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1. 发明申请

US20120330330A1 Incisionless Gastric Bypass Method And Devices 有权
公开(公告)号：US20120330330A1
公开(公告)日：2012-12-27
申请号：US13528649
申请日：2012-06-20
申请人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
发明人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/221 , A61B2017/00278 , A61B2017/00296 , A61B2017/00336 , A61B2017/0034 , A61B2017/00358 , A61B2017/00477 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2017/2926
摘要： A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.

2. 发明授权

US09456820B2 Incisionless gastric bypass method and devices 有权
公开(公告)号：US09456820B2
公开(公告)日：2016-10-04
申请号：US13528665
申请日：2012-06-20
申请人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
发明人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
IPC分类号： A61M5/00 , A61B1/00 , A61B18/18 , A61B19/00 , A61B17/11 , A61B17/221 , A61B17/00 , A61B17/29
CPC分类号： A61B17/1114 , A61B17/221 , A61B2017/00278 , A61B2017/00296 , A61B2017/00336 , A61B2017/0034 , A61B2017/00358 , A61B2017/00477 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2017/2926
摘要： A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.

3. 发明申请

US20110144560A1 Incisionless Gastric Bypass Method And Devices 审中-公开
标题翻译：无切口胃旁路方法和装置
公开(公告)号：US20110144560A1
公开(公告)日：2011-06-16
申请号：US12837392
申请日：2010-07-15
申请人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
发明人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
IPC分类号： A61M5/00
CPC分类号： A61B17/1114 , A61B17/221 , A61B2017/00278 , A61B2017/00296 , A61B2017/00336 , A61B2017/0034 , A61B2017/00358 , A61B2017/00477 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2017/2926
摘要： A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.
摘要翻译：用于内窥镜形成消化道中两个自然相邻点之间的吻合的系统和方法。该系统和方法利用细长的磁性装置，当穿过组织边界连接时，去皮组织直到吻合形成并且装置自然通过。尽管装置的细长形状，所得到的吻合基本上是圆形的。因此，仅通过增加装置的长度就可以形成具有增加的直径的圆形吻合，从而避免需要更宽的内窥镜。

4. 发明授权

US09421015B2 Incisionless gastric bypass method and devices 有权
标题翻译：无切口胃旁路方法及装置
公开(公告)号：US09421015B2
公开(公告)日：2016-08-23
申请号：US13528649
申请日：2012-06-20
申请人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
发明人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
IPC分类号： A61B17/94 , A61B17/11 , A61B17/221 , A61B17/00 , A61B17/29
CPC分类号： A61B17/1114 , A61B17/221 , A61B2017/00278 , A61B2017/00296 , A61B2017/00336 , A61B2017/0034 , A61B2017/00358 , A61B2017/00477 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2017/2926
摘要： A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.
摘要翻译：用于内窥镜形成消化道中两个自然相邻点之间的吻合的系统和方法。该系统和方法利用细长的磁性装置，当穿过组织边界连接时，去皮组织直到吻合形成并且装置自然通过。尽管装置的细长形状，所得到的吻合基本上是圆形的。因此，仅通过增加装置的长度就可以形成具有增加的直径的圆形吻合，从而避免需要更宽的内窥镜。

5. 发明申请

US20120259350A1 Incisionless Gastric Bypass Method And Devices 有权
标题翻译：无切口胃旁路方法和装置
公开(公告)号：US20120259350A1
公开(公告)日：2012-10-11
申请号：US13528665
申请日：2012-06-20
申请人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
发明人： Michel Gagner , David J. Blaeser , Todd A. Krinke , Philip J. Haarstad
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/221 , A61B2017/00278 , A61B2017/00296 , A61B2017/00336 , A61B2017/0034 , A61B2017/00358 , A61B2017/00477 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2017/2926
摘要： A system and method for endoscopically forming an anastomosis between two naturally adjacent points in the digestive tract. The system and method utilizes elongate magnetic devices that, when connected across a tissue boundary, necrose tissue until an anastomosis forms and the devices are passed naturally. Despite the elongate shape of the devices, the resulting anastomosis is substantially round. As such, round anastomoses can be formed having increased diameters merely by increasing the lengths of the devices, obviating the need for wider endoscopes.
摘要翻译：用于内窥镜形成消化道中两个自然相邻点之间的吻合的系统和方法。该系统和方法利用细长的磁性装置，当穿过组织边界连接时，去皮组织直到吻合形成并且装置自然通过。尽管装置的细长形状，所得到的吻合基本上是圆形的。因此，仅通过增加装置的长度就可以形成具有增加的直径的圆形吻合，从而避免需要更宽的内窥镜。

