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    PLICATION TAGGING DEVICE AND METHOD
    1.
    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

    申请人： Samuel T. Crews ,  Brett Swope ,  Justen England ,  David Cole ,  Carlos Castro

    发明人： Samuel T. Crews ,  Brett Swope ,  Justen England ,  David Cole ,  Carlos Castro

    IPC分类号： A61B17/115

    CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/0684 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/2927 ,  A61B2017/306 ,  A61B2217/005 ,  A61B2217/007

    摘要： 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.

    摘要翻译： 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 PLICATION DEVICE AND METHOD
    2.
    发明申请
    ENDOSCOPIC PLICATION DEVICE AND METHOD 有权
    内窥镜装置及方法

    公开(公告)号：US20100228272A1

    公开(公告)日：2010-09-09

    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： A61B17/00

    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，缝钉或其他装置，用于保持组织切片之间的接触，至少直到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。

    Endoscopic plication device and method
    3.
    发明申请
    Endoscopic plication device and method 审中-公开
    内镜矫治装置及方法

    公开(公告)号：US20080190989A1

    公开(公告)日：2008-08-14

    申请号：US11900757

    申请日：2007-09-13

    申请人： Samuel T. Crews ,  Brett Swope ,  Dave Cole ,  Andrew Smith

    发明人： Samuel T. Crews ,  Brett Swope ,  Dave Cole ,  Andrew Smith

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/0218 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/115 ,  A61B17/1285 ,  A61B2017/00535 ,  A61B2017/00827 ,  A61B2017/1157 ,  A61B2017/306 ,  A61F5/0086

    摘要： In a method of stapling layers of tissue within a body cavity, an engaging instrument is passed between a stapler cartridge and anvil and used to engage a region of tissue. The engaging instrument is retracted to move the engaged tissue into the stapling position, and driving staples from the cartridge through at least two layers of the engaged tissue. The method and associated system may be used to form plications in body tissue, such as stomach wall tissue. Staples simultaneously driven through tissue may simultaneously capture a reinforcing elements positioned adjacent the cartridge and/or anvil prior to stapling.

    摘要翻译： 在缝合体腔内的组织层的方法中，接合装置在吻合器钉仓和砧之间通过并用于啮合组织区域。 接合装置缩回以将接合的组织移动到装订位置，并且通过至少两层的接合组织从钉仓驱动钉。 该方法和相关系统可用于在身体组织如胃壁组织中形成斑点。 通过组织同时驱动的订书钉可以在装订之前同时捕获邻近盒和/或砧座定位的加强元件。

    Endoscopic plication devices and methods
    4.
    发明申请
    Endoscopic plication devices and methods 有权
    内镜矫治装置及方法

    公开(公告)号：US20070219571A1

    公开(公告)日：2007-09-20

    申请号：US11542457

    申请日：2006-10-03

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

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

    IPC分类号： A61B17/08

    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。

    Endoscopic implant system and method
    6.
    发明授权
    Endoscopic implant system and method 有权
    内镜植入系统及方法

    公开(公告)号：US08961539B2

    公开(公告)日：2015-02-24

    申请号：US12435344

    申请日：2009-05-04

    申请人： Samuel T. Crews ,  Brett Swope ,  Justen England

    发明人： Samuel T. Crews ,  Brett Swope ,  Justen England

    IPC分类号： A61B17/10 ,  A61B17/29 ,  A61F5/00 ,  A61B17/00 ,  A61B17/064

    CPC分类号： A61B17/29 ,  A61B2017/003 ,  A61B2017/00827 ,  A61B2017/0641 ,  A61F5/0086 ,  A61F5/0089

    摘要： A system, device, device and method for implanting a food restrictor in a patient's stomach, by coupling the restrictor to a plurality of tissue-plication anchors already placed in the stomach, are disclosed. The device includes an elongate shaft assembly for accessing the stomach transorally, and on which the restrictor can be carried, and a plurality of cable members mounted on the shaft assembly. The cable members are disposed on the shaft assembly along a distal section thereof, and releasably attached to the shaft assembly's distal end. After a cable member engages a tissue-plication anchor, retracting the cable is operable to first release the member from a holder at the distal end of the shaft assembly, then pull a portion of the anchor through an aperture in the restrictor. This process is repeated for each anchor in the stomach for attaching the restrictor to the stomach.

    摘要翻译： 公开了一种用于将食物限制器植入患者胃内的系统，装置，装置和方法，其通过将限制器连接到已经放置在胃中的多个组织定位锚固件。 该装置包括细长轴组件，其用于经腹地进入胃中，并且可以承载限制器，以及安装在轴组件上的多个电缆构件。 电缆构件沿其远端部分设置在轴组件上，并且可释放地附接到轴组件的远端。 在电缆构件接合组织折叠锚固件之后，缩回电缆可操作以首先将构件从轴组件的远端处的保持器释放，然后通过限制器中的孔拉动锚固件的一部分。 对于胃中的每个锚重复该过程，以将节流器附接到胃。

    ENDOSCOPIC IMPLANT SYSTEM AND METHOD
    7.
    发明申请
    ENDOSCOPIC IMPLANT SYSTEM AND METHOD 有权
    内窥镜植入系统及方法

    公开(公告)号：US20100280529A1

    公开(公告)日：2010-11-04

    申请号：US12435344

    申请日：2009-05-04

    申请人： Samuel T. Crews ,  Brett Swope ,  Justen England

    发明人： Samuel T. Crews ,  Brett Swope ,  Justen England

    IPC分类号： A61B17/10 ,  A61B17/08

    CPC分类号： A61B17/29 ,  A61B2017/003 ,  A61B2017/00827 ,  A61B2017/0641 ,  A61F5/0086 ,  A61F5/0089

    摘要： A system, device, device and method for implanting a food restrictor in a patient's stomach, by coupling the restrictor to a plurality of tissue-plication anchors already placed in the stomach, are disclosed. The device includes an elongate shaft assembly for accessing the stomach transorally, and on which the restrictor can be carried, and a plurality of cable members mounted on the shaft assembly. The cable members are disposed on the shaft assembly along a distal section thereof, and releasably attached to the shaft assembly's distal end. After a cable member engages a tissue-plication anchor, retracting the cable is operable to first release the member from a holder at the the distal end of the shaft assembly, then pull a portion of the anchor through an aperture in the restrictor. This process is repeated for each anchor in the stomach for attaching the restrictor to the stomach.

    摘要翻译： 公开了一种用于将食物限制器植入患者胃内的系统，装置，装置和方法，其通过将限制器连接到已经放置在胃中的多个组织定位锚固件。 该装置包括细长轴组件，其用于经腹地进入胃中，并且可以承载限制器，以及安装在轴组件上的多个电缆构件。 电缆构件沿其远端部分设置在轴组件上，并且可释放地附接到轴组件的远端。 在电缆构件接合组织折叠锚固件之后，缩回电缆可操作以首先将构件从轴组件的远端处的保持器释放，然后通过限制器中的孔拉动锚固件的一部分。 对于胃中的每个锚重复该过程，以将节流器附接到胃。

    Endoscopic plication device and method
    8.
    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。