-
公开(公告)号：US08231641B2
公开(公告)日：2012-07-31
申请号：US11700528
申请日：2007-01-31
申请人： Jamy Gannoe , Gary Weller , Douglas S. Sutton , Craig Gerbi
发明人： Jamy Gannoe , Gary Weller , Douglas S. Sutton , Craig Gerbi
IPC分类号： A61B17/08
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：US08147441B2
公开(公告)日：2012-04-03
申请号：US11713852
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
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。
-
公开(公告)号：US20120065653A1
公开(公告)日：2012-03-15
申请号：US13300942
申请日：2011-11-21
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： A61B17/03
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 of the 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器官内部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：US08007505B2
公开(公告)日：2011-08-30
申请号：US11499349
申请日：2006-08-03
申请人： Gary Weller , Jamy Gannoe , Craig Gerbi , Douglas S. Sutton , Andrew H. Hancock , Gilbert Mata, Jr.
发明人： Gary Weller , Jamy Gannoe , Craig Gerbi , Douglas S. Sutton , Andrew H. Hancock , Gilbert Mata, Jr.
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。
-
公开(公告)号：US20070156159A1
公开(公告)日：2007-07-05
申请号：US11713852
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.
-
公开(公告)号：US07220237B2
公开(公告)日：2007-05-22
申请号：US10351231
申请日：2003-01-24
申请人： Jamy Gannoe , Craig Gerbi , Gary Weller , Matthew J. Collier
发明人： Jamy Gannoe , Craig Gerbi , Gary Weller , Matthew J. Collier
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。
-
公开(公告)号：US07097650B2
公开(公告)日：2006-08-29
申请号：US10686326
申请日：2003-10-14
申请人： Gary Weller , Jamy Gannoe , Craig Gerbi , Douglas S. Sutton , Andrew H. Hancock , Gilbert Mata, Jr.
发明人： Gary Weller , Jamy Gannoe , Craig Gerbi , Douglas S. Sutton , Andrew H. Hancock , Gilbert Mata, Jr.
IPC分类号： A61B17/08
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。
-
公开(公告)号：US20170332998A9
公开(公告)日：2017-11-23
申请号：US13484076
申请日：2012-05-30
摘要： A system for imaging and treating tissue comprises a probe having a deflectable distal tip for carrying an imaging array and a delivery needle for advancement within a field of view of the imaging array. Optionally, the needle will carry a plurality of tines which may be selectively radially deployed from the needle. The imaging array will preferably be provided in a separate, removable component.
-
公开(公告)号：US07815571B2
公开(公告)日：2010-10-19
申请号：US11409496
申请日：2006-04-20
CPC分类号： A61B18/1477 , A61B8/0833 , A61B8/0841 , A61B8/12 , A61B8/445 , A61B2017/4216 , A61B2018/00559
摘要： A delivery system includes a rigid shaft, an imaging core, and an interventional core. The rigid delivery shaft has a proximal end, an angled distal tip, and an axial passage therethrough. The imaging core comprises an ultrasound imaging insert disposed within the axial passage. The imaging insert has an ultrasound array within a distal portion thereof, wherein the ultrasound array is tilted relative to a shaft axis. The interventional core comprises a curved ablation needle coupled to the rigid shaft. An angle of needle curvature may be inversely proportional to the ultrasound array tilt and tip angle.
摘要翻译： 输送系统包括刚性轴，成像芯和介入芯。 刚性输送轴具有近端，成角度的远端，以及穿过其的轴向通道。 成像芯包括设置在轴向通道内的超声成像插入件。 成像插入物在其远端部分内具有超声阵列，其中超声阵列相对于轴轴线倾斜。 介入芯包括耦合到刚性轴的弯曲消融针。 针曲率的角度可能与超声阵列倾斜和尖端角成反比。
-
公开(公告)号：US20070249939A1
公开(公告)日：2007-10-25
申请号：US11409496
申请日：2006-04-20
申请人： Craig Gerbi , Robert Deckman , Michael Munrow , Jessica Grossman
发明人： Craig Gerbi , Robert Deckman , Michael Munrow , Jessica Grossman
IPC分类号： A61B8/14
CPC分类号： A61B18/1477 , A61B8/0833 , A61B8/0841 , A61B8/12 , A61B8/445 , A61B2017/4216 , A61B2018/00559
摘要： A delivery system includes a rigid shaft, an imaging core, and an interventional core. The rigid delivery shaft has a proximal end, an angled distal tip, and an axial passage therethrough. The imaging core comprises an ultrasound imaging insert disposed within the axial passage. The imaging insert has an ultrasound array within a distal portion thereof, wherein the ultrasound array is tilted relative to a shaft axis. The interventional core comprises a curved ablation needle coupled to the rigid shaft. An angle of needle curvature may be inversely proportional to the ultrasound array tilt and tip angle.
摘要翻译： 输送系统包括刚性轴，成像芯和介入芯。 刚性输送轴具有近端，成角度的远端，以及穿过其的轴向通道。 成像芯包括设置在轴向通道内的超声成像插入件。 成像插入物在其远端部分内具有超声阵列，其中超声阵列相对于轴轴线倾斜。 介入芯包括耦合到刚性轴的弯曲消融针。 针曲率的角度可能与超声阵列倾斜和尖端角成反比。
-
-
-
-
-
-
-
-
-
搜索结果
93 条记录 (耗时 0.046 秒)
