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公开(公告)号：US11437143B2
公开(公告)日：2022-09-06
申请号：US16259534
申请日：2019-01-28
发明人： Jason L. Harris , Christopher J. Hess , Nitin Kumar Jain , Diane M. Francis , Thomas E. Albrecht , Tina Denise Hunter
摘要： Various systems and methods for predicting metabolic and bariatric surgery outcomes are provided. The systems and methods can also provide predictions for non-surgical metabolic and bariatric treatments. In general, a user can receive predictive outcomes of multiple bariatric procedures that could be performed on a patient. In one embodiment, a user can electronically access a metabolic and bariatric surgery outcome prediction system, e.g., using one or more web pages. The system can provide predictive outcomes of one or more different bariatric surgeries for the patient based on data gathered from the user and on historical data regarding outcomes of the different bariatric surgeries. The system can additionally provide predictive outcomes for not having any treatment and/or a comparison of the predictive outcomes of the one or more different bariatric surgeries to the predictive outcomes for not having any treatment.
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公开(公告)号：US11141153B2
公开(公告)日：2021-10-12
申请号：US14527398
申请日：2014-10-29
IPC分类号： A61B17/068 , A61B17/072
摘要： Staple cartridge assemblies are disclosed herein which are an improvement over previous staple cartridge assemblies. Certain embodiments utilize tri-staple drivers which simultaneously eject three staples from a staple cartridge.
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公开(公告)号：US11058447B2
公开(公告)日：2021-07-13
申请号：US14727470
申请日：2015-06-01
发明人： Kevin L. Houser
摘要： A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. An ultrasonic end effector extends along a longitudinal axis and is coupled to the transducer. The ultrasonic end effector comprises an ultrasonic blade and a clamping mechanism. A controller receives a feedback signal from the ultrasonic end effector and the feedback signal is measured by the controller. A lumen is adapted to couple to a pump. The controller is configured to control fluid flow through the lumen based on the feedback signal, and the lumen is located within the ultrasonic end effector.
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公开(公告)号：US10953224B2
公开(公告)日：2021-03-23
申请号：US16225215
申请日：2018-12-19
发明人： Toralf Bork , Rocco Crivelli , Mathilde Miguras , Martin Pfleiderer , Yanik Tardy , Jason L. Harris , Mark S. Ortiz
摘要： A system for stimulating the release of satiety hormone in a subject comprises a stimulus device which is implantable in the subject and adapted to apply an electrical stimulus to a tissue of a gastrointestinal system of said subject, and a detection device which is implantable in the subject and adapted to continuously monitoring at least one of a mechanical characteristic and an electrical characteristic of the subject to detect an ingestion of food by said subject, wherein the detection device cooperates with the stimulus device such that the stimulus device applies said electrical stimulus in response to a detected ingestion of food.
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公开(公告)号：US20200289113A1
公开(公告)日：2020-09-17
申请号：US16885671
申请日：2020-05-28
IPC分类号： A61B17/072 , A61B90/00 , A61B17/068
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an anterior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
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公开(公告)号：US20200121732A1
公开(公告)日：2020-04-23
申请号：US16669143
申请日：2019-10-30
申请人： Ethicon Endo-Surgery, Inc. , The General Hospital Corporation D/B/A, Massachusetts General Hospiltal , President and Fellows of Harvard College
IPC分类号： A61K35/74 , A61K9/00 , C12Q1/689 , A61K45/06 , A61K35/741
摘要： Methods and compositions are provided for treating weight related conditions and metabolic disorders by altering microbiota in a subject. One aspect provides methods and compositions to alter microbiota in a subject by administering to the subject a composition that includes a substantially purified microbiota from phyla such as Bacteroidetes, Proteobacteria, Firmicutes and Verrucomicrobia or orders such as Bacteroidales, Verrucomicrobiales, Clostridiales and Enterobacteriales or genera such as Alistipes, Clostridium, Escherichia, and Akkermansia. Another aspect includes a pharmaceutical composition for altering microbiota that includes a therapeutically effective amount of substantially purified microbiota and a pharmaceutically acceptable carrier. Yet another aspect includes methods for treating a disorder, such as obesity, in a subject in need of such treatment by changing relative abundance of microbiota in a gastrointestinal tract of the subject without or in addition to a surgical procedure.
