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公开(公告)号:US08828025B2
公开(公告)日:2014-09-09
申请号:US11056327
申请日:2005-02-11
申请人: Denise Marie Demarais , James Gannoe , Craig Gerbi
发明人: Denise Marie Demarais , James Gannoe , Craig Gerbi
IPC分类号: A61B17/10
CPC分类号: A61B17/12022 , A61B17/0057 , A61B17/0643 , A61B17/12099 , A61B17/12136 , A61B17/122 , A61B2017/00243 , A61B2017/081 , A61B2017/1205 , A61F5/0086
摘要: Methods and devices for providing a minimally-invasive placement of a mechanical structure for reducing the volume of a hollow body organ. Anchors may be secured within the hollow body organ and then cinched together using a tensioning member to form a stricture within the hollow body organ. In another embodiment a tensioning member may be threaded along the hollow body organ and then cinched to reduce the volume. The strictures may be placed anywhere within the hollow body organ, and more than one stricture may be formed within the hollow body organ.
摘要翻译: 用于提供用于减小中空身体器官的体积的机械结构的微创放置的方法和装置。 锚固件可以固定在中空身体器官内,然后使用张紧构件夹紧在一起,以在中空身体器官内形成狭窄。 在另一个实施例中,张紧构件可以沿着中空身体器官进行螺纹,然后固定以减小体积。 狭缝可以放置在空心体器官内的任何位置,并且可以在中空体器官内形成多于一个的狭窄。
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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。
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公开(公告)号:US08590761B2
公开(公告)日:2013-11-26
申请号:US11716157
申请日:2007-03-09
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.
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。
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公开(公告)号:US08403838B2
公开(公告)日:2013-03-26
申请号:US11954649
申请日:2007-12-12
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.
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公开(公告)号:US20120165844A1
公开(公告)日:2012-06-28
申请号:US13410810
申请日:2012-03-02
申请人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, JR. , Craig Gerbi , James Gannoe , Christopher Julian
发明人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, JR. , Craig Gerbi , James Gannoe , Christopher Julian
IPC分类号: A61B17/11
CPC分类号: A61F5/0083 , A61B1/3132 , A61B17/07207 , A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/003 , A61B2017/00323 , A61B2017/0034 , A61B2017/00353 , A61B2017/00876 , A61B2017/00946 , A61B2017/07214 , A61B2017/1103 , A61B2017/2905 , A61B2017/306 , A61B2090/08021 , A61F5/005 , A61F5/0076
摘要: A system for tissue approximation and fixation is described herein. A device is 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 stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.
摘要翻译: 本文描述了用于组织近似和固定的系统。 装置以微创方式在患者身体内前进,以在中空身体器官内产生一个或多个分裂或症状。 该系统包括具有组织采集构件和组织固定构件的吻合器组件。 缝合器组件使用采集构件从中空身体器官内的组织近似,然后将近似组织固定在固定构件上。 在一种方法中,该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。
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36.
公开(公告)号:US08083757B2
公开(公告)日:2011-12-27
申请号:US11716901
申请日:2007-03-12
申请人: James Gannoe , Craig Gerbi
发明人: James Gannoe , Craig Gerbi
CPC分类号: A61F5/0076 , A61B17/00234 , A61B17/0293 , A61B17/064 , A61B17/12 , A61B2017/0647 , A61B2017/22051 , A61F5/003 , A61F5/0036
摘要: Methods and devices for maintaining a space-occupying device in a fixed relationship relative to a patient's stomach by manipulation of the stomach. In one variation, two or more regions of the stomach wall are brought into approximation with one another and secured together in a manner that secures a space-occupying device within the stomach of the patient. In another variation, two or more regions of the stomach wall are wrapped around a space-occupying device to maintain the position of the space-occupying device relative to the stomach wall. In another variation, a system having a space-occupying member and a locking member capable holding the space-occupying member against the inner wall of the stomach are provided. In a further variation, a pouch is created within the stomach that receives and retains a space-occupying device.
