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1. 发明申请

WO2012006306A2 SURGICAL INSTRUMENT COMPRISING AN ARTICULATABLE END EFFECTOR 审中-公开
标题翻译：手术器械包括可雕刻的末端执行器
公开(公告)号：WO2012006306A2
公开(公告)日：2012-01-12
申请号：PCT/US2011/043008
申请日：2011-07-06
申请人： ETHICON ENDO-SURGERY, INC. , HUANG, Zhifan, F. , WITT, David, A. , BANKS, Raymond, M. , DIETZ, Timothy, G. , MOOTOO, Mary, E. , JOHNSON, Gregory, W. , SWAYZE, Jeffrey, S. , HARRIS, Jason, L. , STULEN, Foster, B. , MALAVIYA, Prasanna , TIMM, Richard, W. , HUNT, John, V. , THOMPSON, Suzanne, E. , MONSON, Gavin, M. , LAIRD, Robert, J. , VAKHARIA, Omar, J. , SCHALL, Christopher, J. , KIMBALL, Cory, G. , MIREL, Al , CUMMINGS, John, F. , BECKMAN, Andrew, T.
发明人： HUANG, Zhifan, F. , WITT, David, A. , BANKS, Raymond, M. , DIETZ, Timothy, G. , MOOTOO, Mary, E. , JOHNSON, Gregory, W. , SWAYZE, Jeffrey, S. , HARRIS, Jason, L. , STULEN, Foster, B. , MALAVIYA, Prasanna , TIMM, Richard, W. , HUNT, John, V. , THOMPSON, Suzanne, E. , MONSON, Gavin, M. , LAIRD, Robert, J. , VAKHARIA, Omar, J. , SCHALL, Christopher, J. , KIMBALL, Cory, G. , MIREL, Al , CUMMINGS, John, F. , BECKMAN, Andrew, T.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B2017/003 , A61B2017/00309 , A61B2017/00323 , A61B2017/2902 , A61B2017/291 , A61B2017/2927 , A61B2018/00077 , A61B2018/00607 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861 , A61B2034/305
摘要： An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector. A surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion.
摘要翻译：电外科器械可以包括手柄，轴和端部执行器，其中端部执行器可以通过关节运动接头可旋转地联接到轴上。该器械可以进一步包括驱动构件，并且关节运动接头可以包括可以构造成支撑驱动构件的柔性支撑构件。该器械还可以包括电耦合到末端执行器中的电极的供电线以及配置为防止供电线在关节运动接头内累积松弛的线张紧装置。驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其他层可以由与端部执行器中的切割构件电连通的导电材料构成和/或定位在末端执行器内的电极。外科器械可以包括手柄和端部执行器，其中端部执行器可以包括第一和第二钳口，所述第一和第二钳口可以打开和关闭以捕获其间的组织。外科器械可以进一步包括在手柄和执行器之间延伸的轴以及用于相对于轴将端部执行器铰接的装置。铰接装置可以包括可围绕第一轴线旋转的轴的一部分，以便使端部执行器围绕第二轴线铰接。在至少一个实施例中，轴可以包括包括凸轮的第一部分和包括凸轮从动件的第二部分，其中第二部分的旋转以及凸轮和凸轮从动件的相互作用可以导致第二部分相对于第一部分。

