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    • 1. 发明申请
    • TISSUE-ACQUISITION AND FASTENING DEVICES AND METHODS
    • 组织采集和紧急装置和方法
    • WO2011146853A3
    • 2012-01-05
    • PCT/US2011037368
    • 2011-05-20
    • BAROSENSE INCBALBIERZ DANIEL JCOLE DAVIDSWOPE BRETTONHAMBLY PABLO RENGLAND JUSTENCREWS SAMUEL TPURDY CRAIG ARTHUR
    • BALBIERZ DANIEL JCOLE DAVIDSWOPE BRETTONHAMBLY PABLO RENGLAND JUSTENCREWS SAMUEL TPURDY CRAIG ARTHUR
    • A61B17/00A61F5/00
    • A61B17/07207A61B17/0643A61B17/0644A61B17/0682A61B17/0684A61B17/0686A61B17/072A61B2017/00818A61B2017/07214A61B2017/081A61B2017/2926A61B2017/306A61F5/0086
    • 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.
    • 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。
    • 2. 发明申请
    • STAPLER FOR FORMING MULTIPLE TISSUE PLICATIONS
    • 用于形成多组织装置的包装机
    • WO2014008289A2
    • 2014-01-09
    • PCT/US2013049125
    • 2013-07-02
    • BAROSENSE INC
    • COLE DAVIDFERRO JESICASWOPE BRETTONGRUBB TYLERBALBIERZ DANIEL
    • B25C5/02
    • A61B17/068A61B17/07292A61B17/1155A61B2017/00539A61B2017/00876A61B2017/07271A61B2017/306
    • 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.
    • 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。