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1. 发明申请

US20120178988A1 PERICARDIUM REINFORCING DEVICES AND METHODS FOR USING THEM 审中-公开
标题翻译： PERICARDIUM增强装置及其使用方法
公开(公告)号：US20120178988A1
公开(公告)日：2012-07-12
申请号：US13427705
申请日：2012-03-22
申请人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
发明人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
IPC分类号： A61F2/04
CPC分类号： A61F2/2481
摘要： A surgical device for reinforcing the pericardial sac surrounding the heart to assist in the treatment of congestive heart failure includes an enclosure having an interior and an exterior. The interior surface limits adhesions or accepts ingrowth with the myocardial tissue of the epicardium. The exterior surface is adapted to adhere to or otherwise attach to the pericardium to provide reinforcement.
摘要翻译：用于加强围绕心脏的心包囊以帮助治疗充血性心力衰竭的外科装置包括具有内部和外部的外壳。内表面限制了与心外膜的心肌组织的粘连或接受向内生长。外表面适于附着或以其他方式附着到心包以提供加强。

2. 发明授权

US07060023B2 Pericardium reinforcing devices and methods of using them 失效
公开(公告)号：US07060023B2
公开(公告)日：2006-06-13
申请号：US09963848
申请日：2001-09-25
申请人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
发明人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
IPC分类号： A61F13/00
CPC分类号： A61F2/2481
摘要： This is a surgical device and a method of using it. In particular, the device is one for reinforcing the pericardial sac surrounding the heart to assist in the treatment of congestive heart failure. The device, generically, is an enclosure having an interior and an exterior. The interior surface is made in such a way that it tends not to or does not form adhesions with or accept ingrowth with the myocardial tissue of the epicardium. The exterior surface of the device, in contrast, is adapted to adhere to or to ingrow with or otherwise attach sufficiently to the pericardium so that it reinforces that membrane or structure. The nature of the device is that it tends not to allow the pericardium to expand further with time. The device, after complete deployment, should envelope some measure of pericardial fluid in its interior separating it from the epicardial surface. This device helps to prevent further declination of the heart during congestive heart failure. The device is preferably introduced into the pericardial space and into the inner surface of the pericardium using transcutaneous or minimally invasive techniques.

3. 发明授权

US07354396B2 Passive ventricular support devices and methods of using them 失效
标题翻译：被动心室支持装置及其使用方法
公开(公告)号：US07354396B2
公开(公告)日：2008-04-08
申请号：US10715650
申请日：2003-11-17
申请人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
发明人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
IPC分类号： A61F2/00
CPC分类号： A61F2/2481 , A61F2002/2484
摘要： A device for supporting or constraining at least some part of the epicardial surface of the heart during a portion of the heartbeat, such as diastole is used to assist in the treatment of congestive heart failure. The device comprises an enclosure having an interior and an exterior. An interior surface is preferably made in such a way that it tends not to or does not form adhesions with or accept ingrowth with the myocardial tissue of the epicardium. The device may comprise at least on rib-like structural member.
摘要翻译：用于在心跳的一部分（例如舒张期）中用于支撑或约束心脏的心外膜表面的至少一部分的装置用于帮助治疗充血性心力衰竭。该装置包括具有内部和外部的外壳。优选地，内表面以这样一种方式制成，使得其趋于不与心外膜的心肌组织形成粘连或与内心的心肌组织形成粘连。该装置可以至少包括肋状结构构件。

