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1. 发明申请

US20170035595A1 SYSTEMS AND METHODS RELATED TO GASTRO-ESOPHAGEAL IMPLANTS 审中-公开
标题翻译：与胃食管植入物相关的系统和方法
公开(公告)号：US20170035595A1
公开(公告)日：2017-02-09
申请号：US15234515
申请日：2016-08-11
申请人： Boston Scientific Scimed, Inc.
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 T. HAWES
IPC分类号： A61F5/00 , A61M25/01
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。

2. 发明授权

US09138340B2 Gastro-esophageal implants 有权
标题翻译：胃食管植入物
公开(公告)号：US09138340B2
公开(公告)日：2015-09-22
申请号：US14467434
申请日：2014-08-25
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , Richard A. Glenn , William L. Athas , Michael S. Williams , Trevor J. Moody , Fred E. Silverstein , Nathan Every
IPC分类号： A61F2/04 , A61F5/00 , A61F2/07 , A61F2/24 , A61F2/06 , A61F2/848
CPC分类号： A61F5/0076 , A61F2/04 , A61F2/07 , A61F2/24 , A61F5/0036 , A61F5/0079 , A61F2002/044 , A61F2002/045 , A61F2002/067 , A61F2002/8483 , A61F2230/0067 , A61F2250/0039 , A61F2250/0067
摘要： A satiation device is described which includes a sheath or liner extending from the proximal or middle stomach to the distal antrum. Food ingested by the patient passes through the sheath or liner, thereby minimizing contact between the ingested food and the stomach. It is believed that over time, reduced contact between food and the stomach will result in decreased Ghrelin production by the patient and a consequent decrease in appetite. In some embodiments, the satiation device may also include a proximal pouch and/or a distal bypass tube.
摘要翻译：描述了一种饱食装置，其包括从近端或中部胃部延伸到远端窦的护套或衬垫。由患者摄入的食物通过护套或衬垫，从而最小化摄取的食物与胃之间的接触。相信随着时间的推移，食物和胃之间的接触减少将导致患者的生长素释放肽产生减少，从而导致食欲下降。在一些实施例中，饱和装置还可以包括近端小袋和/或远侧旁路管。

3. 发明申请

US20140364792A1 GASTRO-ESOPHAGEAL IMPLANTS 审中-公开
标题翻译：胃肠道植入物
公开(公告)号：US20140364792A1
公开(公告)日：2014-12-11
申请号：US14467434
申请日：2014-08-25
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. STACK , Richard A. Glenn , William L. Athas , Michael S. Williams , Trevor J. Moody , Fred E. Silverstein , Nathan Every
IPC分类号： A61F5/00 , A61F2/04
CPC分类号： A61F5/0076 , A61F2/04 , A61F2/07 , A61F2/24 , A61F5/0036 , A61F5/0079 , A61F2002/044 , A61F2002/045 , A61F2002/067 , A61F2002/8483 , A61F2230/0067 , A61F2250/0039 , A61F2250/0067
摘要： A satiation device is described which includes a sheath or liner extending from the proximal or middle stomach to the distal antrum. Food ingested by the patient passes through the sheath or liner, thereby minimizing contact between the ingested food and the stomach. It is believed that over time, reduced contact between food and the stomach will result in decreased Ghrelin production by the patient and a consequent decrease in appetite. In some embodiments, the satiation device may also include a proximal pouch and/or a distal bypass tube.
摘要翻译：描述了一种饱食装置，其包括从近端或中部胃部延伸到远端窦的护套或衬垫。由患者摄入的食物通过护套或衬垫，从而最小化摄取的食物与胃之间的接触。相信随着时间的推移，食物和胃之间的接触减少将导致患者的生长素释放肽产生减少，从而导致食欲下降。在一些实施例中，饱和装置还可以包括近端小袋和/或远侧旁路管。

4. 发明申请

US20140350693A1 METHODS FOR IMPLANTING MEDICAL DEVICES 审中-公开
标题翻译：用于植入医疗器械的方法
公开(公告)号：US20140350693A1
公开(公告)日：2014-11-27
申请号：US14305255
申请日：2014-06-16
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. STACK , Richard A. Glenn , Daniel Balbierz , John Lunsford , William L. Athas
IPC分类号： A61F5/00
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。

5. 发明授权

US10098773B2 Restrictive and/or obstructive implant for inducing weight loss 有权
公开(公告)号：US10098773B2
公开(公告)日：2018-10-16
申请号：US14740944
申请日：2015-06-16
申请人： Boston Scientific Scimed, Inc.
发明人： Daniel J. Balbierz , William L. Athas , John Lunsford , William S. Eubanks , Kevin Van Bladel
IPC分类号： A61F5/00 , A61B17/12
摘要： Described herein is a system for inducing weight loss in a patient, which comprises an extragastric space occupier positionable in contact with an exterior surface of a stomach wall to form an inward protrusion of wall into the stomach, and a retention device positionable in contact with the wall to retain the inward protrusion and to thereby capture the extragastric space occupier within the protrusion.

