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    Methods for performing gastroplasty
    3.
    发明授权
    Methods for performing gastroplasty 有权
    进行胃成形术的方法

    公开(公告)号：US07520884B2

    公开(公告)日：2009-04-21

    申请号：US10841233

    申请日：2004-05-07

    申请人： Lee L. Swanstrom ,  Richard C. Ewers ,  Tracy D. Maahs ,  Eugene G. Chen ,  Vahid Saadat

    发明人： Lee L. Swanstrom ,  Richard C. Ewers ,  Tracy D. Maahs ,  Eugene G. Chen ,  Vahid Saadat

    IPC分类号： A61B17/08

    CPC分类号： A61B17/00234 ,  A61B17/0401 ,  A61B17/085 ,  A61B17/1114 ,  A61B2017/0496 ,  A61B2017/081 ,  A61F5/0086

    摘要： Methods for performing gastroplasty include reducing the effective volume or cross-sectional area of the stomach via approximation of gastric tissue. Such reduction preferably is achieved endoluminally, either with or without laparoscopic ports. In one variation, a sleeve, pouch, Magenstrasse and Mill, Vertical Banded Gastroplasty (“VBG”), etc.,is formed within the stomach by approximating opposing anterior and posterior segments or ridges of the stomach wall at locations inferior to the gastroesophageal junction. In another variation, opposing walls of the stomach are approximated at a plurality of substantially random locations to reduce an effective volume of the stomach. In yet another variation, both a sleeve and random approximations are formed, the random approximations preferably disposed in a portion of the stomach excluded by the sleeve. In still another variation, opposing walls of the stomach are approximated over significant lengths at random or specified locations.

    摘要翻译： 进行胃成形术的方法包括通过胃组织的近似来减小胃的有效体积或横截面积。 这种减少优选是在腹腔镜下或腹腔镜下进行的。 在一个变型中，通过在胃壁下方的胃壁的相邻的前部和后部区段或脊部近似形成在胃内形成套筒，袋，Magenstrasse和Mill，垂直带状胃成形术（“VBG”）等 。 在另一个变型中，胃的相对壁在多个基本上随机的位置近似，以减少胃的有效体积。 在另一个变型中，形成套筒和随机近似，随机近似优选地设置在由套筒排除的胃的一部分中。 在另一个变体中，胃的相对的壁在随机或指定的位置处以相当长的长度近似。

    Transgastric abdominal access
    4.
    发明授权
    Transgastric abdominal access 有权
    经胃腹部通道

    公开(公告)号：US08663236B2

    公开(公告)日：2014-03-04

    申请号：US11238279

    申请日：2005-09-28

    申请人： Eugene G. Chen ,  Vahid C. Saadat ,  Rebecca S. Inderbitzen ,  Lee L. Swanstrom

    发明人： Eugene G. Chen ,  Vahid C. Saadat ,  Rebecca S. Inderbitzen ,  Lee L. Swanstrom

    IPC分类号： A61F11/00

    CPC分类号： A61B17/0057 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/320016 ,  A61B17/3415 ,  A61B17/3421 ,  A61B17/3478 ,  A61B2017/00278 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/0419 ,  A61B2017/0445 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/22044 ,  A61B2017/3445 ,  A61B2017/3488

    摘要： Transgastric abdominal access methods and apparatus are described herein. A shape-lockable elongate body can be advanced endoluminally in a flexible state into the stomach, where an opening is created through the stomach wall. The opening can be created endoluminally or by incising instruments placed through the abdominal wall. The elongate body can be transitioned to a rigid state prior to, during, or after advancement into the patient and is passed through the opening into the peritoneal cavity. A dilation balloon can be positioned simultaneously within the elongate body and within the tissue opening such that the elongate body can be advanced through the tissue opening. A flexible needle catheter can also be delivered through the elongate body or an endoscope to provide for insufflation prior to cutting or piercing through the stomach wall. Also, tissue closure devices and methods to close the opening created through the stomach wall.

    摘要翻译： 腹部腹部进入方法和装置在本文中描述。 形状可锁定的细长体可以以柔性状态进入胃内，其中通过胃壁产生开口。 可以通过腹腔内或通过切开通过腹壁放置的器械来创建开口。 细长体可以在进入患者之前，期间或之后转变到刚性状态，并且通过开口进入腹膜腔。 扩张气囊可以同时地定位在细长主体内和组织开口内，使得细长主体能够穿过组织开口。 柔性针导管还可以通过细长体或内窥镜输送，以在切割或刺穿胃壁之前提供吹气。 此外，组织闭合装置和闭合通过胃壁产生的开口的方法。

    Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall
    5.
    发明授权
    Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall 有权
    用于将植入物附接或锁定到解剖血管或中空器官壁的方法和装置

