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公开(公告)号：US20110071341A1
公开(公告)日：2011-03-24
申请号：US12562310
申请日：2009-09-18
申请人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
发明人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
IPC分类号： A61F2/00
CPC分类号： A61F5/003 , A61F2/0036 , A61F5/0053 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A release mechanism is provided for the tension element.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张紧元件控制由细长构件施加的抵抗患者身体器官或管道的张力。 为张力元件提供释放机构。
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公开(公告)号：US08672830B2
公开(公告)日：2014-03-18
申请号：US12562310
申请日：2009-09-18
申请人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
发明人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
CPC分类号： A61F5/003 , A61F2/0036 , A61F5/0053 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A release mechanism is provided for the tension element.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张紧元件控制由细长构件施加的抵抗患者身体器官或管道的张力。 为张力元件提供释放机构。
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23.发明授权公开(公告)号：US08192350B2
公开(公告)日：2012-06-05
申请号：US12020867
申请日：2008-01-28
CPC分类号： A61F5/005 , A61B5/0031 , A61B5/0535 , A61B5/076 , A61B5/107 , A61B5/1076 , A61B5/4238 , A61B5/6846 , A61B2562/164 , A61F2005/0016 , G06F19/00
摘要： Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration.
摘要翻译： 提供了用于收集与可植入限制装置相关的阻抗数据的方法和装置。 一般而言，方法和装置可使患者，医疗保健提供者和其他人能使用收集的数据作为反馈机制来非侵入性地监测可植入的限制装置在患者体内的功效，并且识别，修改和/或开出 考虑收集的数据的患者的治疗计划。 阻抗数据可以收集和分析靠近限制装置的组织，例如胃带和患者胃之间的脂肪垫。 与组织接触的电极可以测量组织的阻抗，随着组织尺寸的减小（例如，随着脂肪细胞收缩）和/或改变构型，电极之间的阻抗变化。
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24.发明授权Physiological parameter analysis for an implantable restriction device and a data logger 有权可植入限制装置和数据记录器的生理参数分析公开(公告)号：US08152710B2
公开(公告)日：2012-04-10
申请号：US12039014
申请日：2008-02-28
申请人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
发明人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
IPC分类号： A61B5/00
CPC分类号： A61F5/0056 , A61B5/0008 , A61B5/03 , A61B5/076 , A61B5/4205 , A61B5/743 , A61B5/7435 , A61B2560/0252 , A61B2560/0257 , A61F5/0059 , G06F19/00
摘要： An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.
摘要翻译： 可植入式限制装置可被配置成在患者体内提供限制，例如作为流体压力的函数。 可植入限制装置可以包括一个或多个传感器，其构造成感测各种参数，例如可植入限制装置内的流体的压力，脉冲宽度，脉冲幅度，脉冲计数，脉冲持续时间或频率，电特性或其他 参数。 可以使用遥测线圈或其他通信器将由一个或多个传感器获得的数据（例如，表示压力，脉冲特性等的数据）传送到位于病人外部的设备，例如数据记录器。 数据记录器可以存储数据，并且可以经由诸如因特网的网络将数据传送到远程位置。 可以提供对接站以将数据记录器耦合到网络和/或对数据记录器中的单元进行再充电。 记录的数据可以使用各种技术来分析和/或显示，以评估和/或跟踪限制装置或患者的状况，以监测患者生理学或其他目的。
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25.发明申请公开(公告)号：US20090192404A1
公开(公告)日：2009-07-30
申请号：US12020867
申请日：2008-01-28
IPC分类号： A61B5/053
CPC分类号： A61F5/005 , A61B5/0031 , A61B5/0535 , A61B5/076 , A61B5/107 , A61B5/1076 , A61B5/4238 , A61B5/6846 , A61B2562/164 , A61F2005/0016 , G06F19/00
摘要： Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration.
