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    SURGICAL DEVICES USING MAGNETIC FORCE TO FORM AN ANASTOMOSIS
    101.
    发明申请
    SURGICAL DEVICES USING MAGNETIC FORCE TO FORM AN ANASTOMOSIS 审中-公开
    使用磁力形成分析的外科手术

    公开(公告)号：WO2008101077A1

    公开(公告)日：2008-08-21

    申请号：PCT/US2008/053961

    申请日：2008-02-14

    Applicant: ETHICON ENDO-SURGERY, INC ,  FOX, William D.

    Inventor： FOX, William D.

    IPC: A61B17/11

    CPC classification number: A61B17/1114 ,  A61B17/32053 ,  A61B2017/00876 ,  A61B2017/1103 ,  A61B2017/1117 ,  A61B2017/1139

    Abstract: A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs.

    Abstract translation: 一种使用可与磁性材料充气的中空容器在患者中形成第一和第二器官之间的吻合的方法。 该方法可以包括通过第一和第二器官形成开口，利用穿过病人自然孔插入器官的孔形成器械。 中空的容器可以被支撑在导管组件上，导管组件也插入穿过患者的自然孔口并穿过第一和第二器官的开口并且位于第二器官内。 空心容器然后用磁性材料充气，并且在力器官内施加磁力以将充气的容器拉向第一器官，使得充气的容器保持第二器官与第一器官密封接触，同时保持第一 和第二开口以在第一和第二器官之间产生吻合。

    SURGICAL DEVICES AND METHODS FOR FORMING AN ANASTOMOSIS BETWEEN ORGANS BY GAINING ACCESS THERETO THROUGH A NATURAL ORIFICE IN THE BODY
    102.
    发明申请
    SURGICAL DEVICES AND METHODS FOR FORMING AN ANASTOMOSIS BETWEEN ORGANS BY GAINING ACCESS THERETO THROUGH A NATURAL ORIFICE IN THE BODY 审中-公开
    手术装置和方法通过使用自然通过身体内的自然形态获得接触来形成机构之间的分析

    公开(公告)号：WO2008101075A2

    公开(公告)日：2008-08-21

    申请号：PCT/US2008/053958

    申请日：2008-02-14

    Applicant: ETHICON ENDO-SURGERY, INC ,  BAKOS, Gregory, J. ,  FOX, William, D.

    Inventor： BAKOS, Gregory, J. ,  FOX, William, D.

    IPC: A61B17/11 ,  A61B17/34

    CPC classification number: A61B17/1114 ,  A61B17/3401 ,  A61B17/3415 ,  A61B17/3439 ,  A61B17/3468 ,  A61B2017/00278 ,  A61B2017/00557 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/3425 ,  A61B2017/3445

    Abstract: A surgical instrument for creating an anastomosis between two organs. In various embodiments, the instrument may include a hollow outer sleeve for creating a tool-receiving passage between a natural orifice in the patient and the surgical site. The tool receiving passage may be used to operably accommodate various surgical instruments such as an endoscope, a hole-forming instrument, and suction and aeration tubes for assisting in the formation of the anastomosis. The hollow outer sleeve may further be used to position a hollow anastomosis sleeve segment within two aligned holes in the organs. The anastomosis sleeve segment supports an inflatable distal receptacle that is inflated within one of the organs and a proximal inflatable receptacle that is inflated in the other organ to retain the anastomosis sleeve segment in position. Thereafter, the hollow outer sleeve is withdrawn from the patient leaving the hollow anastomosis sleeve segment in position between the two organs.

    Abstract translation: 用于在两个器官之间产生吻合的手术器械。 在各种实施例中，器械可以包括中空的外套筒，用于在患者的天然孔口和手术部位之间产生工具接收通道。 工具接收通道可用于可操作地容纳诸如内窥镜，孔形成仪器以及用于辅助形成吻合的抽吸和通气管的各种外科器械。 中空外套还可以用于将中空吻合套管部分定位在器官中的两个对准的孔内。 吻合套管段支撑在一个器官内充气的充气远端容器和在另一个器官中膨胀的近端可充气容器，以将吻合套管段保持在适当的位置。 此后，中空的外套筒从病人身上取出，使空心吻合套管段在两个器官之间的位置上。

    ENDOLUMINAL GASTRIC RING AND METHOD
    105.
    发明申请
    ENDOLUMINAL GASTRIC RING AND METHOD 审中-公开
    腹腔内环和方法

    公开(公告)号：WO2007067641A2

    公开(公告)日：2007-06-14

    申请号：PCT/US2006/046585

    申请日：2006-12-07

    Applicant: BERNARD MEDICAL, LLC ,  BJERKEN, David, B.

    Inventor： BJERKEN, David, B.

    IPC: A61B17/08

    CPC classification number: A61B17/00234 ,  A61B17/0401 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/1114 ,  A61B2017/00827 ,  A61B2017/0406 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/06057 ,  A61B2017/1103 ,  A61B2017/1139

    Abstract: A ring or rings adapted for endoluminal placement within the stomach, other hollow organ or vessel, and a method for deploying the rings is described. The rings create a small pouch with a reinforced stoma in the stomach for the treatment and control of obesity. An endoluminal suturing device for deploying a circumferential line of interrupted mattress suture bites is inserted into the patient's stomach via the patient's mouth. The distal gastric ring is preloaded on the distal end of the suturing device and is incorporated with suture loops from the double-armed sutures contained within the device. The suturing device can have an expandable area at its distal end that can expand its diameter to between approximately 10mm and 150mm. The circumference of this expanded area has a suction opening that is used to draw in tissue when a vacuum is applied to the device. Flexible cannulas containing . long flexible suture needles are positioned radially around the circumference of the suction opening. The long needles are are adapted to be advanced through the drawn in tissue incorporating their attached suture material. The expandable area of the device is collapsed, and the device is withdrawn from the patient. With the distal ring anchoring the sutures beneath the incorporated tissue folds, a column of sutures exits the device's suction port as the device is withdrawn. A second, proximal ring is then incorporated with the sutures and may then be endoscopically lowered into the patient's stomach and positioned proximal to the distal ring. The sutures are endoscopically secured and cut, thereby fixing the two rings together with tissue incorporated between them.

