Method and devices for modifying the function of a body organ 有权
    改变身体器官功能的方法和装置

    公开(公告)号：US08231641B2

    公开(公告)日：2012-07-31

    申请号：US11700528

    申请日：2007-01-31

    申请人： Jamy Gannoe ,  Gary Weller ,  Douglas S. Sutton ,  Craig Gerbi

    发明人： Jamy Gannoe ,  Gary Weller ,  Douglas S. Sutton ,  Craig Gerbi

    IPC分类号： A61B17/08

    CPC分类号： A61F5/0086 ,  A61B17/00234 ,  A61B17/0469

    摘要： Methods and devices for partitioning or plicating a region of a hollow body organ are described herein. These methods and devices relate generally to medical apparatus and methods and more particularly to devices and methods for affecting a change in the function of a hollow body organ, particularly a stomach, intestine or gastrointestinal tract. These changes can include reducing the volume capacity of the hollow body organ, disrupting or altering the normal function of the organ, functionally excluding certain sections of the organ either by affixing adjacent tissue or excising certain regions, or affecting or correcting the response of the organ to naturally occurring stimuli, such as ingestion.

    摘要翻译： 本文描述了用于分割或修补中空身体器官的区域的方法和装置。 这些方法和装置通常涉及医疗装置和方法，更具体地涉及用于影响中空身体器官，特别是胃，肠或胃肠道的功能变化的装置和方法。 这些变化可以包括减少中空体器官的体积容量，破坏或改变器官的正常功能，通过附加相邻组织或切除某些区域功能排除器官的某些部位，或影响或矫正器官的反应 对天然存在的刺激，如摄入。

    INTRA-GASTRIC FASTENING DEVICES
    13.
    发明申请
    INTRA-GASTRIC FASTENING DEVICES 审中-公开
    内部紧固装置

    公开(公告)号：US20120065653A1

    公开(公告)日：2012-03-15

    申请号：US13300942

    申请日：2011-11-21

    申请人： Jamy Gannoe ,  Gary Weller ,  Craig Gerbi ,  Douglas S. Sutton

    发明人： Jamy Gannoe ,  Gary Weller ,  Craig Gerbi ,  Douglas S. Sutton

    IPC分类号： A61B17/03

    CPC分类号： A61F5/003 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/08 ,  A61B2017/00557 ,  A61B2017/0441 ,  A61B2017/06171 ,  A61B2017/0649 ,  A61F5/0036

    摘要： Intra-gastric fastening devices are disclosed herein. Expandable devices that are inserted into the stomach of the patient are maintained within by anchoring or otherwise fixing the expandable devices to the stomach walls. Such expandable devices, like inflatable balloons, have tethering regions for attachment to the one or more fasteners which can be configured to extend at least partially through one or several folds of the patient's stomach wall. The fasteners are thus affixed to the stomach walls by deploying the fasteners and manipulating the tissue walls entirely from the inside of the organ. Such fasteners can be formed in a variety of configurations, e.g., helical, elongate, ring, clamp, and they can be configured to be non-piercing. Alternatively, sutures can be used to wrap around or through a tissue fold for tethering the expandable devices. Non-piercing biased clamps can also be used to tether the device within the stomach.

    摘要翻译： 本文公开了胃内紧固装置。 通过锚定或以其他方式将可扩张装置固定在胃壁上，可以将插入到患者胃中的可扩张装置保持在内部。 这种可膨胀装置，如可充气气囊，具有用于连接到一个或多个紧固件的束缚区域，所述紧固件可构造成至少部分延伸穿过患者胃壁的一个或多个折叠。 因此，紧固件通过展开紧固件并完全从器官内部操纵组织壁而固定在胃壁上。 这种紧固件可以以各种构造形成，例如螺旋，细长，环形，夹紧，并且它们可被构造成不穿孔。 或者，可以使用缝合线缠绕或穿过组织折叠以将可扩张装置系在一起。 非刺穿偏压夹具也可用于将装置系在胃内。

    Method and device for use in endoscopic organ procedures
    19.
    发明授权
    Method and device for use in endoscopic organ procedures 有权
    用于内窥镜器官手术的方法和装置

    公开(公告)号：US07789848B2

    公开(公告)日：2010-09-07

    申请号：US11713897

    申请日：2007-03-05

    申请人： Jamy Gannoe ,  Craig Gerbi ,  Gary Weller ,  Matthew J. Collier

    发明人： Jamy Gannoe ,  Craig Gerbi ,  Gary Weller ,  Matthew J. Collier

    IPC分类号： A61M5/00

    CPC分类号： A61F5/0079 ,  A61B17/072 ,  A61B17/1114 ,  A61B17/1155 ,  A61B2017/00323 ,  A61B2017/07214 ,  A61B2017/2905 ,  A61B2017/306 ,  A61F5/0076 ,  A61F5/0086

    摘要： Methods and devices for use in tissue approximation and fixation are described herein. The present invention provides, in part, methods and devices for acquiring tissue folds in a circumferential configuration within a hollow body organ, e.g., a stomach, positioning the tissue folds for affixing within a fixation zone of the stomach, preferably to create a pouch or partition below the esophagus, and fastening the tissue folds such that a tissue ring, or stomas, forms excluding the pouch from the greater stomach cavity. The present invention further provides for a liner or bypass conduit which is affixed at a proximal end either to the tissue ring or through some other fastening mechanism. The distal end of the conduit is left either unanchored or anchored within the intestinal tract. This bypass conduit also includes a fluid bypass conduit which allows the stomach and a portion of the intestinal tract to communicate.

    摘要翻译： 本文描述了用于组织近似和固定的方法和装置。 本发明部分地提供了用于在中空身体器官（例如胃）内的周向构造中获取组织褶皱的方法和装置，将组织折叠部定位以固定在胃的固定区域内，优选地产生袋或 分隔在食道下方，并且紧固组织折叠，使得组织环或气孔从较大的胃腔排出袋子。 本发明还提供一种衬垫或旁路导管，其在近端固定到组织环或通过一些其它紧固机构。 导管的远端在肠道内保持未锚定或锚定。 该旁路导管还包括允许胃和肠道的一部分连通的流体旁路导管。