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1. 发明申请

WO2004049982A3 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982A3
公开(公告)日：2004-10-14
申请号：PCT/US0338238
申请日：2003-12-02
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
IPC分类号： A61B17/04 , A61B17/06 , A61F2/00 , A61F2/04 , A61F5/00 , A61F2/06
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device (200) is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor (208) for anchoring the device to the stomach and a flexible sleeve (202) to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：介绍了限制消化系统特定部位食品吸收的方法和设备。胃肠植入装置（200）锚定在胃中并延伸超过Treitz韧带。所有排出胃部的食物都通过装置输送。胃肠装置包括用于将装置锚定到胃上的锚定件（208）和用于限制十二指肠内营养物质吸收的柔性套筒（202）。该锚可折叠用于内窥镜递送和移除。

2. 发明申请

WO2005060882A1 APPARATUS TO BE ANCHORED WITHIN THE GASTROINTESTINAL TRACT AND ANCHORING METHOD 审中-公开
标题翻译：在胃肠道牵引和锚固方法中安装的装置
公开(公告)号：WO2005060882A1
公开(公告)日：2005-07-07
申请号：PCT/US2004/017591
申请日：2004-06-01
申请人： GI DYNAMICS, INC. , MEADE, John, C. , LEVINE, Andy, H. , MELANSON, David, A. , CVINAR, John, F.
发明人： MEADE, John, C. , LEVINE, Andy, H. , MELANSON, David, A. , CVINAR, John, F.
IPC分类号： A61F5/00
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0482 , A61B17/12 , A61B2017/0419 , A61B2017/06052 , A61F2/04 , A61F2/848 , A61F2/91 , A61F2/915 , A61F2/95 , A61F2002/045 , A61F2002/8483 , A61F2002/91541 , A61F2002/91558 , A61F2002/9511 , A61F2220/0008 , A61F2220/0016 , A61F2220/0058 , A61F2220/0066
摘要： The present invention relates to an anchor (108) configured for minimally-invasive implantation and sized to remain securely positioned within at least a portion of the gastrointestinal tract (119) of an animal. The anchor includes a radial spring (100) formed from an elongated resilient member shaped into an annular wave pattern about a central axis (115). The anchor defines a central lumen and provides an outward radial force, while allowing for substantial flexure about its perimeter. The anchor is generally removable, but can include fasteners, such as barbs (640), to further secure it to the surrounding anatomy. In some embodiments, the anchor includes a connector (1405) coupling a fixed portion to a removable portion. Further, the anchor can be used to secure a medical device within the body, such as a flexible sleeve (110) within the intestine.
摘要翻译：本发明涉及一种构造成用于微创植入并且尺寸设计成保持牢固地定位在动物的胃肠道（119）的至少一部分内的锚固件（108）。锚固件包括由细长的弹性构件形成的径向弹簧（100），所述弹性构件围绕中心轴线（115）成形为环形波形图案。锚固件限定中心腔并提供向外的径向力，同时允许围绕其周边的实质弯曲。锚通常是可拆卸的，但是可以包括紧固件，例如倒钩（640），以进一步将其固定到周围的解剖结构上。在一些实施例中，锚固件包括将固定部分连接到可移除部分的连接器（1405）。此外，锚可用于将医疗装置固定在体内，例如肠内的柔性套筒（110）。

3. 发明申请

WO2004087014A3 ANTI-OBESITY DEVICES 审中-公开
标题翻译：抗菌装置
公开(公告)号：WO2004087014A3
公开(公告)日：2005-01-27
申请号：PCT/US2004009269
申请日：2004-03-26
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MEADE JOHN C
IPC分类号： A61F2/04 , A61F5/00
CPC分类号： A61F5/0076
摘要： A restrictive device (216) implanted in the upper part of the stomach, selectively divides the stomach into two chambers (220, 222), effectively reducing the size of the stomach immediately available for the uptake of food. The restrictive device also includes an aperture (218), limiting the rate at which food can pass from the esophagus portion of the stomach into the intestine. Being removable, the device permits a physician to change the size of the opening in a minimally invasive manner by replacing a removable member with another member having an aperture of a different size and/or shape. The restrictive device can also be combined with an elongated tube (302), or sleeve to selectively bypass the stomach, a portion of the intestine, or a combination of bypassing both the stomach and a portion of the intestine, allowing a physician to endoscopically create an equivalent to the Roux-en-y weight loss procedure.
摘要翻译：植入胃的上部的限制性装置（216）选择性地将胃分成两个腔室（220,222），从而有效地减小了立即可用于摄取食物的胃的尺寸。限制装置还包括孔（218），其限制食物可以从胃的食道部分进入肠的速度。该装置可移动，允许医师通过用具有不同尺寸和/或形状的孔的另一构件替换可移除构件，以微创方式改变开口的尺寸。限制性装置还可以与细长管（302）或套管组合以选择性地绕过胃，肠的一部分或绕过胃和肠的一部分的组合，允许医师内窥镜地产生相当于Roux-en-y减肥程序。

