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1. 发明授权

US08784306B2 Remote tissue retraction device 有权
公开(公告)号：US08784306B2
公开(公告)日：2014-07-22
申请号：US11955079
申请日：2007-12-12
申请人： Alex T. Roth , Craig Gerbi , Andrew H. Hancock , Gary Weller , Christopher Julian , James Gannoe
发明人： Alex T. Roth , Craig Gerbi , Andrew H. Hancock , Gary Weller , Christopher Julian , James Gannoe
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/072 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00827 , A61B2017/07214 , A61B2017/306
摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

2. 发明授权

US08252009B2 Devices and methods for placement of partitions within a hollow body organ 有权
标题翻译：在空心体器官中放置隔板的装置和方法
公开(公告)号：US08252009B2
公开(公告)日：2012-08-28
申请号：US11324135
申请日：2005-12-29
申请人： Gary Weller , Alex T. Roth , Christopher Julian , James Gannoe , Andrew H. Hancock , Craig Gerbi , Crystine M. Lee
发明人： Gary Weller , Alex T. Roth , Christopher Julian , James Gannoe , Andrew H. Hancock , Craig Gerbi , Crystine M. Lee
IPC分类号： A61B17/08
CPC分类号： A61B17/072 , A61B17/0218 , A61B17/07207 , A61B17/105 , A61B17/29 , A61B17/3474 , A61B90/92 , A61B2017/00278 , A61B2017/003 , A61B2017/00557 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/306 , A61B2090/0811 , A61F5/0086
摘要： Devices and methods for tissue acquisition and fixation, or gastroplasty, are described. Generally, the devices of the system may be advanced in a minimally invasive manner within a patient's body to create one or more plications within the hollow body organ. A tissue treatment device attached to a distal end of a flexible elongated member and has a cartridge member opposite an anvil member. The cartridge member and the anvil member are movable between a closed position and an open position relative to one another, and the cartridge member is re-loadable with a removable staple cartridge to form multiple plications within the organ with the same tissue treatment device.
摘要翻译：描述用于组织采集和固定或胃成形术的装置和方法。通常，系统的装置可以在患者体内以微创方式前进，以在中空身体器官内产生一个或多个脓肿。附接到柔性细长构件的远端并且具有与砧构件相对的盒构件的组织处理装置。药筒构件和砧座构件可在相对于彼此的关闭位置和打开位置之间移动，并且药筒构件可再用可拆卸钉仓重新装载，以在具有相同组织处理装置的器官内形成多次发。。

3. 发明授权

US08083756B2 Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach 有权
标题翻译：用于将空间占用装置维持在胃内相对固定位置的方法和装置
公开(公告)号：US08083756B2
公开(公告)日：2011-12-27
申请号：US11656625
申请日：2007-01-23
申请人： James Gannoe , Craig Gerbi
发明人： James Gannoe , Craig Gerbi
IPC分类号： A61B17/08 , A61M29/00
CPC分类号： A61F5/0076 , A61B17/00234 , A61B17/0293 , A61B17/064 , A61B17/12 , A61B2017/0647 , A61B2017/22051 , A61F5/003 , A61F5/0036
摘要： Methods and devices for maintaining a space-occupying device in a fixed relationship relative to a patient's stomach by manipulation of the stomach. In one variation, two or more regions of the stomach wall are brought into approximation with one another and secured together in a manner that secures a space-occupying device within the stomach of the patient. In another variation, two or more regions of the stomach wall are wrapped around a space-occupying device to maintain the position of the space-occupying device relative to the stomach wall. In another variation, a system having a space-occupying member and a locking member capable holding the space-occupying member against the inner wall of the stomach are provided. In a further variation, a pouch is created within the stomach that receives and retains a space-occupying device.
摘要翻译：用于通过操纵胃维持空间占用装置相对于患者胃部处于固定关系的方法和装置。在一个变型中，胃壁的两个或更多个区域彼此近似并且以将患者的胃中的空间占据装置固定的方式固定在一起。在另一个变型中，胃壁的两个或更多个区域围绕空间占据装置缠绕，以维持空间占据装置相对于胃壁的位置。在另一个实施例中，提供一种具有空间占用构件和能够将空间占据构件保持抵靠胃内壁的锁定构件的系统。在进一步的变化中，在胃内产生接收并保持空间占据装置的小袋。

