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1. 发明授权

US08727964B2 Tissue interface for implantable restriction system 有权
标题翻译：用于可植入限制系统的组织界面
公开(公告)号：US08727964B2
公开(公告)日：2014-05-20
申请号：US12562279
申请日：2009-09-18
申请人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
发明人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
IPC分类号： A61F2/00 , A61F13/00
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0033 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要翻译：用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。细长构件具有可压缩的腹侧表面和基本刚性的背侧周边，其中细长构件包括沿腹侧面定位的流体囊。紧固件设置在细长构件的第一端上。紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。张力元件设置成在细长构件内移动。驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。还公开了替代实施例。

2. 发明申请

US20130253499A1 METHOD AND APPARATUS FOR PROGRAMMING MODULAR SURGICAL INSTRUMENT 有权
标题翻译：用于编程模块化外科仪器的方法和装置
公开(公告)号：US20130253499A1
公开(公告)日：2013-09-26
申请号：US13426760
申请日：2012-03-22
申请人： Cory G. Kimball , Daniel W. Price , William E. Clem , William D. Dannaher , Amy L. Marcotte , Timothy G. Dietz , Donna L. Korvick , Ashvani K. Madan
发明人： Cory G. Kimball , Daniel W. Price , William E. Clem , William D. Dannaher , Amy L. Marcotte , Timothy G. Dietz , Donna L. Korvick , Ashvani K. Madan
IPC分类号： A61B18/18 , B32B38/14 , A61B17/00
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1442 , A61B90/90 , A61B90/98 , A61B2017/00221 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931 , A61B2018/00642 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875
摘要： A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. A cartridge positionable between the instrument and a generator includes information regarding operating parameters unique to the selectively coupleable end effector assembly and/or the desired surgical procedure, such as information regarding setting a maximum current set point within an ultrasonic transducer. The instrument is programmable with operating parameter information while within a sealed and sterilized packaging unit.
摘要翻译：可操作以切断组织的外科器械包括主体组件和可选择性地连接的端部执行器组件。末端执行器组件可以包括传动组件和末端执行器。主体组件包括触发器和壳体，其具有构造成容纳端部执行器组件的一部分的远端开口。第一和第二联接机构部分将端部执行器组件协作地联接到主体组件以供使用。可定位在仪器和发生器之间的盒包括关于可选择性耦合的末端执行器组件和/或所需手术过程独特的操作参数的信息，例如关于在超声换能器内设置最大电流设定点的信息。仪器可以在密封和灭菌的包装单元内进行操作参数信息的编程。

3. 发明申请

US20130253480A1 SURGICAL INSTRUMENT USAGE DATA MANAGEMENT 审中-公开
公开(公告)号：US20130253480A1
公开(公告)日：2013-09-26
申请号：US13426792
申请日：2012-03-22
申请人： Cory G. Kimball , Daniel W. Price , William E. Clem , Amy L. Marcotte , Danius P. Silkaitis , John B. Schulte , Michael R. Lamping , Stephen J. Balek
发明人： Cory G. Kimball , Daniel W. Price , William E. Clem , Amy L. Marcotte , Danius P. Silkaitis , John B. Schulte , Michael R. Lamping , Stephen J. Balek
IPC分类号： A61B17/00
CPC分类号： H04L67/32 , A61B17/28 , A61B18/1445 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00026 , A61B2017/00221 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/00725 , A61B2017/2931 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2018/0063 , A61B2018/00988 , A61B2090/0803 , A61B2090/0804 , A61B2090/0807 , G06F19/3481 , G06Q20/085
摘要： A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the instrument. The instrument may be previously tested on a calibration kit to pre-determine and load surgeon-specific settings onto the instrument prior to use.

4. 发明授权

US08192350B2 Methods and devices for measuring impedance in a gastric restriction system 有权
标题翻译：用于测量胃限制系统阻抗的方法和装置
公开(公告)号：US08192350B2
公开(公告)日：2012-06-05
申请号：US12020867
申请日：2008-01-28
申请人： Mark S. Ortiz , Daniel F. Dlugos, Jr. , Amy L. Marcotte , David N. Plescia , David C. Yates
发明人： Mark S. Ortiz , Daniel F. Dlugos, Jr. , Amy L. Marcotte , David N. Plescia , David C. Yates
IPC分类号： A61F2/00 , A61F2/48
CPC分类号： A61F5/005 , A61B5/0031 , A61B5/0535 , A61B5/076 , A61B5/107 , A61B5/1076 , A61B5/4238 , A61B5/6846 , A61B2562/164 , A61F2005/0016 , G06F19/00
摘要： Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration.
摘要翻译：提供了用于收集与可植入限制装置相关的阻抗数据的方法和装置。一般而言，方法和装置可使患者，医疗保健提供者和其他人能使用收集的数据作为反馈机制来非侵入性地监测可植入的限制装置在患者体内的功效，并且识别，修改和/或开出考虑收集的数据的患者的治疗计划。阻抗数据可以收集和分析靠近限制装置的组织，例如胃带和患者胃之间的脂肪垫。与组织接触的电极可以测量组织的阻抗，随着组织尺寸的减小（例如，随着脂肪细胞收缩）和/或改变构型，电极之间的阻抗变化。

