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公开(公告)号:US10292703B2
公开(公告)日:2019-05-21
申请号:US14880537
申请日:2015-10-12
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC: A61B17/072 , A61B17/068 , A61B90/00 , A61B17/00 , A61B17/30 , A61B17/29
Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
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公开(公告)号:US11337838B2
公开(公告)日:2022-05-24
申请号:US16227408
申请日:2018-12-20
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Jason L. Harris , Mark S. Zeiner , Adam R. Dunki-Jacobs , Justin W. Sherrill
IPC: A61F5/00
Abstract: An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.
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公开(公告)号:US20150196293A1
公开(公告)日:2015-07-16
申请号:US14671357
申请日:2015-03-27
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Jason L. Harris , Kevin D. Felder , Justin W. Sherrill
IPC: A61B17/04
CPC classification number: A61B17/0401 , A61B17/0487 , A61B17/29 , A61B2017/00349 , A61B2017/00818 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/2905 , A61B2017/2927
Abstract: Devices and methods for forming and securing a tissue plication are disclosed herein. In one aspect, a tissue manipulation device is described that includes a first jaw member pivotally coupled to a distal end of an elongate shaft and having an articulating portion located distal to the proximal end of the first jaw member. The device also includes a second jaw member pivotally coupled to the first jaw member such that the jaws move in a first plane, and a fastener delivery member attached to the second jaw member. The articulating portion of the first jaw member is configured to move the first and second jaw members between a straight configuration in which a longitudinal axis of the elongate shaft is contained within the first plane and an articulated configuration in which the longitudinal axis of the elongate shaft is transverse to the first plane.
Abstract translation: 本文公开了用于形成和固定组织褶皱的装置和方法。 在一个方面,描述了一种组织操纵装置,其包括枢转地联接到细长轴的远端并且具有位于第一钳口构件的近端远端的铰接部分的第一钳口构件。 该装置还包括枢转地联接到第一钳口构件的第二钳口构件,使得钳口在第一平面中移动,以及附接到第二钳口构件的紧固件输送构件。 第一钳口构件的铰接部分构造成使第一和第二钳口构件在其中细长轴的纵向轴线被容纳在第一平面内的直线构型和铰接构型之间移动,其中细长轴的纵向轴线 横向于第一平面。
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公开(公告)号:US20150065939A1
公开(公告)日:2015-03-05
申请号:US14011987
申请日:2013-08-28
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Jason L. Harris , Mark S. Zeiner , Adam R. Dunki-Jacobs , Justin W. Sherrill
IPC: A61F5/00
CPC classification number: A61F5/0076 , A61F5/0079 , A61F5/0089
Abstract: An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.
Abstract translation: 一种装置包括套筒,密封件和锚固组件。 套管是柔性的且不可渗透的并且被配置成适合于十二指肠。 密封件定位在套筒的近端处,并且构造成将套筒的近端密封抵靠胃粘膜,幽门或十二指肠粘膜。 锚固组件包括一对无创伤的锚固端部和位于锚定端之间的弹性构件。 弹性构件的至少一部分沿着套筒的长度的至少一部分延伸。 弹性构件构造成将锚固端部大致朝向彼此偏压,从而基本上将套管锚定在十二指肠中。 套筒构造成防止食糜接触十二指肠粘膜; 并防止在十二指肠中排泄的酶与十二指肠中的食糜混合。
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公开(公告)号:US20200289113A1
公开(公告)日:2020-09-17
申请号:US16885671
申请日:2020-05-28
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC: A61B17/072 , A61B90/00 , A61B17/068
Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an anterior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
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公开(公告)号:US10201446B2
公开(公告)日:2019-02-12
申请号:US15006194
申请日:2016-01-26
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Jason L. Harris , Mark S. Zeiner , Adam R. Dunki-Jacobs , Justin W. Sherrill
IPC: A61F5/00
Abstract: An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.
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公开(公告)号:US10687808B2
公开(公告)日:2020-06-23
申请号:US16377533
申请日:2019-04-08
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC: A61B17/072 , A61B90/00 , A61B17/068 , A61B17/00 , A61B17/30 , A61B17/29
Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
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公开(公告)号:US20190239876A1
公开(公告)日:2019-08-08
申请号:US16377533
申请日:2019-04-08
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC: A61B17/072 , A61B90/00 , A61B17/068
CPC classification number: A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B90/361 , A61B2017/00323 , A61B2017/00349 , A61B2017/00561 , A61B2017/00685 , A61B2017/00818 , A61B2017/07214 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2947 , A61B2017/306
Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
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公开(公告)号:US20160135977A1
公开(公告)日:2016-05-19
申请号:US15006194
申请日:2016-01-26
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Jason L. Harris , Mark S. Zeiner , Adam R. Dunki-Jacobs , Justin W. Sherrill
IPC: A61F5/00
CPC classification number: A61F5/0076 , A61F5/0079 , A61F5/0089
Abstract: An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.
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公开(公告)号:US20160100836A1
公开(公告)日:2016-04-14
申请号:US14880537
申请日:2015-10-12
Applicant: Ethicon Endo-Surgery, Inc.
Inventor: Kevin D. Felder , Lawrence Crainich , Justin W. Sherrill , Jason L. Harris , Mark S. Zeiner
IPC: A61B17/072 , A61B17/068
CPC classification number: A61B17/072 , A61B17/00234 , A61B17/068 , A61B17/07207 , A61B90/361 , A61B2017/00323 , A61B2017/00349 , A61B2017/00561 , A61B2017/00685 , A61B2017/00818 , A61B2017/2902 , A61B2017/2927 , A61B2017/2929 , A61B2017/2947 , A61B2017/306
Abstract: Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
Abstract translation: 提供了用于形成和固定组织浸液的装置和方法。 更具体地,本发明的装置和方法可用于在胃腔的前壁和后壁上产生多个组织折叠以减小其体积。 一方面,公开了一种胃容量减小的方法,其包括将组织采集和固定装置内窥镜地进入胃中,操纵装置以在胃的前壁的内表面上形成组织的第一折叠,并且操纵 所述装置在胃的后壁的内表面上形成组织的第二折叠,其中第二折叠未附接到第一折叠。
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