6. 发明授权

US08372112B2 Closure devices, related delivery methods, and related methods of use 有权
标题翻译：关闭装置，相关的运送方式和相关的使用方法
公开(公告)号：US08372112B2
公开(公告)日：2013-02-12
申请号：US10934735
申请日：2004-09-07
申请人： Mark R. Christianson , Scott A. Olson , Edward J. Anderson , Philip J. Haarstad , Douglas J. Krone , Dennis W. Wahr , David J. Blaeser
发明人： Mark R. Christianson , Scott A. Olson , Edward J. Anderson , Philip J. Haarstad , Douglas J. Krone , Dennis W. Wahr , David J. Blaeser
IPC分类号： A61B17/08
CPC分类号： A61B17/0057 , A61B17/22032 , A61B17/221 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/00592 , A61B2017/00597 , A61B2017/00606 , A61B2017/00619 , A61B2017/00623 , A61B2017/2215 , A61F2002/011
摘要： A closure device for sealing a patent foramen ovale (PFO) in the heart includes a left atrial anchor adapted to be placed in a left atrium of the heart, a right atrial anchor adapted to be placed in a right atrium of the heart, and a flexible elongate member adapted to extend through the passageway and connect the left and right atrial anchors. A delivery system for delivering the closure device includes a lock push tube for moving a lock along the elongate member and a wire release tube surrounding a wire for controlling movement of the right atrial anchor along the elongate member. The lock push tube and the wire release tube extend in a side-by-side relationship. A handle includes knobs for controlling the lock push tube and the wire. A device for retrieving a mis-deployed closure device includes a shaft portion and an expandable retrieval portion.
摘要翻译：用于密封心脏中卵圆孔（PFO）的闭合装置包括适于放置在心脏左心房的左心房锚，适于置于心脏右心房的右心房锚，柔性细长构件适于延伸穿过通道并连接左心房和右心房。用于输送闭合装置的输送系统包括用于沿着细长构件移动锁的锁定推动管和围绕线的线释放管，用于控制沿着细长构件的右心房锚的运动。锁定推动管和导线释放管以并排的关系延伸。手柄包括用于控制锁定推动管和线的旋钮。用于检索错误展开的闭合装置的装置包括轴部分和可扩张的回缩部分。

7. 发明申请

US20100121362A1 VESSEL SUPPORT DEVICE AND METHOD OF VESSEL HARVESTING 审中-公开
标题翻译：船舶支持装置和船舶收集方法
公开(公告)号：US20100121362A1
公开(公告)日：2010-05-13
申请号：US12689357
申请日：2010-01-19
申请人： Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Olig , Ana R. Menk , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Thomas P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns , Philip J. Haarstad
发明人： Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Olig , Ana R. Menk , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Thomas P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns , Philip J. Haarstad
IPC分类号： A61B17/22 , A61M25/00
CPC分类号： A61B17/32 , A61B17/00008 , A61B17/3205 , A61B17/32053 , A61B2017/320064
摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.
摘要翻译：本发明的实施例提供了一种血管支持系统和血管收集方法。该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管作为导管的导管插入血管的部分。该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分。

8. 发明申请

US20090082620A1 Methods and Apparatus Providing Suction-Assisted Tissue Engagement Through a Minimally Invasive Incision 有权
标题翻译：通过微创切口提供吸入辅助组织参与的方法和装置
公开(公告)号：US20090082620A1
公开(公告)日：2009-03-26
申请号：US12330033
申请日：2008-12-08
申请人： Philip J. Haarstad , Christpher P. Olig , Paul T. Rothstein , Michael J. Hobday , William A. Steinberg , David J.S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Rose , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
发明人： Philip J. Haarstad , Christpher P. Olig , Paul T. Rothstein , Michael J. Hobday , William A. Steinberg , David J.S. Kim , Thomas P. Daigle , Ann M. Thomas , Brian J. Rose , Steven C. Christian , Robert H. Reetz , Douglas H. Gubbin
IPC分类号： A61B17/00
CPC分类号： A61M1/008 , A61B17/00234 , A61B17/0206 , A61B17/0218 , A61B17/8866 , A61B90/50 , A61B2017/00243 , A61B2017/0243 , A61B2017/306 , A61B2017/308
摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.
摘要翻译：公开了吸入辅助的组织接合装置，系统和方法，其可以通过最小的手术切口使用，以在医疗过程中通过通过施加到组织的抽吸构件向组织施加抽吸来接合组织。通过第一切口将轴引入体腔，并且通过第二切口将吸头附接到轴。通过操纵轴将吸头施加到组织上，并且在通过第二切口执行医疗程序时施加抽吸以接合组织。耦合到轴和固定参考点的系统稳定轴和抽吸头。当医疗程序完成时，停止抽吸，抽吸头从轴上分离并通过第二切口从体腔排出，并且轴通过第一切口缩回。