2. 发明申请

WO2012009431A2 SURGICAL INSTRUMENTS WITH ELECTRODES 审中-公开
标题翻译：带电极的手术器械
公开(公告)号：WO2012009431A2
公开(公告)日：2012-01-19
申请号：PCT/US2011/043844
申请日：2011-07-13
申请人： ETHICON ENDO-SURGERY, INC. , BECKMAN, Andrew, T. , GUERRA, Paul , HARRIS, Jason, L. , MALAVIYA, Prasanna , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , WHITE, Bradley, E. , TIMM, Richard, W. , THOMPSON, Suzanne, E. , HUNT, John, V. , MONSON, Gavin, M. , VAKHARIA, Omar, J. , LAIRD, Robert, J. , HUANG, Zhifan, F. , WOODRUFF, Scott, A. , PAYNE, Gwendolyn, P. , KORVICK, Donna, L. , ZINGMAN, Aron, O. , MOOTOO, Mary, E. , ALDRIDGE, Jeffrey, L. , DIETZ, Timothy, G. , WITT, David, A. , NORVELL, David, K.
发明人： BECKMAN, Andrew, T. , GUERRA, Paul , HARRIS, Jason, L. , MALAVIYA, Prasanna , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , WHITE, Bradley, E. , TIMM, Richard, W. , THOMPSON, Suzanne, E. , HUNT, John, V. , MONSON, Gavin, M. , VAKHARIA, Omar, J. , LAIRD, Robert, J. , HUANG, Zhifan, F. , WOODRUFF, Scott, A. , PAYNE, Gwendolyn, P. , KORVICK, Donna, L. , ZINGMAN, Aron, O. , MOOTOO, Mary, E. , ALDRIDGE, Jeffrey, L. , DIETZ, Timothy, G. , WITT, David, A. , NORVELL, David, K.
IPC分类号： A61B17/115 , A61B17/072 , A61B18/12 , A61B17/11 , A61B19/00 , A61B17/00 , A61B18/14 , A61B17/29
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B2017/00026 , A61B2017/00088 , A61B2017/0647 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/2923 , A61B2018/00071 , A61B2018/00404 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00708 , A61B2018/00791 , A61B2018/00875 , A61B2018/126 , A61B2018/145 , A61B2018/1455 , A61B2090/061
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end- effector assembly comprises a first portion and a second portion comprising a cavity. At least one of the first portion and the second portion is movable relative to the other jaw. The end- effector assembly comprises a fastening means removably positioned within the cavity and at least one electrode.
摘要翻译：端部执行器组件被配置为附接到手术器械。末端执行器组件包括第一部分和包括空腔的第二部分。第一部分和第二部分中的至少一个可相对于另一个钳口移动。末端执行器组件包括可拆卸地定位在空腔内的紧固装置和至少一个电极。

3. 发明申请

WO2011156548A2 HEAT MANAGEMENT CONFIGURATIONS FOR CONTROLLING HEAT DISSIPATION FROM ELECTROSURGICAL INSTRUMENTS 审中-公开
标题翻译：用于控制静电放电加热器的热管理配置
公开(公告)号：WO2011156548A2
公开(公告)日：2011-12-15
申请号：PCT/US2011/039715
申请日：2011-06-09
申请人： ETHICON ENDO-SURGERY, INC. , BECKMAN, Andrew, T. , WHITE, Bradley, E. , KIMBALL, Cory, G. , CUMMINGS, John, F. , MIREL, Al , SCHALL, Christopher, J. , ALDRIDGE, Jeffrey, L. , DIETZ, Timothy, G. , WITT, David, A. , MOOTOO, Mary, E. , HUANG, Zhifan, F. , BANKS, Raymond, M. , WIDENHOUSE, Tamara , SHELTON, Frederick, E. , HARRIS, Jason, L. , SWAYZE, Jeffrey, S. , STULEN, Foster, B. , MALAVIYA, Prasanna , JOHNSON, Gregory, W. , GUERRA, Paul
发明人： BECKMAN, Andrew, T. , WHITE, Bradley, E. , KIMBALL, Cory, G. , CUMMINGS, John, F. , MIREL, Al , SCHALL, Christopher, J. , ALDRIDGE, Jeffrey, L. , DIETZ, Timothy, G. , WITT, David, A. , MOOTOO, Mary, E. , HUANG, Zhifan, F. , BANKS, Raymond, M. , WIDENHOUSE, Tamara , SHELTON, Frederick, E. , HARRIS, Jason, L. , SWAYZE, Jeffrey, S. , STULEN, Foster, B. , MALAVIYA, Prasanna , JOHNSON, Gregory, W. , GUERRA, Paul
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译：在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。例如，在至少一个实施例中，末端执行器可以包括第一钳口，第二钳口和切割构件。切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。流体可以通过空腔移动到和/或从开口移动。另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。还公开了各种其它散热装置。

