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71. 发明授权

US08906038B2 Devices and methods for laparoscopic gastric tissue reconfiguration 有权
标题翻译：腹腔镜胃组织重构的装置和方法
公开(公告)号：US08906038B2
公开(公告)日：2014-12-09
申请号：US13033485
申请日：2011-02-23
申请人： Richard C. Ewers , Eugene G. Chen , Tracy D. Maahs , Stuart Moran , Cang C. Lam
发明人： Richard C. Ewers , Eugene G. Chen , Tracy D. Maahs , Stuart Moran , Cang C. Lam
IPC分类号： A61B17/10 , A61B17/08 , A61B17/04 , A61B17/42 , A61F5/00 , A61B17/00 , A61B17/06 , A61B17/29
CPC分类号： A61B17/04 , A61B17/0487 , A61B17/42 , A61B2017/00349 , A61B2017/00818 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0464 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/2926 , A61F5/0083
摘要： Devices and methods for forming and securing tissue folds and elongated invaginations in gastric tissue are used as a treatment for obesity. In several embodiments, a plurality of tissue folds is formed along the greater curvature of the stomach using laparoscopic tissue anchor deployment devices. Additional embodiments include various combinations of tissue folds, elongated invaginations, and other reconfigurations of stomach tissue using laparoscopic devices or laparoscopic devices in combination with endoscopic devices.
摘要翻译：用于在胃组织中形成和固定组织褶皱和细长凹陷的装置和方法用作肥胖症的治疗。在几个实施例中，使用腹腔镜组织锚定部署装置沿着胃的较大曲率形成多个组织褶皱。另外的实施例包括使用腹腔镜装置或腹腔镜装置与内窥镜装置组合的组织折叠，细长凹陷和胃组织的其它重新配置的各种组合。

72. 发明申请

US20140257351A1 METHODS AND APPARATUS FOR REVISION OF OBESITY PROCEDURES 有权
标题翻译：用于修改肥胖程序的方法和装置
公开(公告)号：US20140257351A1
公开(公告)日：2014-09-11
申请号：US14282396
申请日：2014-05-20
申请人： USGI Medical, Inc.
发明人： John A. Cox , Tracy Maahs , Richard C. Ewers , Eugene Chen , Cang Lam , Lee Swanstrom
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/00349 , A61B2017/0417 , A61B2017/0419 , A61B2017/1103 , A61B2017/1125 , A61B2017/1142 , A61B2017/2905 , A61F5/0083 , A61F5/0086
摘要： Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alternative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region.
摘要翻译：描述了先前进行的失败的肥胖程序的腔内修复的方法和装置。一个或多个腔内器械可以每次口服进入先前形成的失败的小袋，其中可以执行许多不同的程序。可以形成和固定一个或多个组织折叠以减小小袋的尺寸，或者使用内腔部署的组织锚固件将小袋连接到肠道的造口减小。这些程序可以完全从袋内腔或袋的外表面通过仪器经腹进入患者的腹膜腔进行。或者，袋内的内部组织可以被损伤或硬化以收缩袋腔。在另一个替代方案中，Roux肢体的长度可以被内缩缩以产生吸收不良区域。

73. 发明授权

US08794243B2 Obesity treatment tools and methods 有权
标题翻译：肥胖治疗工具和方法
公开(公告)号：US08794243B2
公开(公告)日：2014-08-05
申请号：US13847040
申请日：2013-03-19
申请人： Ethicon Endo-Surgery, Inc.
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B19/00
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/064 , A61B17/0644 , A61B17/122 , A61B2017/00557 , A61B2017/306 , A61B2090/395 , A61F5/0083 , A61F5/0086
摘要： Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.
摘要翻译：本文描述了各种肥胖治疗工具和方法，以及用于其它胃相关疾病例如GERD的治疗。治疗包括减小胃袋的尺寸以限制热量摄入以及提供较早的饱腹感。这可以通过在胃内部直接从胃内部产生较小的胃袋来完成。较小的袋可以通过使用单独的锚定装置，旋转探针或体积减小装置来制造。还可以进行幽门成形术以使幽门括约肌无能力。另外可以使用无创伤的磁性吻合装置进行胃旁路手术，使得糖和脂肪在绕过胃时直接通过肠。这些程序中的许多可以以各种组合进行。治疗可能会通过阻止摄入高热量食物而产生强制行为改变。

