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1. 发明授权

US5827265A Intraluminal tissue welding for anastomosis 失效
标题翻译：管腔内组织焊接吻合
公开(公告)号：US5827265A
公开(公告)日：1998-10-27
申请号：US801224
申请日：1997-02-19
申请人： Michael Glinsky , Richard London , George Zimmerman , Steven Jacques
发明人： Michael Glinsky , Richard London , George Zimmerman , Steven Jacques
IPC分类号： A61B17/00 , A61B17/11 , A61F2/00 , A61F2/06 , A61F2/84 , A61B17/36
CPC分类号： A61F2/958 , A61B17/11 , A61B17/1114 , A61B2017/00004 , A61B2017/00508 , A61B2017/1107 , A61F2002/30454 , A61F2220/0058
摘要： A method and device are provided for performing intraluminal tissue welding for anastomosis of a hollow organ. A retractable catheter assembly is delivered through the hollow organ and consists of a catheter connected to an optical fiber, an inflatable balloon, and a biocompatible patch mounted on the balloon. The disconnected ends of the hollow organ are brought together on the catheter assembly, and upon inflation of the balloon, the free ends are held together on the balloon to form a continuous channel while the patch is deployed against the inner wall of the hollow organ. The ends are joined or "welded" using laser radiation transmitted through the optical fiber to the patch. A thin layer of a light-absorbing dye on the patch can provide a target for welding. The patch may also contain a bonding agent to strengthen the bond. The laser radiation delivered has a pulse profile to minimize tissue damage.
摘要翻译：提供了一种用于进行腔内组织焊接以中空器官吻合的方法和装置。可伸缩导管组件通过中空器官输送，并且由连接到光纤，可充气气囊和安装在气囊上的生物相容性贴片的导管组成。中空器官的断开的端部在导管组件上聚集在一起，并且在球囊膨胀时，将自由端保持在球囊上一起形成连续通道，同时将贴片部署在中空器官的内壁上。使用通过光纤传输的激光辐射将端部连接或“焊接”到贴片。贴片上的光吸收染料的薄层可以提供焊接目标。贴剂还可以含有粘合剂以加强粘合。所传送的激光辐射具有脉冲分布，以最小化组织损伤。

2. 发明授权

US08858533B2 Methods and systems for providing fluid communication with a gastrostomy tube 有权
标题翻译：用于与胃造口管提供流体连通的方法和系统
公开(公告)号：US08858533B2
公开(公告)日：2014-10-14
申请号：US11629724
申请日：2005-06-29
申请人： Anthony Downing , James Wilkie , Ronald Court , Steven Jacques , Michael W. Gauderer
发明人： Anthony Downing , James Wilkie , Ronald Court , Steven Jacques , Michael W. Gauderer
IPC分类号： A61M25/16 , A61M25/18 , A61M39/02 , A61M39/24 , A61M39/12 , A61M39/10
CPC分类号： A61M39/10 , A61J15/0015 , A61J15/0053 , A61J15/0092 , A61M39/1011 , A61M39/12 , A61M39/24 , A61M2039/1077 , A61M2039/242 , A61M2039/2426
摘要： A low profile adaptor is disclosed to reduce the length of a gastrostomy tube that has been inserted by means of conventional endoscopic procedures or with a replacement feeding tube inserted into the patient's stomach. The gastrostomy tube is cut to the appropriate length by the physician. The adaptor comprises a stem which is inserted into the open end of the gastrostomy tube. The valve assembly contains a seal that functions as a one-way valve to prevent reflux of gastric contents but permits the introduction of feeding solution into the feeding tube. A lock and key mechanism is incorporated into the hub of the gastrostomy tube to prevent disconnection of the feeding tube. A cover is placed over the opening of the adapter to prevent contamination of the lumen of the gastrostomy tube.
摘要翻译：公开了一种低调适配器，以减少通过常规内窥镜程序插入的胃造口管的长度，或者将插入患者胃内的置换进料管延长。胃造口管被医生切成适当的长度。适配器包括插入胃造口管的开口端的杆。阀组件包含用作单向阀的密封件，以防止胃内容物的回流，但允许将进料溶液引入进料管中。一个锁和钥匙机构被结合在胃造口管的轮毂中，以防止进料管断开。将盖子放置在适配器的开口上方以防止胃造口管的内腔被污染。

