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1. 发明申请

WO2006034209A2 APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING 审中-公开
标题翻译：装置和方法进行最小的入侵操作
公开(公告)号：WO2006034209A2
公开(公告)日：2006-03-30
申请号：PCT/US2005033507
申请日：2005-09-20
申请人： SUTURTEK INC , MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J
发明人： MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B17/0469 , A61B17/06066 , A61B17/0625 , A61B2017/06028 , A61B2017/2923 , A61B2017/2927 , A61B2017/2943
摘要： An apparatus and method for minimally invasive suturing is disclosed. A suturing device (50) for minimally invasive suturing includes an elongated barrel (54) having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly (56) extending from the distal end of the elongated barrel (54); a suturing needle (120) having a pointed end (12) and a blunt end (126), the suturing needle (120) capable of rotating about an axis approximately perpendicular to a longitudinal axis of the elongated barrel (54), wherein the pointed end (124) of the suturing needle (120) is positioned within the suture head assembly (56) prior to and after rotation of the suturing needle (120); and an actuator (52) extending from the proximal end of the elongated barrel (54) to actuate a drive mechanism (70) having a needle driver (198) for engaging and rotating the suturing needle (120).
摘要翻译：公开了一种用于微创缝合的装置和方法。用于微创缝合的缝合装置（50）包括具有近端，远端和其间的纵向轴线的细长筒（54）从所述细长筒体（54）的远端延伸的缝合线头组件（56）; 具有尖端（12）和钝端（126）的缝合针（120），所述缝合针能够围绕大致垂直于所述细长筒（54）的纵向轴线的轴线旋转，其中所述尖头缝合针（120）的端部（124）在缝合针（120）旋转之前和之后定位在缝线头组件（56）内。以及从所述细长筒（54）的近端延伸的致动器（52），以致动具有用于接合和旋转所述缝合针（120）的针驱动器（198）的驱动机构（70）。

2. 发明申请

WO2008147555A3 APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING 审中-公开
标题翻译：装置和方法进行最小的入侵操作
公开(公告)号：WO2008147555A3
公开(公告)日：2009-02-19
申请号：PCT/US2008006674
申请日：2008-05-23
申请人： SUTURTEK INC , MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J , CLARK RICHARD
发明人： MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J , CLARK RICHARD
IPC分类号： A61B17/062 , A61B17/04
CPC分类号： A61B17/0469 , A61B17/0625 , A61B2017/2927
摘要： An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.
摘要翻译：公开了一种用于微创缝合的装置和方法。用于微创缝合的缝合装置包括具有近端，远端和其间的纵向轴线的近端部分; 缝合头组件，其从近端部分的远端延伸; 具有尖端和钝端的缝合针，所述缝合针能够围绕近似垂直于所述近端部分的纵向轴线的轴线旋转，其中所述缝合针的尖端位于所述缝合线头组件之前和缝合针旋转后; 以及从所述近端部分的近端延伸的致动器，以致动具有用于接合和旋转所述缝合针的针驱动器的驱动机构。

3. 发明申请

WO2010062380A3 APPARATUS AND METHOD FOR MINIMALLY INVASIVE SUTURING 审中-公开
标题翻译：装置和方法进行最小的入侵操作
公开(公告)号：WO2010062380A3
公开(公告)日：2010-08-19
申请号：PCT/US2009006212
申请日：2009-11-20
申请人： ENDOEVOLUTION LLC , MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J , CLARK RICHARD
发明人： MEADE JOHN C , GRIFFITHS JERRY R , DIFRANCESCO FRANCIS J , CLARK RICHARD
IPC分类号： A61B17/04 , A61B17/06 , A61B17/068
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/06066 , A61B17/0625 , A61B2017/06028 , A61B2017/2923 , A61B2017/2927 , A61B2017/2943
摘要： An apparatus and method for minimally invasive suturing is disclosed. A suturing device for minimally invasive suturing includes proximal section having a proximal end, a distal end, and a longitudinal axis therebetween; a suture head assembly extending from the distal end of the proximal section; a suturing needle having a pointed end and a blunt end, the suturing needle capable of rotating about an axis approximately perpendicular to a longitudinal axis of the proximal section, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to and after rotation of the suturing needle; and an actuator extending from the proximal end of the proximal section to actuate a drive mechanism having a needle driver for engaging and rotating the suturing needle.
摘要翻译：公开了一种用于微创缝合的装置和方法。用于微创缝合的缝合装置包括具有近端，远端和其间的纵向轴线的近端部分; 从所述近端部分的远端延伸的缝线头组件; 具有尖端和钝端的缝合针，所述缝合针能够绕近似垂直于所述近端部分的纵向轴线的轴线旋转，其中所述缝合针的尖端位于所述缝合线头组件之前和缝合针旋转后; 以及从所述近端部分的近端延伸的致动器，以驱动具有用于接合和旋转所述缝合针的针驱动器的驱动机构。

