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1. 发明申请

US20130324967A1 TRANSVASCULAR ACCESS DEVICE AND METHOD 有权
标题翻译：变形通路装置及方法
公开(公告)号：US20130324967A1
公开(公告)日：2013-12-05
申请号：US13906122
申请日：2013-05-30
申请人： Lakshmikumar Pillai , Patrick Burt , John Lunsford , John Stiggelbout
发明人： Lakshmikumar Pillai , Patrick Burt , John Lunsford , John Stiggelbout
IPC分类号： A61M25/09
CPC分类号： A61M25/0082 , A61B17/3415 , A61M25/01 , A61M25/0102 , A61M25/0662 , A61M25/09 , A61M25/09041 , A61M2025/0095
摘要： Transvascular access devices and methods for transvascular access are provided. The transvascular access devices can include a guidewire lumen and a guide tube and stylet disposed in a second lumen. The guide tube can be used to control the orientation of the stylet and provide additional support for the stylet. The methods include providing a second entry point in a vessel of a patient remote from a first entry point. A vascular catheter can enter the vascular system of a patient at a first entry point and be advanced to a second entry point. A guide tube can be advanced out the second lumen of the vascular catheter with a stylet advanced out of the guide tube to pierce the vessel wall and skin of the patient at the second entry point. A catheter can be introduced to the vascular system at the second entry point.
摘要翻译：提供了血管通路装置和用于经血管通路的方法。经血管通路装置可以包括导线管腔和设置在第二管腔中的导管和探针。引导管可用于控制探针的方向，并为探针提供额外的支撑。所述方法包括在远离第一入口点的患者的血管中提供第二入口点。血管导管可以在第一入口处进入患者的血管系统并且进入第二入口点。引导管可以用导管推出的探针推出血管导管的第二腔，以在第二入口处刺穿患者的血管壁和皮肤。可以在第二入口处将导管引入血管系统。

2. 发明授权

US09220874B2 Transvascular access device and method 有权
标题翻译：血管通路装置及方法
公开(公告)号：US09220874B2
公开(公告)日：2015-12-29
申请号：US13906122
申请日：2013-05-30
申请人： Lakshmikumar Pillai , Patrick Burt , John Lunsford , John Stiggelbout
发明人： Lakshmikumar Pillai , Patrick Burt , John Lunsford , John Stiggelbout
IPC分类号： A61M25/09 , A61M25/00 , A61M25/01 , A61B17/34
CPC分类号： A61M25/0082 , A61B17/3415 , A61M25/01 , A61M25/0102 , A61M25/0662 , A61M25/09 , A61M25/09041 , A61M2025/0095
摘要： Transvascular access devices and methods for transvascular access are provided. The transvascular access devices can include a guidewire lumen and a guide tube and stylet disposed in a second lumen. The guide tube can be used to control the orientation of the stylet and provide additional support for the stylet. The methods include providing a second entry point in a vessel of a patient remote from a first entry point. A vascular catheter can enter the vascular system of a patient at a first entry point and be advanced to a second entry point. A guide tube can be advanced out the second lumen of the vascular catheter with a stylet advanced out of the guide tube to pierce the vessel wall and skin of the patient at the second entry point. A catheter can be introduced to the vascular system at the second entry point.
摘要翻译：提供了血管通路装置和用于经血管通路的方法。经血管通路装置可以包括导线管腔和设置在第二管腔中的导管和探针。引导管可用于控制探针的方向，并为探针提供额外的支撑。所述方法包括在远离第一入口点的患者的血管中提供第二入口点。血管导管可以在第一入口处进入患者的血管系统并且进入第二入口点。引导管可以用导管推出的探针推出血管导管的第二腔，以在第二入口处刺穿患者的血管壁和皮肤。可以在第二入口处将导管引入血管系统。

