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公开(公告)号:US08062207B2
公开(公告)日:2011-11-22
申请号:US11129626
申请日:2005-05-13
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: A61F2/00
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。
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公开(公告)号:US07789848B2
公开(公告)日:2010-09-07
申请号:US11713897
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
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。
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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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44.
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:US20070208360A1
公开(公告)日:2007-09-06
申请号:US11799560
申请日:2007-05-02
申请人: Denise Demarais , James Gannoe , Craig Gerbi
发明人: Denise Demarais , James Gannoe , Craig Gerbi
IPC分类号: A61B17/08
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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46.
公开(公告)号:US20070162059A1
公开(公告)日:2007-07-12
申请号:US11716840
申请日:2007-03-12
申请人: James Gannoe , Craig Gerbi
发明人: James Gannoe , Craig Gerbi
IPC分类号: A61B17/08
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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47.
公开(公告)号:US07214233B2
公开(公告)日:2007-05-08
申请号:US10366818
申请日:2003-02-13
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: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: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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公开(公告)号:US07229428B2
公开(公告)日:2007-06-12
申请号:US10279257
申请日:2002-10-23
申请人: Jamy Gannoe , Craig Gerbi , Gary Weller
发明人: Jamy Gannoe , Craig Gerbi , Gary Weller
CPC分类号: A61F5/0076 , A61B17/072 , A61B17/1114 , A61B2017/00323 , A61B2017/07214 , A61B2017/2905 , A61B2017/306
摘要: A bypass conduit assembly is placed in a hollow body organ to route food and liquids past the hollow body organ. A flexible tubular member extends from a narrowed section through the hollow body organ and into either the pylorus or intestines. The tubular member is connected to tissue by fasteners such as clips, staples or stents.
摘要翻译: 旁路导管组件放置在中空身体器官中以使食物和液体通过中空身体器官。 柔性管状构件从狭窄部分延伸穿过中空身体器官并进入幽门或肠内。 管状构件通过诸如夹子,钉或支架的紧固件连接到组织。
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