Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen
    71.
    发明申请
    Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen 审中-公开
    在患者胃肠腔内进行吸收不良的旁路手术的方法和装置

    公开(公告)号:US20060036267A1

    公开(公告)日:2006-02-16

    申请号:US10916768

    申请日:2004-08-11

    IPC分类号: A61B17/08

    摘要: Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastrointestinal lumen are described comprising, for example, gastroenterostomy procedures that are preferably performed in an endoscopic or laparoscopic fashion. Anastomosis between the patient's stomach and intestine allows food to bypass at least a portion of the patient's stomach and/or intestine, thereby providing a malabsorptive region. The malabsorptive procedure may be accompanied by additional procedures, for example, pyloric occlusion, pyloroplasty, gastroplasty, gastric tissue destruction and/or intestinal pleating.

    摘要翻译: 描述了在患者的胃肠腔内进行吸收不良手术的方法和装置,其包括例如胃肠造口术程序,其优选以内窥镜或腹腔镜方式进行。 患者胃和肠之间的吻合允许食物绕过患者的胃和/或肠的至少一部分,从而提供吸收不良的区域。 吸收不良的程序可伴随其他方法,例如幽门闭塞,成形术,胃成形术,胃组织破坏和/或肠打褶。

    Manipulatable grasping needle
    72.
    发明申请
    Manipulatable grasping needle 审中-公开
    可操纵抓针

    公开(公告)号:US20060020274A1

    公开(公告)日:2006-01-26

    申请号:US10898684

    申请日:2004-07-23

    IPC分类号: A61B17/04

    摘要: A manipulatable grasping needle is described herein. A piercing and grasping assembly generally comprises a needle body, which is optionally hollow, having a piercing tip and a grasping arm positioned proximally of the tip, wherein the grasping arm is adapted to project from the needle body and releasably retain a length of suture. Alternatively, opposing jaws can form a singular piercing tip when the jaws are closed. The assembly is positioned at the distal end of an elongate member which can be rigid or flexible for advancement through an endoscopic device. The elongate member can also comprise one or more articulatable sections to enable manipulation of the assembly into various shapes to facilitate suture and tissue manipulation. Moreover, either the needle body or grasping arm can define a notch for receiving suture material. A hooking member can also be provided to facilitate suture retrieval when grasping suture.

    摘要翻译: 这里描述了可操纵的把持针。 穿刺和抓握组件通常包括可选地中空的针体,其具有穿刺尖端和位于尖端近侧的抓握臂,其中抓握臂适于从针体突出并且可释放地保持一定长度的缝合线。 或者,当夹爪关闭时,相对的夹爪可以形成单个穿刺尖端。 组件定位在细长构件的远端,细长构件的远端可以是刚性的或柔性的,用于通过内窥镜装置前进。 细长构件还可以包括一个或多个可铰接部分,以使得能够将组件操纵成各种形状以便于缝合和组织操纵。 此外,针体或抓握臂可以限定用于接收缝合材料的凹口。 还可以提供钩构件以便于在抓住缝线时促进缝合线的取出。

    Methods and apparatus for creating a working space within a body lumen or cavity
    73.
    发明申请
    Methods and apparatus for creating a working space within a body lumen or cavity 审中-公开
    用于在体腔或腔内产生工作空间的方法和装置

    公开(公告)号:US20050277975A1

    公开(公告)日:2005-12-15

    申请号:US10865686

    申请日:2004-06-09

    IPC分类号: A61B17/02 A61B17/34 A61M29/00

    摘要: Methods and apparatus for creating a working space within a patient's stomach are described. The working space is created by internally spreading or pushing the walls of the stomach apart. Advantageously, such spreading is achieved without pressurizing the patient's stomach, i.e. without injecting a pressurized gas or other fluid directly into the stomach. Diagnostic or therapeutic instruments may be deployed within the working space. It is expected that spreading the walls without pressurizing the stomach will facilitate engagement and/or manipulation of the stomach wall for, e.g., endoluminal treatment of obesity.

    摘要翻译: 描述了在患者胃内创建工作空间的方法和装置。 工作空间是通过内部扩展或推开胃壁而产生的。 有利地,在不对患者的胃进行加压的情况下实现这种扩散,即不将加压气体或其它流体直接注入到胃中。 诊断或治疗仪器可以部署在工作空间内。 预期在不加压胃的情况下扩散壁将有助于胃壁的接合和/或操纵,例如用于肥胖的腔内处理。

    Apparatus and methods for cooling a region within the body
    79.
    发明申请
    Apparatus and methods for cooling a region within the body 失效
    用于冷却体内区域的装置和方法

    公开(公告)号:US20050171585A1

    公开(公告)日:2005-08-04

    申请号:US11096980

    申请日:2005-04-01

    申请人: Vahid Saadat

    发明人: Vahid Saadat

    摘要: Apparatus and methods for cooling selected regions within a body are described herein. An implantable cooling system is used to cool regions of the brain, spinal cord, fibrous nerve bodies, e.g., vagus nerve, etc. down to about 30° C. to diminish nerve impulses which control seizures or chronic pain. The system includes an implantable unit containing a pumping mechanism and/or various control electronics. It also has a heat exchanger attachable to a tubular body organ, such as the superior vena cava or the inferior vena cava, through which the heat is effectively dissipated. Also included is a heat pump such as a Peltier junction configured to be placed into contact with the region of tissue to be cooled. The heated portion of the Peltier junction is cooled by a liquid heat transfer medium which absorbs the heat from the junction and dissipates it into the tubular body organ.

    摘要翻译: 本文描述了用于冷却体内所选区域的装置和方法。 植入式冷却系统用于将大脑,脊髓,纤维神经体(例如迷走神经等)的区域冷却至约30℃,以减少控制癫痫发作或慢性疼痛的神经冲动。 该系统包括含有泵送机构和/或各种控制电子装置的可植入单元。 它还具有可连接到诸如上腔静脉或下腔静脉的管状体器官的热交换器,热量被有效地消散通过该热交换器。 还包括一个热泵,例如珀尔帖接头,被配置为与要冷却的组织区域接触。 珀尔帖接头的加热部分由液体传热介质冷却,液体传热介质从接合处吸收热量并将其散发到管状体脏器中。