摘要翻译： 提供了用于收集与可植入限制装置相关的阻抗数据的方法和装置。 一般而言，方法和装置可使患者，医疗保健提供者和其他人能使用收集的数据作为反馈机制来非侵入性地监测可植入的限制装置在患者体内的功效，并且识别，修改和/或开出 考虑收集的数据的患者的治疗计划。 阻抗数据可以收集和分析靠近限制装置的组织，例如胃带和患者胃之间的脂肪垫。 与组织接触的电极可以测量组织的阻抗，随着组织尺寸的减小（例如，随着脂肪细胞收缩）和/或改变构型，电极之间的阻抗变化。
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公开(公告)号：US08870742B2
公开(公告)日：2014-10-28
申请号：US12039002
申请日：2008-02-28
申请人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A. Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
发明人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A. Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
IPC分类号： A61B5/107 , A61B5/00 , A61F5/00 , A61B5/03 , A61B5/0205 , A61B5/07 , A61B5/0402 , A61B5/11 , A61B17/00 , A61B5/024 , A61B19/00 , A61M39/02 , A61B17/12 , A61B5/021 , A61B17/135 , A61B5/145
CPC分类号： A61B5/002 , A61B5/0022 , A61B5/02055 , A61B5/021 , A61B5/024 , A61B5/03 , A61B5/0402 , A61B5/076 , A61B5/11 , A61B5/14532 , A61B5/4205 , A61B17/12009 , A61B17/1355 , A61B2017/00557 , A61B2090/064 , A61B2560/0219 , A61B2560/0252 , A61B2560/0257 , A61B2560/0261 , A61B2560/045 , A61F5/0003 , A61F5/0056 , A61F2250/0002 , A61M39/0208 , G06F19/00
摘要： An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.
摘要翻译： 可植入式限制装置可被配置成在患者体内提供限制，例如作为流体压力的函数。 可植入限制装置可以包括一个或多个传感器，其构造成感测各种参数，例如可植入限制装置内的流体的压力，脉冲宽度，脉冲幅度，脉冲计数，脉冲持续时间或频率，电特性或其他 参数。 可以使用遥测线圈或其他通信器将由一个或多个传感器获得的数据（例如，表示压力，脉冲特性等的数据）传送到位于病人外部的设备，例如数据记录器。 数据记录器可以存储数据，并且可以经由诸如因特网的网络将数据传送到远程位置。 可以提供对接站以将数据记录器耦合到网络和/或对数据记录器中的单元进行再充电。 记录的数据可以使用各种技术来分析和/或显示，以评估和/或跟踪限制装置或患者的状况，以监测患者生理学或其他目的。
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公开(公告)号：US20090228063A1
公开(公告)日：2009-09-10
申请号：US12043616
申请日：2008-03-06
CPC分类号： A61F5/0059 , A61F5/0056 , A61F2250/0002
摘要： Various methods and devices are provided for aligning an internal antenna with an external device. In one embodiment, an implantable restriction system is provided and includes an implantable restriction device configured to form a restriction in a pathway, and an implantable housing associated with the implantable restriction device. The housing has at least one antenna that can be configured to communicate telemetrically with a transceiver regardless of a rotational orientation of the housing about an axis. The at least one antenna can extend along an axis aligned with the longitudinal axis of a catheter extending from the housing. In one embodiment, the implantable housing can contain a sensor that can be configured, for example, to measure at least one of a system parameter and a physiological parameter, and the antenna can be effective to communicate the measured parameter to the transceiver.
