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    TISSUE ACQUISITION DEVICES AND METHODS
    1.
    发明申请
    TISSUE ACQUISITION DEVICES AND METHODS 审中-公开
    组织获取设备和方法

    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。

    Gastric Space Occupier Systems And Methods Of Use
    2.
    发明申请
    Gastric Space Occupier Systems And Methods Of Use 有权
    胃空间占用系统和使用方法

    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。

    GASTRIC SPACE OCCUPIER SYSTEMS AND METHODS OF USE
    4.
    发明申请
    GASTRIC SPACE OCCUPIER SYSTEMS AND METHODS OF USE 审中-公开
    胃肠外营养系统及其使用方法

    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。

    Gastric space occupier systems and methods of use
    5.
    发明授权
    Gastric space occupier systems and methods of use 有权
    胃空间占用系统及使用方法

    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

    IPC分类号： A61M29/00 ,  A61F5/00

    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。

    Endoscopic plication device and method
    7.
    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。

    ENDOSCOPIC PLICATION DEVICE AND METHOD
    8.
    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
    9.
    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 stapling devices and methods
    10.
    发明授权
    Endoscopic stapling devices and methods 有权

    公开(公告)号：US07909222B2

    公开(公告)日：2011-03-22

    申请号：US12052997

    申请日：2008-03-21

    申请人： David Cole ,  Andrew Smith

    发明人： David Cole ,  Andrew Smith

    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.