公开(公告)号：US07083630B2

公开(公告)日：2006-08-01

申请号：US10230682

申请日：2002-08-29

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：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：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

IPC分类号： A61B17/08 ,  A61B1/00

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：US09226652B2

公开(公告)日：2016-01-05

申请号：US13176172

申请日：2011-07-05

申请人： Robert B. DeVries ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  Kristian DiMatteo ,  Tak Kwan ,  William J. Shaw

发明人： Robert B. DeVries ,  Roy H. Sullivan ,  Marc Tassy, Jr. ,  Kristian DiMatteo ,  Tak Kwan ,  William J. Shaw

IPC分类号： A61M5/00 ,  A61M25/00 ,  A61B1/00 ,  A61B1/04 ,  A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/128 ,  A61B17/11 ,  A61B17/29 ,  A61B17/30

CPC分类号： A61B1/32 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/1114 ,  A61B17/1285 ,  A61B17/29 ,  A61B2017/00336 ,  A61B2017/00557 ,  A61B2017/00827 ,  A61B2017/0419 ,  A61B2017/306 ,  A61B2017/308

摘要： Surgical devices and methods used for invaginating tissue during, for example, an endoscopic fundoplication procedure, are disclosed. The device includes an elongated tube having a proximal end configured to extend outside of the body and a distal end configured to extend proximate the tissue to be invaginated, and a distal member coupled to the distal end of the tube. The distal member is configured to hold or grasp the tissue to be invaginated. The devices may include a protective distal sleeve.

公开(公告)号：US08579935B2

公开(公告)日：2013-11-12

申请号：US12379252

申请日：2009-02-17

申请人： Robert B. DeVries ,  Kristian DiMatteo ,  Roy Sullivan ,  Marc Tassy, Jr. ,  Barry N. Gellman ,  John E. Hutchins ,  John B. Golden ,  Kurt A. E. Geitz ,  William J. Shaw

发明人： Robert B. DeVries ,  Kristian DiMatteo ,  Roy Sullivan ,  Marc Tassy, Jr. ,  Barry N. Gellman ,  John E. Hutchins ,  John B. Golden ,  Kurt A. E. Geitz ,  William J. Shaw

IPC分类号： A61B17/08

CPC分类号： A61B17/064 ,  A61B17/0401 ,  A61B17/0644 ,  A61B17/068 ,  A61B2017/00867 ,  A61B2017/0443 ,  A61B2017/0641 ,  A61B2017/0647 ,  A61B2017/0649

摘要： Surgical tissue fasteners and related deployment systems and methods are disclosed. A tissue fastener used to join multiple tissue layers includes a first member, a second member, and a connecting member connecting the first and second members. In some embodiments, the first and second members are configured to expand from a delivered state to a deployed state in which the fastener secures the tissue layers together. In other tissue fastener embodiments the connecting member has an elastic compressive spring force for applying a substantially constant force on the tissue layers for adjusting a length of the connecting member between the first and second members.

摘要翻译： 公开了外科组织紧固件和相关的部署系统和方法。 用于连接多个组织层的组织紧固件包括第一构件，第二构件和连接第一构件和第二构件的连接构件。 在一些实施例中，第一和第二构件构造成从传送状态扩展到展开状态，其中紧固件将组织层固定在一起。 在其他组织紧固件实施例中，连接构件具有弹性压缩弹簧力，用于在组织层上施加基本恒定的力，以调节第一和第二构件之间的连接构件的长度。