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    Multi-fire stapling systems and methods for delivering arrays of staples
    32.
    发明授权
    Multi-fire stapling systems and methods for delivering arrays of staples 有权
    多火式装订系统和用于传送订书钉的方法

    公开(公告)号：US07934631B2

    公开(公告)日：2011-05-03

    申请号：US12268404

    申请日：2008-11-10

    申请人： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    发明人： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61F5/0086

    摘要： A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready-position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    摘要翻译： 订书钉壳体包括各自位于钉送出位置的订书钉阵列或准备好被烧制到目标组织中的“就绪位置”。 订书钉驱动器可前进，以使用订书钉推动器将订书钉从订书钉驱动到组织中。 在使用期间，准备位置中的订书钉使用订书钉推动器同时被烧制到目标组织中，从而在目标组织中形成一排钉。 在阵列被点火之后，钉仓壳体内的一个或多个进给机构将第二组订书钉从一个或多个订书钉存储位置推进到就绪位置，以准备第二组钉的点火。

    ENDOSCOPIC PLICATION DEVICE AND METHOD
    33.
    发明申请
    ENDOSCOPIC PLICATION DEVICE AND METHOD 有权
    内窥镜装置及方法

    公开(公告)号：US20100228272A1

    公开(公告)日：2010-09-09

    申请号：US12785268

    申请日：2010-05-21

    申请人： Daniel J. Balbierz ,  Dave Cole ,  Samuel T. Crews ,  Brett Swope ,  Andrew Smith ,  John Lunsford ,  Fiona Sander

    发明人： Daniel J. Balbierz ,  Dave Cole ,  Samuel T. Crews ,  Brett Swope ,  Andrew Smith ,  John Lunsford ,  Fiona Sander

    IPC分类号： A61B17/00

    CPC分类号： A61B17/1155 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1285 ,  A61B2017/00535 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/1139 ,  A61B2017/1157 ,  A61B2017/306 ,  A61F5/0036

    摘要： Described herein are endoscopic plicators passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention. After one or more plications is formed, medical devices may be coupled to the plication(s) for retention within the stomach.

    摘要翻译： 这里描述的是内窥镜检查器，其通过经腹部通过胃并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。 在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。 所公开的调节器允许组织的相对部分彼此移动接触，并且优选地递送缝合线，缝钉或其他装置，用于保持组织切片之间的接触，至少直到在它们之间形成浆膜粘结。 这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。 在形成一个或多个脓肿之后，医疗装置可以连接到脓液以保持在胃中。

    TISSUE ACQUISITION DEVICES AND METHODS
    34.
    发明申请
    TISSUE ACQUISITION DEVICES AND METHODS 审中-公开
    组织获取设备和方法

    公开(公告)号：US20090125040A1

    公开(公告)日：2009-05-14

    申请号：US12268216

    申请日：2008-11-10

    申请人： Pablo R. Hambly ,  Daniel J. Balbierz ,  Samuel T. Crews ,  Betton Swope ,  David Cole ,  Andrew Smith

    发明人： Pablo R. Hambly ,  Daniel J. Balbierz ,  Samuel T. Crews ,  Betton Swope ,  David Cole ,  Andrew Smith

    IPC分类号： A61B17/04 ,  A61B17/068

    CPC分类号： A61B17/10 ,  A61B17/068 ,  A61B17/30 ,  A61B2017/2901 ,  A61B2017/306 ,  A61F5/0086

    摘要： A device and method for acquiring tissue in preparation for tissue fastening includes an acquisition head having a pair of vacuum chambers. A vacuum source is used to draw a tissue into a first one of the chambers, and a grasper is extended into the chamber to engage the tissue, allowing vacuum pressure to be released without loss of the tissue from the chamber. Tissue is subsequently drawn into an adjacent chamber and then similarly engaged in the chamber using a second grasper. The two or more sections of acquired tissue may be held in complete or partial alignment with one another as staples or other fasteners are driven through the pinches, thus forming a four-layer tissue plication.

