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公开(公告)号：US07736373B2
公开(公告)日：2010-06-15
申请号：US10819995
申请日：2004-04-08
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
摘要翻译： 提供了用于使用完全内窥镜方法重新配置中空体器官内的组织的方法和装置，以有效地减少流体内容物流入与第一中空体器官流体连通的第二空心体器官。
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公开(公告)号：US06773441B1
公开(公告)日：2004-08-10
申请号：US09654655
申请日：2000-09-05
IPC分类号： A61B1708
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
摘要翻译： 提供了用于使用完全内窥镜方法重新配置中空体器官内的组织的方法和装置，以有效地减少流体内容物流入与第一中空体器官流体连通的第二空心体器官。
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公开(公告)号：US07896893B2
公开(公告)日：2011-03-01
申请号：US10820127
申请日：2004-04-08
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
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公开(公告)号：US07153314B2
公开(公告)日：2006-12-26
申请号：US10219258
申请日：2002-08-16
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B2017/00296 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/061 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61B2017/2932 , A61B2017/308 , A61B2090/065 , A61M25/0147
摘要： An apparatus includes an elongated member configured for transoral placement into a stomach, and a distal end effector including first and second members configured to engage stomach tissue, e.g., tissue beyond the esophageal junction. The first and second members are movable relatively toward one another generally in a first plane, and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue. The third member is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby. The tissue securement member includes first and second parts, a suture attached to the first part, and a securing element attached to the suture and configured for engagement with the second part when the first and second members move relatively toward one another to engage tissue, to thereby secure the second part to the first part.
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公开(公告)号：US06494888B1
公开(公告)日：2002-12-17
申请号：US09574424
申请日：2000-05-19
IPC分类号： A61B1708
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B2017/00296 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/061 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61B2017/2932 , A61B2017/308 , A61B2090/065 , A61M25/0147
摘要： An apparatus includes an elongated member configured for transoral placement into a stomach, and a distal end effector including first and second members configured to engage stomach tissue, e.g., tissue beyond the: esophageal junction. The first and second members are movable relatively toward one another generally in a first plane, and the distal end effector is movable relative to the elongated member in a second plane generally transverse to the first plane. A third member of the distal end effector is configured to engage stomach tissue. The third member is movable in a distal direction relative to the first and second members. A tissue securement member of the apparatus is coupled to at least one of the first and second members for securing together tissue engaged thereby. The tissue securement member includes first and second parts, a suture attached to the first part, and a securing element attached to the suture and configured for engagement with the second part when the first and second members move relatively toward one another to engage tissue, to thereby secure the second part to the first part.
摘要翻译： 一种装置包括构造成用于经腹放置到胃中的细长构件，以及远端执行器，其包括构造成接合胃组织（例如超过食管结的组织）的第一和第二构件。 第一和第二构件通常在第一平面中可相对于彼此移动，并且远端执行器可在大致横向于第一平面的第二平面中相对于细长构件移动。 远端执行器的第三构件构造成接合胃组织。 第三构件可相对于第一构件和第二构件在远侧方向上移动。 该装置的组织固定构件联接到第一和第二构件中的至少一个，用于将由此组合的组织固定在一起。 组织固定构件包括第一和第二部分，附接到第一部分的缝合线和附接到缝合线的固定元件，并且被配置为当第一和第二构件相对于彼此移动以接合组织时与第二部分接合， 从而将第二部分固定到第一部分。
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公开(公告)号：US08277468B2
公开(公告)日：2012-10-02
申请号：US12953625
申请日：2010-11-24
申请人： Michael D. Laufer , Jeffrey C. Cerier , Amos G. Cruz , Jonathan O'Keefe , Richard Andrews , Ram Chuttani , Vincent A. Piucci, Jr. , Michael Barenboym , Neal H. Marshall , Randal B. Chinnock
发明人： Michael D. Laufer , Jeffrey C. Cerier , Amos G. Cruz , Jonathan O'Keefe , Richard Andrews , Ram Chuttani , Vincent A. Piucci, Jr. , Michael Barenboym , Neal H. Marshall , Randal B. Chinnock
IPC分类号： A61B17/08
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/068 , A61B17/1285 , A61B17/29 , A61B2017/00296 , A61B2017/00314 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/061 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61B2017/2932 , A61B2017/308 , A61B2090/065 , A61M25/0147
摘要： A medical instrument for engaging tissue includes a flexible shaft, a tissue piercing coil at a distal portion of the shaft, and a tissue stabilizer positioned over the shaft and biased in a distal direction such that as the tissue piercing coil enters tissue, the tissue stabilizer is urged against a surface of the tissue. A medical instrument for reconfiguring tissue includes a flexible shaft defining a lumen housing actuating controls, and a distal actuating assembly with a sealing portion configured to substantially seal the shaft lumen from contact with bodily fluids. A cartridge assembly includes first and second members configured for releasable attachment to a medical instrument, and a holder configured to receive the first and second members and to be released from the first and second members upon action of the first and second members attaching to the medical instrument.
