-
公开(公告)号:US08728104B2
公开(公告)日:2014-05-20
申请号:US12907172
申请日:2010-10-19
申请人: Robert B DeVries , William J Shaw , Kristian DiMatteo , Gerhard F Buess , Daniel Kalanovic , Marc O Schurr , Roy H Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutileus , Paul DiCesare
发明人: Robert B DeVries , William J Shaw , Kristian DiMatteo , Gerhard F Buess , Daniel Kalanovic , Marc O Schurr , Roy H Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutileus , Paul DiCesare
CPC分类号: A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译: 公开了用于紧固多个组织层的内窥镜装置和方法,例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端,构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个,联接到所述管状构件的远端的装置,用于将所述多个组织层折叠在一起的组织紧固件,所述组织紧固件构造成插入所述组织层中以将所述组织层保持在一起;以及紧固头 用于将组织紧固件插入组织层中。
-
公开(公告)号:US20110124963A1
公开(公告)日:2011-05-26
申请号:US12907172
申请日:2010-10-19
申请人: Robert B. DEVRIES , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, JR. , John Griego , Patrick Gutileus , Paul DiCesare
发明人: Robert B. DEVRIES , William J. Shaw , Kristian DiMatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, JR. , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号: A61B1/018
CPC分类号: A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译: 公开了用于紧固多个组织层的内窥镜装置和方法,例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端,构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个,联接到所述管状构件的远端的装置,用于将所述多个组织层折叠在一起的组织紧固件,被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件, 用于将组织紧固件插入组织层中。
-
公开(公告)号:US20050262949A1
公开(公告)日:2005-12-01
申请号:US11142633
申请日:2005-05-31
摘要: The ability of a person to grasp an object and at the same time to feel, as well as to determine mechanical and geometric parameters of the comprehended object, makes him or her irreplaceable for many tasks, i.e. in production or in surgery. The translation of this ability into a technological system has often failed up to now due to lack of special adjusted sensors. The object of this invention is a sensory device, which fulfills the requirements for a tactile sensor system and at the same time affords a cost-effective and simple manufacturing alternative to other sensor principles. The layer structure of the sensor element is so constructed that by effect of an external force of the current by a resistive layer a path is disposed to narrowing or enlargement. The voltage drop over this resistive layer is dependent upon the acting external force and serves as signal sensor.
摘要翻译: 一个人抓住一个物体并同时感觉到以及确定理解的物体的机械和几何参数的能力使得他或她在许多任务中不可替代,即在生产或手术中。 由于缺少特殊的调整传感器,将这种能力转化为技术系统往往失败。 本发明的目的是一种感觉装置,其满足触觉传感器系统的要求,并且同时为其它传感器原理提供成本有效且简单的制造替代方案。 传感器元件的层结构被构造成通过由电阻层的电流的外力的作用使路径变窄或扩大。 该电阻层上的电压降取决于作用的外力,并用作信号传感器。
-
公开(公告)号:US20130060264A1
公开(公告)日:2013-03-07
申请号:US13616212
申请日:2012-09-14
IPC分类号: A61B17/03
CPC分类号: A61B17/0644 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/122 , A61B17/1285 , A61B2017/00827 , A61B2017/0641 , A61B2017/0647 , A61B2017/081
摘要: The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.
摘要翻译: 本发明涉及装置和使用该装置的方法,以在腔内医疗过程中产生和固定组织折叠。 装置和方法可以用于折叠和固定,例如,在食管下括约肌(LES)区域中的食管壁或食管组织上的眼底壁,以减小该区域中食道开口的直径。 本发明的一个方面包括通过闭合可枢转地连接到位于眼底壁和食管壁的接合处的外套管的把持臂来形成组织折叠。 本发明的另一方面包括构造成通过内腔装置插入和定位的组织夹。
-
公开(公告)号:US08211050B2
公开(公告)日:2012-07-03
申请号:US11074404
申请日:2005-03-08
CPC分类号: A61F5/0083
摘要: The medical implant for treating pathological obesity is adapted to modify and, as an alternative, to bypass the natural food passage in the digestive tract. The implant permits an adjustable bypassing of food into the small intestine and/or into the stomach (natural digestive path). Since the ratio of this bypass is adjustable in the course of the treatment by the physician, e.g. with the aid of an endoscope, for the first time a balance between the therapeutic effect and the side-effects can be adapted individually to each patient by the use of the implant. The implant has a hollow body with first and a second tubular end portions and at least one third lateral opening having a hose-like extension. The individual at least partly closable hose-like extensions differ in their ability to allow the passage of food into the stomach. Closing individual hose-like extensions at least partially by means of an endoscope leads to an individually adjustable distribution of food between the stomach and the small-intestine loop.