4. 发明授权

US06695769B2 Passive ventricular support devices and methods of using them 有权
标题翻译：被动心室支持装置及其使用方法
公开(公告)号：US06695769B2
公开(公告)日：2004-02-24
申请号：US09963921
申请日：2001-09-25
申请人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
发明人： Ronald G. French , Sunmi K. Chew , Hanson S. Gifford, III , Bernard H. Andreas
IPC分类号： A61M3100
CPC分类号： A61F2/2481 , A61F2002/2484
摘要： This is a surgical device and a method of using it. In particular, the device is one for supporting or constraining at least some part of the epicardial surface of the heart during a portion of the heartbeat, in particular during diastoly. This device may be used to assist in the treatment of congestive heart failure. The device, generically, is an enclosure having an interior and an exterior. The interior surface is preferably made in such a way that it tends not to or does not form adhesions with or accept ingrowth with the myocardial tissue of the epicardium. The device preferably has at least on rib-like structural member. The rib component may extend from end-to end or preferably extends helically around the heart, preferably with at least one revolution. The device may be configured to be self-adherent, i.e., preferably adherent only to itself, and to form a unitary support in the pericardial space after installation. This device helps to prevent further declination of the heart during congestive heart failure. The device is preferably introduced into the pericardial space and onto the surface of the epicardium using transcutaneous or minimally invasive techniques.
摘要翻译：这是一种手术装置及其使用方法。特别地，该装置是用于在心跳的一部分期间特别是在舒张期期间用于支撑或约束心脏的心外膜表面的至少一部分的装置。该装置可用于协助治疗充血性心力衰竭。该装置通常是具有内部和外部的外壳。内表面优选地制成其倾向于不与或不与心外膜的心肌组织形成粘连或与内膜的心肌组织接触向内生长。该装置优选地至少具有肋状结构构件。肋组件可以从端到端延伸或者优选地围绕心脏螺旋地延伸，优选地以至少一圈的方式延伸。该装置可以被配置为自粘附的，即优选地仅附着于其自身，并且在安装之后在心包空间中形成整体支撑。该装置有助于防止在充血性心力衰竭期间心脏的进一步下降。该装置优选使用经皮或微创技术引入心包空间和外膜表面。

5. 发明授权

US08613749B2 Obesity treatment tools and methods 有权
公开(公告)号：US08613749B2
公开(公告)日：2013-12-24
申请号：US10729552
申请日：2003-12-05
申请人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
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.

6. 发明授权

US08419755B2 Obesity treatment tools and methods 有权
公开(公告)号：US08419755B2
公开(公告)日：2013-04-16
申请号：US13029075
申请日：2011-02-16
申请人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
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.

7. 发明授权

US08123765B2 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：US08123765B2
公开(公告)日：2012-02-28
申请号：US11757943
申请日：2007-06-04
申请人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
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。

8. 发明授权

US07862574B2 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：US07862574B2
公开(公告)日：2011-01-04
申请号：US11654783
申请日：2007-01-18
申请人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
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。

9. 发明授权

US07306614B2 Overtube apparatus for insertion into a body 有权
标题翻译：用于插入身体的Overtube装置
公开(公告)号：US07306614B2
公开(公告)日：2007-12-11
申请号：US11364036
申请日：2006-02-28
申请人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
CPC分类号： A61F5/0083 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/1114 , A61B17/1155 , A61B17/12013 , A61B17/122 , A61B17/29 , A61B2017/00557 , A61B2017/00818 , A61B2017/0648 , A61B2017/0649 , A61B2017/081 , A61B2017/1139 , A61B2017/12018 , A61B2017/2926 , A61B2017/306 , A61B2090/395
摘要： An overtube apparatus for insertion into a body is described herein. The assembly includes an overtube having a lumen defined throughout. The distal end of the overtube member has two or more windows in apposition configured to draw in tissue via a vacuum. A drive tube, which also defines a lumen, is inserted and is freely adjustable within the overtube. A spiral or helical fastener, which is temporarily attached to the drive tube distal end, is positioned within the overtube lumen. Endoscopic devices can be inserted within the drive tube lumen and advanced past the distal ends of both the drive tube and overtube. A pump provides the vacuum to draw apposed regions of tissue from within a hollow body organ into the windows of the overtube. Once the tissue has been invaginated, the drive tube is rotated to advance the fastener into the tissue to fasten them together.
摘要翻译：这里描述了用于插入体内的超管设备。组件包括具有整个限定的内腔的外套管。外套管构件的远端具有两个或更多个窗口，其配置构造成经由真空抽吸在组织中。还限定了管腔的驱动管被插入并且在外套管内可自由地调节。临时连接到驱动管远端的螺旋或螺旋紧固件位于外套管腔内。内窥镜装置可以插入驱动管腔内并且推进经过驱动管和外套管的远端。泵提供真空以将中空身体器官内的组织区域从外套管的窗口中抽出。一旦已经中断组织，驱动管被旋转以将紧固件推进到组织中以将它们紧固在一起。

10. 发明授权

US07288099B2 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：US07288099B2
公开(公告)日：2007-10-30
申请号：US10313394
申请日：2002-12-05
申请人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G French
发明人： Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G French
IPC分类号： A61B17/08
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 a traumatic 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。较小的小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。另外可以使用创伤性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。

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