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1. 发明申请

WO2016048646A3 SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLE CARTRIDGES 审中-公开
标题翻译：手术刀具的手术装置和驱动装置
公开(公告)号：WO2016048646A3
公开(公告)日：2016-05-19
申请号：PCT/US2015048869
申请日：2015-09-08
申请人： ETHICON ENDO SURGERY INC
发明人： HARRIS JASON L , MORGAN JEROME R , ZEINER MARK S , SHELTON IV FREDERICK E
IPC分类号： A61B17/072
CPC分类号： A61B17/1155 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1222 , A61B2017/00004 , A61B2017/00526 , A61B2017/00884 , A61B2017/00898 , A61B2017/00942 , A61B2017/0688 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2927
摘要： An end effector and a staple cartridge are disclosed. The staple cartridge includes an array of staples in which at least one staple is angularly-oriented relative to the longitudinal axis of the staple cartridge. The angled staple(s) provide longitudinal flexibility to the stapled tissue. Additionally, the staple cartridge and/or the end effector are configured to provide variable degrees of compression to tissue. For example, the compression of tissue before, during and/or after stapling can be optimized.
摘要翻译：公开了端部执行器和钉仓。钉仓包括一排钉，其中至少一个钉相对于钉仓的纵向轴线成角度定向。成角度的钉子为缝合的组织提供纵向柔性。另外，钉仓和/或端部执行器被配置成向组织提供可变程度的压缩。例如，可以优化在缝合之前，期间和/或之后对组织的压缩。

2. 发明申请

WO2010083498A1 GUI FOR AN IMPLANTABLE DISTENSION DEVICE AND A DATA LOGGER 审中-公开
标题翻译： GUI用于可移植的分配设备和数据记录器
公开(公告)号：WO2010083498A1
公开(公告)日：2010-07-22
申请号：PCT/US2010021340
申请日：2010-01-19
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , HARRIS JASON L , ORTIZ MARK S , ZEINER MARK S , MARCOTTE AMY L , DLUGOS DANIEL F
发明人： ALBRECHT THOMAS E , HARRIS JASON L , ORTIZ MARK S , ZEINER MARK S , MARCOTTE AMY L , DLUGOS DANIEL F
IPC分类号： A61F5/00 , A61B5/00 , A61B5/03
CPC分类号： A61F5/0036 , A61B5/036 , A61B5/073 , A61B5/103 , A61B5/7445
摘要： A device, including a display and an implant for placement within a hollow body organ, the device includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member having sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The device includes a means for changing the deployed shape of the member while implanted within the hollow body. The device also includes a wireless device, external to a body of a patient, for controlling the means and for changing the deployed shape of the member while implanted within the hollow body.
摘要翻译：一种包括用于放置在中空身体器官内的显示器和植入物的装置，该装置包括具有用于在中空体内输送的未展开形状的构件和用于植入其中的一个或多个展开形状。所述构件在其展开形状上具有足够的刚度以向中空体的内部施加向外的力，以将中空体的两个基本相对的表面组合在一起。该装置包括用于在植入中空体内时改变构件的展开形状的装置。该装置还包括在患者身体外部的无线装置，用于控制装置并且在植入中空体内时改变部件的展开形状。

3. 发明申请

WO2009134983A8 BALLOON TISSUE DAMAGE DEVICE 审中-公开
标题翻译：气球组织损伤装置
公开(公告)号：WO2009134983A8
公开(公告)日：2010-04-08
申请号：PCT/US2009042279
申请日：2009-04-30
申请人： ETHICON ENDO SURGERY INC , ORTIZ MARK S , ALBRECHT THOMAS E , ZEINER MARK S , GIORDANO JAMES R , HOLCOMB MATTHEW D , STOKES MICHAEL J
发明人： ORTIZ MARK S , ALBRECHT THOMAS E , ZEINER MARK S , GIORDANO JAMES R , HOLCOMB MATTHEW D , STOKES MICHAEL J
IPC分类号： A61F5/00 , A61B17/30 , A61B18/14
CPC分类号： A61F5/0083 , A61B1/00165 , A61B18/1492 , A61B2017/306 , A61B2018/00214 , A61B2018/00291 , A61B2018/00494 , A61B2018/00898
摘要： An inflatable medical instrument (18) for tissue damage in gastric reduction surgery includes a main chamber (20) composed of a biocompatible material capable of being selectively inflated. The medical instrument also includes a longitudinally extending tab member (26) secured to an outer surface of the main chamber, a series of suction holes (30) are formed along the tab member and an electrode (38) is mounted on the tab member. The present invention also provides a method for forming a tissue junction used in defining a gastric pouch including damaging opposed tissue layers, apposing the tissue layers and fastening the tissue layers to allow the tissue layers to heal together.
摘要翻译：用于胃减压手术中的组织损伤的可膨胀医疗器械（18）包括由能够选择性地膨胀的生物相容性材料构成的主室（20）。医疗器械还包括固定到主室的外表面的纵向延伸的突片构件（26），沿着突片构件形成一系列吸孔（30），并且电极（38）安装在突片构件上。本发明还提供了一种用于形成用于限定胃袋的组织连接的方法，包括有害的相对的组织层，放置组织层并紧固组织层以允许组织层一起愈合。

