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1. 发明申请

WO2014008289A2 STAPLER FOR FORMING MULTIPLE TISSUE PLICATIONS 审中-公开
标题翻译：用于形成多组织装置的包装机
公开(公告)号：WO2014008289A2
公开(公告)日：2014-01-09
申请号：PCT/US2013049125
申请日：2013-07-02
申请人： BAROSENSE INC
发明人： COLE DAVID , FERRO JESICA , SWOPE BRETTON , GRUBB TYLER , BALBIERZ DANIEL
IPC分类号： B25C5/02
CPC分类号： A61B17/068 , A61B17/07292 , A61B17/1155 , A61B2017/00539 , A61B2017/00876 , A61B2017/07271 , A61B2017/306
摘要： A stapling device for forming multiple tissue plications without needing to reload the device between plications is described. The device includes staple and anvil housings that move toward and away from a tissue-capture position. A cartridge holder in the staple housing supports a cartridge with multiple groups of offset staple slots, where the slots in each group are circularly arrayed about a cartridge center axis. A staple driver in the staple housing carries a plurality of arms for engaging and ejecting the staples in a first group of staples in the cartridge, when a tissue fold is captured between the cartridge assembly and anvil in the anvil housing. When the staple driver is retracted, after a tissue plication is formed, the cartridge assembly and tissue drive are indexed to eject the next- up group of staples.
摘要翻译：描述了用于形成多个组织浸润而不需要在管腔之间重新装载装置的吻合装置。该装置包括朝向和远离组织捕获位置移动的缝钉和砧座壳体。钉仓壳体中的墨盒支架支撑具有多组胶印缝隙槽的墨盒，其中每组中的槽围绕墨盒中心轴线圆形排列。当钉盒组件和砧座壳体中的砧座之间抓住组织折叠时，订书钉壳体中的订书钉驱动器承载多个臂，用于在钉仓中的第一组订书钉中接合和弹出订书钉。当订书钉驱动器缩回时，在组织折痕形成之后，盒组件和纸巾驱动器被分度以排出下一组订书钉。

2. 发明申请

WO2011146853A3 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：WO2011146853A3
公开(公告)日：2012-01-05
申请号：PCT/US2011037368
申请日：2011-05-20
申请人： BAROSENSE INC , BALBIERZ DANIEL J , COLE DAVID , SWOPE BRETTON , HAMBLY PABLO R , ENGLAND JUSTEN , CREWS SAMUEL T , PURDY CRAIG ARTHUR
发明人： BALBIERZ DANIEL J , COLE DAVID , SWOPE BRETTON , HAMBLY PABLO R , ENGLAND JUSTEN , CREWS SAMUEL T , PURDY CRAIG ARTHUR
IPC分类号： A61B17/00 , A61F5/00
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, arc 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 (50) comprises a support frame (52); an elongate roller (54) mounted on the frame for rotation about the roller's long axis. Said roller includes tissue - engaging structure for engaging tissue and advancing the engaged tissue in the direction of roller rotation. Said device further comprises a roller driver for rotating the roller in a tissue - advancing direction; an arm (56) mounted on said frame at a position spaced from and confronting said roller so that a two- layer tissue fold can be formed therebetween when tissue is advanced into and through the device as the roller is rotated; and a vacuum conduit (68) in said frame for connecting an external vacuum source to said roller or to said arm, to hold one layer of a two- layer tissue fold by vacuum adherence, as tissue is being advanced into and through the device by rotation of the roller.
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的装置和方法。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。一个示例性组织采集装置（50）包括支撑框架（52）; 安装在框架上用于围绕辊的长轴线旋转的细长辊（54）。所述辊包括组织接合结构，用于接合组织并沿辊轮旋转方向推进啮合组织。所述装置还包括用于在组织前进方向上旋转辊的辊驱动器; 臂（56），其在与所述辊隔开并面对所述辊的位置处安装在所述框架上，使得当所述辊旋转时，当组织进入并穿过所述装置时，可以在其间形成两层组织折叠; 以及在所述框架中的真空导管（68），用于将外部真空源连接到所述辊或所述臂，以通过真空附着来保持一层双层组织折叠，因为组织正被进入和穿过该装置辊的旋转。

3. 发明申请

WO2009117533A3 ENDOSCOPIC STAPLING DEVICES AND METHODS 审中-公开
标题翻译：内窥镜钉钉装置和方法
公开(公告)号：WO2009117533A3
公开(公告)日：2009-11-12
申请号：PCT/US2009037586
申请日：2009-03-18
申请人： BAROSENSE INC , COLE DAVID , SMITH ANDREW
发明人： COLE DAVID , SMITH ANDREW
IPC分类号： A61B17/115
CPC分类号： A61B17/072 , A61B17/064 , A61B17/115 , A61B17/32053 , A61B2017/00539 , A61B2017/00818 , A61B2017/07271 , A61B2017/306 , A61F5/0013 , A61F5/0083
摘要： Described herein is a stapling device and method used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed staplers allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver staples for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention, After one or more plications are formed, medical devices may optionally be coupled to the plication(s) for retention within the stomach.
摘要翻译：本文描述了用于将一个或多个紧固件施加到身体组织的吻合装置和方法。在一个实施例中，优选为吻合器的紧固件施加装置经口腔进入胃中，并且用于通过从胃内部接合组织并向内拉动胃组织来折叠胃组织。在所公开的实施例中，组织被向内拉入真空室中，使得胃外部上的浆膜组织的部分被定位为彼此面对。所公开的吻合器允许组织的相对部分移动成彼此接触，并且优选地递送吻合钉以维持组织部分之间的接触，至少直到它们之间形成浆膜粘合。这些步骤中的每一步都可以完全从胃内部进行，因此可以消除对任何外科手术或腹腔镜介入的需要。在形成一个或多个折叠之后，医疗装置可以可选地连接到折（以保留在胃。

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