4. 发明授权

US07306614B2 Overtube apparatus for insertion into a body 有权
标题翻译：用于插入身体的Overtube装置
公开(公告)号：US07306614B2
公开(公告)日：2007-12-11
申请号：US11364036
申请日：2006-02-28
申请人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
发明人： Gary Weller , Craig Gerbi , James Gannoe , Mark E. Deem , Douglas S. Sutton , Hanson S. Gifford, III , Bernard H. Andreas , Ronald G. French
IPC分类号： A61B17/08
CPC分类号： A61F5/0083 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/1114 , A61B17/1155 , A61B17/12013 , A61B17/122 , A61B17/29 , A61B2017/00557 , A61B2017/00818 , A61B2017/0648 , A61B2017/0649 , A61B2017/081 , A61B2017/1139 , A61B2017/12018 , A61B2017/2926 , A61B2017/306 , A61B2090/395
摘要： An overtube apparatus for insertion into a body is described herein. The assembly includes an overtube having a lumen defined throughout. The distal end of the overtube member has two or more windows in apposition configured to draw in tissue via a vacuum. A drive tube, which also defines a lumen, is inserted and is freely adjustable within the overtube. A spiral or helical fastener, which is temporarily attached to the drive tube distal end, is positioned within the overtube lumen. Endoscopic devices can be inserted within the drive tube lumen and advanced past the distal ends of both the drive tube and overtube. A pump provides the vacuum to draw apposed regions of tissue from within a hollow body organ into the windows of the overtube. Once the tissue has been invaginated, the drive tube is rotated to advance the fastener into the tissue to fasten them together.
摘要翻译：这里描述了用于插入体内的超管设备。组件包括具有整个限定的内腔的外套管。外套管构件的远端具有两个或更多个窗口，其配置构造成经由真空抽吸在组织中。还限定了管腔的驱动管被插入并且在外套管内可自由地调节。临时连接到驱动管远端的螺旋或螺旋紧固件位于外套管腔内。内窥镜装置可以插入驱动管腔内并且推进经过驱动管和外套管的远端。泵提供真空以将中空身体器官内的组织区域从外套管的窗口中抽出。一旦已经中断组织，驱动管被旋转以将紧固件推进到组织中以将它们紧固在一起。

5. 发明申请

US20070027363A1 NERVE PROTECTION SYSTEM 审中-公开
标题翻译：神经保护系统
公开(公告)号：US20070027363A1
公开(公告)日：2007-02-01
申请号：US11460734
申请日：2006-07-28
申请人： James Gannoe , John Flynn
发明人： James Gannoe , John Flynn
IPC分类号： A61B1/32
CPC分类号： A61B17/025 , A61B2017/0262
摘要： The present invention relates to a device (and corresponding method) that protects (e.g., shields and/or retracts) exiting and/or descending nerve (e.g., nerve root). This may be carried out in a controlled, unobtrusive manner during, for example, Transforaminal Lumbar Interbody Fusion (“TLIF”), Posterior Lumbar Interbody Fusion (“PLIF”), or Minimally Invasive Surgery (“MIS”) spinal procedures. Further, the device may be form-fit to one or more particular ones of the following: nerve, pedicle, annulus, vertebral body, interbody device.
摘要翻译：本发明涉及一种保护（例如，屏蔽和/或缩回）离开和/或下降神经（例如神经根）的装置（和相应的方法）。这可以在例如经椎间孔腰椎间融合术（“TLIF”），后腰椎间融合术（“PLIF”）或微创外科（“MIS”）脊柱手术中以受控的，不显眼的方式进行。此外，该装置可以形成以下一个或多个特定的装置：神经，椎弓根，环带，椎体，体间装置。

6. 发明申请

US20060190019A1 Stented anchoring of gastric space-occupying devices 有权
公开(公告)号：US20060190019A1
公开(公告)日：2006-08-24
申请号：US11406914
申请日：2006-04-19
申请人： James Gannoe , Federico Gutierrez
发明人： James Gannoe , Federico Gutierrez
IPC分类号： A61B17/08
CPC分类号： A61F5/003 , A61F2/04 , A61F5/0036 , A61M25/04 , A61M25/10 , A61M2210/105 , A61M2210/1053
摘要： Gastric space occupying devices are provided that include a stent configured for deployment in the gastrointestinal tract of a patient, and in particular, for deployment in the esophagus or the stomach. Secured to the stent is an expandable member that is adapted to reside within the patient's stomach. When expanded, the expandable member occupies a predefined volume within the patient's stomach and is further tethered to the deployed stent, thereby retaining or anchoring the expandable member within the stomach. Methods and systems for the deploying the space occupying devices are also provided.

7. 发明申请

US20060142787A1 Overtube apparatus for insertion into a body 有权
公开(公告)号：US20060142787A1
公开(公告)日：2006-06-29
申请号：US11364036
申请日：2006-02-28
申请人： Gary Weller , Craig Gerbi , James Gannoe , Mark Deem , Douglas Sutton , Hanson Gifford , Bernard Andreas , Ronald French
发明人： Gary Weller , Craig Gerbi , James Gannoe , Mark Deem , Douglas Sutton , Hanson Gifford , Bernard Andreas , Ronald French
IPC分类号： A61B17/08
CPC分类号： A61F5/0083 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/1114 , A61B17/1155 , A61B17/12013 , A61B17/122 , A61B17/29 , A61B2017/00557 , A61B2017/00818 , A61B2017/0648 , A61B2017/0649 , A61B2017/081 , A61B2017/1139 , A61B2017/12018 , A61B2017/2926 , A61B2017/306 , A61B2090/395
摘要： An overtube apparatus for insertion into a body is described herein. The assembly includes an overtube having a lumen defined throughout. The distal end of the overtube member has two or more windows in apposition configured to draw in tissue via a vacuum. A drive tube, which also defines a lumen, is inserted and is freely adjustable within the overtube. A spiral or helical fastener, which is temporarily attached to the drive tube distal end, is positioned within the overtube lumen. Endoscopic devices can be inserted within the drive tube lumen and advanced past the distal ends of both the drive tube and overtube. A pump provides the vacuum to draw apposed regions of tissue from within a hollow body organ into the windows of the overtube. Once the tissue has been invaginated, the drive tube is rotated to advance the fastener into the tissue to fasten them together.

