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1. 发明申请

US20120016393A1 INSTRUMENTATION AND METHOD FOR PERFORMING A MULTISTAGE GASTRIC BYPASS 审中-公开
标题翻译：用于执行多级气体旁路的仪表和方法
公开(公告)号：US20120016393A1
公开(公告)日：2012-01-19
申请号：US13260607
申请日：2009-04-10
申请人： Michael A. Murray , Michele D'Arcangelo , Alessandro Pastorelli , Federico Bilotti
发明人： Michael A. Murray , Michele D'Arcangelo , Alessandro Pastorelli , Federico Bilotti
IPC分类号： A61B17/08
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/1114 , A61B17/122 , A61B2017/22038
摘要： 1. Instrumentation for carrying out a gastrointestinal bypass comprising: means (4, 6, 12) for creating a gastric sleeve (21, 22) from the lesser curvature (13) of the stomach (1), means for creating a gastrointestinal bypass involving said gastric sleeve (21, 22), in which said means for creating a gastrointestinal bypass include: means for creating a gastroenteroanastomosis (26) between two closely approximated gastric and intestinal tissue portions, maintaining the continuity of the intestinal duct after the creation of the gastroenteroanastomosis, means for creating an enteroenteroanastomosis (29) between two closely approximated tissue portions (27, 28) of the intestine, maintaining the continuity of the intestinal duct after the creation of the enteroenteroanastomosis (29), means for sectioning the intestine (20) between the gastroenteroanastomosis (26) and the enteroenteroanastomosis (29).
摘要翻译： 1.一种用于进行胃肠旁路的仪器，包括：用于从胃（1）的较小曲率（13）产生胃套筒（21,22）的装置（4,6,12），用于产生涉及所述胃套管（21,22），其中所述用于产生胃肠旁路的装置包括：用于在两个近似近似的胃和肠组织部分之间产生胃肠道吻合（26）的装置，在创建胃肠道旁路之后保持肠道的连续性胃肠道吻合术，用于在肠的两个紧密接近的组织部分（27,28）之间产生肠腔吻合（29）的手段，在肠腔吻合术（29）产生之后保持肠道的连续性（29），用于切片肠（20）胃肠道吻合（26）和肠腔内吻合（29）之间。

2. 发明授权

US08795300B2 Anastomotic device 有权
标题翻译：吻合装置
公开(公告)号：US08795300B2
公开(公告)日：2014-08-05
申请号：US12279549
申请日：2007-02-14
申请人： Federico Bilotti , Alessandro Pastorelli , Michele D'Arcangelo , Brian James Thompson , Roberto Tacchino
发明人： Federico Bilotti , Alessandro Pastorelli , Michele D'Arcangelo , Brian James Thompson , Roberto Tacchino
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/11
摘要： The present invention relates to an anastomotic device (10) comprising a first ring (20) having a first contact surface (21) and a second ring (30) having a second contact surface (31). The rings (20, 30) are suitable to be approached in the axial direction (X) such as to move said contact surfaces (21; 31) towards each other. The anastomotic device is characterized in that the contact surfaces (21, 31) have an undulated shape relative to a plane (π) perpendicular to the axis (X) of the rings (20, 30). According to another aspect thereof, the invention also relates to an apparatus (60) for the implantation of the anastomotic device (10). According to a further aspect thereof, the invention relates to a kit comprising an anastomotic device (10) and an apparatus (60) for the implantation of the same.
摘要翻译：本发明涉及一种包括具有第一接触表面（21）的第一环（20）和具有第二接触表面（31）的第二环（30）的吻合装置（10）。环（20,30）适于在轴向方向（X）上接近，以使所述接触表面（21; 31）朝向彼此移动。吻合装置的特征在于，接触表面（21,31）相对于垂直于环（20,30）的轴线（X）的平面（＆pgr）具有波浪形状。根据本发明的另一方面，本发明还涉及一种用于植入吻合装置（10）的装置（60）。根据本发明的另一方面，本发明涉及包括吻合装置（10）和用于植入其的装置（60）的试剂盒。

3. 发明申请

US20100069933A1 POSITIONING DEVICE FOR DEPLOYING AT LEAST ONE LOCKING PORTION OF AN ANASTOMOTIC DEVICE AND METHOD FOR CARRYING OUT ANASTOMOSIS IN TRACTS OF THE DIGESTIVE TUBE 有权
标题翻译：用于分配至少一个分解装置的锁定部分的定位装置和用于在消化管的跟踪中进行分析的方法
公开(公告)号：US20100069933A1
公开(公告)日：2010-03-18
申请号：US12159003
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/00
CPC分类号： A61B17/0643 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50). A head (52) of the positioning device is suitable to be interference-inserted on a distal end of the elongated structure (50). The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).
摘要翻译：一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