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公开(公告)号:US20110166585A1
公开(公告)日:2011-07-07
申请号:US13049628
申请日:2011-03-16
申请人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, JR. , Craig Gerbi , James Gannoe , Christopher Julian
发明人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, JR. , Craig Gerbi , James Gannoe , Christopher Julian
CPC分类号: A61F5/0083 , A61B1/3132 , A61B17/07207 , A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/003 , A61B2017/00323 , A61B2017/0034 , A61B2017/00353 , A61B2017/00876 , A61B2017/00946 , A61B2017/07214 , A61B2017/1103 , A61B2017/2905 , A61B2017/306 , A61B2090/08021 , A61F5/005 , A61F5/0076
摘要: A system for tissue approximation and fixation is described herein. A device is 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 stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.
摘要翻译: 本文描述了用于组织近似和固定的系统。 装置以微创方式在患者身体内前进,以在中空身体器官内产生一个或多个分裂或症状。 该系统包括具有组织采集构件和组织固定构件的吻合器组件。 缝合器组件使用采集构件从中空身体器官内的组织近似,然后将近似组织固定在固定构件上。 在一种方法中,该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。
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公开(公告)号:US07914543B2
公开(公告)日:2011-03-29
申请号:US11107382
申请日:2005-04-15
申请人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, Jr. , Craig Gerbi , James Gannoe , Christopher Julian
发明人: Alex T. Roth , Andrew H. Hancock , Gary Weller , Gilbert Mata, Jr. , Craig Gerbi , James Gannoe , Christopher Julian
CPC分类号: A61F5/0083 , A61B1/3132 , A61B17/07207 , A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/003 , A61B2017/00323 , A61B2017/0034 , A61B2017/00353 , A61B2017/00876 , A61B2017/00946 , A61B2017/07214 , A61B2017/1103 , A61B2017/2905 , A61B2017/306 , A61B2090/08021 , A61F5/005 , A61F5/0076
摘要: A system for tissue approximation and fixation is described herein. A device is 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 stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.
摘要翻译: 本文描述了用于组织近似和固定的系统。 装置以微创方式在患者身体内前进,以在中空身体器官内产生一个或多个分裂或症状。 该系统包括具有组织采集构件和组织固定构件的吻合器组件。 缝合器组件使用采集构件从中空身体器官内的组织近似,然后将近似组织固定在固定构件上。 在一种方法中,该系统可以用作次要程序以减小中空身体器官内的造口的尺寸。
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公开(公告)号:US20090105687A1
公开(公告)日:2009-04-23
申请号:US12239636
申请日:2008-09-26
IPC分类号: A61M25/10 , A61K31/404 , A61K31/235 , A61K31/07 , A61K31/7088 , A61K48/00 , A61K35/12 , A61K39/395 , A61K31/337 , A61K31/335 , A61P9/00
CPC分类号: A61M25/104 , A61B17/320725 , A61B2017/22061 , A61M2025/105 , A61M2025/1081 , A61M2025/1086
摘要: Angioplasty and other dilatation devices are provided with scoring elements. The device additionally incorporates a separate drug application membrane which is used to deliver drugs and other active substances to a body lumen, typically a blood vessel. The device functions to release drug into a region of the luminal wall as the scoring structure is radially expanded into the lumen wall.
摘要翻译: 血管成形术和其他扩张装置具有评分要素。 该装置还包括单独的药物施用膜,其用于将药物和其它活性物质递送至体腔,通常为血管。 当评分结构径向扩张到管腔壁中时,该装置用于将药物释放到腔壁的区域中。
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公开(公告)号:US20070233162A1
公开(公告)日:2007-10-04
申请号:US11713897
申请日:2007-03-05
申请人: Jamy Gannoe , Craig Gerbi , Gary Weller , Matthew Collier
发明人: Jamy Gannoe , Craig Gerbi , Gary Weller , Matthew Collier
IPC分类号: 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.
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