3. 发明授权

US08784354B2 Positioning tools and methods for implanting medical devices 有权
标题翻译：用于植入医疗器械的定位工具和方法
公开(公告)号：US08784354B2
公开(公告)日：2014-07-22
申请号：US13032569
申请日：2011-02-22
申请人： Richard S. Stack , Richard A. Glenn , Daniel Balbierz , John Lunsford , William L. Athas
发明人： Richard S. Stack , Richard A. Glenn , Daniel Balbierz , John Lunsford , William L. Athas
IPC分类号： A61M5/00 , A61F2/04
CPC分类号： A61F5/0089 , A61F5/0079
摘要： Described herein is a positioning tool having an elongate portion for carrying a medical implant. Also described is a method of positioning a medical implant using an elongate positioning tool. One form of the method includes positioning a medical implant on a distal portion of an elongate positioning tool, inserting the positioning tool with the implant thereon into a body cavity manipulating the positioning tool to position the implant into contact with tissue at an attachment location, attaching the implant to surrounding tissue at the attachment location, separating the implant from the positioning tool, and withdrawing the positioning tool from the body. In a preferred embodiment, the position of the implant is visually confirmed using an endoscope before the implant is attached to surrounding tissue. In one embodiment, the implant is a satiation device and the body cavity is the esophagus and/or stomach. In an alternative embodiment, an expansion structure on the distal end of the elongate portion expands and/or contracts the medical implant to facilitate positioning.
摘要翻译：本文描述的是具有用于承载医用植入物的细长部分的定位工具。还描述了使用细长定位工具定位医疗植入物的方法。该方法的一种形式包括将医疗植入物定位在细长定位工具的远侧部分上，将其上的植入物插入定位工具进入体腔以操纵定位工具以将植入物定位在附着位置处与组织接触植入到附接位置处的周围组织，将植入物与定位工具分离，并将定位工具从身体上取出。在优选实施例中，在植入物附接到周围组织之前，使用内窥镜在视觉上确认植入物的位置。在一个实施例中，植入物是饱食装置，并且体腔是食道和/或胃。在替代实施例中，细长部分的远端上的膨胀结构膨胀和/或收缩医疗植入物以便于定位。

4. 发明授权

US08469977B2 Endoscopic plication device and method 有权
标题翻译：内镜矫治装置及方法
公开(公告)号：US08469977B2
公开(公告)日：2013-06-25
申请号：US12785268
申请日：2010-05-21
申请人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Brett Swope , Andrew Smith , John Lunsford , Fiona Sander
发明人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Brett Swope , Andrew Smith , John Lunsford , Fiona Sander
IPC分类号： A61B17/72
CPC分类号： A61B17/1155 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1285 , A61B2017/00535 , A61B2017/00827 , A61B2017/07214 , A61B2017/07228 , A61B2017/1139 , A61B2017/1157 , A61B2017/306 , A61F5/0036
摘要： Described herein are endoscopic plicators passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention. After one or more plications is formed, medical devices may be coupled to the plication(s) for retention within the stomach.
摘要翻译：这里描述的是内窥镜检查器，其通过经腹部通过胃并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。所公开的调节器允许组织的相对部分彼此移动接触，并且优选地递送缝合线，缝钉或其它装置，用于保持组织切片之间的接触，至少在它们之间形成浆膜粘结。这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。在形成一个或多个脓肿之后，医疗装置可以连接到脓液以保持在胃中。

5. 发明申请

US20130012863A1 RESTRICTIVE AND/OR OBSTRUCTIVE IMPLANT SYSTEM FOR INDUCING WEIGHT LOSS 有权
标题翻译：用于诱导重量损失的限制性和/或阻碍性植入体系
公开(公告)号：US20130012863A1
公开(公告)日：2013-01-10
申请号：US13492732
申请日：2012-06-08
申请人： Richard S. Stack , Daniel J. Balbierz , William L. Athas , John Lunsford , Kevin van Bladel , Ashik Mohan , Samuel T. Crews , Shuji Uemura , Robert H. Hawes
发明人： Richard S. Stack , Daniel J. Balbierz , William L. Athas , John Lunsford , Kevin van Bladel , Ashik Mohan , Samuel T. Crews , Shuji Uemura , Robert H. Hawes
IPC分类号： A61M5/00
CPC分类号： A61F5/0086 , A61B17/00234 , A61B2017/00292 , A61B2017/00827 , A61B2017/00991 , A61F5/0089 , A61M25/0194
摘要： The present application describes an implant system useable for positioning an implant device such as a device useful for restricting passage of ingested food into the stomach. In one embodiment, the disclosed system includes a plurality of anchors that may be coupled to tissue within the stomach, or to a tissue tunnel formed by plicating stomach wall tissue. The anchor includes a loop. During use, the implant device is inserted through the loop and expanded such that it retains its position within the loop until removed. Instruments for implanting and explanting the implant device are also described.
摘要翻译：本申请描述了可用于定位植入装置的植入物系统，例如用于限制摄取的食物进入胃的通道的装置。在一个实施例中，所公开的系统包括可以连接到胃内的组织或通过使胃壁组织变细而形成的组织隧道的多个锚固件。锚包括一个环。在使用期间，植入装置插入通过环并且膨胀使得其保持其在环内的位置，直到移除。还描述了用于植入和外植植入装置的器械。

