[특허]Endoscopic plication devices and methods

[미국특허] Endoscopic plication devices and methods 원문보기

IPC분류정보
국가/구분	United States(US) Patent 등록
국제특허분류(IPC7판)	A61B-017/08 A61B-017/068 A61B-017/072 A61B-017/115 A61B-017/128 A61B-017/02 A61B-017/00 A61B-017/30
출원번호	US-0542457 (2006-10-03)
등록번호	US-9055942 (2015-06-16)
발명자 / 주소	Balbierz, Daniel J. Cole, Dave Crews, Samuel T. Swope, Brett Smith, Andrew Lunsford, John Sander, Fiona
출원인 / 주소	Boston Scienctific Scimed, Inc.
대리인 / 주소	Bookoff McAndrews, PLLC
인용정보	피인용 횟수 : 47 인용 특허 : 167

초록 ▼

Endoscopic plicators are passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. The tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparscopic intervention. After one or more plications is formed, medical devices may be coupled to the plication(s) for retention within the stomach.

대표청구항 ▼

1. An endoscopic stapler for fastening tissue, comprising: a fastening head including: (i) a first portion including a staple cartridge with one or more staples therein;(ii) a second portion including an anvil;(iii) at least one hinge member connecting the first portion and the second portion for movement toward and away from one another along an axis extending through the first portion and the second portion, wherein each hinge member of said at least one hinge member includes first and second sections that are mounted on said first and second portions, respectively; and(iv) a flexible membrane extending between the first portion and the second portion to define a tissue capture region therebetween, wherein the at least one hinge member is configured such that movement of the first portion and the second portion toward one another to staple tissue positioned in the tissue capture region corresponds to movement of the first and second sections of each hinge member outwardly away from said axis to enlarge the tissue capture region in a direction orthogonal to said axis. 2. The stapler of claim 1, wherein the at least one hinge member includes three hinge members connecting the first and second portions. 3. The stapler of claim 1, wherein the flexible membrane extends over the at least one hinge member, said flexible membrane including an opening through which tissue can be drawn into the tissue capture region when a vacuum is applied. 4. The stapler of claim 1, for use in fastening a tissue fold to make a tissue plication, wherein tissue in the tissue capture region forms a tissue fold. 5. The stapler of claim 1, wherein the staple cartridge includes an annular array of staples. 6. The stapler of claim 1, wherein the first section and the second section of each hinge member are connected together by a hinge. 7. The stapler of claim 1, for use in fastening tissue within a body cavity of organ, the stapler further including an elongate shaft having proximal and distal ends, where the fastening head is attached to the distal end of the shaft with a long axis of the shaft aligned with the axis of movement of the two portions of the fastening head. 8. The stapler of claim 1, wherein the first section of each hinge member is pivotably coupled to the first portion of the fastening head and the second section of each hinge member is pivotably coupled to the second portion of the fastening head. 9. The stapler of claim 1, wherein the first portion of the fastening head includes a needle, and the second portion of the fastening head includes a catch for engaging a portion of the needle. 10. The stapler of claim 1, further comprising a reinforcing element positioned between the first and second portions such that the reinforcing element is adapted to be secured to the stapled tissue. 11. The stapler of claim 10, wherein the reinforcing element is positioned in proximity to the anvil such that a staple passing through the tissue into contact with the anvil will fold around the reinforcing element to secure the reinforcing element to the stapled tissue. 12. The stapler of claim 1, further including a piercing element extendable through tissue in the tissue capture region to form a hole in tissue layers stapled together by the fastening head. 13. The stapler of claim 12, wherein the piercing element is positioned to form a hole bounded by staples delivered by the fastening head. 14. The stapler of claim 1, further comprising a piston assembly coupled to the staple cartridge for advancing the at least one staple from the cartridge. 15. The stapler of claim 14, wherein the piston assembly comprises at least one hydraulic chamber. 16. The stapler of claim 1, wherein the flexible membrane is radially outside of the at least one hinge member. 17. The stapler of claim 1, wherein the at least one hinge member includes a first material, and the flexible membrane includes a second material different than the first material.

이 특허에 인용된 특허 (167) 인용/피인용 타임라인 분석

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IPC	Description
A	생활필수품
A62	인명구조; 소방(사다리 E06C)
A62B	인명구조용의 기구, 장치 또는 방법(특히 의료용에 사용되는 밸브 A61M 39/00; 특히 물에서 쓰이는 인명구조 장치 또는 방법 B63C 9/00; 잠수장비 B63C 11/00; 특히 항공기에 쓰는 것, 예. 낙하산, 투출좌석 B64D; 특히 광산에서 쓰이는 구조장치 E21F 11/00)
A62B-1/08	.. 윈치 또는 풀리에 제동기구가 있는 것

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구성항목	기본정보 상세정보 관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표IPC 관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 공고번호, 공고일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표출원인, 출원인국적, 출원인주소, 발명자, 발명자E, 발명자코드, 발명자주소, 발명자 우편번호, 발명자국적, 대표IPC, IPC코드, 요약, 미국특허분류, 대리인주소, 대리인코드, 대리인(한글), 대리인(영문), 국제공개일자, 국제공개번호, 국제출원일자, 국제출원번호, 우선권, 우선권주장일, 우선권국가, 우선권출원번호, 원출원일자, 원출원번호, 지정국, Citing Patents, Cited Patents
저장형식	Text(ASCII format) Excel format PIAS분석(.xls)
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

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[미국특허] Endoscopic plication devices and methods 원문보기

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이 특허에 인용된 특허 (167) 인용/피인용 타임라인 분석

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