公开(公告)号：US20050222592A1

公开(公告)日：2005-10-06

申请号：US11129626

申请日：2005-05-13

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

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

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/08 ,  A61F5/00 ,  A61M37/00

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 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内部器官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。

公开(公告)号：US06656194B1

公开(公告)日：2003-12-02

申请号：US10288820

申请日：2002-11-05

申请人： Jamy Gannoe ,  Craig Gerbi

发明人： Jamy Gannoe ,  Craig Gerbi

IPC分类号： A61B1708

CPC分类号： A61F5/003 ,  A61B2017/00876 ,  A61F5/0003 ,  A61F5/0036 ,  A61F5/0089

摘要： Magnetic anchoring devices are disclosed herein. Expandable devices that are inserted into the stomach of a patient are attached to its interior wall by magnetically coupling. Such expandable devices, like inflatable balloons, comprise at least one magnetic device, which may be a magnet, a magnetizable material, or a magnetic metal. The magnetic device may be positioned on the external or interior surface of the expandable device or may be integral thereto. The magnetic device is magnetically coupled to a magnetic anchor positioned on a surface of the stomach wall. In this way, the expandable devices are anchored to the stomach walls, preventing migration of the device to other areas of the body where they may become obstructions and pose health risks.

摘要翻译： 本文公开了磁性锚定装置。 插入患者胃部的可扩张装置通过磁耦合附接到其内壁。 这种可膨胀装置，如可充气气囊，包括至少一个磁性装置，其可以是磁体，可磁化材料或磁性金属。 磁性装置可以定位在可扩张装置的外表面或内表面上，或者可以与其一体。 磁性装置磁耦合到位于胃壁表面上的磁性锚。 以这种方式，可扩张装置被锚定到胃壁，防止装置移动到身体的其他区域，在那里它们可能变成障碍物并造成健康风险。

公开(公告)号：US08628547B2

公开(公告)日：2014-01-14

申请号：US10797303

申请日：2004-03-09

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

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

IPC分类号： A61B17/08

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。

公开(公告)号：US20120165843A1

公开(公告)日：2012-06-28

申请号：US13408649

申请日：2012-02-29

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： A61B17/11

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.

公开(公告)号：USD642689S1

公开(公告)日：2011-08-02

申请号：US29362027

申请日：2010-05-19

申请人： Jamy Gannoe ,  Luis Arellano

设计人： Jamy Gannoe ,  Luis Arellano

公开(公告)号：US07757924B2

公开(公告)日：2010-07-20

申请号：US11529201

申请日：2006-09-28

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

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

IPC分类号： A61B17/04

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。

公开(公告)号：US20070181138A1

公开(公告)日：2007-08-09

申请号：US11700528

申请日：2007-01-31

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

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

IPC分类号： A61B19/00

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。

公开(公告)号：US20070162056A1

公开(公告)日：2007-07-12

申请号：US11716157

申请日：2007-03-09

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： A61B17/08

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。

公开(公告)号：US07211094B2

公开(公告)日：2007-05-01

申请号：US10689774

申请日：2003-10-20

申请人： Jamy Gannoe ,  Craig Gerbi

发明人： Jamy Gannoe ,  Craig Gerbi

IPC分类号： A61B17/08

CPC分类号： A61F5/003 ,  A61B2017/00876 ,  A61F5/0003 ,  A61F5/0036 ,  A61F5/0089

摘要： Magnetic anchoring devices are disclosed herein. Expandable devices that are inserted into the stomach of a patient are attached to its interior wall by magnetically coupling. Such expandable devices, like inflatable balloons, comprise at least one magnetic device, which may be a magnet, a magnetizable material, or a magnetic metal. The magnetic device may be positioned on the external or interior surface of the expandable device or may be integral thereto. The magnetic device is magnetically coupled to a magnetic anchor positioned on a surface of the stomach wall. In this way, the expandable devices are anchored to the stomach walls, preventing migration of the device to other areas of the body where they may become obstructions and pose health risks.

公开(公告)号：US20050080438A1

公开(公告)日：2005-04-14

申请号：US10686326

申请日：2003-10-14

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

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

IPC分类号： A61B20060101 ,  A61B17/072 ,  A61B17/08 ,  A61B17/11 ,  A61B17/28 ,  A61B17/32

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。