4. 发明申请

WO2011149876A3 METHODS AND DEVICES FOR THE REROUTING OF CHYME TO INDUCT INTESTINAL BRAKE 审中-公开
标题翻译：用于搅拌CHYME以诱导内脏制动的方法和装置
公开(公告)号：WO2011149876A3
公开(公告)日：2012-10-04
申请号：PCT/US2011037657
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , HOUSER KEVIN L , GUTIERREZ MARIO , MALAVIYA PRASANNA , MARCOTTE AMY L , MESSERLY JEFFREY D , NGUYEN ANTHONY , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEANER LAUREN S , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , HOUSER KEVIN L , GUTIERREZ MARIO , MALAVIYA PRASANNA , MARCOTTE AMY L , MESSERLY JEFFREY D , NGUYEN ANTHONY , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , STULEN FOSTER B , VOEGELE JAMES W , WEANER LAUREN S , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S
IPC分类号： A61F2/04 , A61F5/00
CPC分类号： A61B17/00234 , A61B5/0031 , A61B5/036 , A61B5/073 , A61B5/076 , A61B5/1107 , A61B5/14532 , A61B5/14539 , A61B5/42 , A61B17/0469 , A61B17/1114 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139 , A61B2560/0219 , A61F2/04 , A61F5/0013 , A61F2002/045
摘要： Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may comprise one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure.
摘要翻译：方法和装置重新路由食糜诱导肠道制动，以提高减肥手术的有效性和改善共病分解。肠道被操纵以提供用于食糜行进到回肠的缩短路径。用于诱导肠内制动器的重新路由食糜的这些方法和装置可以包括外科手术，植入装置或具有改进的外科手术的植入物的组合中的一种或多种。

5. 发明申请

WO2011149885A3 SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION 审中-公开
标题翻译：用于胃体积调节的系统和方法
公开(公告)号：WO2011149885A3
公开(公告)日：2012-05-10
申请号：PCT/US2011037668
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALDRIDGE JEFFREY L , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , HARRIS JASON L , HUNT JOHN V , MALAVIYA PRASANNA , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STULEN FOSTER B , THOMPSON SUSAN , VOEGELE JAMES W , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , YATES DAVID C , ZEINER MARK S
发明人： ALDRIDGE JEFFREY L , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , HARRIS JASON L , HUNT JOHN V , MALAVIYA PRASANNA , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STULEN FOSTER B , THOMPSON SUSAN , VOEGELE JAMES W , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , YATES DAVID C , ZEINER MARK S
IPC分类号： A61F5/00 , A61B17/29
CPC分类号： A61F5/0083 , A61F5/003 , A61F5/0033 , A61F5/0036 , A61F5/004 , A61F5/0043 , A61F5/005 , A61F5/0053 , A61F5/0056 , A61F5/0073 , A61F5/0086
摘要： Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated.
摘要翻译：用于改变胃体积的装置和方法包括形成胃内槽，用于以最小的神经和脉管系统流动的干扰来包裹眼底的一个或多个部分。内部空间占据装置随着消化循环固有的自然条件（如pH变化）带来的环境变化而扩大。腹腔积气囊放置在折叠的胃部。气囊流体地联接到外部胃灌注装置。在又一组实施方案中，方法和装置提供可调节的胃体积减少基底包裹。在一个实施例中，将装置放置在眼底以进行尼森眼底切开术，并允许术后调整以达到期望的体重减轻。腹腔内和胃内气囊任选并入。