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公开(公告)号：US10586669B2
公开(公告)日：2020-03-10
申请号：US16242548
申请日：2019-01-08
发明人： Kevin W. Smith
IPC分类号： H01H35/14 , A61B17/115 , A61B17/068 , H01H13/18 , A61B17/00 , H01H11/00 , A61B90/00 , A61B17/72
摘要： A method of creating a switch, comprising disposing a switching element movably within an interior cavity of the switch to define switch-making and switch-breaking positions along a switching axis of the switching element, disposing a biasing element about the switching element to impart a biasing force to the switching element to place the switching element in one of the switch-making and switch-breaking positions until an external force imparted to the switching element exceeds the biasing force to cause the switching element to change to the other position, disposing a biasing force-adjusting element in cooperative engagement with the biasing element such that a magnitude of the biasing force is adjustable, and coupling a conductive contact to the switching element to define a switch-making state when the switching element is in the switch-making position and a switch-breaking state when the switching element is in the switch-breaking position.
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公开(公告)号：US10561422B2
公开(公告)日：2020-02-18
申请号：US14318997
申请日：2014-06-30
发明人： Emily A. Schellin , Charles J. Scheib , Nicholas Fanelli , Cortney E. Henderson , Kevin L. Houser
IPC分类号： A61B17/068 , A61B17/10
摘要： A fastener cartridge can comprise a cartridge body including a plurality of cavities arranged in longitudinal rows. Some of the cavities can have fasteners removably stored therein. Other cavities can have deployable tissue engaging members stored therein which are movable from an undeployed position to a deployed position to engage tissue. In some instances, the fastener cartridge can include at least one longitudinal row of cavities which each include a deployable tissue engaging member. Such rows of cavities can comprise the outer-most rows of cavities in the fastener cartridge.
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公开(公告)号：US10537394B2
公开(公告)日：2020-01-21
申请号：US15383068
申请日：2016-12-19
发明人： Geoffrey S. Strobl
IPC分类号： A61B34/20 , A61B5/06 , A61B5/00 , A61B18/14 , A61N7/02 , A61B17/00 , A61B34/35 , A61B34/00 , A61B90/00
摘要： A surgical system includes a first detector that includes a first array of pixels configured to detect light reflected by a surgical instrument and generate a first signal comprising a first dataset representative of a visible image of the surgical instrument. The surgical system also includes a second detector, comprising a second array of pixels configured to detect infrared radiation produced by the surgical instrument during a procedure using the surgical instrument and generate a second signal comprising a second dataset representative of an infrared image of the surgical instrument. The surgical system further includes a processor configured to receive the first and second signals, identify from the first dataset data representative of the surgical instrument, and identify from the second dataset data representative of one or more regions of the surgical instrument above a predetermined threshold temperature. The processor is also configured to generate a modified image of the surgical instrument based on data identified from the first and second dataset. The modified image includes visible indicia in the one or more region of the surgical instrument at or above the predetermined temperature.
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公开(公告)号：US10478248B2
公开(公告)日：2019-11-19
申请号：US15188540
申请日：2016-06-21
发明人： Gary L. Long
摘要： An ablation system including a first probe extending through a first longitudinal lumen from a proximal end to beyond a distal end of a flexible shaft, a first electrode coupled to a distal end of the first probe, and a first conductor electrically coupled to the first electrode. The ablation system further includes a second probe extending through a second longitudinal lumen from the proximal end to beyond the distal end of the flexible shaft, a second electrode coupled to a distal end of the second probe, and a second conductor electrically coupled to the second electrode. The first and second probes are rotatable and translatable within the first and second longitudinal lumens respectively. Furthermore, the first electrode and the second electrode are rotatably and translatably positionable with respect to one another, via the first probe and the second probe respectively, to define a region therebetween.
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