6. 发明授权

US09358144B2 Gastrointestinal implants 有权
公开(公告)号：US09358144B2
公开(公告)日：2016-06-07
申请号：US14613931
申请日：2015-02-04
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , Richard A. Glenn , William L. Athas , Michael S. Williams
IPC分类号： A61F2/04 , A61F5/00 , A61F2/07 , A61F2/24 , A61F2/06 , A61F2/848
CPC分类号： A61F5/0076 , A61F2/04 , A61F2/07 , A61F2/24 , A61F5/0036 , A61F5/0079 , A61F2002/044 , A61F2002/045 , A61F2002/067 , A61F2002/8483 , A61F2230/0067 , A61F2250/0039 , A61F2250/0067
摘要： A device for inducing weight loss in a patient includes a tubular prosthesis positionable at the gastro-esophageal junction region, preferably below the z-line. In a method for inducing weight loss, the prosthesis is placed such that an opening at its proximal end receives masticated food from the esophagus, and such that the masticated food passes through the pouch and into the stomach via an opening in its distal end.

7. 发明授权

US09248038B2 Methods for retaining a gastro-esophageal implant 有权
标题翻译：保留胃食管植入物的方法
公开(公告)号：US09248038B2
公开(公告)日：2016-02-02
申请号：US14278230
申请日：2014-05-15
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , Daniel J. Balbierz , John Lunsford , Kevin Van Bladel , William S. Eubanks, Jr. , William L. Athas , Richard A. Glenn , Richard Kouri
IPC分类号： A61F2/02 , A61F5/00 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/072 , A61B17/30 , A61F2/848
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, at least a portion of a medical implant is positioned within a body cavity, and a wall of the body cavity is re-shaped such that the re-shaped wall prevents migration of the medical implant out of the body cavity. The re-shaped body wall may form a tissue pocket, tunnel, or other barrier against migration of the implant.
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，医疗植入物的至少一部分定位在体腔内，并且体腔的壁被重新成形，使得重新形成的壁阻止医疗植入物离开体腔的迁移。重塑体壁可以形成组织袋，隧道或抵抗植入物迁移的其它屏障。

8. 发明申请

US20140094734A1 SATIATION DEVICES AND METHODS 有权
标题翻译：舒适装置及方法
公开(公告)号：US20140094734A1
公开(公告)日：2014-04-03
申请号：US14041757
申请日：2013-09-30
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , Richard A. Glenn , William L. Athas , Michael S. William , Trevor J. Moody , Fred E. Silverstein , Nathan Every
IPC分类号： A61F5/00
CPC分类号： A61F5/0076 , A61F2/04 , A61F2/07 , A61F2/24 , A61F5/0036 , A61F5/0079 , A61F2002/044 , A61F2002/045 , A61F2002/067 , A61F2002/8483 , A61F2230/0067 , A61F2250/0039 , A61F2250/0067
摘要： A satiation device is described which includes a sheath or liner extending from the proximal or middle stomach to the distal antrum. Food ingested by the patient passes through the sheath or liner, thereby minimizing contact between the ingested food and the stomach. It is believed that over time, reduced contact between food and the stomach will result in decreased Ghrelin production by the patient and a consequent decrease in appetite. In some embodiments, the satiation device may also include a proximal pouch and/or a distal bypass tube.
摘要翻译：描述了一种饱食装置，其包括从近端或中部胃部延伸到远端窦的护套或衬垫。由患者摄入的食物通过护套或衬垫，从而最小化摄取的食物与胃之间的接触。相信随着时间的推移，食物和胃之间的接触减少将导致患者的生长素释放肽产生减少，从而导致食欲下降。在一些实施例中，饱和装置还可以包括近端小袋和/或远侧旁路管。

9. 发明授权

US09844453B2 Positioning tools and methods for implanting medical devices 有权
公开(公告)号：US09844453B2
公开(公告)日：2017-12-19
申请号：US14878791
申请日：2015-10-08
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , Richard A. Glenn , Daniel Balbierz , John Lunsford , William L. Athas
IPC分类号： A61M29/00 , A61F5/00
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.

10. 发明授权

US09358145B2 Satiation pouches and methods of use 有权
标题翻译：饱和袋和使用方法
公开(公告)号：US09358145B2
公开(公告)日：2016-06-07
申请号：US14522214
申请日：2014-10-23
申请人： Boston Scientific Scimed, Inc.
发明人： Richard S. Stack , William L. Athas , Richard A. Glenn , Daniel Balbierz , John Lunsford , Michael S. Williams
IPC分类号： A61M5/00 , A61F5/00
CPC分类号： A61F5/0079 , A61F5/0036 , A61F5/0076
摘要： A method for controlling appetite by means of a satiation device is disclosed. The device, which includes a flexible webbing defining proximal and distal openings and a biasing structure, is attached to the patient's stomach with the proximal opening positioned adjacent and below the patient's gastro-esophageal junction. The biasing structure imparts pressure against the wall of the patient's stomach adjacent the gastro-esophageal junction.
摘要翻译：公开了一种通过饱和装置控制食欲的方法。包括限定近端和远端开口的柔性织带以及偏置结构的装置被附接到患者的胃，其中邻近开口定位在患者的胃食管结合处。偏压结构在邻近胃食管交界处施加压力抵靠患者胃壁。

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