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    • 5. 发明申请
    • MAGNETIC COMPRESSION ANASTOMOSIS DEVICE
    • 磁性压缩分析装置
    • WO2014055193A1
    • 2014-04-10
    • PCT/US2013/057961
    • 2013-09-04
    • ETHICON ENDO-SURGERY, INC.
    • DUNKI-JACOBS, Adam R.HARRIS, Jason L.ZEINER, Mark S.
    • A61B17/11
    • A61B17/1114A61B2017/00876A61B2017/0475A61B2017/1117A61B2017/1139
    • An apparatus (100) provides an anastomosis coupling two hollow organs (e.g., a duodenum and ileum). The apparatus includes a first elongate body (110), a second elongate body (130), and a tether assembly (150). Each elongate body defines a respective opening (114,134) and has at least one respective magnetic member (116,136). The magnetic member of the second elongate body attracts the magnetic member of the first elongate body. The tether assembly is operable to draw the first and second elongate bodies toward each other to bring the magnetic member of the first elongate body within a magnetic field of the magnetic member of the second elongate body. The first and second elongate bodies are configured to fit through enterotomies formed in two hollow organs. The first and second elongate bodies apposingly compress tissue layers adjacent to the enterotomies. The openings of the elongate bodies and the enterotomies together provide a fluid path between the two hollow organs.
    • 装置(100)提供联接两个中空器官(例如,十二指肠和回肠)的吻合。 该装置包括第一细长体(110),第二细长体(130)和系绳组件(150)。 每个细长体限定相应的开口(114,134),并具有至少一个相应的磁性构件(116,136)。 第二细长体的磁性构件吸引第一细长体的磁性构件。 系绳组件可操作以将第一和第二细长体朝向彼此拉动,以使第一细长体的磁性构件在第二细长体的磁性构件的磁场内。 第一和第二细长体构造成适合通过在两个中空器官中形成的肠切除术。 第一和第二细长体平滑地压迫与肠切开术相邻的组织层。 细长体和肠切开术的开口一起提供两个中空器官之间的流体路径。
    • 6. 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。