公开(公告)号：US09700308B2

公开(公告)日：2017-07-11

申请号：US14558837

申请日：2014-12-03

申请人： ENDOGASTRIC SOLUTIONS, INC.

发明人： Steve G. Baker ,  Brett J. Carter

IPC分类号： A61B17/04 ,  A61B17/08 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10 ,  A61B17/128 ,  A61B17/00

CPC分类号： A61B17/0644 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10 ,  A61B17/1285 ,  A61B2017/00827 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0419

摘要： Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together include a first member, a second member, and a connecting member extending between the first and second members. One of the first and second members has an elongated slot permitting fastener deployment while avoiding excessive tissue compression.

公开(公告)号：US09675360B2

公开(公告)日：2017-06-13

申请号：US13710419

申请日：2012-12-10

申请人： EndoGastric Solutions, Inc.

发明人： Steve G. Baker

IPC分类号： A61B17/12 ,  A61B17/068 ,  A61B17/00 ,  A61B17/30 ,  A61B17/34

CPC分类号： A61B17/12 ,  A61B17/068 ,  A61B2017/00292 ,  A61B2017/00827 ,  A61B2017/306 ,  A61B2017/3419 ,  A61B2017/3488

摘要： An assembly for restoring a gastroesophageal flap valve includes a restoration device substantially free for rotation. The assembly comprises an elongated member configured to be fed through a throat, down an adjoining esophagus and into an associated stomach. The elongated member has a distal end. The assembly further comprises a gastroesophageal flap valve restoration device carried on the distal end of the elongated member for placement in the stomach, and an invaginator carried by the elongated member. The invaginator is configured to grip the esophagus and the elongated member and invaginator are coupled for restricted relative axial movement and substantially free relative rotational movement.

公开(公告)号：US20160345968A1

公开(公告)日：2016-12-01

申请号：US15232676

申请日：2016-08-09

申请人： EndoGastric Solutions, Inc.

发明人： Stefan J.M. Kraemer

IPC分类号： A61B17/068 ,  A61B17/00 ,  A61B17/064

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00292 ,  A61B2017/003 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00367 ,  A61B2017/00827 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0647 ,  A61B2017/081

摘要： A patient's stomach may be secured to the patient's diaphragm. A method to accomplish this includes visualizing a wall of a patient's stomach adjacent the patient's diaphragm from within the patient's stomach, inserting a fastener deployment apparatus down the patient's esophagus and into the mammalian's stomach, and fastening the patient's stomach to the patient's diaphragm with the fastener deployment apparatus and from within the stomach. The procedure may be employed to advantage to treat a hiatal hernia, for example, either alone or in conjunction with the restoration of the patient's gastroesophageal flap valve.

摘要翻译： 患者的胃可能会固定在患者的隔膜上。 一种实现这一目的的方法包括从病人的胃内使病人的隔膜邻近地观察病人的胃壁，将紧固件展开装置插入患者的食道并进入哺乳动物的胃内，并用紧固件将患者的胃固定在病人的隔膜上 部署设备和胃内。 该方法可以有利地用于治疗高密度疝气，例如，单独或与患者胃食管瓣瓣的恢复相结合。

公开(公告)号：US09414832B2

公开(公告)日：2016-08-16

申请号：US12660367

申请日：2010-02-24

申请人： Stefan J. M. Kraemer

发明人： Stefan J. M. Kraemer

IPC分类号： A61F2/02 ,  A61B17/04 ,  A61B17/11 ,  A61B17/29 ,  A61B17/00 ,  A61B17/08

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00292 ,  A61B2017/003 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00367 ,  A61B2017/00827 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0647 ,  A61B2017/081

摘要： A patient's stomach may be secured to the patient's diaphragm. A method to accomplish this includes visualizing a wall of a patient's stomach adjacent the patient's diaphragm from within the patient's stomach, inserting a fastener deployment apparatus down the patient's esophagus and into the mammalian's stomach, and fastening the patient's stomach to the patient's diaphragm with the fastener deployment apparatus and from within the stomach. The procedure may be employed to advantage to treat a hiatal hernia, for example, either alone or in conjunction with the restoration of the patient's gastroesophageal flap valve.

摘要翻译： 患者的胃可能会固定在患者的隔膜上。 一种实现这一目的的方法包括从病人的胃内使病人的隔膜邻近地观察病人的胃壁，将紧固件展开装置插入患者的食道并进入哺乳动物的胃内，并用紧固件将患者的胃固定在病人的隔膜上 部署设备和胃内。 该方法可以有利地用于治疗高密度疝气，例如，单独或与患者胃食管瓣瓣的恢复相结合。

公开(公告)号：US09358007B2

公开(公告)日：2016-06-07

申请号：US13680944

申请日：2012-11-19

申请人： EndoGastric Solutions, Inc.

发明人： Steve G. Baker ,  Stefan J. M. Kraemer ,  Raymond M. Wolniewicz, III

IPC分类号： A61B17/10 ,  A61B17/08 ,  A61B17/064 ,  A61B17/00 ,  A61B17/22

CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/08 ,  A61B17/10 ,  A61B2017/00526 ,  A61B2017/00827 ,  A61B2017/00862 ,  A61B2017/00955 ,  A61B2017/0645 ,  A61B2017/0647 ,  A61B2017/22044 ,  A61B2090/037 ,  A61B2090/3937

摘要： Tissue fasteners carried on a tissue piercing deployment wire fasten tissue layers of a mammalian body together include a first member, a second member, and a connecting member extending between the first and second members. One of the first and second members has a configuration alterable by a deployment wire to permit release of the fastener from the deployment wire after deployment and without causing excessive tissue trauma.