4. 发明申请

WO2004087014A2 ANTI-OBESITY DEVICES 审中-公开
标题翻译：抗菌装置
公开(公告)号：WO2004087014A2
公开(公告)日：2004-10-14
申请号：PCT/US2004/009269
申请日：2004-03-26
申请人： GI DYNAMICS, INC. , LEVINE, Andy, H. , CVINAR, John, F. , MEADE, John, C.
发明人： LEVINE, Andy, H. , CVINAR, John, F. , MEADE, John, C.
IPC分类号： A61F2/04
CPC分类号： A61F5/0076
摘要： A restrictive device (216) implanted in the upper part of the stomach, selectively divides the stomach into two chambers (220, 222), effectively reducing the size of the stomach immediately available for the uptake of food. The restrictive device also includes an aperture (219), limiting the rate at which food can pass from the esophagus portion of the stomach into the intestine. Being removable, the device permits a physician to change the size of the opening in a minimally invasive manner by replacing a removable member with another member having an aperture of a different size and/or shape. The restrictive device can also be combined with an elongated tube (302), or sleeve to selectively bypass the stomach, a portion of the intestine, or a combination of bypassing both the stomach and a portion of the intestine, allowing a physician to endoscopically create an equivalent to the Roux-en-y weight loss procedure.
摘要翻译：植入胃的上部的限制性装置（216）选择性地将胃分成两个腔室（220,222），从而有效地减小了立即可用于摄取食物的胃的尺寸。限制装置还包括孔（219），其限制食物可以从胃的食道部分进入肠的速度。该装置可移动，允许医师通过用具有不同尺寸和/或形状的孔的另一构件替换可移除构件，以微创方式改变开口的尺寸。限制性装置还可以与细长管（302）或套管组合以选择性地绕过胃，肠的一部分或绕过胃和肠的一部分的组合，允许医师内窥镜地产生相当于Roux-en-y减肥程序。

5. 发明申请

WO2005060869A1 INTESTINAL SLEEVE 审中-公开
公开(公告)号：WO2005060869A1
公开(公告)日：2005-07-07
申请号：PCT/US2004/017592
申请日：2004-06-01
申请人： GI DYNAMICS, INC. , LEVINE, Andy, H. , CVINAR, John, F. , MELANSON, David, A. , MEADE, John, C.
发明人： LEVINE, Andy, H. , CVINAR, John, F. , MELANSON, David, A. , MEADE, John, C.
IPC分类号： A61F2/00
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0482 , A61B17/12 , A61B2017/0419 , A61B2017/06052 , A61F2/04 , A61F2/848 , A61F2/91 , A61F2/915 , A61F2/95 , A61F2002/045 , A61F2002/8483 , A61F2002/91541 , A61F2002/91558 , A61F2002/9511 , A61F2220/0008 , A61F2220/0016 , A61F2220/0058 , A61F2220/0066
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the duodenum and extends beyond the ligament of Treitz. All food exiting' the stomach is funneled through the device. The gastrointestinal device includes an anchor (2810) for attaching the device to the duodenum and an unsupported flexible sleeve (202) to limit absorption of nutrients in the duodenum. The anchor can include a stent and/or a wave anchor and is collapsible for catheter-based delivery and removal.
摘要翻译：介绍了限制消化系统特定部位食品吸收的方法和装置。胃肠道植入装置被锚定在十二指肠中并延伸超过Treitz的韧带。所有从胃排出的食物都通过设备进行漏斗。胃肠装置包括用于将装置附接到十二指肠的锚固件（2810）和用于限制十二指肠中的营养素的吸收的无支撑的柔性套筒（202）。锚固体可以包括支架和/或波浪锚，并且可折叠以用于基于导管的递送和移除。

