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1. 发明公开

US20240008870A1 ENDOSCOPIC NEEDLE ASSEMBLY 审中-公开
公开(公告)号：US20240008870A1
公开(公告)日：2024-01-11
申请号：US18473831
申请日：2023-09-25
申请人： APOLLO ENDOSURGERY US, INC.
发明人： Vladimir Mitelberg , Andrew Gant , Donald K. Jones
IPC分类号： A61B17/062 , A61B1/00 , A61B1/018 , A61B17/04 , A61B17/06 , A61B17/068
CPC分类号： A61B17/0625 , A61B1/00101 , A61B1/00137 , A61B1/018 , A61B17/0401 , A61B17/0487 , A61B17/06123 , A61B17/06133 , A61B17/068 , A61B1/00087 , A61B1/00089 , A61B2017/06052 , A61B17/00234
摘要： An anchor and suture assembly is provided for use with an endoscopic suturing device with a needle holder arm. The anchor assembly includes an anchor tip and an anchor body. The anchor tip has a blunt end that may be rounded or beaded, a capture groove, a tab groove and a plug portion positioned between the capture groove and the tab groove. The anchor body has first and second ends, tip tabs, retainers for removably retaining the anchor body relative to the needle holder arm, and a suture opening. The anchor tip is fixed relative to the anchor body by plastic deformation of the tip tabs into the tab groove. A suture extends into the suture opening of the anchor body and is fixed therein.

2. 发明授权

US11832808B2 Incisionless endoluminal gastric tissue approximation for the treatment of obesity 有权
公开(公告)号：US11832808B2
公开(公告)日：2023-12-05
申请号：US16397328
申请日：2019-04-29
申请人： Apollo Endosurgery US, Inc.
发明人： Alonso Alvarado , Manoel Galvao , Eddie Gomez , Nicole Pena , Sohail Shaikh , Chris Thompson , Erik Wilson , Natan Zundel , Robert Lulo , Ted Stephens
IPC分类号： A61B17/04 , A61B17/00 , A61B17/062 , A61B18/24 , A61B18/00 , A61B90/00
CPC分类号： A61B17/0469 , A61B17/0625 , A61B18/24 , A61B90/361 , A61B2017/00818 , A61B2018/00494 , A61B2018/00589
摘要： An incisionless fully endoscopic method of reducing the capacity of the stomach is provided to surgically treat obesity. The method is directed to endoluminal tissue approximation of a portion of the stomach, including at least a portion of the greater curvature thereof. The method includes a pattern of stitching in which a portion of the stomach is closed off. One stitching pattern causes the lateral portion of the stomach to be drawn to reduce the usable volume of the stomach while maintaining a pathway from the esophagus to the pylorus. As the stitching pattern advances, the fundus is automatically drawn downward so that it may be endoscopically approached for stitching in a facilitated manner. According to another aspect of the invention, another stitching pattern extends from the antrum to the fundus between the anterior and posterior portions of the stomach.

3. 发明公开

US20230320716A1 METHOD OF ENDOSCOPIC LESION TRACTION 审中-公开
公开(公告)号：US20230320716A1
公开(公告)日：2023-10-12
申请号：US17716598
申请日：2022-04-08
申请人： Apollo Endosurgery US, Inc.
发明人： Luis Amador, JR. , Greg T. Prevatt , Christopher John Gostout , Thomas Neudeck
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0464 , A61B2017/0496
摘要： Endoscopic tissue traction includes advancing an anchor deployment system through a working channel of an endoscope positioned within a gastrointestinal tract and using the system to apply a first anchor having a length of suture fixed thereto into a distal portion of a tissue in a first wall in the body cavity. Then, the anchor deployment system is used to apply a like second anchor into a proximal portion of the tissue in the first wall, with the length of suture coupled to and displaceable relative to the second anchor. Next, the anchor deployment system is used to apply a like third anchor into a opposite second wall, with the length of suture coupled to and displaceable relative to the second anchor. The suture can then be tensioned relative to the second and third anchors to apply traction between the second wall and the relatively proximal portion of the tissue.