6. 发明申请

US20070060932A1 Devices and methods for retaining a gastro-esophageal implant 审中-公开
标题翻译：用于保留胃食管植入物的装置和方法
公开(公告)号：US20070060932A1
公开(公告)日：2007-03-15
申请号：US11512975
申请日：2006-08-30
申请人： Richard Stack , Dan Balbierz , John Lunsford , Kevin Bladel , William Eubanks , William Athas , Richard Glenn , Richard Kouri
发明人： Richard Stack , Dan Balbierz , John Lunsford , Kevin Bladel , William Eubanks , William Athas , Richard Glenn , Richard Kouri
IPC分类号： A61B17/08
CPC分类号： A61F5/0079 , A61B17/0469 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07292 , A61B17/08 , A61B2017/0417 , A61B2017/0419 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0641 , A61B2017/0647 , A61B2017/301 , A61B2017/306 , A61F2/848 , A61F5/0076 , A61F5/0083 , A61M29/00
摘要： Various methods and devices are described for retaining a medical implant within a body cavity. According to one aspect, one or more plications are formed and the medical device is coupled to or seated against the plication(s). A patch may be positioned between tissue layers forming the plication so as to reinforce the tissue adhesion forming between the tissue layers.
摘要翻译：描述了用于将医疗植入物保持在体腔内的各种方法和装置。根据一个方面，形成一个或多个脓肿，并且医疗装置联接到或抵靠脓肿。可以将贴片定位在形成折痕的组织层之间，以便增强组织层之间的组织粘附形成。

7. 发明申请

US20050096673A1 Devices and methods for retaining a gastro-esophageal implant 失效
标题翻译：用于保留胃食管植入物的装置和方法
公开(公告)号：US20050096673A1
公开(公告)日：2005-05-05
申请号：US10898036
申请日：2004-07-23
申请人： Richard Stack , Dan Balbierz , John Lunsford , Kevin Bladel , William Eubanks , William Athas , Richard Glenn , Richard Kouri
发明人： Richard Stack , Dan Balbierz , John Lunsford , Kevin Bladel , William Eubanks , William Athas , Richard Glenn , Richard Kouri
IPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/30 , A61F2/00 , A61F2/848 , A61F5/00 , A61F2/04 , A61B19/00
CPC分类号： A61F5/0079 , A61B1/00 , A61B17/0469 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07292 , A61B17/08 , A61B2017/0417 , A61B2017/0419 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/0641 , A61B2017/0647 , A61B2017/301 , A61B2017/306 , A61F2/848 , A61F5/0076 , A61F5/0083 , A61M29/00
摘要： Various methods and devices are described for retaining a medical implant within a body cavity. According to one aspect, one or more plications are formed and the medical device is coupled to or seated against the plication(s). A patch may be positioned between tissue layers forming the plication so as to reinforce the tissue adhesion forming between the tissue layers.
摘要翻译：描述了用于将医疗植入物保持在体腔内的各种方法和装置。根据一个方面，形成一个或多个脓肿，并且医疗装置联接到或抵靠脓肿。可以将贴片定位在形成折痕的组织层之间，以便增强组织层之间的组织粘附形成。

