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    • 2. 发明申请
    • A CONFORMATIONALLY-STABILIZED INTRALUMINAL DEVICE FOR MEDICAL APPLICATIONS
    • 一种用于医疗应用的协调稳定的内科手术
    • WO2009012335A1
    • 2009-01-22
    • PCT/US2008/070226
    • 2008-07-16
    • ENDOSPHERE, INC.BINMOELLER, KennethMCKINLEY, James, T.YUREK, MattSANDER, Fiona, M.
    • BINMOELLER, KennethMCKINLEY, James, T.YUREK, MattSANDER, Fiona, M.
    • A61F5/00
    • A61F5/0076
    • The invention relates to devices (20) that are stabilized at an intraluminal residence site in the gastrointestinal tract by their conformation, including dimensions of length and curvature. The device as a whole corresponds to the conformation of the residence site; more particularly, the curved or angled portions correspond to the curved or angled portions of the residence site and do not conform to an immediately proximal or distal site. In some embodiments, the conformationally stabilized device may effect a change in the residence site shape that contributes to stability of the device. Some embodiments are directed toward curbing appetite and/or reducing food intake, other embodiments may be directed toward other therapeutic ends. Some embodiments of the device are designed to reside wholly in the duodenum; others reside principally within the duodenum but extend proximally into the gastric antrum, while other embodiments are designed to reside elsewhere within the gastrointestinal tract.
    • 本发明涉及通过其构象(包括长度和曲率的尺寸)稳定在胃肠道内腔内停留部位的装置(20)。 整个装置对应于居住地点的构造; 更具体地,弯曲或成角度的部分对应于居住部位的弯曲或成角度部分,并且不符合直接近端或远端部位。 在一些实施例中,构象稳定的装置可以影响驻留位置形状的变化,这有助于装置的稳定性。 一些实施例旨在限制食欲和/或减少食物摄取,其他实施方案可以针对其他治疗目的。 设备的一些实施例被设计为完全驻留在十二指肠中; 其他的主要存在于十二指肠内,但是向近端延伸到胃窦内,而其它实施例被设计为驻留在胃肠道内的其他地方。
    • 10. 发明申请
    • METHODS AND DEVICES FOR DELIVERING OR DELAYING LIPIDS WITHIN A DUODENUM
    • WO2010003097A3
    • 2010-01-07
    • PCT/US2009/049586
    • 2009-07-02
    • ENDOSPHERE, INC.McKINLEY, James T.KECK, ZhenyongSANDER, Fiona M.
    • McKINLEY, James T.KECK, ZhenyongSANDER, Fiona M.
    • A61M31/00A61M37/00
    • Devices are described that are adapted and configured for use within the duodenum of a mammal. One aspect of the device includes a spine having a proximal end and a distal end; an atraumatic feature positioned on at least one of the proximal end and the distal end of the spine; and a flow reduction element positioned along the spine and having a variable porosity along its length. In another aspect, there is a flow reduction device adapted and configured for use within the duodenum of a mammal having a spine having a length, a proximal end and a distal end; a first atraumatic feature positioned adjacent to the spine proximal end; a second atraumatic feature positioned adjacent to the spine distal end wherein the length of the spine is selected so that when the first atraumatic feature is in the stomach the second atraumatic feature is in the fourth portion of the duodenum; and a flow reduction element having a proximal end, a distal end, an interior portion, an exterior portion and a variable porosity between the proximal end and the distal end. Additionally or alternatively, some or all of the components of the device may be formed from or coated with a lipid-philic material. There is also provided a method for adjusting the passage of ingesta through the duodenum of a mammal. The method includes placing the distal end of a flow reduction device in the duodenum of a mammal; placing the proximal end of the flow reduction device in a stomach of the mammal; expanding within the duodenum of the mammal a variable porosity flow reduction element supported by the flow reduction device; and directing at least a portion of the flow of ingesta through the duodenum through the proximal end of the variable porosity flow reduction element and into an interior portion of the variable porosity flow reduction element.