摘要翻译: 用于治疗病理性肥胖症的医疗植入物适于修饰和替代,以绕过消化道中的天然食物通道。 植入物允许将食物可调节地绕过小肠和/或进入胃(自然消化道)。 由于该旁路的比例在医师的治疗过程中是可调节的,例如, 借助于内窥镜,首次可以通过使用植入物来单独地对每个患者适应治疗效果和副作用之间的平衡。 植入物具有中空体,其具有第一和第二管状末端部分以及具有软管状延伸部的至少一个第三侧向开口。 个体至少部分关闭的软管状延长部分的能力允许食物进入胃部的能力不同。 至少部分地通过内窥镜封闭单独的软管状延伸部,导致在胃与小肠回路之间单独调节的食物分配。
-
公开(公告)号:US07837698B2
公开(公告)日:2010-11-23
申请号:US11471513
申请日:2006-06-21
申请人: Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
发明人: Robert DeVries , William J. Shaw , Kristian Dimatteo , Gerhard F. Buess , Daniel Kalanovic , Marc O. Schurr , Roy H. Sullivan , Marc Tassy, Jr. , John Griego , Patrick Gutelius , Paul DiCesare
IPC分类号: A61B17/08
CPC分类号: A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
摘要翻译: 公开了用于紧固多个组织层的内窥镜装置和方法,例如内窥镜基底层手术。 该装置可以包括例如具有用于延伸到身体外部的近端的细长管状构件和用于在多个组织层附近定位的远端,构造成用于靠近管状构件的远端定位并用于抓握 所述多个组织层中的至少一个,联接到所述管状构件的远端的装置,用于将所述多个组织层折叠在一起的组织紧固件,被配置为插入所述组织层以将所述组织层保持在一起的组织紧固件, 用于将组织紧固件插入组织层中。
-
公开(公告)号:US09173656B2
公开(公告)日:2015-11-03
申请号:US13616212
申请日:2012-09-14
IPC分类号: A61B17/10 , A61B17/08 , A61B17/068 , A61B17/064 , A61B17/00 , A61B17/122 , A61B17/128
CPC分类号: A61B17/0644 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/0682 , A61B17/122 , A61B17/1285 , A61B2017/00827 , A61B2017/0641 , A61B2017/0647 , A61B2017/081
摘要: The present invention relates to devices, and methods for using the devices, to create and secure a tissue fold during an endoluminal medical procedure. The devices and methods may be used for folding and securing, for example, a fundus wall onto an esophagus wall or esophageal tissue in the region of the lower esophageal sphincter (LES) to reduce the diameter of the esophagus opening in that region. One aspect of the invention includes forming the tissue fold by closing a grasping arm that is pivotably connected to an overtube that has been positioned at the juncture of the fundus wall and esophagus wall. A further aspect of the invention includes tissue clips configured to be inserted and positioned through an endoluminal device.
-
公开(公告)号:US20060241661A1
公开(公告)日:2006-10-26
申请号:US11471513
申请日:2006-06-21
申请人: Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
发明人: Robert DeVries , William Shaw , Kristian Dimatteo , Gerhard Buess , Daniel Kalanovic , Marc Schurr , Roy Sullivan , Marc Tassy , John Griego , Patrick Gutileus , Paul DiCesare
IPC分类号: A61B17/08
CPC分类号: A61B17/08 , A61B1/2736 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06109 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0458 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/061 , A61B2017/081 , A61B2017/306
摘要: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.
-
公开(公告)号:US20050283107A1
公开(公告)日:2005-12-22
申请号:US11074404
申请日:2005-03-08
CPC分类号: A61F5/0083
摘要: The present invention describes a medical implant for treating pathological obesity, which is adapted to modify and, as an alternative, to bypass the natural food passage in the digestive tract. In contrast to purely surgical methods of food bypassing, the properties of the present implant permit an adjustable bypassing of food into the small intestine and/or into the stomach (natural digestive path). Since the ratio of this bypass is adjustable in the course of the treatment by the physician, e.g. with the aid of an endoscope, for the first time a balance between the therapeutic effect and the side-effects can be adapted individually to each patient by the use of the implant. The present invention is a hollow body 1 comprising a first and a second tubular end portion 2, 3 and at least one third lateral opening having a hose-like extension 8. It is provided that individual, at least partly closable hose-like extensions 8 differ in their ability to allow the passage of food into the stomach 11. The possibility to close individual hose-like extensions 8 at least partially by means of an endoscope leads to an individually adjustable distribution of food between the stomach 11 and the small-intestine loop 12.
摘要翻译: 本发明描述了一种用于治疗病理性肥胖的医疗植入物,其适于修饰和替代地绕过消化道中的天然食物通道。 与食物旁路的纯手术方法相反,本植入物的性质允许将食物可调节地绕过小肠和/或进入胃(自然消化道)。 由于该旁路的比例在医师的治疗过程中是可调节的,例如, 借助于内窥镜,首次可以通过使用植入物来单独地对每个患者适应治疗效果和副作用之间的平衡。 本发明是一种中空体1,其包括第一和第二管状端部2,3以及具有软管状延伸部8的至少一个第三侧向开口。 提供了个体的,至少部分可关闭的软管状延伸部8的能力不同,允许食物进入胃部11。 通过内窥镜至少部分地封闭单个软管状延伸部8的可能性导致在胃部11和小肠回路12之间单独调节的食物分配。
-
公开(公告)号:US07698961B2
公开(公告)日:2010-04-20
申请号:US11142633
申请日:2005-05-31
摘要: The ability of a person to grasp an object and at the same time to feel, as well as to determine mechanical and geometric parameters of the comprehended object, makes him or her irreplaceable for many tasks, i.e. in production or in surgery. The translation of this ability into a technological system has often failed up to now due to lack of special adjusted sensors. The object of this invention is a sensory device, which fulfills the requirements for a tactile sensor system and at the same time affords a cost-effective and simple manufacturing alternative to other sensor principles. The layer structure of the sensor element is so constructed that by effect of an external force of the current by a resistive layer a path is disposed to narrowing or enlargement. The voltage drop over this resistive layer is dependent upon the acting external force and serves as signal sensor.
摘要翻译: 一个人抓住一个物体并同时感觉到以及确定理解的物体的机械和几何参数的能力使得他或她在许多任务中不可替代,即在生产或手术中。 由于缺少特殊的调整传感器,将这种能力转化为技术系统往往失败。 本发明的目的是一种感觉装置,其满足触觉传感器系统的要求,并且同时为其它传感器原理提供成本有效且简单的制造替代方案。 传感器元件的层结构被构造成通过由电阻层的电流的外力的作用使路径变窄或扩大。 该电阻层上的电压降取决于作用的外力,并用作信号传感器。
-
-
-
-
-
-
-
-
-