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81. 发明申请

US20120059396A1 Device For Deploying A Fastener For Use In A Gastric Volume Reduction Procedure 审中-公开
标题翻译：用于部署紧固件的装置用于胃体积减少程序
公开(公告)号：US20120059396A1
公开(公告)日：2012-03-08
申请号：US13294241
申请日：2011-11-11
申请人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
发明人： Jason L. Harris , Michael J. Stokes , Mark S. Zeiner
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0483 , A61B17/0487 , A61B17/06114 , A61B17/06166 , A61B17/3462 , A61B17/3478 , A61B90/90 , A61B2017/00278 , A61B2017/00818 , A61B2017/00867 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/306 , A61F5/0079 , A61F5/0086 , A61M13/003
摘要： A method and device for manipulating gastric tissue about a greater curvature of a stomach. The method includes the steps of creating at least one incision to gain access to the peritoneal cavity, and dissecting at least a portion of the greater omentum. Then the method includes accessing the exterior of the gastric tissue through the incision and folding at least a portion of the greater curvature of the stomach. The fold is constructed having serosa to serosa contact substantially along its entire length. The method further involves securing the fold with a flexible member wherein the flexible member comprises at least one tissue securing feature.
摘要翻译：一种用于围绕较大曲率的胃操作胃组织的方法和装置。该方法包括以下步骤：产生至少一个切口以进入腹膜腔，以及解剖大网膜的至少一部分。然后，该方法包括通过切口进入胃组织的外部并折叠胃的较大曲率的至少一部分。折叠被构造成具有大致沿着其整个长度的浆膜到浆膜的接触。该方法还包括用柔性构件固定折叠物，其中柔性构件包括至少一个组织固定特征。

82. 发明申请

US20110082472A1 Method For Deploying Fasteners For Use In a Gastric Volume Reduction Procedure 失效
标题翻译：用于部分紧固件的方法用于胃减容程序
公开(公告)号：US20110082472A1
公开(公告)日：2011-04-07
申请号：US12573907
申请日：2009-10-06
申请人： Jason L. Harris , Matthew D. Holcomb , Mark S. Zeiner , Michael J. Stokes
发明人： Jason L. Harris , Matthew D. Holcomb , Mark S. Zeiner , Michael J. Stokes
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0467 , A61B17/0469 , A61B17/0482 , A61B17/3498 , A61B90/92 , A61B90/94 , A61B2017/00477 , A61B2017/00526 , A61B2017/0409 , A61B2017/0417 , A61B2017/0464 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0496 , A61B2017/06052 , A61B2017/2916 , A61B2017/2917 , A61B2017/292 , A61B2017/2923 , A61B2017/2926
摘要： A method for deploying fasteners including the steps of providing a device having a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle and an elongated pusher movable through the hollow housing from the distal to the proximal end for deploying the fastener from the distal end. The method includes increasing the stiffness of the pusher at a distal end thereof and advancing the pusher through the elongated housing to deploy the fasteners.
摘要翻译：一种用于部署紧固件的方法，包括以下步骤：提供具有手柄和至少一个致动器的装置。手柄连接到具有远端和近端的细长的中空壳体。该装置具有第一盒，该盒包含至少一个可释放地连接到手柄的紧固件，以及可从远端到近端可穿过中空壳体的细长推动器，用于从远端展开紧固件。该方法包括增加推动器在其远端处的刚度，并且推动推动器穿过细长壳体以展开紧固件。

83. 发明申请

US20110060308A1 METHODS AND IMPLANTS FOR INDUCING SATIETY IN THE TREATMENT OF OBESITY 审中-公开
标题翻译：诱导治疗肥胖的方法和植入物
公开(公告)号：US20110060308A1
公开(公告)日：2011-03-10
申请号：US12554005
申请日：2009-09-04
申请人： Michael J. Stokes , Jason L. Harris , Mark S. Zeiner , Elliott J. Fegelman , William B. Weisenburgh, II , Christopher J. Hess
发明人： Michael J. Stokes , Jason L. Harris , Mark S. Zeiner , Elliott J. Fegelman , William B. Weisenburgh, II , Christopher J. Hess
IPC分类号： A61M31/00
CPC分类号： A61F5/0069 , A61B17/3478 , A61B2017/00818 , A61B2017/00867 , A61B2050/3006 , A61B2050/3007 , A61F5/0013
摘要： A method for inducing satiety using the steps of inserting an elongated device into a patient through a natural orifice and into a stomach of the patient, placing a distal end of the elongated device adjacent a treatment site within the stomach, and delivering at least one space occupying member through the elongated device adjacent the treatment site and implanting the at least one space occupying member between the submucosal and muscularis layers at the target site.
摘要翻译：一种诱导饱腹感的方法，其特征在于使用将细长装置通过天然孔口插入患者胃部的步骤，将细长装置的远端邻近治疗部位放置在胃内，并且将至少一个空间通过邻近治疗部位的细长装置占据构件，并且在目标部位在植入粘膜下层和肌层之间的至少一个空间占据构件。