4. 发明申请

WO2007089603A9 APPARATUS AND METHOD FOR TISSUE CLOSURE 审中-公开
标题翻译：用于组织闭合的装置和方法
公开(公告)号：WO2007089603A9
公开(公告)日：2007-11-01
申请号：PCT/US2007002204
申请日：2007-01-29
申请人： SUTURTEK INC , MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
发明人： MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
IPC分类号： A61B17/04
CPC分类号： A61B17/0491 , A61B17/0482 , A61B17/06114 , A61B17/062 , A61B34/70 , A61B2017/00398 , A61B2017/00734 , A61B2017/06028 , A61B2017/06052 , A61B2090/0813
摘要： A tissue closure device includes a pusher assembly having a drive arm extending from a drive shaft and a drive mechanism at a distal end of the drive arm, wherein the drive mechanism is capable of releasably engaging and rotating a suturing needle having a pointed end and a blunt end about a rotational axis and a cartridge having a protective housing and the suturing needle, the cartridge extending from a distal end of a cartridge holder assembly and releasably attached to the cartridge holder assembly. A pointed end of the suturing needle may be positioned within the protective housing before and after a complete rotation of the suturing needle about the rotational axis. A removable electronic module may be provided controlled by an actuator that mechanically engages the drive shaft to rotate the drive shaft and the drive mechanism, thereby rotating the suturing needle about the rotational axis.
摘要翻译：组织闭合装置包括推动器组件，其具有从驱动轴延伸的驱动臂和在驱动臂的远端处的驱动机构，其中驱动机构能够可释放地接合和旋转具有尖端和围绕旋转轴线的平端部和具有保护壳体和缝合针的药筒，药筒从药筒保持器组件的远端延伸并可释放地附接到药筒保持器组件。缝合针的尖端可以在缝合针绕旋转轴线完全旋转之前和之后定位在保护壳体内。可移动电子模块可以由致动器控制，致动器机械地接合驱动轴以旋转驱动轴和驱动机构，从而使缝合针绕旋转轴线旋转。

5. 发明申请

WO2007089603A3 APPARATUS AND METHOD FOR TISSUE CLOSURE 审中-公开
标题翻译：用于组织闭合的装置和方法
公开(公告)号：WO2007089603A3
公开(公告)日：2008-01-10
申请号：PCT/US2007002204
申请日：2007-01-29
申请人： SUTURTEK INC , MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
发明人： MEADE JOHN C , MACARTHUR DOUGLAS M , BLINN STEPHEN M , SAULINER CHRISTOPHER , EDWARDS BRIAN R , BRECHER GERALD I
IPC分类号： A61B17/06
CPC分类号： A61B17/0491 , A61B17/0482 , A61B17/06114 , A61B17/062 , A61B34/70 , A61B2017/00398 , A61B2017/00734 , A61B2017/06028 , A61B2017/06052 , A61B2090/0813
摘要： A tissue closure device includes a pusher assembly having a drive arm extending from a drive shaft and a drive mechanism at a distal end of the drive arm, wherein the drive mechanism is capable of releasably engaging and rotating a suturing needle having a pointed end and a blunt end about a rotational axis and a cartridge having a protective housing and the suturing needle, the cartridge extending from a distal end of a cartridge holder assembly and releasably attached to the cartridge holder assembly. A pointed end of the suturing needle may be positioned within the protective housing before and after a complete rotation of the suturing needle about the rotational axis. A removable electronic module may be provided controlled by an actuator that mechanically engages the drive shaft to rotate the drive shaft and the drive mechanism, thereby rotating the suturing needle about the rotational axis.
摘要翻译：组织闭合装置包括推动器组件，其具有从驱动轴延伸的驱动臂和在驱动臂的远端处的驱动机构，其中驱动机构能够可释放地接合和旋转具有尖端和围绕旋转轴线的平端部和具有保护壳体和缝合针的药筒，药筒从药筒保持器组件的远端延伸并且可释放地附接到药筒保持器组件。缝合针的尖端可以在缝合针绕旋转轴线完全旋转之前和之后定位在保护壳体内。可移动电子模块可以由致动器控制，致动器机械地接合驱动轴以旋转驱动轴和驱动机构，从而使缝合针绕旋转轴线旋转。

