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1.发明授权公开(公告)号：US08747421B2
公开(公告)日：2014-06-10
申请号：US13089216
申请日：2011-04-18
IPC分类号： A61B17/068
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。
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2.发明申请公开(公告)号：US20110192881A1
公开(公告)日：2011-08-11
申请号：US13089216
申请日：2011-04-18
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。
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3.发明申请公开(公告)号：US20100116867A1
公开(公告)日：2010-05-13
申请号：US12268404
申请日：2008-11-10
IPC分类号： A61B17/10
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。
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4.发明授权公开(公告)号：US07934631B2
公开(公告)日：2011-05-03
申请号：US12268404
申请日：2008-11-10
IPC分类号： A61B17/068
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。
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公开(公告)号：US20090125040A1
公开(公告)日：2009-05-14
申请号：US12268216
申请日：2008-11-10
申请人： Pablo R. Hambly , Daniel J. Balbierz , Samuel T. Crews , Betton Swope , David Cole , Andrew Smith
发明人： Pablo R. Hambly , Daniel J. Balbierz , Samuel T. Crews , Betton Swope , David Cole , Andrew Smith
IPC分类号： A61B17/04 , A61B17/068
CPC分类号： A61B17/10 , A61B17/068 , A61B17/30 , A61B2017/2901 , A61B2017/306 , A61F5/0086
摘要： A device and method for acquiring tissue in preparation for tissue fastening includes an acquisition head having a pair of vacuum chambers. A vacuum source is used to draw a tissue into a first one of the chambers, and a grasper is extended into the chamber to engage the tissue, allowing vacuum pressure to be released without loss of the tissue from the chamber. Tissue is subsequently drawn into an adjacent chamber and then similarly engaged in the chamber using a second grasper. The two or more sections of acquired tissue may be held in complete or partial alignment with one another as staples or other fasteners are driven through the pinches, thus forming a four-layer tissue plication.
摘要翻译： 用于在组织紧固准备中获取组织的装置和方法包括具有一对真空室的采集头。 使用真空源将组织拉入到第一个室中，并且将抓紧器延伸到腔室中以与组织接合，从而允许释放真空压力而不会从腔室中丢失组织。 随后将组织拉入相邻的腔室，然后使用第二抓紧器类似地接合在腔室中。 当钉或其它紧固件通过夹持物驱动时，获得的组织的两个或更多个部分可以彼此完全或部分对准，从而形成四层组织折叠。
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公开(公告)号：US20090030284A1
公开(公告)日：2009-01-29
申请号：US12175274
申请日：2008-07-17
申请人： David Cole , Melanie L. Harris , Carlos E. Castro , Jason S. Stewart , Samuel T. Crews , Daniel J. Balbierz
发明人： David Cole , Melanie L. Harris , Carlos E. Castro , Jason S. Stewart , Samuel T. Crews , Daniel J. Balbierz
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B1/00078 , A61B1/00135 , A61B1/0051 , A61B1/2736
摘要： This application describes an overtube device that gives diagnostic and/or therapeutic access to body cavities using natural orifices of the body. The overtube includes an elongate flexible body having a distal portion deflectable in response to activation of a control cable. Proximal features of the overtube include an insufflations port and seals for minimizing loss of insufflations pressure around the shafts of instruments passed through the tube. In some embodiments, retractor elements are including on the distal portion of the overtube.
摘要翻译： 该应用描述了一种使用身体天然孔的诊断和/或治疗进入体腔的外套管装置。 外套管包括细长的柔性体，其具有响应于控制电缆的启动而可偏转的远侧部分。 外套管的近端特征包括吹入口和密封件，用于使穿过管的仪器的轴周围的吸入压力最小化。 在一些实施例中，牵开器元件包括在外套管的远端部分上。
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公开(公告)号：US20110319924A1
公开(公告)日：2011-12-29
申请号：US13224233
申请日：2011-09-01
申请人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
发明人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
IPC分类号： A61F2/04
CPC分类号： A61F5/0036 , A61F5/003
摘要： Systems for controlling obesity utilize a number of space occupiers positioned in the stomach to reduce the effective volume of the stomach. Such arrangements provides sufficient stomach volume consumption to induce weight loss, but enable use of space occupiers that are proportioned to minimize the threat of obstruction even if they should migrate into the intestine. In general, numerous small volume space occupiers are placed in the stomach such that the total volume equals or exceeds the single volume of prior art single unit space occupiers. However, each individual space occupier is proportioned so that it will pass without obstruction if it moves into the intestine.