公开(公告)号：US09161754B2

公开(公告)日：2015-10-20

申请号：US13716061

申请日：2012-12-14

申请人： EndoGastric Solutions, Inc.

发明人： Stefan J. M. Kraemer ,  Brett J. Carter

IPC分类号： A61B17/08 ,  A61B17/04 ,  A61B17/02 ,  A61B17/29 ,  A61B17/00 ,  A61B17/30

CPC分类号： A61F2/04 ,  A61B17/0218 ,  A61B17/0401 ,  A61B17/08 ,  A61B17/29 ,  A61B2017/003 ,  A61B2017/00349 ,  A61B2017/00827 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/306 ,  A61F2002/044 ,  A61F2002/045

摘要： An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter.

公开(公告)号：US08906037B2

公开(公告)日：2014-12-09

申请号：US12383109

申请日：2009-03-18

申请人： Scott Harshman

发明人： Scott Harshman

IPC分类号： A61B17/10 ,  A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/08

CPC分类号： A61B17/072 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/064 ,  A61B17/068 ,  A61B2017/00349 ,  A61B2017/00818 ,  A61B2017/00827 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/0649 ,  A61B2017/07214 ,  A61B2017/081

摘要： A device for forming a tissue fold includes a recess and an opening at the end of the recess. Tissue is drawn into the recess and through the opening using a tissue engaging element. As the tissue is drawn through the opening, the tissue layers are compressed together. A fastener is used to secure the tissue fold.

摘要翻译： 用于形成组织折叠的装置包括凹部和在凹部的端部处的开口。 组织通过组织接合元件被吸入凹部并穿过开口。 当组织被拉过开口时，组织层被压缩在一起。 紧固件用于固定组织折叠。

公开(公告)号：US20140257338A1

公开(公告)日：2014-09-11

申请号：US13791886

申请日：2013-03-08

申请人： EndoGastric Solutions, Inc.

发明人： Richard Romley

IPC分类号： A61B17/064 ,  A61F5/00

CPC分类号： A61B17/00234 ,  A61B1/00094 ,  A61B17/0401 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07292 ,  A61B2017/00243 ,  A61B2017/00349 ,  A61B2017/00353 ,  A61B2017/00557 ,  A61B2017/00818 ,  A61B2017/00827 ,  A61B2017/00862 ,  A61B2017/0409 ,  A61B2017/0649 ,  A61B2017/306 ,  A61F5/0086

摘要： Stomach tissue is manipulated and fastened with a tissue grasper and a tissue shaper to form folds in the stomach. The tissue grasper and the tissue shaper rotate and translate relative to one another. The tissue grasper has a plurality of vacuum orifices to adhere the tissue grasper to tissue.

摘要翻译： 用组织抓紧器和组织整形器操纵和紧固胃组织以在胃中形成褶皱。 组织抓紧器和组织整形器相对于彼此旋转和平移。 组织抓取器具有多个真空孔，以将组织抓紧器粘附到组织上。

公开(公告)号：US08568429B2

公开(公告)日：2013-10-29

申请号：US13547026

申请日：2012-07-11

申请人： Stefan J. M. Kraemer ,  John M. Adams ,  Stephen T. Vincent

发明人： Stefan J. M. Kraemer ,  John M. Adams ,  Stephen T. Vincent

IPC分类号： A61B19/00

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/0644 ,  A61B17/07207 ,  A61B2017/003 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/07214 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/306

摘要： The invention provides a device, assembly, and method for transoral endoscopic restoration of a gastroesophageal flap valve. The invention also provides a self-steering and self-closing tissue fixation device for tissue fixation, and an invaginator device for gripping and maneuvering tissue. The restoration device includes a longitudinal member arranged for transoral placement into a stomach, a tissue shaper carried on the longitudinal member that causes stomach tissue to assume a shape related to a gastroesophageal flap, and a tissue fixation device that maintains the shaped stomach tissue in a shape approximating a gastroesophageal flap. The tissue shaper may include a mold. The device may include the invaginator device for gripping and maneuvering esophageal tissue to aid restoration of the gastroesophageal flap, and may include the tissue fixation device.

公开(公告)号：US20070293879A1

公开(公告)日：2007-12-20

申请号：US11454621

申请日：2006-06-15

申请人： Steve G. Baker ,  Stefan J. M. Kraemer

发明人： Steve G. Baker ,  Stefan J. M. Kraemer

IPC分类号： A61B17/08

CPC分类号： A61B17/0401 ,  A61B17/0482 ,  A61B2017/00827 ,  A61B2017/0419

摘要： A fastener for use in fastening tissue layers in a mammalian body comprises a first member, a second member, and a connecting member fixed to each of the first and second members intermediate their ends and extending there between. One of the first and second members has a through channel along its axis arranged to be slidingly received on a tissue piercing deployment wire, and a slit extending between the first and second ends and communicating with the through channel. The connecting member includes an agent comprising a plurality of elongated fibers emanating from and carried by the connecting member that stimulates reaction of the tissue layers.

摘要翻译： 用于紧固哺乳动物体内的组织层的紧固件包括第一构件，第二构件和固定到第一构件和第二构件中的每一个的连接构件，并且在其之间延伸。 第一和第二构件中的一个具有沿其轴线的通道，其被布置成滑动地容纳在组织穿刺展开线上，以及在第一和第二端之间延伸并与通道连通的狭缝。 连接构件包括由刺激组织层的反应而由连接构件发出并携带的多个细长纤维的试剂。