6. 发明申请

WO2004049982A9 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982A9
公开(公告)日：2004-07-29
申请号：PCT/US0338238
申请日：2003-12-02
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
IPC分类号： A61B17/04 , A61B17/06 , A61F2/00 , A61F2/04 , A61F5/00
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal device is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device to the stomach and a flexible sleeve to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：介绍了消化系统特定部位限制食品吸收的方法和装置。胃肠装置锚定在胃中，延伸超过Treitz的韧带。所有从胃排出的食物都通过设备进行漏斗。胃肠装置包括用于将装置固定到胃的锚固件和柔性套管，以限制十二指肠中的营养物质的吸收。锚固体可折叠用于内窥镜递送和移除。

7. 发明申请

WO2004049982B1 BARIATRIC SLEEVE 审中-公开
公开(公告)号：WO2004049982B1
公开(公告)日：2004-12-16
申请号：PCT/US0338238
申请日：2003-12-02
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MELANSON DAVE , MEADE JOHN C
IPC分类号： A61B17/04 , A61B17/06 , A61F2/00 , A61F2/04 , A61F5/00 , A61F2/06
CPC分类号： A61F5/0076 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/1114 , A61B2017/00238 , A61B2017/00867 , A61B2017/0419 , A61B2017/061 , A61F2/04 , A61F2/07 , A61F2/848 , A61F2/90 , A61F2/95 , A61F5/0089 , A61F2002/044 , A61F2002/045 , A61F2002/075 , A61F2002/8483 , A61F2002/8486 , A61F2002/9528 , A61F2220/0016 , A61F2250/0039
摘要： Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device (200) is anchored in the stomach and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor (208) for anchoring the device to the stomach and a flexible sleeve (202) to limit absorption of nutrients in the duodenum. The anchor is collapsible for endoscopic delivery and removal.
摘要翻译：介绍了限制消化系统特定部位食品吸收的方法和装置。胃肠道植入装置（200）被锚定在胃中并延伸超过Treitz的韧带。所有离开胃的食物都通过设备进行漏斗。胃肠装置包括用于将装置固定到胃的锚固件（208）和用于限制十二指肠中的营养物吸收的柔性套筒（202）。锚固体可折叠用于内窥镜递送和移除。

8. 发明申请

WO2012044998A3 DEVICES AND METHODS FOR MINIMALLY INVASIVE SUTURING 审中-公开
标题翻译：用于最小侵入性切割的装置和方法
公开(公告)号：WO2012044998A3
公开(公告)日：2012-06-14
申请号：PCT/US2011054334
申请日：2011-09-30
申请人： ENDOEVOLUTION LLC , BRECHER GERALD I , MEADE JOHN C , AHO JOHN , BASKE ROGER , BLECK JAMES H , CARLSON JOHN F , EAGAN THOMAS , HELANDER MICHAEL J , MURRAY JAMES W , PERKINS ASHLEY , SHAKAL WAYNE A , TOWLE JONATHAN
发明人： BRECHER GERALD I , MEADE JOHN C , AHO JOHN , BASKE ROGER , BLECK JAMES H , CARLSON JOHN F , EAGAN THOMAS , HELANDER MICHAEL J , MURRAY JAMES W , PERKINS ASHLEY , SHAKAL WAYNE A , TOWLE JONATHAN
IPC分类号： A61B17/04 , A61B17/06 , A61B17/062
CPC分类号： A61B17/0482 , A61B17/0491 , A61B17/0625 , A61B17/2909 , A61B2017/06028 , A61B2017/2927
摘要： Devices and methods for minimally invasive suturing are disclosed. One suturing device for minimally invasive suturing includes a proximal section a distal end, and an intermediate region therebetween. The device includes a suture head assembly having a suturing needle with a pointed end and a second end. The suturing needle is capable of rotating about an axis approximately perpendicular to a longitudinal axis of the device, wherein the pointed end of the suturing needle is positioned within the suture head assembly prior to deployment of guides that are adapted and configured to guide the needle around a circular path when advanced by a drive mechanism having a needle driver for engaging and rotating the suturing needle.
摘要翻译：披露了用于微创缝合的装置和方法。一种用于微创缝合的缝合装置包括近端部分，远端部分以及其间的中间区域。该装置包括具有缝合针头的缝合线头组件，该缝合针头具有尖端和第二端。缝合针能够围绕与装置的纵向轴线大致垂直的轴线旋转，其中，在展开引导件之前，缝合针的尖端位于缝合线头组件内，所述引导件适于并构造成引导针绕过当通过具有用于接合和旋转缝合针的针驱动器的驱动机构推进时的圆形路径。