84. 发明申请

US20090275977A1 TISSUE CONVEYOR FOR USE IN GASTRIC REDUCTION SURGERY AND ASSOCIATED METHOD FOR USE 有权
标题翻译：用于胃肠减容手术的组织输送机及相关使用方法
公开(公告)号：US20090275977A1
公开(公告)日：2009-11-05
申请号：US12113765
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/28
CPC分类号： A61F5/0086 , A61B17/00491 , A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/08 , A61B17/1114 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/06052 , A61B2017/081 , A61B2017/2926
摘要： A tissue conveyor includes a conveyor body having a proximal end and a distal end. The proximal end includes a handle allowing for operator control of an end effector located at the distal end. The end effector includes a grasper assembly composed of a first jaw bar and a second jaw bar connected by a support base to define a cavity into which tissue is drawn. A first conveyor member is positioned upon the first jaw bar for movement along an internal surface of the first jaw bar and a second conveyor member is positioned upon the second jaw bar for movement along an internal surface of the second jaw bar. The method for creating a tissue fold includes positioning a tissue conveyor adjacent tissue, pushing the respective first jaw bar and the second jaw bar into the tissue in the area where a fold is desired, and pulling the first conveyor member and the second conveyor member proximally to draw the first and second conveyor members and tissue into a cavity defined by the first jaw bar and the second jaw bar to create a tissue fold.
摘要翻译：纸巾输送机包括具有近端和远端的输送机主体。近端包括允许操作者控制位于远端的末端执行器的手柄。端部执行器包括由第一钳口杆和由支撑基座连接的第二钳口条组成的抓紧器组件，以限定抽出组织的空腔。第一传送器构件定位在第一钳口杆上，用于沿着第一钳口杆的内表面移动，并且第二传送构件定位在第二钳口杆上，用于沿着第二钳口杆的内表面移动。用于产生组织折叠的方法包括将组织输送器定位成邻近组织，将相应的第一钳口条和第二钳口杆推向需要折叠的区域中的组织中，并且将第一传送构件和第二传送构件向近侧拉以将第一和第二传送器构件和组织拉入由第一颚板和第二颚条限定的空腔中以产生组织折叠。

85. 发明申请

US20090272783A1 FASTENER AND FASTENER APPLIER HAVING SELECTIVE SUTURE ATTACHMENT 有权
标题翻译：具有选择性附件的紧固件和紧固件应用
公开(公告)号：US20090272783A1
公开(公告)日：2009-11-05
申请号：US12113644
申请日：2008-05-01
申请人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
发明人： Lawrence Crainich , Mark S. Zeiner , Michael J. Stokes , Jason L. Harris
IPC分类号： A61B17/068
CPC分类号： A61B17/0684 , A61B17/0401 , A61B17/0644 , A61B2017/0409 , A61B2017/0488
摘要： A surgical stapling device for deploying staples connected with suture to tissue includes a handle having a staple actuator mechanism, a tubular support shaft having a longitudinal axis and extending from the handle, and a staple cartridge mounted on the support shaft and connected to the staple actuator mechanism for applying one or more staples to the tissue. The cartridge has a cartridge housing adapted to receive a plurality of staples in a row for longitudinal movement therethrough and an anvil mounted on the housing. The cartridge further includes a mechanism for advancing the forwardmost staple in the row into engagement with the anvil, and a suture guide supporting a length of suture that extends in a loop for attachment to the staples as they are secured to the tissue.
摘要翻译：一种用于将与缝合线连接的组织部署到外科缝合装置的手术装置包括具有缝钉致动器机构的手柄，具有纵向轴线并从手柄延伸的管状支撑轴，以及安装在支撑轴上并连接到钉子致动器用于将一个或多个钉钉施加到组织的机构。该盒具有一个盒壳体，其适于容纳一行中的多个钉，用于纵向运动，并且安装在壳体上的砧座。所述筒还包括用于将所述排中的最前面的钉向前推进与所述砧座接合的机构，以及缝合线引导件，所述缝合线引导件支撑一定长度的缝合线，所述缝线引导件在环路中延伸，以便在固定到所述组织上时与所述缝钉连接。

