公开(公告)号：US09034003B2

公开(公告)日：2015-05-19

申请号：US13472836

申请日：2012-05-16

申请人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

发明人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

IPC分类号： A61B17/08 ,  A61B17/28 ,  A61B17/072 ,  A61B17/068

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/2812 ,  A61F5/0076 ,  A61F5/0083

摘要： A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.

摘要翻译： 公开了一种通过自然身体孔进行减肥手术的方法。 该方法包括提供外科器械的步骤，该手术器械包括手柄部分，从手柄部分向远端延伸的细长部分和邻近细长部分的远端设置的端部执行器。 该方法还包括以下步骤：将外科器械插入患者的天然身体孔口，使得末端执行器邻近患者胃的一部分，并且使用手术器械执行手术任务。

公开(公告)号：US08192448B2

公开(公告)日：2012-06-05

申请号：US12272846

申请日：2008-11-18

申请人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

发明人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/2812 ,  A61F5/0076 ,  A61F5/0083

摘要： A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.

摘要翻译： 公开了一种通过自然身体孔进行减肥手术的方法。 该方法包括提供外科器械的步骤，该手术器械包括手柄部分，从手柄部分向远端延伸的细长部分和邻近细长部分的远端设置的端部执行器。 该方法还包括以下步骤：将外科器械插入患者的天然身体孔口，使得末端执行器邻近患者胃的一部分，并且使用手术器械执行手术任务。

公开(公告)号：US20120277656A1

公开(公告)日：2012-11-01

申请号：US13472836

申请日：2012-05-16

申请人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

发明人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

IPC分类号： A61B17/068 ,  A61F2/04

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/2812 ,  A61F5/0076 ,  A61F5/0083

摘要： A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.

摘要翻译： 公开了一种通过自然身体孔进行减肥手术的方法。 该方法包括提供外科器械的步骤，该手术器械包括手柄部分，从手柄部分向远侧延伸的细长部分以及邻近细长部分的远端设置的端部执行器。 该方法还包括以下步骤：将外科器械插入患者的天然身体孔口，使得末端执行器邻近患者胃的一部分，并且使用手术器械执行手术任务。

公开(公告)号：US20090126744A1

公开(公告)日：2009-05-21

申请号：US12272846

申请日：2008-11-18

申请人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

发明人： Marc Bessler ,  Robert DeSantis ,  Stanislaw Marczyk

IPC分类号： A61B17/00

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/2812 ,  A61F5/0076 ,  A61F5/0083

摘要： A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.

摘要翻译： 公开了一种通过自然身体孔进行减肥手术的方法。 该方法包括提供外科器械的步骤，该手术器械包括手柄部分，从手柄部分向远端延伸的细长部分和邻近细长部分的远端设置的端部执行器。 该方法还包括以下步骤：将外科器械插入患者的天然身体孔口，使得末端执行器邻近患者胃的一部分，并且使用手术器械执行手术任务。

公开(公告)号：US5855601A

公开(公告)日：1999-01-05

申请号：US668376

申请日：1996-06-21

申请人： Marc Bessler ,  Timothy A. M. Chuter

发明人： Marc Bessler ,  Timothy A. M. Chuter

IPC分类号： A61B17/22 ,  A61B17/32 ,  A61F2/06 ,  A61F2/24 ,  A61F2/90

CPC分类号： A61B17/320725 ,  A61F2/2418 ,  A61F2/2436 ,  A61F2/2475 ,  A61B17/320758 ,  A61B2017/320004 ,  A61F2002/8483 ,  A61F2220/0016 ,  A61F2230/0054 ,  Y10S623/90

摘要： An artificial heart valve comprises a relatively rigid stent member having a first cylindrical shape and a flexible valve disposed in the stent member, the stent member being self-expandable to a second cylindrical shape and collapsible to its first cylindrical shape. The valve comprises a circular portion comprising a plurality of leaflets extending from the periphery of the circular portion towards the center thereof, the leaflets being configured to allow for flow of blood through the valve in one direction only. The diameter of the circular portion is substantially the same as the inside diameter of the stent member when the stent member is in its second cylindrical shape, the valve member being attached to the stent member.

摘要翻译： 人造心脏瓣膜包括具有第一圆柱形形状的相对刚性的支架构件和设置在支架构件中的柔性阀，该支架构件可自膨胀至第二圆柱形并且可折叠到其第一圆柱形状。 所述阀包括圆形部分，所述圆形部分包括从所述圆形部分的周边向其中心延伸的多个小叶，所述小叶被构造成允许血液在一个方向上流过所述瓣膜。 当支架构件处于其第二圆柱形状时，圆形部分的直径基本上与支架构件的内径相同，阀构件附接到支架构件。

公开(公告)号：US5197649A

公开(公告)日：1993-03-30

申请号：US783909

申请日：1991-10-29

申请人： Marc Bessler ,  Michael R. Treat

发明人： Marc Bessler ,  Michael R. Treat

IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/115 ,  A61B18/24

CPC分类号： A61B17/1114 ,  A61B17/115 ,  A61B17/00491 ,  A61B17/1155 ,  A61B18/24 ,  A61B2017/00504 ,  A61B2017/00508

摘要： An intestinal steerable endoscopic stapler for stapling tubular tissue is provided comprising a circular anvil member having a circular anvil stapling surface and a cutting block surface radially inwardly of the stapling surface. A head assembly has a circular staple driver for driving staples in an array corresponding to the anvil surface and a circular cutting blade corresponding to the cutting block. A flexible tube has a distal end at the head assembly and a handpiece end. A scope in the form of an eyepiece in the handpiece optically connected to a lens in the head assembly is provided for viewing a region of space beyond the head assembly. A steering arrangement is provided for pivoting the head assembly relative the flexible tube to thereby steer the head assembly in a body cavity. A stapler activator is provided located at the handpiece end and for driving staples from the head assembly toward the anvil member and for driving the cutting blade toward the cutting block, whereby two ends of tubular tissue may be joined by an array of annular staples and excess tubular tissue ends may be trimmed off with the cutting blade.