4. 发明授权

US11672525B2 Endoscopic suture loop anchors and methods 有权
公开(公告)号：US11672525B2
公开(公告)日：2023-06-13
申请号：US16867072
申请日：2020-05-05
申请人： Apollo Endosurgery US, Inc.
发明人： John Mims , Charles Dean , Nicole Pinto , Mitchell Gilkey , Vladimir Mitelberg , Donald K. Jones
IPC分类号： A61B17/04 , A61B17/062 , A61B17/06 , A61B17/29 , A61F5/00 , A61B17/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/0487 , A61B17/0625 , A61B17/06061 , A61B17/06109 , A61B17/06166 , A61B17/29 , A61F5/0089 , A61B2017/00004 , A61B2017/00296 , A61B2017/00818 , A61B2017/0417 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052 , A61B2017/06176
摘要： A suture needle system includes a first needle and at least one second needle. Each of the first and second needles preferably has a common needle body construct. The first needle includes an elongate suture having a length sufficient to extend at least the length of an instrument channel of an endoscope. The second needle includes an opening formed by a loop of suture at which the second needle can be advanced over the elongate suture. In use, the first needle is secured to a first tissue location using an endoscopic suturing system. A second needle is advanced at its opening over the elongate suture and secured to a second tissue location. Additional second needles may be advanced over the elongate suture to respective tissue locations. The elongate suture is pulled taut, drawing the second needles into proximity, and secured.

5. 发明授权

US11633207B2 Methods and systems for performing submucosal medical procedures 有权
公开(公告)号：US11633207B2
公开(公告)日：2023-04-25
申请号：US16410316
申请日：2019-05-13
申请人： Apollo Endosurgery US, Inc.
发明人： Vladimir Mitelberg , Brett E. Naglreiter , Donald K. Jones
IPC分类号： A61B5/00 , A61B17/3207 , A61B17/32 , A61B10/02 , A61B17/3205 , A61B18/14 , A61B18/22 , A61B17/34 , A61B17/22 , A61B17/00 , A61B17/29 , A61B18/00
摘要： Instruments, systems and methods are provided for performing submucosal medical procedures in a desired area of the digestive tract using endoscopy. Instruments include a safe access needle injection instrument, a submucosal tunneling instrument, a submucosal dissection instrument, a mucosal resection device. Systems include a combination of one or more of such instruments with or without injectable agents. Embodiments of various methods for performing the procedures are also provided.

6. 发明申请

US20200163666A1 ENDOSCOPIC SUTURING SYSTEM 审中-公开
公开(公告)号：US20200163666A1
公开(公告)日：2020-05-28
申请号：US16778060
申请日：2020-01-31
申请人： Apollo Endosurgery US, Inc.
发明人： J. Landon Gilkey , Brett E. Naglreiter , Peter K. Kratsch , Donald K. Jones , Vladimir Mitelberg
IPC分类号： A61B17/04 , A61B1/018 , A61B17/068 , A61B17/062 , A61B17/06
摘要： An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue.

7. 发明授权

US10639028B2 Endoscopic suture loop anchors and methods 有权
公开(公告)号：US10639028B2
公开(公告)日：2020-05-05
申请号：US15336024
申请日：2016-10-27
申请人： Apollo Endosurgery, Inc.
发明人： John Mims , Charles Dean , Nicole Pinto , Mitchell Gilkey , Vladimir Mitelberg , Donald K. Jones
IPC分类号： A61B17/04 , A61B17/062 , A61B17/06 , A61B17/29 , A61F5/00 , A61B17/00
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0485 , A61B17/0487 , A61B17/0625 , A61B17/06061 , A61B17/06109 , A61B17/06166 , A61B17/29 , A61F5/0089 , A61B2017/00004 , A61B2017/00296 , A61B2017/00818 , A61B2017/0417 , A61B2017/0472 , A61B2017/0496 , A61B2017/06052 , A61B2017/06176
摘要： A suture needle system includes a first needle and at least one second needle. Each of the first and second needles preferably has a common needle body construct. The first needle includes an elongate suture having a length sufficient to extend at least the length of an instrument channel of an endoscope. The second needle includes an opening formed by a loop of suture at which the second needle can be advanced over the elongate suture. In use, the first needle is secured to a first tissue location using an endoscopic suturing system. A second needle is advanced at its opening over the elongate suture and secured to a second tissue location. Additional second needles may be advanced over the elongate suture to respective tissue locations. The elongate suture is pulled taut, drawing the second needles into proximity, and secured.

