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    • 22. 发明申请
    • A METHOD AND DEVICE FOR CREATING AN ALTERNATIVE BILE FLOW PATH
    • 一种用于创建替代性流动路径的方法和装置
    • WO2013004264A1
    • 2013-01-10
    • PCT/EP2011/061107
    • 2011-07-01
    • ETHICON ENDO-SURGERY, INC.PASTORELLI, AlessandroHESS, Christopher J.ORTIZ, Mark Steven
    • PASTORELLI, AlessandroHESS, Christopher J.ORTIZ, Mark Steven
    • A61F2/04A61B17/11A61B17/00A61F5/00
    • A61F2/04A61B17/0487A61B17/1114A61B2017/00818A61B2017/00867A61B2017/00876A61B2017/0417A61B2017/1103A61B2017/1135A61F2002/041
    • The present invention relates, in general, to devices and methods for surgically influencing the digestion of a patient with the aim to treat metabolic disorders, such as morbid obesity, related co-morbidities such as diabetes, heart disease, stroke, pulmonary disease, neoplastic diseases and accidents. In particular, the invention comprises a method for diverting biliary fluid from a biliary fluid flow path by putting into flow communication a selected location of the biliary tree to a selected location of the intestine distal to a duodenal papilla of Vater, the method comprising the steps of: - accessing endoluminally a portion of the gastrointestinal tract of a patient with an endoscope device; - gaining visual access of the abdominal cavity of the patient; - accessing transluminal the abdominal cavity; - creating a connection between a selected location of the biliary tree and a selected location of the intestine; - putting into flow communication the selected location of the biliary tree with the selected location of the intestine. The method provides for the use of a catheter device for putting into flow communication two target organs or of an anchoring and approximating device for approximating two target organs that must be anastomosed, as described in the application.
    • 本发明一般涉及用于手术影响患者消化的装置和方法,其目的是治疗代谢紊乱,例如病态肥胖,相关并发症如糖尿病,心脏病,中风,肺部疾病,肿瘤 疾病和事故。 特别地,本发明包括一种通过将胆汁树的选定位置与远端十二指肠乳头的选定位置进行流动连通而将胆汁流体从胆汁流动路径分流的方法,所述方法包括步骤 - 用内窥镜装置接近患者的胃肠道的一部分; - 获得患者腹腔的视觉通路; - 进入腹腔腹腔; - 在胆汁树的选定位置和肠的选定位置之间建立连接; - 将所选择的胆道的位置与选定的肠道位置进行流通。 该方法提供使用导管装置将两个目标器官或用于近似两个必须吻合的目标器官的锚定和近似装置进行流通,如本申请所述。
    • 27. 发明申请
    • ANASTOMOTIC RING DEVICE WITH LOCKING MEANS
    • 具有锁定手段的感应环设备
    • WO2008040582A1
    • 2008-04-10
    • PCT/EP2007/057778
    • 2007-07-27
    • Ethicon Endo-Surgery, Inc.PASTORELLI, AlessandroBILOTTI, FedericoTACCHINO, RobertoTHOMPSON, Brian James
    • PASTORELLI, AlessandroBILOTTI, FedericoTACCHINO, RobertoTHOMPSON, Brian James
    • A61B17/11
    • A61B17/1114A61B17/0643A61B2017/0641
    • The invention relates to a locking device (6) for an anastomotic ring device (1) of the type comprising at least a proximal ring (2) and a distal ring (3) intended to be positioned on either side of a proximal (4) and distal tissue portion (5) and suitable to clamp the proximal and distal tissue portions (4, 5) between them when the ring device (1) is actuated, wherein both rings (2, 3) define a central passage opening across the ring device (1). The locking device (6) is adapted to connect the distal and proximal rings (2, 3) to lock the ring device (1) in its actuated configuration and comprises a longitudinal portion (20) insertable in the passage opening of at least one (3) of the proximal and distal rings (2, 3) and a bushing portion (7) adapted to cover an inside surface of the tissue portions (4, 5) clamped between the compression rings. In this manner, the locking device combines a ring connecting function with a tissue stenting feature.
    • 本发明涉及一种用于吻合口装置(1)的锁定装置(6),该装置包括至少近端环(2)和远端环(3),所述近端环(2)和远端环(3)位于近端(4)的任一侧上, 和远端组织部分(5),并且适于在环形装置(1)被致动时将近端和远侧组织部分(4,5)夹紧在它们之间,其中两个环(2,3)限定穿过环的中心通道开口 装置(1)。 锁定装置(6)适于连接远端和近端环(2,3),以将环形装置(1)锁定在其致动构造中并且包括纵向部分(20),该纵向部分可插入至少一个( 近端环和远端环(2,3)的衬套部分(3)和适于覆盖夹在压缩环之间的组织部分(4,5)的内表面的衬套部分(7)。 以这种方式,锁定装置将环形连接功能与组织支架特征组合。