6. 发明申请

WO2004049982B1 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982B1
公开(公告)日：2004-12-16
申请号：PCT/US0338238
申请日：2003-12-02
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
IPC分类号： A61B17/04 , A61B17/06 , A61F2/00 , A61F2/04 , A61F5/00 , A61F2/06
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device (200) is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor (208) for anchoring the device to the stomach and a flexible sleeve (202) to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：介绍了限制消化系统特定部位食品吸收的方法和装置。胃肠道植入装置（200）被锚定在胃中并延伸超过Treitz的韧带。所有离开胃的食物都通过设备进行漏斗。胃肠装置包括用于将装置固定到胃的锚固件（208）和用于限制十二指肠中的营养物吸收的柔性套筒（202）。锚固体可折叠用于内窥镜递送和移除。

7. 发明申请

WO1997033523A1 ELECTROSURGICAL ROTATING CUTTING DEVICE 审中-公开
标题翻译：静电旋转切割装置
公开(公告)号：WO1997033523A1
公开(公告)日：1997-09-18
申请号：PCT/US1997003677
申请日：1997-03-10
申请人： MEDICAL SCIENTIFIC, INC. , NARDELLA, Paul, C. , CVINAR, John, F. , WRUBLEWSKI, Thomas, A.
发明人： MEDICAL SCIENTIFIC, INC.
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B18/1482 , A61B18/1485 , A61B2017/00685 , A61B2017/320028 , A61B2018/00434 , A61B2018/1253 , A61B2018/126 , A61B2018/1861 , A61B2217/005
摘要： An electrosurgical apparatus (36) includes a rotary, tissue affeccting device (10) in the form of one or more rotating blades, a rotating drill, or a rotating shaving/abrading device that serves as an active, energy delivering electrode. The active electrode effectively cuts tissue at the surgical site without relying solely upon the mechanical cutting action of the tissue affecting device. The rotary surgical device can be in a form such that it is suitable for use in open or closed surgery.
摘要翻译：电外科设备（36）包括一个旋转的组织施法装置（10），其形式为一个或多个旋转叶片，旋转钻头或用作活动的能量输送电极的旋转剃须/研磨装置。活性电极有效地切除手术部位的组织，而不依赖于组织影响装置的机械切割作用。旋转手术装置可以是适合用于开放或闭合手术的形式。

8. 发明申请

WO2004049982A9 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982A9
公开(公告)日：2004-07-29
申请号：PCT/US0338238
申请日：2003-12-02
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
IPC分类号： A61B17/04 , A61B17/06 , A61F2/00 , A61F2/04 , A61F5/00
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal device is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device to the stomach and a flexible sleeve to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：介绍了消化系统特定部位限制食品吸收的方法和装置。胃肠装置锚定在胃中，延伸超过Treitz的韧带。所有从胃排出的食物都通过设备进行漏斗。胃肠装置包括用于将装置固定到胃的锚固件和柔性套管，以限制十二指肠中的营养物质的吸收。锚固体可折叠用于内窥镜递送和移除。

9. 发明申请

WO2004049982A2 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982A2
公开(公告)日：2004-06-17
申请号：PCT/US2003/038238
申请日：2003-12-02
申请人： GI DYNAMICS, INC. , LEVINE, Andy, H. , CVINAR, John, F. , MELANSON, Dave , MEADE, John, C.
发明人： LEVINE, Andy, H. , CVINAR, John, F. , MELANSON, Dave , MEADE, John, C.
IPC分类号： A61F5/00
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal device is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device to the stomach and a flexible sleeve to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：给出了用于限制消化系统特定部分中的食品吸收的方法和设备。胃肠装置锚定在胃中并延伸超过Treitz韧带。所有排出胃部的食物都通过装置输送。胃肠装置包括用于将装置锚定到胃部的锚定器和用于限制十二指肠中营养物质吸收的柔性套管。锚可折叠内窥镜交付和删除。

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