6. 发明申请

WO2009158468A3 AN IMPLANTABLE DEVICE FOR THE TREATMENT OF OBESITY 审中-公开
标题翻译：用于治疗肥胖的可植入装置
公开(公告)号：WO2009158468A3
公开(公告)日：2010-02-18
申请号：PCT/US2009048609
申请日：2009-06-25
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ZEINER MARK S
发明人： ALBRECHT THOMAS E , ZEINER MARK S
IPC分类号： A61F5/00
CPC分类号： A61F5/0036 , A61F5/0089
摘要： An implant (10) for placement within a hollow body organ. The implant has a member (14) with distal and proximal ends. The member has an undeployed shape for delivery to the hollow body and a deployed shape for implantation therein. The implant has at least one tensioning tether (80) with a first end attached to at least one of the distal and proximal end and a second ends attached to the member between the distal and proximal ends. Wherein applying tension to the tether moves the member towards the deployed shape. The member preferably has a first rate at which it initially resists bending, and a second substantially higher rate at which it resists further bending.
摘要翻译：用于放置在中空体器官内的植入物（10）。植入物具有远端和近端的构件（14）。该构件具有用于输送到中空体的未部署形状和用于植入其中的展开形状。所述植入物具有至少一个张紧系绳（80），其第一端连接到远端和近端中的至少一个，以及附接到远端和近端之间的构件的第二端。其中向系绳施加张力使构件朝向展开的形状移动。该构件优选地具有其初始抗弯曲的第一速率，以及第二速率抵抗进一步弯曲的第二速率。

7. 发明申请

WO2016048645A3 SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLE CARTRIDGES 审中-公开
标题翻译：手术器械和手术器械的安装
公开(公告)号：WO2016048645A3
公开(公告)日：2016-05-12
申请号：PCT/US2015048864
申请日：2015-09-08
申请人： ETHICON ENDO SURGERY INC
发明人： HARRIS JASON L , MORGAN JEROME R , ZEINER MARK S , SHELTON IV FREDERICK E
IPC分类号： A61B17/072
CPC分类号： A61B17/1155 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1222 , A61B2017/00004 , A61B2017/00526 , A61B2017/00884 , A61B2017/00898 , A61B2017/00942 , A61B2017/0688 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2927
摘要： A staple cartridge that includes a multi-staple driver is disclosed. The multi-staple driver is configured to drive multiple staples from the staple cartridge. The staples are arranged in a staple array in which at least one staple is angularly-oriented relative to the longitudinal axis of the staple cartridge. The multi-staple driver can drive staples at various angular orientations and/or from multiple rows of staple cavities. A driverless staple cartridge is also disclosed. A sled in the driverless cartridge is configured to directly engage and drive staples. The staples are arranged in a staple array in which at least one staple is angularly-oriented relative to the longitudinal axis of the driverless staple cartridge.
摘要翻译：公开了一种包括多钉驱动器的钉仓。多钉驱动器被配置为从钉仓驱动多个钉。钉被布置在钉阵列中，其中至少一个钉相对于钉仓的纵向轴线成角度地定向。多钉驱动器可以以各种角度方向和/或多排钉腔驱动钉。还公开了一种无人驾驶钉仓。无驱动器盒中的滑块配置为直接啮合并驱动订书钉。钉被布置在钉阵列中，其中至少一个钉相对于无人钉仓的纵向轴线成角度地定向。