4. 发明申请

US20060271075A1 Double loop gastric bypass procedure 审中-公开
标题翻译：双循环胃旁路手术
公开(公告)号：US20060271075A1
公开(公告)日：2006-11-30
申请号：US11437753
申请日：2006-05-18
申请人： Federico Bilotti , Michele D'Arcangelo , Alessandro Pastorelli
发明人： Federico Bilotti , Michele D'Arcangelo , Alessandro Pastorelli
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/07207 , A61B2017/1103 , A61B2017/1135 , A61B2017/1139
摘要： An instrumentation for carrying out a gastrointestinal bypass comprises means for bringing close together a first tissue portion (12) of the intestine and second tissue portion (14) of the stomach by realising a first intestine loop (A), means for creating a gastroenteroanastomosis (16) between the two close tissue portions, for example a linear stapler, maintaining or restoring the continuity of the intestinal duct after the realisation of the gastroenteroanastomosis, means for bringing close together an additional first tissue portion (18) of the intestine, arranged distally with respect to the gastroenteroanastomosis (16) with reference to the natural flow of the food along the intestinal duct, and an additional second tissue portion (20) of the intestine arranged proximally with respect to the gastroenteroanastomosis (16) with reference to the natural flow of the food along the intestinal duct, realising a second loop (B) of the intestine, wherein said additional second tissue portion (20) of the intestine arranged proximally with respect to the gastroenteroanastomosis (16) is brought close to the gastroenteroanastomosis (16), means for creating an enteroenteroanastomosis (22) between the two close tissue portions of the intestine, maintaining or restoring the continuity of the intestinal duct after the realisation of the enteroenteroanastomosis, and means for sectioning the intestine between the gastroenteroanastomosis (16) and the enteroenteroanastomosis (22).
摘要翻译：用于进行胃肠旁路的装置包括通过实现第一肠环（A）使肠的第一组织部分（12）和胃的第二组织部分（14）靠近在一起的装置，用于产生胃肠道吻合的装置在两个紧密的组织部分之间，例如线性吻合器，在实现胃肠吻合术之后维持或恢复肠管的连续性，用于使肠道附近的另外的第一组织部分（18）靠近在一起的装置关于胃肠道吻合术（16），其参考沿着肠道的食物的天然流动，以及相对于胃肠道吻合口（16）相对于自然流动而向近侧布置的肠的另外的第二组织部分（20）的肠道上的食物，实现肠的第二回路（B），其中所述附加的分支相邻于胃肠道吻合口（16）向近侧排列的肠的组织部分（20）靠近胃肠道吻合（16），用于在肠的两个密集组织部分之间产生肠腔内吻合（22）的装置，维持或恢复实现肠腔吻合术后肠道的连续性，以及在胃肠道吻合口（16）和肠腔内吻合口（22）之间切片肠的手段。

5. 发明授权

US08435231B2 Positioning device for deploying at least one locking portion of an anastomotic device and method for carrying out anastomosis in tracts of the digestive tube 有权
标题翻译：用于部署吻合装置的至少一个锁定部分的定位装置和用于在消化管的束中进行吻合的方法
公开(公告)号：US08435231B2
公开(公告)日：2013-05-07
申请号：US12159003
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/00
CPC分类号： A61B17/0643 , A61B17/11 , A61B17/1114 , A61B17/115 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： A positioning device for deploying at least one locking portion (20) of an anastomotic device (10) for drawing together a first tissue portion (12) and a second tissue portion (14) to be connected by means of anastomosis is suitable for sliding along a guide means comprising at least one guide wire (A, B) and comprises an elongated structure (50). A head (52) of the positioning device is suitable to be interference-inserted on a distal end of the elongated structure (50). The head (52) comprises elastic tabs (54) extending from a proximal end of the head and at least one channel (56) suitable for receiving a guide wire. The head (52) comprises a distal end defining a thrust surface (58) for a locking portion (20) of the anastomotic device (10).
摘要翻译：一种用于展开吻合装置（10）的至少一个锁定部分（20）的定位装置，用于将通过吻合连接的第一组织部分（12）和第二组织部分（14）联合在一起适合于沿着包括至少一根导丝（A，B）并包括细长结构（50）的引导装置。定位装置的头部（52）适于被干涉插入到细长结构（50）的远端。头部（52）包括从头部的近端延伸的弹性突片（54）和适于接收导丝的至少一个通道（56）。头部（52）包括限定用于吻合装置（10）的锁定部分（20）的止推表面（58）的远端。