74. 发明授权

US08726909B2 Methods and apparatus for revision of obesity procedures 有权
标题翻译：肥胖程序修订方法和手段
公开(公告)号：US08726909B2
公开(公告)日：2014-05-20
申请号：US11342288
申请日：2006-01-27
申请人： John A. Cox , Tracy Maahs , Richard C. Ewers , Eugene Chen , Cang Lam , Lee Swanstrom
发明人： John A. Cox , Tracy Maahs , Richard C. Ewers , Eugene Chen , Cang Lam , Lee Swanstrom
IPC分类号： A61B19/00 , A61B17/10
CPC分类号： A61B17/1114 , A61B17/29 , A61B2017/00278 , A61B2017/00349 , A61B2017/0417 , A61B2017/0419 , A61B2017/1103 , A61B2017/1125 , A61B2017/1142 , A61B2017/2905 , A61F5/0083 , A61F5/0086
摘要： Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alternative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region.
摘要翻译：描述了先前进行的失败的肥胖程序的腔内修复的方法和装置。一个或多个腔内器械可以每次口服进入先前形成的失败的小袋，其中可以执行许多不同的程序。可以形成和固定一个或多个组织折叠以减小小袋的尺寸，或者使用内腔部署的组织锚固件将小袋连接到肠道的造口减小。这些程序可以完全从袋内腔或袋的外表面通过仪器经腹进入患者的腹膜腔进行。或者，袋内的内部组织可以被损伤或硬化以收缩袋腔。在另一个替代方案中，Roux肢体的长度可以被内缩缩以产生吸收不良区域。

75. 发明申请

US20140114121A1 DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY PROCEDURES 有权
标题翻译：装置和方法促进套管顺序程序
公开(公告)号：US20140114121A1
公开(公告)日：2014-04-24
申请号：US14055974
申请日：2013-10-17
申请人： Covidien LP
发明人： Amit Trivedi
IPC分类号： A61M1/00 , A61F5/00
CPC分类号： A61B17/30 , A61B17/00234 , A61B17/07207 , A61B2017/00292 , A61B2017/00725 , A61B2017/00818 , A61B2017/00907 , A61B2017/306 , A61B2217/005 , A61B2217/007 , A61F5/0083 , A61F5/0089 , F04C2270/0421
摘要： A device for use in bariatric surgery includes a tube member, a coupling member, and a rod member. The tube member includes a proximal portion and a distal portion having a distal end. The coupling member is affixed to the tube member. The rod member includes a proximal portion and a distal portion having a distal end. The rod member is slidably coupled with the coupling member. The distal end of the rod member is fixedly coupled to the distal end of the tube member. The proximal portion of the rod member is translatable relative to the tube member to transition the distal portion of the rod member between a contracted position, wherein the distal portion of the rod member extends along the distal portion of the tube member, and a deployed position, wherein the distal portion of the rod member bows outwardly relative to the tube member.
摘要翻译：用于减肥手术的装置包括管构件，联接构件和杆构件。管构件包括近端部分和具有远端的远端部分。联接构件固定在管构件上。杆构件包括近端部分和具有远端的远端部分。杆构件与联接构件可滑动地联接。杆构件的远端固定地联接到管构件的远端。杆构件的近侧部分可相对于管构件平移，以使杆构件的远端部分在收缩位置之间转动，其中杆构件的远端部分沿着管构件的远端部分延伸，并且展开位置其中杆件的远端部分相对于管件向外弯曲。

76. 发明授权

US08663149B2 Methods and devices for performing gastroplasty 有权
标题翻译：用于进行胃成形术的方法和装置
公开(公告)号：US08663149B2
公开(公告)日：2014-03-04
申请号：US12865709
申请日：2009-01-30
申请人： Michel Gagner , David J. Blaeser , Dale A. Spencer
发明人： Michel Gagner , David J. Blaeser , Dale A. Spencer
IPC分类号： A61M5/00 , A61B17/11 , A61B17/08
CPC分类号： A61F5/0076 , A61B17/07207 , A61B17/115 , A61B2017/00119 , A61B2017/00278 , A61B2017/00818 , A61B2017/00827 , A61F5/0083
摘要： A gastroplasty method involves a staple line that terminates prior to reaching the gastroesophageal junction such that the bypassed portion of the stomach does not require resection. Additionally, bougies are taught that assist a physician in following the improved staple line of the present invention.
摘要翻译：胃成形术方法包括在到达胃食管交界处之前终止的缝合线，使得胃的旁路部分不需要切除。另外，教导了辅助医师跟随本发明的改进的缝线。

77. 发明申请

US20140018611A1 BARIATRIC DEVICE AND METHOD 审中-公开
标题翻译： BARIATRIC设备和方法
公开(公告)号：US20140018611A1
公开(公告)日：2014-01-16
申请号：US13965617
申请日：2013-08-13
申请人： BFKW, LLC
发明人： Randal S. BAKER , James A. FOOTE , Paul R. KEMMETER , Frederick J. WALBURN , Peter M. WILSON , Adam I. LEHMAN , Barry J. SMITH , Robert J. Chappolini
IPC分类号： A61F5/00
CPC分类号： A61F5/0079 , A61B17/00234 , A61B17/0401 , A61B17/0469 , A61B17/064 , A61B17/0643 , A61B2017/00818 , A61B2017/0404 , A61B2017/0464 , A61B2017/0647 , A61B2017/0649 , A61F2/04 , A61F5/0076 , A61F5/0083 , A61F2002/045
摘要： A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained.
摘要翻译：减肥装置包括具有食道表面的食管构件，其被构造成大致符合食道的一部分的形状和尺寸，以及将食管构件锚定到食道部分的锚固技术。减肥装置包括具有心脏表面的心脏构件，心脏表面被构造成大致符合胃的心脏部分的一部分的形状和尺寸，以及与食管构件和心脏构件连接的连接器以引起应变通过心脏成员到胃的心脏部分。由心脏成分施加到胃的心脏部分的应变在没有食物的情况下引起饱腹感。连接器适于通过胃食管结，同时留下胃食管连接部分的连续部分基本上不受限制。

