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    Method and device for use in endoscopic organ procedures
    31.
    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。

    INTRA-GASTRIC FASTENING DEVICES
    32.
    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。

    System for tissue approximation and fixation
    33.
    发明授权
    System for tissue approximation and fixation 有权
    组织近似和固定系统

    公开(公告)号：US08007505B2

    公开(公告)日：2011-08-30

    申请号：US11499349

    申请日：2006-08-03

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

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

    IPC分类号： A61B17/08 ,  A61B17/10 ,  A61B17/04

    CPC分类号： A61B17/29 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00323 ,  A61B2017/00353 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/1103 ,  A61B2017/2905 ,  A61B2017/306

    摘要： A 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 one or several divisions or plications 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 tissue regions 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 approximated tissue. The stapling device is keyed to maintain its rotational orientation relative to the acquisition device as well as 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系统。 这些装置在患者体内以微创方式前进，以在中空身体器官内产生一个或多个分裂或症状。 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区域，并且缝合装置前进穿过通过采集装置限定的主腔，并用于固定近似组织。 锁定装置被锁定以相对于采集装置保持其旋转定向，并且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。

    Method and device for use in endoscopic organ procedures
    35.
    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。

    System for tissue approximation and fixation
    36.
    发明授权
    System for tissue approximation and fixation 有权
    组织近似和固定系统

    公开(公告)号：US07097650B2

    公开(公告)日：2006-08-29

    申请号：US10686326

    申请日：2003-10-14

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

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

    IPC分类号： A61B17/08

    CPC分类号： A61B17/29 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00323 ,  A61B2017/00353 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/1103 ,  A61B2017/2905 ,  A61B2017/306

    摘要： A 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 one or several divisions or plications 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 tissue regions 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 approximated tissue. The stapling device is keyed to maintain its rotational orientation relative to the acquisition device as well as 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系统。 这些装置在患者体内以微创方式前进，以在中空身体器官内产生一个或多个分裂或症状。 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区域，并且缝合装置前进穿过通过采集装置限定的主腔，并用于固定近似组织。 锁定装置被锁定以相对于采集装置保持其旋转定向，并且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。

    Remote tissue retraction device
    40.
    发明授权
    Remote tissue retraction device 有权
    远程组织回缩装置

    公开(公告)号：US08795166B2

    公开(公告)日：2014-08-05

    申请号：US12979242

    申请日：2010-12-27

    申请人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

    发明人： Alex T. Roth ,  Craig Gerbi ,  Andrew H. Hancock ,  Gary Weller ,  Christopher Julian ,  James Gannoe

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0218 ,  A61B17/072 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/306

    摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

    摘要翻译： 用于管理诸如胃的器官中的组织的医疗装置，用于缩回或定位组织和相关器官，以允许为胃成形术获得胃的某些区域。 医疗装置包括具有近端和远端的细长主体，以及连接到细长主体的远端的组织处理装置。 组织处理装置包括与第二钳口相对的第一钳口，并且每个钳口适于获取组织。 牵开器沿着组织处理装置设置并适于从输送位置移动到缩回位置以移动或管理胃的组织。 医疗装置还包括设置在组织处理装置的第一和第二钳口之间的可折叠屏障，以将组织分别引导到第一和第二钳口中。