摘要翻译： 提供了用于使内部天线对准外部设备的各种方法和装置。 在一个实施例中，提供了可植入的限制系统，并且包括被配置为在通路中形成限制的可植入限制装置，以及与所述可植入限制装置相关联的可植入壳体。 壳体具有至少一个天线，其可被配置为与收发器遥测地通信，而不管壳体绕轴线的旋转取向如何。 至少一个天线可以沿着与从壳体延伸的导管的纵向轴线对准的轴线延伸。 在一个实施例中，可植入壳体可以包含传感器，该传感器可以被配置为例如测量系统参数和生理参数中的至少一个，并且天线可以有效地将测量的参数传送到收发器。
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28.发明申请Physiological Parameter Analysis for an Implantable Restriction Device and a Data Logger 有权可植入限制装置和数据记录器的生理参数分析公开(公告)号：US20090222065A1
公开(公告)日：2009-09-03
申请号：US12039014
申请日：2008-02-28
申请人： Daniel F. Dlugos, JR. , Peter Brockmeier , Matthew Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
发明人： Daniel F. Dlugos, JR. , Peter Brockmeier , Matthew Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
IPC分类号： A61N1/08
CPC分类号： A61F5/0056 , A61B5/0008 , A61B5/03 , A61B5/076 , A61B5/4205 , A61B5/743 , A61B5/7435 , A61B2560/0252 , A61B2560/0257 , A61F5/0059 , G06F19/00
摘要： An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.
摘要翻译： 可植入式限制装置可被配置成在患者体内提供限制，例如作为流体压力的函数。 可植入限制装置可以包括一个或多个传感器，其构造成感测各种参数，例如可植入限制装置内的流体的压力，脉冲宽度，脉冲幅度，脉冲计数，脉冲持续时间或频率，电特性或其他 参数。 可以使用遥测线圈或其他通信器将由一个或多个传感器获得的数据（例如，表示压力，脉冲特性等的数据）传送到位于病人外部的设备，例如数据记录器。 数据记录器可以存储数据，并且可以经由诸如因特网的网络将数据传送到远程位置。 可以提供对接站以将数据记录器耦合到网络和/或对数据记录器中的单元进行再充电。 记录的数据可以使用各种技术来分析和/或显示，以评估和/或跟踪限制装置或患者的状况，以监测患者生理学或其他目的。
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公开(公告)号：US20090187202A1
公开(公告)日：2009-07-23
申请号：US12015634
申请日：2008-01-17
IPC分类号： A61B17/12
CPC分类号： A61F5/0053
摘要： Methods and devices for optimizing the operation of a restriction system for forming a restriction in a patient are disclosed. In one exemplary embodiment, a method for optimizing the operation of a gastric restriction system includes providing an implantable restriction system for forming a restriction in a patient, determining an optimum value of a control parameter of the restriction system, and maintaining the control parameter at the optimum value such that a result parameter of the restriction system is substantially convergent as a function of time. Determining an optimum value of a control parameter can generally include adjusting the restriction device, determining the value of the control parameter to be optimized, and repeating the steps of adjusting the restriction device and determining the value of the control parameter until the control parameter is substantially convergent as a function of time.
摘要翻译： 公开了用于优化用于在患者中形成限制的限制系统的操作的方法和装置。 在一个示例性实施例中，用于优化胃限制系统的操作的方法包括提供用于在患者体内形成限制的可植入限制系统，确定限制系统的控制参数的最佳值，并将控制参数保持在 最优值，使得限制系统的结果参数作为时间的函数基本上收敛。 确定控制参数的最佳值通常可以包括调整限制装置，确定要优化的控制参数的值，并重复调整限制装置的步骤，并确定控制参数的值，直到控制参数基本上 作为时间的函数收敛。
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公开(公告)号：US20090149874A1
公开(公告)日：2009-06-11
申请号：US11953504
申请日：2007-12-10
IPC分类号： A61B17/12
CPC分类号： A61F5/0056 , A61M39/0208
摘要： Various exemplary methods are disclosed for implanting a restriction device for forming a restriction in a patient. The methods can be used with a variety of restriction devices, but in an exemplary embodiment the methods are used for implanting a gastric restriction device.
摘要翻译： 公开了用于植入用于在患者体内形成限制的限制装置的各种示例性方法。 该方法可以与各种限制装置一起使用，但是在示例性实施例中，该方法用于植入胃限制装置。
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