    公开(公告)号：US06669707B1

    公开(公告)日：2003-12-30

    申请号：US09489820

    申请日：2000-01-24

    申请人： Lee L. Swanstrom ,  Pedro Morales

    发明人： Lee L. Swanstrom ,  Pedro Morales

    IPC分类号： A61B1708

    CPC分类号： A61F2/07 ,  A61B17/0643 ,  A61B17/068 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61F2002/072 ,  A61F2002/075

    摘要： An attachment or locking apparatus which can effectively secure an implant, such as a stent or stent graft, to a vessel or hollow organ wall and which allows minimally-invasive techniques, such as laparoscopy, to be used to attach the implant. The locking element is inserted through an anatomic vessel or hollow organ wall and the implant from outside of the vessel or hollow organ. The locking element preferably is composed of a thin retaining element and a clamping element at one end of the retaining element. A positioning device with an attached locking element may be inserted into the patient's body, such that the positioning device penetrates both the vascular or hollow organ wall and the implant deployed within the vascular or hollow organ wall. The clamping element, held within the positioning device, is then ejected into the vessel or hollow organ. The locking element is pulled tight, and then the locking element is secured into place. The locking element made be secured in place by physically deforming a portion of the retaining element outside of the vascular or hollow organ wall, by either winding or bending the retaining element.

    摘要翻译： 可以有效地将植入物（例如支架或支架移植物）固定到血管或中空器官壁并且允许诸如腹腔镜的最小侵入性技术用于附着植入物的附接或锁定装置。 锁定元件通过解剖血管或中空器官壁和植入物从血管或中空器官的外部插入。 锁定元件优选地由保持元件的一端处的薄的保持元件和夹紧元件构成。 具有附接的锁定元件的定位装置可以插入到患者体内，使得定位装置穿过血管或中空器官壁和植入在血管或中空器官壁内的植入物。 保持在定位装置内的夹紧元件然后被排出到容器或中空器官中。 锁定元件被拉紧，然后将锁定元件固定到位。 锁定元件通过使保持元件卷绕或弯曲来使得保持元件的一部分在血管或中空器官壁外部物理变形而固定就位。

    Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall
    7.
    发明授权
    Method and apparatus for attaching or locking an implant to an anatomic vessel or hollow organ wall 失效
    用于将植入物附接或锁定到解剖血管或中空器官壁的方法和装置

    公开(公告)号：US06626919B1

    公开(公告)日：2003-09-30

    申请号：US09120161

    申请日：1998-07-21

    申请人： Lee L. Swanstrom

    发明人： Lee L. Swanstrom

    IPC分类号： A61B1708

    CPC分类号： A61F2/07 ,  A61B17/0643 ,  A61B17/068 ,  A61B2017/0409 ,  A61B2017/0419 ,  A61B2017/0647 ,  A61F2002/072 ,  A61F2002/075

    摘要： An attachment or locking apparatus which can effectively secure an implant, such as a stent or stent graft, to a vessel or hollow organ wall and which allows minimally-invasive techniques, such as laparoscopy, to be used to attach the implant. The locking element is inserted through an anatomic vessel or hollow organ wall and the implant from outside of the vessel or hollow organ. The locking element preferably is composed of a thin retaining element and a clamping element joined flexibly at one end of the retaining element. A fixing element is secured in position on the retaining element to secure or attach the implant in place. A positioning device, including a thin cannula with an attached locking element, may be inserted into the patient's body, such that the cannula penetrates both the vascular or hollow organ wall and the implant deployed within the vascular wall. The clamping element, held within the cannula, is then ejected into the vessel or hollow organ. The locking element is pulled tight, and pressure-distribution and/or pressure elements are then slid down the locking element toward the vessel wall or hollow organ. A fixing element is then slid against the pressure-distribution and/or pressure elements, and secured into place. The free end of the locking element may then be cut off near the fixing element.

    摘要翻译： 可以有效地将植入物（例如支架或支架移植物）固定到血管或中空器官壁并且允许诸如腹腔镜的最小侵入性技术用于附着植入物的附接或锁定装置。 锁定元件通过解剖血管或中空器官壁和植入物从血管或中空器官的外部插入。 锁定元件优选地由薄的保持元件和在保持元件的一端处柔性地接合的夹紧元件组成。 将固定元件固定在保持元件上的适当位置，以将植入物固定或固定到位。 包括具有附接的锁定元件的薄套管的定位装置可以插入到患者体内，使得套管穿透血管或中空器官壁以及部署在血管壁内的植入物。 保持在套管内的夹紧元件然后被喷射到容器或中空器官中。 锁定元件被拉紧，然后压力分配和/或压力元件沿锁定元件向下滑向容器壁或中空器官。 然后将固定元件抵靠压力分配和/或压力元件滑动，并固定就位。 然后可以在固定元件附近切断锁定元件的自由端。