8. 发明授权

US09888926B2 Apparatus and method for deploying stent across adjacent tissue layers 有权
公开(公告)号：US09888926B2
公开(公告)日：2018-02-13
申请号：US13364265
申请日：2012-02-01
申请人： Hoang Phan , John Lunsford , Kenneth F. Binmoeller
发明人： Hoang Phan , John Lunsford , Kenneth F. Binmoeller
IPC分类号： A61B17/11 , A61B17/00 , A61F2/95 , A61F2/966 , A61B17/02 , A61B17/22 , A61B17/34 , A61B17/29 , A61M27/00
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/0218 , A61B17/11 , A61B17/2909 , A61B2017/00278 , A61B2017/00336 , A61B2017/00862 , A61B2017/1107 , A61B2017/1139 , A61B2017/22038 , A61B2017/3484 , A61B2217/005 , A61F2/95 , A61F2/966 , A61M27/002
摘要： Transluminal access system includes a stent delivery catheter having a handle control mechanism. The catheter comprises a number of components for establishing an initial penetration between adjacent body lumens and subsequently implanting a stent or other luminal anchor therebetween. Manipulation of the stent components is achieved using control mechanisms on the handle while the handle is attached to an endoscope which provides access to a first body lumen.

9. 发明授权

US09055942B2 Endoscopic plication devices and methods 有权
标题翻译：内镜矫治装置及方法
公开(公告)号：US09055942B2
公开(公告)日：2015-06-16
申请号：US11542457
申请日：2006-10-03
申请人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Brett Swope , Andrew Smith , John Lunsford , Fiona Sander
发明人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Brett Swope , Andrew Smith , John Lunsford , Fiona Sander
IPC分类号： A61B17/08 , A61B17/068 , A61B17/072 , A61B17/115 , A61B17/128 , A61B17/02 , A61B17/00 , A61B17/30
CPC分类号： A61B17/1155 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1285 , A61B2017/00535 , A61B2017/00827 , A61B2017/07214 , A61B2017/07228 , A61B2017/1139 , A61B2017/1157 , A61B2017/306 , A61F5/0036
摘要： Endoscopic plicators are passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. The tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparscopic intervention. After one or more plications is formed, medical devices may be coupled to the plication(s) for retention within the stomach.
摘要翻译：将内窥镜矫正器经腹部通入胃中，并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。将组织向内拉入真空室，使得胃外部的浆膜组织部分彼此相对定位。调节器允许组织的相对部分彼此移动接触，并且优选地递送缝合线，缝钉或其它装置，用于保持组织切片之间的接触，至少在它们之间形成浆膜粘结。这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。在形成一个或多个脓肿之后，医疗装置可以连接到脓液以保持在胃中。

10. 发明申请

US20120136426A1 APPARATUS AND METHOD FOR DEPLOYING STENT ACROSS ADJACENT TISSUE LAYERS 有权
标题翻译：用于通过相邻组织层分配STENT的装置和方法
公开(公告)号：US20120136426A1
公开(公告)日：2012-05-31
申请号：US13364265
申请日：2012-02-01
申请人： Hoang Phan , John Lunsford , Kenneth F. Binmoeller
发明人： Hoang Phan , John Lunsford , Kenneth F. Binmoeller
IPC分类号： A61F2/84
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/0218 , A61B17/11 , A61B17/2909 , A61B2017/00278 , A61B2017/00336 , A61B2017/00862 , A61B2017/1107 , A61B2017/1139 , A61B2017/22038 , A61B2017/3484 , A61B2217/005 , A61F2/95 , A61F2/966 , A61M27/002
摘要： Transluminal access system includes a stent delivery catheter having a handle control mechanism. The catheter comprises a number of components for establishing an initial penetration between adjacent body lumens and subsequently implanting a stent or other luminal anchor therebetween. Manipulation of the stent components is achieved using control mechanisms on the handle while the handle is attached to an endoscope which provides access to a first body lumen.
摘要翻译：腔内进入系统包括具有手柄控制机构的支架输送导管。导管包括多个部件，用于建立相邻体腔之间的初始穿透，并随后在其间植入支架或其他腔内锚。使用手柄上的控制机构来实现对支架部件的操纵，同时手柄附接到提供对第一体腔的通路的内窥镜。

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