4. 发明申请

WO2011146377A2 SURGICAL INSTRUMENTS AND END EFFECTORS THEREFOR 审中-公开
标题翻译：手术器械及其最终效果
公开(公告)号：WO2011146377A2
公开(公告)日：2011-11-24
申请号：PCT/US2011/036617
申请日：2011-05-16
申请人： ETHICON ENDO-SURGERY, INC. , WEIZMAN, Patrick, A. , ALDRIDGE, Jeffrey, L. , BANKS, Raymond, M. , BECKMAN, Andrew, T. , CUMMINGS, John, F. , DIETZ, Timothy, G. , FALLER, Craig, N. , GIORDANO, James, R. , HARRIS, Jason, L. , HUANG, Zhifan, F. , JOHNSON, Gregory, M. , KIMBALL, Cory, G. , MALAVIYA, Prasanna , MILLER, Matthew, C. , MIREL, Al , NORVELL, David, K. , SCHALL, Christopher, J. , SHELTON, Frederick, E., IV , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , WHITE, Bradley, E. , WIDENHOUSE, Tamara, S., Vetro , WITT, David, A. , BERNATH, Steve, G.
发明人： WEIZMAN, Patrick, A. , ALDRIDGE, Jeffrey, L. , BANKS, Raymond, M. , BECKMAN, Andrew, T. , CUMMINGS, John, F. , DIETZ, Timothy, G. , FALLER, Craig, N. , GIORDANO, James, R. , HARRIS, Jason, L. , HUANG, Zhifan, F. , JOHNSON, Gregory, M. , KIMBALL, Cory, G. , MALAVIYA, Prasanna , MILLER, Matthew, C. , MIREL, Al , NORVELL, David, K. , SCHALL, Christopher, J. , SHELTON, Frederick, E., IV , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , WHITE, Bradley, E. , WIDENHOUSE, Tamara, S., Vetro , WITT, David, A. , BERNATH, Steve, G.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/295 , A61B17/32 , A61B17/3209 , A61B18/148 , A61B18/1485 , A61B2017/003 , A61B2017/00738 , A61B2017/00867 , A61B2017/2926 , A61B2017/2933 , A61B2017/2934 , A61B2017/2945 , A61B2017/320044 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/1455 , A61B2018/1465
摘要： Various forms of surgical instruments are disclosed. In various embodiments, an end effector having operable and closable jaws is attached to a distal end of an elongate shaft such that portions of the jaws are axially offset from the elongate shaft. Other jaw embodiments are coupled to an actuation arrangement that permits portions of the jaws to be moved out of axial alignment with the elongate shaft. Other jaw embodiments are configured to facilitate tissue dissection. Electrosurgical instruments are also disclosed. One embodiment employs a flexible electrode that is conformable to tissue.
摘要翻译：公开了各种形式的外科器械。在各种实施例中，具有可操作和可闭合的钳口的末端执行器附接到细长轴的远端，使得钳口的一部分从细长轴轴向偏移。其它钳口实施例联接到致动装置，其允许钳口的一部分移动离开与细长轴的轴向对准。其它钳口实施例被配置为便于组织解剖。电外科器械也被公开。一个实施例采用与组织一致的柔性电极。

5. 发明申请

WO2011156257A2 ELECTROSURGICAL INSTRUMENT EMPLOYING AN ELECTRODE 审中-公开
标题翻译：使用电极的电磁仪器
公开(公告)号：WO2011156257A2
公开(公告)日：2011-12-15
申请号：PCT/US2011/039239
申请日：2011-06-06
申请人： ETHICON ENDO-SURGERY, INC. , DIETZ, Timothy, G. , WITT, David, A. , ALDRIDGE, Jeffrey, L. , HUANG, Zhifan, F. , MOOTOO, Mary, E. , BANKS, Raymond, M. , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , MALAVIYA, Prasanna , JOHNSON, Gregory, W. , HARRIS, Jason, L. , GUERRA, Paul , NORVELL, David, K.
发明人： DIETZ, Timothy, G. , WITT, David, A. , ALDRIDGE, Jeffrey, L. , HUANG, Zhifan, F. , MOOTOO, Mary, E. , BANKS, Raymond, M. , STULEN, Foster, B. , SWAYZE, Jeffrey, S. , MALAVIYA, Prasanna , JOHNSON, Gregory, W. , HARRIS, Jason, L. , GUERRA, Paul , NORVELL, David, K.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00065 , A61B2018/00083 , A61B2018/00642 , A61B2018/00702 , A61B2018/00755 , A61B2018/00791 , A61B2018/00982 , A61B2018/1455 , A61B2090/065 , A61B2218/002
摘要： An electrosurgical surgical instrument that includes an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue, wherein at least one of the electrodes can comprise i) a conductive material positioned within a non-conductive, or high- resistance, material or ii) a pressure sensitive conductive material, or iii) a plurality of electrodes may each comprise of a positive temperature coefficient material having a different switching temperature or iv) electrodes can be independently and/or sequentially operated. During and/or after energizing the electrodes, a cutting member can be advanced to cut the tissue.
摘要翻译：一种包括端部执行器的电外科手术器械，其中末端执行器可以包括可以打开和关闭的第一和第二钳口，以便在其间捕获组织。在各种实施例中，第一和第二钳口可以包括被配置为跨组织施加电压的一个或多个电极，其中至少一个电极可以包括：i）定位在非导电或高电阻内的导电材料，材料或ii）压敏导电材料，或iii）多个电极可以各自包含具有不同开关温度的正温度系数材料，或iv）电极可以独立地和/或顺序操作。在电极通电期间和/或之后，切割构件可以前进以切割组织。