9. 发明授权

US07189231B2 Electrosurgical methods and apparatus for making precise incisions in body vessels 有权
公开(公告)号：US07189231B2
公开(公告)日：2007-03-13
申请号：US10917755
申请日：2004-08-13
申请人： Cynthia T. Clague , Philip J. Haarstad , Scott E. Jahns , James R. Keogh , Christopher P. Olig , Raymond W. Usher
发明人： Cynthia T. Clague , Philip J. Haarstad , Scott E. Jahns , James R. Keogh , Christopher P. Olig , Raymond W. Usher
IPC分类号： A61B18/18
CPC分类号： A61B18/14 , A61B18/1482 , A61B2018/00386 , A61B2018/1407 , A61B2090/034 , A61B2090/036
摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.

10. 发明授权

US06520988B1 Endolumenal prosthesis and method of use in bifurcation regions of body lumens 失效
标题翻译：腔内假体及其在体腔分叉区域的使用方法
公开(公告)号：US06520988B1
公开(公告)日：2003-02-18
申请号：US08937130
申请日：1997-09-24
申请人： Antonio Colombo , Robert D. Lashinski , Matthew J. Birdsall , Dennis L. Brooks , Philip J. Haarstad , James C. Peacock, III
发明人： Antonio Colombo , Robert D. Lashinski , Matthew J. Birdsall , Dennis L. Brooks , Philip J. Haarstad , James C. Peacock, III
IPC分类号： A61F206
CPC分类号： A61F2/856 , A61F2/91 , A61F2/915 , A61F2/954 , A61F2/958 , A61F2002/065 , A61F2002/91541 , A61F2002/91558 , A61F2250/0039
摘要： An endolumenal medical device assembly is provided for use in a bifurcation region of a body lumen. An expandable prosthesis, such as a stent, is included in the assembly and is adjustable from a radially collapsed condition to a radially expanded condition. The expandable prosthesis includes a prosthesis passageway and a side port. A dilator or an access device is engaged within the prosthesis passageway and also through the side port while the expandable prosthesis is in the radially collapsed condition. The expandable prosthesis may be positioned in the bifurcation region such that its distal end portion is in a first branch lumen extending from the bifurcation, its proximal end portion is in a common proximal lumen of the bifurcation region, and the side port is aligned with an entrance zone to a second branch lumen extending from the bifurcation. When the expandable prosthesis is so positioned the access device maintains percutaneous translumenal access to the second branch lumen through the prosthesis passageway and the side port while the expandable prosthesis is adjusted from the radially collapsed condition to the radially expanded condition. A dilator may also to expand the bore formed by the side port from an initial inner diameter to a larger expanded inner diameter. A second, lateral expandable prosthesis can also be coupled to the first expandable prosthesis at a location adjacent to the side port and engaged by the dilator or access device extending through the side port.
摘要翻译：提供了一种用于体腔分叉区域的腔内医疗装置组件。可扩张假体，例如支架，被包括在组件中，并且可以从径向塌陷状态调节到径向扩张状态。可扩张假体包括假体通道和侧端口。扩张器或进入装置接合在假体通道内并且还可以通过侧端口，而可扩张假体处于径向折叠状态。可扩张假体可以位于分叉区域中，使得其远端部分处于从分叉延伸的第一分支腔中，其近端部分位于分叉区域的共同的近侧内腔中，并且侧端口与入口区到从分叉延伸的第二分支腔。当可扩张假体如此定位时，进入装置通过假体通道和侧端口保持对第二分支腔的经皮腔内通路，同时将可扩张假体从径向折叠状态调节到径向扩张状态。扩张器还可以将由侧口形成的孔从初始内径扩大到较大的扩大内径。第二横向可膨胀假体还可以在与侧端口相邻的位置处联接到第一可扩张假体，并且通过延伸穿过侧端口的扩张器或进入装置接合。

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