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1. 发明授权

US08961539B2 Endoscopic implant system and method 有权
标题翻译：内镜植入系统及方法
公开(公告)号：US08961539B2
公开(公告)日：2015-02-24
申请号：US12435344
申请日：2009-05-04
申请人： Samuel T. Crews , Brett Swope , Justen England
发明人： Samuel T. Crews , Brett Swope , Justen England
IPC分类号： A61B17/10 , A61B17/29 , A61F5/00 , A61B17/00 , A61B17/064
CPC分类号： A61B17/29 , A61B2017/003 , A61B2017/00827 , A61B2017/0641 , A61F5/0086 , A61F5/0089
摘要： A system, device, device and method for implanting a food restrictor in a patient's stomach, by coupling the restrictor to a plurality of tissue-plication anchors already placed in the stomach, are disclosed. The device includes an elongate shaft assembly for accessing the stomach transorally, and on which the restrictor can be carried, and a plurality of cable members mounted on the shaft assembly. The cable members are disposed on the shaft assembly along a distal section thereof, and releasably attached to the shaft assembly's distal end. After a cable member engages a tissue-plication anchor, retracting the cable is operable to first release the member from a holder at the distal end of the shaft assembly, then pull a portion of the anchor through an aperture in the restrictor. This process is repeated for each anchor in the stomach for attaching the restrictor to the stomach.
摘要翻译：公开了一种用于将食物限制器植入患者胃内的系统，装置，装置和方法，其通过将限制器连接到已经放置在胃中的多个组织定位锚固件。该装置包括细长轴组件，其用于经腹地进入胃中，并且可以承载限制器，以及安装在轴组件上的多个电缆构件。电缆构件沿其远端部分设置在轴组件上，并且可释放地附接到轴组件的远端。在电缆构件接合组织折叠锚固件之后，缩回电缆可操作以首先将构件从轴组件的远端处的保持器释放，然后通过限制器中的孔拉动锚固件的一部分。对于胃中的每个锚重复该过程，以将节流器附接到胃。

2. 发明申请

US20100280529A1 ENDOSCOPIC IMPLANT SYSTEM AND METHOD 有权
标题翻译：内窥镜植入系统及方法
公开(公告)号：US20100280529A1
公开(公告)日：2010-11-04
申请号：US12435344
申请日：2009-05-04
申请人： Samuel T. Crews , Brett Swope , Justen England
发明人： Samuel T. Crews , Brett Swope , Justen England
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/29 , A61B2017/003 , A61B2017/00827 , A61B2017/0641 , A61F5/0086 , A61F5/0089
摘要： A system, device, device and method for implanting a food restrictor in a patient's stomach, by coupling the restrictor to a plurality of tissue-plication anchors already placed in the stomach, are disclosed. The device includes an elongate shaft assembly for accessing the stomach transorally, and on which the restrictor can be carried, and a plurality of cable members mounted on the shaft assembly. The cable members are disposed on the shaft assembly along a distal section thereof, and releasably attached to the shaft assembly's distal end. After a cable member engages a tissue-plication anchor, retracting the cable is operable to first release the member from a holder at the the distal end of the shaft assembly, then pull a portion of the anchor through an aperture in the restrictor. This process is repeated for each anchor in the stomach for attaching the restrictor to the stomach.
摘要翻译：公开了一种用于将食物限制器植入患者胃内的系统，装置，装置和方法，其通过将限制器连接到已经放置在胃中的多个组织定位锚固件。该装置包括细长轴组件，其用于经腹地进入胃中，并且可以承载限制器，以及安装在轴组件上的多个电缆构件。电缆构件沿其远端部分设置在轴组件上，并且可释放地附接到轴组件的远端。在电缆构件接合组织折叠锚固件之后，缩回电缆可操作以首先将构件从轴组件的远端处的保持器释放，然后通过限制器中的孔拉动锚固件的一部分。对于胃中的每个锚重复该过程，以将节流器附接到胃。