6. 发明授权

US08353847B2 Method for endoluminally or laparoscopically excising a tissue sample from areas in a patient's body, traction means and kit 有权
标题翻译：用于从患者体内的区域，牵引装置和试剂盒内部或腹腔镜切除组织样品的方法
公开(公告)号：US08353847B2
公开(公告)日：2013-01-15
申请号：US12279544
申请日：2006-11-27
申请人： Jesse J. Kuhns , Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Brian James Thompson
发明人： Jesse J. Kuhns , Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Brian James Thompson
IPC分类号： A61B10/00 , A61B17/10 , A61B17/32 , A61B17/04
CPC分类号： A61B10/06 , A61B1/00135 , A61B1/018 , A61B10/04 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B17/320016 , A61B17/3496 , A61B2017/00269 , A61B2017/32004 , A61B2017/320064
摘要： Traction means (14) for excising a tissue sample comprising a distal portion (14a), comprising at least one clip (20) suitable for being fixed to at least one portion (12) of tissue to be excised and a proximal portion (14b) suitable for being subjected to traction. Said at least one clip (20) is suitable for being connected to a distal end (22a) of a suture (22) to pull the tissue to be excised, said suture (22) extending between said distal end (22a) and a proximal end corresponding to the proximal portion of said traction means (14). Moreover, said at least one clip (20) is connected to a ring (24) formed at a distal end (24a) of said suture (22) to pull the tissue to be excised.
摘要翻译：用于切除包括远端部分（14a）的组织样本的牵引装置（14），包括至少一个适于固定到要切除的组织的一部分（12）的夹子（20）和近端部分（14b）适合被牵引。所述至少一个夹子（20）适于连接到缝合线（22）的远端（22a）以拉动要切除的组织，所述缝合线（22）在所述远端（22a）和近端端部对应于所述牵引装置（14）的近端部分。此外，所述至少一个夹子（20）连接到形成在所述缝合线（22）的远端（24a）处的环（24），以拉动要切除的组织。

7. 发明申请

US20100048988A1 A DEPLOYMENT SYSTEM FOR INTRODUCING A SURGICAL INSTRUMENT IN A PATIENTS BODY 审中-公开
标题翻译：用于引导患者身体的手术仪器的部署系统
公开(公告)号：US20100048988A1
公开(公告)日：2010-02-25
申请号：US12307750
申请日：2007-07-03
申请人： Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Drago Popovic
发明人： Alessandro Pastorelli , Michele D'Arcangelo , Federico Bilotti , Drago Popovic
IPC分类号： A61B1/018 , A61B17/068 , A61B17/00
CPC分类号： A61B17/072 , A61B1/00087 , A61B2017/00292 , A61B2017/00296 , A61B2017/07221
摘要： A deployment system for introducing a surgical instrument (2) in a patients body by means of an elongate insertion device (8) which can be inserted in the patients body includes a coupling device (9, 15, 21) connectable with the surgical instrument (2) and shiftably connectable with the insertion device (8) such that the surgical instrument (2) can slide along the insertion device (8) in a guided manner, wherein the coupling device (9) includes one or more roller elements (10) configured to rollably contact the insertion device (8).
摘要翻译：用于通过可插入患者体内的细长插入装置（8）将外科器械（2）引入患者体内的展开系统包括可与手术器械连接的联接装置（9,15,21） 2）并且可移动地与插入装置（8）连接，使得外科器械（2）可以以引导方式沿着插入装置（8）滑动，其中联接装置（9）包括一个或多个滚子元件（10）被配置为可滚动地接触所述插入装置（8）。

8. 发明授权

US08540739B2 Anastomotic device 有权
标题翻译：吻合装置
公开(公告)号：US08540739B2
公开(公告)日：2013-09-24
申请号：US12159002
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/08
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/068 , A61B2017/1103 , A61B2017/1139
摘要： An anastomotic device (10) is suitable for approximating and keeping close to each other a first tissue portion (12) and a second tissue portion (14) intended to form an anastomosis. The anastomotic device (10) comprises an abutment portion (18) suitable for the abutment against a surface of the first tissue portion (12) and a locking portion (20) suitable for being placed opposite the abutment portion (18) with respect to the first and second tissue portion (12, 14). The locking portion (20) and the abutment portion (18) are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device (10) is suitable for being connected to a guide means comprising at least one guide wire (A, B).
摘要翻译：吻合装置（10）适于近似并保持彼此接近用于形成吻合的第一组织部分（12）和第二组织部分（14）。吻合装置（10）包括适于抵靠第一组织部分（12）的表面的抵接部分（18）和适于相对于邻接部分（18）相对于第二组织部分（12）相对放置的锁定部分（20）第一和第二组织部分（12,14）。锁定部分（20）和邻接部分（18）通过近似的第一和第二组织部分相互连接，以保持连接。吻合装置（10）适于连接到包括至少一根导丝（A，B）的引导装置。

