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    • 1. 发明申请
    • FOAM FILLED INTRAGASTRIC BALLOON FOR TREATING OBESITY
    • 泡沫填充内脏气囊治疗肥胖
    • US20100100115A1
    • 2010-04-22
    • US12254626
    • 2008-10-20
    • Maximiliano SoetermansBrian K. RuckerVictor D. Clark
    • Maximiliano SoetermansBrian K. RuckerVictor D. Clark
    • A61M29/02
    • A61F5/0036
    • An apparatus and method comprising one or more intragastric balloons comprising a foam material disposed within the gastric lumen of a mammal. When the foam material is disposed within the one or more balloons, the one or more intragastric balloons are configured to prevent the intragastric device from passing through the mammal's pylorus. The one or more intragastric balloons are loaded onto a delivery tube in a partially compacted first configuration and delivered through an overtube. The overtube includes a proximal end, a distal end and a lumen configured to receive the one or more intragastric balloons in the first configuration for delivery into the gastric lumen wherein the one or more intragastric balloons are expanded to a second configuration upon delivery of the foam material. The foam material is delivered through an inflation tube attached to an opening of the one or more intragastric balloons.
    • 一种装置和方法,包括一个或多个胃内气囊,其包括设置在哺乳动物胃内的泡沫材料。 当泡沫材料设置在一个或多个气囊内时,一个或多个胃内气囊构造成防止胃内装置通过哺乳动物的幽门。 一个或多个胃内气囊以部分压实的第一构型装载到输送管上并通过外套管输送。 所述外套管包括近端,远端和构造成接收处于第一构造中的一个或多个胃内气囊以输送到胃腔中的内腔,其中一个或多个胃内气囊在输送泡沫时膨胀至第二构型 材料。 泡沫材料通过连接到一个或多个胃内气囊的开口的充气管递送。
    • 3. 发明授权
    • System and method for introducing multiple medical devices
    • 引入多种医疗器械的系统和方法
    • US08206320B2
    • 2012-06-26
    • US10902625
    • 2004-07-29
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • Stephen E. DealMatthew P. CarterVictor D. Clark, Jr.Frederick B. HallerDavid M. Hardin, Jr.John A. KarpielKenneth C. Kennedy, IIBrian K. RuckerGregory J. SkervenDavid F. Waller
    • A61B6/00
    • A61B1/018A61B6/12A61B17/221A61B2017/2212A61F2/95A61F2002/041A61F2002/9511A61M25/0029A61M25/0662A61M25/10A61M2025/0183A61M2025/0681
    • A method and apparatus for introducing a first elongate medical device and short wire guide that are coupled together into a work site and remotely disconnecting them within the work site such that a secondary device comprising a catheter member can be introduced over the wire guide to the work site, and/or a second wire guide can be introduced to the work site via a passageway of the primary access device. A system of indicia, such as radiopaque or viewable markers, permit the operator to monitor the relative alignment of the devices within the work site to determine when uncoupling has occurred. In one example of the method, a wire guide and primary access device (e.g., a sphincterotome) is coupled to the wire guide and introduced via a duodenoscope into the biliary system. After performing a first medical operation, the devices are uncoupled with the wire guide being left within the biliary system such that a secondary access device, such as a balloon, biopsy device, stent delivery catheter, dilator, etc., can be introduced to perform a second medical operation without a traditional over-the-wire exchange being required. In another example of the method, a prosthesis, such as a valve or stent, is placed within the work site coupled to a wire guide which is remotely disconnected within the work site and a secondary device, such as a dilation balloon or second prosthesis, is introduced into the work site after the first delivery system is removed.
    • 一种用于引入第一细长医疗装置和短线引导件的方法和装置,所述第一细长医疗装置和短导线引导件联接在一起成为工作现场并在工作现场内远程地断开它们,使得包括导管部件的辅助装置可以被引导到导线器上, 现场和/或第二导线引导件可以经由主接入设备的通道引入到工作现场。 诸如不透射线或可见标记的标记系统允许操作者监视工作现场内的设备的相对对准以确定何时发生解偶联。 在该方法的一个示例中,线导向器和主入口装置(例如括约肌切开机)联接到线导引件并经十二指肠镜引入胆道系统。 在执行第一次医疗操作之后,将装置与线引导件脱离在胆汁系统内,使得可以引入二次进入装置,例如气囊,活检装置,支架输送导管,扩张器等,以执行 不需要传统的线上交换即可进行第二次医疗。 在该方法的另一示例中,诸如阀或支架的假体被放置在工作部位内,该工作部位与工作部位远程断开的线引导件相连,并且辅助装置(例如扩张气囊或第二假体) 在第一个传送系统被删除之后被引入工作现场。
    • 5. 发明授权
    • Method and apparatus for augmentation of a sphincter
    • 括约肌增大的方法和装置
    • US07833281B2
    • 2010-11-16
    • US11300911
    • 2005-12-15
    • Glen A. LehmanBrian K. Rucker
    • Glen A. LehmanBrian K. Rucker
    • A61F2/04
    • A61F2/0036A61B17/00234A61B17/0401A61B17/12022A61B17/12099A61B17/12145A61B17/1215A61B17/3468A61B2017/00867A61B2017/0649A61B2017/1205
    • A system and method for delivering one or more implantable members, such as metal coils, via an introducer member, such as an endoscopic needle, into a space created within the submucosal layers of the LES to augment and bulk the sphincter to improve compliance in patients with gastroesophageal reflux disease. The implantable member comprises a first substantially straightened configuration when carried by the introducer member, whereby it assumes a more curvilinear or coiled configuration following deployment such that it expands against adjacent submucosal tissue, creating a bulge at the implantation site. In another embodiment, the implantable member can serve as an anchoring port for sutures or other elements introduced for gastroplication of the LES to create tissue folds that increase sphincter compliance. The implantable members may be configured to include an external portion that interconnects with an adjacent implantable member, thereby creating tension that also increases compliance of the LES.