78. 发明申请

US20130304094A1 ENDOSCOPIC IMPLANT SYSTEM AND METHOD 有权
标题翻译：内窥镜植入系统及方法
公开(公告)号：US20130304094A1
公开(公告)日：2013-11-14
申请号：US13764707
申请日：2013-02-11
申请人： Boston Scientific Scimed, Inc.
发明人： Samuel Crews , Bretton Swope , Justen England
IPC分类号： A61B17/128
CPC分类号： A61F5/0086 , A61B17/0643 , A61B17/0644 , A61B17/128 , A61B2017/00862 , A61B2017/0647 , A61F5/0003 , A61F5/0079 , A61F5/0083 , A61F5/0089
摘要： Disclosed is a system for endoscopically implanting a medical implant, including an anchor, within a body cavity such as adjacent the gastroesophageal junction in a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling a food restrictor to the anchors.
摘要翻译：公开了一种用于内窥镜植入包括锚固体在内的体腔内的医学植入物的系统，例如邻近胃中的胃食管结。该系统包括可定位在形成在体腔内的组织中的一个或多个开口内的一个或多个锚固件，例如形成在穿孔的身体组织中的切口。公开了用于将锚固件定位在开口内并用于将食物限制器联接到锚定件的工具。

79. 发明申请

US20130296899A1 OBESITY TREATMENT TOOLS AND METHODS 有权
标题翻译： OBESITY治疗工具和方法
公开(公告)号：US20130296899A1
公开(公告)日：2013-11-07
申请号：US13847040
申请日：2013-03-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Benard H. Andreas , Ronald G. French
IPC分类号： A61B17/11 , A61F5/00
CPC分类号： A61B17/1114 , A61B17/00234 , A61B17/064 , A61B17/0644 , A61B17/122 , A61B2017/00557 , A61B2017/306 , A61B2090/395 , A61F5/0083 , A61F5/0086
摘要： Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.
摘要翻译：本文描述了各种肥胖治疗工具和方法，以及用于其它胃相关疾病例如GERD的治疗。治疗包括减小胃袋的尺寸以限制热量摄入以及提供较早的饱腹感。这可以通过在胃内部直接从胃内部产生较小的胃袋来完成。较小的袋可以通过使用单独的锚定装置，旋转探针或体积减小装置来制造。还可以进行幽门成形术以使幽门括约肌无能力。另外可以使用无创伤的磁性吻合装置进行胃旁路手术，使得糖和脂肪在绕过胃时直接通过肠。这些程序中的许多可以以各种组合进行。治疗可能会通过阻止摄入高热量食物而产生强制行为改变。

80. 发明申请

US20130237998A1 SUTURING DEVICES AND METHODS WITH ABSORBABLE OR NON-ABSORBABLE MATERIAL INSERTS 审中-公开
标题翻译：具有可吸收或不可吸收材料插入物的装置和方法
公开(公告)号：US20130237998A1
公开(公告)日：2013-09-12
申请号：US13702004
申请日：2010-06-10
申请人： Jeffrey M. Wallace , Peter J. Lukin , Devang Shah
发明人： Jeffrey M. Wallace , Peter J. Lukin , Devang Shah
IPC分类号： A61F5/00
CPC分类号： A61F5/0083 , A61B17/0469 , A61B17/07292 , A61B17/1114 , A61B90/30 , A61B2017/00004 , A61B2017/00893 , A61B2017/1142 , A61F2/04 , A61F5/0086 , A61F2002/045
摘要： A method of promoting tissue adhesion to reinforce tissue apposition that may include collecting a first tissue portion, collecting a second tissue portion, placing one or more tissue securement devices through the first and second tissue portions, tightening the one or more tissue securement devices to approximate the first and second tissue portions, and placing a fixation agent between the first and second tissue portions. The method promotes tissue adhesion between one or more portions of tissue, wherein the tissue adhesion may reinforce a tissue apposition.
摘要翻译：一种促进组织粘附以增强组织结合的方法，其可以包括收集第一组织部分，收集第二组织部分，将一个或多个组织固定装置穿过第一和第二组织部分，紧固一个或多个组织固定装置以近似第一和第二组织部分，以及在第一和第二组织部分之间放置固定剂。该方法促进组织的一个或多个部分之间的组织粘附，其中组织粘附可以增强组织粘附。

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