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    • 5. 发明申请
    • ENDOSCOPIC TRANSORAL DUODENAL SLEEVE APPLIER
    • 内窥镜式多功能套管套管
    • WO2015031153A1
    • 2015-03-05
    • PCT/US2014/052085
    • 2014-08-21
    • ETHICON ENDO-SURGERY, INC.
    • ZEINER, Mark S.ORTIZ, Mark S.GRIFFITH, David B.
    • A61F5/00
    • A61F5/0089A61F2/04A61F5/0076
    • A duodenal sleeve assembly comprises a sleeve, an expandable sealing member, a tether, and an expandable anchor. The sleeve is secured to the sealing member. The tether couples the anchor with the sealing member. A deployment instrument comprises a shaft assembly, a first retention member, and a second retention member. The first retention member selectively secures the sealing member to the shaft assembly. The second retention member selectively secures the anchor to the shaft assembly. When the first retention member is relelased, the sealing member expands outwardly to seal the proximal end of the sleeve against the mucosa of the patient's duodenum. When the second retention member is released, the anchor expands outwardly within the stomach to anchor the sleeve assembly relative to the stomach. The tether traverses the pylorus. The sleeve isolates chyme from enzymes in the duodenum; and the mucosa of the duodenum from nutrients in the chyme.
    • 十二指肠套管组件包括套筒,可膨胀密封件,系绳和可膨胀锚固件。 套筒固定在密封件上。 系绳将锚固件与密封构件连接。 部署仪器包括轴组件,第一保持构件和第二保持构件。 第一保持构件将密封构件选择性地固定到轴组件。 第二保持构件选择性地将锚固件固定到轴组件。 当第一保持构件相关时,密封构件向外膨胀以将套筒的近端密封抵靠患者十二指肠的粘膜。 当第二保持构件被释放时,锚固体在胃内向外膨胀以相对于胃锚定套筒组件。 系绳穿过幽门。 套管将食糜与十二指肠中的酶分离; 和十二指肠的粘膜从食糜中的营养物质。