    • 一种用于将一个或多个可植入构件(例如金属线圈)经由诸如内窥镜针的导引器构件递送到在LES的粘膜下层内产生的空间中的装置和方法,以增加和扩大括约肌以改善患者的顺应性 伴有胃食管反流病。 可植入构件包括由导入构件承载时的第一基本矫直构造,由此在展开之后,其呈现更曲线或卷曲构造,使得其相对于相邻的粘膜下组织扩张,在植入位置处产生凸起。 在另一个实施例中,可植入构件可以用作用于缝合线或用于LES胃肠引入的其它元件的锚定端口,以产生增加括约肌顺应性的组织折叠。 可植入构件可以被配置为包括与相邻的可植入构件互连的外部部分,从而产生也增加LES的顺应性的张力。
    • 9. 发明授权
    • Self contracting stent
    • 自体支架
    • US07524329B2
    • 2009-04-28
    • US11348278
    • 2006-02-06
    • Brian K. Rucker
    • Brian K. Rucker
    • A61F2/06
    • C22F1/00A61F2/88A61F2/90A61F2002/9528C22F1/006Y10S623/903
    • A self-contracting stent for use at a treatment site comprising shape memory material is provided. The stent may have an initial diameter for delivery to the treatment site and an expanded diameter when deployed at the treatment site. The stent further may have a contracted diameter when subjected to a temperature at or above a transition temperature. The contracted diameter is less than the expanded diameter and permits repositioning or removal of the stent from the treatment site. Additionally, a method for delivering and recovering the stent from a treatment site is provided. The method includes delivering a stent to a treatment site and expanding the stent at the treatment site so that the stent is deployed at the treatment site. The method further includes changing the temperature of the stent at the treatment site to at least a transition temperature to cause the stent to contract.
    • 提供了一种在包括形状记忆材料的治疗部位使用的自体收缩支架。 支架可以具有用于输送到治疗部位的初始直径,并且在部署在治疗部位时具有扩大的直径。 当经受等于或高于转变温度的温度时,支架还可具有收缩直径。 收缩直径小于扩张直径,并允许支架从治疗部位重新定位或移除。 另外,提供了用于从治疗部位输送和回收支架的方法。 该方法包括将支架输送到治疗部位并在治疗部位扩张支架,使得支架部署在治疗部位。 该方法还包括将处置部位的支架的温度改变至至少转变温度以使支架收缩。
    • 10. 发明授权
    • Endoscopic clipping device
    • 内窥镜裁剪装置
    • US08454630B2
    • 2013-06-04
    • US12761692
    • 2010-04-16
    • Michelle D. MartinezBrian K. Rucker
    • Michelle D. MartinezBrian K. Rucker
    • A61B17/10
    • A61B17/083A61B17/10
    • A hemostatic clipping device is provided. The device includes first and second elongate arms, each arm comprising distal and proximal end portions, the arms being connected to allow relative motion between the first and second arms, the distal portion of each of the first and second arms further comprising a track blindly defined from a distal end of each arm toward the proximal portion of each arm. A clip is slidably disposed between the opposed distal portions of each of the first and second arms, the clip comprising first and second fingers each with distal and proximal portions, the proximal portions of the first and second fingers being fixed together to bias the distal portions of the first and second fingers toward each other, the first and second fingers each further comprising a pin extending radially outward from the distal end portion thereof.
    • 提供止血钳装置。 该装置包括第一和第二细长臂,每个臂包括远侧和近端部分,臂被连接以允许第一和第二臂之间的相对运动,第一和第二臂中的每一个的远端部分还包括盲区限定的轨道 从每个臂的远端朝向每个臂的近端部分。 夹子可滑动地设置在每个第一和第二臂的相对的远端部分之间,夹子包括第一和第二指状物,每个具有远侧和近端部分,第一和第二指状物的近侧部分被固定在一起以偏压远端部分 所述第一和第二指状物彼此相对,所述第一和第二指状物还包括从其远端部分径向向外延伸的销。