6. 发明申请

WO2011150032A1 SYSTEMS AND METHODS FOR REGULATING METABOLIC HORMONE PRODUCING TISSUE 审中-公开
标题翻译：用于调节生产组织的代谢激素的系统和方法
公开(公告)号：WO2011150032A1
公开(公告)日：2011-12-01
申请号：PCT/US2011/037868
申请日：2011-05-25
申请人： ETHICON ENDO-SURGERY, INC. , UNIVERSITY OF CINCINNATI , ALBRECHT, Thomas, E. , ALDRIDGE, Jeffrey, L. , CHEKAN, Edward, G. , CONLON, Sean, P. , CROPPER, Michael, S. , DLUGLOS, Daniel, F. , HARRIS, Jason, L. , HESS, Christopher, J. , HOUSER, Kevin, L. , HUNT, John, V. , LONG, Gary, L. , MALAVIYA, Prasanna , MARCOTTE, Amy, L. , NOBIS, Rudolph, H. , ORTIZ, Mark, S. , OVERMYER, Mark, D. , PASTORELLI, Alessandro , PLESCIA, David, N. , ROBERTSON, Galen C. , SEELEY, Randy J. , SHELTON, Frederick E., IV , STOKES, Michael J. , STULEN, Foster B. , TIMM, Richard W. , VOEGELE, James W. , WEISENBURGH, William B., II , WOODWARD, James A., Jr. , YATES, David C. , ZWOLINSKI, Andrew M.
发明人： ALBRECHT, Thomas, E. , ALDRIDGE, Jeffrey, L. , CHEKAN, Edward, G. , CONLON, Sean, P. , CROPPER, Michael, S. , DLUGLOS, Daniel, F. , HARRIS, Jason, L. , HESS, Christopher, J. , HOUSER, Kevin, L. , HUNT, John, V. , LONG, Gary, L. , MALAVIYA, Prasanna , MARCOTTE, Amy, L. , NOBIS, Rudolph, H. , ORTIZ, Mark, S. , OVERMYER, Mark, D. , PASTORELLI, Alessandro , PLESCIA, David, N. , ROBERTSON, Galen C. , SEELEY, Randy J. , SHELTON, Frederick E., IV , STOKES, Michael J. , STULEN, Foster B. , TIMM, Richard W. , VOEGELE, James W. , WEISENBURGH, William B., II , WOODWARD, James A., Jr. , YATES, David C. , ZWOLINSKI, Andrew M.
IPC分类号： A61N1/00 , A61N1/36 , A61N1/32 , A61F5/00
CPC分类号： A61N1/00 , A61F5/0026 , A61N1/0509 , A61N1/327 , A61N1/36007
摘要： A method for regulating hormone production comprises placing at least one electrode in a gastrointestinal tract of a patient and recording an electrical signal during a preselected event produced by the gastrointestinal tract. The method further involves the steps of storing the electrical signal, and playing back the electrical signal by activating the electrode during the absence of the preselected event.
摘要翻译：用于调节激素产生的方法包括将至少一个电极放置在患者的胃肠道中，并在由胃肠道产生的预选事件期间记录电信号。该方法还包括存储电信号的步骤，以及在没有预选事件期间激活电极来播放电信号。

7. 发明申请

WO2011149885A2 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：WO2011149885A2
公开(公告)日：2011-12-01
申请号：PCT/US2011/037668
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： A61F2/04
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：用于改变胃容积的装置和方法包括形成胃内狭槽以用于包裹胃底的一个或多个部分通过其中，同时对神经和脉管系统流动的干扰最小。胃内空间占用装置随着消化周期固有的自然条件（例如pH变化）带来的环境变化而扩大。额外胃体积占据气球放入折叠的胃部分。气球流体耦合到外部胃充填装置。在又一组实施例中，方法和装置提供可调节的胃容积减小的胃底包裹。在一个实施方案中，将装置置于胃底进行尼森胃底折叠术并允许术后调整以达到期望的体重减轻。胃内和胃外气囊可以选择加入。

