Methods are provided for biliary diversion. In one embodiment, a tubular member can be implanted within a patient by positioning a proximal end of the tubular member in the patient's gall bladder, positioning a distal end of the tubular member in the patient's intestine, and positioning a length of the tubular member extending between the proximal and ends thereof within the patient's stomach. Bile can therefore be allowed to pass from the gall bladder into the tubular member's proximal end, flow through the tubular member, and exit through the tubular member's distal end to enter the patient's gastrointestinal tract at the intestine.
Cable Actuated End-Effector For A Surgical Instrument
Richard W. Timm - Cincinnati OH, US Suzanne E. Thompson - West Chester OH, US John V. Hunt - Cincinnati OH, US Gavin M. Monson - Oxford OH, US Omar J. Vakharia - Cincinnati OH, US Robert J. Laird - Morrow OH, US
Assignee:
Ethicon Endo-Surgery, Inc. - Cincinnati OH
International Classification:
A61B 17/00 A61B 18/12
US Classification:
606205, 606 45, 606 51, 606207
Abstract:
Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.
Surgical Cutting And Sealing Instrument With Reduced Firing Force
John V. Hunt - Cincinnati OH, US Robert J. Laird - Morrow OH, US Omar J. Vakharia - Cincinnati OH, US Richard W. Timm - Cincinnati OH, US Gavin M. Monson - Oxford OH, US Suzanne E. Thompson - West Chester OH, US
Assignee:
Ethicon Endo-Surgery, Inc. - Cincinnati OH
International Classification:
A61B 18/14
US Classification:
606 45
Abstract:
A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member's longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced.
Method Of Filling An Intraluminal Reservoir With A Therapeutic Substance
Jeffrey L. Aldridge - Lebanon OH, US Gregory J. Bakos - Mason OH, US Sean P. Conlon - Loveland OH, US Michael S. Cropper - Edgewood KY, US Denzel Z. Herrera-Davis - Cincinnati OH, US Lucas B. Elmer - Cincinnati OH, US Jason L. Harris - Mason OH, US Christopher J. Hess - Cincinnati OH, US Jeffrey D. Messerly - Cincinnati OH, US Mark S. Ortiz - Milford OH, US Mark D. Overmyer - Cincinnati OH, US Alessandro Pastorelli - Roma, IT Michael J. Stokes - Cincinnati OH, US Foster B. Stulen - Mason OH, US Suzanne Thompson - West Chester OH, US Richard W. Timm - Cincinnati OH, US James W. Voegele - Cincinnati OH, US Lauren S. Weaner - Cincinnati OH, US Tamara S. Vetro Widenhouse - Clarksville OH, US Mark S. Zeiner - Mason OH, US Andrew M. Zwolinski - Hamburg, DE
International Classification:
A61F 2/04 A61M 31/00 A61M 25/00
US Classification:
600 37, 604500, 604516
Abstract:
Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube with the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.
Jeffrey L. Aldridge - Lebanon OH, US Michael S. Cropper - Edgewood KY, US Denzel Z. Herrera-Davis - Cincinnati OH, US Jason L. Harris - Mason OH, US John V. Hunt - Cincinnati OH, US Prasanna Malaviya - Mason OH, US Jeffrey D. Messerly - Cincinnati OH, US Mark S. Ortiz - Milford OH, US Mark D. Overmyer - Cincinnati OH, US Galen C. Robertson - Durham NC, US Foster B. Stulen - Mason OH, US Suzanne Thompson - West Chester OH, US James W. Voegele - Cincinnati OH, US Lauren S. Weaner - Cincinnati OH, US Christopher W. Widenhouse - Clarksville OH, US Tamara S. Vetro Widenhouse - Clarksville OH, US David C. Yates - West Chester OH, US Mark S. Zeiner - Mason OH, US
International Classification:
A61F 2/04
US Classification:
600 37
Abstract:
Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated.
Jeffrey L. Aldridge - Lebanon OH, US Michael S. Cropper - Edgewood KY, US Denzel Z. Herrera-Davis - Cincinnati OH, US Jason L. Harris - Mason OH, US John V. Hunt - Cincinnati OH, US Prasanna Malaviya - Mason OH, US Jeffrey D. Messerly - Cincinnati OH, US Mark S. Ortiz - Milford OH, US Mark D. Overmyer - Cincinnati OH, US Galen C. Robertson - Durham NC, US Foster B. Stulen - Mason OH, US Suzanne Thompson - West Chester OH, US James W. Voegele - Cincinnati OH, US Christopher W. Widenhouse - Clarksville OH, US Tamara S. Vetro Widenhouse - Clarksville OH, US David C. Yates - West Chester OH, US Mark S. Zeiner - Mason OH, US
International Classification:
A61F 2/04
US Classification:
600 37, 606191
Abstract:
Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated.
Intestinal Brake Inducing Intraluminal Therapeutic Substance Eluting Devices And Methods
Thomas E. Albrecht - Cincinnati OH, US Jeffrey L. Aldridge - Lebanon OH, US Gregory J. Bakos - Mason OH, US Michael S. Cropper - Edgewood KY, US Denzel Z. Herrera-Davis - Cincinnati OH, US Jason L. Harris - Mason OH, US Christopher J. Hess - Cincinnati OH, US John V. Hunt - Cincinnati OH, US Prasanna Malaviya - Mason OH, US Mark S. Ortiz - Milford OH, US Mark D. Overmyer - Cincinnati OH, US Alessandro Pastorelli - Roma, IT Galen C. Robertson - Durham NC, US Michael J. Stokes - Cincinnati OH, US Suzanne Thompson - West Chester OH, US Richard W. Timm - Cincinnati OH, US James W. Voegele - Cincinnati OH, US Christopher W. Widenhouse - Clarksville OH, US Tamara S. Vetro Widenhouse - CLarksville OH, US David C. Yates - West Chester OH, US Mark S. Zeiner - Mason OH, US Andrew M. Zwolinski - Hamburg, DE
International Classification:
A61M 5/00
US Classification:
604 8
Abstract:
Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices may be accomplished via stabilized implantable systems and ingestible pills. In one aspect, a method of inducing satiety includes implanting an implant within a lumen of a gastrointestinal tract and retaining a portion of chyme that flows by the implant within a body of the implant. The method further involves re-releasing the retained chyme from the implant into the gastrointestinal tract at a predetermined rate slower than a rate caused by natural peristalsis.
Surgical Instrument Comprising An Articulatable End Effector
Zhifan F. Huang - Mason OH, US David A. Witt - Maineville OH, US Raymond M. Banks - Cupertino CA, US Timothy G. Dietz - Terrace Park OH, US Mary E. Mootoo - Cincinnati OH, US Gregory W. Johnson - Milford OH, US Jeffrey S. Swayze - Hamilton OH, US Jason L. Harris - Mason OH, US Foster B. Stulen - Mason OH, US Prasanna Malaviya - Mason OH, US Richard W. Timm - Cincinnati OH, US John V. Hunt - Cincinnati OH, US Suzanne E. Thompson - West Chester OH, US Gavin M. Monson - Oxford OH, US Robert J. Laird - Morrow OH, US Omar J. Vakharia - Cincinnati OH, US Christopher J. Schall - Cincinnati OH, US Cory G. Kimball - Cincinnati OH, US Al Mirel - Redwood City CA, US John F. Cummings - Madeira OH, US Andrew T. Beckman - Cincinnati OH, US
Assignee:
Ethicon Endo-Surgery, Inc. - Cincinnati OH
International Classification:
A61B 18/18
US Classification:
606 52
Abstract:
An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.