公开(公告)号：US07837645B2

公开(公告)日：2010-11-23

申请号：US11681821

申请日：2007-03-05

申请人： Marc Bessler ,  John D. Allendorf

发明人： Marc Bessler ,  John D. Allendorf

IPC分类号： A61M5/00 ,  A61F2/04 ,  A61F2/02 ,  A61F11/00 ,  A61B17/00

CPC分类号： A61F5/0076 ,  A61F2/07 ,  A61F2/2412 ,  A61F2/89 ,  A61F2002/044

摘要： An endoscopic device separates ingested food from gastric fluids or gastric fluids and digestive enzymes, to treat obesity. In a particular embodiment a gastric bypass stent comprises a tubular member and two or more stent members defining a lumen. The tubular member has a substantially liquid impervious coating or covering and one or more lateral openings to permit one-way liquid flow.

摘要翻译： 内窥镜装置将摄入的食物与胃液或胃液和消化酶分离，以治疗肥胖。 在特定实施例中，胃旁路支架包括管状构件和限定内腔的两个或更多个支架构件。 管状构件具有基本上液体不可渗透的涂层或覆盖物以及允许单向液体流动的一个或多个横向开口。

公开(公告)号：US20080228126A1

公开(公告)日：2008-09-18

申请号：US11458721

申请日：2006-07-20

申请人： Marc Bessler

发明人： Marc Bessler

IPC分类号： A61M37/00 ,  A61F2/04

CPC分类号： A61F2/04 ,  A61F2/07 ,  A61F5/0076 ,  A61F5/0083 ,  A61F2002/044

摘要： Methods for inhibiting disruption of the healing process in a hollow body organ such as a stomach that is physically modified to restrict or reduce its food receiving capability are described. A physical boundary is used to form the stomach modification. An inlet portion of the modified stomach communicates with the esophagus and an outlet portion of the modified stomach communicates with the small intestine. A bypass shunt is inserted into the modified stomach alongside the physical boundary. The shunt enables food to pass from the esophagus through the shunt to the small intestine thereby reducing food and fluid contact with the physical boundary, and reducing pressure and tension forces at the physical boundary that establishes the stomach pouch. The shunt is inserted during the stomach modification procedure.

摘要翻译： 描述了用于抑制在身体修改以限制或减少其食物接收能力的中空身体器官（例如胃）中的愈合过程的破坏的方法。 物理边界用于形成胃修复。 改良胃的入口部分与食道连通，改良胃的出口部分与小肠连通。 旁路分流器沿着物理边界插入修改的胃。 分路使食物从食管通过分流到小肠，从而减少与物理边界的食物和液体接触，并减少建立胃袋的物理边界处的压力和张力。 在胃修复过程中插入分流器。

公开(公告)号：US20080033574A1

公开(公告)日：2008-02-07

申请号：US11681821

申请日：2007-03-05

申请人： Marc Bessler ,  John Allendorf

发明人： Marc Bessler ,  John Allendorf

IPC分类号： A61F2/04

CPC分类号： A61F5/0076 ,  A61F2/07 ,  A61F2/2412 ,  A61F2/89 ,  A61F2002/044

摘要： An endoscopic device separates ingested food from gastric fluids or gastric fluids and digestive enzymes, to treat obesity. In a particular embodiment a gastric bypass stent comprises a tubular member and two or more stent members defining a lumen. The tubular member has a substantially liquid impervious coating or covering and one or more lateral openings to permit one-way liquid flow.

摘要翻译： 内窥镜装置将摄入的食物与胃液或胃液和消化酶分离，以治疗肥胖。 在特定实施例中，胃旁路支架包括管状构件和限定内腔的两个或更多个支架构件。 管状构件具有基本上液体不可渗透的涂层或覆盖物以及允许单向液体流动的一个或多个横向开口。

公开(公告)号：US07211114B2

公开(公告)日：2007-05-01

申请号：US10229400

申请日：2002-08-26

申请人： Marc Bessler ,  John D. Allendorf

发明人： Marc Bessler ,  John D. Allendorf

IPC分类号： A61F2/04

CPC分类号： A61F5/0076 ,  A61F2/07 ,  A61F2/2412 ,  A61F2/89 ,  A61F2002/044

摘要： An endoscopic device separates ingested food from gastric fluids or gastric fluids and digestive enzymes, to treat obesity. In a particular embodiment a gastric bypass stent comprises a tubular member and two or more stent members defining a lumen. The tubular member has a substantially liquid impervious coating or covering and one or more lateral openings to permit one-way liquid flow.

摘要翻译： 内窥镜装置将摄入的食物与胃液或胃液和消化酶分离，以治疗肥胖。 在特定实施例中，胃旁路支架包括管状构件和限定内腔的两个或更多个支架构件。 管状构件具有基本上液体不可渗透的涂层或覆盖物以及允许单向液体流动的一个或多个横向开口。