    Perfusion-isolation catheter apparatus and method
    8.
    发明授权
    Perfusion-isolation catheter apparatus and method 有权
    灌注隔离导管装置及方法

    公开(公告)号：US06183492B2

    公开(公告)日：2001-02-06

    申请号：US09141196

    申请日：1998-08-27

    申请人： Charles C. Hart ,  Paul D. Hansen ,  Said Hilal ,  Mark Ashby ,  Lee L. Swanstrom ,  Bounsavanh Pravongviengkham ,  John R. Brustad

    发明人： Charles C. Hart ,  Paul D. Hansen ,  Said Hilal ,  Mark Ashby ,  Lee L. Swanstrom ,  Bounsavanh Pravongviengkham ,  John R. Brustad

    IPC分类号： A61M2900

    CPC分类号： A61M25/104 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12109 ,  A61B17/12118 ,  A61B17/12136 ,  A61B17/12172 ,  A61M25/005 ,  A61M25/0052 ,  A61M25/1006 ,  A61M2025/1052 ,  A61M2025/1095 ,  A61M2025/1097

    摘要： A catheter includes an introducer and a flow isolator adapted for disposition in a primary conduit to facilitate flow in the primary conduit while inhibiting flow and intersecting secondary conduits. The flow isolator may include a tubular mesh and surrounding balloon structure. Alternatively, a sleeve can be provided with a primary opening and a secondary opening which are sized to inflate the sleeve with the body fluid. Structures for deploying the sleeve between a low-profile state and high-profile state may include expandable fingers, or pneumatic chambers inflatable from an external source. In operation the sleeve can be forced by the body fluid against the intersection with the secondary conduits to achieve isolation. Alternatively, the pneumatic chambers can be inflated to form seals with the primary conduit. A blood filter or snare is contemplated to filter any blood clots which may develop around the flow isolator.

    摘要翻译： 导管包括导引器和流动隔离器，其适于配置在主导管中，以促进主导管中的流动，同时抑制流动和相交的次级导管。 流动隔离器可以包括管状网和周围的球囊结构。 或者，套筒可以设置有初级开口和次级开口，其尺寸设置成使套筒与体液充气。 用于在低轮廓状态和高轮廓状态之间展开套筒的结构可以包括从外部源充气的可膨胀手指或气动室。 在操作中，套筒可以被身体流体压迫与次级管道的交叉点，以实现隔离。 或者，气动室可以被充气以与主管道形成密封。 预期血液过滤器或圈套可以过滤可能围绕流动隔离器发展的任何血块。

    Surgical scissors with bipolar distal electrodes
    9.
    发明授权
    Surgical scissors with bipolar distal electrodes 失效
    手术剪刀与双极远端电极

    公开(公告)号：US5908420A

    公开(公告)日：1999-06-01

    申请号：US943543

    申请日：1997-10-03

    申请人： David J. Parins ,  Lee L. Swanstrom

    发明人： David J. Parins ,  Lee L. Swanstrom

    IPC分类号： A61B17/00 ,  A61B17/32 ,  A61B18/14 ,  A61B17/39

    CPC分类号： A61B18/1445 ,  A61B17/3201 ,  A61B2017/00353 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1457 ,  A61B2018/1861

    摘要： A surgical scissors instrument having disposed at its distal end two bipolar electrode structures which function to coagulate tissue immediately prior to its being severed by scissor action. The instrument comprises a first scissors blade having a distal end and a second scissors blade having a distal end, wherein at least one of the blades is pivotable in relation to the other blade. A first electrically insulated bipolar electrode structure is disposed longitudinally distally from the distal end of the first scissors blade, and a second electrically insulated bipolar electrode structure is disposed longitudinally distally from the distal end of the second scissors blade. The instrument thereby permits a physician to precisely apply electrical energy only at the distal end of the scissor's blades, and to thereafter immediately cut coagulated tissue situated immediately forward of the blade members.

    摘要翻译： 一种外科剪刀器具，其设置在其远端两个双极电极结构，其功能是在其被剪刀作用切断之前立即凝结组织。 仪器包括具有远端的第一剪刀刀片和具有远端的第二剪刀刀片，其中至少一个刀片相对于另一刀片可枢转。 第一电绝缘双极电极结构从第一剪刀刀片的远端向纵向远端设置，并且第二电绝缘双极电极结构从第二剪刀刀片的远端纵向远端地设置。 因此该仪器允许医师仅在剪刀刀片的远端精确地施加电能，并且此后立即切割位于叶片构件正前方的凝固组织。