9. 发明申请

WO2004087014A3 ANTI-OBESITY DEVICES 审中-公开
标题翻译：抗菌装置
公开(公告)号：WO2004087014A3
公开(公告)日：2005-01-27
申请号：PCT/US2004009269
申请日：2004-03-26
申请人： GI DYNAMICS INC , LEVINE ANDY H , CVINAR JOHN F , MEADE JOHN C
发明人： LEVINE ANDY H , CVINAR JOHN F , MEADE JOHN C
IPC分类号： A61F2/04 , A61F5/00
CPC分类号： A61F5/0076
摘要： A restrictive device (216) implanted in the upper part of the stomach, selectively divides the stomach into two chambers (220, 222), effectively reducing the size of the stomach immediately available for the uptake of food. The restrictive device also includes an aperture (218), limiting the rate at which food can pass from the esophagus portion of the stomach into the intestine. Being removable, the device permits a physician to change the size of the opening in a minimally invasive manner by replacing a removable member with another member having an aperture of a different size and/or shape. The restrictive device can also be combined with an elongated tube (302), or sleeve to selectively bypass the stomach, a portion of the intestine, or a combination of bypassing both the stomach and a portion of the intestine, allowing a physician to endoscopically create an equivalent to the Roux-en-y weight loss procedure.
摘要翻译：植入胃的上部的限制性装置（216）选择性地将胃分成两个腔室（220,222），从而有效地减小了立即可用于摄取食物的胃的尺寸。限制装置还包括孔（218），其限制食物可以从胃的食道部分进入肠的速度。该装置可移动，允许医师通过用具有不同尺寸和/或形状的孔的另一构件替换可移除构件，以微创方式改变开口的尺寸。限制性装置还可以与细长管（302）或套管组合以选择性地绕过胃，肠的一部分或绕过胃和肠的一部分的组合，允许医师内窥镜地产生相当于Roux-en-y减肥程序。

10. 发明申请

WO2004087233A3 SLEEVE FOR DELAYED INTRODUCTION OF ENZYMES INTO THE INTESTINE 审中-公开
标题翻译：将酶延迟引入INTESTINE的SLEEVE
公开(公告)号：WO2004087233A3
公开(公告)日：2004-12-16
申请号：PCT/US2004009448
申请日：2004-03-26
申请人： GI DYNAMICS INC , LEVINE ANDY H , MEADE JOHN C
发明人： LEVINE ANDY H , MEADE JOHN C
IPC分类号： A61F5/00 , A61M5/32 , A61F2/04
CPC分类号： A61F5/0076
摘要： An elongated tube (122) is configured to carry digestive enzymes from the point at which they enter the duodenum, and deposit them downstream into a distal portion of the intestine, such as the distal jejunum, several feet down. This delays the breakdown and subsequent digestion of food. The proximal end of the tube can be secured to the hepatopancreatic ampulla, below the common bile duct using an anchor (260), such as a stent-like device. The tube can include an elongated flexible sleeve (122) coupled at its proximal end to an anchor. The anchor is attached to the hepatopancreatic ampulla and the sleeve is then draped distally, through the intestines. Natural peristalsis carries the enzymes through the tube distally. The enzymes then exit the tube and mix with the chyme further down stream than is normal.
摘要翻译：细长管（122）被配置为从进入十二指肠的点携带消化酶，并将它们下游沉积到肠的远端部分，例如几英尺的远端空肠。这会延迟食物的分解和随后的消化。管的近端可以使用诸如支架样装置的锚固件（260）固定到肝胰胆管下方的胆总管下方。管可以包括在其近端处连接到锚的细长柔性套筒（122）。锚固件连接到肝胰腺，并且套管然后通过肠部向远侧覆盖。天然蠕动通过管向远端携带酶。酶然后离开管并与正常进一步下游的食糜混合。

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