5. 发明申请

US20120123342A1 IMPLANTABLE INJECTION PORT WITH TISSUE IN-GROWTH PROMOTER 有权
标题翻译：可注射注射口与组织生长促进剂
公开(公告)号：US20120123342A1
公开(公告)日：2012-05-17
申请号：US12946913
申请日：2010-11-16
申请人： James C. Andrews , Amy L. Marcotte , Sarah A. Noschang , Eric W. Thompson , Scott A. Woodruff , Michael J. Vendely
发明人： James C. Andrews , Amy L. Marcotte , Sarah A. Noschang , Eric W. Thompson , Scott A. Woodruff , Michael J. Vendely
IPC分类号： A61M5/32
CPC分类号： A61M39/0208 , A61M5/14276
摘要： A surgically implantable injection port has one or more tissue in-growth promoting surfaces. The injection port includes a housing, a fluid reservoir defined in part by the housing, a needle penetrable septum, and a tissue in-growth promoting surface integrally provided on an exterior surface of the port. The tissue in-growth promoting surface may be provided by surgical mesh or a textured surface on the injection port. The injection port may be used as part of a gastric band system or some other type of system.
摘要翻译：手术可植入的注射口具有一个或多个组织生长促进表面。注射口包括壳体，由壳体部分限定的流体储存器，可穿透针的隔膜以及一体地设置在口部的外表面上的组织生长促进表面。组织生长促进表面可以通过外科手术网或注射口上的纹理表面来提供。注射口可以用作胃束带系统或一些其他类型的系统的一部分。

6. 发明授权

US08152710B2 Physiological parameter analysis for an implantable restriction device and a data logger 有权
标题翻译：可植入限制装置和数据记录器的生理参数分析
公开(公告)号：US08152710B2
公开(公告)日：2012-04-10
申请号：US12039014
申请日：2008-02-28
申请人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
发明人： Daniel F. Dlugos, Jr. , Peter Brockmeier , Matthew A Berger , Randal T. Byrum , Kevin R. Doll , Gaspar M. Gayoso , Dustin R. Jensen , David T. Krumanaker , Amy L. Marcotte , Mark S. Ortiz , David N. Plescia , David C. Yates
IPC分类号： A61B5/00
CPC分类号： A61F5/0056 , A61B5/0008 , A61B5/03 , A61B5/076 , A61B5/4205 , A61B5/743 , A61B5/7435 , A61B2560/0252 , A61B2560/0257 , A61F5/0059 , G06F19/00
摘要： An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.
摘要翻译：可植入式限制装置可被配置成在患者体内提供限制，例如作为流体压力的函数。可植入限制装置可以包括一个或多个传感器，其构造成感测各种参数，例如可植入限制装置内的流体的压力，脉冲宽度，脉冲幅度，脉冲计数，脉冲持续时间或频率，电特性或其他参数。可以使用遥测线圈或其他通信器将由一个或多个传感器获得的数据（例如，表示压力，脉冲特性等的数据）传送到位于病人外部的设备，例如数据记录器。数据记录器可以存储数据，并且可以经由诸如因特网的网络将数据传送到远程位置。可以提供对接站以将数据记录器耦合到网络和/或对数据记录器中的单元进行再充电。记录的数据可以使用各种技术来分析和/或显示，以评估和/或跟踪限制装置或患者的状况，以监测患者生理学或其他目的。

7. 发明申请

US20090204179A1 POWERING IMPLANTABLE RESTRICTION SYSTEMS USING TEMPERATURE 审中-公开
标题翻译：用温度驱动可植入的限制系统
公开(公告)号：US20090204179A1
公开(公告)日：2009-08-13
申请号：US12027817
申请日：2008-02-07
申请人： Daniel F. Dlugos, JR. , Mark S. Ortiz , Amy L. Marcotte , Kevin R. Doll , David N. Plescia , Michael J. Stokes
发明人： Daniel F. Dlugos, JR. , Mark S. Ortiz , Amy L. Marcotte , Kevin R. Doll , David N. Plescia , Michael J. Stokes
IPC分类号： A61N1/02 , A61M29/00
CPC分类号： A61F5/0059
摘要： Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway.
摘要翻译：提供各种供电设备用于将许多来源的能量传递和/或产生到植入患者体内的连通构件。传递到通信构件或由通信构件产生的能量可以用于为配置成在路径中形成限制的可植入限制系统提供电力。