8. 发明申请

US20050096500A1 Apparatus and methods for cardiac surgery 审中-公开
标题翻译：心脏手术的装置和方法
公开(公告)号：US20050096500A1
公开(公告)日：2005-05-05
申请号：US11005420
申请日：2004-12-06
申请人： Timothy Dietz , Daniel Brounstein , Meir Moshe , James Gannoe
发明人： Timothy Dietz , Daniel Brounstein , Meir Moshe , James Gannoe
IPC分类号： A61B17/02 , A61B17/30 , A61F2/00
CPC分类号： A61B17/0206 , A61B2017/0243 , A61B2017/306
摘要： The invention provides a stabilizer having a suction foot to stabilize a patient's heart. One embodiment of the stabilizer has two suction feet, each having two chambers with different volumes. A shoulder having a suction manifold is formed with an inner surface of at least one chamber so as to enhance the preferential draw of medial tissue. The volumes of the chambers and the orifices and suction manifold are configured to produce vacuum independence between the chambers and between the suction feet.
摘要翻译：本发明提供了一种具有吸力足以稳定患者心脏的稳定器。稳定器的一个实施例具有两个吸力脚，每个具有不同体积的两个腔室。具有抽吸歧管的肩部形成有至少一个室的内表面，以便增强内侧组织的优先抽取。腔室和孔和吸入歧管的体积被构造成在腔室之间和吸力脚之间产生真空独立性。

9. 发明授权

US08801650B2 Method and device for use in endoscopic organ procedures 有权
标题翻译：用于内窥镜器官手术的方法和装置
公开(公告)号：US08801650B2
公开(公告)日：2014-08-12
申请号：US13399139
申请日：2012-02-17
申请人： James Gannoe , Craig Gerbi , Gary Weller , Matthew J. Collier
发明人： James Gannoe , Craig Gerbi , Gary Weller , Matthew J. Collier
IPC分类号： A61M5/00 , A61F2/04 , A61F5/00
CPC分类号： A61F5/0079 , A61B17/072 , A61B17/1114 , A61B17/1155 , A61B2017/00323 , A61B2017/07214 , A61B2017/2905 , A61B2017/306 , A61F5/0076 , A61F5/0086
摘要： Methods and devices for use in tissue approximation and fixation are described herein. The present invention provides, in part, methods and devices for acquiring tissue folds in a circumferential configuration within a hollow body organ, e.g., a stomach, positioning the tissue folds for affixing within a fixation zone of the stomach, preferably to create a pouch or partition below the esophagus, and fastening the tissue folds such that a tissue ring, or stomas, forms excluding the pouch from the greater stomach cavity. The present invention further provides for a liner or bypass conduit which is affixed at a proximal end either to the tissue ring or through some other fastening mechanism. The distal end of the conduit is left either unanchored or anchored within the intestinal tract. This bypass conduit also includes a fluid bypass conduit which allows the stomach and a portion of the intestinal tract to communicate.
摘要翻译：本文描述了用于组织近似和固定的方法和装置。本发明部分地提供了用于在中空身体器官（例如胃）内的周向构造中获取组织褶皱的方法和装置，将组织折叠部定位以固定在胃的固定区域内，优选地产生袋或分隔在食道下方，并且紧固组织折叠，使得组织环或气孔从较大的胃腔排出袋子。本发明还提供一种衬垫或旁路导管，其在近端固定到组织环或通过一些其它紧固机构。导管的远端在肠道内保持未锚定或锚定。该旁路导管还包括允许胃和肠道的一部分连通的流体旁路导管。

10. 发明授权

US08454503B2 Remote tissue retraction device 有权
公开(公告)号：US08454503B2
公开(公告)日：2013-06-04
申请号：US11282320
申请日：2005-11-17
申请人： Alex T. Roth , Craig Gerbi , Andrew H. Hancock , Gary Weller , Christopher Julian , James Gannoe
发明人： Alex T. Roth , Craig Gerbi , Andrew H. Hancock , Gary Weller , Christopher Julian , James Gannoe
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/072 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00827 , A61B2017/07214 , A61B2017/306
摘要： A medical device for managing tissue in an organ, such as the stomach, for retracting or positioning tissue and related organs to allow certain regions of the stomach to be acquired for a gastroplasty procedure. The medical device includes an elongated body having a proximal end and a distal end, and a tissue treatment device attached to the distal end of the elongated body. The tissue treatment device includes a first jaw opposite a second jaw, and each jaw is adapted to acquire tissue. A retractor is disposed along the tissue treatment device and adapted to be moveable from a delivery position to a retraction position to move or manage the tissue of the stomach. The medical device also includes a collapsible barrier disposed between the first and second jaws of the tissue treatment device to direct tissue into the first and second jaws separately.

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