86. 发明申请

US20090118762A1 Disposable cartridge for use in a gastric volume reduction procedure 审中-公开
标题翻译：用于胃体积减少手术的一次性药筒
公开(公告)号：US20090118762A1
公开(公告)日：2009-05-07
申请号：US11930291
申请日：2007-10-31
申请人： Lawrence Crainch , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
发明人： Lawrence Crainch , Mark S. Zeiner , Michael J. Stokes , Daniel Alesi , Jason L. Harris
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0467 , A61B2017/00818 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417
摘要： A cartridge containing a fastener, wherein the cartridge releasably connected to a fastener deploying device. The cartridge has a housing which houses at least one tissue penetrating member. The penetrating member at least partially houses a fastener. The fastener has at least two rigid anchors connected together by a flaccid member. The cartridge further includes a means for removably attaching the cartridge to a deployment device.
摘要翻译：一种包含紧固件的盒，其中盒可释放地连接到紧固件展开装置。该盒具有容纳至少一个组织穿透构件的壳体。穿透构件至少部分地容纳紧固件。紧固件具有至少两个由松弛部件连接在一起的刚性锚固件。墨盒还包括用于将墨盒可拆卸地附接到展开装置的装置。

87. 发明授权

US09084599B2 Surgical stapling instrument for applying a large staple through a small delivery port and a method of using the surgical stapler to secure a tissue fold 有权
标题翻译：用于通过小的输送口施加大的钉的外科缝合器械以及使用外科缝合器固定组织折叠的方法
公开(公告)号：US09084599B2
公开(公告)日：2015-07-21
申请号：US12113829
申请日：2008-05-01
申请人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
发明人： Mark S. Zeiner , Michael J. Stokes , Jason L. Harris , Daniel E. Alesi , Lawrence Crainich
IPC分类号： A61B17/068 , A61B17/00 , A61B17/64 , A61B17/29
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0684 , A61B17/6425 , A61B2017/0034 , A61B2017/00818 , A61B2017/2929
摘要： A low-profile surgical stapler enables a large-sized staple to be delivered into a body cavity through a small opening or port. The surgical stapler includes a handle having a trigger movably coupled to the handle. The surgical stapler also includes an elongated, tubular shaft extends distally from the handle. The tubular shaft includes a proximal end secured to the handle and a distal end in which a deployment opening is formed. A staple deploying assembly is disposed within an interior of the shaft for discharging staples from the deployment opening at the distal end of the shaft, the staple deploying assembly supporting a staple such that a longitudinal axis of the staple is aligned with a longitudinal axis of the shaft. The deployment opening is shaped and dimensioned to permit the deployment of the staples from within the shaft, out of the deployment opening and into adjacent tissue.
摘要翻译：低调外科缝合器使得大尺寸的钉可以通过小的开口或端口输送到体腔中。手术吻合器包括具有可移动地联接到手柄的触发器的手柄。手术吻合器还包括从手柄向远侧延伸的细长管状轴。管状轴包括固定到手柄的近端和形成有展开开口的远端。缝钉展开组件设置在轴的内部，用于在轴的远端处从排出口排出订书钉，所述订书钉展开组件支撑订书钉，使得订书钉的纵向轴线与轴。展开口的形状和尺寸被设计成允许订书针从轴内部伸出展开开口并进入邻近的组织。

