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    Endoscopic plication device and method
    1.
    发明授权
    Endoscopic plication device and method 有权
    内镜矫治装置及方法

    公开(公告)号：US08469977B2

    公开(公告)日：2013-06-25

    申请号：US12785268

    申请日：2010-05-21

    申请人： Daniel J. Balbierz ,  Dave Cole ,  Samuel T. Crews ,  Brett Swope ,  Andrew Smith ,  John Lunsford ,  Fiona Sander

    发明人： Daniel J. Balbierz ,  Dave Cole ,  Samuel T. Crews ,  Brett Swope ,  Andrew Smith ,  John Lunsford ,  Fiona Sander

    IPC分类号： A61B17/72

    CPC分类号： A61B17/1155 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1285 ,  A61B2017/00535 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/1139 ,  A61B2017/1157 ,  A61B2017/306 ,  A61F5/0036

    摘要： Described herein are endoscopic plicators 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 plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means 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 is formed, medical devices may be coupled to the plication(s) for retention within the stomach.

    摘要翻译： 这里描述的是内窥镜检查器，其通过经腹部通过胃并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。 在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。 所公开的调节器允许组织的相对部分彼此移动接触，并且优选地递送缝合线，缝钉或其它装置，用于保持组织切片之间的接触，至少在它们之间形成浆膜粘结。 这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。 在形成一个或多个脓肿之后，医疗装置可以连接到脓液以保持在胃中。

    MULTI-FIRE STAPLING SYSTEMS AND METHODS FOR DELIVERING ARRAYS OF STAPLES
    5.
    发明申请
    MULTI-FIRE STAPLING SYSTEMS AND METHODS FOR DELIVERING ARRAYS OF STAPLES 有权
    多层消防系统和传送堆叠阵列的方法

    公开(公告)号：US20110192881A1

    公开(公告)日：2011-08-11

    申请号：US13089216

    申请日：2011-04-18

    申请人： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    发明人： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    IPC分类号： A61B17/068 ,  A61B17/072

    CPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61F5/0086

    摘要： A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready-position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    摘要翻译： 订书钉壳体包括各自位于钉送出位置的订书钉阵列或准备好被烧制到目标组织中的“就绪位置”。 订书钉驱动器可前进，以使用订书钉推动器将订书钉从订书钉驱动到组织中。 在使用期间，准备位置中的订书钉使用订书钉推动器同时被烧制到目标组织中，从而在目标组织中形成一排钉。 在阵列被点火之后，钉仓壳体内的一个或多个进给机构将第二组订书钉从一个或多个订书钉存储位置推进到就绪位置，以准备第二组钉的点火。

    Endoscopic stapling devices and methods
    6.
    发明授权
    Endoscopic stapling devices and methods 有权
    内镜吻合装置及方法

    公开(公告)号：US07721932B2

    公开(公告)日：2010-05-25

    申请号：US12052874

    申请日：2008-03-21

    申请人： David Cole ,  Andrew Smith

    发明人： David Cole ,  Andrew Smith

    IPC分类号： A61B17/068

    CPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/306 ,  A61F5/0013 ,  A61F5/0083

    摘要： 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.

    摘要翻译： 这里描述的是用于将一个或多个紧固件应用于身体组织的内窥镜吻合器。 在一个实施例中，优选为吻合器的紧固件施加装置通过经腹部通入胃中，并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。 在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。 所公开的订书机允许组织的相对部分彼此接触，并且优选地递送用于维持组织部分之间的接触的钉，至少在它们之间形成浆膜粘结。 这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。 在形成一个或多个脓肿之后，医疗装置可以可选地耦合到脓肿以保持在胃内。

    Endoscopic stapling devices and methods
    10.
    发明授权
    Endoscopic stapling devices and methods 有权
    内镜吻合装置及方法

    公开(公告)号：US08020741B2

    公开(公告)日：2011-09-20

    申请号：US12050169

    申请日：2008-03-18

    申请人： David Cole ,  Andrew Smith

    发明人： David Cole ,  Andrew Smith

    IPC分类号： A61B17/068

    CPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/306 ,  A61F5/0013 ,  A61F5/0083

    摘要： 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.

    摘要翻译： 这里描述的是用于将一个或多个紧固件应用于身体组织的内窥镜吻合器。 在一个实施例中，优选为吻合器的紧固件施加装置通过经腹部通入胃中，并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。 在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。 所公开的订书机允许组织的相对部分彼此接触，并且优选地递送用于维持组织部分之间的接触的钉，至少在它们之间形成浆膜粘结。 这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。 在形成一个或多个脓肿之后，医疗装置可以可选地耦合到脓肿以保持在胃内。