    Abstract translation: 描述适于在胃，其他中空器官或血管内腔内放置的环或环，以及用于展开环的方法。 戒指在胃中形成一个带有增强造口的小袋，用于治疗和控制肥胖。 用于展开中断的床垫缝合叮咬的圆周线的腔内缝合装置通过患者的口插入病人的胃中。 远端胃环预先装载在缝合装置的远端，并且与包含在装置内的双臂缝合线结合在一起。 缝合装置在其远端可以具有可扩张的区域，其可以将其直径扩大到大约10mm到150mm之间。 该扩展区域的周边具有用于在将真空施加到装置上时将组织拉出的抽吸口。 弹性插管包含。 长的柔性缝合针位于吸入口周围的径向周围。 长针适合于穿过包含其所附接的缝合材料的组织中的拉伸。 装置的可扩张区域被折叠，并且该装置从患者身体中撤出。 随着远端环将缝合线锚定在并入的组织折叠下方，当装置被拔出时，一排缝线离开装置的吸入口。 然后将第二个近端环与缝合线并入，然后可以内窥镜下降到患者的胃中并且定位在远端环附近。 缝线被内窥镜固定和切割，从而将两个环固定在一起，并且组合在它们之间。

    A DEVICE AND METHOD FOR THE THERAPY OF OBESITY
    108.
    发明申请
    A DEVICE AND METHOD FOR THE THERAPY OF OBESITY 审中-公开
    用于治疗肥胖症的装置和方法

    公开(公告)号：WO2006048906A1

    公开(公告)日：2006-05-11

    申请号：PCT/IT2005/000349

    申请日：2005-06-17

    Applicant: ETHICON ENDO-SURGERY, INC. ,  D'ARCANGELO, Michele ,  KUHNS, Jesse J. ,  BILOTTI, Federico ,  TACCHINO, Roberto

    Inventor： D'ARCANGELO, Michele ,  KUHNS, Jesse J. ,  BILOTTI, Federico ,  TACCHINO, Roberto

    IPC: A61B17/11

    CPC classification number: A61B17/1114 ,  A61B2017/00862 ,  A61B2017/0404 ,  A61B2017/1103 ,  A61B2017/1139 ,  A61B2017/22038

    Abstract: An anastomotic device, particularly a positioning device (24) extending along a longitudinal axis (30) comprises a first component, or proximal component (26) and a second component, or distal component (28). The proximal and distal components are suitable to lock an elastic ring (52) in a deformed configuration therebetween. The proximal component (26)has a substantially cylindrical outer structure with a cavity (32) for receiving a proximal end (52a) of the elastic ring (52). The distal component (28) comprises a head (42) and a stem (44) developing along the longitudinal axis (30). The head (42) has a cone or truncated-cone shape.

    Abstract translation: 吻合装置，特别是沿着纵向轴线（30）延伸的定位装置（24）包括第一部件或近端部件（26）和第二部件或远端部件（28）。 近端和远端部件适于将弹性环（52）锁定在其间的变形构造中。 近端部件（26）具有基本上圆柱形的外部结构，其具有用于容纳弹性环（52）的近端（52a）的空腔（32）。 远侧部件（28）包括头部（42）和沿着纵向轴线（30）展开的杆部（44）。 头部（42）具有锥形或截头圆锥形状。

    COMPRESSION ANASTOMOSIS DEVICE AND METHOD
    109.
    发明申请
    COMPRESSION ANASTOMOSIS DEVICE AND METHOD 审中-公开
    压缩分析装置和方法

    公开(公告)号：WO2006044194A2

    公开(公告)日：2006-04-27

    申请号：PCT/US2005035699

    申请日：2005-10-05

    Applicant: TYCO HEALTHCARE ,  VIOLA FRANK

    Inventor： VIOLA FRANK

    IPC: A61B17/04

    CPC classification number: A61B17/11 ,  A61B17/1114 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1117 ,  A61B2017/1121 ,  A61B2017/1132

    Abstract: An anastomotic device for use in the joining of a first tubular structure and a second tubular structure is provided. The anastomotic device includes a cylindrical sleeve configured and dimensioned for placement at least partially within the first tubular structure, the cylindrical sleeve defining a bore therethrough; an inverting member configured and dimensioned for placement at least partially within the second tubular structure, the inverting member defining a bore therethrough which is configured and dimensioned to selectively receive the cylindrical sleeve therein; and a constricting member selectively positionable on the inverting member and movable onto the cylindrical sleeve when the cylindrical sleeve is at least partially positioned within the bore of the inverting member.

    Abstract translation: 提供了用于连接第一管状结构和第二管状结构的吻合装置。 吻合装置包括构造和尺寸用于至少部分地放置在第一管状结构内的圆柱形套筒，圆柱形套筒限定穿过其中的孔; 反转构件被构造和定尺寸以至少部分地放置在第二管状结构内，所述翻转构件限定穿过其中的孔，其构造和尺寸被选择性地容纳其中的圆柱形套筒; 以及收缩构件，当所述圆柱形套筒至少部分地定位在所述翻转构件的所述孔内时，可选择性地定位在所述翻转构件上并且可移动到所述圆柱形套筒上。

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