摘要翻译： 用于接合组织的医疗器械包括柔性轴，在轴的远端部分处的组织穿刺线圈和定位在轴上并且在远侧方向偏置的组织稳定器，使得当组织穿刺线圈进入组织时，组织稳定器 被推靠在组织的表面上。 用于重构组织的医疗器械包括限定腔室壳体致动控制器的柔性轴和具有密封部分的远端致动组件，所述密封部分构造成基本上密封轴腔与身体液体的接触。 盒组件包括构造成用于可释放地附接到医疗器械的第一和第二构件，以及保持器，构造成容纳第一和第二构件并且在第一和第二构件附接到医疗装置的作用下从第一构件和第二构件释放 仪器。
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公开(公告)号：US08057494B2
公开(公告)日：2011-11-15
申请号：US12406484
申请日：2009-03-18
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
摘要翻译： 提供了用于使用完全内窥镜方法重新配置中空体器官内的组织的方法和装置，以有效地减少流体内容物流入与第一中空体器官流体连通的第二空心体器官。
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公开(公告)号：US20090198254A1
公开(公告)日：2009-08-06
申请号：US12406484
申请日：2009-03-18
IPC分类号： A61B17/068 , A61B17/115
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
摘要翻译： 提供了用于使用完全内窥镜方法重新配置中空体器官内的组织的方法和装置，以有效地减少流体内容物流入与第一中空体器官流体连通的第二空心体器官。
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公开(公告)号：US06663639B1
公开(公告)日：2003-12-16
申请号：US09520273
申请日：2000-03-07
IPC分类号： A61B1704
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/1285 , A61B17/29 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0647 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61M25/0133
摘要： Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
摘要翻译： 提供了用于使用完全内窥镜方法重新配置中空体器官内的组织的方法和装置，以有效地减少流体内容物流入与第一中空体器官流体连通的第二空心体器官。
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公开(公告)号：US08287554B2
公开(公告)日：2012-10-16
申请号：US10438346
申请日：2003-05-15
申请人： Jeffrey C. Cerier , Amos G. Cruz , Jonathan O'Keefe , Cheryne Ray , Joseph M. Gordon , David Robson , Daniel Nelsen , Aidan Petrie
发明人： Jeffrey C. Cerier , Amos G. Cruz , Jonathan O'Keefe , Cheryne Ray , Joseph M. Gordon , David Robson , Daniel Nelsen , Aidan Petrie
IPC分类号： A61B17/10
CPC分类号： A61B17/00234 , A61B17/0057 , A61B17/0401 , A61B17/0467 , A61B17/0482 , A61B17/0485 , A61B17/0643 , A61B17/068 , A61B17/1285 , A61B17/285 , A61B17/29 , A61B2017/00323 , A61B2017/00349 , A61B2017/00557 , A61B2017/00827 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0441 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/061 , A61B2017/0649 , A61B2017/2905 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/2927 , A61B2017/3488 , A61M25/0147
摘要： An instrument for reconfiguring stomach tissue includes a sealing member that seals a section of a tissue manipulator from contact with bodily fluids. The tissue manipulator includes a first portion that is configured for releasable coupling to an actuating member and a second portion configured to receive an implant to be deployed within the patient. The tissue manipulator also includes a rectangular member and a cavity for receiving a coupler of the actuating member. The tissue manipulator has a first member with tissue penetrating elements and a second member with engaging elements configured to deflect the tissue penetrating elements upon relative movement of the first and second members. The actuating member includes a tissue penetrating element support positioned to limit bending of the tissue manipulator. The instrument includes an actuating mechanism that is configured to move at least one of the first and second members of the tissue manipulator.
摘要翻译： 用于重构胃组织的仪器包括密封组件，其密封组织操纵器的一部分与体液接触。 组织操纵器包括构造成用于可释放地联接到致动构件的第一部分和被配置为接收待部署在患者体内的植入物的第二部分。 组织机械手还包括矩形构件和用于接收致动构件的联接器的空腔。 组织操纵器具有带有组织穿透元件的第一构件和具有接合元件的第二构件，其配置成在第一和第二构件的相对运动时偏转组织穿透元件。 致动构件包括组织穿透元件支撑件，其定位成限制组织操纵器的弯曲。 该仪器包括致动机构，其构造成移动组织操纵器的第一和第二构件中的至少一个。
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