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    Devices and methods for placement of partitions within a hollow body organ
    24.
    发明申请
    Devices and methods for placement of partitions within a hollow body organ 有权
    在空心体器官中放置隔板的装置和方法

    公开(公告)号：US20050203547A1

    公开(公告)日：2005-09-15

    申请号：US10797303

    申请日：2004-03-09

    申请人： Gary Weller ,  Alex Roth ,  Christopher Julian ,  Jamy Gannoe ,  Andrew Hancock ,  Craig Gerbi

    发明人： Gary Weller ,  Alex Roth ,  Christopher Julian ,  Jamy Gannoe ,  Andrew Hancock ,  Craig Gerbi

    IPC分类号： A61B17/04

    CPC分类号： A61F5/0086 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00818 ,  A61B2017/07214

    摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body, e.g., transorally, endoscopically, percutaneously, etc., to create one or several divisions or plications within the hollow body organ. Such divisions or plications can form restrictive barriers within a organ, or can be placed to form a pouch, or gastric lumen, smaller than the remaining stomach volume to essentially act as the active stomach such as the pouch resulting from a surgical Roux-En-Y gastric bypass procedure. Moreover, the system is configured such that once acquisition of the tissue by the gastroplasty device is accomplished, any manipulation of the acquired tissue is unnecessary as the device is able to automatically configure the acquired tissue into a desired configuration.

    摘要翻译： 描述用于组织采集和固定或胃成形术的装置和方法。 通常，系统的装置可以在患者体内以微创方式进行，例如经由内窥镜，经皮等进行，从而在空心体器官内产生一个或多个分裂或or肿。 这样的分裂或痉挛可以在器官内形成限制性障碍，或者可以放置成小于剩余胃体积的小袋或胃腔，以基本上充当活动性胃，例如由外科手术Roux-En- Y胃旁路手术。 此外，该系统被配置为使得一旦完成了由成形术装置获取的组织，对于所获取的组织的任何操纵都是不必要的，因为该装置能够将获取的组织自动配置成所需的构造。

    Method and device for use in endoscopic organ procedures
    25.
    发明申请
    Method and device for use in endoscopic organ procedures 审中-公开
    用于内窥镜器官手术的方法和装置

    公开(公告)号：US20050101977A1

    公开(公告)日：2005-05-12

    申请号：US10975627

    申请日：2004-10-28

    申请人： Jamy Gannoe ,  Craig Gerbi ,  Gary Weller

    发明人： Jamy Gannoe ,  Craig Gerbi ,  Gary Weller

    IPC分类号： A61B17/072 ,  A61B17/11 ,  A61B17/28 ,  A61B17/30 ,  A61F5/00 ,  A61B17/08

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

    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 devices for performing a transoral, endoscopic hollow organ division, including a tissue acquisition device capable of acquiring the desired tissue circumferentially, and a fixation mechanism to secure the muscular layers of the acquired tissue such that the desired healing response is achieved.

    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。 本发明还提供了一种用于执行经口腔内窥镜中空器官分割的装置，包括能够周向获取所需组织的组织采集装置，以及固定机构，用于固定获取的组织的肌层，从而实现所需的愈合反应 。

    Method and device for use in endoscopic organ procedures
    26.
    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：US08147441B2

    公开(公告)日：2012-04-03

    申请号：US11713852

    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 ,  A61B17/08

    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。

    Method and device for use in endoscopic organ procedures
    28.
    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：US07220237B2

    公开(公告)日：2007-05-22

    申请号：US10351231

    申请日：2003-01-24

    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 ,  A61F2/04 ,  A61B17/08 ,  A61B19/00 ,  A61D1/00

    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。

    Single-fold system for tissue approximation and fixation
    30.
    发明申请
    Single-fold system for tissue approximation and fixation 审中-公开
    用于组织近似和固定的单折系统

    公开(公告)号：US20050177176A1

    公开(公告)日：2005-08-11

    申请号：US10773883

    申请日：2004-02-05

    申请人： Craig Gerbi ,  Gary Weller ,  Jamy Gannoe ,  Douglas Sutton ,  Andrew Hancock ,  Gilbert Mata

    发明人： Craig Gerbi ,  Gary Weller ,  Jamy Gannoe ,  Douglas Sutton ,  Andrew Hancock ,  Gilbert Mata

    IPC分类号： A61B17/072 ,  A61B17/08 ,  A61B17/10 ,  A61B17/28 ,  A61B17/30

    CPC分类号： A61B17/29 ,  A61B17/07207 ,  A61B2017/07214 ,  A61B2017/081 ,  A61B2017/2905 ,  A61B2017/306

    摘要： A single fold system for tissue approximation and fixation is described herein. The devices are advanced in a minimally invasive manner within a patient's body to create at least one fold within a hollow body organ. The system comprises a tissue acquisition and folding device and a tissue stapling or fixation device, each of which is used together as a system. The acquisition device is used to approximate a single fold of tissue from within the hollow body organ and the stapling device is advanced through a main lumen defined through the acquisition device and is used to affix the tissue. The stapling device is keyed to maintain its rotational orientation relative to the acquisition device and to provide the user positional information of the stapling device. The acquisition device is also configured to provide lateral stability to the stapling device prior to the stapling device being clamped onto tissue.

    摘要翻译： 本文描述了用于组织近似和固定的单折叠系统。 装置以微创方式在患者体内推进，以在中空身体器官内产生至少一个折叠。 该系统包括组织采集和折叠装置和组织缝合或固定装置，每个组合装订或固定装置一起用作系统。 采集装置用于从中空体器官内部近似组织的单一折叠，并且缝合装置前进穿过通过采集装置限定的主腔，并用于固定组织。 锁定装置被锁定以相对于采集装置保持其旋转方向，并提供用户装订装置的位置信息。 采集装置还被配置为在缝合装置被夹持到组织之前为吻合装置提供侧向稳定性。