8. 发明授权

US10111771B2 Bariatric device and method for weight loss 有权
公开(公告)号：US10111771B2
公开(公告)日：2018-10-30
申请号：US14792936
申请日：2015-07-07
申请人： Apollo Endosurgery, Inc.
发明人： Janel Birk , Daniel Dongelmans
IPC分类号： A61F5/00 , A61F2/04
摘要： A bariatric device 10 for use in inducing weight loss, comprising a cardiac element 12, a pyloric element 26, and a connecting element 25 between the two other elements, wherein the connecting element 25 provides structure between the cardiac 12 and pyloric 26 elements, keeping them largely in place and at least intermittently touching and applying pressure to the stomach's cardiac, adjacent fundic and pyloric regions, respectively, which produces a satiety signal to the user, giving the recipient a feeling of fullness and reducing his or her hunger feelings. Alternatively, the cardiac 12 and pyloric 26 elements may be symmetrical, so that the device can orient itself either way in the stomach and still achieve the weight loss function. Alternatively, the cardiac 12 and/or pyloric 26 elements may have a restriction element to slow gastric filling or emptying, to produce a satiety signal. In any of the embodiments, the bariatric device may be made from multiple sizes or adjustable, either manually, automatically or remotely, to optimally size and/or position the device to produce the desired satiety signals and weight loss.

9. 发明申请

US20180214293A1 Duodenal Sleeve and Anchor and Methods of Implantation 审中-公开
公开(公告)号：US20180214293A1
公开(公告)日：2018-08-02
申请号：US15419200
申请日：2017-01-30
申请人： Apollo Endosurgery US, Inc.
发明人： Charles Dean , Donald K. Jones
IPC分类号： A61F5/00
CPC分类号： A61F5/0089 , A61F5/0033 , A61F5/0076 , A61F5/0079
摘要： A gastric implant includes a distal sleeve portion configured to be disposed in a duodenum of a patient, and a pyloric restriction portion connected to a proximal end of the distal sleeve portion. The pyloric restriction portion is configured to be disposed in a pylorus of a patient. Also, the implant includes a proximal anchor portion connected to a proximal end of the pyloric restriction portion. The proximal anchor portion is configured to be disposed in a lower stomach of the patient. The proximal anchor portion has at least one eyelet for fastening to the stomach to secure the implant to the gastrointestinal tract.

10. 发明授权

US11819203B2 Surgical fastener deployment system 有权
公开(公告)号：US11819203B2
公开(公告)日：2023-11-21
申请号：US16589684
申请日：2019-10-01
申请人： Apollo Endosurgery US, Inc.
发明人： Vladimir Mitelberg , Charles Dean
IPC分类号： A61B17/04 , A61F5/00 , A61B90/00 , A61B17/00 , A61B17/06
CPC分类号： A61B17/0401 , A61B17/0469 , A61F5/0083 , A61F5/0089 , A61B2017/00115 , A61B2017/00292 , A61B2017/00349 , A61B2017/00818 , A61B2017/0409 , A61B2017/0417 , A61B2017/0445 , A61B2017/0464 , A61B2017/06052 , A61B2017/06076 , A61B2090/0803 , A61B2090/0811
摘要： A system includes a first tube, a sharp coil at a distal end of the first tube, a second tube displaceable within the first tube, and a sharp housing at a distal of the second tube for storing fasteners. The housing can be positioned at a first tissue, and the coil rotated to advance the coil into engagement with the first tissue. The first tube is retracted to retract the first tissue, and then a first fastener is deployed at the first tissue location. Then, without removing the system from the patient, the distal end of the system is moved adjacent a second tissue location, and the process is repeated for a second fastener at the second tissue location. A suture extends between the first and second fasteners, and tension is applied to the suture to draw the first and second tissues toward each other to reconfigure the tissue.

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