摘要翻译： 用于控制肥胖的系统利用位于胃中的多个空间占用者来减少胃的有效体积。 这种布置提供足够的胃体积消耗以引起体重减轻，但是能够使用成比例的空间占用者，以尽量减少阻塞的威胁，即使它们应该迁移到肠中。 通常，许多小容量空间占用者被放置在胃中，使得总体积等于或超过现有技术的单个单位空间占用者的单个体积。 然而，每个单独的空间占有者是成比例的，以便如果它进入肠道，它将不会阻塞。
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公开(公告)号：US07708181B2
公开(公告)日：2010-05-04
申请号：US12052885
申请日：2008-03-21
申请人： David Cole , Andrew Smith , Samuel T. Crews , Bretton Swope , Daniel J. Balbierz
发明人： David Cole , Andrew Smith , Samuel T. Crews , Bretton Swope , Daniel J. Balbierz
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.
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公开(公告)号：US08945167B2
公开(公告)日：2015-02-03
申请号：US13224233
申请日：2011-09-01
申请人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
发明人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
CPC分类号： A61F5/0036 , A61F5/003
摘要： Systems for controlling obesity utilize a number of space occupiers positioned in the stomach to reduce the effective volume of the stomach. Such arrangements provides sufficient stomach volume consumption to induce weight loss, but enable use of space occupiers that are proportioned to minimize the threat of obstruction even if they should migrate into the intestine. In general, numerous small volume space occupiers are placed in the stomach such that the total volume equals or exceeds the single volume of prior art single unit space occupiers. However, each individual space occupier is proportioned so that it will pass without obstruction if it moves into the intestine.
摘要翻译： 用于控制肥胖的系统利用位于胃中的多个空间占用者来减少胃的有效体积。 这种布置提供足够的胃体积消耗以引起体重减轻，但是能够使用成比例的空间占用者，以尽量减少阻塞的威胁，即使它们应该迁移到肠中。 通常，许多小容量空间占用者被放置在胃中，使得总体积等于或超过现有技术的单个单位空间占用者的单个体积。 然而，每个单独的空间占有者是成比例的，以便如果它进入肠道，它将不会阻塞。
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公开(公告)号：US20090171383A1
公开(公告)日：2009-07-02
申请号：US12270607
申请日：2008-11-13
申请人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
发明人： David Cole , Samuel T. Crews , Bretton Swope , Andrew Smith , John Lunsford , Daniel J. Balbierz
IPC分类号： A61M29/02
CPC分类号： A61F5/0036 , A61F5/003
摘要： Systems for controlling obesity utilize a number of space occupiers positioned in the stomach to reduce the effective volume of the stomach. Such arrangements provides sufficient stomach volume consumption to induce weight loss, but enable use of space occupiers that are proportioned to minimize the threat of obstruction even if they should migrate into the intestine. In general, numerous small volume space occupiers are placed in the stomach such that the total volume equals or exceeds the single volume of prior art single unit space occupiers. However, each individual space occupier is proportioned so that it will pass without obstruction if it moves into the intestine.
摘要翻译： 用于控制肥胖的系统利用位于胃中的多个空间占用者来减少胃的有效体积。 这种布置提供足够的胃体积消耗以引起体重减轻，但是能够使用成比例的空间占用者，以尽量减少阻塞的威胁，即使它们应该迁移到肠中。 通常，许多小容量空间占用者被放置在胃中，使得总体积等于或超过现有技术的单个单位空间占用者的单个体积。 然而，每个单独的空间占有者是成比例的，以便如果它进入肠道，它将不会阻塞。
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