8. 发明申请

WO2011149893A2 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：WO2011149893A2
公开(公告)日：2011-12-01
申请号：PCT/US2011/037678
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. , HARRIS, Jason, L. , HESS, Christopher, J. , HUITEMA, Thomas, W. , HUNT, John, V. , MALAVIYA, Prasanna , ORTIZ, Mark, S. , OVERMYER, Mark, D. , PASTORELLI, Alessandro , ROBERTSON, Galen, C. , SHELTON, Frederick, E. , STOKES, Michael, J. , STULEN, Foster, B. , VOEGELE, James, W. , WEISENBURGH, William, B., II , WIDENHOUSE, Christopher, W. , 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. , HARRIS, Jason, L. , HESS, Christopher, J. , HUITEMA, Thomas, W. , HUNT, John, V. , MALAVIYA, Prasanna , ORTIZ, Mark, S. , OVERMYER, Mark, D. , PASTORELLI, Alessandro , ROBERTSON, Galen, C. , SHELTON, Frederick, E. , STOKES, Michael, J. , STULEN, Foster, B. , VOEGELE, James, W. , WEISENBURGH, William, B., II , WIDENHOUSE, Christopher, W. , WOODARD, James, A., Jr. , YATES, David, C. , ZEINER, Mark, S. , ZWOLINSKI, Andrew, M.
IPC分类号： A61F2/04
CPC分类号： A61F5/0076 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F5/0079 , A61F2002/045
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, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.
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。在一个实施例中，可植入系统包括将治疗物质递送到患者的胃肠道内的目标位置的装置，以便开始肠促动作用，其将促进饱腹感，并刺激患者多余的体重减轻。

9. 发明申请

WO2011149882A3 SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION 审中-公开
公开(公告)号：WO2011149882A3
公开(公告)日：2011-12-01
申请号：PCT/US2011/037665
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., Jr. , 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, Suzanne , VOEGELE, James, W. , WEANER, Lauren, S. , 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., Jr. , 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, Suzanne , VOEGELE, James, W. , WEANER, Lauren, S. , WIDENHOUSE, Christopher, W. , WIDENHOUSE, Tamara, S., Vetro , YATES, David, C. , ZEINER, Mark, S.
IPC分类号： A61F5/00 , A61B17/29
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.

10. 发明申请

WO2011130047A1 ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH JAWS HAVING A PARALLEL CLOSURE MOTION 审中-公开
标题翻译：具有并行闭合运动的电机的电磁切割和密封仪器
公开(公告)号：WO2011130047A1
公开(公告)日：2011-10-20
申请号：PCT/US2011/031154
申请日：2011-04-05
申请人： ETHICON ENDO-SURGERY, INC. , JOHNSON, Gregory, W. , SWAYZE, Jeffrey, S. , HARRIS, Jason, L. , STULEN, Foster, B.
发明人： JOHNSON, Gregory, W. , SWAYZE, Jeffrey, S. , HARRIS, Jason, L. , STULEN, Foster, B.
IPC分类号： A61B17/28
CPC分类号： A61B17/3205 , A61B17/2804 , A61B18/1445 , A61B18/1447 , A61B18/1492 , A61B2017/2933 , A61B2018/1412 , A61B2018/145 , A61B2018/1455
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.
摘要翻译：各种实施例涉及包括轴和端部执行器的外科器械。轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。第一和第二钳口构件可以限定第一和第二纵向槽。往复运动构件可以在远侧和近侧平行于纵向轴线并且通过第一和第二纵向狭槽平移。往复运动构件的远侧部分可以限定一个叶片。末端执行器可以另外包括第一推杆构件，其具有可枢转地联接到第一钳口构件的远侧定向的端部，以及在第一枢转点可枢转地联接到所述轴的向近侧指向的端部以及具有远端指向的端部可枢转地联接到第一钳口构件和可枢转地联接到第二枢转点的近端指向的端部。以这种方式，往复构件的远端运动可以在第一和第二钳口构件上施加力，导致第一和第二钳口构件以基本上平行的运动彼此平移。

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