3. 发明申请

US20070276356A1 Methods And Systems For Providing Fluid Communication With A Gastrostomy Tube 有权
标题翻译：用于胃造口管提供流体通讯的方法和系统
公开(公告)号：US20070276356A1
公开(公告)日：2007-11-29
申请号：US11629724
申请日：2005-06-29
申请人： Anthony Downing , James Wilkie , Ronald Court , Steven Jacques , Michael Gauderer
发明人： Anthony Downing , James Wilkie , Ronald Court , Steven Jacques , Michael Gauderer
IPC分类号： A61M25/16
CPC分类号： A61M39/10 , A61J15/0015 , A61J15/0053 , A61J15/0092 , A61M39/1011 , A61M39/12 , A61M39/24 , A61M2039/1077 , A61M2039/242 , A61M2039/2426
摘要： A low profile adaptor is disclosed to reduce the length of a gastrostomy tube that has been inserted by means of conventional endoscopic procedures or with a replacement feeding tube inserted into the patient's stomach. The gastrostomy tube is cut to the appropriate length by the physician. The adaptor comprises a stem which is inserted into the open end of the gastrostomy tube. The valve assembly contains a seal that functions as a one-way valve to prevent reflux of gastric contents but permits the introduction of feeding solution into the feeding tube. A lock and key mechanism is incorporated into the hub of the gastrostomy tube to prevent disconnection of the feeding tube. A cover is placed over the opening of the adapter to prevent contamination of the lumen of the gastrostomy tube.
摘要翻译：公开了一种低调适配器，以减少通过常规内窥镜程序插入的胃造口管的长度，或者将插入患者胃内的置换进料管延长。胃造口管被医生切成适当的长度。适配器包括插入胃造口管的开口端的杆。阀组件包含用作单向阀的密封件，以防止胃内容物的回流，但允许将进料溶液引入进料管中。一个锁和钥匙机构被结合在胃造口管的轮毂中，以防止进料管断开。将盖子放置在适配器的开口上方以防止胃造口管的内腔被污染。

4. 发明申请

US20050267415A1 Medical devices and methods of use 审中-公开
标题翻译：医疗器械及使用方法
公开(公告)号：US20050267415A1
公开(公告)日：2005-12-01
申请号：US11127662
申请日：2005-05-12
申请人： Steven Jacques
发明人： Steven Jacques
IPC分类号： A61F2/958 , A61B17/34 , A61J15/00 , A61M5/32
CPC分类号： A61J15/0019 , A61B17/3415 , A61J15/0042 , A61J15/0053 , A61J15/0073
摘要： A medical device for creating a fistula in a patient has a catheter including a first lumen and a second lumen for forming a fistula inside a body organ of a patient is disclosed. The second lumen may be capable of fluid communication with an internal bolster, wherein the internal bolster is attachable to the catheter near the distal end and is at least partially filled with a liquid. An external bolster may be adjustably attachable to the catheter outside the patient. Methods of use of medical devices according to the present invention are also disclosed. In one aspect of a method of use, at least a portion of the liquid within an internal bolster may be removed. Such a process may substantially collapse the internal bolster for removal of the medical device.
摘要翻译：公开了一种用于在患者中产生瘘的医疗装置，其具有包括用于在患者体内器官内形成瘘的第一腔和第二腔的导管。第二管腔可以能够与内部枕垫流体连通，其中内部枕垫可以靠近远端附接到导管，并且至少部分地填充有液体。外部枕头可以可调节地附接到患者外部的导管。还公开了根据本发明的医疗装置的使用方法。在使用方法的一个方面，可以去除内部枕垫中的至少一部分液体。这种过程可以基本上使内部枕头塌陷以移除医疗装置。

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