8. 发明申请

WO2011149877A8 INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开
标题翻译： INTESTINAL BRAKE INDING IN INTRALUMINAL THERAPEUTIC THEAPEUTIC TYSTURE ELDTING ELTERTING DEVICES AND METHODS
公开(公告)号：WO2011149877A8
公开(公告)日：2012-07-12
申请号：PCT/US2011037658
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALBRECHT THOMAS E , ALDRIDGE JEFFREY L , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F JR , HARRIS JASON L , HESS CHRISTOPHER J , MALAVIYA PRASANNA , MARSH GLENDA C , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , ROBERTSON GALEN C , SHELTON FREDERICK E IV , STOKES MICHAEL J , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE CHRISTOPHER W , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , YATES DAVID C , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61M37/00 , A61F2/00 , A61K31/20 , A61M5/00 , A61M5/168 , A61N1/36
CPC分类号： A61M31/002 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F2002/045 , A61K9/0065 , A61M5/14276 , A61M39/0208 , A61M2210/106 , A61M2210/1064 , A61N1/0509 , A61N1/36007 , A61N1/37205
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract.
摘要翻译：方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。在一个实施方案中，产生饱腹感的方法包括以下步骤：进入患者的胃肠道并植入肠内治疗物质洗脱植入物。植入物能够洗脱选自营养物，特定饱腹感生物活性物质，胰腺多肽，游离脂肪酸，缩胆囊素，氨基酸，谷氨酰胺，脂质，亚油酸或组合中的至少一种的饱腹感受物质从植入物到胃肠道。

9. 发明申请

WO2011149875A3 METHOD OF FILLING AN INTRALUMINAL RESERVOIR WITH A THERAPEUTIC SUBSTANCE 审中-公开
标题翻译：用治疗药物填充血管内储库的方法
公开(公告)号：WO2011149875A3
公开(公告)日：2012-05-10
申请号：PCT/US2011037653
申请日：2011-05-24
申请人： ETHICON ENDO SURGERY INC , ALDRIDGE JEFFREY L , BAKOS GREGORY J , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , ELMER LUCAS B , HARRIS JASON L , HESS CHRISTOPHER J , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , STOKES MICHAEL J , STULEN FOSTER B , THOMPSON SUZANNE , TIMM RICHARD W , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S , ZWOLINSKI ANDREW M
发明人： ALDRIDGE JEFFREY L , BAKOS GREGORY J , CONLON SEAN P , CROPPER MICHAEL S , HERRERA-DAVIS DENZEL Z , DLUGOS DANIEL F , ELMER LUCAS B , HARRIS JASON L , HESS CHRISTOPHER J , MESSERLY JEFFREY D , ORTIZ MARK S , OVERMYER MARK D , PASTORELLI ALESSANDRO , STOKES MICHAEL J , STULEN FOSTER B , THOMPSON SUZANNE , TIMM RICHARD W , VOEGELE JAMES W , WEANER LAUREN S , WEISENBURGH WILLIAM B II , WIDENHOUSE TAMARA S VETRO , WOODARD JAMES A JR , ZEINER MARK S , ZWOLINSKI ANDREW M
IPC分类号： A61F5/00 , A61K9/00 , A61M1/00 , A61M25/02 , A61M37/00
CPC分类号： A61F5/005 , A61F5/0003 , A61F5/0013 , A61M25/007 , A61M25/04 , A61M31/00 , A61M37/0015
摘要： Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube within the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.
摘要翻译：本文描述的方法包括将鼻胃管引入患者，将鼻胃管与储器连接，将鼻胃管固定在鼻腔内，并通过鼻胃管将物质引入储器。

10. 发明申请

WO2011056844A3 VAGINAL ENTRY SURGICAL DEVICES 审中-公开
公开(公告)号：WO2011056844A3
公开(公告)日：2011-07-14
申请号：PCT/US2010055257
申请日：2010-11-03
申请人： ETHICON ENDO SURGERY INC , VOEGELE JAMES W , GRIFFITH DAVID B , ZEINER MARK S
发明人： VOEGELE JAMES W , GRIFFITH DAVID B , ZEINER MARK S
IPC分类号： A61B1/267 , A61B1/32
CPC分类号： A61B1/303 , A61B17/3423 , A61B2017/345 , A61B2017/3466 , A61B2017/348
摘要： A surgical method, system, kit, and various devices are provided for use in, among other things, vaginal entry during a natural orifice translumenal endoscopic surgical procedure. A system and/or method provide for the rapid creation of a conduit and/or multiple ports in a natural orifice, such as a patient's vagina, while accommodating anatomical variation to reduce the need to excise additional tissue from the patient.
摘要翻译：提供外科手术方法，系统，试剂盒和各种装置，用于除了别的以外，还可用于天然口腔内窥镜手术中的阴道进入。系统和/或方法提供了在天然孔口（例如患者的阴道）中快速产生导管和/或多个端口，同时容纳解剖变异以减少从患者切除额外组织的需要。

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