8. 发明申请

US20090192404A1 METHODS AND DEVICES FOR MEASURING IMPEDANCE IN A GASTRIC RESTRICTION SYSTEM 有权
标题翻译：用于测量气体限制系统阻力的方法和装置
公开(公告)号：US20090192404A1
公开(公告)日：2009-07-30
申请号：US12020867
申请日：2008-01-28
申请人： Mark S. Ortiz , Daniel F. Dlugos, JR. , Amy L. Marcotte , David N. Plescia , David C. Yates
发明人： Mark S. Ortiz , Daniel F. Dlugos, JR. , Amy L. Marcotte , David N. Plescia , David C. Yates
IPC分类号： A61B5/053
CPC分类号： A61F5/005 , A61B5/0031 , A61B5/0535 , A61B5/076 , A61B5/107 , A61B5/1076 , A61B5/4238 , A61B5/6846 , A61B2562/164 , A61F2005/0016 , G06F19/00
摘要： Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration.
摘要翻译：提供了用于收集与可植入限制装置相关的阻抗数据的方法和装置。一般而言，方法和装置可使患者，医疗保健提供者和其他人能使用收集的数据作为反馈机制来非侵入性地监测可植入的限制装置在患者体内的功效，并且识别，修改和/或开出考虑收集的数据的患者的治疗计划。阻抗数据可以收集和分析靠近限制装置的组织，例如胃带和患者胃之间的脂肪垫。与组织接触的电极可以测量组织的阻抗，随着组织尺寸的减小（例如，随着脂肪细胞收缩）和/或改变构型，电极之间的阻抗变化。

9. 发明授权

US09022923B2 Implantable injection port with tissue in-growth promoter 有权
标题翻译：具有组织生长促进剂的可植入注射口
公开(公告)号：US09022923B2
公开(公告)日：2015-05-05
申请号：US12946913
申请日：2010-11-16
申请人： James C. Andrews , Amy L. Marcotte , Sarah A. Noschang , Eric W. Thompson , Scott A. Woodruff , Michael J. Vendely
发明人： James C. Andrews , Amy L. Marcotte , Sarah A. Noschang , Eric W. Thompson , Scott A. Woodruff , Michael J. Vendely
IPC分类号： A61F2/00 , A61F13/00 , A61M39/02 , A61M5/142
CPC分类号： A61M39/0208 , A61M5/14276
摘要： A surgically implantable injection port has one or more tissue in-growth promoting surfaces. The injection port includes a housing, a fluid reservoir defined in part by the housing, a needle penetrable septum, and a tissue in-growth promoting surface integrally provided on an exterior surface of the port. The tissue in-growth promoting surface may be provided by surgical mesh or a textured surface on the injection port. The injection port may be used as part of a gastric band system or some other type of system.
摘要翻译：手术可植入的注射口具有一个或多个组织生长促进表面。注射口包括壳体，由壳体部分限定的流体储存器，可穿透针的隔膜以及一体地设置在口部的外表面上的组织生长促进表面。组织生长促进表面可以通过外科手术网或注射口上的纹理表面来提供。注射口可以用作胃束带系统或一些其他类型的系统的一部分。

10. 发明授权

US08852118B2 Telemetry device with software user input features 有权
标题翻译：遥测装置具有软件用户输入功能
公开(公告)号：US08852118B2
公开(公告)日：2014-10-07
申请号：US12685004
申请日：2010-01-11
申请人： Scott A. Woodruff , Amy L. Marcotte
发明人： Scott A. Woodruff , Amy L. Marcotte
IPC分类号： A61B5/00 , A61F2/02 , A61F13/00 , A61F2/00 , A61F5/00
CPC分类号： A61F5/0059 , A61F5/0056
摘要： An implantable restriction device is configured to provide a restriction in a patient. A pressure sensor implanted in the patient is configured to sense pressure associated with the restriction device. A remote input device is configured to wirelessly receive pressure measurements from the pressure sensor and transmit the pressure measurements to a display device. The display device is configured to plot the pressure measurements as a function of time. The remote input device also includes buttons that may be used to annotate the pressure measurements, such as to indicate physical events associated with the patient (e.g., coughing, sneezing, etc.). The display device is also configured to display the annotations on or near the plot of pressure measurements. A viewer may thus take the annotations into account when evaluating the pressure measurements, such as by ignoring pressure measurements associated with certain types of annotations.
摘要翻译：可植入限制装置被配置为在患者体内提供限制。植入患者体内的压力传感器构造成感测与限制装置相关联的压力。远程输入设备被配置为从压力传感器无线地接收压力测量并将压力测量值传送到显示设备。显示装置被配置为绘制作为时间的函数的压力测量值。远程输入设备还包括可用于注释压力测量的按钮，例如指示与患者相关联的身体事件（例如咳嗽，打喷嚏等）。显示设备还被配置为在压力测量图上或附近显示注释。因此，在评估压力测量时，诸如通过忽略与某些类型的注释相关联的压力测量，观察者可以考虑注释。

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