88. 发明申请

US20130153626A1 DEVICES AND METHODS FOR ENDOLUMINAL PLICATION 有权
标题翻译：用于内膜剥离的装置和方法
公开(公告)号：US20130153626A1
公开(公告)日：2013-06-20
申请号：US13326669
申请日：2011-12-15
申请人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
发明人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/00234 , A61B17/068 , A61B17/07207 , A61B90/361 , A61B2017/00323 , A61B2017/00349 , A61B2017/00561 , A61B2017/00685 , A61B2017/00818 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2947 , A61B2017/306
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
摘要翻译：提供了用于形成和固定组织浸液的装置和方法。更具体地，本发明的装置和方法可用于在胃腔的前壁和后壁上产生多个组织折叠以减小其体积。一方面，公开了一种胃容量减小的方法，其包括将组织采集和固定装置内窥镜地进入胃中，操纵装置以在胃的前壁的内表面上形成组织的第一折叠，并且操纵所述装置在胃的后壁的内表面上形成组织的第二折叠，其中第二折叠未附接到第一折叠。

89. 发明申请

US20130153624A1 DEVICES AND METHODS FOR ENDOLUMINAL PLICATION 有权
标题翻译：用于内膜剥离的装置和方法
公开(公告)号：US20130153624A1
公开(公告)日：2013-06-20
申请号：US13326651
申请日：2011-12-15
申请人： Kevin D. Felder , Lawrence Crainich , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
发明人： Kevin D. Felder , Lawrence Crainich , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B90/361 , A61B2017/00278 , A61B2017/00314 , A61B2017/00327 , A61B2017/00349 , A61B2017/00353 , A61B2017/00818 , A61B2017/00862 , A61B2017/0647 , A61B2017/07271 , A61B2017/07278 , A61B2017/2926 , A61B2017/2936 , A61B2017/2941 , A61B2017/2943 , A61B2017/2944 , A61B2017/308 , A61F5/0083
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a tissue acquisition and fixation system is disclosed including a stapling member having first and second jaws that are effective to apply at least one staple to tissue engaged between the jaws, a tissue acquisition member coupled to at least one of the first and second jaws, and a secondary tissue acquirer coupled to the tissue acquisition member. The secondary tissue acquirer is configured to engage tissue and maintain the tissue in position relative to the tissue acquisition member.
摘要翻译：提供了用于形成和固定组织浸液的装置和方法。更具体地，本发明的装置和方法可用于在胃腔的前壁和后壁上产生多个组织折叠以减小其体积。在一个方面，公开了一种组织采集和固定系统，其包括具有第一和第二钳口的缝合构件，所述缝合构件有效地将至少一个钉施加到接合在钳口之间的组织，组织采集构件，其耦合到第一和第二钳口中的至少一个，第二钳口和耦合到组织获取构件的次级组织获取器。辅助组织采集器被配置为接合组织并且将组织保持在相对于组织采集构件的适当位置。

90. 发明申请

US20130153623A1 DEVICES AND METHODS FOR ENDOLUMINAL PLICATION 有权
标题翻译：用于内膜剥离的装置和方法
公开(公告)号：US20130153623A1
公开(公告)日：2013-06-20
申请号：US13326643
申请日：2011-12-15
申请人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
发明人： Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner , Brian F. DiNardo
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B90/361 , A61B2017/00278 , A61B2017/00314 , A61B2017/00327 , A61B2017/00349 , A61B2017/00353 , A61B2017/00818 , A61B2017/00862 , A61B2017/0647 , A61B2017/07271 , A61B2017/07278 , A61B2017/2926 , A61B2017/2936 , A61B2017/2941 , A61B2017/2943 , A61B2017/2944 , A61B2017/308 , A61F5/0083
摘要： Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a tissue acquisition and fixation system is disclosed that includes an elongate shaft, an end effector coupled to the elongate shaft and having first and second jaws, and a tissue acquisition member coupled to the end effector by a linkage assembly. At least a portion of the linkage assembly and tissue acquisition member are slidably movable in a direction parallel to a longitudinal axis of the jaws. Further, the tissue acquisition member is vertically movable relative to the end effector such that a distance between a longitudinal axis of the tissue acquisition member and the jaws can be adjusted.
摘要翻译：提供了用于形成和固定组织浸液的装置和方法。更具体地，本发明的装置和方法可用于在胃腔的前壁和后壁上产生组织褶皱，以减小其体积。在一个方面，公开了一种组织采集和固定系统，其包括细长轴，连接到细长轴并具有第一和第二钳口的端部执行器，以及通过连杆组件联接到末端执行器的组织采集构件。连杆组件和组织采集构件的至少一部分可在平行于钳口的纵向轴线的方向上可滑动地移动。此外，组织采集构件相对于末端执行器可垂直移动，使得可以调节组织采集构件的纵向轴线与夹爪之间的距离。

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