3. 发明申请

US20100276469A1 PLICATION TAGGING DEVICE AND METHOD 审中-公开
标题翻译：电子标签设备和方法
公开(公告)号：US20100276469A1
公开(公告)日：2010-11-04
申请号：US12434226
申请日：2009-05-01
申请人： Samuel T. Crews , Brett Swope , Justen England , David Cole , Carlos Castro
发明人： Samuel T. Crews , Brett Swope , Justen England , David Cole , Carlos Castro
IPC分类号： A61B17/115
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0643 , A61B17/0644 , A61B17/0684 , A61B17/07292 , A61B17/1155 , A61B2017/00539 , A61B2017/00818 , A61B2017/2927 , A61B2017/306 , A61B2217/005 , A61B2217/007
摘要： An improvement in a stapling device and method designed to capture a tissue fold between first and second members in the device and to staple and cut the fold to form a stapled tissue plication with a hole therein is disclosed. The improvement includes an engagement assembly in the first member movable from a retracted position in the first member to an extended position in the second member, and releasably attached to second member, an anchor assembly that includes the anchor, wherein (i) movement of the engagement assembly from its retracted to its extended position, through a tissue fold captured in the device between the first and second device members, is operable to engage the anchor assembly, and (ii) movement of the engagement assembly, with the anchor assembly engaged therewith, back toward its retracted position, is effective to pull at least a portion of the assembly through the hole in the stapled tissue plication formed by the device.
摘要翻译：公开了一种缝合装置和方法的改进，其被设计成捕获装置中的第一和第二构件之间的组织折叠并且缝合和切割折痕以形成其中具有孔的缝合组织褶皱。该改进包括第一构件中的接合组件，其可从第一构件中的缩回位置移动到第二构件中的延伸位置，并且可释放地附接到第二构件，包括锚固件的锚固组件，其中（i）接合组件从其缩回到其延伸位置通过在第一和第二装置构件之间的装置中捕获的组织折叠可操作以接合锚固组件，以及（ii）接合组件的移动，锚固组件与其接合回到其缩回位置，有效地将组件的至少一部分穿过由装置形成的缝合组织褶皱中的孔。

4. 发明申请

US20090024143A1 ENDOSCOPIC IMPLANT SYSTEM AND METHOD 审中-公开
标题翻译：内窥镜植入系统及方法
公开(公告)号：US20090024143A1
公开(公告)日：2009-01-22
申请号：US12175242
申请日：2008-07-17
申请人： Samuel T. Crews , Bretton Swope , Justen England
发明人： Samuel T. Crews , Bretton Swope , Justen England
IPC分类号： A61B17/122 , A61B17/32
CPC分类号： A61F5/0086 , A61B17/0643 , A61B17/0644 , A61B17/128 , A61B2017/00862 , A61B2017/0647 , A61F5/0003 , A61F5/0079 , A61F5/0083 , A61F5/0089
摘要： Disclosed is a system for endoscopically implanting a medical implant within a body cavity such as a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling the implant to the anchors.
摘要翻译：公开了一种用于将体内植入物内窥镜植入体腔（例如人胃）内的系统。该系统包括可定位在形成在体腔内的组织中的一个或多个开口内的一个或多个锚固件，例如形成在穿孔的身体组织中的切口。公开了用于将锚固件定位在开口内并且用于将植入物联接到锚固件的工具。

5. 发明申请

US20120004677A1 TISSUE-ACQUISITION AND FASTENING DEVICES AND METHODS 审中-公开
标题翻译：组织采集和紧急装置和方法
公开(公告)号：US20120004677A1
公开(公告)日：2012-01-05
申请号：US13112664
申请日：2011-05-20
申请人： DANIEL J. BALBIERZ , David Cole , Bretton Swope , Pablo R. Hambly , Justen England , Samuel T. Crews , Craig Arthur Purdy
发明人： DANIEL J. BALBIERZ , David Cole , Bretton Swope , Pablo R. Hambly , Justen England , Samuel T. Crews , Craig Arthur Purdy
IPC分类号： A61B17/11
CPC分类号： A61B17/07207 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B17/072 , A61B2017/00818 , A61B2017/07214 , A61B2017/081 , A61B2017/2926 , A61B2017/306 , A61F5/0086
摘要： Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).
摘要翻译：公开了用于获取和紧固内部器官（例如胃）内的组织折叠的装置和方法，并且用于施加所述方法和装置以减少器官体积或减轻手术的修复。用于形成连续横向延伸的组织折叠的示例性方法包括形成具有相邻重叠折叠部分的一系列横向延伸的折叠。一个示例性的组织采集装置具有允许形成和紧固单个组织褶皱的开放端的辊和臂结构，然后前进到胃内的相邻区域，以捕获将形成延伸的新折叠现有的折叠。

