Endoscopic stapling devices and methods

    公开(公告)号:US07909219B2

    公开(公告)日:2011-03-22

    申请号:US12053027

    申请日:2008-03-21

    Abstract: Described herein are endoscopic staplers used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is 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 staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples 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 are formed, medical devices may optionally be coupled to the plication(s) for retention within the stomach.

    Combined clothing garment/air-cooling device and associated method
    52.
    发明授权
    Combined clothing garment/air-cooling device and associated method 有权
    组合服装/冷气装置及相关方法

    公开(公告)号:US07827624B1

    公开(公告)日:2010-11-09

    申请号:US12221748

    申请日:2008-08-06

    Applicant: David Cole

    Inventor: David Cole

    CPC classification number: A41D13/0053 A41D13/0025 A41D13/0055

    Abstract: A combined clothing garment and air-cooling device may include a vest and helmet adapted to removably position about a user's body. The garments may include spaced insulation layers with an internal chamber formed therebetween. A mechanism may be included for selectively introducing air into the internal chamber. The mechanism may include entry ports in the outer layer and an air-intake vent positioned over the entry ports manually toggled open and closed. Another mechanism may be included for cooling the air within the internal chamber and channeling cooled air out. An access panel preferably has windows along its longitudinal length and may be slidably interfitted within the body and linearly displaced open and closed to permit and prohibit air from entering. A cooling agent containing dry ice may be removably contained within internal tubing for lowering air temperature.

    Abstract translation: 组合的服装和空气冷却装置可以包括适于可拆卸地围绕使用者的身体定位的背心和头盔。 衣服可以包括间隔开的绝缘层,其间形成有内室。 可以包括用于选择性地将空气引入内室的机构。 该机构可以包括外层中的入口端口和位于入口端口上的进气口,手动切换开和关。 可以包括用于冷却内部室内的空气并将冷却的空气引出的另一机构。 检修面板优选地具有沿着其纵向长度的窗口,并且可以滑动地配合在主体内并且线性地移动开和闭以允许和禁止空气进入。 含有干冰的冷却剂可以可拆卸地包含在用于降低空气温度的内部管道内。

    PLICATION TAGGING DEVICE AND METHOD
    53.
    发明申请
    PLICATION TAGGING DEVICE AND METHOD 审中-公开
    电子标签设备和方法

    公开(公告)号:US20100276469A1

    公开(公告)日:2010-11-04

    申请号:US12434226

    申请日:2009-05-01

    Abstract: An improvement in a stapling device and method designed to capture a tissue fold between first and second members in the device and to staple and cut the fold to form a stapled tissue plication with a hole therein is disclosed. The improvement includes an engagement assembly in the first member movable from a retracted position in the first member to an extended position in the second member, and releasably attached to second member, an anchor assembly that includes the anchor, wherein (i) movement of the engagement assembly from its retracted to its extended position, through a tissue fold captured in the device between the first and second device members, is operable to engage the anchor assembly, and (ii) movement of the engagement assembly, with the anchor assembly engaged therewith, back toward its retracted position, is effective to pull at least a portion of the assembly through the hole in the stapled tissue plication formed by the device.

    Abstract translation: 公开了一种缝合装置和方法的改进,其被设计成捕获装置中的第一和第二构件之间的组织折叠并且缝合和切割折痕以形成其中具有孔的缝合组织褶皱。 该改进包括第一构件中的接合组件,其可从第一构件中的缩回位置移动到第二构件中的延伸位置,并且可释放地附接到第二构件,包括锚固件的锚固组件,其中(i) 接合组件从其缩回到其延伸位置通过在第一和第二装置构件之间的装置中捕获的组织折叠可操作以接合锚固组件,以及(ii)接合组件的移动,锚固组件与其接合 回到其缩回位置,有效地将组件的至少一部分穿过由装置形成的缝合组织褶皱中的孔。

    ENDOSCOPIC STAPLING DEVICES AND METHODS

    公开(公告)号:US20090236400A1

    公开(公告)日:2009-09-24

    申请号:US12050169

    申请日:2008-03-18

    Abstract: Described herein are endoscopic staplers used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is 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 staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples 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 are formed, medical devices may optionally be coupled to the plication(s) for retention within the stomach.

    TISSUE ACQUISITION DEVICES AND METHODS
    55.
    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

    Abstract: 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.

    Abstract translation: 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。

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