    摘要翻译： 用于在组织紧固准备中获取组织的装置和方法包括具有一对真空室的采集头。 使用真空源将组织拉入到第一个室中，并且将抓紧器延伸到腔室中以与组织接合，从而允许释放真空压力而不会从腔室中丢失组织。 随后将组织拉入相邻的腔室，然后使用第二抓紧器类似地接合在腔室中。 当钉或其它紧固件通过夹持物驱动时，获得的组织的两个或更多个部分可以彼此完全或部分对准，从而形成四层组织折叠。

    Bloodless splittable introducer
    37.
    发明授权
    Bloodless splittable introducer 失效
    无血的可拆式导引器

    公开(公告)号：US5397311A

    公开(公告)日：1995-03-14

    申请号：US942724

    申请日：1992-09-09

    申请人： Jack M. Walker ,  Daniel J. Balbierz ,  George Tsai

    发明人： Jack M. Walker ,  Daniel J. Balbierz ,  George Tsai

    IPC分类号： A61M25/06 ,  A61M39/06 ,  A61M5/178

    CPC分类号： A61M39/06 ,  A61M25/0668 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0653 ,  A61M2039/0686

    摘要： An apparatus is provided for facilitating substantially bloodless insertion into and withdrawal from a patient's body of a longitudinal member having a proximal end portion and having a distal end portion which is adapted to extend into the patient's body. The apparatus comprises a longitudinally extending sleeve having proximal and distal end portions and defining a lumen extending there along. The longitudinal member is positioned along the lumen. The sleeve has a line extending longitudinally along it which is either split or splittable so that the sleeve can be separated along the line for removal from about the longitudinal member while the distal end portion of the longitudinal member remains extended into the patient. A valve structure serves for preventing blood flow through the lumen. An access is present for allowing substantially bloodless insertion and withdrawal of the longitudinal member through the lumen.

    摘要翻译： 提供了一种装置，用于促进基本上无血液插入到具有近端部分的纵向构件的患者体内和从患者体内退出，并具有适于延伸到患者体内的远端部分。 该装置包括纵向延伸的套筒，其具有近端部分和远端部分，并限定沿其延伸的内腔。 纵向构件沿着内腔定位。 套筒具有沿着其纵向延伸的线，其沿着线分开或可分开，使得套筒可以沿着线分离，以便在纵向构件周围脱离，同时纵向构件的远端部分保持延伸到患者体内。 阀结构用于防止血液通过管腔。 存在用于允许纵向构件通过内腔的基本无血液插入和抽出的通路。

    Tissue surface treatment apparatus and method
    39.
    发明授权
    Tissue surface treatment apparatus and method 有权
    组织表面处理装置及方法

    公开(公告)号：US08216224B2

    公开(公告)日：2012-07-10

    申请号：US11893911

    申请日：2007-08-17

    申请人： David L. Morris ,  Steve A. Daniel ,  Daniel J. Balbierz

    发明人： David L. Morris ,  Steve A. Daniel ,  Daniel J. Balbierz

    IPC分类号： A61B18/14

    CPC分类号： A61M25/1002 ,  A61B18/1477 ,  A61B2018/00011 ,  A61B2018/00017 ,  A61B2018/00029 ,  A61B2018/00291 ,  A61B2018/143 ,  A61B2018/1475 ,  A61M2025/0085

    摘要： A method of controlling ablation volume depth includes providing a treatment apparatus. The apparatus comprises a housing having a proximal and distal end including a tissue contacting surface. The housing defines an interior with an energy delivery device positionable in the interior. The energy delivery device includes at least one electrode with a tissue penetrating distal end and is configured to be advanced from the interior into a target tissue site to define an ablation volume. An advancement device is coupled to the energy delivery device and is configured to advance the at least one electrode. The at least one electrode is advanced to a selected deployment depth beneath a tissue surface while avoiding a critical structure. Energy is delivered from the energy delivery device. An ablation volume is created at a controlled depth below the tissue surface responsive to the deployment depth while minimizing injury to the critical structure.

    摘要翻译： 控制消融体积深度的方法包括提供治疗装置。 该装置包括具有包括组织接触表面的近端和远端的壳体。 壳体限定具有可定位在内部的能量输送装置的内部。 能量递送装置包括至少一个具有组织穿透远端的电极，并被构造成从内部前进到目标组织部位以限定消融体积。 一个前进装置耦合到能量输送装置，并被配置成使该至少一个电极前进。 将至少一个电极推进到组织表面下方的选定的部署深度，同时避免关键结构。 能量从能量输送装置输送。 在组织表面下方的受控深度处产生消融体积，以响应于部署深度，同时最小化对关键结构的损伤。