6. 发明申请

US20080294179A1 DEVICES AND METHODS FOR STOMACH PARTITIONING 审中-公开
标题翻译：设备和方法进行分离
公开(公告)号：US20080294179A1
公开(公告)日：2008-11-27
申请号：US12119329
申请日：2008-05-12
申请人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Bretton Swope , Justen England
发明人： Daniel J. Balbierz , Dave Cole , Samuel T. Crews , Bretton Swope , Justen England
IPC分类号： A61B17/08
CPC分类号： A61F5/0086 , A61B17/0643 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/10 , A61B17/1155 , A61B17/29 , A61B2017/00349 , A61B2017/0647 , A61B2017/07228 , A61B2017/2905 , A61B2017/306 , A61F5/0083 , A61F5/0089
摘要： A device and method for remodeling or partitioning a body cavity, hollow organ or tissue tract includes graspers operable to engage two or more sections of tissue within a body cavity and to draw the engaged tissue between a first and second members of a tissue remodeling tool. The two or more pinches of tissue are held in complete or partial alignment with one another as staples or other fasteners are driven through the pinches, thus forming a four-layer tissue plication. Over time, adhesions formed between the opposed serosal layers create strong bonds that can facilitate retention of the plication over extended durations, despite the forces imparted on them by stomach movement. A cut or cut-out may be formed in the plication during or separate from the stapling step to promote edge-to-edge healing effects that will enhance tissue knitting/adhesion.
摘要翻译：用于重建或分隔体腔，中空器官或组织道的装置和方法包括可操作以接合体腔内的组织的两个或更多个部分并且将所接合的组织在组织重塑工具的第一和第二构件之间拉动的抓握器。当钉或其它紧固件通过夹持物驱动时，两个或更多个组织的夹持件彼此完全或部分地对准，从而形成四层组织折叠。随着时间的推移，在相对的浆膜层之间形成的粘连产生强力的粘合，尽管通过胃运动赋予它们的力，也可以有助于在延长的持续时间内保持脓肿。可以在缝合步骤期间或与缝合步骤分开形成切口或切口，以促进边缘到边缘愈合效果，从而增强组织编织/粘合。

8. 发明申请

US20130205545A1 Cable Lacing Tie Devices and Methods of Using the Same 有权
标题翻译：电缆系带设备及其使用方法
公开(公告)号：US20130205545A1
公开(公告)日：2013-08-15
申请号：US13838390
申请日：2013-03-15
申请人： Alan Zantout , Thomas Peterson , Stephen Latham , Dave Franchino , Justen England , Jesse Charles Darley
发明人： Alan Zantout , Thomas Peterson , Stephen Latham , Dave Franchino , Justen England , Jesse Charles Darley
IPC分类号： B65D63/00
CPC分类号： B65D63/00 , B65D63/1072 , Y10T24/14
摘要： Cable lacing tie devices and methods of using the same are disclosed. The cable lacing tie devices include a head assembly and a cable lacing tape. The head assembly being configured to retain a first portion of the cable lacing tape within the head assembly and having a length of the cable lacing tape extending from the head assembly. The head assembly further adapted to retain a second portion of the cable lacing tape extending from the head assembly. The methods of using the cable lacing tie devices to hold together a plurality of objects with a cable lacing tie device include retaining a first portion of a cable lacing tape in a head assembly, looping the cable lacing tape around the plurality of objects and retaining a second portion of the cable lacing tape within the head assembly.
摘要翻译：公开了电缆系带装置及其使用方法。电缆系带装置包括头部组件和电缆系带。所述头部组件被配置为将所述电缆系带的第一部分保持在所述头部组件内并且具有从所述头部组件延伸的所述电缆系带的长度。头组件还适于保持从头部组件延伸的电缆系带的第二部分。使用电缆系带装置将电缆系带装置固定在一起的方法包括将电缆系带的第一部分保持在头部组件中，将电缆系带带环绕多个物体并保持一个头部组件内的电缆系带的第二部分。

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