9. 发明申请

US20100069932A1 ANASTOMOTIC DEVICE 有权
标题翻译：分析装置
公开(公告)号：US20100069932A1
公开(公告)日：2010-03-18
申请号：US12159002
申请日：2007-01-11
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Alessandro Pastorelli , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/0643 , A61B17/068 , A61B2017/1103 , A61B2017/1139
摘要： An anastomotic device (10) is suitable for approximating and keeping close to each other a first tissue portion (12) and a second tissue portion (14) intended to form an anastomosis. The anastomotic device (10) comprises an abutment portion (18) suitable for the abutment against a surface of the first tissue portion (12) and a locking portion (20) suitable for being placed opposite the abutment portion (18) with respect to the first and second tissue portion (12, 14). The locking portion (20) and the abutment portion (18) are mutually connectable through the first and second tissue portions approximated, to keep them connected. The anastomotic device (10) is suitable for being connected to a guide means comprising at least one guide wire (A, B).
摘要翻译：吻合装置（10）适于近似并保持彼此接近用于形成吻合的第一组织部分（12）和第二组织部分（14）。吻合装置（10）包括适于抵靠第一组织部分（12）的表面的抵接部分（18）和适于相对于邻接部分（18）相对于第二组织部分（12）相对放置的锁定部分（20）第一和第二组织部分（12,14）。锁定部分（20）和邻接部分（18）通过近似的第一和第二组织部分相互连接，以保持连接。吻合装置（10）适于连接到包括至少一根导丝（A，B）的引导装置。

10. 发明授权

US08617159B2 Surgical instrumentation for performing endoluminal and/or transluminal anastomosis 有权
标题翻译：用于进行腔内和/或腔内吻合的手术仪器
公开(公告)号：US08617159B2
公开(公告)日：2013-12-31
申请号：US12438783
申请日：2007-07-20
申请人： Tacchino Roberto , Federico Bilotti , Alessandro Pastorelli , Brian James Thompson , Michele D'Arcangelo
发明人： Tacchino Roberto , Federico Bilotti , Alessandro Pastorelli , Brian James Thompson , Michele D'Arcangelo
IPC分类号： A61B18/14
CPC分类号： A61B17/1114 , A61B17/115 , A61B2017/00278 , A61B2017/1139
摘要： An instrumentation for performing an endoluminal or transluminal anastomosis, comprises an anastomotic ring device including a proximal ring (5) having two guide wire seats (22) adapted to slidably receive two guide wires (1, 2) and a distal ring (6) having two guide wire seats (25) adapted to slidably receive the two guide wires (1, 2), the proximal ring 5 and the distal ring 6 being snap-connectable to each other, a surgical probe (7) comprising an elongate insertion shaft (30) and a probe head (32) adapted to be endoluminally advanced to a proximal tissue portion (3), the insertion shaft (30) defining guide wire canals (8, 9) extending into two guide wire exit openings (31) defined in the probe head (32) and adapted to deliver the distal ends (1″, 2″) of said guide wires (1, 2) to said proximal tissue portion (3). The distance between the two guide wire exit openings (31) of the probe (7) is substantially equal to the distance between the two guide wire seats (22) of the proximal ring (5) and to the distance between the two guide wire seats (25) of the distal ring (6).
摘要翻译：用于进行腔内或腔内吻合的仪器包括吻合环装置，其包括具有适于可滑动地容纳两根导丝（1,2）和两个远端环（6）的两个导线座（22）的近端环（5）两个引导线座（25），其适于可滑动地容纳所述两条导线（1,2），所述近端环5和所述远端环6彼此可卡扣连接;外科探针（7），包括细长插入轴 30）和适于被内向前推进到近侧组织部分（3）的探针头（32），所述插入轴（30）限定延伸到两个导丝出口（31）中的引导线通道（8,9），其限定在所述探针头（32）并且适于将所述导丝（1,2）的远端（1“，2”）输送到所述近侧组织部分（3）。探针（7）的两个引导线出口（31）之间的距离基本上等于近端环（5）的两个导丝座座（22）之间的距离以及两个导丝座之间的距离（6）的远端（25）。

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